• 제목/요약/키워드: LTP

검색결과 124건 처리시간 0.023초

5 cm 이하의 간암에서 식염수 주입방식 전극을 이용한 고주파 소작술: 국소 재발에 영향을 미치는 인자 (Radiofrequency Ablation of Hepatocellular Carcinoma (≤ 5 cm) with Saline-Perfused Electrodes: Factors Affecting Local Tumor Progression)

  • 김동호;정동진;조세현;한준열
    • 대한영상의학회지
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    • 제81권3호
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    • pp.620-631
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    • 2020
  • 목적 5 cm 이하 크기의 간암을 가진 92명의 환자군에서 식염수 주입방식 전극을 이용한 고주파 소작술의 국소 재발률과 예후인자를 평가하였다. 대상과 방법 2009년부터 2015년까지 간암으로 식염수 주입전극 고주파 소작술을 받은 92명 환자(148개 간암)를 대상으로 하였다. 후향적으로 기술적인 성공과 효능, 국소 재발률을 분석하였다. 국소 재발의 가능한 예후인자로써 혈관주위종양, 횡경막하종양, 인공복수 유무, 2 cm이상 크기, 이전 간동맥색전술 치료 여부를 평가하였다. 결과는 각각의 병변 별로 분석하였다. 결과 1~97.4개월의 추적관찰 기간 동안 누적 국소 재발률은 1년, 3년, 5년에서 각각 7.9%, 11.4%, 14.6%였다. 5년 누적 국소 재발률은 혈관주위간암과(35.1%; p = 0.009) 횡경막하간 암에서(38.9%; p = 0.002) 각각 비교군에 비해 유의미하게 높았다. 다른 예후인자들에서 국소 재발률의 유의미한 차이는 없었다(p > 0.05). 결론 식염수 주입전극을 이용한 고주파 소작술은 5 cm 이하 크기의 간암을 국소 재발률 증가없이 안전하고 효과적으로 치료할 수 있다. 그렇지만 식염수 주입전극으로도 혈관 주위와 횡경막하 위치의 간암은 다른 부위에 비해 국소 재발률이 높으므로, 혈관주위간암과 횡경막하간암은 식염수 주입전극을 이용한 고주파 소작술에서도 국소 재발의 위험성이 크다는 것을 유념하여야 한다.

No-Touch Radiofrequency Ablation Using Twin Cooled Wet Electrodes for Recurrent Hepatocellular Carcinoma Following Locoregional Treatments

  • Seong Jun Hong;Jae Hyun Kim;Jeong Hee Yoon;Jeong Hoan Park;Jung-Hwan Yoon;Yoon Jun Kim;Su Jong Yu;Eun Ju Cho;Jeong Min Lee
    • Korean Journal of Radiology
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    • 제25권5호
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    • pp.438-448
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    • 2024
  • Objective: To evaluate the therapeutic outcomes of no-touch radiofrequency ablation (NT-RFA) using twin cooled wet (TCW) electrodes in patients experiencing recurrent hepatocellular carcinoma (HCC) after undergoing locoregional treatments. Materials and Methods: We conducted a prospective, single-arm study of NT-RFA involving 102 patients, with a total of 112 recurrent HCCs (each ≤ 3 cm). NT-RFA with TCW electrodes was implemented under the guidance of ultrasonography (US)-MR/CT fusion imaging. If NT-RFA application proved technically challenging, conversion to conventional tumor puncture RFA was permitted. The primary metric for evaluation was the mid-term cumulative incidence of local tumor progression (LTP) observed post-RFA. Cumulative LTP rates were estimated using the Kaplan-Meier method. Multivariable Cox proportional hazard regression was used to explore factors associated with LTP. Considering conversion cases from NT-RFA to conventional RFA, intention-to-treat (ITT; including all patients) and per-protocol (PP; including patients not requiring conversion to conventional RFA alone) analyses were performed. Results: Conversion from NT-RFA to conventional RFA was necessary for 24 (21.4%) out of 112 tumors. Successful treatment was noted in 111 (99.1%) out of them. No major complications were reported among the patients. According to ITT analysis, the estimated cumulative incidences of LTP were 1.9%, 6.0%, and 6.0% at 1, 2, and 3 years post-RFA, respectively. In PP analysis, the cumulative incidence of LTP was 0.0%, 1.3%, and 1.3% at 1, 2, and 3 years, respectively. The number of previous locoregional HCC treatments (adjusted hazard ratio [aHR], 1.265 per 1 treatment increase; P = 0.004), total bilirubin (aHR, 7.477 per 1 mg/dL increase; P = 0.012), and safety margin ≤ 5 mm (aHR, 9.029; P = 0.016) were independently associated with LTP in ITT analysis. Conclusion: NT-RFA using TCW electrodes is a safe and effective treatment for recurrent HCC, with 6.0% (ITT analysis) and 1.3% (PP analysis) cumulative incidence of LTP at 2 and 3-year follow-ups.

