• Journal of Korean Academy of Oral Health
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• 제42권4호
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• pp.238-241
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• 2018

Williams syndrome is a rare congenital disorder with various physical abnormalities and characterized by facial, oral, and dental features. Individuals with Williams syndrome typically have eating disorders in the early childhood, which lead to prolonged night feeding. Prolonged night feeding is a risk factor for rampant dental caries. Williams syndrome is caused by the microdeletion of chromosome 7, resulting in elastin deficiency. Elastin is integral to cardiovascular health. Many patients with Williams syndrome have complex cardiovascular abnormalities that must be considered a part of dental management. Complications related to cardiovascular diseases may induce adverse effects such as dangerously elevated blood pressure. This may occur in patients during stressful dental treatment. In addition, characteristics of auditory hyperalgesia and anxiety disorders among patients with William syndrome, complicate receiving routine dental management. Therefore, dental treatment under sedation or general anesthesia may be preferable for patients with Williams syndrome; in particular, patients who are very uncooperative and/or needs extensive dental treatment. A thorough evaluation of each patient's physical condition is required before making decisions regarding dental treatment. Careful monitoring and preparation for emergencies are very important during and shortly after dental treatment under general anesthesia or sedation. Monitoring is critical until vital signs have stabilized and return to normal. A 28-month-old man diagnosed as having Williams syndrome, visited the Dental Hospital of ${\bigcirc}{\bigcirc}$ University for the management of rampant dental caries. We reported on the management of this patient who had peripheral pulmonic stenosis, and received dental treatment under general anesthesia. We also reviewed the characteristics of Williams syndrome and discussed considerations for dental treatment under general anesthesia.

• 한국학교보건학회지
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• 제31권3호
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• pp.186-195
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• 2018

Purpose: This study was performed to investigate the dietary behaviors and stress-related factors among male and female college students. Methods: A total of 405 college students (male-195, female-210) were recruited, of whom a questionnaire-based survey was conducted. The study investigated the general characteristics, health-related factors, dietary behaviors, and stress-related factors of the respondents. Results: The body mass index was significantly higher in males. The rates of underweight and overweight were significantly different between male and female respondents. The scores for workout frequency, health concerns and health condition were significantly higher in males, while the score for watching TV & playing computer games was significantly higher in females. The scores for meal regularity, frequency of breakfast consumption, and smoking were significantly higher in males. Eating problems showed a significant difference between males and females. The biggest source of stress was social factors, followed by college study and individual factors and the most experienced stress-induced symptom was anxiety, followed by headache and stomachache. The most popular way to overcome stress was taking a rest, followed by drinking & smoking and outdoor activity. The most preferred food under stressful conditions were alcohol or beverages, followed by hot & spicy food and sweet food, which showed a significant difference between males and females. Conclusion: These results indicate that stress affects dietary behaviors, drinking, smoking, and health status. Stress not only changes dietary behaviors, but is also related to health status. Therefore, it is necessary to develop appropriate programs for emotional stability and stress relief targeting college students which provide continuous nutrition education focused on desirable dietary behaviors and nutritional aspects.

• Journal of Ecology and Environment
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• 제45권1호
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• pp.1-9
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• 2021

Background: Abandoned coal piles after the closure of mines have a potential negative influence on the environment, such as soil acidification and heavy metal contamination. Therefore, revegetation by efficient species is required. For this, we wanted to identify the role of Silene acaulis in the succession of coal piles as a pioneer and a nurse plant. S. acaulis is a well-studied cushion plant living in the Arctic and alpine environments in the northern hemisphere. It has a highly compact cushion-like form and hosts more plant species under its canopy by ameliorating stressful microhabitats. In this research, we surveyed vegetation cover on open plots and co-occurring species within S. acaulis cushions in coal piles with different slope aspects and a control site where no coal was found. The plant cover and the similarity of communities among sites were compared. Also, the interaction effects of S. acaulis were assessed by rarefaction curves. Results: S. acaulis was a dominant species with the highest cover (6.7%) on the coal piles and occurred with other well-known pioneer species. Plant communities on the coal piles were significantly different from the control site. We found that the pioneer species S. acaulis showed facilitation, neutral, and competition effect in the north-east facing slope, the south-east facing slope, and the flat ground, respectively. This result was consistent with the stress gradient hypothesis because the facilitation only occurred on the north-east facing slope, which was the most stressed condition, although all the interactions observed were not statistically significant. Conclusions: S. acaulis was a dominant pioneer plant in the succession of coal piles. The interaction effect of S. acaulis on other species depended on the slope and its direction on the coal piles. Overall, it plays an important role in the succession of coal piles in the High Arctic, Svalbard.

