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Search Results: 1 - 10 of 10400 matches for " You-Cheol Hwang "
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An Equation to Estimate the Concentration of Serum Apolipoprotein B
You-Cheol Hwang, Hong-Yup Ahn, Woo Je Lee, Cheol-Young Park, Sung-Woo Park
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0051607
Abstract: Background Several large prospective studies have demonstrated that apolipoprotein B (apoB) has greater value in predicting cardiovascular risk than any other lipid measurements. Currently, however, serum apoB levels are not routinely measured, because of the additional cost. The aim of this study was to develop an equation to estimate apoB from conventional lipid measurements including total cholesterol, HDL cholesterol, and triglycerides. Methods Data from a total of 78,127 subjects (47,057 men and 31,070 women), aged 15 to 88 years (mean age 41.8 years) were reviewed to develop an apoB equation. Additional datasets from the same institution and the NHANES obtained in 2007–2008 were used for internal (n = 73,445) and external validation (n = 3,097), respectively. Results We developed an apoB equation based on a linear regression model that contains total cholesterol, triglycerides, and HDL cholesterol as terms (model 1). To more precisely estimate the serum apoB level, we adjusted mode1 1 using a cutoff serum triglyceride value of 270 mg/dl (model 2). Model 2 showed more randomly distributed residuals in patients with diabetes, atherogenic dyslipidemia, and those taking lipid-lowering agents than model 1. The residuals in the development, internal validation, and external validation datasets were also randomly distributed around 0 with no clear trends. Conclusion The new equation we developed to estimate serum apoB concentrations is accurate and can be used in diverse subgroups of patients including those with diabetes, atherogenic dyslipidemia, and those taking lipid-lowering agents.
Blood lead is significantly associated with metabolic syndrome in Korean adults: an analysis based on the Korea National Health and Nutrition Examination Survey (KNHANES), 2008
Sang Youl Rhee, You-Cheol Hwang, Jeong-taek Woo, Dong Hyun Sinn, Sang Ouk Chin, Suk Chon, Young Seol Kim
Cardiovascular Diabetology , 2013, DOI: 10.1186/1475-2840-12-9
Abstract: We analyzed MS status and whole blood lead, mercury, cadmium, manganese, and creatinine-adjusted urine arsenic concentrations in 1,405 subjects, ? 20 years of age, who were registered for the Korea National Health and Nutrition Examination Survey, 2008.Various demographic and biochemical parameters were associated with MS and blood heavy metal status. After adjusting for these variables, lead was the only heavy metal that was significantly associated with MS. Lead concentrations in subjects with MS were significantly higher than those in subjects without MS (p?=?0.015). The prevalence of MS and a moderate/high risk for cardiovascular disease, as determined by Framingham risk score, also increased significantly according to the logarithmic transformation of the lead quartile (p?
PPAR-γ Activation Increases Insulin Secretion through the Up-regulation of the Free Fatty Acid Receptor GPR40 in Pancreatic β-Cells
Hyo-Sup Kim, You-Cheol Hwang, Seung-Hoi Koo, Kyong Soo Park, Myung-Shik Lee, Kwang-Won Kim, Moon-Kyu Lee
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0050128
Abstract: Background It has been reported that peroxisome proliferator-activated receptor (PPAR)-γ and their synthetic ligands have direct effects on pancreatic β-cells. We investigated whether PPAR-γ activation stimulates insulin secretion through the up-regulation of GPR40 in pancreatic β-cells. Methods Rat insulinoma INS-1 cells and primary rat islets were treated with rosiglitazone (RGZ) and/or adenoviral PPAR-γ overexpression. OLETF rats were treated with RGZ. Results PPAR-γ activation with RGZ and/or adenoviral PPAR-γ overexpression increased free fatty acid (FFA) receptor GPR40 expression, and increased insulin secretion and intracellular calcium mobilization, and was blocked by the PLC inhibitors, GPR40 RNA interference, and GLUT2 RNA interference. As a downstream signaling pathway of intracellular calcium mobilization, the phosphorylated levels of CaMKII and CREB, and the downstream IRS-2 and phospho-Akt were significantly increased. Despite of insulin receptor RNA interference, the levels of IRS-2 and phospho-Akt was still maintained with PPAR-γ activation. In addition, the β-cell specific gene expression, including Pdx-1 and FoxA2, increased in a GPR40- and GLUT2-dependent manner. The levels of GPR40, phosphorylated CaMKII and CREB, and β-cell specific genes induced by RGZ were blocked by GW9662, a PPAR-γ antagonist. Finally, PPAR-γ activation up-regulated β-cell gene expressions through FoxO1 nuclear exclusion, independent of the insulin signaling pathway. Based on immunohistochemical staining, the GLUT2, IRS-2, Pdx-1, and GPR40 were more strongly expressed in islets from RGZ-treated OLETF rats compared to control islets. Conclusion These observations suggest that PPAR-γ activation with RGZ and/or adenoviral overexpression increased intracellular calcium mobilization, insulin secretion, and β-cell gene expression through GPR40 and GLUT2 gene up-regulation.
