• Title/Summary/Keyword: Effect of Regulation

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Clinical Outcomes of Multidisciplinary Team Care on the Regulation of Chronic Kidney Disease - Mineral and Bone Disorder (CKD-MBD) in Patients Undergoing Dialysis (미네랄 골질환 합병증을 가진 투석환자에서 다학제 팀 서비스의 임상적 성과)

  • Han, Nayoung;Lee, Sang-Min;Hong, Jin Yi;Noh, Hye Jin;Ji, Eunhee;Song, Yun-Kyoung;Song, Jeeyoun;Kim, In-Wha;Kim, Yon Su;Oh, Jung Mi
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.4
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    • pp.318-323
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    • 2016
  • Background: Multidisciplinary team care (MTC) is a collaborative approach to treatment plan and ongoing care. We aimed to evaluate the clinical effect of MTC on the regulation of chronic kidney disease-mineral and bone disorder (CKD-MBD) complications in dialysis patients. Methods: This retrospective observational study was approved by the institutional review board. Among patients who have undergone dialysis at admission, the patients admitted to the nephrology ward were allocated to MTC group, and the others to usual care (UC) group. The MTC group had collaborative care by nephrologists, nurses, pharmacists, and nutritionists. The endpoints were the regulation of corrected calcium (cCa) and phosphate (P), the percent of patients in target level of cCa-P product ($cCa{\times}P$), and the prescription rate of non-calcium based P-binders. Results: A total of 163 patients were included from January to December 2009. A significant difference was shown in the percentage of patients in target $cCa{\times}P$ level at admission (MTC vs. UC, 81.40% vs. 91.67%; P = 0.038), but there was no significant difference at discharge. During admission, the cCa and P levels of patients in only UC group were significantly changed. In addition, compared with UC group, patients in MTC group were more likely prescribed appropriate P-binders, when they had higher $cCa{\times}P$ levels than $55mg^2/dL^2$ (P <0.001). Conclusion: It was found that MTC had beneficial effect on improving the regulation of CKD-MBD and the appropriate phosphate binder uses. Therefore, application of the MTC is anticipated to enhance quality of clinical care in chronic diseases.

Application of Calculation Method for Reduction Effect of Environmental Impact and Case Studies of the Vehicle Undercover (자동차 언더커버의 환경영향 감축 효과 산정방법 적용 및 사례 연구)

  • Yun, Hyeri;Park, Yoosung;Yu, Mi Jin;Bae, Hana;Lee, Hanwoong
    • Clean Technology
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    • v.24 no.2
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    • pp.135-145
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    • 2018
  • There are various activities for reduction of the greenhouse gasses (GHG) emission around the world. The countries agreed to submit their's individual plans to the United Nations and have operated programs related to the Climate Change, in addition, the enterprises have spontaneously been developed individual calculation methodologies of GHG emission. This paper aims at examining methods for calculating the effect of the reduction of environmental impact, being divided into three categories; international standard, country, enterprise. The reduction effects of environmental impact were compared by applying an existing product of the vehicle undercover and the uni-materialized product and being selected six calculation methods of environmental footprint. There are significant differences according to the evaluation methods of product environmental footprint (PEF) reduction. Main factors of differences are a gap in system boundary, a scope of data collection and the replacement amount standard of existing products. Stakeholders are unreliable in the results of PEF reduction because of the differences in results by each methodology. Therefore, it is necessary to disclose in detail the methodologies of calculating the PEF reduction that relevant people can easily understand, also to enable comparisons of the reduction results by developing the standardization of evaluation methods of PEF in the long term.

Anti-Obesity Effect of Krill Oil by Regulation of Adipokines in High Fat Diet-Induced Mouse Model (고지방식이 동물모델에서 크릴오일의 아디포카인 조절을 통한 항비만 효과)

  • Kim, Ji Hyun;He, Mei Tong;Seo, Hyo Jeong;Lee, Dongjun;Cho, Eun Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.201-208
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    • 2020
  • This study examined the anti-obesity effect of krill oil (KO) by regulating adipokines in a high-fat diet (HFD)-induced obese mouse model. The mice were fed a 60 kcal% HFD for 16 weeks, and KO was then administered at an oral dose of 100, 200, and 500 mg/kg/day for four weeks before the end of the experiment. The administration of KO at concentrations of 200 and 500 mg/kg/day decreased body weight gain significantly compared with the HFD-fed control group. In addition, the HFD-fed control group showed the abnormal release of adipokines by an increase in leptin and decrease in adiponectin, compared to the normal diet-fed normal group. On the other hand, KO (500 mg/kg/day)-administered group attenuated the abnormal release of adipokines by the down-regulation of leptin and the up-regulation of adiponectin. Therefore, KO could be a promising therapeutic agent for obesity by the regulation of adipokines.

