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Association of Dietary Quality Indices with Glycemic Status in Korean Patients with Type 2 Diabetes
( Ji Young Kim ),( Young Yun Cho ),( Young Mi Park ),( Cheong Min Sohn ),( Mi Yong Rha ),( Moon Kyu Lee ),( Hak C. Jang ) 한국임상영양학회 2013 Clinical Nutrition Research Vol.2 No.2
The present study was performed to evaluate the relationship between dietary quality indices including the Diet Quality Index- International (DQI-I), Alternate Healthy Eating Index (AHEI), and Healthy Diet Indicator (HDI) and glycemic status in Korean patients with type 2 diabetes. A total of 110 consecutive outpatients with type 2 diabetes who visited 2 university hospitals in Seoul and Seongnam from April 2004 to November 2006 were enrolled as subjects. At the time of enrollment, anthropometric parameters, dietary habits, experience of exercise, and metabolic parameters were obtained. Experienced registered dietitians collected one-day dietary intake using the 24-hour recall method. The mean scores for DQI-I, AHEI, and HDI were 68.9 ± 8.2, 39.4 ± 8.9, and 5.0 ± 1.3, respectively. After adjustment for age, body mass index, and energy intake, DQI-I and HDI were found to have a significant correlation with hemoglobin A1c (HbA1c) (r = .0.21, p < 0.05; r = .0.28, p < 0.05), fasting plasma glucose (r = .0.21, p < 0.05; r = .0.23, p < 0.05), and postprandial 2-h glucose (r = .0.30, p < 0.05; r = .0.26, p < 0.05, respectively). However, AHEI did not have a significant correlation with HbA1c. In conclusion, the DQI-I and HDI may be useful tools in assessing diet quality and adherence to dietary recommendations in Korean patients with type 2 diabetes. Future research is required to determine whether the dietary quality indices have predictive validity for dietary and glycemic changes following diet education in a clinical setting.
중환자의 초기 경장영양 공급 시 위잔여량에 따른 임상적 특징 분석
유소영 ( So Young Yu ),김은미 ( Eun Mee Kim ),조영연 ( Young Y Cho ),라미용 ( Mi Yong Rha ),김진용 ( Jin Young Kim ),장동경 ( Dong Kyung Chang ),서정민 ( Jeong Meen Seo ) 한국정맥경장영양학회 2010 한국정맥경장영양학회지 Vol.3 No.1
Purpose: A high gastric residual volume (GRV) occurs early and frequently in patients who are receiving nasogastric tube feeding in the intensive care unit (ICU). This study analyzed the clinical and nutritional characteristics of ICU patients who received nasogastric tube feeding according to the GRV. Methods: The subjects were 76 patients who were admitted to the ICU at S Medical Center from January, 2009 to May, 2009 and who received enteral nutrition (EN)support. Tube feeding was skipped when the GRV was over 50~100 cc. The patients who experienced meal skipping due to high GRVs comprised the GRV group, and the patients whose feeding was never skipped due to high GRVs comprised the non-GRV group. The general, clinical and nutritional characteristics were determined at the beginning of the EN support, and the method of EN was collected for the first 3 days of tube feeding. Results: Nine patients experienced meal skipping due to GRV. There were no significant differences between the GRV and NGRV group in terms of age (60.4 vs. 61.8 years for GRV and NGRV, respectively; same respective order hereafter), pre-npo (5.0 vs. 4.7 days) and the ICU stay (20.5vs. 23.7 days). Significant differences were evident in the GRV group concerning the ratio of male patients (55.2%vs. 88.9%; P<0.05), the medical-ICU patients (35.8% vs.88.9%; P<0.05) and the sedated patients (29.8% vs.66.7%; P<0.05). The BMI (22.4 vs. 21.8 kg/m2) and TLC(2,252 vs. 1,137 cells/mm3) values were not significantly different between the two groups. The serum albumin level(3.1 vs. 2.6 g/dl) was significantly lower in the GRV group(P<0.05) and the C-reactive protein level (8.11 vs. 19.02mg/dl) and the ratio of moderately and severely malnourished patients (25.4% and 77.8%) was significantly higher in the GRV group (P<0.05). The mean feeding volume (731vs. 688 cc) and ratio of the feeding rate (129 vs. 127 ml/h)during the first 3 days on EN was not significantly different between the two groups, nor was the required/maximum feeding volume (9.8 vs. 8.2 days).Conclusion: In the GRV group, the ratio of male to sedated patients was significantly higher than that in the other group. The ratio of moderately and severely malnourished patients was also significantly higher in the GRV group. There were no significant differences in the methods of EN support. (KJPEN 2010;3(1):50-53)
( Mi Kyeong Hong ),( Young Yun Cho ),( Mi Yong Rha ),( Jae Hyeon Kim ),( Moon Kyu Lee ) 한국임상영양학회 2015 Clinical Nutrition Research Vol.4 No.3
We report the case in order to examine the effect of a mobile application program (“Diabetes & Nutrition”) developed in 2011- 2012 for self-management in patients with type 2 diabetes and to recommend important considerations when the mobile application program is developed. A 46-year-old man was newly diagnosed with type 2 diabetes in 2013 and had no complications. The height of the patient was 168 cm and the body weight was 75.6 kg. Nutrition education was conducted according to a medical prescription, and follow-up nutrition education was conducted after 3 and 6 months. After nutrition education, the patient was engaged in self-management using “Diabetes & Nutrition” program during 3 months. At 3 months, the body weight had decreased by 4.4 kg (from 75.6 to 71.2 kg), waist circumference by 5 cm (from 88 to 83 cm) and HbA1c level from 7.9% to 6.1%. Also at 3 months, the medication was reduced from from the dose of 850 mg to the dose of 500 mg metformin per twice a day. Since then, the patient did not continue to use the “Diabetes & Nutrition” because the level of blood glucose had stabilized, and the patient felt inconvenient and annoying to use the program. At 6 months, no significant change in the body weight and body composition was observed in comparison with those at 3 months. The present case demonstrates that the early use of “Diabetes & Nutrition” could be helpful for self-management of glycemic control in patients with type 2 diabetes. Developing self-management mobile application programs in the future will require strategies of how to promote continuous use of application program and self-management of type 2 diabetes.
