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주요우울증에서 치료반응을 예측할 수 있는가? (Can We Predict Treatment Response in Major Depression?)

  • 고영훈;김용구
    • 생물정신의학
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    • 제11권2호
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    • pp.77-87
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    • 2004
  • Due to the high population prevalence of major depression and the strong emphasis on pharmacotherapy for this disorder, antidepressants are among the most frequently prescribed pharmacological agents. But the clinicians are still unable to predict accurately the response of their depressed patients to medication. This article reviews the biological predictors of treatment response including monoamine, neuroendocrine, pharmacogenetic, and psychophysiologic markers. The biological predictors of response, despite some interesting leads that may in the long term be of considerable importance, are not yet sufficiently established to be of routine clinical usefulness. Many of the predictive factors explored in this article are examples of mediators and moderators that affect outcomes. Each one alone may not provide definitive answers for predicting response to treatment, but each must be taken into account at the outset of treatment. It is clear that treatments must be individualized for each patient. It would be necessary to develop the algorithm in order to predict the responsiveness of antidepressant treatment with integration of the results from the previous studies.

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Discovery of Maritrema obstipum (Digenea: Microphallidae) from Migratory Birds in Korea

  • Chung, Ok-Sik;Sohn, Woon-Mok;Chai, Jong-Yil;Seo, Min;Lee, Hye-Jung
    • Parasites, Hosts and Diseases
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    • 제49권4호
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    • pp.457-460
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    • 2011
  • Adults of Maritrema obstipum (Digenea: Microphallidae) were found in the intestines of 4 species of migratory birds, including the sanderling (Crocethia alba), Kentish plover (Charadrius alexandrines), Mongolian plover (Charadrius mongolus), and red-necked stint (Calidris ruficollis), collected from Yubu Island, Chungcheongnam-do, Korea. The worms of were $451{\times}265{\mu}m$ in size, and were easily identifiable as Maritrema species by the presence of the cirrus sac, and the ring-like distribution of the vitellaria. More specifically, the ejaculatory duct curved posteromedially, and the 2 parts of vitelline follicles were found to be distinct at the posterior end. The eggs were brown-colored, and $19.8{\times}12.3{\mu}m$ in size. All these findings implicated M. obstipum as the pertinent species of the worms. Beside these, adult worms of Gynaecotyla squatarolae, Parvatrema duboisi, and Acanthoparyphium sp. were also discovered. This is the first report establishing migratory birds as the natural definitive hosts for M. obstipum.

Alexander Disease

  • Kang, Ji Hae;Hong, Seung Jee;Kim, Doo-Kwun
    • Journal of Genetic Medicine
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    • 제10권2호
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    • pp.88-93
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    • 2013
  • Alexander disease (ALXD) is a rare demyelinating disease of the white matter of the brain that is caused by a mutation in the glial fibrillary acidic protein (GFAP) gene. The overexpression of GFAP in astrocytes induces a failure in the developmental growth of the myelin sheath. The neurodegenerative destruction of the myelin sheath of the white matter is accompanied by an accumulation of abnormal deposits of Rosenthal fibers in astrocytes, which is the hallmark of ALXD. The disease can be divided into four groups based on the onset age of the patients: neonatal, infantile, juvenile, or adult. Early-onset disease is more severe, progresses rapidly, and results in a shorter life span than late-onset cases. Magnetic resonance imaging and genetic tests are mostly used for diagnostic purposes. Pathological tests of brain tissue for Rosenthal fibers are definitive diagnostic methods. Therapeutic strategies are being investigated. Ceftriaxone, which is an enhancer of glial glutamate transporter (GLT-1) expression, is currently in clinical trials for the treatment of patients with ALXD. To date, there are no clinically available treatments. The cause, pathology, pathophysiology, inheritance, clinical features, diagnosis, and treatment of ALXD will be reviewed comprehensively.

동적 구조물의 구조변화에 의한 진동해석 연구 (A Study of Vibration Analysis Due to Structual Changes of Dynamic Structure)

  • 현천성;이기형;정인성
    • 대한기계학회논문집
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    • 제16권11호
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    • pp.2033-2048
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    • 1992
  • 본 연구에서는 탄성체 구조물로 형성된 응용에서 좀더 공통된 상황에 관한 것 이다.유일한 선형해석모델의 규명에 필요한 정보제공을 위하여 충분히 넓은 진동수 범위에 걸쳐 응답을 측정하고, 구조물을 기진시키는 것은 불가능하고 비경제적이며 또 는 일반적으로 바람직하지 못할 것으로 생각된다.

