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Type 3 Gastric Neuroendocrine Neoplasm Clinical Features: A Multicenter Study in Korea

  • Kyong Joo Lee;Hee Man Kim;Sang Kil Lee;Ho Sun Choi;Jie-Hyun Kim;Seun Ja Park;Sung Chul Park;Byung Ik Jang;Jin Tae Jung;Tae Joo Jeon;Jong Hun Lee ;Jae Kyu Sung;Semi Park;Yoon Jae Kim;Jae Hee Cho
    • Journal of Digestive Cancer Research
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    • v.5 no.2
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    • pp.86-90
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    • 2017
  • Background: The aim of this study was to investigate clinicopathologic features of type 3 gastric neuroendocrine neoplasm (NEN) by treatment modality. Methods: The Korean Society of Gastrointestinal Cancer conducted the Korean Gastroenteropancreatic Neuroendocrine Tumor Registry, a retrospective registry database of gastroenteropancreatic neuroendocrine tumors from 16 hospitals in Korea. The normal serum gastrin level range was defined as <100 pg/mL, and gastric NEN patients with normal gastrin level were selected for analysis. Results: Among 358 patients with gastric NEN, 21 (5.9%) patients were classified with type 3 gastric NEN. The median age was 53 years (range 30-74). According to the WHO 2010 classification, 13 (61.9%) patients had grade 1, and 8 (38.1%) patients had grade 2 or 3. Endoscopic treatment was performed in 14 (66.7%) patients, and surgery was performed in 7 (33.3%) patients. The tumor size was smaller in the endoscopic treatment group than in the surgery group (0.6 cm vs 1.3 cm, p=0.006). After treatment, there was one recurrence in the surgery group. Conclusion: In small size Type 3 gastric NEN, endoscopic treatment was associated with a good prognosis, compared to surgery. Thus, endoscopic treatment can be used an alternative modality in selected cases of type 3 gastric NEN.

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Purification and Characterization of Mitochondrial Mg2+-Independent Sphingomyelinase from Rat Brain

  • Jong Min Choi;Yongwei Piao;Kyong Hoon Ahn;Seok Kyun Kim;Jong Hoon Won;Jae Hong Lee;Ji Min Jang;In Chul Shin;Zhicheng Fu;Sung Yun Jung;Eui Man Jeong;Dae Kyong Kim
    • Molecules and Cells
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    • v.46 no.9
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    • pp.545-557
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    • 2023
  • Sphingomyelinase (SMase) catalyzes ceramide production from sphingomyelin. Ceramides are critical in cellular responses such as apoptosis. They enhance mitochondrial outer membrane permeabilization (MOMP) through self-assembly in the mitochondrial outer membrane to form channels that release cytochrome c from intermembrane space (IMS) into the cytosol, triggering caspase-9 activation. However, the SMase involved in MOMP is yet to be identified. Here, we identified a mitochondrial Mg2+-independent SMase (mt-iSMase) from rat brain, which was purified 6,130-fold using a Percoll gradient, pulled down with biotinylated sphingomyelin, and subjected to Mono Q anion exchange. A single peak of mt-iSMase activity was eluted at a molecular mass of approximately 65 kDa using Superose 6 gel filtration. The purified enzyme showed optimal activity at pH of 6.5 and was inhibited by dithiothreitol and Mg2+, Mn2+, Ni2+, Cu2+, Zn2+, Fe2+, and Fe3+ ions. It was also inhibited by GW4869, which is a non-competitive inhibitor of Mg2+-dependent neutral SMase 2 (encoded by SMPD3), that protects against cytochrome c release-mediated cell death. Subfractionation experiments showed that mt-iSMase localizes in the IMS of the mitochondria, implying that mt-iSMase may play a critical role in generating ceramides for MOMP, cytochrome c release, and apoptosis. These data suggest that the purified enzyme in this study is a novel SMase.