( Mi Ryung Roh ),( Jung Min Kim ),( Sang Hee Lee ),( Hong Sun Jang ),( Kyu Hyun Park ),( Kee Yang Chung ),( Sun Young Rha ) 대한피부과학회 2014 대한피부과학회 학술발표대회집 Vol.66 No.2
Background: Cutaneous squamous cell carcinomas and keratoacanthomas commonly occur in patients treated with BRAF inhibitors. Objectives: We investigated the effect of BRAF inhibitor vemurafenib on normal immortalized human HaCaT keratinocytes to explore the mechanism of hyperproliferative cutaneous neoplasia associated with the use of BRAF inhibitors. Methods: Human Melanoma cell lines SK-MEL-24(BRAF V600E mutation), G361(BRAF V600E mutation), SK-MEL-2(NRAS Q61R mutation) and HaCaT were cultured. Cell viability assay, immunoblotting, proliferation assay, Matrigel transwell assay, and gelatin zymography was performed to evaluate the effect of vemurafenib on the cell lines. Results: Vemurafenib induced an increase in viable cell number in BRAF wild-type cell lines but not in BRAF mutant cell lines. In HaCaT keratinocytes, a low concentration(2μM) of vemurafenib increased cell proliferation and activated MEK/ERK in a CRAF-dependent manner. Invasiveness of HaCaT cells in a Matrigel assay significantly increased upon cultivation of cells with 2μM vemurafenib for 24h. Gelatin zymography revealed that 2μM vemurafenib increased activated MMP-2 expression in both cytosol and conditioned media while MMP-9 expression increased in cytosol. Conclusion: These results offer additional insight into the complex mechanism of paradoxical MAPK signaling involved in hyperproliferative cutaneous neoplasia that arise after BRAF inhibition and suggest a possible role for MMPs in tumor progression and invasion.
Fabrication of a Paper-based Sensor with Low Power Consumption for Field Diagnosis of Drought Stress
( Young-soo Choi ),( Min Kyu Im ),( Mi Rha Lee ),( Kyeong-hwan Lee ) 한국농업기계학회 2018 한국농업기계학회 학술발표논문집 Vol.23 No.1
In this paper, we describes the fabrication of a paper-based sensor with low power consumption to diagnose drought stress in the field for a long time and to detect drought stress in plants using it. In plants, proline is used as a biomarker to detect drought stress and detected by using the proline-ninhydrin reaction-based colorimetric method. The proposed paper-based sensor has a four layer structure. In order to operate the sensor at low power, the sensing part is located on the second layer of the four layer structure. The sensor is fabricated simple and easy using the wax printing method and the origami method. The concentration of proline in the sample using the fabricated sensor was determined by measuring the green color intensity through RGB analysis of the color change caused by the proline-ninhydrin reaction. Form the experimental results, we could detect the proline of at least 25μM in about 3min by using the fabricated sensor and could know that the intensity of green decreased as the concentration of proline increased. In addition, the amount of power consumed during the operation of the sensor is reduced to 1/4 of that of the conventional sensor, and the drought stress diagnosis can be performed for a long time in the field. The proposed paper-based sensor is expected to be useful for the prevention of drought through field diagnosis of drought stress in the field of agriculture in the future.
Tramadol HCl/acetaminophen 복합제에 의한 급성신부전을 동반한 신증후군
손영기 ( Young Ki Son ),남영희 ( Young Hee Nam ),이수미 ( Su Mi Lee ),김혜인 ( Hye In Kim ),안원석 ( Won Suk An ),김성은 ( Seong Eun Kim ),김기현 ( Ki Hyun Kim ),나서희 ( Seo Hee Rha ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.5
Analgesics are used commonly because of their beneficial effects on various disease processes and pain control, and so the population of patients who are at risk for adverse effects of these drugs is rapidly expanding. A number of renal problems have been associated with the use of these drugs, including electrolyte imbalance, acute renal failure, nephrotic syndrome, and interstitial nephritis. We experienced a 65-year-old female patient who developed general edema and oliguria for 4 days and diagnosed as focal segmental glomerulosclerosis with interstitial nephritis. She had taken tramadol HCl/acetaminophen (Ultracet(R)) for 15 days before admission. Renal biopsy revealed that focal tubular atropy, focal interstitial fibrosis and evidence of diffuse inflammatory cell infiltrations. Tramadol HCl/ acetaminophen (Ultracet(R)) was discontinued on admission because of the likelihood the renal disease was drug-related and the patient improved after discontinuation of this drug without remained renal damage. This case suggests that Ultracet(R) must be an agent that causes nephrotic syndrome with acute renal failure. Therefore clinicians should use it with caution in high risk patients.