• Title/Summary/Keyword: 연관 인자

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Clinical Significance of VEGF-C and COX-2 Expression in Gastric Carcinoma with Submucosal Invasion (점막하 침윤 조기위암 환자에서 VEGF-C와 COX-2 발현의 임상적 의의)

  • Cho, Yun-Jung;Lee, Jung-Uee;Lee, Kwan-Ju;Park, Cho-Hyun;Park, Seung-Man;Jeon, Hae-Myung;Ahn, Chang-Joon;Kim, Jeong-Goo;Lee, Dong-Ho;Lee, Sang-Chul
    • Journal of Gastric Cancer
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    • v.9 no.3
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    • pp.96-103
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    • 2009
  • Purpose: Lymph node metastasis is an important factor in determining prognosis and therapeutic options for early gastric cancer (EGC) patients. Vascular endothelial growth factor (VEGF)-C and D are known as lymphangiogenic factors, and cyclooxygenase (COX)-2 is thought to play a role in lymph node metastasis in gastric carcinoma. This study was designed to determine whether the expression of VEGF-C, VEGF-D, and COX-2 is associated with clinicopathologic factors, especially lymph node metastasis in EGCs invading the submucosa. Materials and Methods: Tissue samples were obtained from 85 Patients undergoing standard gastrectomy with lymph node dissection between 1991 and 2007 in the Department of Surgery of Daejeon St. Mary's Hospital in Daejeon, Korea. All patients were diagnosed with gastric cancers and submucosal invasion. We examined the expression of VEGF-C, VEGF-D, and COX-2 using immunohistochemical methods. Results: Of the 85 patients, 16 (18.8%) had lymph node metastasis. VEGF-C, VEGF-D, and COX-2 were positively expressed in 34.1% (29/85), 22.3% (19/85), and 37.6% (32/85) of the patients. VEGF-C and COX-2 expression was significantly correlated with lymph node metastasis (P<0.05). A positive correlation existed between VEGF-C and COX-2 expression (P< 0.001). Conclusion: VEGF-C and COX-2 expression is associated with lymph node metastasis in gastric cancer with submucosal invasion. VEGF-C and COX-2 may thus be predictive markers for lymph node metastasis in EGC patients with submucosal invasion.

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Cause-specific Analysis of Risk Factors in Completely Resected Pathologic Stage Ia Non-small Cell Lung Cancer (병리학적 병기 Ia기 비소세포폐암 환자에서 완전절제술 후 사망의 원인에 따른 위험인자 분석)

  • Park, Seong-Yong;Park, In-Kyu;Byun, Chun-Sung;Lee, Chang-Young;Bae, Mi-Kyung;Kim, Dae-Joon;Chung, Kyung-Young
    • Journal of Chest Surgery
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    • v.42 no.6
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    • pp.725-731
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    • 2009
  • Background: Lobectomy and more extended anatomic resection are regarded as standard treatment for stage Ia non-small cell lung cancer, but approximately 15~40% of patients suffer from treatment failures such as cancer recurrence or death. The authors analyzed types and causes of treatment failures in surgically treated cases of stage Ia non small cell lung cancer. Material and Method: We retrospectively reviewed the medical records of 156 patients who had undergone complete resection for stage Ia NSCLC between Jan 1992 and Aug 2005. Patients were divided into two different treatment failure groups: cancer-related deaths and non-cancer-related deaths. Risk factors were analyzed in each group by the Kaplan-Meyer survival method and the Cox proportional hazard model. Result: Among the 156 patients, 93 were males; the mean age was 61. The median follow-up period was 33.8 months. The 5 year survival rate was 87.6%. Microscopic lympho-vascular permeation was reported in 10 patients. Recurrence was reported in 19 patients and 12 patients died due to recurrent lung cancer. Noncancer related deaths occurred in 16 patients. Risk factors for cancer recurrence and cancer related death were microscopic lympho-vascular permeation (HR=6.81, p=0.007, HR=7.81, p<0.001); for non-cancer related death, risk factors were pneumonectomy (HR=25.92, p=0.001) and postoperative cardiopulmonary complications (HR=29.67, p=0.002). Conclusion: After complete resection of stage Ia non small cell lung cancer patients, mortality includes not only cancer related deaths but also cancer unrelated deaths. Adjuvant chemotherapy is advised for patients who show microscopic lympho-vascular permeation, which is a risk factor for recurrence and for cancer related death. Patients who had pneumonectomy or who suffered from cardiac or respiratory complications need meticulous care in order to reduce comorbidity-induced death.

고혈압이 있는 당뇨병 환자의 약물요법

  • 최경묵
    • The Monthly Diabetes
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    • s.151
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    • pp.28-29
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    • 2002
  • 당뇨병은 당뇨병 자체의 문제뿐 아니라 동맥경화성 심장질환(협심증, 심근경색 등) 및 뇌혈관질환(중풍)을 일으키는 중요한 위험인자가 되므로 그 치료가 중요시되고 있다. 동맥경화성 심장질환과 뇌혈관질환은 우리 나라 뿐 아니라 대부분의 산업화된 현대 사회에서 사망의 가장 중요한 원인으로 꼽히는데 당뇨병뿐 아니라 고혈압, 고지혈증, 흡연 등과도 연관된 것으로 잘 알려져 있다.

