• 제목/요약/키워드: HP2020

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Current Diagnosis and Management of Hypersensitivity Pneumonitis

  • Leone, Paolo Maria;Richeldi, Luca
    • Tuberculosis and Respiratory Diseases
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    • 제83권2호
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    • pp.122-131
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    • 2020
  • Hypersensitivity Pneumonitis (HP) one of the most common interstitial lung diseases (ILDs) is characterized by exposure to an inhaled inciting antigen that leads to a host immunologic reaction determining interstitial inflammation and architectural distortion. The underlying pathogenetic mechanisms are unclear. The absence of international shared diagnostic guidelines and the lack of a "gold-standard" test for HP combined with the presence of several clinical and radiologic overlapping features makes it particularly challenging to differentiate HP from other ILDs, also in expert contests. Radiology is playing a more crucial role in this process; recently the headcheese sign was recognized as a more specific for chronic-HP than the extensive mosaic attenuation. Several classification proposals and diagnostic models have been advanced by different groups, with no prospective validation. Therapeutic options for HP have been limited to antigen avoidance and immunosuppressant drugs over the last decades. Several questions about this condition remain unanswered and there is a need for more studies.

진공백 핫 프레스 성형공정을 이용한 탄소섬유 복합재료의 제조와 공정비교 (Preparing of Carbon Fiber Composites Using by Vacuum Bag Hot-press Molding Process and Comparison with the other Molding Processes)

  • 허원욱;전길우;안승국
    • Composites Research
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    • 제33권2호
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    • pp.76-80
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    • 2020
  • 본 연구에서는 우수한 물성과 표면품질을 가지는 오토클레이브 성형공법의 비효율적인 공정을 개선하여 탈 오토클레이브(Out-of-autoclave, 이하 OOA) 공정으로써 활용이 가능한 진공백 핫 프레스 공정(Vacuum bag hot-press, 이하 V-HP)을 이용하여 탄소섬유 복합재료를 제작하고 오토클레이브(Autoclave, 이하 AC) 공정과 핫 프레스공정(Hot-press, 이하 HP)으로 제작된 복합재료간 물성 및 미세구조를 분석하였으며, OOA공정으로의 가능성을 확인하였다. V-HP공정을 사용한 복합재료의 인장강도는 320.6 MPa로써, AC공정을 이용한 복합재료의 인장강도 335.3 MPa에 상당히 근접한 물성을 보이는 것을 확인하였다. SEM을 이용한 복합재료 표면품질을 확인한 결과 V-HP공정의 경우, 수지내 휘발용매로 인한 기공의 제거상태가 AC공정과 비교하여 다소 낮으나 HP공정과 비교하여 상당히 우수한 표면을 가지는 것을 확인할 수 있었다.

The National Health Plan 2030: Its Purpose and Directions of Development

  • Oh, Yumi
    • Journal of Preventive Medicine and Public Health
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    • 제54권3호
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    • pp.173-181
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    • 2021
  • The National Health Plan 2030 (HP2030) started to be prepared in 2017 and was completed and announced in December 2020. This study presents an overview of how it was established, the major changes in policies, its purpose, and future directions. This study analyzed the steps taken in the past 4 years to establish HP2030 and reviewed major issues at the international and governmental levels based on an evaluation of HP2020 and its content. HP2030 establishes 6 divisions and 28 topic areas, and it will continue to expand investments in health with a total budget of 2.5 trillion Korean won. It also established goals to enhance health equity for the first time, with the goal of calculating healthy life expectancy in a way that reflects the circumstances of Korea and reducing the gap in income and healthy life expectancy between regions. The establishment of HP2030 is significant in that it constitutes a sustainable long-term plan with sufficient preparation, contains policy measures that everyone participates in and makes together, and works towards improvements in universal health standards and health equity. With the announcement of HP2030, which includes goals and directions of the national health policy for the next 10 years, it will be necessary to further strengthen collaboration with relevant ministries, local governments, and agencies in various fields to concretize support for prevention-centered health management as a national task and to develop a health-friendly environment that considers health in all policy areas.