Reduction of long-term potentiation at Schaffer collateral-CA1 synapses in the rat hippocampus at the acute stage of vestibular compensation

  • Lee, Gyoung Wan;Kim, Jae Hyo;Kim, Min Sun
    • The Korean Journal of Physiology and Pharmacology
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    • 제21권4호
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    • pp.423-428
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    • 2017
  • Vestibular compensation is a recovery process from vestibular symptoms over time after unilateral loss of peripheral vestibular end organs. The aim of the present study was to observe time-dependent changes in long-term potentiation (LTP) at Schaffer collateral-CA1 synapses in the CA1 area of the hippocampus during vestibular compensation. The input-output (I/O) relationships of fEPSP amplitudes and LTP induced by theta burst stimulation to Schaffer's collateral commissural fibers were evaluated from the CA1 area of hippocampal slices at 1 day, 1 week, and 1 month after unilateral labyrinthectomy (UL). The I/O relationships of fEPSPs in the CA1 area was significantly reduced within 1 week post-op and then showed a non-significant reduction at 1 month after UL. Compared with sham-operated animals, there was a significant reduction of LTP induction in the hippocampus at 1 day and 1 week after UL. However, LTP induction levels in the CA1 area of the hippocampus also returned to those of sham-operated animals 1 month following UL. These data suggest that unilateral injury of the peripheral vestibular end organs results in a transient deficit in synaptic plasticity in the CA1 hippocampal area at acute stages of vestibular compensation.

Life Transition Process Effects on Depressive Symptoms in Parents of Children with Autism Spectrum Disorder

  • Hong, Sun Woo;Kim, JinShil;Lee, Ae Ran;Choi, Jeong Sil
    • Child Health Nursing Research
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    • 제24권3호
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    • pp.337-344
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    • 2018
  • Purpose: The purpose of this study is to examine the association between each phase of the Life Transition Process (LTP) and depressive symptoms among parents of children with Autism Spectrum Disorder (ASD). Methods: Using a cross-sectional study design, data pertaining to LTP and depressive symptoms were collected from 285 parents of children with ASD (101 fathers and 184 mothers). Participants were recruited through the Autism Society of Korea and a counseling center for families of children with ASD. Results: Using a cut-off point of 5 or higher on the Beck Depression Inventory-Short Form, more than half of the parents (53.4%) were deemed depressed; these parents experienced moderate (27.4%) to severe (11.6%) levels of depressive symptoms. A hierarchical multiple regression using the socio-demographic characteristics of children and parents and each phase of the LTP as predictors, found that lower income (${\beta}=-.14$, p=.007) and greater scores for the wandering phase (${\beta}=.59$, p<.001) were significant predictors of greater levels of depressive symptoms. Conclusion: These findings confirm the association between LTP and depressive symptoms for parents of children with ASD, who were found to have a greater risk of depressive symptoms during wandering phase.

디지틀 이동 통신용 RPE-LTP 음성 부호화기의 실시간 H/W 구현 (Real-Time H/W Implementation of RPE-LTP Speech Coder for Digital Mobile Communications)

  • 김선영;김재공
    • 한국통신학회논문지
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    • 제16권1호
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    • pp.85-100
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    • 1991
  • 디지틀 이동 통신 시스템 검토에 있어서 고음질 저전송 속도의 음성 부호화기 연구는 가용 주파수 대역의 제한을 극복하여 통신 서비스를 증대시키기 위한 필수 사항의 하나이다. 본 논문에서는 디지특 이동 통신용 13 kbps RPE LTP 음성 부호화기의 구현에 관하여 다루었다. 하나의 DSP칩을 이용하여 양방향 통신방식으로 실시간 구현(DSP 로딩율 약 75%)이 가능함을 나타냈으며, 또한 H/W 구현을 위한 고정소수점 시뮬레이션 및 채널코딩과의 연계를 고려한 각 전송 파리미티의 비트 중요도 분석 결과를 제시하였다.