Performance Improvement Analysis of Building Extraction Deep Learning Model Based on UNet Using Transfer Learning at Different Learning Rates (전이학습을 이용한 UNet 기반 건물 추출 딥러닝 모델의 학습률에 따른 성능 향상 분석)

  • Chul-Soo Ye;Young-Man Ahn;Tae-Woong Baek;Kyung-Tae Kim
    • Korean Journal of Remote Sensing
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    • v.39 no.5_4
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    • pp.1111-1123
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    • 2023
  • In recent times, semantic image segmentation methods using deep learning models have been widely used for monitoring changes in surface attributes using remote sensing imagery. To enhance the performance of various UNet-based deep learning models, including the prominent UNet model, it is imperative to have a sufficiently large training dataset. However, enlarging the training dataset not only escalates the hardware requirements for processing but also significantly increases the time required for training. To address these issues, transfer learning is used as an effective approach, enabling performance improvement of models even in the absence of massive training datasets. In this paper we present three transfer learning models, UNet-ResNet50, UNet-VGG19, and CBAM-DRUNet-VGG19, which are combined with the representative pretrained models of VGG19 model and ResNet50 model. We applied these models to building extraction tasks and analyzed the accuracy improvements resulting from the application of transfer learning. Considering the substantial impact of learning rate on the performance of deep learning models, we also analyzed performance variations of each model based on different learning rate settings. We employed three datasets, namely Kompsat-3A dataset, WHU dataset, and INRIA dataset for evaluating the performance of building extraction results. The average accuracy improvements for the three dataset types, in comparison to the UNet model, were 5.1% for the UNet-ResNet50 model, while both UNet-VGG19 and CBAM-DRUNet-VGG19 models achieved a 7.2% improvement.

A Case of Cold Hypersensitivity of Hands and Feet Treated with Korean Medicine Including Gyejifabuja-tang-gmibang and Acupuncture in a Patient with Lumbar Spinal Herniated Intervertebral Disc - A Case Report (한방병원에 입원한 수족냉증을 동반한 추간판탈출증 환자에 대한 한방 치료 1례)

  • Sang-hun Yun;Sang-yoon Kim;Yen-min Wang;Gil-geun Baek;Yu-jin Lee;Hyung-chul Lee;Man-ho Kang;Sung-hwan Park
    • The Journal of Internal Korean Medicine
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    • v.44 no.5
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    • pp.1071-1082
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    • 2023
  • Objective: The purpose of this study is to report the efficacy of using Korean medicine treatment with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. Case presentation: We used Korean medicine treatment (Gyejigabuja-tang, acupuncture) to treat a hospitalized patient with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. To evaluate the treatment, we used the Numerical Rating Scale (NRS). The degree of cold hypersensitivity of the hands and feet was also evaluated using evaluation paper. The generic health status was measured using the European Quality of Life-5 Dimensions (EQ-5D) scale. The 31-year-old female underwent 13 days of inpatient treatment. Her pattern identification was that both hands and feet are cold (BiYangHeo) types. The treatments were herbal medicine and acupuncture. She took Gyejigabuja-tang for 13 days. She also received acupuncture for 20 minutes twice a day at LI11 (曲池), L14 (合谷), TE5 (外關) on her hands, LR3 (太衝), SP6 (三陰交), SP9 (陰陵泉) ST36 (足三里), GB41 (足臨泣) on Feet, GV4 (命門), GV3 (腰陽關), BL23 (腎兪), BL24 (氣海兪), BL25 (大腸兪), and BL26 (關元兪) on the low back. After 2 weeks of treatment, the NRS scale of her cold hypersensitivity of hands and feet symptoms dropped from NRS 7 to NRS 3, and her low back pain dropped from NRS 6 to NRS 3. Her cold hypersensitivity of hands and feet evaluation paper score decreased from 64 to 32, and her EQ-5D increased from 0.487 to 0.681. After the end of treatment, continued symptom improvements and no significant side effects were confirmed. Results: These findings suggest that Korean medical treatment (Gyejigabuja-tang, acupuncture) may be effective for treating cold hypersensitivity of hands and feet with lumbar spinal herniated intervertebral disc. The NRS, evaluation paper, and EQ-5D scores improved after treatment, with no side effects.