분절형 다낭성 이형성신 영아 보고 1례 (A Female Infant with Segmental Multicystic Dysplastic Kidney)

  • 이준호;김문규
    • Childhood Kidney Diseases
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    • 제17권1호
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    • pp.25-28
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    • 2013
  • 분절형 다낭성 이형성신은 PubMed의 자료 수집에 따르면 산전에 발견된 19명을 포함해 35명의 소아 환자와 1명의 성인 환자의 증례가 보고 되었다. 분절형 다낭성 이형성신에 대한 기록은 부족하며 비전형적으로 나타날 수 있어 진단이 어렵다. 본 연구에서는 분절형 다낭성 이형성신의 37번째 케이스를 보고하는 바다. 본 연구에서 환아의 산전 초음파에서 발견된 다낭성 복부 종양은 신장 초음파와 컴퓨터 단층촬영에 의해 분절형 다낭성 이형성신으로 진단되었다. 영상 검사를 통해 분절형 다낭성 이형성신의 최종 진단이 내려진다면 진단적 생검을 위한 수술은 불필요할 것이다.

Orbit Determination and Maneuver Planning for the KOMPSAT Spacecraft in Launch and Early Orbit Phase Operation

  • Lee, Byung-sun;Lee, Jeong-Sook;Won, Chang-Hee;Eun, Jong-Won;Lee, Ho-Jin
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1999년도 제14차 학술회의논문집
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    • pp.29-32
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    • 1999
  • Korea Multi-Purpose SATellite(KOMPSAT) is scheduled to be launched by TAURUS launch vehicle in November, 1999. Tracking, Telemetry and Command(TT&C) operation and the flight dynamics support should be performed for the successful Launch and Early Orbit Phase(LEOP) operation. After the first contact of the KOMPSAT spacecraft, initial orbit determination using ground based tracking data should be performed for the acquisition of the orbit. Although the KOMPSAT is planned to be directly inserted into the Sun- synchronous orbit of 685 km altitude, the orbit maneuvers are required fur the correction of the launch vehicle dispersion. Flight dynamics support such as orbit determination and maneuver planning will be performed by using KOMPSAT Mission Analysis and Planning Subsystem(MAPS) in KOMPSAT Mission Control Element(MCE). The KOMPSAT MAPS have been jointly developed by Electronics and Telecommunications Research Institute(ETRI) and Hyundai Space & Aircraft Company(HYSA). The KOMPSAT MCE was installed in Korea Aerospace Research Institute(KARI) site for the KOMPSAT operation. In this paper, the orbit determination and maneuver planning are introduced and simulated for the KOMPSAT spacecraft in LEOP operation. Initial orbit determination using short arc tracking data and definitive orbit determination using multiple passes tracking data are performed. Orbit maneuvers for the altitude correction and inclination correction are planned for achieving the final mission orbit of the KOMPSAT.

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SFRP Synthesis of Acenaphthylene Oligomers and Block Copolymers. Potential Light Harvesting Structures

  • Ali, Dildar;Ahmed, Zaheer;Dust, Julian M.;Kazmaier, Peter M.;Buncel, Erwin
    • Bulletin of the Korean Chemical Society
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    • 제32권7호
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    • pp.2377-2384
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    • 2011
  • Azo-acenaphthylene oligomers with repeating acenaphthylene units "n" up to 4, 5, 7, 17 and 19 have been prepared successfully using nitroxide mediated Stable Free Radical Polymerization (SFRP). Azo-acenaphthylene oligomers, reversibly end-capped by the stable nitroxide 2,2,6,6-tetramethyl-1-piperidinoxyl (TEMPO), were further reacted via radical addition to 4-(naphthalenemethoxy)styrene monomer for diblock co-polymer formation. Characterization of the oligomers and diblock co-polymers was accomplished using MALDI-MS supported by GPC (Gel Permeation Chromatography) and $^1H$ NMR spectrometry. MALDI-MS afforded definitive results by providing an inter-peak interval of 152 (m/z), corresponding to acenaphthylene monomer, and inter-peak interval of 260 (m/z) for the naphthalenemethoxystyrene monomer unit in block copolymers. Our study opens the way to control the number of repeat units in the oligomers. Further these oligomers can be tailored with various monomers for the formation of block copolymers.

