• 제목/요약/키워드: High dose rate

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Advancements in the treatment of pediatric acute leukemia and brain tumor - continuous efforts for 100% cure

  • Ju, Hee Young;Hong, Che Ry;Shin, Hee Young
    • Clinical and Experimental Pediatrics
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    • 제57권10호
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    • pp.434-439
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    • 2014
  • Treatment outcomes of pediatric cancers have improved greatly with the development of improved treatment protocols, new drugs, and better supportive measures, resulting in overall survival rates greater than 70%. Survival rates are highest in acute lymphoblastic leukemia, reaching more than 90%, owing to risk-based treatment through multicenter clinical trials and protocols developed to prevent central nervous system relapse and testicular relapse in boys. New drugs including clofarabine and nelarabine are currently being evaluated in clinical trials, and other targeted agents are continuously being developed. Chimeric antigen receptor-modified T cells are now attracting interest for the treatment of recurrent or refractory disease. Stem cell transplantation is still the most effective treatment for pediatric acute myeloid leukemia (AML). However, in order to reduce treatment-related death after stem cell transplantation, there is need for improved treatments. New drugs and targeted agents are also needed for improved outcome of AML. Surgery and radiation therapy have been the mainstay for brain tumor treatment. However, chemotherapy is becoming more important for patients who are not eligible for radiotherapy owing to age. Stem cell transplant as a means of high dose chemotherapy and stem cell rescue is a new treatment modality and is often repeated for improved survival. Drugs such as temozolomide are new chemotherapeutic options. In order to achieve 100% cure in children with pediatric cancer, every possible treatment modality and effort should be considered.

신규 개인제독키트, SDK시제품(가칭)의 면역독성평가에 관한 고찰 (Evaluation of Immunotoxicities of New Skin Decontamination Kit(SDK))

  • 강병철;이학모;제정환;남정석;이석만;양재만;박재학;이영순
    • Toxicological Research
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    • 제14권2호
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    • pp.205-209
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    • 1998
  • To evaluate immunotoxicity of skin decontamination kit(SDK) newly-developed in Agency for Defense Development(ADD), delayed contact hypersensitivity (maximization) test and passive cutaneous anaphylaxis(PCA) test of SDK were performed and the results were compared with those of M 291. In maximization test, sensitization reaction was induced by id injection (2.5 mg / 0.1 $\textrm{m}{\ell}$/ guinea pig or 2.5 mg+CFA/0.1 $\textrm{m}{\ell}$/guinea pig) and topical application (2.5 mg/$\textrm{m}{\ell}$/guinea pig) with SDK or M291 at an interval of 1 week, and 2 weeks later, challenged by topical application with 25 mg/$\textrm{m}{\ell}$/guinea pig. SDK and M291 did not induce any reactions, showing 0 point of sensitization score and 0% of sensitization rate. In conclusion, it is suggested that SDK and M291 do not induce delayed contact hypersensitivity. In PCA test, rats were administered id with mouse anti-SDK serum and challenged iv with a mixture of antigen SDK and Evan's blue. SDK did not induce blue spots at the injection sites of both high (2.5 mg/mouse) and low (1.25 mg/mouse) dose-induced antisera. In contrast, BSA, positive control produced spots larger than 5 mm in diameter at the injection sites of BSA-induced antiserum up to $2^2$ ~ $2^4$dilution. In conclusion, it is suggested that SDK do not induce IgE production and is not a PCA-reaction inducer.

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In Vitro Cytotoxicity against Human Cancer Cell and 3T3-L1 Cell, Total Polyphenol Content and DPPH Radical Scavenging of Codonopsis lanceolata according to the Concentration of Ethanol Solvent

