• 산업융합연구
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• 제20권9호
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• pp.59-70
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• 2022

배경: 당뇨병 교육은 혈당조절의 중요한 요소이다. 효과적인 당뇨병 교육을 위해서는 반복적인 추가 교육이 필요하다. 하지만 한국의 의료환경에서는 반복적인 당뇨병 교육을 수행하기가 어려운 실정이다. 이에 환자를 대면하지 않아도 반복 교육을 효과적으로 할 수 있는 모바일 헬스케어를 이용하여 지속적인 당뇨병 교육의 효과를 분석하고자 한다. 방법: 본 연구는 지속적인 당뇨병 교육 방법의 효과를 분석하기 위해 진행된 다기관 무작위 대조군 사전 사후 설계연구이다. 한국소재 5개 병원에서 총 109명이 등록되었고 무작위 배정으로 실시간 코칭 및 반복교육을 진행한 모바일 app 군(34명), 혈당수첩 작성 후 면대면 방문교육을 진행한 logbook 군(37명), 1회 당뇨병 교육만 진행된 general 군(38명)으로 총 6개월간 진행되었다. 21명은 동의 철회 및 당화혈색소 미실시로 연구 중단하여 최종 88명을 분석하였다. 교육의 효과는 교육 전과 후의 당화혈색소, 자기관리행위, 삶의 질에 대한 변화량의 차이를 분석하였다. 결과: 본 연구 대상자는 남자 51명(58%), 평균연령은 55.8세, 평균 이환 기간은 7.6년이었다. 중재 24주 후 자기관리행위, 삶의 질은 세 그룹 간에 유의한 차이가 없었지만 당화혈색소는 app 군이 logbook 군과 general 군에 비해 교육전에 비해 교육 후 유의하게 감소하였다(F=4.62, p=.013). 결론: 실시간 교육을 진행한 app 군이 혈당 개선에 보다 효과적이며 지속적인 당뇨병 교육이 중요함을 알 수 있었다.

• 생명과학회지
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• 제26권3호
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• pp.325-330
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• 2016

본 연구에서는 선행 연구에서 항당뇨 효능이 확인된 Ceriporia lacerata 균사체 배양물 건조물(CL01)을 3T3-L1 세포에 인슐린과 병용 혹은 단독 처리하여 CL01이 세포 단계에서 인슐린 신호 전달에 미치는 영향을 분석하였다. 분화된 3T3-L1 세포에서 포도당 흡수 정도를 측정한 결과, 인슐린과 CL01을 병용 처리한 군에서 농도 의존적으로 유의적으로 포도당 흡수 정도가 증가하였고, 인슐린 부재 상태에서 CL01을 처리하였을 때는 포도당 흡수 작용이 거의 일어나지 않았음을 확인하였다. 또한 분화된 세포에서 인슐린 신호 전달 관련 단백질 및 mRNA 발현을 측정한 결과, IRβ, Akt, PI3K, AMPK 단백질의 인산화가 진행되었고, GLUT4 mRNA 발현이 증가하였음을 알 수 있었다. 이들 결과를 통해 CL01이 당 대사 및 인슐린 신호 전달에 관여하는 유관 단백질 및 유전자 발현에 영향을 미치며 이에 따라 세포 내로 포도당 흡수를 증가시키는 것을 확인하였다.

• 대한방사선기술학회지:방사선기술과학
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• 제40권1호
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• pp.35-40
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• 2017

본 연구는 임신초기 초음파에 의해 측정된 임산부의 복부 피하지방두께(Abdominal Subcutaneous Fat Thickness; ASFT)와 임신중기 발현되는 임신성당뇨(Gestational Diabetes Mellitus; GDM)와의 연관성을 확인하고 GDM 예측을 위한 ASFT의 기준을 알아보고자 하였다. 286명의 임산부를 대상으로 임신초기 ASFT를 측정한 후 임신중기 GDM 선별검사(50 g OGTT) 140 mg/dL 이상을 고위험군으로 산정하고 산모연령, 임신 전 체질량지수, 임신 중 체중증가량과 함께 비교 분석하였다. ROC 곡선분석을 이용하여 GDM 예측을 위한 ASFT의 cut-off value를 결정하였다. 산모연령, 임신 중 체중증가량은 임신중기 GDM과 관련성이 없었으며, 임신 전 체질량지수와 임신초기 ASFT는 정상군과 GDM 고위험군에서 의미있는 차이를 보였다. GDM 예측을 위한 ASFT의 cut-off value는 2.23 cm(AUC 0.913, Sensitivity 76.19%, Specificity 93.72%)로 결정하였다. 임신초기 초음파로 측정된 ASFT는 임신중기 GDM 예측을 위한 중요한 지표로 유용하게 평가되었다. 따라서 ASFT는 GDM을 조기에 인식하는데 있어서 보조적인 진단지표로 활용할 수 있을 것으로 사료된다.

