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High Prevalence of Helicobacter pylori Resistance to Clarithromycin: a Hospital-Based Cross-Sectional Study in Nakhon Ratchasima Province, Northeast of Thailand

  • Tongtawee, Taweesak;Dechsukhum, Chavaboon;Matrakool, Likit;Panpimanmas, Sukij;Loyd, Ryan A;Kaewpitoon, Soraya J;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8281-8285
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    • 2016
  • Background: Helicobacter pylori is a cause of chronic gastritis, peptic ulcer disease, and gastric malignancy, infection being a serious health problem in Thailand. Recently, clarithromycin resistant H. pylori strains represent the main cause of treatment failure. Therefore this study aimed to determine the prevalence and pattern of H. pylori resistance to clarithromycin in Suranaree University of Technology Hospital, Suranree University of Technology, Nakhon Ratchasima, Northeastern Thailand, Nakhon Ratchasima province, northeast of Thailand. Materials and Methods: This hospital-based cross-sectional study was carried out between June 2014 and February 2015 with 300 infected patients interviewed and from whom gastric mucosa specimens were collected and proven positive by histology. The gastric mucosa specimens were tested for H. pylori and clarithromycin resistance by 23S ribosomal RNA point mutations analysis using real-time polymerase chain reactions. Correlation of eradication rates with patterns of mutation were analyzed by chi-square test. Results: Of 300 infected patients, the majority were aged between 47-61 years (31.6%), female (52.3%), with monthly income between 10,000-15,000 Baht (57%), and had a history of alcohol drinking (59.3%). Patient symptoms were abdominal pain (48.6%), followed by iron deficiency anemia (35.3%). Papaya salad consumption (40.3%) was a possible risk factor for H. pylori infection. The prevalence of H. pylori strains resistant to clarithromycin was 76.2%. Among clarithromycin-resistant strains tested, all were due to the A2144G point mutation in the 23S rRNA gene. Among mutations group, wild type genotype, mutant strain mixed wild type and mutant genotype were 23.8%, 35.7% and 40.5% respectively. With the clarithromycin-based triple therapy regimen, the efficacy decreased by 70% for H. pylori eradication (P<0.01). Conclusions: Recent results indicate a high rate of H. pylori resistance to clarithromycin. Mixed of wild type and mutant genotype is the most common mutant genotype in Nakhon Ratchasima province, therefore the use of clarithromycin-based triple therapy an not advisable as an empiric first-line regimen for H. pylori eradication in northeast region of Thailand.

Nationwide Survey of Laparoscopic Gastric Surgery in Korea (전국 복강경 위 수술 현황 설문조사)

  • Kim, M.C.;Yang, H.K.;Kim, Y.W.;Kim, Y.I.;Kim, E.K.;Kim, H.H.;Park, K.K.;Bae, J.M.;Baik, H.G.;Sul, J.Y.;Shin, S.H.;Lee, Y.B.;Lee, J.M.
    • Journal of Gastric Cancer
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    • v.4 no.3
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    • pp.196-203
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    • 2004
  • The Information Committee of the Korean Gastric Cancer Association sent questionnaires to 31 laparoscopic gastric surgeons about their personal experiences with laparoscopic gastric surgery from 2001 to 2003. Twenty-four surgeons responded to the questionnaires (response rate: $77.4\%$).The number of laparoscopic gastric surgeries from 2001 to 2003 was 1,130 and increased from 209 in 2001 to 593 in 2003. The number of operations for a gastric adenocarcinoma also increased from 87 cases in 2001 to 403 cases in 2003. Laparoscopic radical procedures, such as a laparoscopyassisted distal gastrectomy or total gastrectomy (LADG or LATG), have increased rapidly during this period. (55 cases in 2001, 150 cases in 2002, and 364 cases in 2003). Laparoscopic function-preserving gastrectomies were not performed until 2003, during which year one pylorus- preserving gastrectomy and six proximal gastrectomies were performed laparoscopically. A wedge resection for a gastric submucosal tumor was performed in 71 cases in 2001, 82 in 2002, and 103 in 2003. Hand-assisted laparoscopic surgery (HALS) was performed in 39 cases in 2001, 55 in 2002, and 49 in 2003. As for personal indications for a LADG, 14 surgeons performed a LADG only for a T1 lesion, and 5 surgeons extended their indications to T2N0 lesions. In the near future, laparoscopic procedures for gastric cancer will be widely adopted in Korea if the medical-insurance obstacle is overcome and the long-term survival results are verified.

