• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.22 no.4
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• pp.303-329
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• 2019

Intestinal failure (IF) is the critical reduction of the gut mass or its function below the minimum needed to absorb nutrients and fluids required for adequate growth in children. Severe IF requires parenteral nutrition (PN). Pediatric IF is most commonly due to congenital or neonatal intestinal diseases or malformations divided into 3 groups: 1) reduced intestinal length and consequently reduced absorptive surface, such as in short bowel syndrome (SBS) or extensive aganglionosis; 2) abnormal development of the intestinal mucosa such as congenital diseases of enterocyte development; 3) extensive motility dysfunction such as chronic intestinal pseudo-obstruction syndromes. The leading cause of IF in childhood is the SBS. In clinical practice the degree of IF may be indirectly measured by the level of PN required for normal or catch up growth. Other indicators such as serum citrulline have not proven to be highly reliable prognostic factors in children. The last decades have allowed the development of highly sophisticated nutrient solutions consisting of optimal combinations of macronutrients and micronutrients as well as guidelines, promoting PN as a safe and efficient feeding technique. However, IF that requires long-term PN may be associated with various complications including infections, growth failure, metabolic disorders, and bone disease. IF Associated Liver Disease may be a limiting factor. However, changes in the global management of IF pediatric patients, especially since the setup of intestinal rehabilitation centres did change the prognosis thus limiting "nutritional failure" which is considered as a major indication for intestinal transplantation (ITx) or combined liver-ITx.

• The Journal of Korean Academy of Prosthodontics
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• v.57 no.3
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• pp.245-253
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• 2019

Orthognathic surgery of skeletal Class III malocclusion improves oral function and facial appearance. The greater amount of skeletal discrepancy, the greater amount of teeth movement required for decompensation, and this often causes pathological changes in periodontal tissue especially in lower anterior dentition. We made a Top-Down treatment plan with personalized analysis using Face Hunter, Plane System and ARCUS Digma II, in order to resolve severe mobility and cross-bite of lower anterior teeth for 49-year-old female patient who had undergone orthognathic surgery 20 years ago due to skeletal Class III malocclusion and mandibular prognathism. Lower anterior teeth were extracted and alveoloplasty was done. After healing of the wound, immediate loading was conducted immediately after implant placement. Final restorations were fabricated Zirconia using CAD/CAM, and inserted intraorally screw-retained type. During 6-month follow-up, no abnormal episodes of restorations were observed, and obtained satisfactorily both of functional and esthetic outcomes.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.4
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• pp.545-550
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• 2019

The frequency of natural disasters and the scale of damage are increasing due to the abnormal weather phenomenon occurring all over the world. As a result, as the hydrological aspect of the urban watershed changes, the increase in impervious area leads to serious domestic flood damage due to increased rainfall. In order to minimize the damage of life and property, domestic flooding prediction system is needed. In this study, we developed a flood nomogram capable of predicting flooding only by rainfall intensity and duration. This study suggests a method to set the internal water immersion alarm criterion by analyzing the characteristics of the flooding damage in the flooded area in the metropolitan area where flooding is highly possible and the risk of flooding is high. In addition, based on the manhole and the pipe, the water level was set as follows under the four conditions. 1) When manhole overflows, 2) when manhole is full, 3) when 70% of the pipe is reached, and 4) when 60% of the pipe is reached. Therefore, it can be used as a criterion and a predictive measure to cope with the pre-preparation before the flooding starts, through the rainfall that causes the flooding and the flooding damage.

• Journal of Life Science
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• v.31 no.5
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• pp.481-487
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• 2021

The purpose of this study was to identify fungi that degrade product value during the storage and distribution of confectionery products, and to investigate the antifungal effect of organic acid and UV-C treatments on high carbohydrate products. Fungi isolated from spoiled high carbohydrate confectionery were identified as Wallemia sp., Aspergillus sp-1 and Aspergillus sp-2 depending on homologies with ITS1 and ITS4 sequences. The isolated fungi were assayed for antifungal activity by treatment with acetic acid, citric acid, lactic acid or maleic acid. As a result, it was confirmed that the growth of Wallemia sp. and Aspergillus sp-2 was suppressed by treatment with 0.2 M and 0.35 M acetic acid, respectively. In addition, as a result of confirming the antifungal effect according to the UV-C irradiation time, the growth inhibitory effects of Wallemia sp. and Aspergillus sp-2 were shown in irradiation for 30 min and the growth inhibitory effect of Aspergillus sp-1 was shown in irradiation for 40 min. The result of the sensory evaluation of the untreated and 0.35 M acetic acid-treated high carbohydrate confectionery, there were not significant changes in taste, color, abnormal taste, hardness and texture, but there were significant differences in sour taste and smell. As a result of the above study, the effect of inhibiting fungi growth on the product by treatment with organic acid and UV-C irradiation was confirmed, and it is expected to be used in confectionery that were concerned about the occurrence of fungi in the distribution process.

