• 제목/요약/키워드: Cohort Studies

검색결과 620건 처리시간 0.025초

메트포르민의 사용과 위암 발생 (The Metformin Use and Gastric Cancer Risk)

  • 김영일
    • Journal of Digestive Cancer Reports
    • /
    • 제8권2호
    • /
    • pp.97-101
    • /
    • 2020
  • Metformin is a widely used first-line anti-diabetic drug worldwide. Epidemiologic studies using the large population-based cohort database have shown the association between metformin uses and reduced risk of various type cancers including gastric cancer. In the gastric cancer prevention, metformin use was associated with the significant reduction of gastric cancer risk, especially for long-term metformin users. However, there is no well-designed randomized controlled clinical trial investigating the effect of metformin as a chemopreventive drug for gastric cancer. Therefore, further well-designed clinical trials will be needed to implement metformin for chemoprevention of gastric cancer.

한의학임상에 기초를 둔 천연물신약 연구과정에 대한 소고 - 역사적 근거 발굴부터 천연물신약 임상시험계획승인신청까지 - (A Proposal for Research Process of Botanical Drug based Clinical Traditional Korean Medicine - Historical Evidence-Based Medicine II -)

  • 엄석기;김세현;김경석;박상재;어완규;최원철
    • 대한한의학원전학회지
    • /
    • 제23권4호
    • /
    • pp.63-102
    • /
    • 2010
  • Purpose : To propose various types of clinical research which is feasible for botanical new drug (IND) development processes, and suggest essential steps to development of study protocol for IND. Methods : Literature-based discussions and one research group's experience is given regarding domestic act, regulation, and system. Results : In order to get an approval of IND for botanical drug in Korea there are several types of clinical research to conduct. In quality control steps for standardized medicinal herbs, case reports or case series can be conducted, and for good manufacturing practice(GMP) steps, we can conduct case reports, case series, and retrospective cohort studies. In addition, as long as we gathered good laboratory practice(GLP) data we can conduct up to quasi-experimental studies and clinical trials including investigator initiated trials. In order to conduct these studies development of study protocol is essential. First, we obtain historical evidence including target disease and indication, efficacy, safety, and endpoints by reviewing medical classics. Second, we obtain clinically and statistically important data by conducting non-clinical studies, observation studies, and quasi-experimental studies. Third, we generate research hypotheses and purposes and explore methodologies, endpoints, clinical practice guidelines, cost-effectiveness, and commercial potential. Finally, we develop study protocol with aid of biostatistician or expert in contract research organization. Discussions and conclusions : This study have obvious limitations in that most thoughts, suggestions, and proposes are from one research group's experience. Therefore, we hope to see various types of research in this topic and process from other research group as well.

정신과 연구에서 다양한 임상연구방법의 장단점 (Pros and Cons of Various Research Designs in Clinical Psychiatry)

  • 하라연;조현상
    • 생물정신의학
    • /
    • 제19권4호
    • /
    • pp.159-163
    • /
    • 2012
  • An appropriate research design for hypotheses and purposes leads to a good quality of research results. In this review article, we summarized the types of research methods and described the characteristics of clinical trials. Research designs are categorized into observational studies and experimental ones, depending on data collecting methods. In an observational study, there are cross-sectional, cohort and case-control studies. Parallel groups design and crossover trial studies are representative designs in a randomized controlled trial study, a kind of experimental study. Clinical researchers should understand the characteristics of clinical research designs including advantages and disadvantages and choose the suitable design according to their study purposes and the nature of collected data or subjects.

Functional annotation of de novo variants from healthy individuals

  • Lee, Jean;Hong, Sung Eun
    • Genomics & Informatics
    • /
    • 제17권4호
    • /
    • pp.46.1-46.7
    • /
    • 2019
  • The implications of germline de novo variants (DNVs) in diseases are well documented. Despite extensive research, inconsistencies between studies remain a challenge, and the distribution and genetic characteristics of DNVs need to be precisely evaluated. To address this issue at the whole-genome scale, a large number of DNVs identified from the whole-genome sequencing of 1,902 healthy trios (i.e., parents and progeny) from the Simons Foundation for Autism Research Initiative study and 20 healthy Korean trios were analyzed. These apparently nonpathogenic DNVs were enriched in functional elements of the genome but relatively depleted in regions of common copy number variants, implying their potential function as triggers of evolution even in healthy groups. No strong mutational hotspots were identified. The pathogenicity of the DNVs was not strongly elevated, reflecting the health status of the cohort. The mutational signatures were consistent with previous studies. This study will serve as a reference for future DNV studies.

