1.Application of Iron Oxide as a pH-dependent Indicator for Improving the Nutritional Quality.
Xiangpeng MENG ; Jina RYU ; Bumsik KIM ; Sanghoon KO
Clinical Nutrition Research 2016;5(3):172-179
Acid food indicators can be used as pH indicators for evaluating the quality and freshness of fermented products during the full course of distribution. Iron oxide particles are hardly suspended in water, but partially or completely agglomerated. The agglomeration degree of the iron oxide particles depends on the pH. The pH-dependent particle agglomeration or dispersion can be useful for monitoring the acidity of food. The zeta potential of iron oxide showed a decreasing trend as the pH increased from 2 to 8, while the point of zero charge (PZC) was observed around at pH 6.0-7.0. These results suggested that the size of the iron oxide particles was affected by the change in pH levels. As a result, the particle sizes of iron oxide were smaller at lower pH than at neutral pH. In addition, agglomeration of the iron oxide particles increased as the pH increased from 2 to 7. In the time-dependent aggregation test, the average particle size was 730.4 nm and 1,340.3 nm at pH 2 and 7, respectively. These properties of iron oxide particles can be used to develop an ideal acid indicator for food pH and to monitor food quality, besides a colorant or nutrient for nutrition enhancement and sensory promotion in food industry.
Food Industry
;
Food Quality
;
Hydrogen-Ion Concentration
;
Iron*
;
Nutritive Value*
;
Particle Size
;
Water
2.Estimation of Apple Intake for the Exposure Assessment of Residual Chemicals Using Korea National Health and Nutrition Examination Survey Database.
Bumsik KIM ; Min Seok BAEK ; Yongmin LEE ; Jean Kyung PAIK ; Moon Ik CHANG ; Gyu Seek RHEE ; Sanghoon KO
Clinical Nutrition Research 2016;5(2):96-101
The aims of this study were to develop strategies and algorithms of calculating food commodity intake suitable for exposure assessment of residual chemicals by using the food intake database of Korea National Health and Nutrition Examination Survey (KNHANES). In this study, apples and their processed food products were chosen as a model food for accurate calculation of food commodity intakes uthrough the recently developed Korea food commodity intake calculation (KFCIC) software. The average daily intakes of total apples in Korea Health Statistics were 29.60 g in 2008, 32.40 g in 2009, 34.30 g in 2010, 28.10 g in 2011, and 24.60 g in 2012. The average daily intakes of apples by KFCIC software was 2.65 g higher than that by Korea Health Statistics. The food intake data in Korea Health Statistics might have less reflected the intake of apples from mixed and processed foods than KFCIC software has. These results can affect outcome of risk assessment for residual chemicals in foods. Therefore, the accurate estimation of the average daily intake of food commodities is very important, and more data for food intakes and recipes have to be applied to improve the quality of data. Nevertheless, this study can contribute to the predictive estimation of exposure to possible residual chemicals and subsequent analysis for their potential risks.
Eating
;
Korea*
;
Malus
;
Nutrition Surveys*
;
Risk Assessment
3.Retrograde Distal Superficial Femoral Artery Approach in the Supine Position for Chronic Superficial Femoral Artery Occlusion.
Sanghoon SHIN ; Seunghwan KIM ; Young Guk KO ; Myeung Ki HONG ; Yangsoo JANG ; Donghoon CHOI
Korean Circulation Journal 2014;44(3):184-188
Subintimal angioplasty is an effective method for the treatment of long superficial femoral artery (SFA) occlusions. One of the major limiting factors for the success of this procedure is the failure to re-enter the true lumen. The recently introduced luminal re-entry devices provide a high technical success rate, but failures can occur. In such cases, a retrograde popliteal approach can serve as a potential backup option. However, the need to reposition the patient remains a drawback. Here, we report a case of an 81-year-old male with a long SFA occlusion treated using a retrograde distal SFA approach in the supine position after the initial failure of antegrade angioplasty.