Feasibility and Acceptability of Workers' Health Surveillance for Fire Fighters

  • Plat, Marie-Christine J.;Frings-Dresen, Monique H.W.;Sluiter, Judith K.
    • Safety and Health at Work
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    • 제2권3호
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    • pp.218-228
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    • 2011
  • Objectives: The objective of this study was to test the feasibility and acceptability of a new workers' health surveillance (WHS) for fire fighters in a Dutch pilot-implementation project. Methods: In three fire departments, between November 2007 and February 2009, feasibility was tested with respect to i) worker intent to change health and behavior; ii) the quality of instructions for testing teams; iii) the planned procedure in the field; and iv) future WHS organisation. Acceptability involved i) satisfaction with WHS and ii) verification of the job-specificity of the content of two physical tests of WHS. Fire fighters were surveyed after completing WHS, three testing teams were interviewed, and the content of the two tests was studied by experts. Results: Feasibility: nearly all of the 275 fire fighters intended to improve their health when recommended by the occupational physician. The testing teams found the instructions to be clear, and they were mostly positive about the organisation of WHS. Acceptability: the fire fighters rated WHS at eight points (out of a maximum of ten). The experts also reached a consensus about the optimal job-specific content of the future functional physical tests. Conclusion: Overall, it is feasible and acceptable to implement WHS in a definitive form in the Dutch fire-fighting sector.

Study about gene flow and stability assessment in GM rice (Oryza sativa L.)

  • Kim, Jun-Hoi;Kim, Kyung-Min
    • 한국작물학회:학술대회논문집
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    • 한국작물학회 2017년도 9th Asian Crop Science Association conference
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    • pp.136-136
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    • 2017
  • In agriculture, the rice is the one of important things. Many farmers and scientists have long tried to increase the yield of rice. So many technologies have been developed these days. One type of technology has given rise to a host of concerns and questions, namely Genetically Modified Organisms (GMOs). The increasing cultivation of GM crops has raised a wide range of concerns with respect to food safety, environmental effects and socio-economic issues and now commercially planted on about 100 million hectares in some 22 developed and developing countries. The scientific evidence concerning the environmental and health impacts of GMOs is still emerging, but so far there is no conclusive information on the definitive negative impacts of GMOs on health or the environment. Nevertheless, public perceptions about GMOs in food and agriculture are divided with a tendency toward avoiding GM food and products in many developed and developing countries. Also Korea is one of that country and is not allow the GMOs now. So I studied whether these GMOs are actually dangerous for environment and whether there are differences in cultivar characteristics such as germination test with TTC tetrazolium, germination test in frozen soil and gene-flow test with glufosinate and strip-bar test. With these experiments, we evaluated the agricultural safety of GM rice and to identify and assess environmental risks.

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진행성 두경부암에서 선행항암요법과 방사선요법의 치료성적 (Neoadjuvant Chemotherapy and Radiotherapy in the Treatment of Advanced Head and Neck Cancer : Protocol Based Study)

  • 김철호;최진혁;이진석;오영택
    • 대한두경부종양학회지
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    • 제20권2호
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    • pp.172-176
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    • 2004
  • Background and Objectives: Standard treatment of locally advanced laryngeal, hypopharyngeal, and some oropharyngeal cancers includes total laryngectomy. In an attempt to preserve the larynx through induction chemotherapy, we designed induction chemotherapy followed by definitive radiation in patients with potentially respectable head and neck cancer to determine whether organ preservation is feasible without apparent compromise of survival. Materials and Methods: The twenty-six patients diagnosed advanced head and neck squamous cell carcinoma, Stage III or IV (AJCC 2002) and performed organ preservation protocols in Ajou university hospital from 1994 to 2001 were included in this study. Results: Neoadjuvant chemotherapy showed an overall response rate of 84.6% and a complete remission (CR) rate was 59.1% following neoadjuvant chemotherapy and radiation. Seven of thirteen patients were able to preserve their larynges for more than two years by chemotherapy and radiation. There were no treatment related mortality after 2 cycles of induction chemotherapy. Conclusion: Although Organ preservation protocol through neoadjuvant chemotherapy and radiation need more controlled randomized study, it was considered alternative treatment modality in advanced head and neck cancer.