• Women's Health Nursing
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• v.18 no.3
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• pp.209-222
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• 2012

Purpose: The purpose of this study was to determine whether upright position is effective in labor through systematic review in randomized controlled trials. Methods: We established the PICO (Patient-Intervention-Comparator-Outcome) strategy, and reviewed 282 literatures from national and international electronic databases, and finally selected 9 references based on inclusion and exclusion criteria. We evaluated the quality of references and carried out a meta-analysis. Results: The maternal outcomes showed that the duration of their second-stage labor was 2.29 minutes shorter than that of the women in the recumbent position, and were less likely to have episiotomy. The other outcomes, including the mode of delivery, blood loss, hemoglobin level, use of oxytocin, use of analgesics, and perineal laceration, did not differ between the groups. The fetal heart rate abnormality occurred less than in the control group. The Apgar scores of the groups did not differ. Conclusion: There is evidence that an upright position in the second stage of labor reduces the duration of the second stage of labor, the incidence of episiotomy, and an abnormal fetal heart rate.

• Journal of Nutrition and Health
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• v.46 no.3
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• pp.239-249
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• 2013

Subclinical vitamin $B_{12}$ deficiency is common in the elderly worldwide. We investigated the change of serum vitamin $B_{12}$ concentration with aging and compared anthropometric data and clinical health indicators between normal (${\geq}$ 340 pg/mL) and low (< 340 pg/mL) serum vitamin $B_{12}$ groups in 470 Korean women aged 65 years and over living in a rural area. Serum vitamin $B_{12}$ concentration showed inverse correlation with age (r = -0.0992, p < 0.05). The normal $B_{12}$ group showed significantly (p < 0.05) higher red blood cell count, hemoglobin, and hematocrit compared to the low $B_{12}$ group, however, no difference in mean corpuscular volume was observed between the two groups. The normal $B_{12}$ group showed significantly lower serum homocysteine concentration (p < 0.01) and prevalence of vitamin D (p < 0.01) or folate deficiency (p < 0.001). Bone mineral density (T-score) was significantly higher (p < 0.05) in the normal $B_{12}$ group, compared with that in the low $B_{12}$ group, and showed positive correlation (r = 0.1490, p < 0.01) with serum vitamin $B_{12}$ concentration after adjusting for age, body weight, and body mass index. No differences in anthropometric data, physical activity, and smoking and drinking habits were observed between the two groups. In conclusion, it could be suggested that older female adults with normal serum vitamin $B_{12}$ level would be less anemic and osteoporotic and more resistant to hyperhomocysteinemia associated chronic diseases than those with low serum vitamin $B_{12}$ level.

• Journal of Nutrition and Health
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• v.33 no.3
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• pp.343-352
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• 2000

The health-related habits, dietary behaviors and health status as well as the relationships between the health-related habits and dietary behaviors and the health status were investigated in the subjects of the middle aged(20 male and 50 female with the average age of 56.4$\pm$6.1) and the elderly(15 male and 15 female with the average of 68.4$\pm$3.6) living in Chonju. The survey included the personal interview using questionnaires, anthropometric measurement and biochemical tests in December, 1998. The breakfast irregularity was shown in 5.7% of male and 10.8% of female. The consumption of generally lightly salted foods was practiced in half of the subjects. The prevalence of smoking and alcohol drinking were shown in 20% and 31.4% of male group respectively. As judged by their body mass indices(BMI), none of the subjects was belong to the obesity group. However, the considerable degree of overweight was found in female subjects. The upper-body obesity was more prevalent in female compared to male group. The percentages of the anemic subjects as judged by WHO hemoglobin level were found to be relatively high specially for female(26.2%). The blood pressure, serum total cholesterol and LDL-cholesterol determination showed that the middle aged males and the elderly females tend to have higher levels compared to the different age bracket subjects from two-way ANOVA. Therefore, it can be assumed that the middle aged males and the elderly females are under the greater risk than the other groups. The analysis of the relationships between health-related habits and dietary behavior, and the health status showed that the regularity of breakfast, the consumption of lightly salted foods, the frequency of exercise and the alcohol drinking pattern influenced the city dwellers and the risk-related health habits as well as dietary behavior.

