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Radioimmunoscintigraphy Using $^{99m}Tc-anti-CEA\;F(ab')_2$ Fragment in Rectal Cancer and a Pilot Study for Radioimmunoguided Surgery (직장암에서 $^{99m}Tc$-항CEA 항체 $F(ab')_2$ 분절을 이용한 수술 전 방사면역신티그라피 및 방사면역지침수술에 관한 기초 연구)

  • Ryu, Jin-Sook;Kim, Jin-Choen;Kim, Chang-Nam;Gong, Gyung-Yub;Lee, Hee-Kyung
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.3
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    • pp.243-251
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    • 2000
  • Purpose: This prospective study was performed to evaluate the usefulness of preoperative radioimmunoscintigraphy and intraoperative scintimetric examination (radioimmunoguided surgery: RIGS) using $^{99m}Tc-anti-CEA\;F(ab')_2$ fragment. Materials and Methods: Nineteen patients with rectal cancer underwent preoperative whole body planar scintigraphy at 4 hours after injection of $^{99m}Tc-anti-CEA\;F(ab')_2$ fragment and SPECT imaging at 18 hours. Surgical operation was performed at 24 hours after injection. During laparotomy, radioactivities from intraabdominal viscera were measured by gamma probe. The radioactivities from excised tumor and lymph nodes were also measured and compared with pathology. Results: All nineteen patients were confirmed to have adenocarcinomas in the rectum. Twenty-seven of 97 excised lymph node groups had metastasis and 2 patients had liver metastasis in pathology Preoperative radioimmunoscintigraphy detected primary tumors in 11 patients (sensitivity 55%) and it could not detect any lymph nodes or liver metastasis. All patients showed high radioactivity in the kidneys, liver, spleen, and major vessels in intraoperative measurement by gamma probe, and tumor activity was not discriminated from background activity However, radioactivity from excised tumor was higher than normal rectum (T/B ratio; $3.47{\pm}2.25$). When excised lymph node activity/background activity ratio >1.5 was considered as positive criteria of metastasis, sensitivity, specificity, positive and negative predictive values were 78.6%, 73.9%, 55.0% and 89.5%, respectively. Conclusion: Radioimmunoscintigraphy using $^{99m}Tc-anti-CEA\;F(ab')_2$ has no additional value for preoperative staging and use of early RIGS using $^{99m}Tc-anti-CEA\;F(ab')_2$ is inappropriate. For early RIGS using $^{99m}Tc$ labeled antibodies in rectal cancer patients, further development of more specific antibodies and methods to reduce background activity are needed.

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Survey on Nutritional Status for Preschool Children in a County in Jeju Island (제주도 1개 군 지역에서의 취학 전 아동의 영양상태 조사)

  • Hong, Seong-Chul;Lee, Sang-Yi;Go, Sun-Bae
    • Journal of agricultural medicine and community health
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    • v.27 no.1
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    • pp.165-181
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    • 2002
  • The purpose of this survey was to assess the nutritional status of preschool children a county of Jeju Island. This study used health examinations results for preschool aged children, performed by the public health center of Pukjeju-gun in Jeju-do for over three years from 1999 to 2001, of children in kindergartens and children homes. The target children totaled 5,990 from the ages three to six. For a control group, 316 children from the nearby Jeju-city areas were included as well. The items of this research included height, weight, and hemoglobin values. 1. The average height of boys from ages three to six were 96.35cm, 102.14cm, 109.94cm, 111.00cm respectively, and girls were 94.96cm, 100.93cm, 108.33cm, 110.54cm respectively. The average weights of boys from ages three to six were 15.42kg, 16.93kg, 19.65kg, 19.67kg respectively, and the weight of girls were 14.90kg, 16.45kg, 18.88kg, 19.50kg respectively. 2. The percentages of children who did not reach 90% of the Korean standard height were 4.3% in boys 4.1% in girls. The percentages of children with less than 80% of the Korean standard weight were 7.6% in boys and 6.8% girls. The percentages of children over 120% of Korean standard weight were 10.4% in boys and 11.4% in girls. 3. As for the obesity level, the percentage of boys under-weighed(under 10% for standard weight for height) were 11.6% and girls, 9.5%, and the percentages of boys and girls with obesity($\geq$20%) were 3.6% and 4.4% respectively. 4. The mean hemoglobin value of boys were 11.83g/$d\ell$ and girls, 11.83g/$d\ell$. These were lower than the value of average normal Korean children (12.5g/$d\ell$). The mena hemoglobin values of the children in Pukjeju-gun were considerably lower than that of the children living in Jeju-city(12.3g/$d\ell$) as well. Anemia of Children of Pukjeju-gun were estimated at 38.1%(male) and 37.2%(female), by using Hemoglobin level(<11.5g/$d\ell$ 5. The rates of children included within the normal range of obesity level in Jeju-city and Pukjeju- gun were boys 80.2%, 71.6% in boys, and 77.4%, 72.4% in girls. The percentage of children living in PukJeju-gun included within the normal range were considerably low. 6. There were no changes in the Body Mass Index (BMI) during the three years from 1999 to 2001, but the percentage of children with anemia significantly increased. Health care for preschool aged children, especially in the rural areas, is very important. Centering on public health centers, it is necessary to systematically promote health care in the rural areas.

