위식도 역류에 대한 후두인두부에서 산도 검사의 의의

정다운,김소희,김은영,문경래,Jeong, Da Woon,Kim, So Hee,Kim, Eun Young,Moon, Kyung Rye 대한소아소화기영양학회 2005 Pediatric gastroenterology, hepatology & nutrition Vol.8 No.2

목 적: 병적 위식도 역류 환자에서 후두인두부 산도를 검사하여 후두인두부 역류와 호흡기 증상과의 상관관계를 연구하고자 하였다. 방 법: 2003년 2월부터 2004년 9월까지 잦은 구토 등 위식도 역류가 의심되는 증상이 있거나 만성 재발성 호흡기 증상이 있어 24시간 후두인두부와 식도에서 산도 검사를 실시한 39명 중 병적 위식도 역류를 보인 29명을 대상으로 하였다. 병적 위식도 역류의 기준은 95백분위수 이상 역류 지표를 병적 역 류로 정의하였고, 후두부 인두 산 역류의 기준은 식도에서 pH 4 이하로 떨어짐과 동시에 후두부 인두에서 pH가 4 이하로 떨어지는 것으로 정의하였다. 결 과: 1. 산도 검사를 실시한 39명에서 호흡기 증상이 있는 7명 중 6명(86.%), 호흡기 증상이 없는 32명 중 23명(72%)에서 병적 위식도 역류를 보였다. 2. 호흡기 증상으로는 반복되는 폐렴 2명, 크룹 1명, 후두연화증 1명, 천식 2명 등이었다. 3. 호흡기 증상을 동반한 병적 역류군에서 후두인두부와 식도의 역류 지표를 비교하면 5분 이상 지속된 역류의 횟수 제외한 역류 지수, 총 역류 횟수, 최 장 역류 시간 등에서 통계학적으로 의의있는 차이를 보였다. 4. 호흡기 증상을 동반하지 않은 병적 역류군에서 후두인두부와 식도의 모든 역류 지표들이 유의한 차이를 보였다. 5. 식도에서 호흡기 증상을 동반한 병적 역류군과 호흡기 증상을 동반하지 않은 병적 역류군의 역류지표를 비교하면 총 역류 횟수를 제외한 역류 지수, 최장 역류 시간, 5분 이상 지속된 역류의 횟수에서 통계학적 의의가 없었다. 6. 후두부 인두에서 호흡기 증상을 동반한 병적 역류군과 호흡기 증상을 동반하지 않은 병적 역류군의 역류 지표를 비교하면 모든 항목에서 통계학적 의의가 없었다. 결 론: 병적 위식도 역류 환자에서 호흡기 증상 유무와 관계없이 후두인두부의 산도 검사 결과는 통계학적 의의가 없으므로 만성 호흡기 질환에서 후두인두부 역류와의 상관관계의 규명에 후두인두부 산도 검사의 유용성에 대한 재고가 필요하다. Purpose: The aim of this study was to evaluate the significance of pH monitoring at two levels, hypopharynx and esophagus in gastroesophageal reflux. Methods: 29 patients with pathological gastroesophageal reflux were classified into two groups: Group I had recurrent respiratory symptoms and Group II had not recurrent respiratory symptoms. The ambulatory pH monitoring was performed at the hypopharynx and the esophagus simultaneously with two channel catheter for 18~24 hr. The pathological reflux was defined when the percent of time that pH was below 4.0 exceeding the 95th percentile of normal value. Hypopharyngeal reflux was defined as the pharyngeal pH drops below 4. Results: 39 patients were performed pH monitoring at the level of hypopharynx and esophagus for 24 hours. Among 7 patients with chronic respiratory symptom, 6 patients (85.7%) have pathological esophageal reflux. Among 32 patients without chronic respiratory symptom, 23 patients (71.8%) have pathological esophageal reflux. Thus 29 out of 39 patients (74%) have pathological esophageal reflux. In the Group I, all parameters except the longest episode showed significant differences between hypopharyngeal and esophageal pH monitoring. None of parameters showed significant differences between group I and II in the pharyngeal pH monitoring. Conclusion: Regardless of presence of respiratory symptoms, the pH monitoring at the pharyngeal level in patients with gastroesophageal reflux did not showed any differences compared with the esophageal pH monitoring. Therefore we may reconsider the usefulness of hypopharyngeal pH monitoring in patients with chronic respiratory symptoms.

