• 혜화의학회지
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• 제25권1호
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• pp.109-117
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• 2016

"Regulatory Function of Lung(肺主治節)" is one of the major function of lung, but its meaning is still controversial. The word "治節(Regulatory Function)" was first discovered in "黃帝內經(Huangdineijing)". In Chinese medicine text of modern China, physiological meaning of "治節" can be roughly divided into two; one is respiratory function, and another is to help cardiovascular function of the heart. In addition to this, "治節" has been construed in various ways, but all of them is not realistic. There has been several viewpoints that '節' in '治節' means 24 seasonal divisions and they can be representatively found in "東醫寶鑑(Donguibogam)". Based on all of these views, modern western medical physiology is requirement for further study about physiology of internal organs.

• Tuberculosis and Respiratory Diseases
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• 제47권1호
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• pp.35-41
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• 1999

연구배경: 비소세포성 폐암 수술시 sleeve 폐엽절제술은 가능한한 폐실질을 보존하기 위한 수술방법으로, 폐기능이 감소되어 있는 환자에서도 폐절제술을 시행할 수 있다. 그러나 sleeve 폐엽절제술 후 폐기능이 기대했던 것 만큼 보존되는지에 대한 국내의 보고가 없어 sleeve 폐엽절제술 후 폐기능의 보존정도에 대해 연구 하였다. 방법: 1995년부터 1998년까지 삼성서울병원에서 sleeve 폐엽절제술을 받은 폐암 환자중 수술 후 3개월 이후에 기관지내시경 검사, 폐기능검사를 시행받은 15명의 환자를 대상으로 수술 전 예상 $FEV_1$과 수술 후 실제 $FEV_1$과의 차이를 비교 분석하였다. 수술 전 예상 $FEV_1$은 수술 전 $FEV_1$에 수술 후 잔류폐엽의 폐관류 정도(%)를 곱한 값으로 계산하였다. 결과: 15명 환자의 연령의 중앙값은 58세(44세-70세)였고, 남녀비는 14:1이었다. 모두 비소세포성폐암이었으며 상피세포암이 13명, 선암이 2 명이었다. 우측 상엽 sleeve 폐업절제술이 8명, 우측 중엽과 하엽을 동시에 제거하는 양엽 sleeve 폐엽절제술이 3명, 좌측 상엽 sleeve 폐엽절제술이 4명이었다. 환자들의 수술 전 평균 $FEV_1$은 $2417{\pm}694mL$ 였고, sleeve 폐엽절제술을 받을 경우 예상 $FEV_1$용 $2180{\pm}570mL$ 였다. Sleeve 폐엽절제술 후 실제 $FEV_1$은 $2293{\pm}499mL$로 수술 전 예상 $FEV_1$과 의미있는 상관관계을 보여 (r = 0.67, P<0.05), 전폐절제술을 시행했을 때보다 폐기능을 보존할 수 있었다. 각 환자의 수술 전 $FEV_1$과 수술 후 실제 $FEV_1$을 비교해 보았을 때 수술 전 $FEV_1$이 적었던 (<2L) 4명의 환자에서는 오히려 수술 전보다 수술 후 $FEV_1$이 증가하였다. 결론: 폐암의 수술에 있어 sleeve 폐업절제술은 예상했던 것 만큼 폐기능이 잘 보존되었고, 특히 수술 전 폐기능이 저하되어 있는 환자에서 유용한 수술수기로 이용될 수 있을 것으로 생각 되었다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제38권1호
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• pp.55-63
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• 2012