• Safety and Health at Work
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• 제14권3호
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• pp.317-324
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• 2023

Background: COVID-19 pandemic represented a unique stressful event that affected the physical health and psychological well-being (PWB) of individuals and communities. Monitoring PWB is essential not only to clarify the burden on mental health effects but also to define targeted psychological-supporting measures. This cross-sectional study evaluated the PWB of Italian firefighters during the pandemic. Methods: Firefighters recruited during the pandemic period filled out a self-administered questionnaire, the Psychological General Well-Being Index, during the health surveillance medical examination. This tool is usually used to assess the global PWB and explores six subdomains: anxiety, depressed mood, positive well-being, self-control, general health, and vitality. The influencing roles of age, gender, working activities, COVID-19, and pandemic restrictive measures were also explored. Results: A total of 742 firefighters completed the survey. The aggregate median PWB global score was in the 'no distress"" range (94.3 ± 10.3), which was higher than that observed in studies conducted using the same tool in the Italian general population during the same pandemic period. Similar findings were observed in the specific subdomains, thus suggesting that the investigated population was in good PWB condition. Interestingly, significantly better outcomes were detected in the younger firefighters. Conclusion: Our data showed a satisfactory PWB situation in firefighters that could be related to different professional factors such as work organization and mental and physical training. In particular, our results would suggest the hypothesis that in firefighters, maintaining a minimum/moderate level of physical activity (consisting of even just going to work) might have a profoundly positive impact on psychological health and well-being.

• 한국간담췌외과학회지
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• 제27권3호
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• pp.301-306
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• 2023

Backgrounds/Aims: Postoperative delirium (POD) is a common complication that increases mortality and morbidity in older patients. This study aimed to evaluate the clinical significance of post-cholecystectomy delirium in older patients. Methods: This retrospective study included 201 patients aged > 75 years who underwent cholecystectomy for acute or chronic cholecystitis between January 2016 and December 2019. Patients were divided into the POD (n = 21) and non-POD (n = 180) groups, and their demographic features and clinical results were compared. Results: The mean patient age was 78.88 years; the female/male ratio was 44.8%/55.2%. Laparoscopic surgery was performed in 93.5% of patients. The univariate analysis showed that lower body mass index (BMI), immobilized admission status, neuropsychiatric disease history, preoperative intervention (percutaneous drainage), high C-reactive protein, hypoalbuminemia, neutrophilia, hypo-/hyperkalemia, and longer operative time were more frequently observed in the POD group. The multivariate analysis showed that lower BMI (odds ratio [OR], 2.796; p = 0.024), neuropsychiatric disease history (OR, 3.019; p = 0.049), hyperkalemia (OR, 5.972; p = 0.007), and longer operative time (OR, 1.011; p = 0.013) were significant risk factors for POD. Conclusions: POD was associated with inflammation degree, general condition, poor nutritional status, electrolyte imbalance, and stressful conditions. Recognizing risk factors requiring multidisciplinary team approaches is important to prevent and treat POD.

• Biomolecules & Therapeutics
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• 제32권1호
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• pp.77-83
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• 2024

