• Title/Summary/Keyword: Human trials

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Critical Care Medicine (호흡기내과 의사를 위한 Respiratory Review of 2010)

  • Park, Jie-Hae;Chae, Jin-Nyeong;Choi, Won-Il
    • Tuberculosis and Respiratory Diseases
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    • v.69 no.2
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    • pp.75-80
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    • 2010
  • The year of 2009~2010 brought a number of concepts and new ideas were evaluated with promising results. However, some studies that challenged many beliefs. In acute respiratory distress syndrome (ARDS), recent clinical studies took into consideration of pathophysiologic changes of respiratory system compliance. Meta-analysis of positive end-expiratory pressure trials showed survival benefit of high positive end-expiratory pressure in ARDS. Until now, prone positioning did not show survival benefit in patients with ARDS. Extracorporeal membrane oxygenation (ECMO) based management improved survival in patients with severe ARDS. ECMO can be a management option in severe ARDS. Sedation is a standard practice in critically ill patients needing mechanical ventilation. However, Danish group reported less sedation of critically ill patients receiving mechanical ventilation was associated with an increase in days without ventilation. Although this single center study has some limitations, the overall results are promising. Use of maximal sterile barrier precautions (mask, sterile gown, sterile gloves, and large sterile drapes) with chlorhexidine-impregnated dressing reduced central venous catheter related infection. Selective oropharyngeal decontamination (application of topical antibiotics in the oropharynx) reduced the mortality rate of an intensive care unit (ICU) population. Normoglycemia in Intensive Care Evaluation and Survival Using Glucose Algorithm Regulation (NICE-SUGAR) trial reported intensive glucose control increased mortality among adults in the ICU. Some of the results of above papers are promising. However, some ideas may need for more frequent individual assessment and increase the workload of ICU staffs. Before implementation of new practice in ICU, we should take into consideration of individual hospital situation including human and material resources.

Novel Biomarkers for Prediction of Response to Preoperative Systemic Therapies in Gastric Cancer

  • Cavaliere, Alessandro;Merz, Valeria;Casalino, Simona;Zecchetto, Camilla;Simionato, Francesca;Salt, Hayley Louise;Contarelli, Serena;Santoro, Raffaela;Melisi, Davide
    • Journal of Gastric Cancer
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    • v.19 no.4
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    • pp.375-392
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    • 2019
  • Preoperative chemo- and radiotherapeutic strategies followed by surgery are currently a standard approach for treating locally advanced gastric and esophagogastric junction cancer in Western countries. However, in a large number of cases, the tumor is extremely resistant to these treatments and the patients are exposed to unnecessary toxicity and delayed surgical therapy. The current clinical trials evaluating the combination of preoperative systemic therapies with modern targeted and immunotherapeutic agents represent a unique opportunity for identifying predictive biomarkers of response to select patients that would benefit the most from these treatments. However, it is of utmost importance that these potential biomarkers are corroborated by extensive preclinical and translational research. The aim of this review article is to present the most promising biomarkers of response to classic chemotherapeutic, anti-HER2, antiangiogenic, and immunotherapeutic agents that can be potentially useful for personalized preoperative systemic therapies in gastric cancer patients.

Characteristics on the rolling response of a small fishing boat according to the waves and the ship's speed (파랑의 조우각과 선속 변화에 따른 어선의 횡동요 특성)

  • Kang, Il-Kwon;Kim, Hyung-Seok;Kim, Min-Seok;Lee, Yoo-Won;Kim, Jung-Chang;Jo, Hyo-Jae;Lee, Chun-Ki
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.43 no.1
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    • pp.62-70
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    • 2007
  • Marine casualties of vessel are serious problems on social and national aspects, because it results in sacrifice of lives, a great lose of properties and marine pollution. According to recent statistics of marine casualties of vessel, fishing boats are more likely to be ended in the casualty, and especially, small fishing boats cause much more accidents than any other big vessels. Most of marine casualties were caused by the human factors such as poor watch keeping, inadequate manoeuvering and negligent action for engine, etc. This study is intended to provide navigator of small fishing boat with a specific information of necessary to assist both the manoeuvering and the avoidance of capsizing. The manoeuvering characteristics of ship can be adequately judged by the results of typical ship trials manoeuvres. For this purpose, the author measured the roll responses of a small fishing boat in waves using the real sea experimental measuring system, and analyzed the experimental data by the statistical and spectral analyzing methods to get the characteristics of the roll motion responses of the small boat through the wave directions and the ship's speed.

