• Asian Pacific Journal of Cancer Prevention
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• 제15권16호
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• pp.6665-6668
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• 2014

Introduction: Breast cancer in young women is a relatively rare disease; however it tends to be more aggressive and is the leading cause of cancer death in this population. The aim of this study is to investigate the clinical and biological features of breast cancer arising in young Turkish breast cancer patients. Materials and Methods: Patients with breast cancer aged 35 or less (${\leq}35$ years) were selected for the study. In total 211 cases were included. Pathologic features; histologic subtypes, grade, lymphovascular invasion, axillary involvement, and stage were recorded for each. Results: The most common subtype was luminal B (36.5%), followed by luminal A (30.8%), triple negative (23.2%) and HER2+(9.5%) subtypes. Twelve percent of the patients had stage 4, 32.7% had stage 3, 46.4% had stage 2, and 6.2% had stage 1 disease at the time of diagnosis. Mean tumour diameter was 3.87 cm (range 0.3-13 cm). The axillary lymph nodes were positive in 74.4% of the patients, while lympho-vascular invasion was seen in 56.4%. Some 9.5% of patients had grade 1, 51.2% had grade 2, and 31.8% had grade 3 tumors. Conclusions: Young women with breast cancer in Turkey are more likely to present with luminal B subtype. Tumors in young women are more likely to present with advanced disease, to be high grade and and to have more lymphovascular invasion. Further research should focus on whether we need new treatment strategies for young patients with breast carcinoma.

• Tuberculosis and Respiratory Diseases
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• 제45권6호
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• pp.1154-1166
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• 1998

배 경 : 현재 우리나라에서 사용되어지고있는 여러 가지 재치료 결핵제재 조합의 치료효과를 비교함으로써 결핵 재치료시외 올바른 Regimen을 정립시키고자 실시하였다. 방 법 : 1994년 1월부터 1996년 11월까지 국립마산병원에 입원하였던 재치료 환자로서 2차약제를 처음 처방한 104명을 OFX+PTA+CS+PAS+Aminoglycoside주사제를 사용하는 처방군 48명과 PZA+PTA+CS+PAS+Aminoglycoside주사제를 사용하는 처방군 35명 그리고 PZA+OFX+PTA+PAS+Aminoglycoside주사제를 사용하는 처방군 21명으로 분류하여 일반적인 임상 특성 및 치료효과를 연구하였다. 결 과 : 연령분포는 전체적으로는 50세 이상이 36례(34.6%)로 가장 많았고 평균연령은 42.6세였다. 성별은 남자가 81례(77.9%)로 많았다. 동반질환이 있는 경우는 31례(29.8%)였고, 합병증이 있는 경우는 18례(17.3%), 가족력이 있는 경우는 29례(27.9%)로 나타났다. 초치료처방은 HERZ(S or K) 48례 (46.2%), HER(S or K) 41례(39.4%), 기타 15례(14.4%)의 순 이었으며, 입원전 항결핵 치료에서 규칙적으로 치료한 경우가 49례(47.1%)로 나타났다. 약제 내성검사결과 INH와 RFP 동시에 내성이 있는 경우가 68례 (65.4%)로 가장 많았고 RFP에 내성이 있는 경우는 12례(11.5%), INH에 내성이 있는 경우는 3례(2.9%)이었으며, 모든 약제에 감수성이 있는 경우도 3례(2.9%)이었다. 입원시 호소한 증상은 전체적으로 기침이 93례(89.4%)로 가장 많았고, 객담 72례(69.2%), 호흡곤란 39례(37.5%), 체중감소 35례(33.7%), 혈담 16례(15.4%)의 순 이었으며, 증상이 없는 경우도 1례(0.96%)있었다. 입원시 병변의 범위에 따른 분류는 전체적으로 중증이 73례(70.2%)로 가장 많았고 중등증 28례(26.9%), 경증 3례(2.9%)의 순 이었다. 약제에 대한 부작용용 위장장애 31례(29.8%), 관절통 22례(21.2%), 피부질환 12례(11.5%) 등의 순이었다. 객담도말검사상 균이 음전화된 경우는 89례(85.6%)로 Group I이 42례(87.5%), Group II가 28례(80.0%), Group III가 19례(90.5%)였고, 평균 균음전 기간은 4.0개월로 Group I이 4.0개월, Group II가 4.6개월, Group III가 3.0개월이었다. 결 론 : 재치료 병합치료에서 OFX는 PZA를 사용하지 못하는 환자에게 투여하여 PZA를 사용할 때와 유사한 결과를 얻었으며, CS를 사용할 수 없는 환자에게 OFX와 PZA를 복합 처방함으로써 좋은 결과를 얻을 수 있을 것으로 생각된다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권14호
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• pp.5709-5714
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• 2014