Investigation of Responsiveness to Thyrotropin-Releasing Hormone in Growth Hormone-Producing Pituitary Adenomas
Sang Ouk Chin,Sang Youl Rhee,Suk Chon,You-Cheol Hwang,In-Kyung Jeong,Seungjoon Oh,Sung-Woon Kim
International Journal of Endocrinology , 2013, DOI: 10.1155/2013/159858
Abstract: Objective. The aim of this study was to investigate how the paradoxical response of GH secretion to TRH changes according to tumor volumes. Methods. Patients with newly diagnosed acromegaly were classified as either TRH responders or nonresponders according to the results of a TRH stimulation test (TST), and their clinical characteristics were compared according to responsiveness to TRH and tumor volumes. Results. A total of 41 acromegalic patients who underwent the TST were included in this study. Between TRH responders and nonresponders, basal GH, IGF-I levels, peak GH levels, and tumor volume were not significantly different, but the between-group difference of GH levels remained near significant over the entire TST time. during the TST were significantly different according to the responsiveness to TRH. Peak GH levels and during the TST showed significantly positive correlations with tumor volume with higher levels in macroadenomas than in microadenomas. GH levels over the entire TST time also remained significantly higher in macroadenomas than in microadenomas. Conclusion. Our data demonstrated that the paradoxical response of GH secretion to TRH in GH-producing pituitary adenomas was not inversely correlated with tumor volumes. 1. Introduction Abnormal responsiveness of growth hormone- (GH-) producing pituitary adenomas to hypothalamic hormones has been previously described [1]. This paradoxical response of GH to thyrotropin-releasing hormone (TRH) in GH-producing pituitary adenomas was first reported in 1972 [2, 3] and observed in 50~75% of untreated acromegalic patients [4]. However, this response is not specific to acromegaly and was also found in various pathologic conditions such as severe hepatic failure [2], chronic renal failure [5], diabetes mellitus [6], and anorexia nervosa [7]. There have been many studies of the predictive value of the paradoxical response for treatment outcome and prognosis in acromegaly [4, 8–10]. However, the detailed mechanism of the paradoxical response of GH to TRH in acromegaly remains unknown despite a number of possible hypotheses: local production of TRH by adenoma cells [11, 12], TRH-induced release of GH [13], TRH production by anterior pituitary gland [14], and inappropriate expression of TRH receptors at tumor cells [15]. Moreover, only a few studies have attempted to observe how the pattern of paradoxical response changes according to tumor volume [10, 16]. The aim of this study was to investigate how the paradoxical response of GH secretion to TRH changes according to tumor volume in acromegalic
Development of an HbA1c-Based Conversion Equation for Estimating Glycated Albumin in a Korean Population with a Wide Range of Glucose Intolerance
Chang Hee Jung, You-Cheol Hwang, Kwang Joon Kim, Bong Soo Cha, Cheol-Young Park, Won Seon Jeon, Jae Hyeon Kim, Sang-Man Jin, Sang Youl Rhee, Jeong-taek Woo, Byung-Wan Lee
PLOS ONE , 2014, DOI: 10.1371/journal.pone.0095729
Abstract: Background Compared to the golden standard glycation index of HbA1c, glycated albumin (GA) has potentials for assessing insulin secretory dysfunction and glycemic fluctuation as well as predicting diabetic vascular complications. However, the reference ranges of GA and a conversion equation need to be clearly defined. We designed this study to determine the reference ranges in patients with normal glucose tolerance (NGT) based on conventional measures of glycemic status and to devise a conversion equation for calculating HbA1c and GA in a Korean population. Methodology/Principal Findings In this multicenter, retrospective, cross-sectional study, we recruited antidiabetic drug-na?ve patients with available glycemic variables including HbA1c, GA, and fasting plasma glucose regardless of glucose status. For the reference interval of serum GA, 5th to 95th percentile value of GA in subjects with NGT was adopted. The conversion equation between HbA1c and GA was devised using an