• 제목/요약/키워드: Practice of Korean Medicine

검색결과 2,978건 처리시간 0.032초

Vitis amurensis Ruprecht root inhibited ${\alpha}$-melanocyte stimulating hormone-induced melanogenesis in B16F10 cells

  • Jin, Kyong-Suk;Oh, You Na;Hyun, Sook Kyung;Kwon, Hyun Ju;Kim, Byung Woo
    • Nutrition Research and Practice
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    • 제8권5호
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    • pp.509-515
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    • 2014
  • BACKGROUND/OBJECTIVES: The root of Vitis amurensis Ruprecht, a sort of wild-growing grape, has been used in oriental medicine for treatment of skin ailments; however, its dermatological activity is not sufficiently understood. The aim of this study was to investigate tyrosinase inhibitory and anti-melanogenic activities of V. amurensis Ruprecht root methanol extract (VARM) in B16F10 mouse melanoma cells and to attempt to isolate and identify the active compound issued from VARM. MATERIALS/METHODS: Anti-melanogenic activity of VARM was analyzed in ${\alpha}$-melanocyte stimulating hormone (MSH)-stimulated B16F10 cells through evaluation of antioxidative activity as well as inhibited tyrosinase activity and melanin contents compared with those of kojic acid and arbutin. After anti-melanogenic analysis of VARM, serial fractionation, nuclear magnetic resonance (NMR), and thin layer chromatorgraphy (TLC) were applied for identification of active compounds contained in VARM. RESULTS: VARM significantly inhibited oxidative stress and tyrosinase activity and attenuated ${\alpha}$-MSH-induced melanin production in B16F10 cells. For isolation of active compounds, VARM was fractionated using a series of organic solvents, including dichloromethane ($CH_2Cl_2$), ethyl acetate (EtOAc), and n-butanol (n-BuOH). Among fractions showing anti-melanogenic activity, the CH2Cl2 fraction induced the most potent attenuation of melanogenesis without cytotoxicity and the major compound in the $CH_2Cl_2$ fraction was identified as betulinic acid. Betulinic acid isolated from the $CH_2Cl_2$ fraction of VARM significantly attenuated ${\alpha}$-MSH-induced melanogenesis in a dose dependent manner, which was stronger than that of arbutin used as a positive control. CONCLUSIONS: These results indicate that VARM inhibits oxidative stress, tyrosinase activity, and ${\alpha}$-MSH-induced melanogenesis in B16F10 cells, due primarily to the active compound, betulinic acid, in the $CH_2Cl_2$ fraction.

Xiang Study: an association of breastmilk composition with maternal body mass index and infant growth during the first 3 month of life

  • Peng, Xuyi;Li, Jie;Yan, Shuyuan;Chen, Juchun;Lane, Jonathan;Malard, Patrice;Liu, Feitong
    • Nutrition Research and Practice
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    • 제15권3호
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    • pp.367-381
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    • 2021
  • BACKGROUND/OBJECTIVES: This study aimed to establish a mother and child cohort in the Chinese population, and investigate human breastmilk (HBM) composition and its relationship with maternal body mass index (BMI) and infant growth during the first 3 mon of life. SUBJECTS/METHODS: A total of 101 Chinese mother and infant pairs were included in this prospective cohort. Alterations in the milk macronutrients of Chinese mothers at 1 mon (T1), 2 mon (T2), and 3 mon (T3) lactation were analyzed. HBM fatty acid (FA) profiles were measured by gas chromatography (GC), and HBM proteomic profiling was achieved by matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry (MS). RESULTS: During the first 3 mon of lactation (P < 0.05), significant decreases were determined in the levels of total energy, fat, protein, and osteopontin (OPN), as well as ratios of long-chain saturated FA (including C16:0, C22:0 and C24:0), monounsaturated FA (including C16:1), and n-6 poly unsaturated FA (PUFA) (including C20:3n-6 and C20:4n-6, and n-6/n-3). Conversely, butyrate, C6:0 and n-3 PUFA C18:3n-3 (α-linolenic acid, ALA) were significantly increased during the first 3 mon (P < 0.05). HBM proteomic analyses distinguished compositional protein differences over time (P = 0.001). Personalized motherinfant analyses demonstrated that HBM from high BMI mothers presented increased total energy, fat, protein and OPN, and increased content of n-6 PUFA (including C18:3n-6, C20:3n-6 and n-6/n-3 ratio) as compared with low BMI mothers (P < 0.05). Furthermore, BMI of the mothers positively correlated with the head circumference (HC) of infants as well as the specific n-6 PUFA C20:3n-6 over the 3 time points examined. Infant HC was negatively associated with C18:0. CONCLUSION: This study provides additional evidence to the Chinese HBM database, and further knowledge of FA function. It also helps to establish future maternal strategies that support the healthy growth and development of Chinese infants.