Background: An association between alcohol/tobacco use and risk of metastasis in breast cancer has been clearly shown. Materials and Methods: The present study explored, in 48 samples of tissue from mammary ductal carcinoma (taken from Mexican women with an average age of $58.2{\pm}10.9$ years), the association of risk of metastasis with the status of hormonal receptors and the c-erbB2 protein (by immunohistochemistry) as well as clinical, histopathological and sociodemographic factors. Results: Of 48 patients, 41.6% (20/48) presented with metastasis, 43.8% were positive for the estrogen receptor (RE+), 31.3% for the progesterone receptor (RP+) and 47.7% for c-erbB2 (c-erbB2+). The following combinations were found: RE+/RP+/c-erbB2+ 8.3%, RE+/RP+ 22.9%, RE+/RP- 20.8%, RE-/RP+ 8.3%, RE-/RP-/c-erbB2- 22.9% and RE-/RP- 47.8%. There were 12 patients who used alcohol/tobacco, of which 91.6% did not present metastasis and 81.9% were RE-/RP-. Compared to the RE-/RP-/c-erbB2+, the RE+/RP+/c-erbB2+ group had a 15-fold greater risk for metastasis (95%CI, 0.9-228.8, p=0.05). The carriers of the double negative hormonal receptors had a 4.7 fold greater probability of being (or having been) smokers or drinkers (95%CI, 1.0-20.4, p = 0.03). Conclusions: There was a clear protective effect of using alcohol and/or tobacco, in the cases included in the present study of mammary ductal carcinoma, associated with double negative hormonal receptors. However, this association could be due to a protective factor not measured (Neyman bias) or to a bias inherent in the rate of hospitalization (Berkson fallacy). This question should be explored in a broad prospective longitudinal study.

• 모자간호학회지
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• 제2권1호
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• pp.21-33
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• 1992