  • Boo, Hee-Ock;Park, Jeong-Hun;Lee, Moon-Soon;Kwon, Soo-Jeong;Kim, Hag-Hyun
    • 한국자원식물학회지
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    • 제31권3호
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    • pp.195-201
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    • 2018
  • This study was executed to evaluate the phenolic content, DPPH radical scavenging rate, and the cytotoxic effect in human cancer cell, 3T3-L1 cell from C. lanceolata extracts at various ethanol concentration. Total polyphenol and flavonoid content of the C. lanceolata at various ethanol concentration showed the high amount in 70%, 100% ethanol extract. The DPPH radical scavenging activity progressively increased in a dose-dependent manner, and showed the highest in 100% ethanol extract. The cytotoxic effect against human cancer cell of the C. lanceolata was higher in 50% and 70% ethanol extracts. In particular, the cytotoxic effect in MCF-7 cell was relatively higher than in other cells. The $IC_{50}$ (concentration causing 50% cell death) value showed the highest on MCF-7 cell ($538.39{\mu}g/m{\ell}$ in 70% ethanol extract, and exhibited significant activity against Hela cell ($637.87{\mu}g/m{\ell}$, Calu-6 cell ($728.64{\mu}g/m{\ell}$. The extract of 70% ethanol at $1,000{\mu}g/m{\ell}$ exhibited a pronounced cytotoxic effect on 3T3-L1 cell comparable to that of the other extracts, and reduced in a concentration-dependent manner.

Anti-CD3, CD16과 CD56 단일항체와 IL-2를 사용하여 활성화시킨 사람의 림프구 (Human Activated Lymphocyte Treated with Anti-CD3, CD16, CD56 Monoclonal Antibody and IL-2)

  • 홍선민;이동욱;강진구;김한수;조성훈
    • IMMUNE NETWORK
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    • 제5권1호
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    • pp.11-15
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    • 2005
  • Background: Throughtout the last three decades, the therapy of leukemias and lymphoma has set the stage for curative cancer therapy in systemic malignant disease. This was the result of an integrated work of basic reaserch and clinical investigators leading to more aggressive albeit tolerable protocol of chemotherapy and radiotherapy. High dose therapy marks the most elaborated strategies in this field today. However, intensification of conventional therapeutic modalities as mentioned has to be based on new approaches and the exploration of new antineoplastic mechanisms. This insight has resulted in immune therapy of cancer. Among the cells of the immune system, natural killer (NK) cells and T cells are of major interest for the development of therapeutic strategies. Methods: Cytotoxicity to target cells was measured by LDH release method, Characterization of activated lymphocyte was measured by Flow cytometry analysis. Anti-CD3, 16, 56 monoclonal antibody and IL-2 were used for the activation of NK and T cell. The analysis of effect of activated lymphocyte, in vivo, were used by Balb/c nude mouse. Results and Conclusion: Cytotoxicity to K562 cells was significantly higher in the mixture group of NK and T cells than that of a group of activating T cells. The survivors and the rate of reduction of size of tumor craft of nude mouse group treatment with activated lymphocyte was higher than that of the group without treatment with activated lymphocyte. Therefore, this results are suggested that the activated lymphocytes by anti-CD3, CD16 and CD56 can reduce the malignancy effect of lymphoma.

방사선조사가 구루병 백서의 발치창 치유에 미치는 영향 (Effect of irradiation on wound healing after tooth extraction in the rachitic rats)

  • 김미경;황의환;이상래
    • Imaging Science in Dentistry
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    • 제32권1호
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    • pp.1-10
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    • 2002
  • Purpose: To observe the histopathological changes following irradiation on the wound healing after tooth extraction in the rachitic rats. Materials and Methods: In order to carry out this study, the rats were divided into four groups: Group 1 (normal diet/non-irradiation group), Group 2 (normal diet/irradiation group), Group 3 (rachitogenic diet/non-irradiation group), and Group 4 (rachitogenic diet/irradiation group). Rachitic changes were induced with rachitogenic diet No. 2 (high calcium, low phosphorus, and Vitamin D deficient diet) for 5 weeks. After the extraction of both maxillary first molars of the rats in Group 2 and 4, the head and neck of the rats were irradiated with single absorbed dose of 10 Gy. The rats were sacrificed at the 1st, 5th, 10th, and 15th day after tooth extraction. The specimens including the extraction wound were sectioned, stained with the hematoxylin-eosin and Masson's trichrome method and examined under the light microscope. Results: In the Group 2, the amount of newly formed bone trabeculae on the periphery of extraction socket and osteoblastic activity were reduced. In the Group 3, epithelial fusion was not revealed on the 5th day after toothe extraction and growth rate of osteoid formation was reduced. In the Group 4, necrotized tissue at the outer surface of extraction socket and destructive changes on the alveolar bones were noted on the 10th day. Epithelial fusion was not revealed and large amounts of osteoclast were noted on alveolar bone on the 15th day. Conclusion: The healing process of wound after tooth extraction was retarded by irradiation and especially in the rachitic rats.