Alzheimer's disease (AD) is a neurodegenerative disease characterized by neuronal cell death and memory impairment. Corticosterone (CORT) is a glucocorticoid hormone produced by the hypothalamic-pituitary-adrenal axis in response to a stressful condition. Excessive stress and high CORT levels are known to cause neurotoxicity and aggravate various diseases, whereas mild stress and low CORT levels exert beneficial actions under pathophysiological conditions. However, the effects of mild stress on AD have not been clearly elucidated yet. In this study, the effects of low (3 and 30 nM) CORT concentration on Aβ_25-35-induced neurotoxicity in SH-SY5Y cells and underlying molecular mechanisms have been investigated. Cytotoxicity caused by Aβ_25-35 was significantly inhibited by the low concentration of CORT treatment in the cells. Furthermore, CORT pretreatment significantly reduced Aβ_25-35-mediated pro-apoptotic signals, such as increased Bim/Bcl-2 ratio and caspase-3 cleavage. Moreover, low concentration of CORT treatment inhibited the Aβ_25-35-induced cyclooxygenase-2 and pro-inflammatory cytokine expressions, including tumor necrosis factor-α and interleukin-1β. Aβ_25-35 resulted in intracellular accumulation of reactive oxygen species and lipid peroxidation, which were effectively reduced by the low CORT concentration. As a molecular mechanism, low CORT concentration activated the nuclear factor-erythroid 2-related factor 2, a redox-sensitive transcription factor mediating cellular defense and upregulating the expression of antioxidant enzymes, such as NAD(P)H:quinone oxidoreductase, glutamylcysteine synthetase, and manganese superoxide dismutase. These findings suggest that low CORT concentration exerts protective actions against Aβ_25-35-induced neurotoxicity and might be used to treat and/or prevent AD.

• 감성과학
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• 제15권4호
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• pp.527-540
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• 2012

학습자의 학습 스트레스 수준(stress level)과 금전적 보상(monetary rewards)의 제시 시점 차이가 장, 단기 기억수행에 미치는 영향을 알아보았다. 지연-파지 효과(delay-retention effect)에서는 지연 보상 (delayed reward)이 기억의 공고화(consolidation) 과정을 촉진시켜 결과적으로 장기 기억 수행을 향상시키게 된다고 주장한다. 본 연구에서는 지연 보상과 즉시 보상(immediate reward)이 학습 스트레스가 높고, 낮은 맥락의 차이에 따라 기억 수행에 미치는 영향력이 다를 것이라 예상하였다. 따라서 학습 맥락을 학습 스트레스가 높고, 낮은 두 조건으로 나누고, 보상 조건과 기억의 인출 시점을 구분하여 실험하였다. 보상 조건은 보상 제시 시점(5초 후 제시, 바로 제시)과 보상의 유무(500원, 0원)를 구분하였고, 기억 검사는 바로 인출하는 경우와 기억 공고화 과정을 거치고 일주일 후 인출하는 경우로 나누었다. 실험 결과 지연 보상은 장기 기억에 이점 효과가 있었고, 즉시 보상은 단기 기억에만 이점 효과가 나타났다. 이러한 보상의 기억 이점 효과는 스트레스가 높은 학습 맥락에서만 관찰되었다. 본 결과는 학습자가 지각하는 학습 스트레스 수준이 높을수록 보상에 대한 민감도가 높으며, 학습 후 즉시 보상 보다 지연 보상이 기억 공고화 과정에서 기억을 촉진시키는 역할을 수행하여 결과적으로 장기 기억력을 향상시킴을 시사한다.

• 생명과학회지
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• 제13권5호
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• pp.658-667
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• 2003

환경 스트레스에 대해 내성을 가지는 것으로 알려진 명아주과에 속하는 근대(지상부길이 15 cm)를 이용하여, 다양한 염 농도에서의 건물함량 측정을 통한 생장반응과 항산화 효소(SOD, APX, GR)의 효과를 밝히기 위하여 다양한 농도(0, 50, 200, 1000 mM NaCl)의 염을 처리한 후 24시간 동안의 효소의 활성변화를 측정하였다. 근대는 처리 2시간째 200 mM NaCl처리구 에서 SOD, APX, GR의 최대활성을 보였으며, 50 mM NaCl처리구에서 가장 낮은 활성을 나타내었다. PAGE에 의한 isoforms의 확인결과, 근대는 3개의 SOD isoforms(Fe-SOD, CuZn-SOD, Mn-SOD)를 함유하고 있었으며, major isoform은 CuZn-SOD로 밝혀졌다. APX의 경우, 9개의 bands 중 특별히 저분자 isoforms (No. 7,8)의 강한 발현양상을 보였다. SOD의 경우 50 mM NaCl처리에서 Mn-SOD isoform의 불활성을 보여 활성의 증감에 있어 Mn-SOD가 직접적인 연관성을 가질 것으로 생각된다. 근대의 항산화 효소는 염 처리후 단시간내 효소 활성의 증가양상(특별히 처리후 2시간째 200 mM NaCl처리구)을 보여, 고농도 염 환경하에서 항산화시스템의 빠른 작동을 통해 염스트레스에 의해 생성된 활성산소를 제거함으로써 염에 의한 산화적 스트레스에 대해 효과적으로 대처해 나가는 것으로 생각된다. 검색어-근대, 염, 활성산소, SOD, APX, GR.

