Background: Deficits of both ankle dorsiflexion range of motion (DFROM) and dynamic balance are shown in persons with chronic ankle instability and the elderly, with the risk of falls. Objects: This study aims to investigate the relationship between DFROM and dynamic balance in elderly subjects and young adults. Methods: Fifty-nine subjects were divided into three groups: ankle stability young group (SY), ankle instability young group (IY) and ankle stability older group (SO). We recruited three old subjects with ankle instability, but excluded them during a pilot testing due to the safety issue. DFROM was measured by weight bearing lunge test (WBLT) and dynamic balance was measured via star excursion balance test (SEBT) in anteromedial, medial, and posteromedial directions. The group differences in WBLT and SEBT and each group’s correlation between WBLT and SEBT were detected using the R statistical software package. Results: The dorsiflexion range of motion was significantly different between the SY, IY, and SO groups. The SO group showed the highest DFROM and IY group showed the lowest DFROM (SY: 45.88±.66˚, IY: 39.53±1.63˚, SO: 47.94±.50˚; p<.001). However, the SO group showed the lowest dynamic balance score for all SEBT directions (SY: 87.24±2.05 ㎝, IY: 83.20±1.30 ㎝, SO: 77.23±2.07 ㎝; p<.05) and there was no relationship between the dorsiflexion range of motion and dynamic balance in any group. Conclusion: Our findings suggest that ankle DFROM is not a crucial factor for dynamic stability regardless of aging and ankle instability. Other factors such as muscle strength or movement coordination should be considered for training dynamic balance. Therefore, we need to establish the rehabilitation process by measuring and treating ROM, balance, and muscle strength when treating young adults with and without ankle instability as well as elderly people.

본 연구에서는 식물성 프로바이오틱스에 해조류인 미역을 첨가하여 프로바이오틱스의 체내 안정성 및 면역원성을 향상 시킬 수 있는 고농도 배양법을 개발하고자 하였다. 미역 첨가 배지를 생산 수준으로 유산균을 배양하였을 때 유산균수는 18시간째 1022, 24시간째 109으로 고농도 배양이 가능하였다. 미역첨가배지로 배양된 유산균의열 안정성, 위산 및 담즙 안정성의 효과도 기본배지와 비교 하여 유의적인 증가를 확인할 수 있었다. 미역첨가배지로 배양된 프로바이오틱스는 생균 및 사균 모두 면역증강효과를 나타내는 것을 알 수 있었다. 배양만으로 기능성이 향상된 프리바이오틱스를 개발함에 따라, 다양한 프로바이오틱스의 기능성 향상의 기반 기술로서 활용이 가능할 것으로 사료 된다.

The purpose of this study was to estimate usage of vitamin and mineral supplements as over-the-counter (VM-OTC) drugs as well as examine factors associated with VM-OTC usage in Korean adolescents. A total of 1,407 adolescents attending middle or high school in all parts of country were included in the analysis. Prevalence of VM-OTC usage was 56.1%, and it was higher as monthly income, father’s education level, and socioeconomic status of family increased (p<0.001). VMOTC intake was higher in middle school students than in high school students as well as in rural areas or small & mediumsized city residents than big city residents (p<0.01). Subjects mainly received information on VM-OTC mainly from ‘family and relatives’ (46.6%), whereas only 20.3% received information from experts. Subjects took VM-OTC ‘when they are healthy’ (49.1%), ‘when they feel sick’ (17.7%), ‘when they are on a diet’ (17.3%), and ‘when they are stressful’ (15.9%). The effectiveness of taking VM-OTC were mainly ‘fatigue recovery’ (35.0%), ‘health improvement’ (30.6%), and ‘nutritional status improvement’ (13.2%). The most frequently used VM-OTC was vitamin C (49.1%), multi-vitamins (18.6%), multi vitamins & minerals (13.2%), and calcium (9.2%). Among VM-OTC users, only 21.9% replied that they usually check the nutrition facts when they buy products, 62.4% follow the recommended dosage, and 9.7% fully understand the nutrition labels of the products. According to logistic regression analysis, the most influential factor affecting VM-OTC use was parents’ and siblings’ VM-OTC consumption (p<0.001). In addition, school type (middle or high school) (p<0.01), residence (p<0.05), self-concerns about health (p<0.05), father’s education level (p<0.05), and socioeconomic status of family (p<0.05) all influenced VM-OTC use. These results show that VM-OTC use is widespread among adolescents, few users actually check and fully understand the nutrition labels when they purchase VM-OTC, and they are highly dependent on unprofessional advice and information. Therefore, it is necessary to educate adolescents to help them select proper VM-OTC and read nutrition labels.

