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Modified FOLFOX-6 Chemotherapy for Recurrent or Inoperable Gastric Cancer Patients (진행성 위암 환자예시의 FOLFOX 6 항암치료)

  • Jee, Sung-Bae;Han, Jae-Hyun;Huh, Hoon;Song, Kyo-Young;Chin, Hyung-Min;Kim, Wook;Park, Cho-Hyun;Park, Seung-Man;Kim, Seung-Nam;Jeon, Hae-Myung
    • Journal of Gastric Cancer
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    • v.8 no.1
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    • pp.40-46
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    • 2008
  • Purpose: We wanted to evaluate the efficacy and toxicity of modified FOLFOX-6 chemotherapy for treating recurrent or inoperable gastric cancer patients. Materials and Methods: From April 2006 to August 2007, 35 patients with recurrent gastric cancer after curative resection and 43 patients with inoperable gastric cancer underwent chemotherapy, and the results were retrospectively investigated. Results: 78 patients were assessable for response and toxicity, and they underwent an average of 7.1 cycles of chemotherapy. The response was evaluated according to the RECIST criteria. 11 partial responses (14.1%), 35 cases of stable disease (44.9%), and 32 cases of progressive disease (41%) were observed. The median time to progression was 6 months, and the average overall survival was 13 months. CTCAE grade 1 or 2 anemia (52.6%) was the most prevalent toxicity. Other common toxicities included thrombocytopenia (17.9%) and peripheral neuropathy (30.8%). There were 13 changes in the chemotherapy regimen to S1-cisplatin due to disease progression, but only an average of 1.76 cycles of S1-cisplatin were delivered due to severe toxicities and poor compliance. Conclusion: Acceptable efficacy and toxicity were seen as 59% of the patients showed non-progression, and no grade 3 or 4 toxicities were observed. In conclusion, the modified FOLFOX-6 chemotherapy is considered to be the proper 1st-line choice as a palliative treatment for recurrent or inoperable gastric cancer patients.

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The Correlation between the Expression of E-cadherin, VEGF-C, VEGF-D and the Real Extent of Lymph Node Metastases using Cytokeratin 18 in Early Gastric Cancer (조기위암에서 E-cadherin, VEGF-C, VEGF-D의 발현과 Cytokeratin 18로 면역화학염색 한 림프절 전이와의 연관성)

  • Kim, Dae Hoon;Yun, Hyo Yung;Song, Young Jin;Ryu, Dong Hee;Min, In Choel;Sung, Rohyun;Lee, Sang Eok
    • Journal of Gastric Cancer
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    • v.8 no.2
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    • pp.70-78
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    • 2008
  • Purpose: VEGF-C and VEGF-D are angiogenetic factors, and abnormal expression of E-cadherin hasa role in the progression of gastric carcinoma. The aim of this study was to evaluate the relationship between the expression of E-cadherin, VEGF-C and VEGF-D with the presence of lymph node metastases (LNM) using cytokeratin 18 in early gastric cancer (EGC). Materials and Methods: Immunohistochemical staining for E-cadherin, VEGF-C and VEGF-D was performed in 49 EGC patients from March 1997 to December 2002. To evaluate the real extent of LNM, 1,562 lymph nodes from 49 patients were re-examined with the use of cytokeratin 18. Results: Eleven (0.7%) LNM were newly found in 12.2% (n=6) of patients. The real LNM rate was 3.6% in mucosal invasive (m) cancer and 38.1% in submucosal invasive (sm). Stage migration was seen in three patients (6.1%). Abnormal expression of E-cadherin was detected in 36.7% of the patients and expression of VEGF-C and VEGF-D was detected in 16.3% and 36.7% of the patients, respectively. Abnormal expression of E-cadherin was significantly correlated with tumor differentiation (P=0.0103) and Lauren classification (P<0.0001). There was no positive relationship of VEGF-C and VEGF-D expression with the clinicopathological findings for EGC including LNM. However, the frequency of lymph node metastases was significantly higher in patients that demonstrated abnormal expression of E-cadherin with positive immunoreactivity of VEGF-C or VEGF-D (P=0.031). Conclusion: In present study, we could not demonstrate a relationship between the presence of LNM and expression of VEGF-C and VEGF-D in EGC. However, VEGF-C or VEGF-D expression, in addition to the abnormal expression of E-cadherin, was correlated with the real extent of LNM in EGC.