Green perilla leaf extract ameliorates long-term oxidative stress induced by a high-fat diet in aging mice

  • Edward, Olivet Chiamaka;Thomas, Shalom Sara;Cha, Kyung-Ok;Jung, Hyun-Ah;Han, Anna;Cha, Youn-Soo
    • Nutrition Research and Practice
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    • 제16권5호
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    • pp.549-564
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    • 2022
  • BACKGROUND/OBJECTIVES: Oxidative stress is caused by an imbalance between harmful free radicals and antioxidants. Long-term oxidative stress can lead to an "exhausted" status of antioxidant defense system triggering development of metabolic syndrome and chronic inflammation. Green perilla (Perilla frutescens) is commonly used in Asian cuisines and traditional medicine in southeast Asia. Green perilla possesses numerous beneficial effects including anti-inflammatory and antioxidant functions. To investigate the potentials of green perilla leaf extract (PE) on oxidative stress, we induced oxidative stress by high-fat diet (HFD) in aging mice. MATERIALS/METHODS: C57BL/6J male mice were fed HFD continuously for 53 weeks. Then, mice were divided into three groups for 12 weeks: a normal diet fed reference group (NDcon), high-fat diet fed group (HDcon), and high-fat diet PE treated group (HDPE, 400 mg/kg of body weight). Biochemical analyses of serum and liver tissues were performed to assess metabolic and inflammatory damage and oxidative status. Hepatic gene expression of oxidative stress and inflammation related enzymes were evaluated by quantitative real-time polymerase chain reaction (qRT-PCR). RESULTS: PE improved hepatopathology. PE also improved the lipid profiles and antioxidant enzymes, including hepatic glutathione peroxidase (GPx) and superoxide dismutase (SOD) and catalase (CAT) in serum and liver. Hepatic gene expressions of antioxidant and anti-inflammatory related enzymes, such as SOD-1, CAT, interleukin 4 (IL-4) and nuclear factor erythroid 2-related factor (Nrf2) were significantly enhanced by PE. PE also reduced the levels of hydrogen peroxide (H2O2) and malondialdehyde (MDA) in the serum and liver; moreover, PE suppressed hepatic gene expression involved in pro-inflammatory response; Cyclooxygenase-2 (COX-2), nitric oxide synthase (NOS), interleukin 1 beta (IL-1β), and interleukin 6 (IL-6). CONCLUSIONS: This research opens opportunities for further investigations of PE as a functional food and possible anti-aging agent due to its attenuative effects against oxidative stress, resulting from HFD and aging in the future.

Oral Toxicity Study and Skin Sensitization Test of a Cricket

  • Ryu, Hyeon Yeol;Lee, Somin;Ahn, Kyu Sup;Kim, Hye Jin;Lee, Sang Sik;Ko, Hyuk Ju;Lee, Jin Kyu;Cho, Myung-Haing;Ahn, Mi Young;Kim, Eun Mi;Lim, Jeong Ho;Song, Kyung Seuk
    • Toxicological Research
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    • 제32권2호
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    • pp.159-173
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    • 2016
  • Crickets have been attracting considerable interest in the field of nutrition and toxicology due to the global exhaustion of food resulting from a growing population. The cricket is normally eaten in several countries after roasting, similar to the grasshopper; however, safety evaluation data on cricket powder is limited. Here, we performed general toxicity studies of cricket powder including a single, 2-week repeated dose range evaluation test, a 13-week repeated oral dose toxicity test in Sprague-Dawley rats, a single oral dose toxicity test in Beagle dogs, and a skin sensitization test in guinea pigs following the Organization for Economic Cooperation and Development test guidelines 406 and 408 in addition to Good Laboratory Practice. To investigate the NOAEL and target organs of cricket powder, Sprague-Dawley rats were allocated to 4 groups: vehicle control, 1,250 mg/kg, 2,500 mg/kg, 5,000 mg/kg dose test groups and cricket powder was administered over 13 weeks after single dose and dose range finding studies in rats based on the results of the single oral administration toxicity study in rats and Beagle dogs. The results of the study showed that the NOAEL of cricket powder was over 5,000 mg/kg for both sexes of rats without adverse effects in a 13-week repeated oral toxicity study and there was no skin hypersensitivity reaction. Therefore, our results reveal that crickets can be widely used as a new substitute food or nutrient resource.