자세이완치료를 병용한 침구치료가 급성기 족관절 염좌의 치료에 미치는 영향에 대한 임상적 연구

정다운,여경찬,윤인애,문성일,Jeong, Da-Un,Yeo, Kyeong-Chan,Yoon, In-Ae,Moon, Sung-Il 척추신경추나의학회 2009 척추신경추나의학회지 Vol.4 No.1

Objectives: The purpose of this study is to evaluate the therapeutic effect of acupuncture treatment of acute ankle sprain combined with positional release therapy. Methods: A prospective randomized single blind study between positional release group and knee flexed supine position group was conducted. Patients with ankle sprain within 48 hours were evaluated by Ankle injury grade chart(AIGC). In group A, positional release therapy was combined with acupuncture, whereas in group B, acupuncture was conducted in knee flexed supine position. The treatment was planned for a duration of 1 week, 3times a week. In AIGC scores, VAS, weight bearing time and weight bearing time in blind were followed up and compared. Results and Conclusion: The VAS score decreased in both group. Weight bearing time increased in group B, weight bearing time in blind increased in group A. Comparing the therapeutic effect of each group, group A had significant effectiveness in weight bearing time in blind. So we may conclude that Acupuncture treatment combined with positional release therapy is effective and recommandable at early stage of ankle sprain.

피부전기활동을 이용한 실시간 깊은 수면 검출 알고리즘의 개발

정다운,최상호,주광민,이유진,정도언,박광석,Jung, Da Woon,Choi, Sang Ho,Joo, Kwang Min,Lee, Yu Jin,Jeong, Do-Un,Park, Kwang Suk 대한의용생체공학회 2015 의공학회지 Vol.36 No.5

Although many studies have analyzed the relationship between electrodermal activity (EDA) and sleep stages, a practical method for detecting sleep stage using EDA has not been suggested. The aim of this study was to develop an algorithm for real-time automatic detection of deep sleep using the EDA signal. Simultaneously with overnight polysomnography (PSG), continuous measurement of skin conductance on the fingers was performed for ten subjects. The morphometric characteristics in the fluctuations of EDA signal were employed to establish the quantitative criteria for determining deep sleep. The 30-sec epoch-by-epoch comparison between the deep sleep detected by our method and that reported from PSG exhibited an average sensitivity of 74.6%, an average specificity of 98.0%, and an average accuracy of 96.1%. This study may address the growing need for a reliable and simple measure for identifying sleep stage without a PSG.

개 유선종양세포에 대한 자연살해세포 독성

정다운,변정수,구나연,정문희,김은희,김형석,조인수,송재영,현방훈,이지현,Jeong, Da-Un,Byeon, Jeong Su,Gu, Na-Yeon,Jung, Moonhee,Kim, Eun Hee,Kim, Hyung-Seok,Cho, In-Soo,Song, Jae-Young,Hyun, Bang-Hun,Lee, Jienny 대한수의학회 2020 大韓獸醫學會誌 Vol.60 No.1

Natural killer (NK) cells play have a crucial role in the early phase of immune responses against various pathogens. We compared characteristics of canine NK cells against two canine mammary carcinoma cell lines, REM134 and CF41.Mg. REM134 showed higher expression of progesterone receptor, proliferative cell nuclear antigen, Ki67, multiple drug resistance, Bmi-1, c-myc, E-cadherin, and human epidermal growth factor receptor type-2 than that of CF41.Mg. For specific expansion and activation of NK cells, we isolated CD5 negative cells from canine peripheral blood mononuclear cells and co-cultured K562 cells in the presence of interleukin (IL)-2, IL-15, and IL-21 for 21 days. As a result, we found that expression markers of activated NK cells such as NKp30, NKp44, NKp46, NKG2D, CD244, perforin, granzyme B, and tumor necrosis factor alpha were highly upregulated. In addition, we found there was upregulated production of interferon gamma of activated NK cells against target cells such as REM134 and CF41.Mg. Specifically, we observed that cytotoxicity of NK cells against target cells was more sensitively reacted to CF41.Mg than REM134. Based on the results of this study, we recommend the development of an experimental application of CF41Mg, which has not been reported in canine mammary carcinoma research.