estimating regression model with unknown break-points method. The reference range for GA was 9.0–14.0% in 2043 subjects. The 95th percentile responding values for FPG, and HbA1c were approximately 5.49 mmol/l, and 5.6%, respectively. The significant glycemic turning points were 5.868% HbA1c and 12.2% GA. The proposed conversion equation for below and above the turning point were GA (%) = 6.960+0.8963 × HbA1c (%) and GA (%) = ?9.609+3.720 × HbA1c (%), respectively. Conclusions/Significance These results should be helpful in future studies on the clinical implications of high GA relative to HbA1c and the clinical implementation of diabetes management.
Sarcopenia Is Independently Associated with Cardiovascular Disease in Older Korean Adults: The Korea National Health and Nutrition Examination Survey (KNHANES) from 2009
Sang Ouk Chin, Sang Youl Rhee, Suk Chon, You-Cheol Hwang, In-Kyung Jeong, Seungjoon Oh, Kyu Jeung Ahn, Ho Yeon Chung, Jeong-taek Woo, Sung-Woon Kim, Jin-Woo Kim, Young Seol Kim, Hong-Yup Ahn
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0060119
Abstract: Background The association between sarcopenia and cardiovascular disease (CVD) in elderly people has not been adequately assessed. The aim of this study was to investigate whether CVD is more prevalent in subjects with sarcopenia independent of other well-established cardiovascular risk factors in older Korean adults. Method This study utilized the representative Korean population data from the Korea National Health and Nutrition Examination Survey (KNHANES) which was conducted in 2009. Subjects older than 65 years of age with appendicular skeletal muscle mass (ASM) determined by dual energy X-ray absorptiometry were selected. The prevalence of sarcopenia in the older Korean adults was investigated, and it was determined whether sarcopenia is associated with CVD independent of other well-known risk factors. Results 1,578 subjects aged 65 years and older with the data for ASM were selected, and the overall prevalence of sarcopenia was 30.3% in men and 29.3% in women. Most of the risk factors for CVD such as age, waist circumference, body mass index, fasting plasma glucose and total cholesterol showed significant negative correlations with the ratio between appendicular skeletal muscle mass and body weight. Multiple logistic regression analysis demonstrated that sarcopenia was associated with CVD independent of other well-documented risk factors, renal function and medications (OR, 1.768; 95% CI, 1.075–2.909, P = 0.025). Conclusions Sarcopenia was associated with the presence of CVD independent of other cardiovascular risk factors after adjusting renal function and medications.
Analysis of facial bone fractures: An 11-year study of 2,094 patients
Hwang Kun,You Sun
Indian Journal of Plastic Surgery , 2010,
Abstract: Purpose: The medical records of these patients were reviewed and analysed to determine the clinical characteristics and treatment of facial bone fractures. Patients and Methods: This is a retrospective study of 2,094 patients with facial bone fractures from various accidents that were treated at the Inha University Hospital from 1996 to 2007. Results: The most common age group was the third decade of life (29%). Males were more common than females (3.98:1). The most common aetiology was violent assault or nonviolent traumatic injury (49.4%). The most common isolated fracture site was the nasal bone (37.7%), followed by the mandible (30%), orbital bones (7.6%), zygoma (5.7%), maxilla (1.3%) and the frontal bone (0.3%). The largest group with complex fractures included the inferior region of the orbital floor and zygomaticomaxilla (14%). Closed reduction was performed in 46.3% of the cases while 39.7% of the cases required open reduction. For open reductions, the most commonly used soft-tissue approach was the intraoral approach (32.3%). The complication rate was 6.4% and the most common complication was hypoesthesia (68.4%) followed by diplopia (25.6%). Conclusion: Long-term collection of epidemiological data regarding facial fractures and concomitant injuries is important for the evaluation of existing preventive measures and useful in the development of new methods of injury prevention and treatment.
