• Journal of Chest Surgery
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• 제23권1호
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• pp.81-89
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• 1990

A total of 178 patients with primary lung cancer who had undergone complete resection of the tumor in combination with complete mediastinal lymphadenectomy were reviewed at the Department of Thoracic and Cardiovascular Surgery of Yonsei Medical Center from January 1980 through July 1989. Materials; 1. There were 45 men and 33 women ranging of age from 25 to 78 years with a mean age of 55.4 years. 2. Histological types were squamous carcinoma in 115 cases [64.6%] adenocarcinoma in 42 cases [23.6 %], bronchioloalveolar carcinoma in 9 cases [5.1%], large cell carcinoma in 8 cases [4.5 %] and small cell carcinoma in 4 cases [2.2%] Results were summarized as follows: 1. The size of primary tumor was not directly proportional to the frequency of mediastinal lymph node metastasis. [P =0.0567] 2. The histologic types of the primary tumor did not related to the incidence of mediastinal lymph node metastasis. [P >0.19] 3. The chance of mediastinal lymph node metastasis in the case with lung cancer located in right middle lobe[31.8%, N=22] and left lower lobe [31.4%, N=32] were the highest and the lowest was the one located in right lower lobe, while over all incidence of mediastinal lymph node metastasis in this series was 25.4 % [N=55]. 4. The rate of mediastinal lymph node metastasis without evidence of regional and hilar lymph node metastasis was 13%. [N=23] The chance of mediastinal lymph node involvement without N1 lymph node metastasis was 16.3 % [N=17] in both upper lobes and 8.2 % [N=6] in both lower lobes. It was statistically significant that the tumors in the upper lobes had greater chance of the mediastinal lymph node metastasis without N1 than the tumors in the lower lobes. 5. In this series majority of the patients with lung cancer the mediastinal lymph node metastasis from the tumor in each pulmonary lobes usually occurs via ipsilateral tracheobronchial and paratracheal lymphatic pathway. Especially the lung cancer located in lower lobes can metastasize to subcarinal, paraesophageal and inferior pulmonary ligamental lymph node through the lymphatic pathway of inferior pulmonary ligament. It can be speculated that in some cases of this series otherwise mediastinal lymph node metastasis can also occur with direct invasion to the parietal pleura and to the mediastinal lymph node via direct subpleural lymphatic pathway .

• Radiation Oncology Journal
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• 제29권2호
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• pp.83-90
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• 2011

목 적: 이전의 암세포주를 이용한 실험실내 연구에서 플라보피리돌은 암세포의 방사선에 의한 아포토시스를 증가시키는 것을 알 수 있었다. 이번 연구에서는 마우스를 이용한 생체내 실험에서 플라보피리돌의 방사선민감화 효과를 알아보고자 하였다. 대상 및 방법: 마우스 유방암 세포주인 EMT-6를 Balb/c 마우스에 피하주사하여 종양을 만든 후 플라보피리돌 단독 치료군, 방사선 단독 치료군, 방사선과 플라보피리돌 병합 치료군 및 대조군으로 나누어 종양의 성장 속도를 비교 하였다. 플라보피리톨은 2.5 mg/kg을 하루 2회 복강내에 주사하였고, 방사선은 1일 1회, 회당 4 Gy를 조사하여 총 28 Gy를 조사하였다. 각 치료군에서의 종양 성장 곡선을 구하여 비교하였다. 마우스로부터 채취한 종양으로 파라핀 절편을 만틀어 TUNEL 및 면역조직화학염색을 시행하였다. 결 과: 종양 성장을 비교하였을 때 대조군보다 방사선 단독 치료군과 방사선과 플라보피리돌 병합 치료군에서 종양 성장이 지연되는 것을 볼 수 있었다. 그러나 대조군과 플라보피리돌 단독 치료군 사이에서는 종양 성장에 차이가 없었고, 방사선 단독 치료군과 방사선과 플라보피리돌 병합 치료군 사이에서도 차이가 없었다. TUNEL 염색으로 아포토시스율을 비교했을 때 각 치료군 사이에 차이가 없었으며, 면역조직화학염색으로 Ku70 발현을 비교했을 때에도 각 치료군 사이에 차이가 없었다. 결 론: 플라보피리돌은 마우스 유방암 모델에서 방사선민감화 효과를 나타내지 않았다.

