• Neonatal Medicine
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• 제18권2호
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• pp.272-279
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• 2011

목적: 최근 신생아 집중 치료실(neonatal intensive care unit, NICU)에 입원한 신생아들의 병원내 감염 중 그람 음성 간균(Gram negative bacilli, GNB)에 의한 패혈증이 증가하고 있다. NICU에서 정기적인 대변의 감시 배양을 통해 GNB에 의한 장관 집락화가 같은 균에 의한 패혈증으로 이행되는 지를 확인하고, 집락화된 GNB 병원균의 종류를 확인하며 집락화에 관여하는 위험인자를 조사하고자 하였다. 방법: 2007년 10월부터 2008년 5월까지 고신대학교 복음병원 신생아 집중치료실에 입원한 86명의 환아를 대상으로 하였다. 모든 환아에게 총 3회의 대변 채집을 계획하였는데, 출생 후 첫 대변과 2주 간격으로 2회 채집을 계획하였다. 장관의 GNB 집락화와 관련된 위험 인자들은 대상 환아들의 의무기록을 열람하거나 연관된 논문의 고찰을 통해 설정하였다. 결과: 86명의 환아 중 22명(25.6%)이 GNB에 의한 장관 집락화가 있었으나 이 환아들을 퇴원까지 추적하였을 때 GNB로 인한 패혈증은 없었다. Pseudomonas aeruginosa, Enterobcter cloacae, Citrobacter freundii가 가장 많이 분리되었다. 분리된 GNB 중 약 89% (32/36)는 amikacin에 감수성이 있었다. GNB 에 의한 장관 집락화의 가능성은 집락화 당시 수유량이 적을 때 증가한 반면, 첫 수유 시기가 지연될 때 그 가능성은 감소하였다. 결론: 저자들은 NICU에 입원한 신생아에서 장관 감시배양을 통해 장관에 집락화된 GNB를 확인하였으나 연구에 포함된 환아에서 GNB에 의한 패혈증이 발생하지 않았으므로 집락화가 패혈증으로 이행되는 지를 확인할 수는 없었다. 집락화시 적은 수유량(feeding volume at colonization day)이 집락화의 위험요인이었으므로 장관 영양의 진행이 원활하지 않을 경우 장관의 GNB 집락화 가능성을 고려해야 한다.

• 한방재활의학과학회지
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• 제21권4호
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• pp.157-165
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• 2011

Objectives: The aim of this study is to establish the association of GNB3 with obesity-index, blood pressure, glucose and lipid level. Methods: A total of 209 Korean obese subjects participated in the study. Body weight, body mass index(BMI), waist circumference, body fat, body fat mass, resting metabolic rate, blood pressure, total cholesterol, high density lipoprotein, triglyceride and fasting blood sugar test were measured by using standardized protocols. The GNB3 was genotyped by using polymerase chain reaction with restriction fragment length polymorphism. Results: The frequency of CC, CT, TT genotype were, respectively, 18,2%, 56.9%, 24,9%, and the frequency of T allele was 53.3% in Korean obese population. There were no association of GNB3 with obesity index, blood pressure, glucose and lipid level in Korean obese population. Conclusions: Obese Korea population have a higher frequency of T alle than general Korean population. There are no association of GNB3 with obesity index, blood pressure, glucose and lipid level in Korean obese population.

• 동의생리병리학회지
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• 제17권3호
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• pp.719-727
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• 2003