A Study on the Development of a Structural Equation Model between the Driver's Negative Emotion and Driving Behavior Based on Emotion Regulation Strategies (정서조절 방략을 반영한 운전자의 부정적 정서와 운전행동 간의 구조모형 개발에 관한 연구)

  • Kwon, Min Jeong;Oh, Young-Tae
    • Journal of Korean Society of Transportation
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    • v.32 no.3
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    • pp.207-217
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    • 2014
  • Many a number of policies have been tried to reduce auto accidents so far, but it is obvious that further studies are still needed to find a more fundamental and multi-dimensional preventive measure with effect. The National Mental Health Statistics shows that the most profound forms of negative emotions, that is, depression and anxiety, have been increasing, but studies on such a topic are scarce to find. Therefore, we conducted a structural analysis between the negative emotions, including depression and anxiety, of drivers and their driving behaviors using a Structural Equation Modeling(SEM) technique. The review of past literature and studies indicated that not all of human emotions manifest themselves as the ultimate behaviors because they go through emotion regulation Strategies. For this reason, the purpose of this study was set to analyze the structural model developed in this study reflecting the emotion regulation strategies. The result of our analysis showed that the driver's negative emotion had a more significant influence on dangerous driving behaviors than safe ones, and especially, the expressive suppression strategy was found to be the highest factor. Also, the total effect analysis with the negative emotional factors showed that expressive suppression had more significant influence compared to that of cognitive reappraisal. The implication of this study might provide a better understanding on driving behaviors of the drivers and could be used as a fundamental study for future policy development to reduce traffic accidents.

The Study of Literature Review on Mechanism of Bee Venom Therapy for Musculo-skeletal Disorder (봉독요법(蜂毒療法)의 근골격계질환(筋骨格界疾患) 치료기전(治療機轉)에 대한 문헌적(文獻的) 고찰(考察))

  • Kim, Sung-Soo;Chung, Won-Suk
    • The Journal of Korea CHUNA Manual Medicine
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    • v.3 no.1
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    • pp.111-123
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    • 2002
  • Objectives : There have been many studies of the effect of Bee Venom therapy about arthritis, but no one study was reported about its whole functional mechanism to musculo-skeletal system. This study was designed to investigate the effect, Indication, and side effect of Bee Venom therapy on musculo-skeletal disease by literature review of articles. Results : The effects of Bee Venom therapy to musculo-skeletal system are divided to Anti_inflammatory effect and Anti-nociceptive effect. Anti_inflammatory effect is achieved through competitive chemotaxis, immuno-regulation, increasing of cortisol secretion by stimulating hypothalamus-pituitary gland-adrenal cortex axis. Anti-nociceptive effect is achieved by Anti-inflammatory mechanism and it works similar to anti-nociceptive effect of the acupuncture acting on central and peripheral nociceptive transduction system. The Bee Venom therapy could cause severe side effect, for example, hypersensitivity and anaphylaxis, injury to central nerve system and cardiovascular system, peripheral blood system, and renal dysfunction. Conclusions : With its Anti-inflammatory and Anti-nociceptive mechanism, Bee Venom therapy is considered that has good effects to autoimmune disease, chronic inflammation of various musculo-skeletal disease and various pain syndrome. But the clinician must be careful for its side effects.

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Sphingosine-1-phosphate Promotes the Survival of Mel-Ab Cells via ERK and Akt activation

  • Kim, Dong-Seok;Hwang, Eui-Soo;Kim, Sook-Young;Lee, Jai-Eun;Park, Kyoung-Chan
    • Journal of Photoscience
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    • v.9 no.2
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    • pp.433-435
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    • 2002
  • In the present study, we investigated the actions of sphingosine-I-phosphate (SPP) in Mel-Ab melanocytes. We observed the cytoprotective effect of SPP on UVB-induced cell death. Following exposure of cells to UVB, a significant protective effect was seen in cultures pretreated with SPP. Since SPP is well known as a mitogenic agent, it is possible that the mitogenic effect of SPP may contribute to cell survival. Surprisingly, we found that SPP inhibited DNA-synthesis significantly. We were next interested in the regulation of the extracellular signal-regulated protein kinase (ERK) and Akt pathways by SPP. We clearly observed that SPP potently stimulated the phosphorylation of both ERK and Akt against UVB-induced cell death. Based on these results, we conclude that SPP may show its cytoprotective effect through ERK and Akt activation.

