• 대한지역사회영양학회지
• /
• 제28권3호
• /
• pp.181-191
• /
• 2023

Objectives: The incidence of inflammatory bowel disease (IBD) is increasing globally, and excessive added sugar consumption has been identified as one of the contributing factors. In the context of IBD, it is essential to explore functional sweeteners that can improve metabolic health and minimize the risk of IBD-related symptoms. This review article aims to shed light on the effects of natural mono- and di-saccharides as alternative sweeteners, specifically focusing on potential benefits for IBD. Methods: A comprehensive literature review was performed using PubMed and Google Scholar databases with articles published after the year 2000. The search terms 'IBD', 'added sugar', 'sweeteners', 'mono-saccharide', and 'di-saccharide' were combined to retrieve relevant articles. A total of 21 manuscripts, aligning with the objectives of the study, were selected. Papers focusing on artificial or high-intensity sweeteners were excluded to ensure relevant literature selection. Results: Multiple studies have emphasized the association between the high consumption of added sugars such as simple sugars and the increased risk of developing IBD. This is suggested to be attributed to the induction of pro-inflammatory cytokine productions and dysbiosis of the gut microbiota. Consequently, there is a growing demand for safe and functional sweeteners, in particular mono- and di-saccharides, that can serve as alternatives for IBD patients. Those functional sweeteners regulate inflammation, oxidative stress, and Intestinal barrier protection, and restore microbiome profiles in various IBD models including cells, animals, and humans. Conclusions: Understanding these mechanisms resolves the link between how sugar consumption and IBD, and highlights the beneficial effects of natural alternative sweeteners on IBD when they were administered by itself or as a replacement for simple sugar. Further, exploration of this relationship leads us to recognize the necessity of natural alternative sweeteners in dietary planning. This knowledge could potentially lead to more effective dietary strategies for individuals with IBD.

• 한국간담췌외과학회지
• /
• 제26권1호
• /
• pp.17-30
• /
• 2022

Oncological scoring systems in surgery are used as evidence-based decision aids to best support management through assessing prognosis, effectiveness and recurrence. Currently, the use of scoring systems in the hepato-pancreato-biliary (HPB) field is limited as concerns over precision and applicability prevent their widespread clinical implementation. The aim of this review was to discuss clinically useful oncological scoring systems for surgical management of HPB patients. A narrative review was conducted to appraise oncological HPB scoring systems. Original research articles of established and novel scoring systems were searched using Google Scholar, PubMed, Cochrane, and Ovid Medline. Selected models were determined by authors. This review discusses nine scoring systems in cancers of the liver (CLIP, BCLC, ALBI Grade, RETREAT, Fong's score), pancreas (Genç's score, mGPS), and biliary tract (TMHSS, MEGNA). Eight models used exclusively objective measurements to compute their scores while one used a mixture of both subjective and objective inputs. Seven models evaluated their scoring performance in external populations, with reported discriminatory c-statistic ranging from 0.58 to 0.82. Selection of model variables was most frequently determined using a combination of univariate and multivariate analysis. Calibration, another determinant of model accuracy, was poorly reported amongst nine scoring systems. A diverse range of HPB surgical scoring systems may facilitate evidence-based decisions on patient management and treatment. Future scoring systems need to be developed using heterogenous patient cohorts with improved stratification, with future trends integrating machine learning and genetics to improve outcome prediction.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권13호
• /
• pp.5349-5357
• /
• 2015