Aged, 80 and over
;
Angioplasty
;
Femoral Artery*
;
Humans
;
Male
;
Peripheral Arterial Disease
;
Phenobarbital
;
Supine Position*
4.Relationship between Angiographic Late Loss and 5-Year Clinical Outcome after Drug-Eluting Stent Implantation.
Young June YANG ; Sanghoon SHIN ; Byeong Keuk KIM ; Jung Sun KIM ; Dong Ho SHIN ; Young Guk KO ; Donghoon CHOI ; Yangsoo JANG ; Myeong Ki HONG
Yonsei Medical Journal 2013;54(1):41-47
PURPOSE: Currently, insufficient data exist to evaluate the relationship between angiographic late loss (LL) and long-term clinical outcome after drug-eluting stent (DES) implantation. In this study, we hypothesized that angiographic LL between 0.3 and 0.6 mm correlate with favorable long-term clinical outcomes. MATERIALS AND METHODS: Patients were enrolled in the present study if they had undergone both DES implantation in single coronary vessel and a subsequent follow-up angiogram (n=634). These individuals were then subdivided into three groups based on their relative angiographic LL: group I (angiographic LL <0.3 mm, n=378), group II (angiographic LL between 0.3 and 0.6 mm, n=124), and group III (angiographic LL >0.6 mm, n=134). During a 5-year follow-up period, all subjects were tracked for critical events, defined as any cause of death or myocardial infarction, which were then compared among the three groups. RESULTS: Mean follow-up duration was 63.0+/-10.0 months. Critical events occurred in 25 subjects in group I (6.6%), 5 in group II (4.0%), and 17 in group III (12.7%), (p=0.020; group I vs. group II, p=0.293; group II vs. group III, p=0.013). In a subsequent multivariate logistic regression analysis, chronic renal failure [odds ratio (OR)=3.29, 95% confidence interval (CI): 1.48-7.31, p=0.003] and long lesion length, defined as lesion length >28 mm (OR=1.88, 95% CI: 1.02-3.46, p=0.042) were independent predictors of long-term critical events. CONCLUSION: This retrospective analysis fails to demonstrate that post-DES implantation angiographic LL between 0.3 and 0.6 mm is protective against future critical events.
Adult
;
Aged
;
Angiography/*methods
;
Coronary Artery Disease/*surgery
;
Coronary Vessels/surgery
;
*Drug-Eluting Stents
;
Female
;
Follow-Up Studies
;
Humans
;
Kidney Failure, Chronic/complications
;
Male
;
Middle Aged
;
Multivariate Analysis
;
Odds Ratio
;
Percutaneous Coronary Intervention/methods
;
Prosthesis Failure
;
Retrospective Studies
;
Time Factors
;
Treatment Outcome
5.Response to the Combined Pituitary Stimulation Test by CRH, GHRH, GnRH and TRH in Normal Human According to Age and Gender.
Sanghoon LEE ; Sung Woon KIM ; Gwanpyo KO ; Seungjoon OH ; Jeong taek WOO ; Inmyung YANG ; Jin Woo KIM ; Young Seol KIM
Journal of Korean Society of Endocrinology 2004;19(1):24-32
BACKGROUND: It has been already known that each trophic hormone in combined pituitary responsiveness according to gender and age brings about variable response, but in Korea, there has been no actual data. In this study, in order to assess the pituitary responsiveness, a combined pituitary stimulation test was performed in Korean subjects with the variation in CRH, GHRH, GnRH, and TRH according to their age and gender. Were these the variables that were changed according to age and gender? Clarify that. Also, it might be good to write out the abbreviations.) METHOD: Fourteen physically and mentally healthy male subjects and fourteen female subjects, also physically and mentally healthy, underwent the combined anterior pituitary stimulation test by CRH, GHRH, LHRH, and TRH. Each gender group was divided further into young(meanSE; male: 231, female: 221) and old (mean; male: 513, female: 522) groups. RESULTS: There were significant differences between the gender and age groups. The Peak GH level and maximal GH increment were significantly increased in young men compared to old men. The Peak ACTH level and maximal ACTH increment were significantly increased in old men as opposed to young men. The Peak PRL level, maximal PRL increment, Peak TSH level, and maximal TSH increment were significantly increased in old women compared to old men. The Peak FSH level was significantly increased in the two old groups compared to the young groups, which showedindependence in gender, and the maximal FSH increment was significantly increased in old men when compared with the young men. CONCLUSION: These results show that in order to for accurate interpretation of the response from the combined pituitary stimulation test, it is necessary to consider age and gender of the subjects. We suggest response values of the combined pituitary stimulation test in terms of age and gender in healthy Korean subjects.