• 한국해양학회지
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• 제22권1호
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• pp.1-8
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• 1987

신양리층은 제주도 성산반도 주변에 발달된 층으로 주로 화산쇄설물, 현무암 역, 패각편으로 이루어져 있으며, 퇴적구조, 주직 및 퇴적물의 성분을 중심으로 암상 을 분류한 결과위로 가면서 평행층리 사암상(I), 역암상(II), 사층리 사암상(III)으 로 구분되었다. (암상 I)은 조립질 박층과 세립질 박층이 규칙적으로 반복 교호하 는 쇄기모양 및 평행층리를 보여주며 이는 foreshore 퇴적환경의 특징적인 퇴적구조 이다. 본 암상의 입자들을 다른 두 암상에 비해 양호한 원마도와 분급도를 보이며 부분적으로 역분급층리를 보인다. (암상 II)는 clast-supported하고 매우 불량한 분 급도의 현무암 역으로 이루어져 있으며 신앙리해변을 따라 연속되어 노출되어 있 다. 역 사이의 공간을 주로 화산쇄설물과 원마도가 양호한 소량의 패각쇄설물로 채 워져 있다. 현무암 역의 크기 감소뿐만 아니라 최대 층후도 남쪽(신양리)으로 가면 서 줄어든다. 이 암상 하부에 는 직 하부의 (암상 I)로부터 기원한 커다란 판상의 역이층리면에 평행하게 누워 있으며 역의 크기는 다양하고 불규칙하며 어떤 지역적 인 방향성을 보이지 않는다. 이는 원지(in-situ) 침식잔류 역으로 판단된다. 따라서 현무암역은 해수면의 상대적인 상승으로 인한 해빈잔류역으로 이역들을 부분적으로 연안류와 파랑에너지의 영향을 받았을 것으로 판단된다. (암상 II)의 상부에 발달한 남쪽으로 경사하는 사층리는 연안류의 존재와 방향을 알려준다. (암상 III)은 세립내 지 중립사 크기의 주로 화산쇄설물로 이루어진 암상으로 상부 내해안(upper shoref ace)의 특징인 육지와 바다쪽으로 경사하는 bidirectional trough cross-stratification 과 파랑물결구조가 나타난다. 전반적으로 신양리층은 foreshore에서 상부내해안에 이르는 환경에서 퇴적되었으며 (암상 I)과 (암상 II)사이에는 소규모의 부정합이 존재한다.

• Asian-Australasian Journal of Animal Sciences
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• 제14권6호
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• pp.880-884
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• 2001

Rumen microbiology research has undergone several evolutionary steps: the isolation and nutritional characterization of readily cultivated microbes; followed by the cloning and sequence analysis of individual genes relevant to key digestive processes; through to the use of small subunit ribosomal RNA (SSU rRNA) sequences for a cultivation-independent examination of microbial diversity. Our knowledge of rumen microbiology has expanded as a result, but the translation of this information into productive alterations of ruminal function has been rather limited. For instance, the cloning and characterization of cellulase genes in Escherichia coli has yielded some valuable information about this complex enzyme system in ruminal bacteria. SSU rRNA analyses have also confirmed that a considerable amount of the microbial diversity in the rumen is not represented in existing culture collections. However, we still have little idea of whether the key, and potentially rate-limiting, gene products and (or) microbial interactions have been identified. Technologies allowing high throughput nucleotide and protein sequence analysis have led to the emergence of two new fields of investigation, genomics and proteomics. Both disciplines can be further subdivided into functional and comparative lines of investigation. The massive accumulation of microbial DNA and protein sequence data, including complete genome sequences, is revolutionizing the way we examine microbial physiology and diversity. We describe here some examples of our use of genomics- and proteomics-based methods, to analyze the cellulase system of Ruminococcus flavefaciens FD-1 and explore the genome of Ruminococcus albus 8. At Illinois, we are using bacterial artificial chromosome (BAC) vectors to create libraries containing large (>75 kbases), contiguous segments of DNA from R. flavefaciens FD-1. Considering that every bacterium is not a candidate for whole genome sequencing, BAC libraries offer an attractive, alternative method to perform physical and functional analyses of a bacterium's genome. Our first plan is to use these BAC clones to determine whether or not cellulases and accessory genes in R. flavefaciens exist in clusters of orthologous genes (COGs). Proteomics is also being used to complement the BAC library/DNA sequencing approach. Proteins differentially expressed in response to carbon source are being identified by 2-D SDS-PAGE, followed by in-gel-digests and peptide mass mapping by MALDI-TOF Mass Spectrometry, as well as peptide sequencing by Edman degradation. At Ohio State, we have used a combination of functional proteomics, mutational analysis and differential display RT-PCR to obtain evidence suggesting that in addition to a cellulosome-like mechanism, R. albus 8 possesses other mechanisms for adhesion to plant surfaces. Genome walking on either side of these differentially expressed transcripts has also resulted in two interesting observations: i) a relatively large number of genes with no matches in the current databases and; ii) the identification of genes with a high level of sequence identity to those identified, until now, in the archaebacteria. Genomics and proteomics will also accelerate our understanding of microbial interactions, and allow a greater degree of in situ analyses in the future. The challenge is to utilize genomics and proteomics to improve our fundamental understanding of microbial physiology, diversity and ecology, and overcome constraints to ruminal function.