Background and purpose: Hypertension and obesity has been implicated in the most important risk factors for stroke. The original finding that the G-protein beta3 subunit (GNB3) C825T allele associates with essential hypertension and obesity has been confirmed in several different populations. Hence, our objective was to determine whether the GNB3 C825T polymorphism predicts interindividual variation in stroke. Method: We recruited 361 stroke patients (cerebral infarction, n=278; intracerebral hemorrhage (ICH), n=83) and 199 healthy control subjects. Subjects were genotyped for GNB3 C825T mutation and findings were investigated for association with stroke. Result: The GNB3 T/T type was significantly associated with cerebral infarction prevalence (OR, 1.98; 95% Cl, 1.14-3.46; p=0.015). While, ICH was not found to be significantly associated with GNB3 T/T type (OR, 1.63; 95% ICH, 0.74-3.56; p=0.219). Similarly, no significant association was determined between GNB T/C type, and cerebral infarction (OR, 1.09; 95% Cl, 0.68-1.74; p=0.716), and ICH (OR, 1.14; 95% Cl, 0.59-2.21; p=0.697). Conclusion: In clinical characteristics, this study shows no differences among GNB3 genotypes, that are BMI, WH ratio. hypertension rate, and ischemic heart disease rate, total lipid level, triglycerides level, total cholesterol level, HDL cholesterol level, prothrombine time, with the exception of LDL cholesterol concentrations. However, our subjects showed an inverse relationship between LDL cholesterol level and the risk of cerebral infarction. We have shown that the GNB3 T/T genotype is strongly associated with cerebral infarction. (OR, 1.98; 95% Cl, 1.14-3.46; p=0.015).

• 한국환경보건학회지
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• 제30권5호
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• pp.440-448
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• 2004

Airborne bacteria, gram negative bacteria (GNB) and fungi were measured in 70 class of 17 kindergartens. The objective of this study is to identify the factors influencing airborne concentrations of bacteria, GNB and fungi using multiple regression analysis. The average concentrations of bacteria and fungi exceeded $1,000\;CFU/m^3$. The average of GNB was $3.7{\times}10^2\;CFU/m^3$. This results indicated that air of kindergartens was contaminated with microbes such as bacteria and fungi. ANOVA test found that the concentrations of bacteria, GNB and fungi were significantly different by the characteristics of weather (rain, after rain, sunny) sampling date (July, August, September and October), the location of sampling site (ground level and basement) and the location of toilet (inside class, nearby class and away class). Multiple regression tests concluded that sampling date, the scale of city where kindergartens are located, the location of sampling site and ventilation efficiency can significantly affect the airborne concentration of bacteria, GNB and fungi. Most of these factors could be related moisture. Environmental factors that can cause the increment of moisture should be controlled in order to reduce airborne concentration of bacteria, GNB and fungi. Legal actions concerning prohibition on the presence of toilet inside class and ventilation criteria should be taken.

• 동의생리병리학회지
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• 제18권5호
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• pp.1426-1436
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• 2004

There have been several reports on the relationship between G protein β3 subunit gene (GNB3), angiotensin converting enzyme gene (ACE), β3-adrenergic receptor gene (ADRB3), and β2-adrenergic receptor gene (ADRB2) genotype and obesity or obesity related disease. The objective of this study was to examine the relationship between the combinations of these four genes' polymorphism and probability of obesity related disease in Korean female subjects. The experimental group was consisted of 85 obese Korean female subjects (body mass index, BMI≥27㎏/㎡). To determine the polymorphism, genomic DNA was isolated, and PCR was performed. Serological examinations (fasting plasma glucose, FPG; aspartate aminotranferase, AST; alanine aminotransferase, ALT; total cholesterol, TC; triglyceride, TG; high density lipoprotein-cholesterol, HDL; low density lipoprotein-choles terol, LDL) were carried by an autoanalyzer and serological methods. BMI, waist circumference (WC), hip circumference and waist hip ratio (WHR) were measured. Consequencely in the analysis with grouping of general genotyping and variant allele carrier/non-carrier, the result was not significantly different within all gene combinations and polymorphic pairings except higher waist circumference in Arg16Arg group of ADRB2 codon16 (P=0.024). And there was no significantly contrast result about age, height, weight, AST and ALT that are index feature of liver and gall bladder disease in polymorphic pairings of gene combinations. However, the statistical analysis of waist-hip ratio and waist circumference that could be recognized as the physical type of obesity showed T-Arg16 pairing carrier in GNB3-ADRB2 codon16 combination had increased WHR and WC significantly (P=0.046 and P=0.015 respectively). Futhermore, the levels of total cholesterol (TC) and low density lipoprotein choresteral (LDL) were significantly lower in C-I pairing of GNB3-ACE combination (P=0.032 and P=0.005). These results suggest that the T-Arg16 pairing carrier in GNB3-ADRB2 codon16 gene might have increased waist circumference and C-I pairing carrier in GNB3-ACE combination have lower possibility of contraction of cardiovascular disease related cholesterol and LDL despite of obese state.