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Caffeinated Food Consumption Patterns and Level among High School Students in Yongin Region (용인지역 고등학생의 카페인 함유 식품의 소비 패턴 및 소비 수준)

  • Park, Eun Jeong;Kim, Seong Yeong
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.46 no.9
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    • pp.1128-1136
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    • 2017
  • Previous studies of the caffeine consumption pattern were limited primarily to beverages containing caffeine. Therefore, this study examined the caffeine consumption patterns and levels in beverages and foods containing caffeine among high school students (n=310) in the Yongin region. The participants included 171 boys (55.2%) and 139 girls (44.8%). The daily mean caffeine intake of the respondents was 41.27 mg (0.651 mg/kg) and 36.47 mg (0.696 mg/kg) in boys and girls, respectively. Among the caffeinated food groups, coffee had the highest caffeine intake group in both boys (18.95 mg) and girls (26.28 mg). Girls consumed large amounts of caffeine in the form of Americano-style coffee (20.04 mg), whereas boys consumed more canned coffee (6.77 mg) than girls (2.43 mg, P<0.01). Carbonated soft drinks were the second most prevalent source of caffeine intake in both groups, even though boys (14.29 mg) consumed larger amounts of caffeine than girls (5.85 mg, P<0.001). Multiple regression analysis investigating the major contributing food group to daily total caffeine intake also showed that the highest standardized coefficient was in coffee regardless of gender (boys 0.492, P<0.001 and girls 0.944, P<0.001), followed by carbonated soft drinks and energy drinks. Approximately 95% of high school students consumed normal levels of caffeine, whereas 3.5% of boys and 5.8% of girls consumed excessive amounts based on the standard limit of Korea Food and Drug Administration (<2.5 mg/kg/d) for adolescents. The daily mean caffeine intake of the excess group was 5.38 mg/kg and 6.96 mg/kg in boys and girls, respectively. Consequently, safe daily caffeine intake needs to be determined throughout continuous national management guidelines and nutritional education.

Coronary Artery Bypass Surgery Using Retrograde Cardioplegics (역행성 심정지액을 이용한 관상동맥 우회술)

  • Mun, Hyeon-Jong;Kim, Gi-Bong;No, Jun-Ryang
    • Journal of Chest Surgery
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    • v.30 no.1
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    • pp.27-33
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    • 1997
  • Retrograde myocardial protection is widely accepted in CABG operation because of the limitations of the antegrade method in the coronary arterial stenosis lesions. We analyzed 76 c ses of retrograde myocardial protection among 96 cases of CABG operation performed between April 1994 and August 1995, There were 48 males and 25 females, and the mean age was 58.2 $\pm$ 8.3 years. 53 patients (70%) were operated for unstable angina, 14 (18%) for stable angina, 6 (8%) for post-infarct angina, 1 (1%) for acute myocardial infarction, and 2()%) for failed PTCA. Preoperative coronary angiography revealed 3-vessel disease in 42 cases, 2-vessel disease in 11, 1-vessel disease in 10, and left main disease in 13 cases. We used SVG(63 cases), LIMA(69 cases), RIMA(11 cases), radial artery(6 cases), and gastroepiploic artery(1 case) for the grafts. Mean anastomosis was 3.2 $\pm$ 1.1. We protected the myocardium with antegrade induction and retrograde maintenance in all the cases except a case of retrograde induction and maintenance. During the aortic cross-clamping, blood cardioplegia was administered intermittently in 19 cases, and continuously in 57 In 39 cases, we used retrograde ardioplegia and antegrade perfusion of RCA graft simultaneously. We had no operative motality. Perioperative complications were arrhythmia in 15 cases, perioperatve myocardial infarction in 10, low cardiac output syndrome In 8, transient neurologic problem in 7, transient psychiatric problem in 6, ARF in 3, bleeding in 2, pneumonia in 2, wound infection in 1, and duodenal ulcer perforation in 1 . In this report, we experienced 76 cases of CABG operation with retrograde myocardial protection under the acceptable operative risk without operative mortality.