• Asian Pacific Journal of Cancer Prevention
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• 제17권2호
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• pp.799-805
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• 2016

Background: There is no standard treatment for patients with platinum-resistant or refractory epithelial ovarian cancer. Single agent chemotherapies have evidence of more efficacy and less toxicity than combination therapy. Most are very expensive, with appreciable toxicity and minimal survival. Since it is difficult to make comparison between outcomes, economic analysis of single-agent chemotherapy regimens and best supportive care may help to make decisions about an appropriate management for the affected patients. Objective: To evaluate the cost effectiveness of second-line chemotherapy compared with best supportive care for patients with platinum-resistant or refractory epithelial ovarian cancer. Materials and Methods: A Markov model was used to estimate the effectiveness and total costs associated with treatments. The hypothetical patient population comprised women aged 55 with platinum-resistant or refractory epithelial ovarian cancer. Four types of alternative treatment options were evaluated: 1) gemcitabine followed by BSC; 2) pegylated liposomal doxorubicin (PLD) followed by BSC; 3) gemcitabine followed by topotecan; and 4) PLD followed by topotecan. Baseline comparator of alternative treatments was BSC. Time horizon of the analysis was 2 years. Health care provider perspective and 3% discount rate were used to determine the costs of medical treatment in this study. Quality-adjusted life-years (QALY) were used to measure the treatment effectiveness. Treatment effectiveness data were derived from the literature. Costs were calculated from unit cost treatment of epithelial ovarian cancer patients at various stages of disease in King Chulalongkorn Memorial Hospital (KCMH) in the year 2011. Parameter uncertainty was tested in probabilistic sensitivity analysis by using Monte Carlo simulation. One-way sensitivity analysis was used to explore each variable's impact on the uncertainty of the results. Results: Approximated life expectancy of best supportive care was 0.182 years and its total cost was 26,862 Baht. All four alternative treatments increased life expectancy. Life expectancy of gemcitabine followed by BSC, PLD followed by BSC, gemcitabine followed by topotecan and PLD followed by topotecan was 0.510, 0.513, 0.566, and 0.570 years, respectively. The total cost of gemcitabine followed by BSC, PLD followed by BSC, gemcitabine followed by topotecan and PLD followed by topotecan was 113,000, 124,302, 139,788 and 151,135 Baht, respectively. PLD followed by topotecan had the highest expected quality-adjusted life-years but was the most expensive of all the above strategies. The incremental cost-effectiveness ratios (ICER) of gemcitabine followed by BSC, PLD followed by BSC, gemcitabine followed by topotecan and PLD followed by topotecan was 344,643, 385,322, 385,856, and 420,299 Baht, respectively. Conclusions: All of the second-line chemotherapy strategies showed certain benefits due to an increased life-year gained compared with best supportive care. Moreover, gemcitabine as second-line chemotherapy followed by best supportive care in progressive disease case was likely to be more effective strategy with less cost from health care provider perspective. Gemcitabine was the most cost-effective treatment among all four alternative treatments. ICER is only an economic factor. Treatment decisions should be based on the patient benefit.

• Journal of the Korean Wood Science and Technology
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• 제43권3호
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• pp.355-363
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• 2015