직물형 피트니스 밴드 디자인 및 개발

정다운,이소정,권채령,박이화,허서원,김동은,Jeong, Dawun,Lee, Sojung,Kwon, Chae-Ryung,Park, Ihwa,Heo, Seowon,Kim, Dong-Eun 복식문화학회 2018 服飾文化硏究 Vol.26 No.4

This study aims to contribute to the development of sports wearables. It was conducted by a convergence team of professionals in the fashion industry, kinesiology and sports studies, and computer science and engineering. The purpose of the current study was to design and develop a fabric-type fitness band for a sensor to measure acceleration during jump rope exercises. Computer science and engineering professionals developed the Arduino board and sensor, kinesiology and sports studies provided the necessary exercise protocol, and the fashion industry professionals developed the band. First, a fitness band preference survey was completed by men and women between the ages of 20 and 50. Typical uses of the band included tracking exercise amount as measured by the number of steps taken and calories burned. Strap watch closure, a single color and achromatic color, and soft and smooth touch materials were preferred as band design. Second, two fabric-type fitness bands were designed and developed. Design 1 had a 3-dimensional pocket for the sensor, bright blue color, and stretch binding around the edges and for a loop. Design 2 had a flat pocket for the sensor, achromatic color, mesh binding around the edges and two metal loops. Both designs had Velcro as a closure. Third, wear testing of both bands with the sensor were conducted of 15 women in their 20s. They wore the bands during jump rope exercises. Both bands generally satisfied the participants. The Design 2 band was slightly more satisfying than the Design 1 band.

시판 레토르트식품의 지방함량 조사 - 조지방, 포화지방, 트랜스지방산 중심으로 -

정다운,임준,김천회,김영경,박윤진,엄애선,Jeong, Da-Un,Im, June,Kim, Cheon-Hoe,Kim, Young-Kyoung,Park, Yoon-Jin,Om, Ae-Son 한국식품조리과학회 2015 한국식품조리과학회지 Vol.31 No.5

본 연구는 레토르트식품의 조지방, 포화지방, 트랜스지방의 영양성분 표시 값과 분석 값을 비교하여 소비자에게 신뢰성 있는 영양정보를 제공하는지를 확인하기 위해 카레류 21건, 짜장류 16건, 짜장 및 카레를 제외한 소스류 17건, 즉석조리식품 16건을 서울 및 경기지역을 중심으로 수거하여 식품공전에 따라 분석하였으며 그 결과는 다음과 같다. 레토르트식품의 지방성분 함량 분포는 조지방 $0.47{\pm}0.42{\sim}17.41{\pm}0.41g/100g$, 포화지방 $0.24{\pm}0.02{\sim}7.60{\pm}0.40g/100g$, 트랜스지방 $0.00{\pm}0.00{\sim}0.46{\pm}0.05g/100g$의 범위를 보였으며, 이는 제품에 표시된 영양성분 함량 대비 각각 최대 회수율 값이 조지방(119.7%), 포화지방(119%), 트랜스지방(90%)로 모두 120%미만의 결과이며 레토르트 70건이 허용 오차 기준을 준수하고 있었다. 이상의 결과를 종합해 보면 레토르트식품에 표시된 조지방, 포화지방, 트랜스지방 함량은 소비자에게 신뢰성 있는 영양정보를 제공하고 있음을 확인하였으며, 현재 한국의 비만 유병률이 31~32%인 시점에서 소비자들이 식품에 표시된 조지방, 포화지방, 트랜스지방 함량을 확인하여 구매한다면 건강에 적합한 식품을 선택할 수 있을 것으로 판단된다. 또한 지속적으로 의무영양표시 식품을 대상으로 제품에 표시된 영양표시의 기준이 준수되고 있는 지에 대한 영양성분 함량 표시 조사 연구가 필요하다고 본다. The aim of this study was to provide nutrition information to consumers by analyzing crude fat, saturated and trans fatty acids in commercial retort foods (n=70). The following sauce products of curries (n=21) and black-bean-sauces (n=16), other sauces (n=17) and instant cooking foods (n=16) were collected. Crude fat contents were quantified with the Rose-Gottlieb method using acid digestion. While saturated and trans fatty acids were examined by gas chromatography with a flame ionization detector (FID). Crude fat, saturated and trans fatty acid content ranges were $0.47{\pm}0.42{\sim}12.80{\pm}0.07g/100g$, $0.24{\pm}0.02{\sim}17.41{\pm}0.41g/100g$, $0.00{\pm}0.00{\sim}0.46{\pm}0.05g/100g$, respectively. Maximum recovery of analysis values was crude fat (119.7%), saturated fat (119%) and trans fatty acid (90%) compared the actual amounts based on the reference value indicated on the nutrition label. The analyzed samples were found to be compliant with nutrition label standard, because the contents of crude fat, saturated fatty acid, trans fatty acid were less than 120% of the reference value indicated on the nutrition label in retort foods. Therefore, the nutrition information on retort foods available to consumers was found to be trustworthy.