This study was done to investigate how importantly midwives thought of Lamaze Method of Childbirth, how satisfactorily they performed their Lamaze Method of Childbirth and what inhibited their activities from being performed if not done satisfactorily. The subjects of this study were 76midwives at midwifery in Pusan, Deagu, Kyungnam and Kyungbok. Data were collected by using questionaire from Sep. 1 to Sep.30, 1991. The measurement tools was maded by the researcher based on Kim's scale for prenatal nursing activities. The statistical analysis was done with based statistical values likes frequencies, means, standard deviations and advanced methods such as Pearson's correlation coefficient, 1-test, F-test, F-test by using SPSS package program. The results of this study can be summarized as follows ; 1. The results of Investigating perception according to importance degree and performance degree of Lamaze Method of Childbring showed that midwives were slightly below both perception according to importance(2.17) and performance(2.16) of Lamaze Method of Childbirth 2. Inhibiting factors of Lamaze Method of Childbirth were abscence of husband(3.08), lack of teaching room(2.71), and lack of books or literature of Lamaze Method (2.58). 3. There appears to be a positive relation between perception according to importance degree and performance degree of Lamaze Method of Childbirth (r=0.69, P<0.01). There appears to be a negative relation between perception according to importance degree and inhibit factors of performance (r=-0.38, P<0.01). There appears to be a negative relation between performance and inhibit factors of performance (r=-0.22. P<0.01). 4. The item of highest perception defree in prenatal education is 1st, Consultation about sexual life (2.53), End, illustration of the importance of a bath and perinal cleanliness and Avoidance of excessive respiration method and also its comfortable application during uterine contractility(2.45). The item of lowest perception degree is about pregnant symptom sign and predicted date of birth (E.D.C.). On the other hand, The item of highest performance degree is education about nurtrition during pregnacy. 2nd, Illustration of the Importance of a bath and perineal cleanness(2.45). The lowest one is leaching the pregnant woman and her family about the role of husband and her family and also teaching the couple to learn exercise and respiration method (1.84). Though importance perception degree and performance degree is low. Midwives who wert subject in this research shoves that they perform general items concerning prenatal education well. 5. In the relationship between perception according to importance degree of Lamaze Method of Childbirth and the general characteristics of subjects, the differences in mean number of visiting pregnacies for 1 month. 6. In the relationship between performance degree of Lamaze Method of Childbirth and the general characteristics of subjects, the differences in age, marriage, and mean number of visiting pregnancies for 1 month. With the above information we see the importance of midwife prenatal care education and high correlation between performance degree and perception degree. When Lamaze prenatal education is well performed the number of pregnant woman who have follow-up, check-ups increase. Therefore in this research we can validity that there is a relation between Lamaze prenatal education and patient follow-up. This research showes in a situation where if one does not maximally perform a prenatal education there is a possibility that the popular use of midwife activities may encounter obstacles so the education to save new knowledge and training for prenatal education is needed as a function of Lamaze prenatal education, when a special Lamaze education is well performed for the pregnant woman, who follows-up at amidwife clinic. With the above conclusion we can suggest : 1. Continued research which minimized obstacles to Lamaze prenatal education is needed. 2. The official method of midwives is necessary.

• 시큐리티연구
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• 제15호
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• pp.89-105
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• 2008

본 연구는 서울과 경기도에 소재하고 있는 경호경비회사 경호원 50명을 대상으로 목적적 표집을 하여 질적연구 방법인 심층면담을 실시하였으며, 경호원들의 스트레스에 대한 면담자료를 귀납적 내용분석(inductive content analysis)을 하여 다음과 같은 결론을 얻었다. 1. 개인적 문제에 의한 스트레스요인 신체조건 불만요인 중 타경호원과 비교 시 체력의 열세로 인한 부정적 생각이 매우 높게 나타났으며, 학력 및 전공불만요인에서도 경호전공자가 아니기 때문에 동료직원이나 상사로부터 느끼는 부조화로 인한 불안감 등으로 정신적 스트레스가 노출되어 있음이 나타났다. 2. 인간관계 문제에 의한 스트레스요인 업무지시에 대한 부정적 생각과 장래문제로 타 직종으로 전직을 하고 싶다는 희망자가 높게 나타났으며, 친구문제에서는 근무조건이 친구들과 맞지 않아 자주 어울리지 못하는 경우와 그로 인한 애인과의 잦은 다툼과 헤어짐으로 마음의 상처를 받는 것으로 나타났다. 3. 가정생활 문제에 의한 스트레스요인 적은 급여에 대한 배후자의 불만으로 대부분의 경호원들이 스트레스를 받고 있는 것으로 나타났다. 특히 경호원을 대상으로 스트레스를 연구한 선행연구에서 보고 되지 않았던 성문제가 스트레스의 근원으로 나타났다는 것에 주목을 끌고 있다. 경호원들이 만족한 부부관계가 안될시 스트레스를 받는다고 답하고 있고, $20{\sim}30$대 경호원들이 24시간 근무로 인한 야간근무를 할 시 배후자를 의심하는 초기 의처증 증세까지 경험한 것으로 나타났다.