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첨단산업에서의 안전 사고 분석 패턴 추출 모델 연구

  • Yun, Yong-Gu;Park, Beom
    • Proceedings of the Safety Management and Science Conference
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    • 2005.11a
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    • pp.74-82
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    • 2005
  • 안전사고 원인에 대하여 Near-Miss Report 분석을 근거로 하여, 재해원인에 대하여 접근해 보고, 이 Data를 참고로 첨단산업에서의 재해 유형을 분석해보고, 유형에 따른 기여인자를 기존 Human-ware, Hard-ware, System-ware를 구성요소로 해서 첨단산업에서의 각각의 수행인자의 비율 분석을 통한 판단한 결과는 Human-ware와 Hard-ware 비율은 4:1로 나타났고, 첨단사업장에서의 5년간의 사고건수를 근거로 원인에 대한 수행인자의 ANOVA로 분석하여 4개인자에 대한 분산 분석을 도출하였고 이에따른 Loss와 Time과 Accident 관계와 Effect of Intervention관계와 Reason's Accident Causation Model과 Perrow's Normal Accident Theory Model를 연관시켜서 첨단산업에서의 사고이론 Model를 추출해서 첨단산업에서의 안전사고에 대한 유형을 분석해서 사고를 사전에 제거키 위한 새로운 모델을 제시하고자 한다.

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Factors Affecting Hydrogen Induced Amorphization of ErCo2 C15 Laves Compound (ErCo2 C15 Laves 화합물의 수소유기 비정질화에 영향을 미치는 인자)

  • Yong, Y.J.;Lee, J.Y.
    • Journal of Hydrogen and New Energy
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    • v.4 no.2
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    • pp.17-22
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    • 1993
  • $ErCo_2$화합물에서 Co를 천이원소로 10%만큼 치환한 $Er(Co_{0.9}M_{0.1})_2$화합물(M=Cr, Mn, Fe, Ni, Cu)의 비정질화 온도를 측정해서 수소유기 비정질화에 영향을 미치는 인자에 대해 살펴보았다. 비정질화 온도는 치환원소의 원자반경과 비례함을 알 수 있었다 그러므로 $ErCo_2$ Laves 화합물에서 수소유기 비정질화에 영향을 미치는 인자는 확산과 밀접한 연관이 있는 원자의 크기임을 알 수 있다.

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Estimation of Linkage Disequilibrium and Effective Population Size using Whole Genome Single Nucleotide Polymorphisms in Hanwoo (한우에서 전장의 유전체 정보를 활용한 연관불평형 및 유효집단크기 추정에 관한 연구)

  • Cho, Chung-Il;Lee, Joon-Ho;Lee, Deuk-Hwan
    • Journal of Life Science
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    • v.22 no.3
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    • pp.366-372
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    • 2012
  • This study was conducted to estimate the extent of linkage disequilibrium (LD) and effective population size using whole genomic single nucleotide polymorphisms (SNP) genotyped by DNA chip in Hanwoo. Using the blood samples of 35 young bulls born from 2005 to 2008 and their progenies (N=253) in a Hanwoo nucleus population collected from Hanwoo Improvement Center, 51,582 SNPs were genotyped using Bovine SNP50 chips. A total of 40,851 SNPs were used in this study after elimination of SNPs with a missing genotyping rate of over 10 percent and monomorphic SNPs (10,730 SNPs). The total autosomal genome length, measured as the sum of the longest syntenic pairs of SNPs by chromosome, was 2,541.6 Mb (Mega base pairs). The average distances of all adjacent pairs by each BTA ranged from 0.55 to 0.74 cM. Decay of LD showed an exponential trend with physical distance. The means of LD ($r^2$) among syntenic SNP pairs were 0.136 at a range of 0-0.1 Mb in physical distance and 0.06 at a range of 0.1-0.2 Mb. When these results were used for Luo's formula, about 2,000 phenotypic records were found to be required to achieve power > 0.9 to detect 5% QTL in the population of Hanwoo. As a result of estimating effective population size by generation in Hanwoo, the estimated effective population size for the current status was 84 heads and the estimate of effective population size for 50 generations of ancestors was 1,150 heads. The average decreasing rates of effective population size by generation were 9.0% at about five generations and 17.3% at the current generation. The main cause of the rapid decrease in effective population size was considered to be the intensive use of a few prominent sires since the application of artificial insemination technology in Korea. To increase and/or sustain the effective population size, the selection of various proven bulls and mating systems that consider genetic diversity are needed.

Study Gene Interaction Effect Based on Expanded Multifactor Dimensionality Reduction Algorithm (확장된 다중인자 차원축소 (E-MDR) 알고리즘에 기반한 유전자 상호작용 효과 규명)

  • Lee, Jea-Young;Lee, Ho-Guen;Lee, Yong-Won
    • The Korean Journal of Applied Statistics
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    • v.22 no.6
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    • pp.1239-1247
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    • 2009
  • Study the gene about economical characteristic of human disease or domestic animal is a matter of grave interest, preserve and elevation of gene of Korea cattle is key subject. Studies have been done on the gene of Korea cattle using EST based SNP map, but it is based on statistical model, therefore there are difference between real position and statistical position. These problems are solved using both EST_based SNP map and Gene on sequence by Lee et al. (2009b). We have used multifactor dimensionality reduction(MDR) method to study interaction effect of statistical model in general. But MDR method cannot be applied in all cases. It can be applied to the only case-control data. So, method is suggested E-MDR method using CART algorithm. Also we identified interaction effects of single nucleotide polymorphisms(SNPs) responsible for average daily gain(ADG) and marbling score(MS) using E-MDR method.