Selection and optimization of nutritional risk screening tools for esophageal cancer patients in China

  • Dong, Wen;Liu, Xiguang;Zhu, Shunfang;Lu, Di;Cai, Kaican;Cai, Ruijun;Li, Qing;Zeng, Jingjing;Li, Mei
    • Nutrition Research and Practice
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    • 제14권1호
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    • pp.20-24
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    • 2020
  • BACKGROUND/OBJECTIVES: Malnutrition has multiple impacts on surgical success, postoperative complications, duration of hospital stay, and costs, particularly for cancer patients. There are various nutrition risk screening tools available for clinical use. Herein, we aim to determine the most appropriate nutritional risk screening system for esophageal cancer (EC) patients in China. SUBJECTS/METHODS: In total, 138 EC patients were enrolled in this study and evaluated by experienced nurses using three different nutritional screening tools, the Nutrition Risk Screening 2002 tool (NRS2002), the Patient-generated Subjective Globe Assessment (PG-SGA), and the Nutrition Risk Index (NRI).We compared sensitivity, specificity, positive and negative likelihood ratios, and Youden index generated by each of the three screening tools. Finally, cut-off points for all three tools were re-defined to optimize and validate the best nutritional risk screening tool for assessing EC patients. RESULTS: Our data suggested that all three screening tools were 100% sensitive for EC patients, while the specificities were 44.4%, 2.96%, and 59.26% for NRS 2002, PG-SGA, and NRI, respectively. NRI had a higher positive likelihood ratio as well as a higher area under the receiver operating characteristic curve compared to those of NRS 2002 and PG-SGA; although, all three tools had null negative likelihood ratios. After adjusting the cut-off points, the specificity and accuracy for all tools were significantly improved, however, the NRI remained the most appropriate nutritional risk screening system for EC patients. CONCLUSIONS: The NRI is the most suitable (highest sensitivity and accuracy) nutritional risk screening tool for EC patients. The performance of the NRI can be significantly improved if the cut-off point is modified according to the results obtained using MedCalc software.

그림형제 동화 '황금 새'의 분석심리학적 해석 (An Interpretation of "Golden Bird" from the Perspective of Analytical Psychology)

  • 박상학
    • 심성연구
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    • 제31권2호
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    • pp.177-214
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    • 2016
  • 그림형제가 수집한 민담 <황금 새>를 분석심리학적 관점에서 해석하였다. 민담의 제시부에 나타난 문제점은 왕과 아들 세 명의 치우친 남성적 구조 속에서 이 왕국은 여성성이 결핍되어 있다. 황금 사과의 상실은 균형을 이루기 위해 더욱 더 여성적 요소를 보충할 필요성을 느낀다. 가장 어리고 바보스러운 막내의 모험과 여행은 분석심리학에서 말하는 새로운 자아의 개성화 과정으로 볼 수 있다. 자아는 여행의 경과 중에 단계마다 새로운 왕국이라는 특정 집단의식의 지배에 사로잡히고 죽음의 위기에서 어려운 과제를 수행한 후에 해방되어 다음 단계로 나아간다. 이 과정은 성인화 과정으로 자아의 높아진 의식성의 회복 뒤에 여성성의 보충이라 하는 공주와의 결혼 즉 대극의 합일이 가능한 수준으로 발전할 수 있다. 여성성의 보충으로 보이는 새, 말, 공주는 독립되어 있는 것처럼 보이지만 그들은 서로 하나로 연결되어 있다. 이들을 만난 자아가 아직은 온전한 성공에 이른 것은 아니다. 집단 지배의식의 지시에 따라 출발하는 두 형들의 실패 뒤에 주관적 의식이 적극적으로 개입한 새로운 자아(막내)가 나섰다고는 하지만 아직도 페르소나의 구분과 버림은 쉽지 않은 난관이다. 반복된 고난에 이어 형들을 사형에 처한 다음에 즉 지적인 능력이 제물로 바쳐진 다음에 상위의 의식성을 획득하고 그의 아니마인 공주와 일차적 결혼을 한다. 대개의 이야기는 결혼으로 끝나지만 여기서는 다음 단계가 남아있다. 여우가 자신을 죽여 머리와 발을 잘라 달라는 간절한 부탁을 주인공이 마지못해 행하자 여우는 마법이 풀려 왕자가 된다. 여우가 공주의 오빠로 변신한 것은 동물이 인간화한 것으로 또 다른 의식화를 경험한다. 비로소 대극의 합일이 이루어지고, 신성한 결합이 전체성을 획득하고 즉 개성화의 완성을 이루게 된다.