• The Korean Journal of Physiology and Pharmacology
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• 제25권5호
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• pp.425-437
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• 2021

Although the contributions of sitagliptin to endothelial dysfunction in diabetes mellitus were previously reported, the mechanisms still undefined. Autophagy plays an important role in the development of diabetes mellitus, but its role in diabetic macrovascular complications is unclear. This study aims to observe the effect of sitagliptin on macrovascular endothelium in diabetes and explore the role of autophagy in this process. Diabetic rats were induced through administration of high-fat diet and intraperitoneal injection of streptozotocin. Then diabetic rats were treated with or without sitagliptin for 12 weeks. Endothelial damage and autophagy were measured. Human umbilical vein endothelial cells were cultured either in normal glucose or in high glucose medium and intervened with different concentrations of sitagliptin. Rapamycin was used to induce autophagy. Cell viability, apoptosis and autophagy were detected. The expressions of proteins in c-Jun N-terminal kinase (JNK)-Bcl-2-Beclin-1 pathway were measured. Sitagliptin attenuated injuries of endothelium in vivo and in vitro. The expression of microtubuleassociated protein 1 light chain 3 II (LC3II) and beclin-1 were increased in aortas of diabetic rats and cells cultured with high-glucose, while sitagliptin inhibited the over-expression of LC3II and beclin-1. In vitro pre-treatment with sitagliptin decreased rapamycin-induced autophagy. However, after pretreatment with rapamycin, the protective effect of sitagliptin on endothelial cells was abolished. Further studies revealed sitagliptin increased the expression of Bcl-2, while inhibited the expression of JNK in vivo. Sitagliptin attenuates injuries of vascular endothelial cells caused by high glucose through inhibiting over-activated autophagy. JNK-Bcl-2-Beclin-1 pathway may be involved in this process.

• 대한영양사협회학술지
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• 제19권2호
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• pp.112-123
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• 2013

HbA1c was recently adopted as a reliable indicator for screening diabetes. This study investigated the ability of nutrition consultation to prevent diabetes in overweight women (BMI 23 $kg/m^2$ or more) using HbA1c as an indicator. Twenty overweight and obese women (with $HbA1c{\geq}5.7$%) completed the 12-week nutritional study, with individual and personalized nutrition counseling performed every 2 weeks. The main study guidelines involved the following: 1) reducing the intake of high fat foods and alcohol, 2) consuming a large amount of vegetables, 3) reducing the intake of simple sugars and empty-calorie foods, and 4) increasing physical activity to ${\geq}30$ min/day. Anthropometric (height, weight, BMI, body muscle (kg), body fat (%), waist and hip circumference, blood pressure) and biochemical parameters (fasting blood sugar (FBS), HbA1c, lipid profiles, hs-CRP) were measured before and after the nutrition consultation. After 12 weeks, the HbA1c<5.7% group had significant decreases in BMI, WC, HC, WHR, HbA1c, hs-CRP and also dietary intake of energy (P<0.01), carbohydrates, lipids (P<0.01), proteins (P<0.01) and cholesterol was significantly decreased (P<0.05). In the HbA1c ${\geq}5.7$% group, HbA1c, TC, LDL, NON-HDL, hs-CRP and dietary intake of energy, carbohydrate, lipid, protein, and cholesterol significantly decreased (P<0.05). These results suggest that nutrition consultation effectively helps to prevent diabetes in overweight and obese women after applying HbA1c standards. Overall, the improvement in all markers measured suggest that HbA1c is a good indicator for blood glucose regulation, helping to prevent diabetes.

• 대한임상검사과학회지
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• 제39권1호
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• pp.25-30
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• 2007

In this study, the two sampling methods for blood glucose measurement were evaluated in order to reduce pre-analytical error. For this purpose, glucose levels of Li-heparinized plasma (LHP) and Na-fluorinated plasma (NFP) in blood collected from healthy volunteers were determined by using routine hexokinase procedures. The percentage range of pre-analytical error was quantitated by comparing LHP glucose values with NFP glucose values according to delaying analytical time (0, 60, and 120 min). LHP glucose values were decreased by 6.6% in 60 min., 17.7% in 120 min, whereas NFP glucose values decreased by 1.1% in 60 min, 2.0% in 120 min. Therefore it may be recommended that the NFP sampling method should be used for routine blood glucose determination in diabetes mellitus diagnosis.

• 한국방사선학회논문지
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• 제15권4호
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• pp.565-573
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• 2021

인체 내 전자기장의 공간 분포는 고 유전율 재료를 사용하여 비교적 간단하게 조정할 수 있다. 이 방법은 다른 방법에 비해 보완적인 성격이 강하지만 특정 응용 분야에서 강력한 유전체 시밍용 도구로 활용될 수 있다. 기하학적으로 자유로운 형상으로 제조 가능하며 시스템의 어떠한 변경 없이 목적에 따라 제작된 패드를 적용할 수 있다. 특히 초 고자장(ultrahigh magnetic field UHF) MRI에서 높은 작동 주파수로 인해 낮은 감도 (low sensitivity)를 갖는 송신 (B1+) 및 수신 (B1-) 필드의 강도를 높이는 데 사용되는 임상목적의 고 유전율 패드는 잠재적 가치가 상당히 클 뿐만 아니라 그 효과가 클 것으로 예상되는 UHF MRI에 적용된 연구가 적기 때문에 이 연구에서는 티탄산 칼슘의 현탁액으로 제조된 고 유전율 패드를 실험실에서 직접 개발하였으며 UHF 7T 자기공명영상 MRI의 다양한 프로토콜에서 임상적으로 유용한 영상의 신호증가를 확인하였다.

