• 제목/요약/키워드: Bio-surgery

검색결과 310건 처리시간 0.024초

Change in Trend in Various Clinico-Pathological Factors and Treatment Profile of Breast Cancer Patients: a Tertiary Cancer Centre Experience

  • Shankar, Abhishek;Roy, Shubham;Rath, GK;Kamal, Vineet Kumar;Bhandari, Menal;Kulshrestha, Rashi;Prasad, Neelam;Sachdev, Jaineet;Jeyaraj, Pamela
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권8호
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    • pp.3897-3901
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    • 2016
  • Background: Breast cancer is by far the most frequent cancer of women (23% of all cancers), ranking second overall when both sexes are considered together. Since there has been change in clinico-pathological factors and treatment profiles for breast cancer patients over the years, the present study to evaluate the change trends in India. Materials and Methods: A detailed analysis was carried out with respect to age, menopausal status, family history, disease stage, surgery performed, histopathology, hormone receptor status, and use of chemotherapy or hormonal therapy. Change in various clinico-pathological factors and treatments of breast cancer cases was recorded and analysed. Results: Mean age at presentation was found to be earlier in 2005-2006 compared with 1997-98 (p value: 0.046). More premenopausal women were diagnosed with breast cancer in 2005-2006 when this was compared with initial years of assessment (p value ${\leq}0.001$). When change in the receptor status was evaluated, we observed that there was a decrease in cases of ER and PR receptor positivity which was significant (p value: 0.007). Over the period of time, more f patients were not offered surgery initially in view of advanced disease when the two time periods were compared (p value: ${\leq}0.001$). There was a significant increase in patients who were initially offered neo-adjuvant chemotherapy in view of advanced disease at presentation (p value: ${\leq}0.001$). There was increasing number of patients who received palliative treatment for symptoms in 2005-2006 when compared to patients treated in 1997-98((p value: ${\leq}0.001$). Conclusions: Changes in mean age at presentation, premenopausal status, and stage at presentation have occurred over the years. More aggressive patterns of disease have become more common with early age at presentation and aggressive biological behaviour with receptor negative tumours.

정형외과 영역에서의 증식치료 (Prolotherapy in Orthopedic Field)

  • 손민수;유재철
    • 대한정형외과 초음파학회지
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    • 제4권2호
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    • pp.101-110
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    • 2011
  • 증식치료의 이론적 배경과 기전, 시술방법, 결과 및 합병증 등에 대하여 근거-중심의 문헌 고찰을 토대로 논의하고자 한다. 증식치료는 전통적으로 건 혹은 인대 이완으로 인한 통증을 포함한 만성적인 근-골격 계 통증의 치료법 중 하나로써 증식치료제를 주사하여 염증 반응을 유도하여 인체의 정상적인 치유 기전을 자극하는 최소 침습적 주사요법이다. 증식치료제는 크게 세가지 기전에 의하여 작용하며, 가장 흔히 사용되는 증식치료제는 10~25% 포도당이다. 최근 초음파 기기의 발달과 함께 증식치료에 있어서도 유용하게 이용되고 있어 진단 뿐 아니라 초음파 중재 하 시술을 통해 효율을 높이고 합병증을 줄일 수 있게 되었다. 가장 흔한 합병증은 주사 부위의 통증으로 대개 자기한정적이고 진통제에 잘 반응한다. 그 외 합병증은 드물며 경험이 많은 임상의에 의해 시행되었을 경우 비교적 안전한 것으로 보고되고 있다. 증식치료는 근-골격 계 통증 및 관절 이완의 치료방법으로써 최근 재조명되고 있으나, 현재까지 보고된 결과들은 아직까지는 그 적응과 효과에 대한 확실한 자료가 부족한 실정이다. 이에 향후 적응이 되는 대상의 선택을 확실히 할 수 있는 신체검진 혹은 진단 기술 등에 대한 연구 혹은 주사요법과 다른 보존적 치료와의 비교 연구 등을 통하여 증식치료에 대한 근-골격 계에 있어서의 독립적이면서 효과적인 역할에 대하여 명확히 해야 할 것이다.