Agrobacterium sp.-derived β-1,3-glucan enhances natural killer cell activity in healthy adults: a randomized, double-blind, placebo-controlled, parallel-group study

  • Lee, Yeon Joo;Paik, Doo-Jin;Kwon, Dae Young;Yang, Hye Jeong;Park, Yongsoon
    • Nutrition Research and Practice
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    • 제11권1호
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    • pp.43-50
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    • 2017
  • BACKGROUND/OBJECTIVES: The present study investigated the hypothesis that a highly pure linear ${\beta}$-1,3-glucan produced by Agrobacterium sp. R259 enhances human natural killer (NK) cell activity and suppresses pro-inflammatory cytokines. SUBJECTS/METHODS: In an eight-week, double-blind, randomized, placebo-controlled clinical trial, 83 healthy adults with white blood cell counts of $4,000-8,000cells/{\mu}L$ were participated and randomly assigned to take two capsules per day containing either 350 mg ${\beta}$-1,3-glucan or placebo. Six participants withdrew their study consent or were excluded due to NK cell activity levels outside the normal range. NK cell activity and serum levels of immunoglobulin G (IgG) and cytokines, such as interferon (IFN)-${\gamma}$, interleukin (IL)-2, IL-4, IL-6, IL-10, IL-12 and tumor necrosis factor (TNF)-${\alpha}$ were measured. RESULTS: NK cell activity and the serum levels of IL-10 were significantly higher from baseline to week 8 in the ${\beta}$-glucan group compared with the placebo group (P = 0.048, P = 0.029). Consumption of ${\beta}$-1,3-glucan also significantly increased NK cell activity compared with placebo after adjusting for smoking and stress status (P = 0.009). In particular, the effect of ${\beta}$-1,3-glucan on NK cell activity was greater in participants with severe stress than in those experiencing mild stress. However, the administration ${\beta}$-1,3-glucan did not significantly modulate the levels of IFN-${\gamma}$, IL-2, IL-4, IL-6, IL-12, TNF-${\alpha}$ and IgG compared with the placebo. CONCLUSION: The results showed that supplementation with bacterial ${\beta}$-1,3-glucan significantly increased NK cell activity without causing any adverse effects. Additionally, the beneficial effect of ${\beta}$-1,3-glucan on NK cell activity was greater in participants experiencing severe stress.

일산화탄소 폐확산능검사에서 단회호흡법과 호흡내검사법의 비교 (Comparison of Single-Breath and Intra-Breath Method in Measuring Diffusing Capacity for Carbon Monoxide of the Lung)