The purpose of this study was to estimate the consumption prevalence of vitamin and mineral supplements as health functional foods (VM-HFF) and to examine the factors associated with VM-HFF consumption behaviors in adolescents. A total of 1,407 adolescents attending middle or high schools from various cities and rural communities in Korea participated in this study. The prevalence of VM-HFF consumption was 41.7%, with boys showing a higher consumption than girls (p<0.01). VM-HFF consumption was higher in families with higher socioeconomic status and for families with parents that exhibited higher concerns about their child's health, growth, and nutritional intake (p<0.001). Most consumers of VM-HFF consumed HFFs 'when healthy' (50.1%), and acquired nutritional information from 'their families & relatives' (50.9%). Most consumers responded that VM-HFF was 'a little effective' (54.3%), followed by 'no obvious effects' (37.1%), and 'very effective' (7.4%). The effectiveness of consuming VM-HFF was mainly for 'fatigue recovery' (39.0%) and 'health improvement' (28.2%). Most consumers purchased HFFs at 'pharmacies & oriental medicine clinics' (53.8%) and at 'health functional food stores' (18.8%). Most consumers 'occasionally' (51.1%) or 'seldom' (27.3%) checked nutrition facts when purchasing, with 58.9% of consumers understanding the nutritional label for 'the most part', but only 8.7% of them understanding it 'very well'. Among the VM-HFF, consumers preferred calcium- and vitamin C-supplements. Consumers' mini-dietary assessment scores were higher than those of non-consumers. The results above showed that VM-HFF consumption was widely spread among adolescents, but few consumers checked and understood the nutrition label when they purchased VM-HFF, and were highly dependent on the advice and information from non-professional nutritionists, such as families & relatives. Therefore, it is necessary to educate adolescents to help them read nutrition labels and select the proper VM-HFF.

Surgery for thyroid disease is becoming much more common, but in some specialized institutions, ENT surgeons have difficulty obtaining experience of parathyroid surgery. Parathyroid disease can be divided into parathyroid adenoma with hyperparathyroidism and secondary hyperparathyroidism due to chronic kidney disease. Parathyroid adenoma with hyperparathyroidism is the most common cause of hypercalcemia and usually presents as nonspecific symptoms, such as, general weakness, osteoporosis, gastrointestinal disorder, kidney stones, and/or neurological symptoms, and thus, diagnosis is often delayed. Patients with secondary hyperparathyroidism due to chronic kidney disease require parathyroidectomy 10 years after the onset of dialysis in 6-10% of cases even when continuously treated in a nephrology department. Here, the authors share their experiences of parathyroid surgery.

Ranula refers to mucous retention cyst or mucocele that develops on the oral floor and it appears most frequently among oral masses derived from salivary glands. Ranula that is extended into submandibular space or into other cervical spaces due to defective mylohyoid muscle is particularly called plunging ranula. Various types of treatments have been conducted for ranula: surgical treatments such as simple excision, marsupialization, and removal of sublingual gland; and sclerotherapy utilizing OK-432 (Picibanil) are being reported. We performed concurrent excision of ranula and sublingual gland through intraoral approach. This technique leaves no post-surgical scars and shows very low recurrence rate and incidence rate of complications. Therefore, in this study, we would like to analyze the treatment methods and results of our patients.

본 연구는 4종의 별의별간(SS) 음료의 간보호 소재로서 의 이용 가능성을 조사하고자 항산화능 평가, t-BHP 와 CCl4로 산화적 손상 및 급성 간독성 유도한in vitro, in vivo 모델을 활용하여 간보호능을 평가하였다. 실험결과, 별의별간 01~04는 50 μM vitamin C 와 유사한 항산화 효과를 나타내었다. HepG2 세포에 t-BHP로 산화 스트레스를 유도한 뒤 나타나는 세포독성에 대해 별의별간 01 및 04에서 농도 의존적인 세포 보호효과를 보였으며, ROS 생성 억제에서 별의별간 01, 03, 04에서 농도의존적인 억제를 나타내었다. 미나리가 혼합된 별의별간 04에 대한 급성 간손상in vivo 모델을 활용하여 간보호능 검증 결과, 별의별간 04는 CCl4로 증가된 혈중 ALT, AST의 유의적 감소, 간 조직중 증가된 MDA 함량 감소 및 감소된 GSH의 유의적 증가를 나타내었다. 또한, 혈청 및 간 조직에서 증가 된 중성지방과 콜레스테롤을 유의적으로 감소시켰다. 이러 한 결과를 종합하며, 별의별간 04는in vitro 및in vivo 모델 에서 산화적 손상에 대해 간보호 효과를 나타내었다

산업적 유산균 배양의 가격대비 효율성을 높이기 위하여 질소원, 탄소원 및 무기염물을 기본량으로 기본배지를 제조하고, 효율적인 고농도 유산균체를 수득하기 위하여 pH조절제로서 따로 첨가되어지는 합성 화학물질을 대신하여 미역을 실험에 사용하였다. 미역의 최적의 첨가 방법을 찾고자 추출, 착즙, 분말의 형태로 배지를 제조하여 유산균증식능 평가한 결과, 착즙의 형태에서 유산균 증식능이 가장 큰 것으로 확인되었다. 이러한 실험 결과를 통해, 폐기되어 환경오염의 원인이 되는 가식부 외 미역을 유산균 배양배지에 착즙형태로 첨가함으로서 종래 pH 조절을 위해 완충액으로 첨가되는 합성 화학물질을 대체하여 활용될 수 있음을 확인하였다. 또한 미역첨가 기본배지 선정에 따른 배지 단가를 절감하면서 높은 균체 수율을 얻는 등 충분한 경제적 장점을 기대할 수 있다. 이러한 연구결과는 미역을 이용함