• Journal of Gastric Cancer
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• 제15권2호
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• pp.105-112
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• 2015

Purpose: Intracorporeal anastomosis is the most difficult procedure during pure single-incision distal gastrectomy (SIDG) that affects its generalization. We introduced unaided delta-shaped anastomosis (uDelta), a novel anastomosis technique, for gastroduodenostomy after pure SIDG, and compared the results with those of previously reported Roux-en-Y anastomosis (RY). Materials and Methods: Between March 2014 and March 2015, SIDG with D1+ lymph node dissection was performed for early gastric cancer through a 2.5-cm transumbilical incision without any additional port. uDelta was performed by the operator alone, without any intracorporeal assistance. Results: uDelta was performed on 11 patents, and uncut RY was performed on 5-patients without open or multiport conversion. R0 resection was performed in all cases. No significant differences were observed in mean age and body mass index between patients who underwent uDelta or RY. Mean operation times were $214.5{\pm}36.2$ minutes for uDelta and $240.8{\pm}65.9$ minutes for RY, which was not significantly different. Reconstruction time for uDelta was shorter than that for RY, with marginal statistical significance ($26.1{\pm}8.3$ minutes vs. $38.0{\pm}9.1$ minutes, P=0.05). There were no intraoperative transfusions, 30-day mortality, or anastomosis-related complications in either group. Average length of hospital stay was $8.2{\pm}1.9$ days in the uDelta group and $7.2{\pm}0.8$ days in the RY group (P=0.320). Conclusions: After carefully considering indications, uDelta can be a feasible and can be a reproducible reconstruction method after SIDG in early gastric cancer.

• Tuberculosis and Respiratory Diseases
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• 제68권4호
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• pp.205-211
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• 2010

Background: Procalcitonin is a well known marker in infection that plays a role in distinguishing between bacterial and viral infections in screening. The aim of the present study was to evaluate the role of procalcitonin in differentiating between 2009 H1N1 influenza pneumonia and community acquired pneumonia of bacterial origin, or mixed bacterial origin and 2009 H1N1 influenza infection. Methods: A retrospective observational study was performed over the 6-month winter period during the 2009 H1N1 influenza pandemic. Ninety-six patient-subjects were enrolled, all of whom had been diagnosed with community acquired pneumonia in emergency department during the study period. On admission, laboratory studies were performed, which included 2009 H1N1 influenza real-time polymerase chain reaction of nasal secretions and procalcitonin on serum; the laboratory values were compared between the study groups. Receiver operating characteristic curve analyses were performed on the resulting data. Results: Compared to those with bacterial or mixed infections (n=62) and bacterial pneumonia with confirmed organisms (n=30), patients with 2009 H1N1 pneumonia (n=34) were significantly more likely to have low procalcitonin levels (p=0.008, 0.001). Using cutoff of value >0.3 ng/mL, the sensitivity and specificity of procalcitonin for detection of patients with confirmed bacterial pneumonia were 76.2% and 60.6%, respectively. A significant difference in procalcitonin was found between 2009 H1N1 pneumonia and pneumonia caused by mixed influenza viral and bacterial infections (0.15 [0.05~0.84] vs. 10.3 [0.05~22.87] ng/mL, p=0.045). Conclusion: Serum procalcitonin measurement may assist in the discrimination between pneumonia of bacterial and of 2009 H1N1 influenza origin. High values of procalcitonin suggest that bacterial infection or mixed infection of bacteria and 2009 H1N1 influenza is more likely.

• 한국전문물리치료학회지
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• 제19권2호
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• pp.20-28
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• 2012

The lumbar multifidus muscle, which can be separated into deep fascicles (DM) and superficial fascicles (SM), is important for lumbar segmental stability. However, no previous studies have investigated the effect of lumbar stabilization exercises on the thickness of DM and SM. Thus, the purpose of this study was to assess DM thickness after three different lumbar segmental stabilization exercises. In total, 30 healthy male participants were recruited and randomly assigned to one of three exercise groups: hollowing in the quadruped position (H-Quad), contralateral arm and leg lift (CALL), and bilateral arm and leg lift (BALL). Each lumbar segmental stabilization exercise was conducted over 4 weeks. Ultrasonography was used to compare the DM and SM thickness before and after the 4 weeks of exercise. A mixed-model analysis of variance using Scheffe's post-hoc test was used for statistical analysis. The results showed a significant effect for the measurement time (before vs. after 4 weeks of exercise) in the DM (F=31.26, p<.05) and SM (F=4.56, p<.05). At the end of the 4 weeks, the DM thickness had increased significantly in the H-Quad exercise group, and the SM thickness had increased significantly in the CALL and BALL exercise groups. Also in the BALL exercise group, the SM thickness was greater compared with that in the H-Quad exercise group. These findings suggest that the thickness of the DM and SM were increased by different types of lumbar segmental stability exercise after 4 weeks.