• Journal of Korean Neurosurgical Society
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• v.65 no.2
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• pp.224-235
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• 2022

Objective : Since the outbreak of the coronavirus disease 2019 (COVID-19) pandemic, neurointerventionists have been increasingly concerned regarding the prevention of infection and time delay in performing emergency thrombectomy procedures in patients with acute stroke. This study aimed to analyze the effects of changes in mechanical thrombectomy protocol before and after the COVID-19 pandemic on procedure time and patient outcomes and to identify factors that significantly impact procedure time. Methods : The last-normal-to-door, first-abnormal-to-door, door-to-imaging, door-to-puncture, and puncture-to-recanalization times of 88 patients (45 treated with conventional pre-COVID-19 protocol and 43 with COVID-19 protection protocol) were retrospectively analyzed. The recanalization time, success rate of mechanical thrombectomy, and modified Rankin score of patients at discharge were assessed. A multivariate analysis was conducted to identify variables that significantly influenced the time delay in the door-to-puncture time and total procedure time. Results : The door-to-imaging time significantly increased under the COVID-19 protection protocol (p=0.0257) compared to that with the conventional pre-COVID-19 protocol. This increase was even more pronounced in patients who were suspected to be COVID-19-positive than in those who were negative. The door-to-puncture time showed no statistical difference between the conventional and COVID-19 protocol groups (p=0.5042). However, in the multivariate analysis, the last-normal-to-door time and door-to-imaging time were shown to affect the door-to-puncture time (p=0.0068 and 0.0097). The total procedure time was affected by the occlusion site, last-normal-to-door time, door-to-imaging time, and type of anesthesia (p=0.0001, 0.0231, 0.0103, and 0.0207, respectively). Conclusion : The COVID-19 protection protocol significantly impacted the door-to-imaging time. Shortening the door-to-imaging time and performing the procedure under local anesthesia, if possible, may be required to reduce the door-to-puncture and door-to-recanalization times. The effect of various aspects of the protection protocol on emergency thrombectomy should be further studied.

• Journal of Pharmacopuncture
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• v.26 no.1
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• pp.27-37
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• 2023

Objectives: Moroccan Arbutus unedo is an essential medicinal plant; however, little is known about the biological properties of its leaves mentioned in Moroccan traditional medicine. Methods: Various standard experiments were performed to evaluate the phytochemical, antidiabetic, antioxidant, antibacterial, and acute and sub-chronic toxicity characteristics of A. unedo leaves. Results: Phytochemical screening led to the identification of several phytochemical classes, including tannins, flavonoids, terpenoids, and anthraquinones, with high concentrations of polyphenols (31.83 ± 0.29 mg GAEs/g extract) and flavonoids (16.66 ± 1.47 mg REs/g extract). Further, the mineral analysis revealed high levels of calcium and potassium. A. unedo extract demonstrated significant antioxidant and anti-diabetic activities by inhibiting α-amylase (1.350 ± 0.32 g/mL) and α-glucosidase (0.099 ± 1.21 g/mL) compared to the reference drug Acarbose. Also, the methanolic extract of the plant exhibited significantly higher antibacterial activity than the aqueous extract. Precisely, three of the four examined bacterial strains exhibited substantial susceptibility to the methanolic extract . Minimum bactericidal concentration (MBC)/minimum inhibitory concentration (MIC) values indicated that A. unedo harbor abundant bactericidal compounds. For toxicological studies, mice were administered with A. unedo aqueous extract at single doses of 2,000 and 5,000 mg/kg. They did not exhibit significant abnormal behavior, toxic symptoms, or death during the 14-day acute toxicity test and the 90-day sub-chronic toxicity test periods. The general behavior, body weight, and hematological and biochemical status of the rats were assessed, revealing no toxicological symptoms or clinically significant changes in biological markers observed in the mice models, except hypoglycemia, after 90 days of daily dose administration. Conclusion: The study highlighted several biological advantages of A. unedo leaves without toxic effects in short-term application. Our findings suggest that conducting more comprehensive and extensive in vivo investigations is of utmost importance to identify molecules that can be formulated into pharmaceuticals in the future.

• Nutrition Research and Practice
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• v.17 no.2
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• pp.371-385
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• 2023