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A Study on Problems and Solution Activities of College Students at the Departments of Dental Technology (치기공과 대학생의 문제 및 해결행동에 관한 연구)

  • Kim, Youn-Su;Shin, Moo-Hak;Song, Yun-Hee;Chung, Hee-Sun
    • Journal of Technologic Dentistry
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    • v.23 no.2
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    • pp.121-149
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    • 2002
  • This Study aims at investigating the tendency of individual problems that the students at the departments of dental technology are faced with, their efforts and types of activities to solve the problems. Surveyed for this purpose were 700 freshmen to juniors enrolled in the departments of dental technology at the universities across the country and they were analyzed by area, grade and sex. 1. Tendency of Problems The areas of problems the students at the departments of dental technology considered as most serious were health, human relation, view of value and economy in sequence, while the areas they considered as least serious were future course and employment. In general, there were tendencies as follows: divided by grade, the higher the grades of the students are, the higher scores of problems they get(F=12.14, P=.000) : in the areas of health and human relation, as the grade gets higher, the scores of their problems also increase, accordingly(F= 17.58, P=.000)(F=8.39, P=.000) : in the areas of economy, parents and home, freshmen and juniors are found to have higher scores of problems compared to sophomores,:F=7.89, P=.000)(F=11.63, P=.000) : divided by sex, female students recorded higher scores of problems than their counterparts(F=31.85, P=.000) 2. Efforts for Problems View of value, human relation, parents and home appeared to be the areas for which the students made the highest rate of efforts in sequence while the areas for which they paid lowest grade of efforts were health and economy. In other words, the students gave higher scores for human relation and view of value in terms of tendency as well as efforts of problems, while they rated high for health and economy in the tendency but low in the efforts of problems. Divided by grade, freshmen and juniors appeared to score higher points than sophomores in their efforts to solve problems, even though juniors made relatively higher efforts than freshmen(F=6.53, P=.002). Divided by sex, female students scored higher points in their efforts than males(F=15.98, P=.000) 3. Difference of Efforts to Solve Problems. In the analysis into the scores of difference showing the disagreement between the tendency of problems and the efforts to solve problems, the area of health was rated as highest, followed by economy. There was little difference of scores between human relation and view of value, an indicator of agreement between the scores of problems and efforts. The difference of scores between future course and employment, between liberal arts and recreation, between characters/parents and home/school work turned out to be negative in the listed sequence, leading to a conclusion that the students enrolled in the departments of dental technology are making more efforts to solve problems than actually needed in most areas. By grade, there was a significant difference only in the area of health(F=3.00, P=.050). This difference itself was widening as the students come to higher grades. By sex, females showed bigger difference than males. 4. Types of Activities to Solve Problems. The analysis into types of activities to solve problems revealed that the surveyed students seemed to actively cope with the problems in all areas, relying at the same time on personal relationship. Especially in the areas of health, economy, parents, home, human relation, future course and employment, the students appeared to deal with the problems actively as well as emotionally.

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A Study on the Long-Term Use of Drugs Among Some Urban Residents (일부 도시지역 주민의 약물 장기복용에 관한 사회의학적 연구)

