• Nutrition Research and Practice
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• 제5권2호
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• pp.132-139
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• 2011

Evidence of the association between 25-hydroxyvitamin D (25(OH)D) and metabolic syndrome (MeS) remains uncertain and incongruent. This study aimed to determine the association between 25(OH)D and MeS among Jordanian adults. A complex multistage sampling technique was used to select a national population-based household sample. The present report deals exclusively with adults aged > 18 years who had complete information on all components of MeS (n = 3,234). A structured questionnaire was used to collect all relevant information. Anthropometric, clinical, and laboratory measurements were obtained. MeS was defined according to the International Diabetes Federation (IDF) definition. Of the total, 42.0% had MeS and 31.7% had 25(OH)D < 30 ng/ml. In a stratified analysis, the prevalence of MeS did not differ significantly between subjects with low and normal 25(OH)D levels for men and women in all age groups. In the multivariate analysis, the odds of MeS were not significantly different between subjects with low and normal 25(OH)D levels (OR = 0.85, 95% CI: 0.70, 1.05, P-value = 0.133). The association between 25(OH)D and MeS remained non-significant when 25(OH)D was analyzed as a continuous variable (OR = 1.004, 95% CI; 1.000, 1.008, P = 0.057) and when analyzed based on quartiles. None of the individual components of MeS were significantly associated with 25(OH)D level. This study does not provide evidence to support the association between 25(OH)D level and MeS or its individual components. Prospective studies are necessary to better determine the roles of 25(OH)D levels in the etiology of MeS.

• 대한치과교정학회지
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• 제14권2호
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• pp.249-261
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• 1984

This study was to investigate the fitness of the dental arch line to the parabola, and to estimate correlation between the parabola and some ratios of the dental arch measurements. The sample was consisted of the 64 plaster casts showing normal occlusion which was taken from males and females of Korea, aging from 15 to 18 years. The photos of occlusal surface of the plaster casts were taken, and 38 landmarks on the film were selected. The 3 dental arch lines on each dental arch were imaged. One is the dental arch line passing the points of the most buccal surfaces of the teeth, another is that passing the buccal cusp tips of the posterior teeth and the incisal edges, and the other is that passing the midpoints of the teeth. The landmarks on the film were digitized, and measurements and statistics were performed by the IBM computer. The results were as follows; 1. The fitness of the dental arch to the parabola was very good. The fitness of thor upper dental arch was above $91\%$, and that of the lower dental arch was $93\%$. 2. The dental arch line passing the points of the most buccal surfaces of teeth was best fit to the parabola, the buccal cusp tip arch line and the midpoint arch line in order. 3. Correlation between the ratio of oblique molar dental height to molar width and the parabola was very high. 4. The ratio of oblique molar dental height to molar width was devided into 4 groups by the quartiles, and mean parabolic equations and curves were calculated and drawn.

• 한국환경과학회지
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• 제22권9호
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• pp.1213-1226
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• 2013

$PM_{10}$ concentration is related to the meteorological variables including to local and synoptic meteorology. In this study the $PM_{10}$ concentrations of Busan in 2007~2011 were analyzed and the days of yellow sand or rainfall which is more than 5 mm were excluded. The sections of $PM_{10}$ concentration were divided according to 10-quantiles, quartiles and 90-quantiles. The 90-quantiles of daily $PM_{10}$ concentration were selected as high concentration dates. In the high concentration dates the daily mean averaged cloudness, mean daily surface wind speed, daily mean surface pressure and PBL height were low and diurnal variation of surface pressure and daily maximum surface temperature were high. When the high $PM_{10}$ dates occurred, the west and south wind blew on the ground and the west wind blew strongly on the 850 hPa. So it seemed that long range transboundary air pollutants made effects on the high concentration dates. The cluster analysis using Hysplit model which is the backward trajectory was made on the high concentration dates. As a result, 3 clusters were extracted and on the short range transboundary cluster the daily mean relative humidity and cloudness were high and PBL height was low.

• 대한토목학회논문집
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• 제33권4호
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• pp.1281-1293
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• 2013

현수교 주케이블용 평행강선 스트랜드(PPWS) 소켓의 엄밀한 수치해석을 위한 유한요소해석 모델을 제안하였고, 제안된 해석 모델을 이용하여 소켓의 거동을 분석하였다. 개별 강선과 소켓 내부 주입 합금재의 영향을 고려한 직교 이방성 재료 모델을 적용하였고, Coulomb 마찰 및 표면접촉 모델을 도입하여 소켓 내면과 주입 합금재 표면의 접촉 상태를 구현하였다. 인장 실험으로부터 측정된 소켓 외면의 변형율과 유한요소 해석 결과를 비교하여 제안된 유한요소 해석 모델의 타당성을 검증하였고, 마찰계수의 변화에 따른 소켓의 거동을 해석하였다. 해석 결과, 소켓 내면과 주입 합금재 표면의 마찰은 소켓과 주입 합금재에 발생하는 응력 집중을 크게 완화 시켰으며, 소켓 설계법에서 정의된 수직응력식은 소켓 내면과 주입 합금재 표면의 접촉응력 분포에서 상하부 사분위값의 평균을 대표하는 것으로 나타났다.