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Estimation of Potentially mineralizable nitrogen of organic materials (유기자원의 무기화량에 의한 질소 공급량 추정)

  • Lee, Sang-Min;Shin, J.H.;Lee, Y.;Yun, H.B.;Jung, M.C.;Oh, J.S.;Kim, H.S.;Kim, K.H.
    • Proceedings of the Korean Society of Organic Agriculture Conference
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    • 2009.12a
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    • pp.299-299
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    • 2009
  • 유기농업에서 유기자원을 이용하여 적정량의 양분을 공급하기 위해서는 먼저 유기자원의 무기화특성을 고려하여야 한다. 토성, 기온, 재배형태 등 다양한 요인을 고려하면서 무기화모델을 이용하여 유기농업에서 많이 사용되고 있는 유기질비료와 작물잔사 등을 대상으로 잠재 무기화가능 질소량(PMN, Potentially mineralizabe nitrogen)을 추정하였다. 실험은 실내에서 항온 배양하여 유기자원별 질소 무기화 양상을 분석함으로서 대상 유기자원의 PMN 및 무기화 속도를 도출하였다. 실험재료는 팜박, 피마자박, 팽화왕겨, 토마토, 수박, 감자, 마늘 등 7종을 대상으로 $20^{\circ}C,\;25^{\circ}C,\;30^{\circ}C$ 조건에서 하였으며, 최대수분보유량의 60% 수준으로 하여 사양토 및 식양토 조건에서 실험하였다. 유기자원은 토양 100g에 질소 30kg/10a 해당량을 시용하여 112일까지 항온하였다. 토성별 무기화량은 식양토 보다 사양토에서 다소 높은 경향을 보였다. 또한 항온온도가 높을수록 무기화량이 증가하였다. 유기자원별로는 피마자박에서 높았고, 팽화왕겨는 낮은 경향이었다. 유기자원이 처리된 것에서 토양 자체의 무기화량을 뺀 순무기화량은 피마자박, 토마토잔사, 감자잔사가 항온초기부터 무기화가 진행되었으며, 수박잔사, 마늘잔사는 항온 초기에 음의 값을 가지는 유기화 과정을 거친 후 항온 60일에서 80일 사이에서 무기화가 진행되었고 팽화왕겨의 경우 항온 11일까지 유기화가 계속되었다. PMN 및 무기화속도를 추정하기 위하여 반응속도식을 이용하였으며, 모델의 적합도를 높이기 위하여 이중지수모형을 이용하여 매개변수를 결정하고 무기화경향을 예측한 결과 PMN은 피마자박>마늘잔사=팜박>수박잔사=토마토잔사>감자잔사의 순이었다. 또한 유기자원의 무기화량과 C/N율과는 부의 상관관계($r^2$=0.8653)를 나타내었다. 요소의 PMN(135.6mg/kg)에 대한 유기자원별 PMN의 상대적 비율은 피마자박이 100%, 팜박과 마늘잔사가 81%, 토마토, 수박 및 감자잔사가 28~65% 수준이었다.

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Development of Functional Beverage (SanYa) from Fermented Medical Plants and Evaluation of Its Physiological Activities (산야초를 이용한 기능성 발효음료개발 및 생리활성 연구)

  • Cho, Eun-Kyung;Song, Hyo-Ju;Cho, Hea-Eun;Choi, In-Soon;Choi, Young-Ju
    • Journal of Life Science
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    • v.20 no.1
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    • pp.82-89
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    • 2010
  • This study was investigated to analyze the contents of flavonoid compounds and the effects of fermentation on the physiological activities of medical plants, also known as SanYa (SY). Antioxidative activity of the fermented SanYa (FSY) was measured by using DPPH radical scavenging and SOD-like activity. DPPH radical scavenging and SOD-like activity of FSY were 94.3% and 45.0%, respectively. Nitric oxide (NO) synthesis was increased 11 times through the addition of FSY. However, NO production of the macrophages RAW264.7 cells stimulated with lipopolysaccharide (LPS) was reduced to 56% through the addition of FSY. FSY showed fibrinolytic activity and indicated about 69.8% and 73.7% of xanthine oxidase and angiotensin converting enzyme inhibitory activities, respectively. These results suggested that FSY plays a significant role in fibrinolytic activity and have strong xanthine oxidase and angiotensin converting enzyme inhibitory activities.

