• Asian Pacific Journal of Cancer Prevention
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• 제15권17호
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• pp.7085-7090
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• 2014

Objective: To make the clinical evaluation of a solid-state human papillomavirus (HPV) sampling medium in combination with an economical HPV testing method ($careHPV^{TM}$) for cervical cancer screening. Methods: 396 women aged 25-65 years were enrolled for cervical cancer screening, and four samples were collected. Two samples were collected by woman themselves, among which one was stored in DCM preservative solution (called "liquid sample") and the other was applied on the Whatman Indicating FTA $Elute^{(R)}$ card (FTA card). Another two samples were collected by physician and stored in DCM preservative solution and FTA card, respectively. All the samples were detected by $careHPV^{TM}$ test. All the women were administered a colposcopy examination, and biopsies were taken for pathological confirmation if necessary. Results: FTA card demonstrated a comparable sensitivity of detecting high grade Cervical Intraepithelial Neoplasia (CIN) with the liquid sample carrier for self and physician-sampling, but showed a higher specificity than that of liquid sample carrier for self-sampling (FTA vs Liquid: 79.0% vs 71.6%, p=0.02). Generally, the FTA card had a comparable accuracy with that of Liquid-based medium by different sampling operators, with an area under the curve of 0.807 for physician &FTA, 0.781 for physician &Liquid, 0.728 for self & FTA, and 0.733 for self &Liquid (p>0.05). Conclusions: FTA card is a promising sample carrier for cervical cancer screening. With appropriate education programmes and further optimization of the experimental workflow, FTA card based self-collection in combination with centralized $careHPV^{TM}$ testing can help expand the coverage of cervical cancer screening in low-resource areas.

• 생태와환경
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• 제44권2호
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• pp.195-202
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• 2011

본 연구에서는 일본전국을 연구대상지로 선정하고 대상지에 서식하고 있는 대표 외래어종인 배스와 블루길의 공간적 서식분포 특성을 평가하였다. 또한 GAM, GLM, CTA 등의 세가지 통계 기법을 이용하여 일본전국에서의 해당 어종에 대한 공간적 분포패턴을 예측하였다. 그 결과 배스와 블루길 등의 외래어종은 인구 및 댐 풍의 인위적인 환경인자와 유의한 정의 관계를 보임에 따라 외래어종의 확산에 미치는 인간활동의 부정적인 영향이 확인되었다. 또한 회귀모델을 통한 해당어종의 서식확률 예측을 통한 배스와 블루길의 서식 분포는 각각 GAM (AUC: 0.88, Kappa: 0.42)과 CTA (AUC: 0.92, Kappa: 0.44)에 의해서 가장 정확하게 예측되는 것으로 평가되었고, 가장 유의한 환경인자는 연평균기온으로 나타났다. 따라서 각 생물종별로 서식확률을 추정하고 예측하는데 있어서 적합한 통계모델에 대한 검증은 생물종별로 선행되어야 할 필요가 있을 것으로 판단된다. 비록 본 연구의 연구대상지는 일본이지만 국내의 경우도 최근 들어 어류를 포함한 생물조사가 다수의 조사연구에서 광역적으로 시행되고 있기 때문에 본 연구와 같은 다량자료를 이용한 광역 스케일에서의 생물종의 서식확률 및 출현종수에 대한 연구가 충분히 가능할 것으로 판단된다.

• 대한본초학회지
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• 제26권4호
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• pp.75-81
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• 2011

Objectives : Magnoliae officinalis Cortex (MOC) has been used in traditional medicine for digestive diseases in Korea, China and Japan. However, Machili thunbergii Cortex (MTC) also has been used as a substitute of MOC in Korea sometimes. Thus, this study was carried out to investigate and compare the effects of MOC and MTC on intestinal motility of isolated small intestinal segments from ICR mouse. Methods : Changes in motility were recorded via isometric transducers connected to a data acquisition system and amplitude, frequency and area under the curve (AUC) of intestinal spontaneous phasic contraction were compared. Results : The MOC extracts ($1{\sim}{\mu}g/mL$) dose-dependently decreased both amplitudes and frequencies of the spontaneous phasic contraction, but not AUC. However, high concentration of MOC (100 ${\mu}g$/mL) evoked tonic contraction. And it was not inhibited by tetrodotoxin, a sodium channel blocker, and nifedipine, a L-type $Ca^{2+}$ channel antagonist. These results suggested that MOC (100 ${\mu}g$/mL)-induced tonic contraction is not mediated by nerve or L-type $Ca^{2+}$ channel. On the other hand, the MTC extracts dose-dependently inhibited amplitude and AUC, but not the frequency. Conclusions : Although both MOC and MTC affected intestinal motility, MOC is more effective on intestinal motility than MTC. And MOC has been used as a traditional medicine for a long time but not MTC. Thus, we suggested that MTC should not be used in Korea as a substitute of MOC and MOC might be useful traditional medicine for gastrointestinal disease. The mechanism of MOC is still remained to elucidate.