에스트로겐이 결핍된 흰쥐에서 한약혼합물이 비만 관련 호르몬에 미치는 영향 (Effects of Herbal Prescription on Obesity Related Hormones in Rats with Estrogen Deficiency)

  • 박정식;임정설;임형호;황귀서
    • 한방재활의학과학회지
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    • 제30권1호
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    • pp.1-12
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    • 2020
  • Objectives Depletion of ovarian function after menopause in women induces estrogen deficiency leading to increased fat and decreased muscle mass. In this study, we examined the effect of herbal medicines by measuring hormone expression in muscle tissue of estrogen-deficient rats induced by ovariectomy. Methods Ovariectomy was performed to induce estrogen deficiency, and mice were given herbal prescription (HP) for 6 weeks. Estrogen-deficient rats were divided into two groups: one group (HPH) which were orally administered HP 200 mg/kg and the other group (HPL) administered HP 40 mg/kg. Weight changes in both groups were measured using polymerase chain reaction (PCR). After extraction of the femoral muscles in mice, the expression of the leptin, lipoprotein lipase (LPL), diacyl glycerol acyltransferase (DGAT)1, peroxisome proliferator-activated receptor-γ coactivator (PGC)-1α, NADH dehydrogenase (NDH), farnesyl diphosphate farnesyltransferase (FDFT)1, lanosterol synthase (LSS), phosphatidylethanolamine N-methyltransferase (PEMT), and peroxiredoxin (Prdx6) were measured using PCR. Results HP increased the expression of leptin, LPL, DGAT1, PGC-1α, NDH, FDFT1, LSS, PEMT, and Prdx6. HP affects body fat metabolism and is effective in improving menopausal obesity and obesity complications caused by estrogen deficiency. However, HP does not affect the expression of tumor necrosis factor-α and 3-hydroxy-3-methylglutaryl-CoA reductase, and thus will not be effective in obesity-related metabolic diseases. Conclusions HP is thought to inhibit weight gain by regulating hormone expression related to glucose metabolism and lipid metabolism in muscle tissue of estrogen-deficient rats.

해동피를 포함한 생약복합제제 HP-04의 퇴행성 골관절염에 대한 항염효과 (Anti-inflammatory Effect of Herbal Complex HP-04 on Degenerative Osteoarthritis)

  • 조형권;김대성;김정영;박영미;신동엽;이학용;김훈;이동성;조성완
    • 생약학회지
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    • 제51권2호
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    • pp.122-130
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    • 2020
  • To investigate the anti-inflammatory effect on Degenerative Osteoarthritis, Male sprague-Dawley rats were randomized and classified into three different concentration groups. We measured weekly weight change, dietary intake, drinking water intake, blood analysis like TNF-α (tumor necrosis factor-α), IL-6 (interleukin 6), TIMP-1 (tissue inhibitor of metalloprotease-1), MMP-2 (matrix metalloprotease-2), MMP-9 (matrix metalloprotease-9) and micro CT analysis. The results suggest that the treatment with herbal complex HP-04 improved the Monosodium iodoacetate (MIA) induced degenerative osteoarthritis and it could be applicable for the improvement of arthritic symptoms as a new therapeutic agent.

IL-10 Expression-Inducing Gut Bacteria Alleviate High-Fat Diet-Induced Obesity and Hyperlipidemia in Mice

  • Kim, Hye-In;Yun, Soo-Won;Han, Myung Joo;Jang, Se-Eun;Kim, Dong-Hyun
    • Journal of Microbiology and Biotechnology
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    • 제30권4호
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    • pp.599-603
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    • 2020
  • In the present study, we examined the effects of interleukin (IL)-10 expression-inducing bacteria Bifidobacterium adolescentis HP1, Lactobacillus mucosae HP2, and Weissella cibaria HP3 on high-fat diet (HFD)-induced obesity and liver steatosis in mice. Oral gavage of HP1, HP2, and HP3 reduced HFD-induced bodyweight gain, triglycerides, and total cholesterol levels in the blood and liver. They also suppressed HFD-induced colitis and the fecal δ,γ-Proteobacteria population. Of the tested bacteria, HP2, which most potently inhibited IL-10 expression, also suppressed HFD-induced bodyweight gain, liver steatosis, and colitis most effectively. These findings suggest that IL-10 expression-inducing gut bacteria can suppress obesity and liver steatosis.