  • Yoo, Ho-Sang;Song, Dong-Bin;Yum, Yong-Tae;Cha, Chul-Whan
    • Journal of agricultural medicine and community health
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    • v.12 no.1
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    • pp.102-110
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    • 1987
  • One of the familiar medical facility that most people reach easily in Korea is the drug store. In Korea, it is possible to purchase all kinds of common drugs without physician's prescriptions, which caused some problems. In other words, such treatment without professional supervision has led to medical, social and economical problems. In view of the above, this study is aimed at revealing the actual status of long-term use of drugs in some urban residents. Long-term use of drugs is operationally defined as using certain drugs at least once a week for more than 3 months. This survey took the residents of Guro 6-Dong where was one of the target areas for Community Health Development Project managed by Korea University as a target population. A sample of 1,517 residents was selected by the multistage sampling method. The interview was conducted on September 21st and 22nd in 1985. The object of this study was to compare the result with that of the rural area which was obtained by the same method, tools and research team, prior to this study in 1984. The results were as follows; 1) The age-standardization of the study showed that 97 per 1,000 urban residents were actually on long-term drug use. The prevalance of long-term use is high in accordance with aging and low with education level. 2) Out of 1,000 urban samples the most popular item involved in the long-term drug use was antipyretic-analgesic-antiinflammatory drug (26), and next in order was vitamin (23), antibiotics (13), digestives (10) and antacids (7). In the rural samples as for compare, that was antipyretic-analgesic-antiinflammatory drug (100), antacids (36), digestives (23), adrenocortical hormones (12) etc. 3) With antipyrctic-analgesic-antiinflammatory drugs, 50% of the urban samples were taking for more than a year, whereas such were 82.7% of the rural samples. Using such a high percentage of antipyretic-analgesic-antiinflamatory drugs in the rural residents is probably due to the high prevalence rate of musculo-skeletal diseases. 4) The urban long-term drug users of antipyretic-analgesic-antiinflammatory drugs were influenced mostly by the mass media (43.6%), next in order was pharmacist (35.9%) and physician (10.3%). Comparing with the result from the rural areas the role of mass media was much more influencial in the urban areas. 60% of them consulted with pharmacists, 14.3% with physicians and 25.7% had no history of consultation in the urban samples. 5) Considering the incidence of knowing the possible side-effects of each drug, 28.2% of the urban residents had no recognition about side-effects prior to use antipyretic-analgesic-antiinflammatory drugs. In the rural residents, 29.67o had no knowledge about the side-effects before using the drug. 6) For the solution of the above problems, it is necessary to limit the advertisement of some drugs by the parmaceutical company. And therapeutic drugs which may bring on side effects in case of long-term use should not be sold at drug stores without physician's prescription.

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Task Status of Dental Hygienists of Health Centers and Subcenters (일개 도지역 보건기관 근무 치과위생사의 직무실태와 개선방안)

  • Eun, Jong-Young;Kam, Sin;Lim, Ji-Seun;Yang, Jin-Hoon;Kim, Jong-Yeon;Han, Chang-Hyun;Yoo, Yoon-Sun;Cha, Byung-Jun;Song, Keun-Bae
    • Journal of agricultural medicine and community health
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    • v.27 no.2
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    • pp.35-54
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    • 2002
  • This study was performed to investigate the task status and performance improvement plan of dental hygienists of Health Centers and Subcenters. The Data collected by self-administered Questionnaire survey of 203 dental hygienists of Health Centers and Subcenters located in Gyeongsangbuk-do were analyzed. The major results are as follows: For the degree of satisfaction in tasks, 73.9% of dental hygienists of Health Centers and Subcenters felt proud, 52.2% felt overwork, 32.0% hoped transferring to other worksite and the major reason of transferring was lack of promotion opportunity in officials of dental hygiene department. Dental hygienists received job education in addition continuous job education in last 3 years were 47.3%, 19.2% of dental hygienists performed the special dental health program for residents in last 3years. Almost half(53.7%) of dental hygienists replied that dental hygienists who were not engaged in dental health tasks should be engaged in dental health tasks. The major dental hygienic tasks performed by dental hygienic officials were support for dental treatment(41.6%). Dental hygienic officials answered that dental health tasks, school dental health program, vertical dental health program should be conducted as important tasks in order. And they replied that the most serious problem of dental hygienic tasks was not conducting dental health affairs due to 'lack of dental doctor'(40.9%), 'lack of concern for dental health tasks'(26.4%), and 'lack of budget and personnels for dental tasks'(19.0%), and the most important thing to improve dental hygienic tasks was 'posting dental hygienists in ministry of health and welfare(MOHW) and province', 'securing of budget and personnels for dental health tasks'.

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Prevalence Rate of Hypertension and Cared Pattern in Rural Aged over Sixty Years Old (농촌지역 60세 이상 노인인구의 고혈압 유병율 및 관리형태)