• Journal of Pharmaceutical Investigation
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• 제34권4호
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• pp.319-325
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• 2004

A bioequivalence of $Etodol^{TM}$ tablets (Yuhan corporation) and $Kuhnillodine^{TM}$ tablets (Kuhnil Pharm. Co., Ltd.) was evaluated according to the guideline of Korea Food and Drug Administration (KFDA). Single 200 mg dose of etodolac of each medicine was administered orally to 24 healthy male volunteers. This study was performed in a $2{\times}2$ crossover design. Concentrations of etodolac in human plasma were monitored by a high-performance liquid chromatography. $AUC_t$ (the area under the plasma concentration-time curve from time zero to 24 hr) was calculated by the linear trapezoidal rule method. $C_{max}$ (maximum plasma drug concentration) and $T_{max}$ (time to reach $C_{max}$) were compiled from the plasma concentration-time data. Analysis of variance was performed using logarithmically transformed $AUC_t$ and $C_{max}$. No significant sequence effect was found for all of the bioavailability parameters. The 90% confidence intervals of the $AUC_t$ ratio and the $C_{max}$ ratio for $Etodol^{TM}/Kuhnillodine^{TM}$ were 1.01-1.10 and 0.87-1.06, respectively. This study demonstrated a bioequivalence of $Etodol^{TM}$ and $Kuhnillodine^{TM}$ with respect to the rate and extent of absorption.

• 한국임상수의학회지
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• 제39권5호
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• pp.199-206
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• 2022

Postpartum diseases should be predicted to prevent productivity loss before calving especially in organic dairy farms. This study was aimed to investigate the incidence of postpartum metabolic diseases in an organic dairy farm in Korea, to confirm the association between diseases and prepartum blood biochemical parameters, and to evaluate the accuracy of these parameters with a receiver operating characteristic (ROC) analysis for identifying vulnerable cows. Data were collected from 58 Holstein cows (16 primiparous and 42 multiparous) having calved for 2 years on an organic farm. During a transition period from 4 weeks prepartum to 4 weeks postpartum, blood biochemistry was performed through blood collection every 2 weeks with a physical examination. Thirty-one (53.4%) cows (9 primiparous and 22 multiparous) were diagnosed with at least one postpartum disease. Each incidence was 27.6% for subclinical ketosis, 22.4% for subclinical hypocalcemia, 12.1% for retained placenta, 10.3% for displaced abomasum and 5.2% for clinical ketosis. Between at least one disease and no disease, there were significant differences in the prepartum levels of parameters like body condition score (BCS), non-esterified fatty acid (NEFA), total bilirubin (T-bil), direct bilirubin (D-bil) and NEFA to total cholesterol (T-chol) ratio (p < 0.05). The ROC analysis of each of these prepartum parameters had the area under the curve (AUC) <0.7. However, the ROC analysis with logistic regression including all these parameters revealed a higher AUC (0.769), sensitivity (71.0%), and specificity (77.8%). The ROC analysis with logistic regression including the prepartum BCS, NEFA, T-bil, D-bil, and NEFA to T-chol ratio can be used to identify cows that are vulnerable to postpartum diseases with moderate accuracy.

• Journal of Chest Surgery
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• 제55권2호
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• pp.143-150
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• 2022