• Journal of Preventive Medicine and Public Health
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• 제46권6호
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• pp.346-352
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• 2013

Objectives: To estimate the effect of medical conditions in the population of Korea on breast cancer risk in a case-control study. Methods: The cases were 3242 women with incident, histologically confirmed breast cancer in two major hospitals interviewed between 2001 and 2007. The controls were 1818 women each admitted to either of those two hospitals for a variety of non-neoplastic conditions. Information on each disease was obtained from a standardized questionnaire by trained personnel. Odds ratios (ORs) for each disease were derived from multiple logistic regression adjusted for age, age of menarche, pregnancy, age of first pregnancy, and family history of breast cancer. Results: Among all of the incident breast cancer patients, pre-existing diabetes (OR, 1.33; 95% confidence interval [CI], 0.99 to 1.78), hypertension (OR, 1.46; 95% CI, 1.18 to 1.83), thyroid diseases (OR, 1.26; 95% CI, 1.00 to 1.58), and ovarian diseases (OR, 1.70; 95% CI, 1.23 to 2.35) were associated with an increased risk of breast cancer when other factors were adjusted for. In a stratified analysis by menopausal status, pre-existing hypertension (pre-menopause OR, 0.80; 95% CI, 0.48 to 1.34 vs. post-menopause OR, 1.87; 95% CI, 1.44 to 2.43; p-heterogeneity <0.01) and ovarian disease (pre-menopause OR, 4.20; 95% CI, 1.91 to 9.24 vs. post-menopause OR, 1.39; 95% CI, 1.02 to 1.91; p-heterogeneity 0.01) showed significantly different risks of breast cancer. Conclusions: Our results suggest the possibility that medical conditions such as hypertension affect breast cancer development, and that this can differ by menopausal status. Our study also indicates a possible correlation between ovarian diseases and breast cancer risk.

• Journal of Preventive Medicine and Public Health
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• 제56권2호
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• pp.111-127
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• 2023

Objectives: Pre-pregnancy diet has an important role in preparing for healthy generation. However, evidence on this issue has been scarce. A scoping review synthesising current evidence will support the demand to map 'what has been researched' on pre-pregnancy diet and maternal and child health. Methods: Systematic search was performed using PICOS (Population, Intervention, Comparison, Outcomes, and Study design) framework in electronic databases. Articles were screened for eligibility, summarized, and the quality was assessed using the National Institute of Health assessment tool. The review structure complies with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guide. Results: Forty-two articles were included after full-text screening. Twenty-five studies were in high-income countries (HICs), six in each upper-middle income, five in lower-middle income countries (LMICs), and one in low-income countries (LIC). Based on the regions: North America (n=16), Europe (n=5), South America (n=4), Australia (n=4), Asia (n=5), Middle East (n=2), and sub-Saharan Africa (n=1). The two-most observed diet-related exposures were dietary pattern (n=17) and dietary quality (n=12). The most assessed outcome was gestational diabetes mellitus (n=28) and fetal and newborn anthropometry (n=7). The average quality score±standard deviation was 70±18%. Conclusions: Research related to pre-pregnancy diet is still concentrated in HICs. The context of diet may vary; therefore, future research is encouraged in LMICs and LICs context, and Mediterranean, South-East Asia, Pacific, and African regions. Some maternal and child nutrition-related morbidity, such as anemia and micronutrient deficiencies, have not been discussed. Research on these aspects will benefit to fill in the gaps related to pre-pregnancy diet and maternal and child health.

• 생약학회지
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• 제45권4호
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• pp.282-287
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• 2014

The ORI2 (3-[3,4-dihydroxyphenyl]acrylic acid 1-[3,4-dihydroxyphenyl]-2-methoxycarbonylethyl ester) was purified from the extract of Isodon excisus. We confirmed the antiviral effect of ORI2 in a coxsackievirus-induced pancreatitis model. Coxsackievirus B4 (CVB4) is a common cause of pancreatitis and may be reason of the type-1 diabetes. Anti-enteroviral compounds were screened by HeLa cell survival assay. Purified natural compounds were added to HeLa cells cultured 96-well plates after $10^4PFU/ml$ CVB4 pre-incubation for 30 min. ORI2 significantly improved HeLa cell survival in a dose-dependent manner. In addition, ORI2 (1 mM) treatment was dramatically decreased virus protease 2A induced eIF4G-I cleavage and viral VP1 capsid protein production. HeLa cell virus titers and viral RNA replication were significantly decreased in ORI2-treatment in a dose dependent manner (1 mM~0.001 mM). These results demonstrate that ORI2 has a strong antiviral effect. It was significantly decreased virus replication. ORI2 may be developed as a potential therapeutic agent for CVB4.