본 연구에서는 초임계 에탄올 및 Ru/C 촉매를 이용하여 초본류 바이오매스 유래 아시안 리그닌을 효과적으로 분해하였으며, 분해 생성된 리그닌오일의 물리화학적 특성을 다양한 분석방법을 이용하여 조사하였다. 리그닌오일의 수율은 반응온도가 $250^{\circ}C$에서 $350^{\circ}C$로 상승함에 따라 89.5 wt%에서 32.1 wt%로 감소하는 경향을 보였지만 분자량 및 다분산지수는 $350^{\circ}C$ 조건에서 아시안 리그닌(3698Da, 2.68) 대비 각각 85%, 44% 감소하여 효과적인 탈중합 반응이 진행되었음을 확인할 수 있었다. 리그닌오일의 GC/MS 분석 결과 guaiacol, 4-ethylphenol, 4-methylguaiacol, syringol, and 4-methysyringol 등 단량체 수준의 페놀화합물은 반응온도가 증가할수록 24.1 mg/g of lignin ($250^{\circ}C$)에서 64.8 mg/g of lignin ($350^{\circ}C$)으로 증가하였으며, 반응기 내부에 수소가스와 촉매(Ru/C)를 첨가하였을 때 최대 76.1 mg/g of lignin 수준까지 향상되는 것을 확인할 수 있었다. 한편 리그닌오일의 원소분석 결과 반응온도가 증가함에 따라 탄소함량은 증가한 반면 산소함량은 점차 감소하였으며, 이를 통해 아시안 리그닌 탈중합 공정 중 수첨탈산소반응 및 수소첨가반응이 진행됨을 간접적으로 확인할 수 있었다.

• 대한치과교정학회지
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• 제14권2호
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• pp.187-202
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• 1984

There are evidences that exogenous electric currents are capable of enhancing bone formation and resolution, and that the conversion of the bioelectric response to biochemical activity provides the directional component of orthodontic tooth movement. In addition, evidence has implicated cyclic nucleotides in alveolar bone cellular activation mechanism during orthodontic tooth movement. In view of these evidences, this study was performed to investigate the effects of exogenous electric currents on cyclic nuclotide levels in feline alveolar bone and the possible clinical application of electric currents as an additional orthodontic tool. In the first study, three groups of three adult cats were subjected to application of a constant direct current of $10{\pm}2$ microamperes to gingival tissue near maxillary canine noninvasively for 1, 3, and 7 days respectively. In the second study, three groups of three adult cats each were treated by an electric-orthodontic procedure for 1, 3, and 7 days respectively. The left maxillary (control) canine received an orthodontic force of 80gm alone at time of initiation, while the right maxillary (experimental) canine received combined force-electric stimulation (80gm of force and $10{\pm}2$ microamperes of a constant D.C. currents). Alveola, bone samples were obtain from the mesial (tension and/or cathode) and the distal (compression and/or anode) sites surrounding maxillary canines as well as from contralateral control sites. The samples were extracted, boiled, homogenized, and the supernatants were assayed for cyclic nucleotides (cAMP, cGMP) by a radioimmunoassay method. And also the amount of tooth movement was measured in the second study. On the basis of this study, the following conclusions can be drawn: 1. The fluctuation pattern of cyclic nucleotide levels in alveolar bone treated by exogenous electric currents was similar to that treated by orthodontic force. 2. The cAMP levels in alveolar bone of electrically treated teeth significantly elevated above the control values. And of electrically treated teeth, the values of the anode sites were higher than those of the cathode sites. 9. The cGMP levels in alveolar bone of electrically treated teeth elevated above the control values at the initiation phase of treatment, but dropped below the control values at time of termination. And of electrically treated teeth, the values of the cathode sites were higher than those of the anode sites. 4. The rate of tooth movement in teeth . treated by force-electric combination increased with the length of treatment as compared to that treated by mechanical force alone.

• Tuberculosis and Respiratory Diseases
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• 제80권3호
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• pp.291-295
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• 2017

Background: Since the introduction of endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) of mediastinal lymph nodes, the incidence of histopathologically-confirmed sarcoidosis has increased. Methods: The electronic medical records of Chonnam National University (CNU) Hospital and CNU Hwasun Hospital (CNUHH) were searched for confirmed cases of sarcoidosis diagnosed between 1996 and 2014. Cases were selected using a combination of clinical, radiological, and pathological evidence. Of 115 cases with the relevant disease codes, 16 cases were excluded, as they had not been confirmed pathologically or had no definitive clinical features of sarcoidosis. Results: Among 99 cases of confirmed sarcoidosis, only nine patients were diagnosed with sarcoidosis before 2008; the rest were diagnosed from 2008 onward, after the introduction of EBUS-TBNA. EBUS-TBNA was used in 75.8% of patients, open surgical biopsy in 13.2%, and mediastinoscopic biopsy in 5.1%. At the time of diagnosis, 42.4% of sarcoidosis cases were at stage I, 55.6% at stage II, and 2% at stage III. Spontaneous remission of sarcoidosis was observed in 33.3% of cases, and stable disease in 37.4%; systemic steroid treatment was initiated in 23.2% of cases. Of the patients treated with systemic steroids, 69.6% showed improvement. The median duration of steroid treatment was 5 months. Conclusion: Following the introduction of EBUS-TBNA, the number of newly diagnosed sarcoidosis patients has increased. Clinical features of sarcoidosis were similar to those previously reported. Spontaneous remission occurred in about one-third of patients, while one-fourth of patients required systemic steroid treatment.