Background: The effectiveness of extracorporeal membrane oxygenation (ECMO) for patients with refractory cardiogenic shock or cardiac arrest is being established, and serum lactate is well known as a biomarker of end-organ perfusion. We evaluated the efficacy of pre-ECMO lactate for predicting 6-month survival in patients with acute coronary syndrome (ACS) undergoing ECMO. Methods: We reviewed the medical records of 148 patients who underwent veno-arterial (VA) ECMO for ACS between January 2015 and June 2020. These patients were divided into survivors and non-survivors based on 6-month survival. All clinical data before and during ECMO were compared between the 2 groups. Results: Patients' mean age was 66.0±10.5 years, and 116 (78.4%) were men. The total survival rate was 45.9% (n=68). Cox regression analysis showed that the pre-ECMO lactate level was an independent predictor of 6-month mortality (hazard ratio, 1.210; 95% confidence interval [CI], 1.064-1.376; p=0.004). The area under the receiver operating characteristic curve of pre-ECMO lactate was 0.64 (95% CI, 0.56-0.72; p=0.002; cut-off value=9.8 mmol/L). Kaplan-Meier survival analysis showed that the cumulative survival rate at 6 months was significantly higher among patients with a pre-ECMO lactate level of 9.8 mmol/L or less than among those with a level exceeding 9.8 mmol/L (57.3% vs. 31.8%, p=0.0008). Conclusion: A pre-ECMO lactate of 9.8 mmol/L or less may predict a favorable outcome at 6 months in ACS patients undergoing VA-ECMO. Further research aiming to improve the accuracy of predictions of reversibility in patients with high pre-ECMO lactate levels is essential.

• 생명과학회지
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• 제32권8호
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• pp.589-594
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• 2022

이 연구에서 베툴린산이 STZ에 의해 유발된 고혈당 쥐에서 탄수화물 소화 효소의 활성을 억제하고 식후 고혈당을 감소시킬 수 있는지 여부를 알아보았다. 그 결과, 베툴린산이 α-글루코시다아제와 α-아밀라아제 활성에 강력한 억제 효과를 보여주었다. α-글루코시다아제와 α-아밀라아제에 대한 베툴린산의 IC₅₀는 각각 12.83± 6.81 및 18.32±3.24 μM으로, 이는 경구 혈당강하제인 acarbose의 IC₅₀ 보다 값이 낮아 베툴린산의 탄수화물 소화효소의 억제 활성이 높다는 것을 나타낸다. 당뇨쥐와 정상쥐에서 증가된 식후 혈당은 베툴린산을 투입한 고혈당군, 정상군 모두 대조군보다 유의하게 식후 혈당이 억제되었습니다. 30, 60, 120분에 각각 혈당을 측정하였을 떄, 당뇨쥐에서 베툴린산을 투여한 군의 혈당은 23.22±1.1, 24.38±1.31, and 21.05±1.36 μM 으로 대조군의 혈당인 24.64± 1.7, 27.22±1.58, and 26.36±1.40 μM 보다 유의하게 감소하였다. 당뇨쥐에서 베툴린산 투여한 군의 AUC도 대조군 쥐에 비해 유의하게 감소하였지만, acarbose를 투여한 군에 비해서는 더 많이 감소하지 않았다. 이러한 연구 결과는 베툴린산이 탄수화물 소화 효소의 강력한 억제제로의 가능성을 보여주어, 당뇨병 쥐의 식후 고혈당증을 개선할 수 있을 것이라 사료된다.

• Korean Journal of Radiology
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• 제20권5호
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• pp.791-800
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• 2019

Objective: To compare various models of diffusion-weighted imaging including monoexponential apparent diffusion coefficient (ADC), biexponential (fast diffusion coefficient [D_f], slow diffusion coefficient [D_s], and fraction of fast diffusion), stretched-exponential (distributed diffusion coefficient and anomalous exponent term [α]), and kurtosis (mean diffusivity and mean kurtosis [MK]) models in the differentiation of renal solid masses. Materials and Methods: A total of 81 patients (56 men and 25 women; mean age, 57 years; age range, 30-69 years) with 18 benign and 63 malignant lesions were imaged using 3T diffusion-weighted MRI. Diffusion model selection was investigated in each lesion using the Akaike information criteria. Mann-Whitney U test and receiver operating characteristic (ROC) analysis were used for statistical evaluations. Results: Goodness-of-fit analysis showed that the stretched-exponential model had the highest voxel percentages in benign and malignant lesions (90.7% and 51.4%, respectively). ADC, D_s, and MK showed significant differences between benign and malignant lesions (p < 0.05) and between low- and high-grade clear cell renal cell carcinoma (ccRCC) (p < 0.05). α was significantly lower in the benign group than in the malignant group (p < 0.05). All diffusion measures showed significant differences between ccRCC and non-ccRCC (p < 0.05) except D_f and α (p = 0.143 and 0.112, respectively). α showed the highest diagnostic accuracy in differentiating benign and malignant lesions with an area under the ROC curve of 0.923, but none of the parameters from these advanced models revealed significantly better performance over ADC in discriminating subtypes or grades of renal cell carcinoma (RCC) (p > 0.05). Conclusion: Compared with conventional diffusion parameters, α may provide additional information for differentiating benign and malignant renal masses, while ADC remains the most valuable parameter for differentiation of RCC subtypes and for ccRCC grading.