• 대한화학회지
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• 제30권1호
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• pp.27-32
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• 1986

0.8, 1.6 및 3.2 mol%의 산화니켈을 혼입한 산화니켈-산화이트륨계의 전기전도도를 1 ${\times} 10^{-5}$ ~ 2 ${\times}10^{-1}$ atm의 산소압력과 400 ~ 1100$^{\circ}$C의 온도영역에서 산소압력 및 온도의 함수로서 측정하였다. 전기전도도의 온도의존성은 약 650$^{\circ}$C부근에서 두 영역으로 나뉘었으며, 650$^{\circ}$C이하 영역보다 650$^{\circ}$C이상 영역에서의 온도의존성이 더 큰 것으로 밝혀졌다. 평균 활성화에너지는 650$^{\circ}$C이상 영역에서 41.8kcal/mol, 650$^{\circ}$C이하 영역에서 12.5kcal/mol이다. 산소압력의존성, 1/n값은 650$^{\circ}$C이상 영역에서는 1/5.1~1/5.4이며, 650$^{\circ}$C이하에서는 1/5.9~1/6.2이다. NiO-$Y_2O_3$계는 결함구조가 고온영역에서 3가로 이온화한 이트륨공위이며, 저온영역에서는 2가로 이온화한 틈새형 산소 인전자성 p-형 반도체임이 밝혀졌다. 그러나, 저온영역에서는 이온성 전기전도에 의한 기여가 어느 정도 존재하는 것으로 밝혀졌다.

• Clinical and Experimental Pediatrics
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• 제55권10호
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• pp.388-392
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• 2012

Purpose: Single-nucleotide polymorphism (SNP) markers within LIN28B have been reported to be related to the timing of pubertal growth. However, no study has investigated the frequency of genetic markers in girls with precocious puberty (PP) or early puberty (EP). This study aimed to determine the frequency of putative genetic markers in girls with PP or EP. Methods: Genomic DNAs were obtained from 77 and 109 girls that fulfilled the criteria for PP and EP, respectively. The controls in this study were 144 healthy volunteers between 20 and 30 years of age. The haplotypes were reconstructed using 11 SNPs of LIN28B, and haplotype association analysis was performed. The haplotype frequencies were compared. Differences in the clinical and laboratory parameters were analyzed according to the haplotype dosage. Results: Eleven SNPs in LIN28B were all located in a block that was in linkage disequilibrium. The haplotype could be reconstructed using 2 representative SNPs, rs4946651 and rs369065. The AC haplotype was less frequently observed in the PP group than in the controls (0.069 vs. 0.144, P=0.010). The trend that girls with non-AC haplotypes tended to have earlier puberty onset (P=0.037) was illustrated even in the EP+PP patient group by Kaplan-Meier analysis. Conclusion: The results of the present study showed that non-AC haplotypes of LIN28B had a significant association with PP in girls.

• 한국농림기상학회지
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• 제14권4호
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• pp.179-188
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• 2012