The study of the relationship of the defense industry-specific factors effect the innovation of manufacturing technology and the market share. (방위산업의 시장구조 결정요인이 기술혁신과 시장지배에 미치는 영향)

  • Chung, Young-Hyun
    • Journal of National Security and Military Science
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    • s.5
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    • pp.241-280
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    • 2007
  • This study examines the relationship of the industry-specific factors that effect innovation of manufacturing technology and the market share within the defense industry. Since the establishment of the basic defense industry framework in 1973, there were numerous interactions of the industry-specific factors of the defense industry structure with the technological innovation and market organization of the defense industry. During last three decades, the domestic defense industry has achieved the considerable level but the framework of the basic system has not developed much in areas of the military science and the defense manufacturing technology. Industry-specific factors were formed in the process and appeared in a variety of behavioral characteristics as subsystems. Currently, there IS a growing trend where the management of defense industry is gradually deteriorating due to limitation of the domestic industry-specific factor (e.g. defense technologies, amount of demand, etc.). If there is a prominent imbalance of the industry-specific factors. it can trigger the potential problem of conflict, lack of cooperation and control, slowing the growth of the manufacturing technology thereby diminishing the market and deteriorating the defense supply/demand relationship. In a research conducted by Joe S. Bain, Bain analyzed the relationship of the traditional industrial organization where industry-specific factor(S) not only impacts the conductor(C). And, conductor(C) influences the shaping of the performance(P) of relationship of the traditional industrial organization. Consequently, the researcher has identified the demand monopoly, barriers to entry, and market competition with comparison of defense industry issues. These defense issues were three industry-specific factors identified, which are 1) The demand monopoly and The entry barriers to new market competition, 2) the industrial technical factor to a production technical competitiveness and a market sharing competitiveness, 3) the probability factor to revolution for military affairs(RMA) and a R&D production. According to baseline with these factors, the following research model is established from the special companies group(Group A), the systematization companies group(Group B), and the general companies group(Group 0. The hypothesis is that if there are more industry-specific factors, then there will be more relationships of defense industry relation statutes. This research is an empirical study on the relationship that the industry specific factors effects the innovation of manufacturing technology and the shaping of the market in the defense industry. Moreover, the existing models to evaluate the industry specific factors of the defense industry IS much to be desired with the controlled statistical analysis of the result. It is vital to study on current situation with suggesting alternative strategy to the efficient strategy. The descriptive analysis approach analysis is conducted with SPSSWIN to conduct reliability test, factor analysis, correlation analysis, cross-tabulation analysis, one-way ANOVA, and multiple regression analysis. However, there were some limitations of the survey such as the rigidity of concept about the technical factors and various market management factors. The wishes is that the decision-maker could be utilized these defence industrial factors to formulate efficient defence policy and strategy in the future.

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The Possibility of Environmental Paraquat Exposure (파라콰트의 환경성 노출 가능성)

  • Oh, Se-Hyun;Choi, Hong-Soon;You, Ho-Young;Park, Jun-Ho;Song, Jae-Seok
    • Journal of agricultural medicine and community health
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    • v.36 no.4
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    • pp.218-226
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    • 2011
  • Objectives: Paraquat (PQ) is a widely used ionic pesticide that is fatal when ingested accidentally or for suicidal purposes. It is thought that chronic exposure of PQ is related with the development of Parkinson's disease, but epidemiological studies have not yet confirmed that theory. This study attempted to estimate the possibility of environmental PQ exposure through soil and water. Materials and Methods: We analyzed the amount of decomposed PQ solution in wet soil after exposure to ultraviolet light. An artificial rainfall condition was simulated over soil sprayed with PQ to measure the amount of eluted PQ. In addition, PQ was diluted in water from three differently rated rivers and the changes in PQ concentration were measured after ultraviolet exposure over one month. High performance liquid chromatography/ultra violet detection was used to analyze the concentrations of PQ. Results: In the method we used, the recovery rate of PQ showed a precision rate less than 5%, an accuracy greater than 88%, and the calibration equation was y=5538.8x-440.01($R^2$=0.9985). There were no significant differences in the concentrations of PQ obtained from the three specimens over a 1-week period. From the PQ-sprayed soil, the artificial rainfall conditions showed no PQ elution over a 1-month period, and there was no significant differences in PQ concentrations according to ultraviolet exposure among the three samples. Conclusions: PQ remains well adsorbed naturally in soil. However, it may still exist in an integrated state for a long time in the hydrosphere, so the possibility of PQ exposure through drinking water cannot be disqualified.