• 한국작물학회지
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• 제62권3호
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• pp.241-248
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• 2017

가뭄조건에서 봄감자의 무기성분함량 및 생육특성에 대한 결과는 다음과 같다. 생육기간 중 식물체 내 무기성분함량 중 유효인산은 생육 초반 청주에서 유의하게 높았지만 개화기 이후 차이가 없어졌으며, 칼슘은 청주지역보다 강릉에서 더 빠르고 흡수되고 많은 체내 축적을 보였다. 마그네슘은 청주보다 강릉에서 높은 함량은 보여 건조스트레스에 따른 칼슘 흡수와 매우 밀접하게 관계가 있다고 생각된다. 생육기간 중 토양 양분 흡수량은 모든 무기양분을 청주가 강릉보다 더 많이 흡수하였으며, 이는 청주의 감자 생육량이 건조스트레스로 제대로 생육하지 못한 강릉의 감자보다 크고, 생육기간도 더 길었기 때문으로 추정된다. 감자주요 생육기의 생육은 강릉과 청주 모두 비슷하였지만 강릉에서의 생육량 감소가 더 큰 경향을 보였다. 각 생육지표들의 상관관계는 건조에 취약한 잎을 제외한 다른 요소들은 강릉과 청주 모두 정의 상관관계를 보였지만, 잎의 영향을 받는 요소들은 강릉에서 그 상관관계를 볼 수 없었다. 감자 괴경의 수량은 상품비율은 건조스트레스를 받지 않을 때와 큰 차이를 보이지 않았으나, 건조스트레스 하에서 지상부의 생육이 저하되고 생육기간이 짧아 수량은 크게 감소되었다.

• 생명과학회지
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• 제30권7호
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• pp.640-650
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• 2020

간, 췌장 및 지방 조직에서 많은 수준으로 합성되는 섬유 아세포 성장 인자 21(FGF21)은 FGF19과 FGF23와 함께 FGF 패밀리의 비정형 구성원에 속해 있다. FGF21은 발현 조직에 따라 endo/paracrine특징을 보여주며, 포도당 대사 및 에너지 항상성을 포함하는 많은 종류의 대사 경로를 조절하고 있다. 생리학적 조건 하에서 많은 종류의 스트레스가 조직 별 FGF21의 합성을 유도한다고 알려져 있고, 이렇게 증가한 FGF21은 위와 같은 스트레스에 적응하거나 방어하기 위한 세포 내 기전을 활성화 시키게 된다. 이 과정에서 peroxisome proliferator-activated receptor gamma (PPARγ) 및 peroxisome proliferator-activated receptor alpha (PPARα)가 지방 및 간 조직에서 FGF21의 발현을 조절하는 대표적인 전사 조절자로 알려져 있다. 지난 10년간의 연구를 통해 약리학적 FGF21 투여는 체중을 감소시키고 비만 마우스 및 2 형 당뇨병 환자에서 인슐린 감수성 및 지단백질 프로파일을 개선시키는 것으로 보고되었고, 이를 바탕으로 FGF21은 제 2 형 당뇨병, 비만 및 비 알콜 성 지방간 질환(NAFLD)의 치료제로서 큰 주목을 받아 왔다. 그러나 조직 별 상이한 FGF21 발현의 역설적 조건 및 생리 약학적 기능의 차이로 인해 FGF21의 이해는 여전히 부족한 수준에 있다. 따라서 본 총설을 통해 FGF21의 조직 특정 기능 및 해당 동작 메커니즘을 포함한 이전 연구들에서 발생하였던 흥미로운 문제를 논의하고, FGF21 아날로그를 이용한 임상 시험의 현 상황을 요약하고자 한다.