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서울시 교직원 당뇨병의 역학적 특성 및 관련위험요인분석 (A Study of the Epidemiological Characteristics and Related Factors in School personnel with Diabetes Mellitus)

  • 이희우;김종희;장철환;신선미
    • 한국학교보건학회지
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    • 제17권1호
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    • pp.71-83
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    • 2004
  • Purpose: To describe the prevalence, epidemiological characteristics, and related factors of diabetes mellitus in school personnel. Method:5,384 school personnel (2,638 males 2,746 females) received physical examinations at the Seoul School Health Center in 2002. Using the American Diabetes Association criteria, and fasting blood sugar(FBS) was classified as normal at 110>=FBS, borderline 111-125, and the diabetes group 126<=FBS. Related factors of each group were evaluated by gender. Results: In the diabetes group, there were 4.74% males and 0.8% females, and the borderline group was 6.37% males and 2.22% females. The older age group gad a higher distribution in both males and females in the diabetes group. In the diabetes group, the mean and abnormal rate of BMI, systolic hypertension, diastolic hypertension, total cholesterol, GOT, GPT, and GTP were higher than in the normal group. In life style factor, the diabetes group gad a higher distribution of meat eating and smoking more than 20 years than the normal group. The effect of FBS on BMI, BP(blood pressure), total cholesterol, GOT, GPT, and GTP were investigated after controlling for confounding variables. In the borderline and diabetes group, the mean of BMI, BP, total cholesterol, GOT, GPT, and GTP was higher in dose-response effect. In the logistic multiple regression, the related factors of the diabetes group were hypertension and abnormal GTP in males, and abnormal total cholesterol and GTP in females. In the borderline group, the related factors were meat eating, hypertension, and high GOT in males and the older age group, and hypertension, total cholesterol, and abnormal GTP in females. Conclusions: It is possible to manage all related factors of diabetes mellitus except for age. An appropriate program for health promotion is necessary.

Concentration Dependent Effect of Heavy Metals on Soil Carbon Mineralization

  • Walpola, Buddhi Charana;Yoon, Min-Ho
    • 한국토양비료학회지
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    • 제45권4호
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    • pp.551-554
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    • 2012
  • The present laboratory investigation was conducted to assess the effect of heavy metals on carbon mineralization. Soil was treated with three concentrations (50, 100 and $150{\mu}mol\;g^{-1}$ soil) of two heavy metals (Cd and Zn) in a factorial combination of treatments replicated four times. Determination of carbon mineralization was carried out at 3, 7, 14, 21, 28, 42 and 56 days after metal treatments.. The amount of $CO_2$-C released from heavy metal treated soils was found to be decreased at an increasing rate during the first 28 days, followed by slow release as incubation progressed. The total amounts of $CO_2$-C released were 448, 382 and $348mg\;kg^{-1}$ soil respectively for soils treated with 50, 100 and $150{\mu}mol\;g^{-1}$ soil of Zn. The corresponding figures for Cd treated soils were 406, 354 and $282mg\;kg^{-1}$ soil implying that dose-dependent reduction in cumulative $CO_2$-C released from soils. The inhibition of carbon mineralization was found to be high in Cd treated soils than that of Zn treated. Therefore, tolerance and adaptation of the microbial community is likely to be related to the concentration and the type of metal. According to the results, carbon mineralization can be considered as possible indicator of soil pollution by means of heavy metals.

처분방사능량제한치를 고려한 중저준위 방사성폐기물 처분시설의 핵종재고량 산정(안) (Prediction of Radionuclide Inventory for Low- and Intermediate-Level Radioactive Waste by Considering Concentration Limit of Waste Package)

  • 정강일;김민성;정노겸;박진백
    • 방사성폐기물학회지
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    • 제15권1호
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    • pp.65-82
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    • 2017
  • 방사성폐기물 발생기관의 가용데이터를 기반으로 산출된 핵종재고량을 적용하여 예비안전성평가를 수행한 결과 처분안전성과 운영측면에서 많은 어려움이 예상됨을 확인하였다. 본 논문에서는 전체처분시설 예비안전성평가를 수행하였으며, 평가결과 성능목표치 초과핵종에 대해 방사능량이 큰 비중을 차지하는 단위포장물을 선별하고, 높은 표면선량률의 포장물을 처분대상에서 제외하는 방식으로 처분시설의 처분방사능량제한을 도입하였다. 처분방사능량제한은 안전기준 만족을 위한 처분시설별 인수기준과 처분기준 설정에 기초자료로 활용할 것이며, 경주 처분시설의 안전한 종합개발계획수립 및 처분시설의 안전성 최적화를 위한 Safety Case 구축에 기여할 것으로 판단된다.