  • 이재호;정희순;심영수
    • Tuberculosis and Respiratory Diseases
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    • 제42권4호
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    • pp.555-568
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    • 1995
  • 연구배경: 폐확산능은 산소를 이용하여 측정하는 것이 가장 생리적이지만 폐모세혈의 산소분압측정이 어려워 임상에서는 일산화탄소를 이용하여 측정하고 있으며, 단회호흡(single-breath)폐확산능검사법이 가장 널리 사용되고있는 방법이다. 그러나 총폐용량까지 흡기한후 10초간 숨을 참는 과정을 기침, 호흡곤란 등이 있는 환자로선 수용하기 곤란하므로 이러한 과정없이 낮은 유량의 일회호기만을 필요로 히는 호흡내(intra-breath)폐확산능검사법이 고안되었다. 본 연구에서는 단회호흡법과 호흡내법으로 측정한 폐확산능간에 유의한 차이가 있는지 그리고 차이가 있다면 어떤 인자가 영향을 미치는지를 알아보고자 하였다. 방법: 특정질환과 무관하게 임의로 73명을 선택하고 유량-용적곡선 검사를 3회 시행한후 노력성 폐활량(FVC)과 1초간 노력성호기량($FEV_1$)의 합이 가장 큰 검사에서 노력성폐활량, 1초간 노력성호기량, 1초간 노력성호기량의 노력성 폐활량에 대한 비($FEV_1$/FVC)를 구했다. 폐확산능은 5분간격으로 각각 3회씩 단회호흡법과 호흡내법으로 측정하였으며, 선형적 상관분석으로 어떤 인자가 두 방법간의 폐확산능의 차[단회호흡법과 호흡내법에 의한 각각의 폐확산능의 차이의 평균치(mL/min/mmHg)]에 영향을 미치는지를 평가하여 다음과 같은 결과를 얻었다. 결과: 1) 단회호흡법 및 호흡내법 모두 검사내 재현성은 우수하였다. 2) 단회호흡법과 호흡내법으로 측정한 폐확산능간에는 전체적으로 유의한 상관관계가 있었지만, 두 방법의 측정치간에는 의미있는 치아가 있었다($1.01{\pm}0.35ml/min/mmHg$, p<0.01). 3) 단회호흡법과 호흡내법간의 폐확산능의 차이는 노력성폐활량과는 상관관계가 없었지만, 1초간 노력성호기량, $FEV_1$/FVC 및 환기배분의 지표인 메탄농도의 기울기와는 유의한 상관관계가 있었고 다중상관분석결과 $FEV_1$/FVC에 의한 영향이 가장 컸다(r=-0.4725, p<0.01). 4) 단회호흡법과 호흡내법간의 폐확산능의 차이와 $FEV_1$/FVC를 도식화하면 두 방법간의 폐확산능의 차이는 $FEV_1$/FVC가 50~60%인 구간에서 두 군으로 분리됨을 알수 있으며, $FEV_1$/FVC가 60% 이상에서는 두방법간에 유의한 차이가 없으나($0.05{\pm}0.24ml/min/mmHg$, p>0.1) 60% 미만에서는 유의한 차이가 있었다($-4.65{\pm}0.34ml/min/mmHg$, p<0.01). 5) 메탄농도의 기울기가 정상범위인 2%/L이내에선 단회호흡법과 호흡내법의 폐확산능이 모두 $24.3{\pm}0.68ml/min/mmHg$로 측정방법에 따른 차이가 없지만 2%/L를 초과한 경우에는 단회호흡법에 의한 폐확산능이 $15.0{\pm}0.44ml/min/mmHg$ 호흡내법에 선 $11.9{\pm}0.51ml/min/mmHg$로 두 방법간에 유의한 차이가 있었다(p<0.01). 따라서 $FEV_1$/FVC가 60% 미만일때는 호흡내법으로 측정한 폐확산능이 단회호흡법보다 의미있게 낮은 값을 보이는데, 그 이유는 주로 환기배분의 장애로 추정되지만 폐확산능 이 단회호흡법에서 과대평가되거나 폐확산능의 감소가 호흡내법에서 더 예민하게 나타 났을 가능정도 배제할수 없다. 결론: 73명을 대상으로 폐확산능을 단회호흡법과 호흡내법으로 측정해본 결과 호흡내법은 검사의 재현성도 우수하고 폐기능이 정상이거나 제한성 장애, 그리고 경도의 폐쇄성장애가 있는 경우에는 단회호흡법을 대체해서 사용할수 있지만, 중등도 이상의 폐쇄성장애가 있는 경우에는 단회호흡법보다 유의하게 낮은 검사치를 보였다. 호흡내법과 단회호흡법에 의한 폐확산능의 차이가 호흡내법이 단회호흡법에 비해 폐확산능의 감소를 예민하게 나타내주는 것인지 혹은 환기의 불균형에 의한 영향을 많이 받아서인지는 연구가 더 필요할 것이다.