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Marine Environmental Characteristics of Goheung Coastal Waters during Cochlodinium polykrikoides Blooms (Cochlodinium polykrikoides 적조 발생시의 한국 남해안 고흥 연안의 해양환경 특징)

  • Lee, Moon Ock;Kim, Byeong Kuk;Kim, Jong Kyu
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.18 no.3
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    • pp.166-178
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    • 2015
  • We investigated marine environmental characteristics of Goheung coastal areas in August where is known to be the first outbreak site of Cochlodinium polykrikoides (hereafter C. polykrikoides) blooms, based on the oceanographic data observed from 1993 to 2013 around the Korean southern coastal waters including Eastern China Sea by National Fisheries Research and Development Institute (NFRDI). The data of NOAA/NGSST satellite images as well as numerical simulation results by Seo et al. [2013] were also used for analysis. Water temperatures at the surface and bottom layers in Goheung coast, i.e. Narodo, were $25.0^{\circ}C$ and $23.7^{\circ}C$ so that they were higher than $23.8^{\circ}C$ and $19.4^{\circ}C$ in Geoje coast where is a reference site, respectively. In addition, salinities at the surface and bottom layers in Goheung coast were 31.78 psu and 31.98 psu so that they were a little higher than 31.54 psu at the surface but a little lower than 32.79 psu at the bottom in Geoje coast, respectively. That is, the differences in water temperature or salinity between the surface and bottom layers in Goheung coast in August were not large compared to Geoje coast. This suggests that stratification in Goheung coast in August is fairly weak or may not be established. In addition, the concentrations of DIN and DIP at the surface layer were 0.068 mg/L ($4.86{\mu}M$) and 0.015 mg/L ($5.14{\mu}M$) in Goheung coast while 0.072 mg/L ($5.14{\mu}M$) and 0.01 mg/L ($0.32{\mu}M$) in Geoje coast, so they did not indicate a meaningful difference. On the other hand, when C. polykrikoides blooms, water temperature and salinity in August at the station 317-22 ($31.5^{\circ}N$, $124^{\circ}E$) of the East China Sea, where is near the mouth of Yangtze River, were $27.8^{\circ}C$ and 31.61 psu, respectively. Thus, water temperature was much higher whereas salinity was almost similar compared to Goheung coast. Furthermore, concentrations of $NO_3-N$ and $PO_4-P$ in the East China Sea in August were remarkably high compared to Goheung coast. When C. polykrikoides blooms, according to not only the image data of satellites NOAA/NGSST but also numerical experiment results by Seo et al.[2013], the freshwater out of Yangtze River was judged to clearly affect the Korean southern coastal waters. Therefore, the supply of nutrients in terms of Yangtze River may greatly contribute to the outbreak of C. polykrikoides blooms in Goheung coast in summer.

Estimation of Specific Leaf Area Index Using Direct Method by Leaf Litter in Gwangneung, Mt. Taewha and Mt. Gariwang (광릉숲, 태화산, 가리왕산 활엽수림에서 낙엽에 의한 수종별 엽면적지수 추정)