Adrenocorticotropic Hormone
;
Corticotropin-Releasing Hormone
;
Female
;
Gonadotropin-Releasing Hormone*
;
Growth Hormone-Releasing Hormone
;
Humans*
;
Korea
;
Male
6.Acute Myocardial Infarction due to Polyarteritis Nodosa in a Young Female Patient.
Jin WI ; Hyun Hee CHOI ; Chan Joo LEE ; Taehoon KIM ; Sanghoon SHIN ; Young Guk KO ; Yangsoo JANG ; Yong Bum PARK ; Young Joo KWON
Korean Circulation Journal 2010;40(4):197-200
Coronary artery aneurysms are uncommon, are usually associated with atherosclerosis, and rarely involve all three major coronary arteries. The present report describes a rare case of a young female patient presenting with acute myocardial infarction (AMI). Coronary angiography revealed multiple severe aneurysmal and stenotic changes. Based on clinical feature and angiographic findings, it was strongly suspected that the patient had polyarteritis nodosa (PAN) complicated by AMI. The patient was treated with standard cardiac medications and immunosuppressive agents and has remained stable without further complications during a follow-up period of 6 months.
Aneurysm
;
Atherosclerosis
;
Coronary Aneurysm
;
Coronary Angiography
;
Coronary Vessels
;
Female
;
Follow-Up Studies
;
Humans
;
Immunosuppressive Agents
;
Myocardial Infarction
;
Polyarteritis Nodosa
;
Vasculitis
7.Dorsal-Plantar Loop Technique Using Chronic Total Occlusion Devices via Anterior Tibial Artery.
Seunghwan KIM ; Donghoon CHOI ; Sanghoon SHIN ; Dong Ho SHIN ; Jung Sun KIM ; Byeong Keuk KIM ; Young Guk KO ; Myeong Ki HONG ; Yangsoo JANG
Yonsei Medical Journal 2013;54(2):534-537
The effectiveness of below-the-knee (BTK) percutaneous transluminal angioplasty to obtain successful revascularization in patients with critical limb ischemia has been well established, and many of these patients with chronic lower-extremity disease have been treated by endovascular intervention as the firstline treatment. Dorsal-plantaer loop technique is one of the new BTK interventional techiniques, and includes recanalization of both pedal and plantar arteries and their anatomical anastomoses. This method generally needs two approaches simultaneously, including antegrade and retrograde. In this report, however, we describe a case in which dorsal-plantar loop technique with only one antegrade approach, using chronic total occlusion devices via anterior tibial artery, was used to successfully recanalize BTK arteries. We think that this new technique, which may represent a safe and feasible endovascular option to avoid more invasive, time-consuming, and riskier surgical procedures, especially in end-stage renal disease and diabetes, should be considered whenever the foot is at risk, and results of above-the-ankle percutaneous transluminal angioplasty remain unsatisfactory or insufficient to achieve limb salvage.
Angioplasty, Balloon/*methods
;
Diabetic Foot/*therapy
;
Humans
;
Male
;
Middle Aged
;
Peripheral Arterial Disease/*therapy
;
*Tibial Arteries
8.The Early Escharectomy in Massive Burns.