Background: Breast cancer is the most common cancer and the leading cause of cancer mortality among women of all ethnic and age groups in Malaysia. Delay in seeking help for breast cancer symptoms is preventable and by identifying possible factors for delayed diagnosis, patient prognosis and survival rates could be improved. Objectives: This narrative review aimed to understand and evaluate the level of in-depth breast cancer knowledge in terms of clinical breast examination and breast self-examination, and other important aspects such as side-effects and risk factors in Malaysian females. Since Malaysia is multicultural, this review assessed social perceptions, cultural beliefs and help-seeking behaviour in respect to breast cancer among different ethnic groups, since these may impinge on efforts to 'avoid' the disease. Materials and Methods: A comprehensive literature search of seven databases was performed from December 2015 to January 2015. Screening of relevant published journals was also undertaken to identify available information related to the knowledge, perception and help-seeking behaviour of Malaysian women in relation to breast cancer. Results: A total of 42 articles were appraised and included in this review. Generally, women in Malaysia had good awareness of breast cancer and its screening tools, particularly breast self-examination, but only superficial in-depth knowledge about the disease. Women in rural areas had lower levels of knowledge than those in urban areas. It was also shown that books, magazines, brochures and television were among the most common sources of breast cancer information. Delay in presentation was attributed mainly to a negative social perception of the disease, poverty, cultural and religion practices, and a strong influence of complementary and alternative medicine, rather than a lack of knowledge. Conclusions: This review highlighted the need for an intensive and in-depth breast cancer education campaigns using media and community health programmes, even with the existing good awareness of breast cancer. This is essential in order to avoid misconceptions and to frame the correct mind-set about breast cancer among women in Malaysia. Socio-cultural differences and religious practices should be taken into account by health care professionals when advising on breast cancer. Women need to be aware of the risk factors and symptoms of breast cancer so that early diagnosis can take place and the chances of survival improved.

• 대중서사연구
• /
• 제27권3호
• /
• pp.195-228
• /
• 2021

이 연구의 목적은 『모빌리티와 푸코』에서 제기하고 있는 새로운 모빌리티 연구방법을 검토하고, 이를 텍스트 분석에 적용해보는 것이다. 이 책은 푸코의 주요 개념을 모빌리티 연구에 적용한 논문 7편을 담고 있어 양쪽 연구 모두에 지적 자극을 주고 있다. 푸코는 이성/비이성, 정상/비정상을 구분하는 기술을 통해 작동한 규율 권력에 대한 탁월한 연구를 보여주었기 때문에, 그의 작업은 감옥으로 대표되는 폐쇄적 공간에 대한 연구처럼 보이기 쉽다. 하지만 『모빌리티와 푸코』의 필자들은 푸코의 작업에 이미 모빌리티에 대한 충분한 연구가 들어있었음에 주목하며 이를 모빌리티 연구에 적극적으로 접목시킨다. 푸코가 말한 통치성이자 장치로서의 모빌리티에 주목했을 때, 모빌리티와 임모빌리티 사이의 긴장감과 역동성이 강조되어 단순한 이분법을 가로지르는 모빌리티 연구의 가능성이 열린다. 본고는 이같은 연구방법을 적용해 김중혁의 소설 <1F/B1>과 김혜진의 단편소설을 분석한다. <1F/B1>은 건물 안에 흡사 갇혀있는 듯 보이는 건물관리인의 서사를 담고 있지만, 소설 속 관리인의 모빌리티는 기성의 통념을 관통하며 새로운 공간을 창출하는 데에로 나아가며, 김혜진의 단편소설 <목화맨션>, <치킨 런>, <줄넘기> 등은 움직이지 못하고 주저하는 모빌리티의 재현을 통해 주체를 구성하는 장치로서의 모비리티를 보여준다. 『모빌리티와 푸코』의 연구를 참조했을 때 우리는 텍스트 속 모빌리티와 임모빌리티의 역동성에 주목하여 서사를 재독하게 된다. 이 연구는 모빌리티 텍스트 연구를 새롭게 확장한다는 데에 의의가 있다. 그간 모빌리티 연구를 적용한 텍스트 분석은 대개 여행기나 표류기, 디아스포라 서사 등 명백하게 이동하는 서사에 집중되어 있었는데, 『모빌리티와 푸코』는 권력과 모빌리티의 관계, 모빌리티와 임모빌리티의 역동성 등에 주목하게 하여 새로운 텍스트 연구를 추동한다. 따라서 이 논문은 아무도 이동하지 않는 것처럼 보이는 서사 속 모빌리티 재현에 주목했을 때 드러나는 텍스트의 새로운 의미를 확인하고, 모빌리티 텍스트 연구 방법의 확장을 모색한다는 의의를 갖는다.