• Asian Pacific Journal of Cancer Prevention
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• 제15권1호
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• pp.363-368
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• 2014

Determination of the cause of malignant pleural effusions is important for treatment and management, especially in cases of unknown primaries. There are limited biomarkers available for prediction of the cause of malignant pleural effusion in clinical practice. Hence, we evaluated pleural levels of five tumor biomarkers (CEA, AFP, CA125, CA153 and CA199) in predicting the cause of malignant pleural effusion in a retrospective study. Kruskal-Wallis or Mann-Whitney U tests were carried out to compare levels of tumor markers in pleural effusion among different forms of neoplasia - lung squamous cell carcinoma, adenocarcinoma, or small cell carcinoma, mesothelioma, breast cancer, lymphoma/leukemia and miscellaneous. Receiver operator characteristic analysis was performed to evaluate sensitivity and specificity of biomarkers. The Kruskal-Wallis test showed significant differences in levels of pleural effusion CEA (P<0.01), AFP (P<0.01), CA153 (P<0.01) and CA199 (P<0.01), but not CA125 (P>0.05), among the seven groups. Receiver operator characteristic analysis showed that, compared with other four tumor markers, CA153 was the best biomarker in diagnosing malignant pleural effusions of lung adenocarcinoma (area under curve (AUC): 0.838 (95%confidence interval: 0.787, 0.888); cut-off value: 10.2U/ml; sensitivity: 73.2% (64.4-80.8)%, specificity: 85.2% (77.8-90.8)%), lung squamous cell carcinoma (AUC: 0.716 (0.652, 0.780); cut-off value: 14.2U/ml; sensitivity: 57.6% (50.7-64.3)%, specificity: 91.2% (76.3-98.0)%), and small-cell lung cancer (AUC: 0.812 (0.740, 0.884); cut-off value: 9.7U/ml; sensitivity: 61.5% (55.0-67.8)%, specificity: 94.1% (71.2-99.0)%); CEA was the best biomarker in diagnosing MPEs of mesothelioma (AUC: 0.726 (0.593, 0.858); cut-off value: 1.43ng/ml; sensitivity: 83.7% (78.3-88.2)%, specificity: 61.1% (35.8-82.6)%) and lymphoma/leukemia (AUC: 0.923 (0.872, 0.974); cut-off value: 1.71ng/ml; sensitivity: 82.8% (77.4-87.3)%, specificity: 92.3% (63.9-98.7)%). Thus CA153 and CEA appear to be good biomarkers in diagnosing different causes of malignant pleural effusion. Our findings implied that the two tumor markers may improve the diagnosis and treatment for effusions of unknown primaries.

• 대한소아치과학회지
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• 제45권4호
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• pp.426-435
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• 2018

이 연구의 목적은 두 가지 형태의 레이저 형광원리를 이용한 우식 진단 기기(DD, DDpen)의 구치부 인접면 우식을 진단 하는 능력을 비교하고, 두 기기의 최적의 절단값을 확인하는 것이다. 이 연구에는 164개의 유구치 인접면과 438개의 영구치 구치부 인접면이 연구 대상에 포함되었다. 각 치면은 순서대로 두 가지 기기를 통한 검사를 시행하였고, 두 기기를 비교할 기준으로서 교익 방사선 사진 촬영을 시행하였다. 방사선 사진 촬영 결과는 우식의 깊이에 따라 유치열 3개의 군($pR_0$, $pR_1$, $pR_2$), 영구치열 4개의 군($PR_0$, $PR_1$, $PR_2$, $PR_3$)으로 분류하였다. 유치열에서 법랑질 우식과 상아질 우식의 AUC 값은 DD가 각각 0.851과 0.890으로 나타났고, DDpen은 각각 0.883과 0.917로 나타났다. 영구치열에서 법랑질 우식과 상아질 우식의 AUC 값은 DD가 각각 0.762과 0.886으로 나타났고, DDpen은 각각 0.828과 0.958로 나타났다. 유치열과 영구치열 모두 구치부 인접면 우식을 검사하는 데에는 DDpen이 DD보다 정확한 결과를 보였다. 하지만 유치열에 대해서는 DD도 인접면 우식 검사에 활용이 가능할 것으로 보인다.