다형 심실빈맥의 예측을 위한 dVm/dt_{Max_repol}의 이온채널 전도도에 대한 민감도 분석

정다운,유예담,임기무,Jeong, Da Un,Yoo, Yedam,Marcellinus, Aroli,Lim, Ki Moo 대한의용생체공학회 2022 의공학회지 Vol.43 No.5

Early afterdepolarization (EAD), a significant cause of fatal ventricular arrhythmias including Torsade de Pointes (TdP) in long QT syndromes, is a depolarizing afterpotential at the plateau or repolarization phase in action potential (AP) profile early before completing one pace. AP duration prolongation is related to EAD but is not necessarily accounted for EAD. Several computational studies suggested EAD can form from an abnormality in the late plateau and/or repolarization phase of AP shape. In this sense, we hypothesized the slope during repolarization has the characteristics to predict TdP risk, mainly focusing on the maximum slope during repolarization (dVm/dt_{max_repol}). This study aimed to predict the sensitivity of dVm/dt_{max_repol} to ion channel conductances as a TdP risk metric through a population simulation considering multiple effects of simultaneous reduction in six ion channel conductances of g_NaL, g_Kr, g_Ks, g_to, g_K1, and g_CaL. Additionally, we verified the availability of dVm/dt_{max_repol} for TdP risk prediction through the correlation analysis with qNet, the representative TdP metric. We performed the population simulations based on the methodology of Gemmel et al. using the human ventricular myocyte model of Dutta et al. Among the sixion channel conductances, dVm/dt_{max_repol} and qNet responded most sensitively to the change in g_Kr, followed by g_NaL. Furthermore, dVm/dt_{max_repol} showed a statistically significant high negative correlation with qNet. The dVm/dt_{max_repol} values were significantly different according to three TdP risk levels of high, intermediate, and low by qNet (p<0.001). In conclusion, we suggested dVm/dt_{max_repol} as a new biomarker metric for TdP risk assessment.

시판 가공식품의 비타민 A, E 함량 조사 연구 - 음료수, 시리얼, 과자, 기타코코아·당류·초콜릿가공품 등을 중심으로 -

정다운,이헌옥,김영경,엄애선,Jeong, Da-un,Lee, Heon-Ok,Kim, Young-Kyoung,Om, Ae-Son 한국식품조리과학회 2016 한국식품조리과학회지 Vol.32 No.6

Purpose: People have long been interested about antioxidant nutrients such as vitamin A and E to stay in healthy states. This present study provides trustworthy nutritional information and evaluates vitamin A and E contents in emphasized food items. Methods: Vitamin A or vitamin E emphasized foods including beverage, cereal, snack, chocolate product, other cocoa products, and sugar products were analyzed. The contents of vitamin A, E in samples were examined by high performance liquid chromatography. Vitamin A and vitamin E contents were compared with the labeled value indicated on the nutrition label. Results: Vitamin A (n=18) value ranged from 90% to 248% and vitamin E (n=20) value ranged between 96-413% of labeled value. Analyzed samples ranged more than 80% of the labeled value, which complied with food labeling rules. Conclusion: Providing accurate information for nutrition label is essential to confirm nutrient contents in foods. It will help to decide the adequate level of nutrient intake. Therefore, the nutrition labeling system should be supervised continuously with regular monitoring analysis.