Diaion HP-20 레진을 이용한 천마 추출물의 불쾌취 제거 (Deodorization of Gastrodia elata Blum Extracts using Diaion HP-20 Resin)

  • 장귀영;최재훈;최수지;이승은;서경혜;김동휘;지윤정;정헌상;이윤정
    • 한국약용작물학회지
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    • 제28권1호
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    • pp.29-37
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    • 2020
  • Background: Although Gastrodia elata contains the valuable, bio-active compounds gastrodin and 4-hydroxybenzyl alcohol (4-HBA), it also contain ρ-cresol, which is a major source of an objectionable pig slurry-like odor. Accordingly, this study was performed to determine the deodorization effect of Diaion HP-20 resin on a G. elata extract. Methods and Results: Using Diaion HP-20 with an increasing concentration of ethanol, an extract of G. elata was fractionated into 15 fractions, which were anlayzed to determine their concentrations of active compounds and ρ-cresol. The gastrodin, 4-HBA, total phenolics, and ρ-cresol concentrations of the G. elata extract were 403.13, 408.15, 2,476.09, and 11.77 ㎍/㎖, respectively. Among the different fractions, gastrodin and 4-HBA were detected in fractions 3 to- 6, and 4 to- 10, respectively whereas total phenolics were detected in all samples, with fractions 5 to- 7 being characterized by higher concentrations than were the other fractions. ρ-Cresol was detected in fractions 12 to- 15, at concentrations ranging from 0.39 ㎍/㎖ to 6.05 ㎍/㎖ with the highest concentration detected in fraction 14. The fractions containing ρ-cresol could be selectively separated from the G. elata extract without the loss of major bio-active compounds such as gastrodin and 4-HBA. Conclusions: The results of this study indicate that a deodorizing method using Diaion HP-20 resin can be considered for improving the sensory qualities of G. elata extract without a loss of the major bio-active compounds.

2020년 개정 진료 치침에 따른 과민성폐렴의 진단 (Diagnosis of Hypersensitivity Pneumonitis: 2020 Clinical Practice Guideline)

  • 박수정;오유환;강은영;용환석;김채리;이기열;황성호
    • 대한영상의학회지
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    • 제82권4호
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    • pp.817-825
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    • 2021
  • 과민성폐렴(hypersensitivity pneumonitis)은 기도를 통해 흡입된 항원물질이 세기관지와 폐포에 면역매개 염증병변을 일으켜 발생하는 간질성폐질환(interstitial lung disease)이다. 다양한 유기물질이 발생원인으로 작용할 수 있기에 환자의 흉부영상검사와 임상증상을 통해 과민성폐렴을 의심하고 직업 또는 주변 환경을 통해 노출되는 항원을 파악하는 것이 과민성폐렴 진단의 핵심이다. 하지만 다양한 임상증상과 진행 형태로 인해 간질성폐질환 환자의 진단에서 과민성폐렴을 정확히 감별할 수 있느냐는 풀기 쉽지 않은 주제이다. 이에 2020년 미국흉부학회, 일본호흡기학회 그리고 라틴아메리카흉부학회는 과민성폐렴 진단에 대한 새로운 임상진료지침을 발표하였다. 이번 임상진료지침은 과민성폐렴 진단에 있어서 흉부 고해상도 전산화단층촬영(high-resolution CT; 이하 HRCT)의 역할을 강조하며 과민성폐렴에 대한 새로운 분류 기준도 제시하고 있다. 본 종설은 흉부 HRCT 내용을 포함해 새롭게 소개된 과민성폐렴 진단에 대한 전반을 살펴보고자 한다.

RETScreen을 활용한 건물에서의 지열 히트펌프 시스템 적용 사전 분석연구 (Pre-Analysis Study on Ground Source Heat Pump System in Building with RETScreen)

  • 김유진;이광섭;이의준;강은철
    • 한국태양에너지학회 논문집
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    • 제40권2호
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    • pp.1-10
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    • 2020
  • Korea government published renewable energy obligation policy that public building must be supplied some part of total consumption energy (2019: 27%, 2020: 30%). RETScreen is freely available global energy tool that developed by Canadian National Energy Laboratory to quantify energy saving to compare conventional system. This program can be performed energy modeling, cost analysis, greenhouse gas emission analysis and financial analysis. In this study, GSHP (Ground source heat pump) heating and cooling system were studied for the energy deliverly and ROI (Return On Investment) in an office building. Three cases were studied according to the number of HP (Heat pump) units for the 1,000㎡ office building located in Daejeon. Results indicated that the energy delivery of the case 1 (1 HP unit) covered 57% of the office building heating and cooling energy consumption. The case 2 (2 HP units) covered 87.8% and the case 3 (3 HP units) covered 96.8% of the office building energy consumption. The ROI of the case 1 indicated 7.9 years. While 8.2 years for the case 2 and 9.7 years for the case 3.