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Anti-Inflammatory Effect of Bower Actinidia in LPS-Stimulated RAW264.7 Cells (LPS로 유도된 RAW264.7 염증모델에서 미후등의 항염증효과)

  • Kim, Young-Jun;Song, Choon-Ho
    • Korean Journal of Acupuncture
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    • v.30 no.4
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    • pp.243-251
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    • 2013
  • Objectives : Bower Actinidia has been widely used for treatment of inflammatory diseases, such as jaundice, cystolithiasis. However, the mechanism of its anti-inflammatory activity has not been clarified. In this study, we investigated the inhibitory effect of Bower Actinidia pharmacopuncture extract(BA) on LPS-induced inflammation. Methods : The effect of BA was analyzed by ELISA, RT-PCR and Western blotting in LPS-stimulated RAW264.7 cells. Results : We found that BA suppressed not only the mRNA expression of pre-inflammatory cytokines, cyclooxygenase-2(COX-2) and inducible nitric oxide synthase(iNOS), but also the phosphorylation of ERK, JNK and p38. Conclusions : These results suggest that BA exerts an anti-inflammatory effect through the regulation of the mitogen-activated protein kinase(MAPK) pathway, thereby decreasing production of pre-inflammatory cytokines.

Biological effect of recombinant IL-1$\beta$ on the expression of antiviral genes in the gill of rainbow trout, Oncorhynchus mykiss

  • Hyun, Do Jeong
    • Journal of fish pathology
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    • v.16 no.3
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    • pp.139-146
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    • 2003
  • We have investigated the biological effects of recombinant IL-1$\beta$ (rIL-1$\beta$) on the expression of antiviral genes such as Myxovirus-3 (MX-3) and Interferon regulating factor-1 (IRF-1), which are related to type I interferon. When ten micrograms of rIL-1$\beta$ were treated, we observed the stimulatory effect on the expression of these antiviral genes. Interestingly, at the early stage of stimulation, these genes were down-regulated and then up-regulated by the results obtained that the expressions of these genes were decreased at day 1 post-injection and gradually increased at day 3 post-injection. Thus, the stimulatory effect of rIL-1$\beta$ on the expression of MX-3 and IRF-3 gene might be an indirect stimulatory effect because significant up-regulation was delayed until day 3 post-injection.

Effect of Lycopus lucidus Trucz on Cell Growth of Human Breast Cancer Cells, MCF-7

  • Kim, Do-Yeon;Ghil, Sung-Ho
    • Biomedical Science Letters
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    • v.15 no.2
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    • pp.147-152
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    • 2009
  • Lycopus lucid us Turcz is well known as traditional Chinese medicine, and it has been shown to exhibit antiinflammatory, -allergic and -oxidative effect. However, its anti-cancer properties have not been examined yet. In this study, we investigated the effect of the methanol extract of Lycopus lucid us Turcz on anti-cancer effect in MCF-7 human breast cancer cells. Treatment of Lycopus lucidus Turcz extract induced apoptosis and inhibition of cell proliferation in dose- and time-dependent manner. Apoptosis in the MCF-7 cells was characterized with the changes in nuclear morphology; decrease of Bcl-2 and caspase-7 expression; and increase of cleaved poly ADP-ribose polymerase(PARP). Furthermore, treatment of Lycopus lucidus Turcz extract caused the down-regulation of cell cycle-related protein including, cdk4, cyclin D1 and E2F-1. These results suggest that Lycopus lucidus Turcz might have the therapeutic value against human breast cancer cells.

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Effect of Alpha-2 Adrenergic Agonist on Beta Adrenoceptor-Nediated Control of Blood Glucose in the Fasted Mouse

  • Han, Guie-In;Kim, Mie-Young
    • Archives of Pharmacal Research
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    • v.9 no.4
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    • pp.219-222
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    • 1986
  • Dose-dependent increasesin blood glucose were produced by epinephrine and clonidine in fasted male mice. Isoproterenol was ineffective in increasing blood glucose at lower doses ($10^{-8}M$/kg-$10^{-7}M$/kg); with higher dose ($10^{-6}M$/kg) the glucose level was increased. The hyperglycemia induced by epinephrine was inhibited by yobimbine, prazosin and propranolol, indicating that the hyperglycemic effect of epinephrine is mediated by alpha-1, alpha-2 and beta adrenoceptor. When clonidine (10$^{-6}$ M/kg) was administered simultaneously with sioproterenol ($10^{-6}M$/kg), an enhenced hyperglycemic effect was observed. The increment produced by clonidine plus isoproterenol was higher than that by clonidine alone. These increment produced by clonidine plus isoproterenol was higher than that by clonidine alone. These results suggest that stimulation of alpha-2 adrenoceptor may be reponsible for the exertion of the hyperglycemic effect by beta agonists in fasted mice.

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