  • Lim, Song;Chun, Byung-Yeol;Yeh, Min-Hae
    • Journal of agricultural medicine and community health
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    • v.19 no.2
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    • pp.129-140
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    • 1994
  • The survey has for its object to detect prevalence rate of hypertension in target population, to find out the risk factor to hypertension, to detect the hypertensive patients cared pattern and therefore, to consider a effective counter plan for the long term about hypertension. The study, population of this survey was 894 out of 1013 target population from Feb. 1 1994 to March 31 1994 in Kyougsang-namdo Ulsan-gun Samnam-myoun. For these two month, check of blood pressure and direct measurement of height and weight was carried out by mass screening and home visiting and had an interview about risk factors for hypertension and cared pattern by questionnaire. The results of survey were as follows : 1. The prevalence rate of 894 study, population was 27.5% and 26.0% in man and 28.6% in women. 2. In male, the prevalence rate for age group, family history of hypertension, drinking, salt intake by risk factors were significant statistically. 3. In female, the prevalence rate for salt intake, body mass index by risk factors were significant statistically. 4. Motivation which was diagnosed as hypertension was that be examined for subjective symptoms of hypertension and routine check for health was only 25.0%, 9.1% and visiting to the hospital for other diseases, detect hypertension by chance was 65.9%. 5. The experience of treatment in prevalent cases was significant statistically in middle class of SES. And the place of treatment by risk factors could not be significant statistically in spite of the majority selected hospital generally. 6. The reasons of non-compliance in prevalent cases was restricting daily activities for its 45.5% most high and the interruption of treatment in prevalent cases was far from hospital geographically for its 47.6% most high 7. The preventive behavior about hypertensive by risk factors or general characteristics wasn't significant statistically. 8. Being treated or not in the near future about age group, SES, family history of the hypertension was significant statistically. And with regard to the place of treatment in the near future, in spite of the majority selected hospital generally, it wasn't significant statistically. 9. The reasons of non-compliance in incidence cases was restricting daily activities for its 46.8% most high. 10. The preventive behavior in the near future about age group, education level, SES, family history of hypertension was significant statistically.

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The Effect of Weight Ratio of Carbon Source to Nitrogen Source on toe Growth and the Composition of Fatty Acid of Thraustochytrium aureum ATCC 34304 (탄소원과 질소원의 무게비가 Thraustochytrium aureum ATCC 34304의 성장 및 지방산 조성 특성에 미치는 영향)

  • Kim Won-Ho;Park Seung-Hye;Song Sang-Kyu;Bae Kyung-Dong;Hur Byung-Ki
    • KSBB Journal
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    • v.20 no.4
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    • pp.266-270
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    • 2005
  • The effect of the weight ratio of carbon source to nitrogen source on the growth and the composition change of fatty acids of Thraustochytrium aureum ATCC 34304 was investigated. The cell concentration of 5 days' culture increased and then decreased according to the increase of C/N, The ratioes for the maximum biomass were unique respectively and distributed between 1 and 4 with the initial sugar concentration in the range of 5 g/L to 25 g/L. The biomass yield, $Y_{x/s}$ decreased along with the increase of C/N, but maintained a constant value 0.35 between 10 and 20. The composition of myristic acid $(C_{14:0})$, one component of the lipid synthesized by T. aureum, was not affected with the change of C/N, but the composition of palmitic acid $(C_{16:0})$ was around $20\%$ below 4 of C/N and decreased to $15\%$ according to C/N about 4. The compositions of oleic acid $(C_{18:1})$ and linoleic acid $(C_{18:2})$ increased from 0 to $20\%\;and\;7\%$ respectively. The composition of $\gamma-linoleic$ acid $(C_{18:3})$, however, reduced from $5\%\;to\;2\%$. EPA $(C_{20:5})$ and DPA $(C_{22:5})$ showed a tendency of reduction in the weight composition according to the increase of C/N, but DHA $(C_{22:6})$ had a trend maintaining an approximately constant value, around $40\%$, irrespective of the change of C/N.

26GHz 40nm CMOS Wideband Variable Gain Amplifier Design for Automotive Radar (차량용 레이더를 위한 26GHz 40nm CMOS 광대역 가변 이득 증폭기 설계)

  • Choi, Han-Woong;Choi, Sun-Kyu;Lee, Eun-Gyu;Lee, Jae-Eun;Lim, Jeong-Taek;Lee, Kyeong-Kyeok;Song, Jae-Hyeok;Kim, Sang-Hyo;Kim, Choul-Young
    • Journal of IKEEE
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    • v.22 no.2
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    • pp.408-412
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    • 2018
  • In this paper, a 26GHz variable gain amplifier fabricated using a 40nm CMOS process is studied. In the case of an automobile radar using 79 GHz, it is advantageous in designing and driving to drive down to a low frequency band or to use a low frequency band before up conversion rather than designing and matching the entire circuit to 79 GHz in terms of frequency characteristics. In the case of a Phased Array System that uses time delay through TTD (True Time Delay) in practice, down conversion to a lower frequency is advantageous in realizing a real time delay and reducing errors. For a VGA (Variable Gain Amplifier) operating in the 26GHz frequency band that is 1/3 of the frequency of 79GHz, VDD : 1V, Bias 0.95V, S11 is designed to be <-9.8dB (Mea. High gain mode) and S22 < (Mea. high gain mode), Gain: 2.69dB (Mea. high gain mode), and P1dB: -15 dBm (Mea. high gain mode). In low gain mode, S11 is <-3.3dB (Mea. Low gain mode), S22 <-8.6dB (Mea. low gain mode), Gain: 0dB (Mea. low gain mode), P1dB: -21dBm (Mea. Low gain mode).