Antioxidant and Cytoprotective Activity of the Olive Leaf (Olea europaea L. var. Kalamata) Extracts on the Mouse Embryonic Fibroblast Cell

  • Ha, Ju-Yeon;Goo, Sun-Young;Sung, Jung-Suk;Shin, Han-Seung
    • Food Science and Biotechnology
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    • 제18권4호
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    • pp.965-970
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    • 2009
  • Oleuropein content of olive leaf extracts (OLE; ethanol extract) was evaluated by high performance liquid chromatography analysis. Oleuropein contents were $4.21{\pm}0.57$, $3.92{\pm}0.43$, $0.32{\pm}0.03$, $5.76{\pm}0.32$, and $32.47{\pm}0.25$ mg/100 g for ethanol extract, and hexane, chloroform, ethyl acetate, and butanol fraction, respectively. The removal of DPPH free radical increased in OLE and all 5 fractions of OLE in a concentration dependent manner. In order to investigate the antioxidant effect of OLE in vitro, 80%(v/v) ethanol OLE, $H_2O_2$, or combined treatment of 80%(v/v) ethanol OLE and $H_2O_2$ were applied on mouse embryonic fibroblast (MEF) cells. Cells were damaged by oxidative stress decreased their viability followed by increasing concentration of $H_2O_2$, but co-treatment of OLE and $H_2O_2$ showed an increase in cell growth about 20% compare to the cells treated with $H_2O_2$. OLE suppresses cytotoxicity induced by $H_2O_2$ in dose dependent manner. OLE treatment on MEF cells was also examined by analyzing cell cycle and apoptotic rate using flow cytometry. Apoptotic and necrotic cell accumulation was decreased in addition of OLE to $H_2O_2$ compare to the oxidative damaged cells. Taken together, these results demonstrated that OLE suppresses cytotoxicity induced by $H_2O_2$ and protect cells against oxidative stress on MEF cells.

Combined chemotherapy and intra-arterial chemotherapy of retinoblastoma

  • Choi, Saerom;Han, Jung Woo;Kim, Hyosun;Kim, Beom Sik;Kim, Dong Joon;Lee, Sung Chul;Lyu, Chuhl Joo
    • Clinical and Experimental Pediatrics
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    • 제56권6호
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    • pp.254-259
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    • 2013
  • Purpose: Retinoblastoma (RB) is the most common primary malignant intraocular tumor in children. Although systemic chemotherapy has been the primary treatment, intra-arterial chemotherapy (IAC) represents a new treatment option. Here, we performed alternate systemic chemotherapy and IAC and retrospectively reviewed the efficacy and safety of this approach. Methods: Patients diagnosed with intraocular RB between January 2000 and December 2011 at Severance Children's Hospital, Yonsei University, were reviewed. Before February 2010, the primary treatment for RB was chemotherapy (non-IAC/CTX). Since February 2010, the primary treatment for RB has been IAC (IAC/CTX). External beam radiotherapy or high-dose chemotherapy were used as "last resort" treatments just prior to enucleation at the time of progression or recurrence during primary treatment. Enucleation-free survival (EFS) and progression-free survival were assessed. Results: We examined 19 patients (median age, 11.9 months; range, 1.4 to 75.6 months) with a sum of 25 eyes, of which, 60.0% were at advanced Reese Ellsworth (RE) stages. The enucleation rate was 33.3% at early RE stages and 81.8% at advanced RE stages (P=0.028). At 36 months, EFS was significantly higher in the IAC/CTX group than in the non-IAC/CTX group (100% vs. 40.0%, P=0.016). All 5 patients treated with IAC achieved eye preservation, although most patients were at advanced RE stages (IV-V). Conclusion: Despite the limitation of a small sample size, our work shows that an alternative combined approach using IAC and CTX may be safe and effective for eye preservation in advanced RB.