• 한국산학기술학회논문지
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• 제22권1호
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• pp.251-256
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• 2021

본 연구는 언택트 시대로 인해 인터넷 쇼핑 인구가 증가함에 따라 데스크톱 환경에서의 쇼핑몰 이용 시 가장 많이 사용하게 되는 내비게이션의 사례를 분석하고자 하였다. 이에 쇼핑몰의 탐색에 있어 구조적 탐색 유형에 따라 GNB와 LNB의 종류와 유형을 분석하고 그 구성요소를 알아보았다. GNB는 탐색구조의 최상위 요소로 콘텐츠 섹션의 레이블 구성을 바탕으로 사용자의 탐색을 유도하며 컬러, 텍스트, 아이콘, 이미지 요소를 배치할 수 있다. LNB는 드롭다운, 플라이아웃, 드롭라인 그리고 메가 메뉴의 형태로 분류할 수 있었다. 본 연구에서는 사용자가 많이 사용하는 오픈 마켓 중지 마켓과 인터파크의 내비게이션 구조를 분석하였다. 지 마켓의 GNB는 2단 구조로 컬러, 텍스트, 이미지, 아이콘 요소가 사용되었으며 인터파크는 3단 구조의 수평 레이블로 구성되어 있었다. 인터파크의 GNB는 지 마켓과는 달리 일시적인 콘텐츠 섹션인 계절 레이블에 뱃지를 두어 시선을 유도하였다. 두 쇼핑몰의 LNB는 모두 좌측에 배치된 로고 하단에 수직 텍스트 형태로 배치된 카테고리 메뉴에 마우스 오버하면 플라이아웃 메뉴가 돌출되며 플라이아웃 메뉴는 메가 메뉴의 레이아웃으로 구성된 복합 구조를 가지고 있음을 알 수 있었다. 본 연구는 인터넷 쇼핑이 증가하고 있는 요즘 쇼핑몰의 GNB와 LNB를 분석하여 사용자 경험 요소를 밝히는데 의의가 있으나 오픈 마켓 외 소셜 커머스나 대형 마트와 같은 타 쇼핑몰이 분석을 함께 하지 못한 것은 한계로 남는다.

• 한국환경보건학회지
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• 제36권3호
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• pp.191-198
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• 2010

The aim of this study was to determine the concentrations of air-borne microorganisms (bacteria, fungi, gram negative bacteria (GNB), endotoxins, and respirable suspended particles (RSPs), and their correlation with environmental parameters (temperature, humidity, and carbon dioxide levels) in duck houses. The mean concentrations of bacteria, fungi, and GNB were very high (> $10^6\;CFU/m^3$), and endotoxin levels exceeded $10^3\;EU/m^3$. Among the various work stages, in the task of receiving ducks, bacteria were $6.2{\times}10^6;CFU/m^3$, and GNB were $5.4{\times}10^6\;CFU/m^3$, while RSPs levels were $397.6\;{\mu}g/m^3$ and endotoxin levels were $47.2{\times}10^3\;EU/m^3$ in the task of dividing the ducks, and fungi were $4.9{\times}10^6\;CFU/m^3$ in the task of shipping the ducks. The concentrations of RSPs and endotoxins were significantly higher in tasks involving greater movement of ducks in the house, relative to tasks involving little movement of ducks (p<0.05). Further, with progression in growth of the ducks, the concentrations of bacteria, GNB, endotoxins, and RSPs were significantly increased. There was significant correlation between levels of GNB with bacteria (r=0.75) and fungi (r=0.86), endotoxins with RSPs (r=0.75), bacteria with fungi (r=0.39), and carbon dioxide with RSPs (r=0.38), bacteria (r=0.33), and endotoxins (r=0.31). These results suggest considerable respiratory hazard for farmers in these environments.