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Instant noodle consumption is associated with cardiometabolic risk factors among college students in Seoul

  • Huh, In Sil;Kim, Hyesook;Jo, Hee Kyung;Lim, Chun Soo;Kim, Jong Seung;Kim, Soo Jin;Kwon, Oran;Oh, Bumjo;Chang, Namsoo
    • Nutrition Research and Practice
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    • 제11권3호
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    • pp.232-239
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    • 2017
  • BACKGROUND/OBJECTIVES: Increased consumption of instant noodles has recently been reported to be positively associated with obesity and cardiometabolic syndrome in South Korea, which has the highest per capita instant noodle consumption worldwide. This study aimed to investigate the association between instant noodle consumption and cardiometabolic risk factors among college students in Seoul. SUBJECTS/METHODS: The study subjects consisted of 3,397 college students (1,782 male; 1,615 female) aged 18-29 years who participated in a health checkup. Information on instant noodle consumption was obtained from the participants' answers to a question about their average frequency of instant noodle intake over the 1 year period prior to the survey. RESULTS: Statistical analysis using a general linear model that adjusted for age, body mass index, gender, family income, health-related behaviors, and other dietary factors important for cardiometabolic risk, showed a positive association between the frequency of instant noodle consumption and plasma triglyceride levels, diastolic blood pressure, and fasting blood glucose levels in all subjects. Compared to the group with the lowest frequency of instant noodle intake (${\leq}1/month$), the odds ratio for hypertriglyceridemia in the group with an intake of ${\geq}3/week$ was 2.639 [95% confidence interval (CI), 1.393-5.000] for all subjects, while it was 2.149 (95% CI, 1.045-4.419) and 5.992 (95% CI, 1.859-21.824) for male and female students, respectively. In female students, diastolic blood pressure was also higher among more frequent consumers of instant noodles. CONCLUSIONS: Our results suggest that frequent consumption of instant noodles may be associated with increased cardiometabolic risk factors among apparently healthy college students aged 18-29 years.

CT검사건수 및 CT검사에 의한 집단 실효선량의 추정 (Survey of CT Practice and Collective Effective Dose Estimation)

  • 이만구;임청환
    • 대한방사선기술학회지:방사선기술과학
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    • 제33권3호
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    • pp.231-237
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    • 2010
  • CT장치는 많은 발전과 임상적 유용성이 향상되고, 의료영상 진단 장치로 중요성을 확립하였다. 그러나 이용률과 보급률이 더욱 증가되고 있는 실정에서 CT에 의한 진단은 환자의 피폭선량이 비교적 높은 검사이기 때문에 이 점에 있어서도 관심이 증가하고 있다. 이에 본 연구에서는 이용량이 계속 증가될 것이므로 이에 따른 방사선 피폭도 증가할 것으로 예상되므로 우리나라에서 시행되는 CT검사건수 및 CT 검사에 의한 집단실효선량을 추정하고자 한다. DLP(총 선량의 측정값)는 의료기관에서 사용하고 있는 장비의 각각의 검사 영상에 대하여 평균의 선량을 적용하고 계산하여 조사하였으며, CT검사건수는 의료보험심사평가원의 2008년도 발표 자료를 참고로 하여 의료기관 종별로 3년간 검사 통계를 EUR 16262에서 제시된 부위에 준하여 조사하였다. CT장비의 도입규제 완화정책으로 2010년 3월 말 현재 국내에서 총 1,825대를 보유하고 있고, 인구 백만 명 당 36.8대이다. 의료기관별 CT장치의 설치비율이 의원급에서는 570대로 2.1 %, 병원 급에서 52.5 %의 기관이 보유하고 있다. 종합전문요양기관은 기관 당 장치가 3.84대이며, 종합병원은 1.44대를 보유하고 있다. 1996년 건강보험급여가 실시된 이후 CT진료비 청구건수와 진료비용은 10년(2006) 만에 5배에 가깝게 급증하고 있다. 2007년 전국에서 실시한 CT검사건수는 329만 건이었다. 인구 천 명당 검사건수는 68건이었다. 부위별 검사건수는 복부와 골반검사가 가장 많았다. 집계결과를 2007년도 통계청 우리나라 총 인구는 48,456,000명을 이용하여 연간으로 추계한 총 집단실효선량을 나누어 구한 국민 1인 당 선량은 0.952 mSv로 추정되었다. CT검사는 앞으로도 증가가 예상되며, 투시 등 응용도 확대될 것으로 생각된다. 그러나 한편으로 장치의 발전도 눈부실 것이며, 환자 각자의 체격에 따라 자동적으로 가장 적합한 검사조건을 선택할 수 있는 장치가 개발되어 피폭의 최적화가 기대된다.