  • Kwon, Boram;Jeon, Jihyeon;Kim, Hyun Seok;Yi, Myong Jong
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.18 no.1
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    • pp.1-15
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    • 2016
  • Annual litterfall production and leaf area index (LAI, $m^2/m^2$) were estimated using litter traps in Gwangneung, Mt. Taewha and Mt. Gariwang. Annual total litter fall production including branch, bark, others was the highest in Gwangneung($7497.3{\pm}326.5kg/ha/yr$), which had the highest basal area at late successional stage, and followed by Mt. Taewha($5929.1{\pm}225.8kg/ha/yr$) and Mt. Gariwang($3,210.1{\pm}220.1kg/ha/yr$). Mt. Gariwang had the lowest litterfall production due to high elevation and short growing season even with the higher stand density and basal area than Mt. Taewha. Similarly, LAI, which was calculated by multiplying the mass of leaf litter with specific leaf area, was the highest in Gwangneung($5.99{\pm}0.69$) and followed by Mt. Taewha($5.20{\pm}0.24$) and Mt. Gariwang($4.06{\pm}0.42$) and the upper canopy species had the highest leaf area index in every sites (Gwangneung : 4.72, Mt. Taewha : 3.08, Mt. Gariwang : 2.19). However, species specific LAI estimation based on the relationship between basal area and leaf area was limited due to upper canopy species non-proportionality of basal area with LAI. In addition, the comparison between direct and indirect LAI measurement showed the importance of canopy clumping, especially at high density. Our study emphasized the necessity of direct LAI measurement using litter fall traps especially at temperate deciduous forest with diverse species.

Effects of mixing and reciprocal inoculation with compatible and incompatible races of Pyricularia oryzae on the enlargement of disease lesions of rice blast (친화성 및 비친화성균계의 혼합 및 전후접종이 벼 도열병의 병반확대에 미치는 영향)

  • Park Seur Kee;Kim Ki Chung
    • Korean journal of applied entomology
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    • v.22 no.4 s.57
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    • pp.300-306
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    • 1983
  • Effect on blast lesion development was investigated in rice cultivar Milyang 23 and Jinheung using two races of Pyricularia oryzae compatible or incompatible to each of two rice cultivars. Discase lesions were measured in rice when inoculated with inoculum mixed with compatible and incompatible races, inoculated with a compatible race following with an incompatible race and vice versa. Lesions were smaller when rice was incoulated with an incompatible race and then inoculated with a compatible race than those inoculated in the reverse way both at the inoculated site and at 3cm-upper part from inoculated spot. The results suggested that induced resistance might play a role in suppression of lesion development although such an effect appeared to be influenced by heavy application of nitrogen fertilizer.

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Expression of EGFR in Non-small Cell Lung Cancer and its Effects on Survival (비소세포 폐암에서 EGFR의 발현률과 생존률에 미치는 영향)

  • Kim, Hak-Ryul;Jeong, Eun-Taik
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.6
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    • pp.1285-1295
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    • 1997
  • Background : EGFR is one of the initial step in signal transduction pathway about multistep carcinogenesis. It is homologous to oncogene erbB-2 and is the receptor for EGF and TGF alpha. EGFR has important role in the growth and differentiation of tumor cells. So, EGFR in non-small cell lung cancer was examined to search for possible evidence as clinical prognostic factor. Methods : To investigate the role of EGFR in lung cancer, the author performed immunohistochemical stain of EGFR on 57 resected primary non-small cell lung cancer specimens. And the author analyzed the correlation between EGFR expression, clinical parameters, Sand $G_1$ phase fraction and survival. Results : 1) EGFR were detected in 56% of total 57 patients (according to histologic type, squamous cancer 50%, adenocarcinoma 63%, large cell cancer 75%) (according to TNM stage, stage I 64%, stage II 38%, stage III 55%) (according to cellular differentiation, well 50%, moderately 52%, poorly 65%). All differences were insignificant 2) Using the flow cytometric analysis, mean S-phase fraction of EGFR (+) and (-) group were 22.3(${\pm}10.5$)%. 18.0(${\pm}10.9$)% (p>0.05), mean $G_1$-phase fraction of EGFR (+) and (-) group were 68.4(${\pm}11.6$)%, 71.1(${\pm}12.8$)%, (p>0.05) 3) Two-year survival rate of EGFR (+) and (-) group were 53%, 84%, median survival time of EGFR (+) and (-) group were 26, 53 months. (p<0.05, Kaplan-Meier, generalized Wilcox) Conclusion : EGFR immunostaining may be a simple and useful method for survival prediction in non-small cell lung cancer.