자동차 석유 및 정량주유 체크 시스템의 구현

정다운,백성현,장종욱,Jeong, Da-Woon,Baek, Sung-Hyun,Jang, Jong-Wook 한국정보통신학회 2011 한국정보통신학회논문지 Vol.15 No.6

Recently, many car drivers were damaged by gas station which support similar oil product and not quantitative gas. It were expected to increase above-mentioned damages. By using similar oil products, caused damage are working of lubrication in the fuel line, elf-cleaning function, the part of the early deterioration, impure accumulation in the fuel line, toxicity material in exhaust emissions and unidentified chemical reaction. To prevent these damages, proposed system use in-vehicle state data with OBD-II protocol, measure quantitative gas and similar oil. In this paper, there have implemented similar oil identification and quantitative gas system through OBD-II scanner to provide WiFi communcation by using WinCe development Board. 최근 유사석유제품 판매와 정량주유를 하지 않는 주유소로 인해 많은 운전자들이 피해를 입고 있고, 운전자들이 받는 피해가 더 증가할 것이라고 예측한다. 유사석유제품을 사용함으로써 발생하는 피해는 연료계통의 윤활작용 및 자가 청정기능 문제, 부품의 조기 노후화 및 연료계통의 불순물 누적, 배기가스의 유독성 물질 배출, 확인되지 않은 화학적 반응 등이 있다. 이러한 피해를 예방하기 위해 OBD-II 프로토콜로 자동차의 주행 내부정보를 받아 유사 석유제품과 정량주유를 측정하고자 한다. 본 논문에서는 WinCe 기반의 개발보드를 이용하여 WiFi 통신을 지원하는 OBD-II 스캐너를 통해 주행 내부정보를 받아와서 현재 차량의 유사석유제품판별 시스템과 정량주유 시스템을 구현하였다.

그레인저 인과성 분석을 이용한 정상인과 수면무호흡증 환자의 수면 중 압수용기 반사 효과의 평가

정다운,김상경,김고근,이유진,정도언,박광석,Jung, Da Woon,Kim, Sang Kyong,Kim, Ko Keun,Lee, Yu-Jin,Jeong, Do-Un,Park, Kwang Suk 대한의용생체공학회 2014 의공학회지 Vol.35 No.4

The baroreflex is one kind of homeostatic mechanisms to regulate acute blood pressure (BP) changes by controlling heartbeat interval (HBI). To quantify the effect of baroreflex, we suggested a new approach of analyzing Granger causality between systolic BP (SBP) and HBI. The index defined as baroreflex effectiveness (BRE) was generated by the hypothesis that more effectual baroreflex would be related to more effective Granger causal influence of SBP on HBI. Six obstructive sleep apnea (OSA) patients (apnea-hypopnea index, AHI ${\geq}5$ events/hr) and six normal subjects participated in the study. Their SBP and HBI during nocturnal sleep were obtained from a non-invasive continuous BP measurement device. While the BRE ($mean{\pm}SD$) of normal subjects was $47.0{\pm}4.0%$, OSA patients exhibited the BRE of $34.0{\pm}3.8%$. The impaired baroreflex function of OSA patients can be explained by the physiological mechanism associated with recurrent hypoxic episodes during sleep. Thus, the significantly lower BRE in OSA patients verified the availability of Granger causality analysis to evaluate baroreflex during sleep. Furthermore, the range of BRE obtained from normal subjects was not overlapped with that obtained from OSA patients. It suggests the potential of BRE as a new helpful tool for diagnosing OSA.