• 한국정보시스템학회지:정보시스템연구
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• 제25권2호
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• pp.1-25
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• 2016

목적 최근 대학에서도 혁신역량이 매우 중요해지고 있으며, 특히 교원의 혁신역량은 대학의 경쟁력에 매우 중요한 요인이 되고 있다. 그러나 중국 대학의 경우 아직까지 지식활용이나 관리에 대한 관심이 부족하여 대학의 혁신역량이 높지 않은 상황이다. 한편, 지식경영에서 분산기억체계와 지식공유는 매우 중요한 요소로서 이 두 요소를 잘 결합하여 실행하면 지식경영에 대한 포괄적인 이해와 성과에 기여할 수 있다. 본 연구의 목적은 중국 대학 교원을 대상으로 분산기억체계, 지식공유 그리고 혁신역량 간의 구조적 관계를 조사하며, 이를 통해 혁신역량을 향상시키기 위한 실천적 방안을 제안하고자 한다. 설계/방법론/접근 본 연구의 가설을 검증하기 위해 16개의 문항을 개발하였으며, 각 문항은 리커트 5점척도를 사용하였다. 설문지는 위챗을 통해 온라인으로 배포되었으며, 설문대상자는 중국 14개 대학의 교원 팀의 리더들이다. 총 201명으로부터 설문지가 회수되었으며, 이중에서 유효한 설문지는 191개이다. 통계 분석과 가설검정을 위해 SPSS 22와 AMOS 22를 사용하였다. 시사점 가설검정결과 모든 연구가설이 채택되었다. 따라서 분산기억체계는 지식공유와 혁신역량에 정(+)의 영향을 미치며, 이 과정에서 지식공유가 분산기억체계와 혁신역량 간의 매개변수 역할을 한다는 것을 알 수 있다. 이는 동일 그룹 내의 중국 대학 교원들 간에 의사소통이 원활하고 동료들과 지식의 교환 및 협업이 활발할수록 혁신역량이 효과적으로 향상됨을 의미한다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권12호
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• pp.6121-6128
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• 2012

Radiation-induced side effects on normal tissue are determined largely by the capacity of cells to repair radiation-induced DNA damage. X-ray repair cross-complementing group 1 (XRCC1) plays an important role in the repair of DNA single-strand breaks. Studies have shown conflicting results regarding the association between XRCC1 gene polymorphisms (Arg399Gln, Arg194Trp, -77T>C and Arg280His) and radiation-induced side effects in patients undergoing whole breast radiotherapy. Therefore, we conducted a meta-analysis to determine the predictive value of XRCC1 gene polymorphisms in this regard. Analysis of the 11 eligible studies comprising 2,199 cases showed that carriers of the XRCC1 399 Gln allele had a higher risk of radiation-induced toxicity than those with the 399 ArgArg genotype in studies based on high-quality genotyping methods [Gln vs. ArgArg: OR, 1.85; 95% CI, 1.20-2.86] or in studies with mixed treatment regimens of radiotherapy alone and in combination with chemotherapy [Gln vs. ArgArg: OR, 1.60; 95% CI, 1.09-2.23]. The XRCC1 Arg399Gln variant allele was associated with mixed acute and late adverse reactions when studies on late toxicity only were excluded [Gln allele vs. Arg allele: OR, 1.22; 95% CI, 1.00-1.49]. In contrast, the XRCC1 Arg280His variant allele was protective against radiation-induced toxicity in studies including patients treated by radiotherapy alone [His allele vs. Arg allele: OR, 0.58; 95% CI, 0.35-0.96]. Our results suggest that XRCC1 399Gln and XRCC1 280Arg may be independent predictors of radiation-induced toxicity in post-surgical breast cancer patients, and the selection of genotyping method is an important factor in determining risk factors. No evidence for any predictive value of XRCC1 Arg194Trp and XRCC1 -77T>C was found. So, larger and well-designed studies might be required to further evaluate the predictive value of XRCC1 gene variation on radiation-induced side effects in patients undergoing whole breast radiotherapy.