Immunohistochemical Expression of Receptor Tyrosine Kinase (RTK) in Canine Brain Tumors

  • Jung, Hae-Won;Song, Joong-Hyun;Yu, Do-Hyeon;An, Su-Jin;Sur, Jung-Hyang;Kim, Young Joo;Han, Donghyun;Jung, Dong-In
    • Journal of Veterinary Clinics
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    • v.36 no.6
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    • pp.319-324
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    • 2019
  • Receptor tyrosine kinases (RTK) are major promising targets in anticancer therapy in human and veterinary medicine. Using immunohistochemistry method, we evaluated the expressionof five types RTK (PDGFR-α, PDGFR-β, VEGFR 2, c-Kit and Abl) in the six canine brain tumor samples (2 meningioma, 2 astrocytoma, 1 ependymoma and 1 choroid plexus papilloma). A total of five samples expressed PDGFR-β (5/6), one sample, the choroid plexus papilloma, expressed c-Kit (1/6), and a total of two samples expressed Abl (2/6). None of the samples showed expression of PDGFR-α and VEGFR 2. We demonstrate that a significant portion of canine brain tumors express tyrosine receptors for growth factors and show that these receptors generally localize to tumor cell membranes and the cytoplasm. Evaluation of immunohistochemical expression for the RTKs PDGFR-β, c-Kit, and Alb in canine brain samples reveals an interesting potential for molecular targeting by TKIs in therapeutic studies of canine brain tumors, and more studies will be needed to assess the interactions and efficacy of these RTKs and TKIs. Based on these results, we have some evidence for novel chemotherapeutic trials using TKIs for canine nervous tumors.

The Layers of Conflicts and the Methods of Presenting Conflicts in Gyechugilgi (<계축일기>에 나타난 갈등의 층위와 제시 방식)

  • Lee, Seung-bok
    • Journal of Korean Classical Literature and Education
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    • no.34
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    • pp.193-222
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    • 2017
  • This paper investigates the layers of conflicts and the methods of presenting conflicts in Gyechugilgi written by court ladies in the middle of the Choseon Dynasty. The authors deal with court ladies' conflicts and trials with great seriousness. This means that they did not regard these struggles as problems derived from conflicts between King Kwanghae and Queen dowager Inmok. Gyechugilgi represents conflicts by quoting conversations, showing characters meditating conflicts, and describing episodes. Consequently the authors recognized the conflicts in this text as human problems that result from personal desires rather than political problems, and the literary characteristics of this text can be found in this point. This study ascertains the characteristics of Gyechugilgi from various viewpoints.

Effect of yoghurt with a Bifidobacteria enhancer and dietary fiber on irritable bowel syndrome

  • Cho, Young Hoon;Bae, Hyoung Churl;Nam, Myoung Soo
    • Korean Journal of Agricultural Science
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    • v.48 no.3
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    • pp.575-587
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    • 2021
  • This study was carried out to investigate the effects of supplementation with a Bifidobacteria enhanced yogurt (BE0623 yogurt), which includes Bifidobacterium lactis BB12, Lactobacillus acidophilus, Streptococcus thermophilus, and Bifidobacterium lactis, in the management of irritable bowel syndrome (IBS) using animal models and clinical trials. In a rat study, a loperamide-treated group (LOP) showed reduced water content in fecal pellets but showed an increased number of fecal pellets in the distal colon. In addition, the BE0623 yogurt (L-BE0623Y) group had the fewest fecal pellets in the distal colon. Regarding the serum lipid parameters, the LOP group had a high-density lipoprotein (HDL)/total cholesterol ratio that was 43% lower than that of a normal water group (NOR), but the outcome for the L-BE0623Y group was 27% lower than the NOR group. In a human study, 116 adults with IBS were sampled as subjects and fed 300 mL of yogurt per day for an eight week period. There was an IBS improvement in the L-BE0623Y and commercial yogurt (L-CY) groups, though flatulence, stool consistency and frequency of defecation outcomes were also noted. Specifically, the L-BE0623Y treatment group showed significant effects with regard to defecation duration and urgency after the consumption of the yogurt used in this study. These results suggest that the Bifidobacteria-enhanced yogurt has superior effects with regard to relieving loperamide-induced constipation in rats and that regular consumption of L-BE0623Y is effective to improve IBS in humans.

Development of Eye Tracker System for Early Childhood (유아용 시선 추적 장치의 개발 연구)

  • Lee, Byungho
    • The Journal of the Korea Contents Association
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    • v.19 no.7
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    • pp.91-98
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    • 2019
  • The purpose of this study was to develop and test an eye tracker focusing on early childhood participants, based on the characteristics of early childhood eye tracking studies. Eye tracking collects eye movement data of the subject, which provides scientific evidence of human cognition and thinking. The researcher built a Do It Yourself eye tracker camera module from general electronic components, and used Viewpoint analysis software from Arrington Research. The researcher compared the eye tracking data between the DIY eye tracker group and Tobii Pro eye tracker group, which provides a professional eye tracking system. Eye tracking data was collected from 52 five-year old children. The average proportion of valid trials between the two groups was compared with t test, and no significant difference was found. This result indicates that the DIY eye tracker can be used to collect valid eye tracking data from young children under certain research environment.