Effect of Limestone Fineness on Physical Properties and Environmental Impact of Cement (석회석의 분말도가 시멘트의 물리적 특성 및 환경에 미치는 영향)

  • In-Gyu Kang;Jin-Man Kim;Sang-Chul Shin;Geon-Woo Kim;Tae-Yun An
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.12 no.1
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    • pp.82-93
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    • 2024
  • Since the cement industry generates more than 60 % of CO2 during the clinker production process, supplementary cementitious materials are used worldwide to reduce CO2 efficiently. Mainly used supplementary cementitious materials such as blast furnace slag and fly ash, which are used in various industries including the cement industry, concrete admixtures, and ground solidification materials. However, since their availability is expected to decrease in the future according to the carbon neutrality strategy of each industry, new supplementary cementitious materials should be used to achieve the cement industry's goal for increasing the additive content of Portland cement. Limestone is a material that already has a large amount in the cement industry and has the advantage of high grinding efficiency, so overseas developed countries established Portland limestone cement standards and succeeded in commercialization. This study was an experimental study conducted to evaluate the possibility of utilizing domestic PLC, the effect of fineness and replacement ratio on the physical properties of cement was investigated, and the environmental impact of cement was evaluated by analyzing CO2 emissions.

Relationship assessment of the residual antibiotics and the amount of N component by different production stages of liquid fertilizer from livestock manure (가축분뇨 유래 액비 생산단계별 항생제 잔류 농도와 질소 성분 함량과의 상관성 평가)

  • Song-Hee Ryu;Jin-Wook Kim;Young-Kyu Hong;Sung-Chul Kim;Jun-Hyeong Lee;Eun-A Jeong;Chang-Gyu Kim;Young-Man Yoon;Oh-Kyung Kwon
    • Journal of Applied Biological Chemistry
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    • v.66
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    • pp.258-265
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    • 2023
  • After application of veterinary antibiotics, they may be partially metabolized before they are excreted by feces or urine either as unaltered form or as metabolites. Residual antibiotics enter the adjacent agricultural environments by spraying manure-based compost and liquid fertilizer on farmlands and lead to secondary pollution. The objective of this study was to compare the residual concentrations of 6 veterinary antibiotics by different production stages of liquid fertilizer from livestock manure recycling facilities. The relationship between concentration change of the residual antibiotics and the amount of liquid fertilizer component was also assessed. Pre-treatment showed the recovery of 63.4-106.7% at ppb level and the limit of quantification of 0.009-0.037 ㎍/L.As the result of analyzing the relationship between the residual concentrations of antibiotics and the amount of N component in liquid fertilizer by different production stages, the residual concentrations of antibiotics and N tended to decrease as the stabilization period elapsed during the liquid fertilization process. Average concentrations of sulfamethazine in raw materials, middle and final products of liquid fertilizer were 40.85, 26.17, 3.54 ㎍/L, respectively. Those of chlortetracycline decreased from 2.32 to 1.25 ㎍/L. The other 4 antibiotics also showed a decreasing trend by different production stages of liquid fertilizer. The amount of liquid fertilizer component N decreased from 0.21 to 0.096% by production stages of liquid fertilizer. It is considered that the correlation between residual antibiotic concentrations and N content can be applied as basic data for setting antibiotic reduction indicators.

Development of Radar System for Laser Tracking System (레이저 추적 시스템을 위한 레이더 시스템 개발)

  • Ki-Pyoung Sung;Hyung-Chul Lim;Man-Soo Choi;Sung-Yeol Yu
    • Journal of Space Technology and Applications
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    • v.4 no.1
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    • pp.1-11
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    • 2024
  • Korea Astronomy and Space Science Institute (KASI) developed an satellite laser ranging (SLR) system for tracking space objects using ultra-pulsed lasers. For the safe operation of SLR system, aircraft surveillance radar system (ASRS) was developed to prevent human damage from high power laser transmitted from the SLR system. The ASRS consists of the radar hardware subsystem (RHS) and main control subsystem (MCS), in order to detect flying objects in the direction of laser propagation and then stop immediately the laser transmission. The RHS transmits the radio frequency (RF) pulse signals and receives the returned signals, while the MCS analyzes the characteristics of received signals and distinguishes the existence of flying objects. If the flying objects are determined to be existed, the MCS sends the command signal to the laser controller in SLR system to pause the laser firing. In this study, we address the interface and operational scenarios of ASRS, including the design of RHS and MCS. It was demonstrated in the aircraft experiments that the ASRS could detect an aircraft and then stop transmitting high power laser successfully.