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A Prediction Model for Forecast of the Onset Date of Changmas (장마 시작일 예측 모델)

  • Lee, Hyoun-Young;Lee, Seung-Ho
    • Journal of the Korean Geographical Society
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    • v.28 no.2
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    • pp.112-122
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    • 1993
  • Since more than 50${\%}$ of annual precipitation in Korea falls during Changma, the rainy season of early summer, and Late Changma, the rainy season of late summer, forcasting the onset days Changmas, and the amount related rainfalls would be necessary not only for agriculture but also for flood-control. In this study the authors attempted to build a prediction model for the forecast of the onset date of Changmas. The onset data of each Changma was derived out of daily rainfall data of 47 stations for 30 years(1961~1990) and weather maps over East Asia. Each station represent any of the 47 districts of local forecast under the Korea Meteorological Administration. The average onset dates of Changma during the period was from 21 through 26 June. The dates show a tendency to be delayed in El Ni${\~{n}}o years while they come earlier than the average in La Nina years. In 1982, the year of El Ni${\~{n}}o, the date was 9 Julu, two weeks late compared with the average. The relation of sea surface temperature(SST) over Pacific and Northern hemispheric 500mb height to the Changma onset dates was analyzed for the prediction model by polynomial regression. The onset date of Changma over Korea was correlated with SST in May(SST${_(5)}{^\circ}$C) of the district (8${^\circ}$~12${^\circ}S, 136${^\circ}~148${^\circ}W)of equatirial middle Pacific and the 500mb height in March (MB${_(3)}$"\;"m)over the district of the notrhern Hudson Bay. The relation between this two elements can be expressed by the regression: Onset=5.888SST${_5}"\;"+"\;"0.047MB${_(3)}$"\;"-251.241. This equation explains 77${\%}$ of variances at the 0.01${\%}$ singificance level. The onset dates of Late Changma come in accordance with the degeneration of the Subtro-pical High over northern Pacific. They were 18 August in average for the period showing positive correlation(r=0.71) with SST in May(SST)${_(i5)}{^\circ}$C) over district of IndiaN Ocean near west coast of Australia (24${^\circ}$~32${^\circ}$S, 104${^\circ}$~112${^\circ}$E), but negativ e with SST in May(SST${_(p5)}{^\circ}$ over district (12${^\circ}$~20${^\circ}$S,"\;"136${^\circ}$~148${^\circ}$W)of equatorial mid Pacific (r=-0.70) and with the 500mb height over district of northwestern Siberia (r=-0.62). The prediction model for Late Changma can be expressed by the regression: Onset=706.314-0.080 MB-3.972SST${_(p5)}+3.896 SST${_(i5)}, which explains 64${\%}$ of variances at the 0.01${\%}$ singificance level.

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Antioxidant Activities and Xanthine Oxidase Inhibitory Effects of Hot-water Extracts from Fruits of Elaeagnus multiflora Thunb. in Maturity (성숙에 따른 뜰보리수(Elaeagnus multiflora Thunb.) 열수추출물의 항산화 활성과 Xanthine Oxidase 저해효과)

  • Yoon, Kyung-Young;Hong, Ju-Yeon;Nam, Hak-Sik;Moon, Yong-Sun;Shin, Seung-Ryeul
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.36 no.1
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    • pp.14-19
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    • 2007
  • This study was conducted to analyze the antioxidant activity and xanthine oxidase inhibitory effect of hot-water extracts from Elaeagnus multiflora Thunb. to provide fundamental data for the development of functional materials. The antioxidative activities of hot-water extracts from E. multiflora Thunb. were analyzed by electron donating ability (EDA) using 1,1-diphenyl-2-picryl hydrazyl (DPPH), superoxide dismutase (SOD) -like activity by pyrogallol and nitrite scavenging ability. EDA of extracts from unripe, ripe, and overripe fruits were 77.7%, 36.0%, and 23.7% at 100 ${\mu}g/mL$, respectively, and EDA of extract in unripe fruits was higher than those of others. At 1,000 $\mu$g/mL, the SOD-like activities were 32.8%, 11.2% and 5.0% for unripe, ripe, and overripe fruits, respectively. The SOD-like activity was increased along with the increase of unripe and ripe extract concentrations. The nitrite scavenging ability of unripe fruit extracts in 100, 300, 500 ${\mu}g/mL$ of extraction solution in pH 1.2 and 3.0 was higher than those of others. The nitrate scavenging ability of all extracts was decreased according to the increase of pH. Xanthine oxidase inhibitory activities of unripe, ripe and overripe fruits were 30.0%, 28.2%, and 18.2% at 1,000 ${\mu}g/mL$, respectively.