The odontogenic keratocyst (OKC) was originally classified as a developmental cyst, and OKCs were histologically divided into orthokeratotic (O-OKCs) and parakeratotic (P-OKCs) types. Clinical features differ between O-OKCs and P-OKCs with P-OKCs having a tendency to recur after surgical treatment. According to the revised histopathological classification of odontogenic tumors by the World Health Organization (2005), the term keratocystic odontogenic tumor (KCOT) has been adopted to describe P-OKCs. In this retrospective study, we examined 186 KCOTs treated at the Maxillofacial Surgery Department of the Tokyo Medical and Dental University Hospital from 1981 through 2005. The patients ranged in age from 7 to 85 years (mean, 32.7) and consisted of 93 males and 93 females. The most frequently treated areas were the mandibular molar region and ramus. The majority of KCOTs in the maxillary region were treated by enucleation and primary closure. The majority of KCOTs in the mandibular region were enucleated, and the wound was left open. Marginal resection was performed in the 4 patients with large lesions arising in the mandible. In patients who were followed for more than a year, recurrences were observed in 19 of 120 lesions (15.8%). The recurrences were found at the margins of the primary lesion in contact with the roots of the teeth or at the upper margins of the mandibular ramus. Clinicians should consider aggressive treatment for KCOTs because the recurrence rate of P-OKCs is higher than that of other cyst types such as O-OKCs, dentigerous cysts, primordial cysts that were non-keratinized, and slightly keratinized stratified squamous epithelium. Although more aggressive treatment is needed for KCOTs as compared to other cystic lesions, it is difficult to make a precise diagnosis preoperatively on the basis of clinical features and X-ray imaging. Therefore, preoperative biopsy is necessary for selecting the appropriate treatment for patients with cystic lesions.

• 한국식품과학회지
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• 제36권6호
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• pp.1026-1031
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• 2004

들깨 메탄올 추출물이 acetylcholinesterase(AChE)의 활성 및 PC 12 cell 세포사멸에 미치는 영향을 검토하였다. AChE에 대한 억제환성은 들깨 메탄을 추출물의 농도가 높을수록 유의적으로 높았으며 추출물의 분획물 중에서는 n-butanol층이 가장 높은 억제율을 나타내었다. L-glutamate 또는 ${\beta}-amyloid$ protein $(A{\beta})$으로 유도된 PC 12 cell에 대한 세포사멸 억제효과도 추출물의 농도가 높을수록 유의적으로 증가하였다. 또한 rat brain에 $FeSO_{4^-}H_2O_2$로 산화적 스트레스를 유발시켜 추출물의 TBARS 생성 억제활성을 조사한 결과 들깨 메탄을 추출물은 농도가 높아질수록 산화적 스트레스에 대한 억제활성이 증가하였으며 분획물 중에서는 n-butanol층에서 가장 높은 억제활성을 나타내었다. 이상의 결과들로 미루어 볼 때 들깨 메탄을 추출물은 AChE 활성을 억제하고 glutamate 또는 $A{\beta}$에 의하여 유도된 PC12 cell의 세포사멸을 억제하며 이러한 효과는 들깨 메탄을 추출물의 항산화력에 기인할 수도 있을 것으로 사료되었다.

• 한국응용과학기술학회지
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• 제38권3호
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• pp.786-800
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• 2021

본 연구는 서울·경기 소재 65세 이상 노인 463명을 대상으로 신체활동 참여에 따른 체력요인과 인지기능, 일상생활수행능력, 도구적 일상생활수행능력 및 심리적 변인에 대한 차이를 분석하였다. 수집 된 자료는 SPSS 25.0 통계프로그램을 이용하여 빈도분석, 신뢰도 분석, 독립 t-검증과 일원분산분석 그리고 피어슨의 상관관계분석을 실시하였으며 모든 통계적 유의수준은 p<.05로 설정하였다. 그 결과 첫째, 노인의 신체활동 참여유무에 따라 체력, 인지기능, 일상생활수행능력, 도구적일상생활수행능력 및 심리적 변인인 우울과 삶의 질에 통계적으로 유의한 차이가 나타났으며, 신체활동에 참여하는 노인의 참여빈도에 따라 체력, 인지기능, ADL, IADL, 우울 및 삶의 질에 통계적 유의한 차이가 나타났다. 신체활동에 참여하는 노인의 참여시간에 따라 체력에서 통계적 유의한 차이가 나타났다. 둘째, 체력과 인지기능, ADL, IADL, 우울 및 삶의 질의 상관관계를 살펴본 결과 대부분의 요인에서 상관관계가 나타났다. 이러한 연구결과를 바탕으로 노인의 성공적인 노화와 자립적인 노후생활을 위해 신체활동을 포함한 체계적인 중재 전략의 개발이 필요하다.