• 대중서사연구
• /
• 제26권2호
• /
• pp.251-276
• /
• 2020

이 서평논문의 목적은 『유럽과 북미 지역 접경지대 연구의 세계화(Globalizing Borderlands Studies in Europe and North America』를 비판적으로 읽음으로써 현재까지 유럽과 북미 지역에서 진행된 접경지대 연구의 동향을 살피고 그 서사의 확장 가능성과 한계를 논하는 데 있다. 이 책은 고대에서 현대까지 유럽과 북미 지역의 접경지대들을 대상으로 한 다양한 사례연구들을 소개한다. 공동연구의 목적과 정의를 명확히 하기 위한 서론 챕터와 접경연구의 미래에 대한 전망을 다룬 짧은 결론 챕터 외에 총 10개 챕터로 구성된다. 이 챕터들은 크게 두 가지 측면에서 현 접경연구에 중요한 시사점을 던져준다. 첫째, 이제껏 접경연구를 선도해온 유럽과 북미(대개 미국) 학계의 연구자들이 관심을 기울인 지역과 대상들에 대해 알 수 있게 해준다. 그렇게 접경연구의 현주소를 점검하고 축적된 성과들을 발판으로 다른 지역(특히 아시아)에 존재하는 다양한 접경지대에 대한 연구가 가능할 것인지, 소위 세계화라는 연구의 확장 가능성 또한 전망한다. 둘째, '접경지대'라고 하면 일반적으로 떠올리게 되는 물리적(physical)인 공간으로서의 접경지대를 넘어, 개념적(conceptual)인 공간으로서의 접경지대를 소개한다. '개념적 접경지대'의 사례는 한 개인의 정체성에서부터 통치 방식, 종교, 경제, 사회제도, 가족, 노동, 공중보건, 젠더 문제에 이르기까지 매우 다양하다. 그러나 한계점 역시 존재한다. 공동연구의 한계라고 할 수 있는 일관된 용어 사용의 부재, 유럽과 북미 지역이라는 배경적 한계 때문인지 여전히 제국주의 담론 내에서 접경지대를 이해하려 한다는 점, 따라서 여기서 그리고 있는 접경지대의 대부분이 갈등과 투쟁의 공간에서 벗어나지 못했다는 점 등이다. 그럼에도, 이 책은 여러 접경연구의 가능성을 제시했다는 점과 지정학적으로 대륙세력과 해양세력의 접경지대에 위치한 한반도의 현 상황을 이해하는데 도움을 준다는 점에서 현재적인 의의가 있다.

• 동의생리병리학회지
• /
• 제32권5호
• /
• pp.315-320
• /
• 2018

The purpose of this study is to investigate reasearch trend of acupuncture treatment on shoulder impingement syndrome. This study investigated the recent studies about acupuncture treatment for shoulder impingement syndrome via searching Korean and foreign electronic databases(Research Information Services, National Digital Science Library, Oriental Medicine Advanced Searching Integated Services, PubMed, China National Knowledge Infrastructure). The search term was searched by combining 'shoulder impingement sydrome', 'subacrominal pain', 'acupuncture', 'needle therapy', and was limited to the articles published from 2005 to 2017. 14 studies were found to be analyzed according to the type of study, the number of cases, the type of treatment, the instruments for assessment and published year. 14 studies were published since 2005, 6 case reports, 8 randomized controlled trials. In the treatment of shoulder impingement syndrome, treatments such as acupuncture, acupotomy, pharmacopuncture, laser acupuncture, combined treatment of exercise and rehabilitation were performed. Visual analogue scale(VAS), range of motion(ROM) and various questionnaires were used as primary assessments. In each study, acupuncture treatment was reported to have a significant effect in the pain, range of motion and disability of shoulder impingement syndrome. In order to ensure objective evidence on acupuncture treatment, large scale case reports and randomized controlled trials should be continued.