Chromosome Aberration Test of Water Extract of Decaffeined Green Tea using Supercritical Carbon Dioxide with Mammalian cell line (초임계이산화탄소를 이용한 탈카페인녹차 열수추출물의 포유동물 세포주를 이용한 염색체이상시험)

  • Koo, Yun-Chang;Lee, Hyun-Sun;Park, Byung-Gyu;Kim, Eun-Jin;Lee, Sun-Joo;Kim, Kyoung-Hoen;Kim, Young-Suk;Chung, Young-Shin;Lee, Kwang-Won
    • Environmental Mutagens and Carcinogens
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    • v.26 no.4
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    • pp.119-124
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    • 2006
  • There are $10{\sim}30%$ polyphenol and $2{\sim}4%$ caffeine in green tea. Caffeine is a kind of alkaloid containing nitrogen which cause stimulation, impatience, headache, insomnia, low birth weight infant. Because of these negative effect, decaffeined beverage came out and decaffeined coffee already have a big market since 1970s. Having proving the physiologic functions of green tea, high consumption of coffee is shifting to green tea. Because of the carcinogenic effect of the organic solvents, decaffeine processing with supercritical carbon dioxide has industrialized and have an advantage in environment-friendly and minimized flavor loss. Decaffeined green tea using supercritical carbon dioxide is considered to be safe but there are not enough study. We investigated the chromosome aberration test with mammalian cell line, CHL. When the cells were treated with 5000, 2000, 1000 ${\mu}g/ml$ and compared with the negative controls, there were no significant(P>0.05) increased chromosome aberration. Same results was observed when adding S9 mixture or not. As a result, water extract of decaffeined green tea using supercritical carbon dioxide does not induce chromosome aberration.

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Effect of Scutellaria Baicalensis Georgi. Extract on Cisplatin-Induced Acute Renal Failure in Rabbits (토끼에서 cisplatin에 의해 유도된 급성 신부전시 황금(黃芩; Scutellaria Baicalensis Georgi.) 추출물의 효과)

  • Kim, Soo-Chang;Song, Yeong-Min;Lee, Sung-Dae;Song, Seung-Hee;Koh, Phil-Ok;Kim, Jong-Su;Kim, Chung-Hui;Kang, Chung-Boo
    • Journal of Veterinary Clinics
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    • v.24 no.3
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    • pp.392-399
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    • 2007
  • Scutellaria baicalensis Georgi. (SBGE) is known to be antioxidant effect. In addition of the effects, we further investigated the SBGE on the antioxidant effect on a renal cortical slices cell and kidney protecting effects. The results were as follows. 1 When renal cortical slices separated from a rabbit's kidney were treated with 1mM tert-Butylhydroperoxide (t-BHP) in the presence of SBGE. SBGE significant prevented t-BHP induced increase in lactate dehydrogenase (LDH) release and lipid peroxidation. 2. When renal cortical slices separated from a rabbit's kidney were treated with oxidant $300{\mu}M$ cisplatin in the presence of SBGE. SBGE significant prevented cisplatin-induced increase in LDH release and lipid peroxidation. 3. Pretreatment with 0.1g/kg SBGE for seven day and treatment with 5 mg/kg cisplatin by the intraperitoneal injection The results were that the pretreatment group with SBGE showed a significant decrease in lipid peroxidation, increase in clearance rate of blood urea nitrogen (BUN) and creatinine in the kidney than the administering single agent group of cisplatin. and pretreatment group with SBGE showed intact microvillus of proximal tubule and no contraction of rumen, it was a similar result with normal group. With the results SBGE showed to be highly effective on antioxidant effect and cellular protection activity against cisplatin that was a toxic agent on a kidney. Therefore, SBGE is considered to have protective effective on a disordered kidney or kidney diseases such as nephritis or renal failure that cause tissue damages in a kidney.