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Phorbol 12-Myristate 13-Acetate Enhances Long-Term Potentiation in the Hippocampus through Activation of Protein Kinase $C{\delta}$ and ${\varepsilon}$

  • Kim, Eung Chang;Lee, Myeong Jong;Shin, Sang Yep;Seol, Geun Hee;Han, Seung Ho;Yee, Jaeyong;Kim, Chan;Min, Sun Seek
    • The Korean Journal of Physiology and Pharmacology
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    • 제17권1호
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    • pp.51-56
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    • 2013
  • Many intracellular proteins and signaling cascades contribute to the sensitivity of N-methyl-D-aspartate receptors (NMDARs). One such putative contributor is the serine/threonine kinase, protein kinase C (PKC). Activation of PKC by phorbol 12-myristate 13-acetate (PMA) causes activation of extracellular signal-regulated kinase (ERK) and promotes the formation of new spines in cultured hippocampal neurons. The purpose of this study was to examine which PKC isoforms are responsible for the PMA-induced augmentation of long-term potentiation (LTP) in the CA1 stratum radiatum of the hippocampus in vitro and verify that this facilitation requires NMDAR activation. We found that PMA enhanced the induction of LTP by a single episode of theta-burst stimulation in a concentration-dependent manner without affecting to magnitude of baseline field excitatory postsynaptic potentials. Facilitation of LTP by PMA (200 nM) was blocked by the nonspecific PKC inhibitor, Ro 31-8220 ($10{\mu}M$); the selective $PKC{\delta}$ inhibitor, rottlerin ($1{\mu}M$); and the $PKC{\varepsilon}$ inhibitor, TAT-${\varepsilon}V1$-2 peptide (500 nM). Moreover, the NMDAR blocker DL-APV ($50{\mu}M$) prevented enhancement of LTP by PMA. Our results suggest that PMA contributes to synaptic plasticity in the nervous system via activation of $PKC{\delta}$ and/or $PKC{\varepsilon}$, and confirm that NMDAR activity is required for this effect.

Peltier Heating-Assisted Low Temperature Plasma Ionization for Ambient Mass Spectrometry

  • Lee, Hyoung Jun;Oh, Ji-Seon;Heo, Sung Woo;Moon, Jeong Hee;Kim, Jeong-hoon;Park, Sung Goo;Park, Byoung Chul;Kweon, Gi Ryang;Yim, Yong-Hyeon
    • Mass Spectrometry Letters
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    • 제6권3호
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    • pp.71-74
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    • 2015
  • Low temperature plasma (LTP) ionization mass spectrometry (MS) is one of the widely used ambient analysis methods which allows soft-ionization and rapid analysis of samples in ambient condition with minimal or no sample preparation. One of the major advantages of LTP MS is selective analysis of low-molecular weight, volatile and low- to medium-polarity analytes in a sample. On the contrary, the selectivity for particular class of compound also implies its limitation in general analysis. One of the critical factors limiting LTP ionization efficiency is poor desorption of analytes with low volatility. In this study, a home-built LTP ionization source with Peltier heating sample stage was constructed to enhance desorption and ionization efficiencies of analytes in a sample and its performance was evaluated using standard mixture containing fatty acid ethyl esters (FAEEs). It was also used to reproduce the previous bacterial identification experiment using pattern-recognition for FAEEs. Our result indicates, however, that the bacterial differentiation from FAEE pattern recognition using LTP ionization MS still has many limitations.