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인공 신경망을 이용한 보청기용 실시간 환경분류 알고리즘 (Real Time Environmental Classification Algorithm Using Neural Network for Hearing Aids)

  • 서상완;육순현;남경원;한종희;권세윤;홍성화;김동욱;이상민;장동표;김인영
    • 대한의용생체공학회:의공학회지
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    • 제34권1호
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    • pp.8-13
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    • 2013
  • Persons with sensorineural hearing impairment have troubles in hearing at noisy environments because of their deteriorated hearing levels and low-spectral resolution of the auditory system and therefore, they use hearing aids to compensate weakened hearing abilities. Various algorithms for hearing loss compensation and environmental noise reduction have been implemented in the hearing aid; however, the performance of these algorithms vary in accordance with external sound situations and therefore, it is important to tune the operation of the hearing aid appropriately in accordance with a wide variety of sound situations. In this study, a sound classification algorithm that can be applied to the hearing aid was suggested. The proposed algorithm can classify the different types of speech situations into four categories: 1) speech-only, 2) noise-only, 3) speech-in-noise, and 4) music-only. The proposed classification algorithm consists of two sub-parts: a feature extractor and a speech situation classifier. The former extracts seven characteristic features - short time energy and zero crossing rate in the time domain; spectral centroid, spectral flux and spectral roll-off in the frequency domain; mel frequency cepstral coefficients and power values of mel bands - from the recent input signals of two microphones, and the latter classifies the current speech situation. The experimental results showed that the proposed algorithm could classify the kinds of speech situations with an accuracy of over 94.4%. Based on these results, we believe that the proposed algorithm can be applied to the hearing aid to improve speech intelligibility in noisy environments.

진피-황금 혼합물이 급성 역류성 식도염 흰쥐에 미치는 효과 (Effects of a mixture of Citri Pericarpium and Scutellariae Radix on acute reflux esophagitis in rats)

  • 이진아;신미래;노성수;박해진
    • Journal of Nutrition and Health
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    • 제54권3호
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    • pp.321-333
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    • 2021
  • 본 연구에서는 진피-황금 혼합물 (CS)이 급성 역류성 식도염에 미치는 식도 점막 보호 효과를 평가하기 위하여 CS를 경구투여한 후 수술을 통해 역류성 식도염을 유발하였으며, 실험 종료 후 혈액 채취 및 식도 조직을 적출하였다. 동물에게서 적출한 식도 점막의 손상 정도를 육안으로 확인한 결과 CS투여군에서 식도 점막의 손상이 유의하게 감소하였으며, H&E staining을 통해 관찰한 결과 마찬가지로 CS투여군에서 식도 상피의 탈락 및 염증세포의 침윤이 현저하게 감소한 것을 확인하였다. 혈액을 이용하여 역류성 식도염의 원인으로 유효하다고 알려진 ROS의 수치를 확인한 결과, CS투여군에서 ROS 수치가 유의적으로 감소하였으며, western blotting을 통해 NADPH oxidase인 NOX4, p47phox, p22phox의 발현을 확인한 결과, 마찬가지로 CS 투여군에서 유의하게 감소하였고, 특히 CS200투여군에서 Normal군과 비슷한 수치를 나타냈다. 또한, CS투여는 염증성 단백질인 MAPK와 NF-κB 경로를 유의적으로 억제하였을 뿐 아니라 tight junction 단백질인 claudin-1과 claudin-4의 발현을 유의하게 조절한 것을 확인하였다. 이상의 결과를 종합해보면 진피-황금 추출물은 산화적 스트레스를 억제함으로써 염증성 단백질의 발현을 조절할 뿐 아니라 tight junction 단백질의 발현을 조절하여 식도 점막을 보호하는 것으로 판단되나 역류성 식도염은 음식물의 섭취와 밀접한 관련이 있는 만큼 추후 동물의 식이 섭취량을 조사하는 등 세부적인 추가 연구가 필요할 것으로 보인다.

하비갑개수술이 비강의 열/습도 전달 특성에 미친 영향 (The Effect of Inferior Turbinectomy on Heat/Humidity Transfer Ability of the Nose)

  • 정강수;장지원;김성균
    • 대한기계학회논문집B
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    • 제36권4호
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    • pp.419-424
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    • 2012
  • 코의 3 대 생리학적 기능은 공기조화, 불순물과 공해물질의 제거, 그리고 후각 기능이다. 비강 내공기유동장의 특성에 대한 이해는 코 호흡의 생리학적 병리학적 양상을 이해하는 데 있어서 필수적이다. 정상 및 비정상 비강 내 공기유동에 대한 경험을 토대로 3 개의 하비갑개 수술 후 모델을 제작하여 PIV 실험과 수치해석을 통하여 유동을 해석하였다: (1) 하비갑개의 앞 부분만 절제한 I1 모델 (1) 하비갑개의 아래 부분만 절제한 I2 모델 (1) 하비갑개의 거의 전 부분을 절제한 I3 모델. 정밀한 CT 데이터와 이비인후과 전문의와의 긴밀한 협동 연구로 인해 해부학적으로 정확한 물리적 및 수치 모델을 제작할 수 있었으며 수술 방법에 따른 유동장의 차이에 대해 분석하였다.