• Journal of Preventive Medicine and Public Health
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• 제43권4호
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• pp.309-318
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• 2010

Objective: This study was performed to investigate the prevalence of impaired fasting glucose (IFG) and its related characteristics among healthy adults in some Korean rural areas. Methods: We conducted a cross-sectional study using the data from 1352 adults who were over the age 40 and under the age 70 and who were free of diabetes mellitus (DM), cardiovascular diseases and other diseases and who participated in a survey conducted as part of the Korean Rural Genomic Cohort Study. IFG was defined as a serum fasting glucose level between 100 and 125 mg/dL. Results: The prevalence of IFG was 20.4% in men, 15.5% in women and 12.7% overall. Multivariate logistic regression analysis demonstrated that the independent risk factors for IFG were male gender, having a family history of DM, the quartiles of gamma glutamyltransferase and high sensitive C-reactive protein and the waist circumference. The homeostatis model assessment for insulin resistance was very strongly associated with IFG. The prevalence of metabolic syndrome (MS) and MS components was higher in the subjects with IFG then in those with normal fasting glucose (NFG). Conclusions: The result of study could supply evidence to find the high risk population and to determine a strategy for treating IFG. Further research is needed to explain the causal relationship and mechanisms of IFG.

• Journal of Trauma and Injury
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• 제30권4호
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• pp.166-172
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• 2017

Purpose: Thoracic traumas represent 10-15% of all traumas and are responsible for 25% of all trauma mortalities. Traumatic cardiac injury (TCI) is one of the major causes of death in trauma patients, rarely present in living patients who are transferred to the hospital. TCI is a challenge for trauma surgeons as it provides a short therapeutic window and the management is often dictated by the underlying mechanism and hemodynamic status. This study is to describe our experiences about emergency cardiac surgery in TCI. Methods: This is a retrospective clinical analysis of patients who had undergone emergency cardiac surgery in our trauma center from January 2014 to December 2016. Demographics, physiologic data, mechanism of injuries, the timing of surgical interventions, surgical approaches and outcomes were reviewed. Results: The number of trauma patients who arrived at our hospital during the study period was 9,501. Among them, 884 had chest injuries, 434 patients were evaluated to have over 3 abbreviated injury scale (AIS) about the chest. Cardiac surgeries were performed in 18 patients, and 13 (72.2%) of them were male. The median age was 47.0 years (quartiles 35.0, 55.3). Eleven patients (61.1%) had penetrating traumas. Prehospital cardiopulmonary resuscitations (CPR) were performed in 4 patients (22.2%). All of them had undergone emergency department thoracotomy (EDT), and they were transferred to the operating room for definitive repair of the cardiac injury, but all of them expired in the intensive care unit. Most commonly performed surgical incision was median sternotomy (n=13, 72.2%). The majority site of injury was right ventricle (n=11, 61.1%). The mortality rate was 22.2% (n=4). Conclusions: This study suggests that penetrating cardiac injuries are more often than blunt cardiac injury in TCI, and the majority site of injury is right ventricle. Also, it suggests prehospital CPR and EDT are significantly responsible for high mortality in TCI.

• Asian Pacific Journal of Cancer Prevention
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• 제16권12호
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• pp.4945-4948
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• 2015

Background: Adiponectin is a protein, synthesized by adipose tissue, which has a questionable role in breast cancer pathogenesis. This study focused on serum levels of adiponectin among cases and controls, and its possible association with breast cancer risk. Materials and Methods: This case-control study covered 175 diagnosed breast cancer patients with positive histopathology from Breast Clinic, surgical unit-1, Civil Hospital, Karachi and 175 healthy controls from various screening programs. Blood samples were obtained after an overnight fast and later analyzed. Results: Fasting blood glucose was significantly raised, while serum adiponectin was significantly decreased in breast cancer cases when compared to control subjects. To find the precise influence of serum adiponectin on the risk of breast cancer, subjects were divided in to quartiles based on serum levels of adiponectin. It is observed that risk of breast cancer decreased with rising quartile. Q2 (25th-50th) had the highest OR=1.76 (CI: 0.93- 3.34), Q3 (50th-75th) has OR= 0.89 (CI: 0.48-1.64), while subjects in the highest quartile Q4 (>75th) had significantly (p< 0.05) decreased risk of breast cancer having OR=0.06 (CI: 0.02-0.15), when compared to the lowest quartile. Conclusions: We demonstrated a statistically significant association of elevated serum adiponectin with decreased risk of breast cancer. This signifies a protective role of adiponectin via an intricate mechanism of masking mitogenic growth factors in breast carcinogenesis.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2747-2751
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• 2013