• 대한간호학회지
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• 제22권1호
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• pp.68-80
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• 1992

In order to provide data basic to the training of hospice volunteers, this study was carried out to investigate the personal attributes and the Death Orientation of hospice volunteers. 80 hospice volunteers were sampled from those registered on Seoul Catholic Social Service and Korean Association for Volunteers Effort conveniently. Data were gathered from August 16th to October 3rd, 1991. The instrument used for this study was the Death Orientation Questionnaire developed by Thorson and Powell, subjective age and religiosity questionnaire developed by Bell and Batterson, and subjective health criteria developed by Baumann. Data were analyzed using frequency, mean, standard deviation, Chi-square, and t-test by SPSS - program. Result of this study are summarized as follows ; 1. The majority of hospice volunteers perceived younger in their subjective age than their chronological age (65%), Perceived themselves to be healthy subjectively(88.8%), and revealed to have high religiosity score(96.3%) 2. Level of Death Orientation of hospice volunteers was revealed to be moderate.(Mn＝2.06, SD＝0.40, range, 1.45-3.53) Among 25 Death Orientation items, respondents revealed the highest concern over the afterlife (Mn＝3.53, SD＝0.71), revealed the lowest anxiety about not knowing the next world after his or her death(Mn＝1.45, SD＝0.69), and relatively high concern over leaving careful instructions after death (Mn＝2.97, SD＝0.83) Respondents revealed low Death Orientation score(below 1.99) to 12 negative items(2, 3, 5, 6, 7, 9, 14, 17, 18, 19, 20, 22). Thus hospice volunteers seem to be preparing for their own death and shown positive Death Orientation to some items relatively. 3. According to personal attributes (demographic, socioecnomic, and relevant variables) of hospice volunteers, there were no significant statistic differences of Death Orientation score. Thus pre-existing Death Orientation of hospice volunteers and their motive of participation to the hospice service are to be considered important variables influencing the Death Orientation.

• Environmental Engineering Research
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• 제17권4호
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• pp.185-190
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• 2012

Rejection characteristics of perchlorate ($ClO_4^-$) were examined for commercially available reverse osmosis (RO) and nanofiltration (NF) membranes. A bench-scale dead-end stirred-cell filtration system was employed to determine the toxic ion rejection and the membrane flux. Model water solutions were used to prepare $ClO_4^-$ solutions (approximately, $1,000{\mu}g/L$) in the presence of background salts (NaCl, $Na_2SO_4$, and $CaCl_2$) at various pH values (3.5, 7, and 9.5) and solution ionic strengths (0.001, 0.01, and 0.01 M NaCl) in the presence of natural organic matter (NOM). Rejection by the membranes increased with increasing solution pH owing to increasingly negative membrane charge. In addition, the rejection of the target ion by the membranes increased with increasing solution ionic strength. The rejection of $ClO_4^-$ was consistently higher for the RO membrane than for the NF membrane and $ClO_4^-$ rejection followed the order $CaCl_2$ < NaCl < $Na_2SO_4$ at conditions of constant pH and ionic strength for both the RO and NF membranes. The possible influence of NOM on $ClO_4^-$ rejection by the membranes was also explored.

• 아동학회지
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• 제3권
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• pp.63-81
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• 1982

The purpose of this study is to relate social behaviors and child-rearing practices to the popularity of preschool children in Korea. Specifically, four major questions were raised and studied First, the relationship between a child's popularity and his/her social behaviors was examined. Second, this relationship was explored as a function of the child's sex. Third, the relationship between a child's popularity and maternal childrearing practices was investigated. Fourth, this relationship was explored as a function of the child's sex. The subjects of this study were 113 middle class preschool aged children and their mothers. Sociometric choices and peer-perceived social behaviors were obtained from these children using Moore's (1973) Sociometric Status Test. Mothers of these children described their childrearing practices in a Q-sort format of Child-Rearing Practices Report (CRPR) developed by Block (1965). The analyses of the data using Kendall's Tau Correlation Coefficient bore the following results: 1. Patterns of social behaviors shown by either popular or unpopular children were distinct; Popular children were friendly and conformative, while unpopular children were aggressive, non-conformative and independent. 2. Patterns of social behaviors in relation to the popularity and the unpopularity differed as a function of the child's sex; Popular boys tended to be active while popular girls were likely to be unaggressive, independent and not-teasing. Unpopular boys showed a great amount of discipline their daughters by means of non-punitive punishment and to express negative reaction to the sibling rivalry among their children. These mothers tended not to enjoy their 3. Certain patterns of maternal child-rearing practices tended to be related to the popularity status of the child; The mothers of popular children as compared to those of unpopular children enjoyed their roles as mothers and didn't use non-punitive punishment. 4. Patterns of maternal child-rearing practices in relation to the child's popularity and unpopularity differed as a function of the child's sex; The mothers of popular boys unlike those of popular girls tended to emphasize on their sons' achievement and perceived that their husbands were greatly involved with their sons. The mothers of unpopular boys appeared to show negative affection toward their sons. The mothers of unpopular girls were likely to displine their daughters by means of non-punitive punishment and to express negative reaction to the sibling rivalry among their children. These mothers tended not to enjoy their roles as mothers and did not believe that their daughters would behave as they should.