Ameliorative Effects of Combinative Injection of Ginko biloba Leaves Extract and Vitamin C on Ischemia/Reperfusion Liver Damages Model

  • Xie, Guang-Hua;Choi, Sun Eun;Mun, Myung-Jae;Jeong, Jae-Hun;Park, Kwang-Hyun
    • 한국자원식물학회지
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    • 제31권3호
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    • pp.268-273
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    • 2018
  • Hepatic ischemia-reperfusion injury (HIRI) is linked with high mortality rate. Several agents have been developed so far to reduce the risk of HIRI. In this study, we investigated the effects of combined treatment of Ginko biloba leaves extract and vitamin C (GLEVC) on hepatic ischemia-reperfusion injury. To explore the protective effects of GLEVC on HIRI rats model were tested. After the development of HIRI by using clamping method rats were then randomly divided into four groups. Different doses of GLEVC were administered in HIRI rat model. The level of ALT, AST, SOD and MDA content in serum were detected in HIRI groups. Moreover, the activity of SOD, content of MDA, and GSH in hepatic tissue were also examined. Bcl-2 and Bax protein expression were detected by immunohistochemical staining method. Compared with sham group, GLEVC has the protective effect on the HIRI-induced model. Level of ALT, AST, and MDA in blood were significantly lower in GLEVC group compared with HIRI-induced group. Moreover, SOD activity and GSH were increased in GLEVC group whereas MDA content was reduced by GLEVC treatment. Furthermore, HIRI-induced Bax protein was reduced upon GLEVC treatment, whereas Bcl-2 protein expression was enhanced. These results demonstrate that GLEVC treatment may provide potential ameliorative therapy by reducing damaged signaling mechanism in hepatic ischemia/reperfusion injury model.

A Case of Porcine Infertility Associated with Oviductal Obstruction

  • Koo, Ok-Jae;Kang, Jung-Taek;Kwon, Dae-Kee;Park, Hee-Jung;Park, Sol-Ji;Kim, Su-Jin;Moon, Joon-Ho;Kim, Hyun-Il;Jang, Goo;Lee, Byeong-Chun
    • 한국수정란이식학회지
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    • 제26권1호
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    • pp.53-56
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    • 2011
  • Infertility of the pig is directly affects on economic loss and failure of the embryo transfer. In the present case report, we show one rare case of porcine infertility resulted from oviductal obstruction. A gilt showing normal heat behaviors was selected as a recipient of embryo transfer. During the laparotomy surgery, abnormality of the reproductive tract was founded. Several large sized cyst-like structures were founded on infundibulum and body of uterus. Severe enlargement of oviduct represents that obstruction of the oviduct. Sign of fibrosis on the surface of uterus and other internal organs revealed that the obstruction was come arise from prior peritonitis. Mild neutropenia and elevated number of monocytes, eosinophils and platelets in blood smear represent that the peritonitis might be due to chronic parasitic infection. Ovarian function was seems to be normal due to blood progesterone concentration was higher than basal level. The pig was culled because she cannot be recovered by surgical or hormonal treatment.

Extracellular Nucleotides Can Induce Chemokine (C-C motif) Ligand 2 Expression in Human Vascular Smooth Muscle Cells

  • Kim, Jeung-Il;Kim, Hye-Young;Kim, Sun-Mi;Lee, Sae-A;Son, Yong-Hae;Eo, Seong-Kug;Rhim, Byung-Yong;Kim, Koanhoi
    • The Korean Journal of Physiology and Pharmacology
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    • 제15권1호
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    • pp.31-36
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    • 2011
  • To understand the roles of purinergic receptors and cellular molecules below the receptors in the vascular inflammatory response, we determined if extracellular nucleotides up-regulated chemokine expression in vascular smooth muscle cells (VSMCs). Human aortic smooth muscle cells (AoSMCs) abundantly express $PSY_1$, $PSY_6$, and $PSY_{11}$ receptors, which all respond to extracellular nucleotides. Exposure of human AoSMCs to $NAD^+$, an agonist of the human $PSY_{11}$ receptor, and $NADP^+$ as well as ATP, an agonist for $PSY_1$ and $PSY_{11}$ receptors, caused increase in chemokine (C-C motif) ligand 2 gene (CCL2) transcript and CCL2 release; however, UPT did not affect CCL2 expression. CCL2 release by $NAD^+$ and $NADP^+$ was inhibited by a concentration dependent manner by suramin, an antagonist of P2-purinergic receptors. $NAD^+$ and $NADP^+$ activated protein kinase C and enhanced phosphorylation of mitogen-activated protein kinases and Akt. $NAD^+$- and $NADP^+$-mediated CCL2 release was significantly attenuated by SP6001250, U0126, LY294002, Akt inhibitor IV, RO318220, GF109203X, and diphenyleneiodium chloride. These results indicate that extracellular nucleotides can promote the proinflammatory VSMC phenotype by up-regulating CCL2 expression, and that multiple cellular elements, including phosphatidylinositol 3-kinase, Akt, protein kinase C, and mitogen-activated protein kinases, are involved in that process.