제주도의 새로운 소득 과수인 참다래 '헤이워드'를 대상으로 IPCC의 미래 시나리오 기후조건에서 개화기 분포를 정밀하게 추정함으로써 도내 재배적지의 지리적 이동을 가시화 하였다. 개화기 예측을 위해 휴면시계모형과 발육속도모형을 각각 '헤이워드' 품종에 맞도록 조정하였으며, 시공간적으로 독립적인 자료(해남 2006-2009, 제주 2010-2011)에 의해 검증한 결과 개화일 추정오차는 RMSE = 2.5일(휴면시계모형)과 4.0일(발육속도모형)로 나타났다. 제주도의 현재평년(1981-2010) 기온 및 A1B 시나리오에 따른 10년 단위 미래 기온을 종관기상자료와 공간기후추정기술에 의해 상세 격자형 분포도로 제작하였다. 일별 기온분포도를 이용하여 휴면시계모형을 구동시켰으며 그 결과를 30m 해상도의 상세 개화일분포도로 가시화 하였다. 이 모의결과에 따르면 미래로 갈수록 현재평년에 비해 개화일이 앞당겨지는 한편, 저온요구도의 부족으로 개화불량인 지역이 늘어날 것으로 추정된다. 개화기에 근거한 재배적지의 면적은 가까운 미래에는 증가하지만 먼 미래로 갈수록 급격히 줄어들어 21세기 말에는 현재의 절반이 될 것이며, 같은 기간 재배적지는 해안지대로부터 해발 250m 정도 한라산 방향으로 이동할 것으로 예측된다.

• Journal of Periodontal and Implant Science
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• 제34권3호
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• pp.607-622
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• 2004

Recently epidemiologic studies have indicated that the patients with periodontitis may have increased risk of ischemic cardiovascular events, and have suggested the important roles of blood cytokines and acute reactant proteins in the systemic infection and inflammatory response. Periodontitis and coronary heart disease (CHD) may share the common risk factors and the genetic mechanism associated with interleukin(IL)-1A, B and RA genotype may be involved in the production of IL-1. This study was aimed to investigate the relationship between angiographically defined CHD and periodontitis as chronic Gram-negative bacterial infection and to determine whether the IL-1 gene polymorphism is associated in both diseases. Patients under the age of 60 who had undergone diagnostic coronary angiography were enrolled in this study. Subjects were classified as positive CHD (+CHD, n=37) with coronary artery stenosis more than 50% in at least one of major epicardial arteries, and negative CHD (-CHD, n=30) without significant stenosis. After recording the number of missing teeth, periodontal disease severity was measured by means of plaque index (PI), gingival index (GI), bleeding on probing (BOP), probing depth (PD), clinical attachment level (CAL), and radiographic bone loss around all remaining teeth. Gingival crevicular fluid (GCF) was collected from the 4 deepest periodontal pockets and assessed for cytokine ($IL-1{\beta}$, IL-6, IL-1ra, tumor necrosis $factor-{\alpha}$, and prostaglandin $E_2$). Additionally, blood CHD markers, lipid profile, and blood cytokines were analyzed. IL-1 gene cluster genotyping was performed by polymerase chain reaction and enzyme restriction using genomic DNA from buccal swab, and allele 2 frequencies of IL-1A(+4845), IL-1B(+3954), IL-B(-511), and IL-1RA(intron 2) were compared between groups. Even though there was no significant difference in the periodontal parameters between 2 groups, GCF level of $PGE_2$ was significantly higher in the +CHD group(p<0.05). Correlation analysis showed the positive relationship among PD, CAL and coronary artery stenosis(%) and blood $PGE_2$. There was also significant positive relationship between the periodontal parameters (PI, PD, CAL) and the blood CHD markers (leukocyte count, C-reactive protein, and lactic dehyrogenase). IL-1 gene genotyping showed that IL-1A(+3954) allele 2 frequency was significantly higher in the +CHD group compared with the -CHD group (15% vs. 3.3%, OR 5.118,p=0.043). These results suggested that periodontal inflammation is related to systemic blood cytokine and CHD markers, and contributes to cardiovascular disease via systemic inflammatory reaction. IL-1 gene polymorphism might have an influence on periodontal and coronary heart diseases in Korean patients.

• 한국입자에어로졸학회지
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• 제16권1호
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• pp.19-30
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• 2020