Localization between Curved Shell Plate and Its Unfolded Shape in Different Coordinate Systems for Ship-Hull Plate Forming
Se Yun Hwang,Cheol Ho Ryu,Jang Hyun Lee
Mathematical Problems in Engineering , 2011, DOI: 10.1155/2011/257804
Abstract: This paper describes a mathematical formulation for the efficient localization of 3D surfaces including free-form surfaces and flat surfaces. An important application of this paper is to register flat surface calculated from unfolding process with a curved surface extracted from ship CAD prior to the multipoint press forming works. The mathematical formulation handles the registration and comparison of two free surfaces represented by sparse points based on the iterative closest point (ICP) algorithm and localization that can be applicable to ship-hull plate forming. The ICP algorithm gives an adequate set of initial translation and rotation for surface objects with little correspondence through the minimization of mean square distance metric. Comparison of surfaces is explained in order to determine a corresponding set which gives the optimized press stroke between unfold surface and referential object surface. It thereby allows the optimized press works in ship-hull forming. The combination of registration and comparison is applied to decide the shape equivalence of correspondent surfaces as well as to estimate the transform matrix between point sets where similarity is low. Experimental results show the capabilities of the registration on unfolding surface and curved surface.
Performance Analysis of the D-STTD Communication System with AMC Scheme  [PDF]
Jeonghwan LEE, Gilsang YOON, Namgil LEE, Sangjin RYOO, Cheolwoo YOU, Intae HWANG
Int'l J. of Communications, Network and System Sciences (IJCNS) , 2009, DOI: 10.4236/ijcns.2009.25035
Abstract: In this paper, we propose a Double-Space Time Transmit Diversity (D-STTD) communication system with Adaptive Modulation and Coding (AMC) scheme and analyze its performance using simulation experiments. The simulation results show that the probability of selecting a high Modulation and Coding Scheme (MCS) level increased as the Signal to Noise Ratio (SNR) improved. Furthermore, the D-STTD communication system with AMC scheme provided a more uniform throughput distribution throughout the entire SNR range compared to its counterpart which did not apply AMC scheme. Also, the maximum throughput of the D-STTD communication system with AMC scheme was twice that of a conventional AMC communication system or a Space Time Transmit Diversity (STTD) communication system with AMC scheme.
Experimental Study on the Mechanical Properties of FRP Bars by Hybridizing with Steel Wires  [PDF]
Ji-Hyun Hwang, Dong-Woo Seo, Ki-Tae Park, Young-Jun You
Engineering (ENG) , 2014, DOI: 10.4236/eng.2014.67039
Abstract:

Many studies on fiber reinforced polymer composite bars, as a substitute for reinforcing bars, have been conducted to solve corrosion of steel in reinforced concrete structures since 1960s’. However, FRP Bars have a lower elastic modulus than steel rebar as a structural component of concrete structures. Material properties with brittleness fracture and low elastic modulus can be improved by combining cheaper steel than carbon or aramid fibers. In this study, prototypes of FRP Bars with inserted steel wires (i.e., “FRP Hybrid Bars”) were developed and their tensile performance was compared depending on the proportion and diameter of steel. The FRP Hybrid Bars were made by dividing them into D13 and D16 according to the diameter and proportion of inserted wires: GFRPs were combined with wires having different diameters of 0.5 mm, 1.0 mm, and 2.0 mm in the proportion of 10%, 30%, 50%, and 70%, respectively. As a result of tensile tests, the elastic modulus of FRP Hybrid Bars were improved as 20% - 190% in comparison with the fully GFRP Bars.

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