Comparison of PCR-RFLP and Real-Time PCR for Allelotyping of Single Nucleotide Polymorphisms of RRM1, a Lung Cancer Suppressor Gene (폐암 억제유전자 RRM1의 단일염기다형성 검사를 위한 PCR-RFLP법과 Real-Time PCR법의 유용성 비교)

  • Jeong, Ju-Yeon;Kim, Mi-Ran;Son, Jun-Gwang;Jung, Jong-Pil;Oh, In-Jae;Kim, Kyu-Sik;Kim, Young-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.5
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    • pp.406-416
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    • 2007
  • Background: Single nucleotide polymorphisms (SNPs), which consist of a substitution of a single nucleotide pair, are the most abundant form of genetic variations occurring with a frequency of approximately 1 per 1000 base pairs. SNPs by themselves do not cause disease but can predispose humans to disease, modify the extent or severity of the disease or influence the drug response and treatment efficacy. Single nucleotide polymorphisms (SNPs), particularly those within the regulatory regions of the genes often influence the expression levels and can modify the disease. Studies examining the associations between SNP and the disease outcome have provided valuable insight into the disease etiology and potential therapeutic intervention. Traditionally, the genotyping of SNPs has been carried out using polymerase chain reaction-restriction fragment length polymorphism(PCR-RFLP), which is a low throughput technique not amenable for use in large-scale SNP studies. Recently, TaqMan real-time PCR chemistry was adapted for use in allelic discrimination assays. This study validated the accuracy and utility of real-time PCR technology for SNPs genotyping Methods: The SNPs in promoter sequence (-37 and -524) of lung cancer suppressor gene, RRM1 (ribonucleotide reductase M1 subunit) with the genomic DNA samples of 89 subjects were genotyped using both real-time PCR and PCR-RFLP. Results: The discordance rates were 2.2% (2 mismatches) in -37 and 16.3% (15 mismatches) in -524. Auto-direct sequencing of all the mismatched samples(17 cases) were in accord with the genotypes read by real-time PCR. In addition, 138 genomic DNAs were genotyped using real-time PCR in a duplicate manner (two separated assays). Ninety-eight percent of the samples showed concordance between the two assays. Conclusion: Real-time PCR allelic discrimination assays are amenable to high-throughput genotyping and overcome many of the problematic features associated with PCR-RFLP.

An Awareness of Welfare Facility for the Elderly and It's Related Factors of College Students (노인복지시설(老人福祉施設)에 대한 대학생(大學生)의 의식(意識)과 관련요인(關聯要因))