The organic carbon in the ambient particulate matter (PM) is divided into primary organic carbon (POC) and secondary organic carbon (SOC) by their formation way. To regulate PM effectively, the estimation of the amount of POC and SOC separately is one of important consideration. Since SOC cannot be measured directly, previous studies have evaluated determination of SOC by the EC tracer method. The EC tracer method is a method of estimating the SOC value from calculating the POC by determining (OC/EC)pri which is the ratio of the measured values of OC and EC from the primary combustion source. In this study, three different ways were applied to OC and EC concentrations in PM_2.5 measured at Seoul for determining (OC/EC)pri: 1) the minimum value of OC/EC ratio during the measurement period; 2) regression analysis of OC vs. EC to select the lower 5-20% OC/EC ratio; 3) determining the OC/EC ratio which has lowest correlation coefficient value (R²) between EC and SOC which is reported as minimum R squared method (MRS). Each (OC/EC)pri ratio of three ways are 0.35, 1.22, and 1.77, respectively from the 1 hourly data. We compared the (OC/EC)pri ratio from 1hourly data with 24 hourly data and revealed that (OC/EC)pri estimated from 24 hourly data had twice larger than 1hourly data due to the low time resolution of sampling. We finally confirmed that the most appropriate value of (OC/EC)pri is that calculated by a regression analysis of 1 hourly data and estimated SOC amounts at PM_2.5 of the Seoul atmosphere.

• Journal of Gastric Cancer
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• 제7권1호
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• pp.23-30
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• 2007

목적: 위암 환자 수술 후 재발의 임상병리학적 특성에 대한 이해는 재발의 조기 발견과 이에 따른 보다 나은 치료 성적을 얻기 위하여 필수적인 정보이다. 즉 종양의 특성에 따른 재발의 유형, 재발시기, 재발 이후의 경과 등을 이해하고자 본 연구를 시행하였다. 대상 및 방법: 1992년 6월부터 2005년 12월까지 본원 외과에서 위암으로 근치적수술을 시행 받은 1,338명의 환자 가운데 재발 유형을 모르는 경우(n=60), 사고사 및 타 질환으로 사망한 경우(n=55)를 제외한 1,223명을 연구 대상자로 하였다. 재발예(n=241)와 비재발예(n=982) 사이의 임상병리학적 특성 및 재발예 가운데 재발의 유형에 따른 임상병리학적 특성을 비교 분석하였다. 결과: 재발예는 비재발예에 비하여 위전절제술, 진행된 병기, 림프관이나 혈관 침윤예, 위전벽암, 크기가 큰 암, 미분화암, 미만형, Borrmann 4형이 의미 있게 많았다. 복막파종은 여성, stage III, 위상부 및 위전벽암, 미분화암, 미만형, Borrmann 4형이 의미 있게 많았고, 혈행성전이는 조기위암, stage I, 국소전이는 Borrmann 1, 2, 3형이 의미 있게 많았다. 복막파종의 경우 혈행성전이나 국소전이에 비하여 재발 후 생존기간이 짧았다(7.0개월, 9.5개월, 12.5개월). 조기재발군은 병기3, 4기, N3, 림프관침윤율이 높았고, 후기재발군은 병기3기, N1이 조기재발군에 비해 의미 있게 많았다. 결론: 위암의 임상병리학적 특성에 대한 이해가 위암수술 후 재발을 조기에 발견하는 데 중요할 것으로 판단된다.

• Tuberculosis and Respiratory Diseases
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• 제83권3호
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• pp.218-227
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• 2020

Background: The national Public-Private Mix (PPM) tuberculosis (TB) control project provides for the comprehensive management of TB patients at private hospitals in South Korea. Surveillance and monitoring of TB under the PPM project are essential toward achieving TB elimination goals. Methods: TB is a nationally notifiable disease in South Korea and is monitored using the surveillance system. The Korea Centers for Disease Control and Prevention quarterly generates monitoring indicators for TB management, used to evaluate activities of the PPM hospitals by the central steering committee of the national PPM TB control project. Based on the notification date, TB patients at PPM hospitals were enrolled in each quarter, forming a cohort, and followed up for at least 12 months to identify treatment outcomes. This report analyzed the dataset of cohorts the first quarter of 2016 through the fourth quarter of 2017. Results: The coverage of sputum, smear, and culture tests among the pulmonary TB cases were 92.8% and 91.5%, respectively. The percentage of positive sputum smear and culture test results were 30.7% and 61.5%, respectively. The coverage of drug susceptibility tests among the culture-confirmed cases was 92.8%. The treatment success rate among the smear-positive drug-susceptible cases was 83.2%. The coverage of latent TB infection treatment among the childhood TB contacts was significantly higher than that among the adult contacts (85.6% vs. 56.0%, p=0.001). Conclusion: This is the first official report to analyze monitoring indicators, describing the current status of the national PPM TB control project. To sustain its effect, strengthening the monitoring and evaluation systems is essential.