Relevance Epistasis Network of Gastritis for Intra-chromosomes in the Korea Associated Resource (KARE) Cohort Study

  • Jeong, Hyun-hwan;Sohn, Kyung-Ah
    • Genomics & Informatics
    • /
    • 제12권4호
    • /
    • pp.216-224
    • /
    • 2014
  • Gastritis is a common but a serious disease with a potential risk of developing carcinoma. Helicobacter pylori infection is reported as the most common cause of gastritis, but other genetic and genomic factors exist, especially single-nucleotide polymorphisms (SNPs). Association studies between SNPs and gastritis disease are important, but results on epistatic interactions from multiple SNPs are rarely found in previous genome-wide association (GWA) studies. In this study, we performed computational GWA case-control studies for gastritis in Korea Associated Resource (KARE) data. By transforming the resulting SNP epistasis network into a gene-gene epistasis network, we also identified potential gene-gene interaction factors that affect the susceptibility to gastritis.

신장과 노동시장 성과 관계 : 패널 데이터를 이용한 분석 (Height and Labor Market Outcome: Evidence from Panel Data)

  • 조현국
    • 노동경제논집
    • /
    • 제37권2호
    • /
    • pp.79-103
    • /
    • 2014
  • 신장이 노동시장 성과에 미치는 영향을 분석한 문헌은 신장 프리미엄이 존재함을 보이면서도 능력을 통제하면 신장 프리미엄이 줄어든다고 하였다. 이는 신장 효과 추정 시 능력 변수를 적절히 통제하지 않으면 신장 효과가 과대 추정될 수 있음을 의미한다. 본고는 문헌 최초로 개인고정효과(FE) 모델을 사용하여 신장 효과를 추정한다. 최소자승법(OLS)으로 분석 시 키가 큰 남학생이 리더 포지션을 획득할 확률이 유의적으로 높으나, 개인고정효과를 통제하면 둘의 관계는 유의하지 않다. 여학생은 OLS, FE 모두 신장 프리미엄이 나타나지 않는다.

  • PDF

Examination of $\alpha$-terpinene on Primary Eye Irritancy and Skin Sensitization

  • Park, Byeoung-Soo;Choi, Won-Sik;Lee, Sung-Eun
    • Molecular & Cellular Toxicology
    • /
    • 제3권1호
    • /
    • pp.68-75
    • /
    • 2007
  • [ $\alpha$ ]-Terpinene has been known as a repellent against the mosquito Culex pipiens pallens Coquillett based on a human forearm bioassay. $\alpha$-Terpinene showed significantly greater repellency than a commercial formulation, N, N-diethyl-m-methylbenzamide (deet). In this study, skin and eye sensitivity of $\alpha$-terpinene (2%) was examined with bioassays using white New Zealand rabbits. There were somewhat gross and histological changes observed in these treatments. Eye irritancy assays examined gross changes to cornea, iris and conjuctiva, and histological changes to smear of ocular discharge and eye tissue. Treated rabbits were divided into two cohorts, a saline washed cohort (W) or a non-washed cohort (NW). Opacity of cornea and redness, chemosis and discharge of conjuctiva were observed in both cohorts, but disappeared within 4 and 10 days in W and NW, respectively. Main components of ocular discharges were fibrin, epithelial or epitheloid cells, lymphoid cells, erythrocytes and granulocytes. These abnormal cellular components disappeared within 4 days and 10 days in W and NW, respectively. No permanent histological differences were observed between the two cohorts. However, severe irritation was determined as 57.2 of I.I.O.I value on the first day after treatment. These findings indicate a spray-type solution containing 2% $\alpha$-terpinene may serve as an alternative mosquito repellent and further studies need to reduce the eye irritation with formulation changes.