The Effect of Nursing Student's Academic Resilience and Academic Burnout on Major Satisfaction (간호대학생의 학업탄력성과 학업소진이 전공만족도에 미치는 영향)

  • Yeom, Young-Ran;Park, Hyun-Jung
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.63-73
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    • 2020
  • The purpose of this study was to investigate the relationship of academic resilience, academic burnout and major satisfaction and to identify the influencing factors on major satisfaction of nursing students. Data were collected using questionnaires from 215 students who were in 3rd and 4th year of the nursing college in G city, from May to June 2019. The collected data was analyzed using descriptive statistics, pearson's correlation coefficient and stepwise multiple regression with IBM SPSS 25.0 program. The study results showed that university students in nursing scored 3.71±.56 points for academic resilience, 2.96±.52 for academic burnout, 3.78±.54 for major satisfaction. The higher the academic Resilience, the lower the academic burnout and the higher the level of major satisfaction. The factors affection the relationship of academic resilience, academic burnout and major satisfaction are interpersonal relationships and admission motive which resulted in the major satisfaction level of 44.3%. In conclusion, to enhance major satisfaction for nursing students, efficient education program development is required considering the factors that explain the major satisfaction of nursing students. Also It should be considered that required the students' talent and aptitude. So it makes sure that this will require an advanced method of studying to students' capabilities.

Hepatogenic Potential of Umbilical Cord Derived-Stem Cells and Human Amnion Derived-Stem Cells (사람의 제대 및 양막유래 줄기세포의 간세포로의 분화)

  • Kim, Ji-Young;Lee, Yoon-Jung;Park, Se-Ah;Kang, Hyun-Mi;Kim, Kyung-Sik;Cho, Dong-Jae;Kim, Hae-Kwon
    • Clinical and Experimental Reproductive Medicine
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    • v.35 no.4
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    • pp.247-265
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    • 2008
  • Objectives: Many types of liver diseases can damage regenerative potential of mature hepatocytes, hepatic progenitor cells or oval cells. In such cases, a stem cell-based therapy can be an alternative therapeutic option. We examined whether human amnion-derived mesenchymal stem cells (HAM) and human umbilical cord-derived stem cells (HUC) could differentiate into hepatocyte-like cells as therapeutic cells for the liver diseases. Methods: HAM and HUC were isolated from the amnion and umbilical cord of the volunteers after a caesarean section with informed consent. In order to differentiate these cells into hepatocyte-like cells, cells were cultivated in hepatogenic medium using culture plates coated with fibronectin. Effects of hepatocyte growth factor, L-ascorbic acid 2-phosphate, insulin premixture fibroblast growth gactor 4, dimethylsulfoxide, oncostatin M and/or dexamethasone were examined on the hepatic differentiation. After differentiation, the cells were analyzed by RT-PCR, immunocytochemistry, immunoblotting, albumin ELISA, urea assay and periodic acid-schiffs staining. Results: Initial fibroblast-like appearance of HAM and HUC changed to a round shape during culture in the hepatogenic medium. However, in all hepatogenic conditions examined, HUC secreted more amounts of albumin or urea into medium than HAM. Expression of some of hepatocyte-specific genes increased and expression of new genes were observed in HUC following cultivation in hepatogenic medium. Results of immunocytochemistry and immunoblotting analyses demonstrated that HUC secreted albumin into the culture medium. PAS staining further demonstrated that HUC could store glycogen inside of the cells. Conclusions: Both HUC and HAM could differentiate into albumin-secreting, hepatocyte-like cells. Under the same hepatogenic conditions examined, HUC more efficiently differentiated into hepatocyte-like cells compared with the HAM. The results suggest that HUC and HAM could be used as sources of stem cells for the cell-based therapeutics such as in liver diseases.