Adaptations and Physiological Characteristics of Three Chenopodiaceae Species under Saline Environments (명아주과 3종 식물의 염 환경에 대한 적응특성의 비교)

  • Kim, Jin-A;Choo, Yeon-Sik;Lee, In-Jung;Bae, Jeong-Jin;Kim, In-Sook;Choo, Bo-Hye;Song, Seung-Dal
    • The Korean Journal of Ecology
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    • v.25 no.3 s.107
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    • pp.171-177
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    • 2002
  • Three species of Chenopodiaceae, i.e. Suaeda japonica, Salicomia herbacea, Beta vulgaris var. cicla, were investigated to compare the physiological characteristics through ionic balances and osmoregulations under different environmental salt gradients. Plants were harvested in two weeks from treatments with salt gradients(0, 50, 100, 200 and 400 mM NaCl) and mineral nutrition gradients(1/1, l/5, 1/10 dilutions of Hoagland solution). Plants were analyzed for growth responses, ionic balances, osmolalities, conductivities, glycinebetaine and proline contents quantitatively. Three plants of Chenopodiaceae accumulated salts into tissues unlike some salt sensitive species, and showed unique adaptation patterns to overcome saline environments, i.e. strong growth stimulation for Salicomia herbacea, growth negative tolerance for Suaeda japonica, and growth positive tolerance for Beta vulgaris var cicla. The absorption of inorganic $Ca^{2+}$ ions was inhibited remarkably due to the excess uptake of $Na^+$ with increasing salinity. The $K^+$ content in plants was significantly reduced with increasing salinity. Total nitrogen content was reduced as mineral nutritions and salinity increases. Conductivity and osmolality increased with increasing salinity regardless of mineral nutritions. The ranges of glycinebetaine and proline contents were $0.2{\sim}2.5{\mu}M/g$ plant water and $0.1{\sim}0.6{\mu}M/g$ plant water, respectively.

Spawning Behavior, Egg and Larvae Developments of Maroon Clownfish, Premnas biaculeatus (Maroon Clownfish, Premnas biaculeatus의 산란습성과 난 발생 및 자치어의 외부형태발달)

  • Kim, Jong-Su;Choi, Young-Ung;Rho, Sum;Yoon, Young-Seock;Jung, Min-Min;Song, Young-Bo;Lee, Chi-Hoon;Lee, Young-Don
    • Journal of Aquaculture
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    • v.20 no.2
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    • pp.96-105
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    • 2007
  • A pair of maroon clownfishes with an indonesian native, reared in recirculation culture system to develope its aquaculture techniques. Courtship, spawning behavior, egg developments and rearing of the maroon clownfish larvae were documented. The larval development were described with illustrative figures. The spawning was occurred 8 times between Feburary and August 2004. The gravid female spawned during 15:00-20:00. The male mainly took care of the eggs supplying oxygen by water currents using their pectoral fins, anal fin and mouth. The fertilized eggs were separative-adhesive and oval in shape, and $1.99{\pm}0.03\;mm$ in longer diameter and $0.88{\pm}0.03\;mm$ in shorter diameter. The fertilized eggs were in deep-orange color. Cleavage occurred in 30 minutes after fertilization, and the egg reached 2 cells stage in 1 hour 10 minutes after fertilization at $27.0^{\circ}{\pm}0.5^{\circ}C$. The embryo was formed in 23 hours 40 minutes after fertilization. Hatching began in between $120{\pm}2$ hours and $150{\pm}12$ hours after fertilization at $27.0^{\circ}C$ in the incubator. Total length (TL) of the newly hatched larvae was 3.22 mm with mouth and anus opened. Ten days after hatching, mean TL of the larvae were 6.21 mm with 28 dorsal fin rays, 17 anal fin rays and 28 caudal fin rays. Nineteen days after hatching, mean TL of the larvae were 9.34 mm. At this stage the larva had three white bands on the body, and they began to feed on commercial diet.