• Journal of Nutrition and Health
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• 제49권4호
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• pp.223-232
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• 2016

Purpose: We investigated the potential interaction between the G-protein beta-3 subunit gene (GNB3) C825T polymorphism, a risk factor for chronic disease in various ethnicities, and obesogenic environments in overweight/obese Korean children. Methods: The present study was conducted as a cross-sectional study using measures of anthropometry, blood pressure (BP), and fasting blood samples as well as 3-day food records. Subjects were recruited from seven elementary schools in an urban district in Seoul, South Korea, between 2007 and 2008. A total of 1,260 children aged 8-9 years were recruited in the study, including 633 boys (50.3%) and 627 girls (49.7%). Results: The allele frequencies of the GNB3 polymorphism were C allele = 49.7% and T allele = 50.3% in subjects. In general, boys with T allele had higher BMI, systolic BP (SBP), and triglycerides, although their energy intake was not significantly different from boys with C allele. In contrast to boys, girls with T allele had lower BMI but higher SBP and energy intake than those with C allele. The girls with T allele had a significantly lower BMI and waist circumference in both the normal weight group and obese group (OB). T allele carriers in both genders had significantly higher TC than C allele carriers in the OB group. At last, girls with T allele in OB appeared to have significantly lower HOMA-IR than those with C allele. Conclusion: Unlike higher risk for negative health outcomes by the GNB3 polymorphism in various ethnicities, GNB3 polymorphism did not influence obesogenic environments in overweight/obese Korean children.

• The Korean Journal of Pain
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• 제33권3호
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• pp.258-266
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• 2020

Background: The genicular nerve block (GNB) is demonstrated from several reports to alleviate pain and improve knee functionality in patients with chronic knee osteoarthritis (OA). Ultrasound (US)-guided GNB has been the most used imaging method. This study aimed to compare the effectiveness of US-guided versus blind GNB in the treatment of knee OA. Methods: This prospective, randomized clinical trial included patients with knee OA based on American College of Rheumatology diagnostic criteria. The patients were evaluated for clinical and dynamometer parameters at the baseline, 4 weeks after treatment, and 12 weeks after treatment. The patients underwent blind injection or US-guided injection. Results: When compared with the baseline, both groups showed significant improvement in pain, physical function, and quality of life parameters. Significant differences were observed between the groups for clinical parameters (30-second chair stand test, 6-minute walk test) in favor of the US-guided group. On the other hand, blind injection was more significantly effective on some parameters of the Nottingham Health Profile. There wasn't any significant improvement in isokinetic muscle strength for either group. Conclusions: This study demonstrated that both US-guided and blind GNB, in the treatment of knee OA, were effective in reducing symptoms and improving physical function. GNB wasn't an effective treatment for isokinetic muscle function. US-guided injections may yield more effective clinical results than blind injections.

• Molecular & Cellular Toxicology
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• 제4권4호
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• pp.355-359
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• 2008

This study aimed to determine the relationship between the C825T polymorphism in the G-protein ${\beta}$3-subunit (GNB3) gene and the response to citalopram in a Korean population with major depressive disorder (MDD). Citalopram was administered for 8 weeks to the 84 MDD patients who completed this study. All subjects were examined using the Structured Clinical Interview for DSM-IV, and the severity of depression was assessed using the 21-item Hamilton Depression Rating (HAMD-21) scale. A main effect of an interaction of genotype with time on the decrease in the HAMD-21 score during the 8-week study period was not found. ANOVA revealed no significant effects of the GNB3 C825T polymorphism on the decrease in the HAMD-21 score at each time period. Although the C825T polymorphism of the GNB3 gene may affect the pathogenesis of MDD, our results do not support the hypothesis that this polymorphism is involved in the therapeutic response to citalopram in Korean patients with MDD.