• Nutritional Sciences
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• v.6 no.2
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• pp.113-117
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• 2003

Possible correlations between nutrient intake add health status-as assessed by anthropometric measurements, physical performance and biochemical measurements-were investigated, using 514 healthy young men aged 20 years old who had no apparent health problems. The intakes of nutrients were estimated using a three-day dietary recall method. Height and body weight were measured, and body mass index (BMI) was calculated. Physical performance was tested using sit-ups, push-ups, a loom sprint and a 1,500m run. When compared with the Korean recommended dietary allowances (Korean RDA), the subjects nutrient intakes were adequate except for calcium. The intake of calcium was 516.66$\pm$293.43mg/day, which is 73.80 % of the Korean RDA. The subjects averaged 174.51$\pm$7.07cm in height, 68.17$\pm$9.25 kg in body weight and 22.23$\pm$2.16 in BMI. The associations between nutrient intakes and anthropometric measurements, and between nutrient intakes and physical performance, were weak. The intake of vegetable fat was positively correlated to body weight, whereas the intake of carbohydrate was negatively correlated to BMI. The intake of carbohydrate was positively correlated to the level of performance in the loom sprint, and the intake of vegetable Int was positively correlated to the level of performance of sit-ups. No correlation was found between nutrient intakes and the following biochemical measurements of the blood: the levels of glucose, total protein, total cholesterol, triglyceride, hemoglobin and hematocrit. These results suggest that anthropometric measurements and level of physical performance can be associated with energy nutrient intakes, even in moderately active, well-nourished, young men. No correlation was found between nutrient intake and biochemical measurements, probably because all subjects had a reasonably well-balanced diet.

• Journal of Nutrition and Health
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• v.38 no.9
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• pp.750-755
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• 2005

Hepcidin, a peptide hormone synthesized mainly by the liver, has been implicated as a key regulator of iron homeostasis. Results from studies with experimental animal models suggested that hepcidin levels are related with body iron status, but little data is available in human subjects. This study was conducted to determine the relationship between serum pro-hepcidin levels, blood indexes of anemia, and dietary iron intake in female college students. Serum pro-hepcidin concentrations were measured by enzyme-linked immunosorbent assay in eighty-two women with $22.1\pm0.2$ years old. Dietary intake data were collected by using the 24-hour recall method for 3 days. Mean concentrations of serum pro-hepcidin were 85.1 ng/ml$\pm$6.1(s.d.) with the range of 13.6-295.7 ng/ml. The median value of serum pro-hepcidin in the study subjects was 70.3 ng/ml. Serum pro-hepcidin concentrations were positively correlated with hemoglobin concentrations (r=0.273, p=0.013), and also with hematocrit (r=0.291, p=0.008). To examine whether the level of dietary iron intake affects serum pro-hepcidin levels, study subjects were divided into two groups according to the amounts of daily iron intake. Serum pro-hepcidin concentrations were $22\%$ lower in groups with low iron intake (${\leq}10.1$ mg/day), compared to high-iron intake group (>10.1 mg/day) . In conclusion, these data, as in agreement with findings in mice, suggest that hepcidin plays an important role in regulating iron metabolism in the human body.

• Korean Journal of Veterinary Service
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• v.31 no.3
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• pp.415-423
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• 2008

This study examined the effects of the daily noise stress on body weight, feed intake and clinicopathological findings in Korean indigenous goats. A total of 14 male goats was divided into 2 groups (test and control) with same number (n=7), and exam was started 2 weeks later. This study composed 2 stages. First was noise stage i.e., noise (80-100 dB) inflicted on the test for 70 minutes each time (5 times/day), and have continued for 2 months. Second was no noise for 2 months. Body weight and daily gain in stress group was decreased compared with control group after imposing noise (first stage). However, these results were reversed after ceasing noise (second stage). Average daily feed intake was not significant different between two groups throughout the experimental periods. But, feed conversion ratio was lowerin control group than another. Clinicopathological findings including total protein, albumin, globulin, total bilirubin, total cholesterol, triglyceride, aspartate aminotransferase (AST), alanine aminotransferase (ALT), glucose, amylase, blood urea nitrogen (BUN), cortisol, total leucocytes and hemoglobin value showed no significant different between stress and control group.

• Journal of fish pathology
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• v.25 no.1
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• pp.47-58
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• 2012

Behavioral and physiological responses of juvenile red seabream (Pagrus major) to different concentrations of ethanol were investigated. No swimming and no reaction to touching by a wooden stick was observed at 0.6% ethanol group in behavioral response, and survival rate was 100% after 5 hours of treatment. Red blood cell count, hematocrit and hemoglobin levels in plasma were not significantly different among all groups. AST activities in plasma significantly decreased as ethanol concentration increased. On the contrary, ALT activities in plasma significantly increased as ethanol concentration increased. Cortisol level in plasma was the lowest in 0.6% ethanol group. Glucose levels in plasma increased significantly when ethanol concentration increased more than 0.4%. Oxygen consumption of fish in 0.6% ethanol seawater was constantly lower than that of fish in control seawater from 2 hours after the exposure to ethanol seawater until the end of experiment.