• Journal of Microbiology and Biotechnology
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• 제28권4호
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• pp.542-550
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• 2018

Heat shock protein 90 (Hsp90) is treated as a molecular therapeutic target for the prevention and treatment of cancer. Geldanamycin (GA) was the first identified natural Hsp90 inhibitor, but hepatotoxicity has limited its clinical application. Nevertheless, a new GA analog (WK-88-1) with the non-benzoquinone skeleton, obtained from genetically engineered Streptomyces hygroscopicus, was found to have anticancer activity against two human breast cancer cell lines. WK-88-1 produced concentration-dependent inhibition of cell proliferation, cell cycle arrest, and apoptosis in estrogen receptor (ER)-positive MCF-7 and ER-negative MDA-MB-231 cell lines. Detailed analysis showed that WK-88-1 downregulated some key cell cycle molecules (CDK1 and cyclin B1) and lead to $G_2/M$ cell cycle arrest. Further studies also showed that WK-88-1 could induce human breast cancer cell apoptosis by downregulating Hsp90 client proteins (Akt, p-Akt, IKK, c-Raf, and Bcl-2), decreasing the ATP level, increasing reactive oxygen species production, and lowering the mitochondrial membrane potential. Meanwhile, we discovered that WK-88-1 significantly decreased the levels of Her-2 and $ER-{\alpha}$ in MCF-7 cells but not in MDA-MB-231 cells. In addition, WK-88-1 significantly increased caspase-3, -8, and -9 activities and the cleavage of PARP in a concentration-dependent manner (with the exception of caspase-3 and PARP in MCF-7 cells). Taken together, our preliminary results suggest that WK-88-1 has the potential to play a role in breast cancer therapy.

• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7701-7705
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• 2015

Background: Thyroid hormones (TH) are regulated by the hypothalamic-pituitary axis, which plays an important role in cell growth, differentiation, development and other aspects of metabolism. It is believed that an active hypothalamic-pituitary axis increases the susceptibility of thyroid dysfunction during systemic chemotherapy. In order to investigate the relation between thyroid function and chemotherapy the present study was designed to investigate TH in breast cancer patients receiving at least three cycles of chemotherapy. The levels of TH were measured at the baseline and before each cycle of chemotherapy. Materials and Methods: Blood samples for estimation of TH levels were collected from 80 (pre-menopausal-40; post-menopausal-40) breast cancer patients just before they were undergoing - $1^{st}$, $2^{nd}$, $3^{rd}$ and $4^{th}$ cycle of chemotherapy. The serum was separated and $T_3$, $T_4$ and TSH levels were determined by chemiluminescence method. Results: $T_3$ and $T_4$ were found significantly decreased and TSH was found significantly increased after $1^{st}$ (p<0.001), $2^{nd}$ (p<0.0001) and $3^{rd}$ cycle of chemotherapy (p<0.0001). The variation of $T_3$ levels (decreased) and TSH levels (increased) was found more in post-menopausal (p<0.0001) women then in pre-menopausal women after $3^{rd}$ cycle of chemotherapy as compared to baseline (p<0.001). Conclusions: TH were remarkably altered after each cycle of chemotherapy leading to decline in thyroid function of breast cancer patients. Further, the results also indicated that post-menopausal women were more prone towards decline in thyroid function then pre-menopausal women. The present study proposes the monitoring of TH after each cycle of chemotherapy in breast cancer patients.