Inhibition of Inducible Nitric Oxide Synthase Attenuates Monosodium Urate-induced Inflammation in Mice

  • Ju, Tae-Jin;Dan, Jin-Myoung;Cho, Young-Je;Park, So-Young
    • The Korean Journal of Physiology and Pharmacology
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    • 제15권6호
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    • pp.363-369
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    • 2011
  • The present study elucidated the effect of the selective inducible nitric oxide synthase (iNOS) inhibitor $N^6$-(1-iminoethyl)-L-lysine (L-NIL) on monosodium urate (MSU) crystal-induced inflammation and edema in mice feet. L-NIL (5 or 10 mg/kg/day) was administered intraperitoneally 4 h before injection of MSU (4 mg) into the soles of mice hindlimb feet. Twenty-four hours after MSU injection, foot thickness was increased by 160% and L-NIL pretreatment reduced food pad swelling in a dose dependent manner. Pretreatment of 10 mg/kg/day L-NIL significantly suppressed the foot pad swelling by MSU. Plasma level of nitric oxide (NO) metabolites and gene expression and protein level of iNOS in feet were increased by MSU, which was suppressed by L-NIL pretreatment. Similar pattern of change was observed in nitrotyrosine level. MSU increased the gene expression of tumor necrosis factor (TNF)-${\alpha}$ and interleukin (IL)-$1{\beta}$ and L-NIL pretreatment suppressed MSU-induced cytokines expression. The mRNA levels of superoxide dismutase and glutathione peroxidase1 were increased by MSU and L-NIL pretreatment normalized the gene expression. Phosphorylation of extracellular signal-regulated kinase 1/2 and p38 was increased by MSU, which was suppressed by L-NIL pretreatment. The mRNA levels of iNOS, TNF-${\alpha}$, and IL-$1{\beta}$ were increased by MSU in human dermal fibroblasts, C2C12 myoblasts, and human fetal osteoblasts in vitro, which was attenuated by L-NIL in a dose dependent manner. This study shows that L-NIL inhibits MSU-induced inflammation and edema in mice feet suggesting that iNOS might be involved in MSU-induced inflammation.

인공지능 분야의 기술융합맵 생성 및 국가 프로파일 분석 (Technology Convergence Map Creation and Country Profile Analysis in the Field of Artificial Intelligence)

  • 김현우;노경란;안세정;권오진
    • 한국전자통신학회논문지
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    • 제12권1호
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    • pp.139-146
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    • 2017
  • 알파고로 촉발된 인공지능에 대한 국민의 관심이 고조되고 있다. 아직 국내에는 인공지능 분야에 대한 기술융합 맵 및 국가 프로파일에 대한 연구가 미진한 실정이다. 본 연구는 특허와 논문을 통해 인공지능 분야의 기술융합 현상을 밝히고, 인공지능 분야의 국가 프로파일을 분석하고자 하였다. 특허와 논문에서 인공지능 분야 데이터를 추출한 후 기술융합 맵을 작성하였다. KISTI가 보유한 SCOPUS 데이터를 이용해 국가 프로파일 분석에 필요한 지표를 구했다. 기술적 측면에서 인공지능 분야의 기술은 금융가격결정, 이미지분석, 수술 등 분야와 기술융합이 활발하게 나타났다. 학문적 측면에서 보면 인공지능 분야는 컴퓨터 과학 하위 분야에서 주로 연구되고 있지만 전기전자공학, 바이오 공학, 의학 등 분야와 융합이 활발하게 나타났다. 우리나라는 인공지능 분야에 대한 연구 성장도가 세계 평균인 것으로 나타났으며, 국가집중도, 영향력 등 측면에서는 주요국과 격차가 큰 것으로 나타났다.