• 대한수학회보
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• 제54권6호
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• pp.1873-1882
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• 2017

We give a generating function for the number of graphs with given numerical properties and prescribed weighted number of connected components. As an application, we give a generating function for the number of q-partite graphs of given order, size and number of connected components.

• Kyungpook Mathematical Journal
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• 제51권4호
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• pp.411-417
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• 2011

In the present paper, we are concerned with subordination problems related to ${\lambda}$-Robertson function. The radii of ${\lambda}$-spirallikeness and starlikeness of ${\lambda}$-Robert function are also determined.

• BMB Reports
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• 제44권4호
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• pp.238-243
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• 2011

We generated 16,993 expressed sequence tags (ESTs) from two libraries containing full-length cDNAs from the brain and liver of the Korean Jindo dog. An additional 365,909 ESTs from other dog breeds were identified from the NCBI dbEST database, and all ESTs were clustered into 28,514 consensus sequences using StackPack. We selected the 7,305 consensus sequences that could be assembled from at least five ESTs and estimated that 12,533 high-quality single nucleotide polymorphisms (SNPs) were present in 97,835 putative SNPs from the 7,305 consensus sequences. We identified 58 Jindo dog-specific SNPs in comparison to other breeds and predicted seven synonymous SNPs and ten non-synonymous SNPs. Using PolyPhen, a program that predicts changes in protein structure and potential effects on protein function caused by amino acid substitutions, three of the non-synonymous SNPs were predicted to result in changes in protein function for proteins expressed by three different genes (TUSC3, ITIH2, and NAT2).

• Genomics & Informatics
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• 제11권3호
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• pp.149-154
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• 2013

Liver enzyme elevations, as an indicator of liver function, are widely associated with metabolic diseases. Genome-wide population-based association studies have identified a genetic susceptibility to liver enzyme elevations and their related traits; however, the genetic architecture in childhood remains largely unknown. We performed a genome-wide association study to identify new genetic loci for liver enzyme levels in a Korean childhood cohort (n = 484). We observed three novel loci (rs4949718, rs80311637, and rs596406) that were multiply associated with elevated levels of alanine transaminase and aspartate transaminase. Although there are some limitations, including genetic power, additional replication and functional characterization will support the clarity on the genetic contribution that the ST6GALNAC3, ADAMTS9, and CELF2 genes have in childhood liver function.

• Tuberculosis and Respiratory Diseases
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• 제85권4호
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• pp.332-340
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• 2022

Background: Cardiac dysfunction patients have long been considered at high risk of reintubation. However, it is based on past studies in which only conventional oxygen therapy was applied after extubation. We investigated association between cardiac dysfunction and reintubation rate in situation where high-flow nasal cannula (HFNC) was widely used during post-extubation period. Methods: We conducted a retrospective observational cohort study of patients treated with HFNC after planned extubation in medical intensive care unit of single tertiary center. Patients were divided into normal function group (ejection fraction [EF] ≥45%) and cardiac dysfunction group (EF <45%). The primary outcome was reintubation rate within 72 hours following extubation. Results: Of 270 patients, 35 (13%) had cardiac dysfunction. Baseline characteristics were similar in both groups. There were no differences in the changes in vital signs between the two groups during the first 12 hours after extubation except diastolic blood pressure. The reintubation rates were 20% and 17% for cardiac dysfunction group and normal function group, respectively (p=0.637). In a multivariate Cox regression analysis, cardiac dysfunction was not associated with an increased risk of reintubation within 72 hours following extubation (hazard ratio, 1.56; p=0.292). Conclusion: Cardiac dysfunction was not associated with increased reintubation rate within 72 hours when HFNC is immediately applied after planned extubation.