감마선 조사 패턴에 따른 벼의 Lipid Transfer Protein Gene (LTP)의 발현 차이 (Differential Expression of Rice Lipid Transfer Protein Gene (LTP) Classes in Response to γ-irradiation Pattern)

  • 김선희;송미라;장덕수;강시용;김진백;김상훈;하보근;박용대;김동섭
    • 방사선산업학회지
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    • 제5권1호
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    • pp.47-54
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    • 2011
  • In this study, we investigated to evaluate differential expression of genes encoding lipid transfer proteins (LTP) by acute and chronic gamma irradiation in rice. After acute and chronic gamma irradiation by 100 Gy and 400 Gy to rice plant, necrotic lesion was observed in the leaf blade and anthocyanin contents were increased. We isolated a total of 21 rice lipid transfer protein (LTP) genes in the TIGR database, and these genes were divided into four different groups on the basis of nucleotide sequences. The LTP genes also were classified as different four classes according to expression pattern using RT-PCR. Group A, B contained genes with increased expression and decreased expression in acute and chronic, respectively. Group C contained genes with contrasted expression pattern. Group D wasn't a regular pattern. But the specific affinity was not obtained between two grouping.

Surface Characterization of Low Temperature Plasma Treated Wool Fiber - The Effect of the Nature of Gas-

  • Kan, C.W.;Chan, K.;Yuen, C.W.M.
    • Fibers and Polymers
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    • 제5권1호
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    • pp.52-58
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    • 2004
  • Previous investigation results revealed that after the Low Temperature Plasma (LTP) treatment, the hydrophilicity of wool fiber was improved significantly. Such improvement enhances the wool dyeing and finishing processes which might be due to the changes of the wool surface to a more reactive one. In this paper, wool fibers were treated with LTP with different gases, namely, oxygen, nitrogen and gas mixture (25 % hydrogen/75 % nitrogen). Investigations showed that chemical composition of wool fiber surface varied differently with the different plasma gas used. The surface chemical composition of the different LTP-treated wool fibers was evaluated with different characterization methods, namely FTIR-ATR, XPS and saturated adsorption value. The experimental results were thoroughly discussed.

수국 추출물이 알코올로 유도한 기억 장애 및 long-term potentiation 억제에 미치는 영향 (Effect of the Extract of Hydrangea Dulcis Folium on Alcohol-induced Psychiatric Deficits)

  • 김동현;박혜진;정지욱;이승헌
    • 생명과학회지
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    • 제27권3호
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    • pp.355-360
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    • 2017
  • 다량의 에탄올을 섭취하면 기억 상실로 이어질 수 있으며, 종종 blackout으로 나타난다. Blackout의 불균형은 알코올 소비에 있어 다양한 사회 문제의 주요 원인이 될 수 있다. 그러나 이러한 알코올 유발 문제를 예방하는 치료법은 아직 존재하지 않는다. Hydrangeae dulcis folium은 Hydrangea serrata Seringe의 잎을 발효가공을 통해 만든 민간약 또는 차이다. 본 연구에서는 에탄올로 유도한 정신적 결핍에 대한 Hydrangeae dulcis folium의 에탄올 추출물(EHDF)의 효과를 평가하였다. 행동적 결핍 또는 장애를 테스트하기 위해 마우스에서 물체 인식 테스트가 수행하였다. 또한 시냅스 결손을 평가하기 위해, 마우스 해마 조각에서 에탄올에 취약한 것으로 알려져 있고 에탄올로 유발한 기억 상실과 관련이 있는 N-methyl-D-aspartate (NMDA) 수용체-매개 흥분성 시냅스 후 전위 및 long-term potentiation (LTP)을 측정하였다. 본 연구에서 에탄올(1 g/kg, i.p.)은 물체 인식 메모리를 손상 시켰지만, EHDF (10 또는 30 mg/kg)는 물체 인식 테스트에서 이러한 장애를 극복하였다. 흥미롭게도, EHDF ($30{\mu}g/ml$)는 해마 절편에서 에탄올 처리 후 억제되었던 LTP 및 NMDA 수용체 매개 시냅스 전달을 유의하게 개선시켰다. EHDF는 에탄올에 의해 유발된 물체 인식 기억력 결핍을 개선하였고, 또한 EHDF는 해마 절편에서 에탄올 유도성 LTP 및 NMDA 수용체 매개성 시냅스 전달을 상당히 개선시켰다.