In this study we assessed the dietary phytochemical index in relation to the risk of breast cancer in women. This case-control study was conducted on 100 incident breast cancer cases and 175 healthy controls. Data regarding socio-demographic factors, medical history, medications, and anthropometric measurements were collected. Dietary data were obtained using a validated food frequency questionnaire and a energy-adjusted dietary phytochemical index (PI) was calculated. The odds ratios of breast cancer were assessed across energyadjusted PI quartile categories. The mean age of participants was $46.2{\pm}8.9$ and $45.9{\pm}9.4$ years in cases and controls, respectively. The mean PI across quartile categories was $13.9{\pm}2.6$, $21.1{\pm}1.8$, $26.7{\pm}2.1$, $41.6{\pm}10.2$ in the first, second, third and fourth quartiles, respectively. After adjustment for all potential confounders, the risk of breast cancer in the forth quartile of dietary PI was significantly decreased (OR=0.08, 95%CI=0.01-0.84). Higher intake of phytochemical-rich foods is associated with lower risk of breast cancer.

• Journal of Nutrition and Health
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• 제36권2호
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• pp.167-174
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• 2003

This study investigated associations between nutrient intake, lumbar bone mineral density (BMD) , and bone mineral content (BMC) among 33 ovariectomized women (mean age =47.2 y) . Forty-five premenopausal women participated as a control group. The BMD and BMC of the lumbar spine (L$_2$-L$_4$) were measured by dual energy x-ray absorptiometry. Nutrient intake was estimated by the convenient method and a quantitative food frequency questionnaire was designed for this study that included the most commonly consumed foods sources of calcium. Participants were asked to identify all daily physical activities, and the number of hours per activity. The participants were also grouped by calcium intake. The total calcium intake of all participants was estimated by dietary calcium intake and then the subjects were divided into quartiles to assess the lumbar BMD and BMC of the highest quartile and the lowest quartile of calcium intake. The ovariectomized women consumed 602 mg/d of calcium which is 86% of RDA. There were significant differences in lumbar BMD and BMC between control and ovariectomized group. Within ovariectomized group the highest quartile calcium intake group had significantly greater lumbar bone mineral density and bone mineral content than the lowest quartile calcium intake group. Correlation analysis revealed that the ALP was positively associated with calcium index in control women, while ALP was positively associated with energy intake in ovariectomized women. And body weight was positively correlated with the spinal BMD and BMC in all women. The spinal BMD was negatively associated with menarche age, number of child, and the age of last child delivery, and age in control women. However, neither menarche age nor the age of last child delivery were associated with both spinal BMD in ovariectomized women. These results confirmed that ovariectomized and low calcium intake is associated with poor bone mineral density. Energy and calcium intake and adequate body weight should be recommended in ovariectomized women to prevent osteoporosis.

• 아동학회지
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• 제9권2호
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• pp.1-28
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• 1988

The purpose of this study was to develop a behavior rating scale for the evaluation of children's development for utilization by preschool teachers. The procedures for the study included content validation, pilot test, and main study. A total of 97 items were retained after the content validation and pilot test. The items of the scale were grouped into five areas (physical, language, cognitive, emotional, and social development) and 11 sub-areas. The resulting "Behavior Rating Scale for Preschool Children" was administered to 479 boys and girls, 3-6 through 6-5 years of age, selected from 10 different kindergartens and early education centers in Seoul, Pusan, and Chonju. The analysis of data was done with SPSS computer programs, including item analysis, Cronbach's ${\alpha}$ for reliability, factor analysis to test construct validity, two-way ANOVA to test age and sex differences, and percentile norms. The 97 items of the scale were found to be satisfactory in terms of item discrimination with indices ranging from .31 to .73. Cronbach's ${\alpha}$ was .98 for the total scale and ranged from .87 to .93 in specific domains, which was considered satisfactory. The factors extracted from each area were consistent with the educational objectives of the Yonsei Open Education Program except for emotional development. The intercorrelations among the domains were relatively high, ranging from .56 to .81. Age differences were significant in cognitive, physical, and language development, but not significant in social and emotional development. Sex differences were significant in all areas with girls higher on the average than the boys. Percentile ranks were drived from the total score for each age group and quartiles were calculated for sub-scores in each domain.