Development of Firefighters' Personal Protective Clothing with Nomex Honeycomb Fabric and its Protective and Comfort Evaluation (노멕스 허니콤 구조 직물을 적용한 소방관용 특수방화복 개발 및 이의 보호 쾌적 성능평가)

  • Jung, Jae-Yeon;Ku, Ponjun;Kim, Do Hyung;Kwon, Min-Jae;Kang, Sungwook;Choi, Jeong-Yoon;Lee, Joo-Young
    • Fashion & Textile Research Journal
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    • v.21 no.5
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    • pp.606-617
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    • 2019
  • The present study newly developed a firefighters' protective jacket and pants using a Nomex honeycomb structured layer (HPC) in cases of being exposed to flashover or flameover. This study evaluated the protective and comfort functions of an HPC compared to the current KFI firefighters' protective clothing (FPC). The results are as follows. First, thermal protective performance (TPP) of fabric layers was 2.75 times greater for HPC than FPC at $125kW/m^2$. Second, the predicted second and third degree burn areas were smaller for HPC than FPC when using a flame manikin. Third, thermal insulation using a thermal manikin was 0.2 clo greater for HPC than FPC. Fourth, there were no marked differences in maximal performance, mobility, and microclimate temperature/humidity between FPC and HPC through human wear trials. The thermal insulation of HPC was higher than that of FPC; however, any negative effect of HPC thermal insulation on the comfort functions for firefighters was not found. In conclusion, the newly-developed HPC provided more protection in reducing burn injuries from $125kW/m^2$, while no negative impact on maximal performance, mobility and thermal comfort functions of firefighters, which is appropriate for quick-evasive tactics at the flashover, flameover or back draft fires.

Long-term assessment of periodontal disease progression after surgical or non-surgical treatment: a systematic review

  • Sanz-Martin, Ignacio;Cha, Jae-Kook;Yoon, Sung-Wook;Sanz-Sanchez, Ignacio;Jung, Ui-Won
    • Journal of Periodontal and Implant Science
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    • v.49 no.2
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    • pp.60-75
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    • 2019
  • The primary aim of this systematic review was to assess the evidence on periodontal disease progression after treatment in patients receiving supportive periodontal therapy (SPT) and to identify predictors of clinical attachment level (CAL) loss. A protocol was developed to answer the following focused question: In adult patients treated for periodontitis, what is the disease progression in terms of CAL loss after surgical or non-surgical treatment? Randomized controlled clinical trials, prospective cohort studies, and longitudinal observational human studies with a minimum of 5 years of follow-up after surgical or non-surgical treatment that reported CAL and probing depth changes were selected. Seventeen publications reporting data from 14 investigations were included. Data from 964 patients with a follow-up range of 5-15 years was evaluated. When the CAL at the latest follow-up was compared to the CAL after active periodontal therapy, 10 of the included studies reported an overall mean CAL loss of ${\leq}0.5mm$, 3 studies reported a mean CAL loss of 0.5-1 mm, and 4 studies reported a mean CAL loss of >1 mm. Based on 7 publications, the percentage of sites showing a CAL loss of ${\geq}2mm$ varied from 3% to 20%, and a high percentage of sites with CAL loss was associated with poor oral hygiene, smoking, and poor compliance with SPT. The outcomes after periodontal therapy remained stable over time. Disease progression occurred in a reduced number of sites and patients, mostly associated with poor oral hygiene, poor compliance with SPT, and smoking.

Checkpoint-inhibition in ovarian cancer: rising star or just a dream?

  • Pietzner, Klaus;Nasser, Sara;Alavi, Sara;Darb-Esfahani, Silvia;Passler, Mona;Muallem, Mustafa Zelal;Sehouli, Jalid
    • Journal of Gynecologic Oncology
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    • v.29 no.6
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    • pp.93.1-93.11
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    • 2018
  • The introduction of checkpoint inhibitors revolutionized immuno-oncology. The efficacy of traditional immunotherapeutics, like vaccines and immunostimulants was very limited due to persistent immune-escape strategies of cancer cells. Checkpoint inhibitors target these escape mechanisms and re-direct the immune system to anti-tumor toxicity. Phenomenal results have been reported in entities like melanoma, where no other therapy was able to demonstrate survival benefit, before the introduction of immunotherapeutics. The first experience in ovarian cancer (OC) was reported for nivolumab, a fully human anti-programmed cell death protein 1 (PD1) antibody, in 2015. While the data are extraordinary for a mono-immunotherapeutic agent and very promising, they do not match up to the revolutionary results in entities like melanoma. The key to exceptional treatment response in OC, could be the identification of the most immunogenic patients. We hypothyse that BRCA mutation could be a predictor of improved response in OC. The underlying DNA-repair-deficiancy should result in increased immunogenicity because of higher mutational load and more neoantigen presentation. This hypothesis was not tested to date and should be subject to future trials. The present article gives an overview of the immunologic background of checkpoint inhibition (CI). It presents current data on nivolumab and other checkpoint-inhibitors in solid tumors and OC specifically and depicts important topics in the management of this novel substance group, such as side effect control, diagnostic PD-1/programmed cell death-ligand 1 (PD-L1) expression assessment and management of pseudoprogression.