대사증후군 성인의 흡연 및 음주 상태가 대장암 발생 위험에 미치는 영향: 전향적 코호트 연구 (Incidence of Colon Cancer Related to Cigarette Smoking and Alcohol Consumption in Adults with Metabolic Syndrome: Prospective Cohort Study)

  • 조아라;오희영
    • 대한간호학회지
    • /
    • 제49권6호
    • /
    • pp.713-723
    • /
    • 2019
  • Purpose: The purpose of this study was to identify the impact of cigarette smoking and alcohol consumption on the incidence of colon cancer in adults with metabolic syndrome. Methods: This study employed a longitudinal study design and utilized secondary data drawn from the Korean Genome and Epidemiology Study (KoGES). The data of a sample of 2,327 adults with metabolic syndrome tracked every two years from 2001 to 2014 were used in this study. Statistical data analyses of the frequency, number of cases per 100,000 person-years, log-rank test, Kaplan-Meier curve, and Cox's proportional hazards regression were performed using IBM SPSS statistics version 24. Results: During the observation period, the number of colon cancer cases was 46, and the total person-years were 252,444. The incidence of colon cancer was higher in current, over 10 pack-year smokers when compared to non-smokers (hazard ratio=3.38, 95% confidence interval=1.09~8.42). Conclusion: Excessive and long-term smoking should be avoided to prevent colon cancer, especially in adults with metabolic syndrome, since it might exacerbate the risk factors of colon cancer. Particularly, health professionals need to provide individualized smoking cessation interventions to those at high risk of colon cancer.

Stand Structure and Regeneration Pattern of Kalopanax septemlobus at the Natural Deciduous Broad-leaved Forest in Mt. Jeombong, Korea

  • Kang, Ho-Sang;Lee, Don-Koo
    • Journal of Ecology and Environment
    • /
    • 제29권1호
    • /
    • pp.17-22
    • /
    • 2006
  • Since the demands not only for value-added timber but the environmental functions of forests had been increased, native tree species has been, and is rapidly being replaced by foreign tree species in many parts of the world. However, the studies on population structure and regeneration characteristics of native tree species were not conducted enough. Regeneration of Kalopanax septemlobus growing among other hardwoods in natural forests is very difficult because of its low seed viability and germination rate. The study examined the distribution of mature trees of K. septemlobus and their regeneration pattern at the 1.12 ha study plot in natural deciduous broad-leaved forest of Mt. Jeombong. The density and mean DBH of K. septemlobus was 97 trees per ha and 32 cm, respectively. The spatial distribution of K. septemlobus showed a random pattern (aggregation index is 0.935) in the 1.12 ha study plot. The age of 90 trees among 99 sample trees of K. septemlobus ranged from 90 to 110 years and represented a single cohort, thus suggesting that K. septemlobus in advance regeneration has regenerated as a result of disturbances such as canopy opening.

심부전 환자의 빈혈과 사망률 및 재입원 간의 관계에 대한 통합적 고찰 (Anemia as a Risk Factor of Mortality and Rehospitalization in Patients with Heart Failure : An Integrative Review)

  • 손연정;김보환
    • 중환자간호학회지
    • /
    • 제12권1호
    • /
    • pp.94-108
    • /
    • 2019
  • Purpose : Heart failure (HF) is considered an important medical burden with rehospitalization and mortality. Anemia is a major risk factor associated with the severity of HF. To improve the understanding of the impact of anemia in the population with HF, we explored the prevalence of anemia, its guidelines, relationship between anemia and mortality or rehospitalization, and limitation of reviewed papers of various populations with HF. Method: We used Whittemore and Knafl's integrative review methodology (2005), and thirty research papers were analyzed. PubMed, CINAHL, Cochrane, PsychInfo, Embase, Web of Science were searched for papers published between January 1960-June 2018. Results: Anemia in individuals with HF was primarily defined using the World Health Organization guideline. The prevalence of anemia in patients with HF varied from 9% to 56.7%. Moreover, such a condition significantly increases the prevalence of mortality or rehospitalization in patients with HF. The analyzed majority were non-prospective cohort study including secondary data analysis. Conclusion: Anemia in individuals with HF is a significant risk factor of mortality and rehospitalization. Prospective cohort studies should be designed to identify the optimal value for screening anemia and the impact of anemia on rehospitalization and mortality among HF patients.