BACKGROUND/OBJECTIVES: Soy isoflavone (SIF) and soy lecithin (SL) have beneficial effects on many chronic diseases, including neurodegenerative diseases. Regretfully, there is little evidence to show the combined effects of these soy extractives on the impairment of cognition and abnormal cerebral blood flow (CBF). This study examined the optimal combination dose of SIF + SL to provide evidence for improving CBF and protecting cerebrovascular endothelial cells. MATERIALS/METHODS: In vivo study, SIF50 + SL40, SIF50 + SL80 and SIF50 + SL160 groups were obtained. Morris water maze, laser speckle contrast imaging (LSCI), and hematoxylin-eosin staining were used to detect learning and memory impairment, CBF, and damage to the cerebrovascular tissue in rat. The 8-hydroxy-2'-deoxyguanosine (8-OHdG) and the oxidized glutathione (GSSG) were detected. The anti-oxidative damage index of superoxide dismutase (SOD) and glutathione (GSH) in the serum of an animal model was also tested. In vitro study, an immortalized mouse brain endothelial cell line (bEND.3 cells) was used to confirm the cerebrovascular endothelial cell protection of SIF + SL. In this study, 50 µM of Gen were used, while the 25, 50, or 100 µM of SL for different incubation times were selected first. The intracellular levels of 8-OHdG, SOD, GSH, and GSSG were also detected in the cells. RESULTS: In vivo study, SIF + SL could increase the target crossing times significantly and shorten the total swimming distance of rats. The CBF in the rats of the SIF50 + SL40 group and SIF50 + SL160 group was enhanced. Pathological changes, such as attenuation of the endothelium in cerebral vessels were much less in the SIF50 + SL40 group and SIF50 + SL160 group. The 8-OHdG was reduced in the SIF50 + SL40 group. The GSSG showed a significant decrease in all SIF + SL pretreatment groups, but the GSH showed an opposite result. SOD was upregulated by SIF + SL pretreatment. Different combinations of Genistein (Gen)+SL, the secondary proof of health benefits found in vivo study, showed they have effective anti-oxidation and less side reaction on protecting cerebrovascular endothelial cell. SIF50 + SL40 in rats experiment and Gen50 + SL25 in cell test were the optimum joint doses on alleviating cognitive impairment and regulating CBF through protecting cerebrovascular tissue by its antioxidant activity. CONCLUSIONS: SIF+SL could significantly prevent cognitive defect induced by β-Amyloid through regulating CBF. This kind of effect might be attributed to its antioxidant activity on protecting cerebral vessels.

• Journal of the Korean Society of Radiology
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• v.17 no.3
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• pp.335-341
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• 2023

In this study, four algorithms (Standard, Bone, Dual volume, and Stent Follow up) were applied to the image of the aneurysm in cerebral angiography to reconstruct the image in 3D, and quantitatively evaluate Noise, SNR, and CNR based on the reconstructed image to find out the optimal algorithm. As an analysis method, Image J program, which can analyze images and calculate area and pixel values, was used for images reconstructed with four algorithms. In order to obtain Noise, SNR, and CNR, the region of interest (ROI) is measured by designating the point where the abnormal artery (aneurysm) is located and the surrounding normal artery in the image are measured, and the mean value and SD value are obtained. Background noise was set to two surrounding normal artery to increase reliability. The values of SNR and CNR were calculated based on the given formula. As a result, the noise was the lowest in the stent follow-up algorithm, and the SNR and CNR were the highest. Therefore, the stent follow-up algorithm is judged to be the most appropriate algorithm. The data of this study are expected to be useful as basic data for 3D image evaluation of the vascular and aneurysm in cerebral angiography, and it is believed that appropriate algorithm changes will serve as an opportunity to further improve image quality.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.29 no.1B
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• pp.23-33
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• 2009

Climate change, abnormal weather, and unprecedented extreme weather events have appeared globally. Interest in their size, frequency, and changes in spatial distribution has been heightened. However, the events do not display regional or regular patterns or cycles. Therefore, it is difficult to carry out quantified evaluation of their frequency and tendency. For more objective evaluation of extreme weather events, this study proposed a rainfall extreme weather index (STARDEX, 2005). To compare the present and future spatio-temporal distribution of extreme weather events, each index was calculated from the past data collected from 66 observation points nationwide operated by Korea Meteorological Administration (KMA). Tendencies up to now have been analyzed. Then, using SRES B2 scenario and 2045s (2031-2050) data from YONU CGCM simulation were used to compute differences among each of future extreme weather event indices and their tendencies were spatially expressed.The results shows increased rainfall tendency in the East-West inland direction during the summer. In autumn, rainfall tendency increased in some parts of Gangwon-do and the south coast. In the meanwhile, the analysis of the duration of prolonged dry period, which can be contrasted with the occurrence of rainfall or its concentration, showed that the dryness tendency was more pronounced in autumn rather than summer. Geographically, the tendency was more remarkable in Jeju-do and areas near coastal areas.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.30 no.6B
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• pp.541-549
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• 2010

While the number of rainy days is decreasing, the mean annual precipitation is increasing due to abnormal climate changes caused by the global warming in Korea. Owing to the biased-concentration of rainfall during specific short terms, not only flood but also drought becomes more and more serious. From the literature, it is easily found that previous studies about flood have been intensively conducted. However, previous studies about drought have been performed rarely. This study conducted the comparison between two representative drought indexes calculated from soil moisture and precipitation. Study area was Haenam-gun, Jeollanam-do in Korea. Soil Moisture Index(SMI) was calculated from soil moisture data while the Standardized Precipitation Index(SPI) and the Palmer Drought Severity Index(PDSI) were calculated from meteorological data. All monthly data utilized in this study were observed at the KoFlux Tower. After the comparative analysis, three indexes showed similar tendency. Therefore, it is thought that the drought index using soil moisture measured at the KoFlux Tower is reasonable, which is because the soil moisture is immediately affected by all the meteorological factors.