Sanghoon KO ; Dohern KIM ; Jun HUR ; Jaejung LEE ; Kyuman LEE ; Mina HUR ; Jonghyun KIM ; Sunggil PARK ; Seongeun CHON ; Daekun YOON ; Heejoon KANG ; Wook CHUN
Journal of the Korean Surgical Society 2004;67(4):308-313
PURPOSE: Burn wound infection, sepsis and organ failure have been major causes of death in massive burn patient. Because it is difficult to fundamentally prevent bacterial colonization by medical treatment, the need of surgical intervention is advocated by many authors. Therefore the effects of early excision and optimal time were studied. METHODS: Twenty four patients with thermal injuries, on whom early excision of eschar was performed, between June and Aug. 2003, were studied. Fascial excision over third and fourth degree burns and tangential excision over indeterminate areas were performed. Superficial and deep layers of eschar was separated and cultivated, and bacterial colony counts performed. The patients were divided into two groups: a colony count equal or greater than 10(5)/g (group A) and less than 10(5)/g (group B), and studied. The plasma endotoxin levels were assayed and compared. RESULTS: Sepsis occurred at a higher rate when the bacterial colony counts were equal or greater than 10(5)/g at the wound site. Bacterial colonization appears to be greatly increased on the 4th in of escharectomy in superficial layers, and on the 5th in deep layers, in old aged or young child patients tends to occur earlier and with greater severity. The microorganism isolated in all patients was Pseudomonas aeruginosa. There was no statistical difference in the plasma endotoxin levels between groups A and B. CONCLUSION: It is suggested that all massive burn injuries would be better treated with early excision, within 3 days after burns, especially in old aged or young child patients.
Burns*
;
Cause of Death
;
Child
;
Colon
;
Humans
;
Plasma
;
Pseudomonas aeruginosa
;
Sepsis
;
Wound Infection
;
Wounds and Injuries
9.The First Case of Successful Transcatheter Aortic Valve Implantation Using CoreValve in Korea.
In Soo KIM ; Young Guk KO ; Sanghoon SHIN ; Ji Young SHIM ; Sak LEE ; Byung Chul CHANG ; Jae Kwang SHIM ; Young Ran KWAK ; Myeong Ki HONG
Korean Circulation Journal 2012;42(11):788-791
Surgical replacement of the aortic valve is the standard therapy for severe aortic valve stenosis. However, it is generally associated with increased mortality and morbidities in older individuals. Transcatheter aortic valve implantation (TAVI) is a less invasive procedure and has shown similar clinical outcomes as surgical treatment in elderly patients at high risk for conventional surgery. In this report, we describe the first case of TAVI using a CoreValve in Korea. An 84-year-old man with symptomatic severe aortic valve stenosis was successfully treated by transfemoral TAVI. The patient was discharged without any significant complications and remained free of adverse clinical event for a follow-up duration of 6 months.
Aged
;
Aged, 80 and over
;
Aortic Valve
;
Aortic Valve Stenosis
;
Catheters
;
Follow-Up Studies
;
Heart Valve Prosthesis
;
Humans
;
Korea
;
Prosthesis Implantation
10.Successful Treatment of Severe Aortic Stenosis With Transcatheter Aortic Valve Implantation in a Centenarian Patient.
Yong Joon LEE ; Young Ju KIM ; Jung Hee LEE ; Young Guk KO ; Sanghoon SHIN ; Geuru HONG ; Sak LEE ; Byung Chul CHANG ; Jae Kwang SHIM ; Young Ran KWAK ; Myeong Ki HONG
Journal of the Korean Geriatrics Society 2014;18(1):44-47
Transcatheter aortic valve implantation (TAVI) is a less invasive procedure to treat severe aortic valve stenosis than conventional surgical aortic valve replacement. Furthermore, TAVI has shown similar clinical outcomes as surgical treatment with less mortality and morbidities in elderly patients at high risk for conventional surgery. In this report, we describe case of successful TAVI using a CoreValve in a 103-year-old patient with symptomatic severe aortic valve stenosis.
Aged
;
Aged, 80 and over*
;
Aortic Valve Stenosis*
;
Aortic Valve*
;
Catheters
;
Heart Valve Prosthesis
;
Humans
;
Mortality
;
Prosthesis Implantation