• 패션비즈니스
• /
• 제21권4호
• /
• pp.1-20
• /
• 2017

Fashion film has become a significant communication medium in the $21^{st}$ century. Fashion film, that tells unique quality stories, is a means of communicating brand value emotionally. To examine characteristics of storytelling according to types of fashion film, this study categorizes fashion film and investigates storytelling elements in terms of content, form, and communication. For methodology, a literature review was conducted to examine the concept of storytelling and types of fashion film storytelling. Empirical research was conducted on 32 fashion films from 2007 to recent years of 2017. Results are as follow. First, theatrical fashion film, based on linear narrative structure and closed-ending, is characterized content-based storytelling. Second, avant-garde fashion film, based on unconventional and experimental cinematic techniques, is characterized form-based storytelling. Finally, documentary fashion film that minimizes distortion and reproduces reality of designers' originality, refers to interactive communication-based storytelling which using digital technologies.

• The Korean Journal of Pain
• /
• 제31권2호
• /
• pp.80-86
• /
• 2018

The Epidural blood patch is considered the gold standard for managing postdural puncture headache when supportive measures fail. However, it is a procedure which can lead to another inadvertent dural puncture. Other potential adverse events that could occur during a blood patch are meningitis, neurological deficits, and unconsciousness. The bilateral greater occipital nerve block has been used for treating chronic headaches in patients with PDPH with a single injection. This minimally invasive, simple procedure can be considered for patients early, along with other supportive treatment, and an epidural blood patch can be avoided.

• 복식문화연구
• /
• 제28권1호
• /
• pp.96-113
• /
• 2020

A new form of media is changing the expression and content of fashion. In this paper, fashion films that have appeared since 2010 - when digital fashion communication was increasing - will be discussed and explored to consider how technological transitions in fashion media are changing the appearance and role of fashion. A literature review was conducted to derive characteristics, types, and expressive elements of new media fashion films, which were defined for this study as fashion films produced and distributed since 2010 using digital media. Films were categorized into three types: promotional, editorial, and independent fashion films. Furthermore, elements of the films were identified as fashion mise-en-scene, auditory structure, and content structure. Types and expressions of digital fashion images in 40 fashion films were analyzed according to these elements. The results showed that promotional fashion films maximize various narrative and sensory effects on fashion products, whilst editorial fashion films strengthen the role of entertainment. Independent fashion films expand the area of fashion and promote the diversification of fashion systems. Moreover, the results show that fashion films are not a secondary form of media that just expresses fashion; they provide a tool for the creation of new fashion content. New media fashion films promote the expansion of expressive spectra and boundaries, offering various multisensory experiences of fashion, and enhancing creativity and the aesthetic values of fashion.

• 생물정신의학
• /
• 제14권1호
• /
• pp.14-20
• /
• 2007

Objectives : The diagnosis of depression is based on a highly variable set of symptoms. Therefore, depression should not be viewed as a single disease, but a heterogenous syndrome comprised of different pathophysiologies. There are several subtypes of depression which were already incorporated in DSM-IV. This article provides a systematic review of pharmacological treatments of two recognized subtypes of depression-dysthymic disorder and atypical depression. Methods : Systematic search of relevant literatures on dysthymic disorder and atypical depression was performed by proposed search strategy of the Clinical Research Center for Depression of Korean Health 21 R&D Project. All identified literatures were carefully reviewed and classified according to SIGN grading system and summarized in a narrative manner. Results : For the treatment of dysthymic disorder and atypical depression, selective serotonin reuptake inhibitors( SSRIs) and moclobemide have more evidence than the other antidepressants. SSRIs and moclobemide showed superior tolerability than tricyclic antidepressants. Conclusions : The authors proposed treatment recommendations for dysthymic disorder and atypical depression by the methods of evidence-based medicine(EBM). However, guideline developing methods of EBM also have several inevitable limitations. Therefore, in the absence of clear and significant differences in efficacy, the choice of medication must be individualized for a particular patient based on psychiatrist's own clinical decision.