  • Jowa Yooun-Teak;Nam Chul-Hyun;Park Chun-Man
    • Journal of Society of Preventive Korean Medicine
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    • v.2 no.1
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    • pp.87-111
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    • 1998
  • For the newly approach of policy with the old aged era at hand, the result which examines the 1,200 students attending professional colleges and upward in three small-to-medium sized cities, for two months, from October 1, 1996 to November 30, in order to know the change of consciousness of the growing modern young intellectual age group is as follows. 1. The objects of survey consist of 72.1% of women, 40.4% of 20 to 21 age, 49.1% of atheists, and people from big cities and fishing and agrarian village occupy equally 40.2%. Concerning the long-termed residents, 49% of them dwell in big cities. In case of the parents' age is more than 55, 31.5% in fathers, and 10.9% in mothers. 2. The types of housing in which they desire to reside in their getting older are : 72.8% of them hope to live in individual houses, 16.6% in apartments or villas, and 3.4% in social welfare facilities. Out of respondents, compared with other groups, man rather than woman, those who are 20 to 21 age group and from fishing and agrarian villages and have over 7 family members and live with their parents have a higher preference for independent houses. 3. The districts in which they hope to live when they are old are : 41.6% of them, with the highest percent, hope to live in farming villages, the older they are, the more they hope to live in agricultural district, and women of 21 years and upward hope to live in big cities. On the other hand, the preferable degree for social welfare facilities is higher each in people who are 24 years and upward, buddhists, self-boarding students, and the more poorly they are off, the higher the percent is. 4. The types of preferable welfare facilities for the elderly are : 58.2% of them think silver towns desirable, 28.4% think the charged (or free) elderly welfare facilities. Compared with other groups, the percentage which prefer silver towns is higher in women, people from big cities, residents of main family, long-termed city residents, people with higher income, people having grandparents alive, and people who had experience of taking lectures on hygienics or social welfare. 5. 50.3% of the respondents insist that provision of living expenses against old age should be insured by social security system, and 42.8% by the elderly themselves. The percentage of the former shows higher in people of 21 years and upward, women, residents of fishing and agrarian villages, christians, people in more needy circumstances and people who have experience of using a medical institution. 6. Compared with other nations, 54.5% of the respondents have an opinion that elderly welfare and welfare work in Korea stays in insufficient level and most of them are women, people from farming village, residents of head family, people having younger parents and people being worse health condition, and they have a more positive attitude about the elderly welfare work. 7. 92.3% of the respondents answered that a national budget for the elderly welfare is scarce, and the percentage is higher in people who are older, residents of big cities, people in lower living condition and people in worse health condition. 8. 35.2% of the respondents answered that the proper cost of their old age must be over 220mi11ion. The more a family's total income is, the higher the percentage is. 9. The factors which have an effect on the preference of silver towns are sex(p<0.01, the type of the present residence(p<0.05), and a family's total income(p<0.05). 10. From the survey result of the above, we comes to the conclusion that, for the sake of welfare of the increasing elderly population, government authorities and parties concerned must exert their utmost for the elderly welfare by increasing a budget of it and establishing a number of facilities of the elderly welfare and silver towns located in fresh and comfortable villages. In addition, they have to set up a course of hygienics in all the colleges and instruct the contexts on hygienic welfare as well.

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Effect of Harvest Stage of Sorghum × Sorghum Hybrid (SSH) on the Quality of Round Baled SSH Silage (수수 × 수수 교잡종의 수확시기가 원형 곤포사일리지의 품질에 미치는 영향)

  • Choi, Ki-Choon;Jung, Min-Woong;Kim, Won-Ho;Kim, Cheon-Man;Yoon, Sei-Hyung;Choi, Eun-Min;Kim, Jong-Geun;Lee, Sang-Moon;Choi, Jong-Man;Kim, Hyuck-Gi;Lim, Young-Chul
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.31 no.2
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    • pp.143-150
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    • 2011
  • This study was performed to investigate the effects of harvest stage of sorghum ${\times}$ sorghum hybrid (SSH) on nutritive values and quality of round baled SSH silage manufactured with SSH grown in paddy land of Department of Animal Resources Development, National Institute of Animal Science, RDA. SSH "SS405" was harvested at two different growth stages (heading and ripen stage) and ensiled at each harvest stages. Crude protein content of round baled SSH silage increased with delayed harvest maturity, but contents of ADF (acid detergent fiber), NDF (neutral detergent fiber), TDN (total digestible nutrient) and in vitro dry matter digestibility (IVDMD) was not changed. The pH in round baled SSH silage ranged from 3.8 to 4.4 at two different harvest stages, and pH in heading stage was higher than that of ripen stage. The content of lactic acid of round baled SSH silage increased with delayed harvest maturity (P<0.05), but the content of acetic acid decreased (P<0.05). The contents of lactic acid and acetic acid in ripen stage were not influenced by manufacture method of silage. The content of acetic acid in round baled SSH silage of heading stage increased as compared to that of trench SSH silage (P<0.05). Therefore, this study suggest that round baled SSH silage manufactured in both heading and ripen stage can improve the silage fermentation.