• Korean Journal of Clinical Pharmacy
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• v.25 no.3
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• pp.166-170
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• 2015

Background: Primary warm autoimmune hemolytic anemia (AIHA) is a relatively rare hematologic disorder resulting from autoantibody production against red blood cells. There has been very few studies about primary warm AIHA in South Korea because of its low incidence. We retrospectively analyzed the treatment outcome of primary warm AIHA. Method: We reviewed retrospectively the medical records of 9 primary warm AIHA patients from December 2002 to January 2015. We analyzed the causes and clinical characteristics of primary warm AIHA patients. We retrospectively analyzed the clinical data in electronic medical records for 9 Korean patients with AIHA patients who were diagnosed during the period from December 2002 to January 2015 at the Regional University Hospital in Korea. The study protocol was approved by the Institutional Review Board (IRB #2015-08-007, Chosun University Hospital IRB). Results: The mean age was 52 years (range 27~78), the mean hemoglobin level was 5.0 g/dL (range 2.5~6.4 g/dL). All patients received steroids at therapeutic dosages (corticosteroid 1 mg/Kg) as first line treatment. Eight of them showed complete response (5/8, 62.5%) and partial response (3/8, 37.5%), one patient required second-line treatment with rituximab. Two patients who responded first line treatment were relapsed at 86 weeks and 24 weeks after response, respectively. Only one patient of them was retreated with corticosteroid because of anemic symptoms. Conclusion: This study indicates that oral corticosteroid is an effective therapy for primary warm AIHA.

• Journal of Gastric Cancer
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• v.14 no.4
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• pp.246-251
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• 2014

Purpose: There are two surgical procedures for proximal early gastric cancer (EGC): total gastrectomy (TG) and proximal gastrectomy (PG). This study aimed to compare the long-term outcomes of PG with those of TG. Materials and Methods: Between January 2001 and December 2008, 170 patients were diagnosed with proximal EGC at Soonchunhyang University Cheonan Hospital, of which 64 patients underwent PG and 106 underwent TG. Clinicopathologic features, postoperative complications, blood chemistry data, changes in body weight, and oncological outcomes were analyzed and retrospectively compared between both groups. Results: Tumor size was smaller and the number of retrieved lymph nodes was lower in the PG group. The postoperative complication rate was 10.9% in the TG group and 16.9% in the PG group. The incidence of Los Angeles grade C and D reflux esophagitis was significantly higher in the TG group. Hemoglobin level was higher and body weight loss was greater in the TG group at 2, 3, and 5 years postoperatively. The albumin levels at 3 and 5 years were lower in the TG group. There was no significant difference in the 5-year overall survival rates between the two groups (P=0.789). Conclusions: Postoperative complications and oncologic outcomes were observed to be similar between the two groups. The PG group showed better laboratory data and weight loss than did the TG group. Moreover, severe reflux esophagitis occurred less frequently in the PG group than in the TG group. PG can be considered as an effective surgical treatment for proximal EGC.

• Journal of the Korean Society of Food Science and Nutrition
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• v.28 no.6
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• pp.1355-1363
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• 1999

The purpose of this study was to investigate the effects of vitamin E on liver microsomal cytochrome P450 contents and xanthine oxidase activity in acute cadmium poisoned rats. Sprague Dawley male rats weighing 100$\pm$10g were randomly assigned to one normal and three cadmium injected groups. Cadmium injected groups were fed vitamin E free diet(0E Cd group), 40mg vitamin E per kg diet(40E Cd group) or 400mg vitamin E per kg diet(400E Cd group). Vitamin E level of normal group was 40mg per kg diet. Animals were injected intraperitoneally with 2.0mg Cd2+/kg bw for 4 days after the rats were fed diets with three different levels of vitamin E for 2 and 4 weeks. Body weight, food intake and feed efficiency ratio of cadmium injected animals, were decreased compared with those of normal group. The weights of liver and kidney in cadmium injected groups were not different from those of normal group. Cadmium contents of liver in cadmium groups were 160 fold higher those that of normal group. Accumulation of cadmium poisoned rat liver was reduced by vitamin E supplementation. Contents of blood hemoglobin and hematocrit in 0E Cd groups were decreased to 2~ 14% of those of the other groups. Contents of serum triglyceride in all experimental groups were not significantly different each other. Levels of serum total cholesterol, LDL cholesterol and antherogenic index in 0E Cd and 40E Cd groups were higher than those of normal group, while the contents of HDL cholesterol in 0E Cd and 40E Cd groups were lower than those of normal group. Xanthine oxidase(XOD) activity and cytochrome P450 contents in the liver were significantly increased in cadmium injected groups but these were reduced by vitamin E supplementations. The present results indicate that acute cadmium poisoning in rats causes increasing free radical generation systems in the liver and that leads to liver tissue damage. But these abnormalities can be reduced by dietary vitamin E supplementations.