• Title/Summary/Keyword: Overall Survival

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Quantitative microbial risk assessment of Clostridium perfringens in beef jerky (육포에서 Clostridium perfringens의 정량적 미생물 위해평가)

  • Nam, Gun Woo;Kim, Su Jin;Yoon, Ki Sun
    • Korean Journal of Food Science and Technology
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    • v.50 no.6
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    • pp.621-628
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    • 2018
  • We developed a quantitative microbial risk assessment model for determning the effect of seasoning on Clostridium perfringens behavior in beef jerky under aerobic and anaerobic conditions. C. perfringens was not detected (<0.5 log CFU/g) in beef jerky samples (n=275), regardless of storage conditions or the presence of seasoning. Survival models of C. perfringens on beef jerky were developed as a function of temperature (10, 17, 25, and $35^{\circ}C$). Risk of C. perfringens due to the consumption of beef jerky was estimated with @RISK and FDA-iRISK. The probability of foodborne illness due to C. perfringens through consumption of seasoned, vacuum packed beef jerky was estimated to be $2.77{\times}10^{-16}$ per person per day. Overall, the risk of contamination of beef jerky with C. perfringens is very low.

Preoperative Risk Factors for Pathologic N2 Metastasis in Positron Emission Tomography-Computed Tomography-Diagnosed N0-1 Non-Small Cell Lung Cancer

  • Yoon, Tae-hong;Lee, Chul-ho;Park, Ki-sung;Bae, Chi-hoon;Cho, Jun-Woo;Jang, Jae-seok
    • Journal of Chest Surgery
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    • v.52 no.4
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    • pp.221-226
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    • 2019
  • Background: Accurate mediastinal lymph node staging is vital for the optimal therapy and prognostication of patients with lung cancer. This study aimed to determine the preoperative risk factors for pN2 disease, as well as its incidence and long-term outcomes, in patients with clinical N0-1 non-small cell lung cancer. Methods: We retrospectively analyzed patients who were treated surgically for primary non-small cell lung cancer from November 2005 to December 2014. Patients staged as clinical N0-1 via chest computed tomography (CT) and positron emission tomography (PET)-CT were divided into two groups (pN0-1 and pN2) and compared. Results: In a univariate analysis, the significant preoperative risk factors for pN2 included a large tumor size (p=0.083), high maximum standard uptake value on PET (p<0.001), and central location of the tumor (p<0.001). In a multivariate analysis, central location of the tumor (p<0.001) remained a significant preoperative risk factor for pN2 status. The 5-year overall survival rates were 75% and 22.9% in the pN0-1 and pN2 groups, respectively, and 50% and 78.2% in the patients with centrally located and peripherally located tumors, respectively. In a Cox proportional hazard model, central location of the tumor increased the risk of death by 3.4-fold (p<0.001). Conclusion: More invasive procedures should be considered when preoperative risk factors are identified in order to improve the efficacy of diagnostic and therapeutic plans and, consequently, the patient's prognosis.

Behavior Changes of Earthworm from Soils Amended with Biochar - Avoidance and Productivity - (바이오차르 토양 투입에 따른 지렁이의 행동변화 연구 - 회피 및 생산성 변화 -)

  • Kim, You Jin;Yang, Seung Hoon;Kim, Seo Yeon;Yoon, Hong Seok;Yoo, Ga Young
    • Journal of Climate Change Research
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    • v.5 no.4
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    • pp.277-284
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    • 2014
  • Biochar application to soil is widely known to have effects of climate change mitigation and soil quality improvement. However, effects of biochar on soil ecosystem are not always positive and some biochars are reported to contain toxic materials which might influence soil ecosystem. In this context, this study aims to investigate behavioral changes of earthworms(Eisenia fetida, Eisenia andrei) in response to different application rates of biochar to artificial soil. Treatment included two types of biochars made from rice husk (RH_Char) and wastewater sludge (SL_Char) with 1% and 10% application rates, respectively. Avoidance test revealed that earthworms did not avoid SL_Char treatments at 1% and 10%, while they rather moved to the RH_Char treatments probably due to higher labile carbon content(Hot water extractable carbon) of the RH_Char. The HWC content of RH_Char was 4 times higher than that of the SL_Char. Results of reproduction test showed that the survival rates, number of juveniles and number of cocoons were not influenced by biochar application except for the treatment of SL_Char at 10% rate. In the SL_Char 10% treatment, fatality was approximately 3.3 times as high as the control and the number of cocoons was 1.3 times higher in the same treatment than the control, indicating that earthworms were under environmental stress. The possible explanation for the stress condition was related to higher Cd, Ni, Cr, and As contents in the SL_Char. Overall results imply that biochar application at low rate might not change earthworms' behavior for the short term, while the reproduction behavior might be negatively influenced under the high application rate.

Does epidural analgesia delay the vaginal delivery of nulliparous women compared with non-epidural analgesia?: Retrospective observational study (경막외 진통은 비경막외 진통에 비해 초산부의 분만을 지연시키는가?: 후향성 관찰 연구)

  • Jang, So Young;Lee, Ae Ryoung;Yun, So-hui;Choi, Yun Suk;Park, Jong Cook;Cho, Woo Jin
    • Journal of Medicine and Life Science
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    • v.15 no.2
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    • pp.95-100
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    • 2018
  • We conduct this study to compare the difference in duration of labor in nulliparous women received epidural analgesia or non-epidural analgesia for labor pain. This retrospective, observational study based on the review of the medical records from February 2014 to July 2017. Epidural analgesia was initiated with a 10 mL epidural bolus of 1% lidocaine and was maintained with a 0.1% mixture of ropivacaine with fentanyl. Non-epidural analgesia was initiated with pethidine 12.5 mg bolus, followed by additional boluses as needed. The primary outcome was the duration of the labor. 149 healthy nulliparous women at term pregnancies with no evidence of fetal distress were enrolled in this study. 92 women received non-epidural analgesia (Group NE) and 57 women received epidural analgesia (Group E). There were no significant differences between the two groups in maternal demographic characteristics. Using a Kaplan-Meier survival analysis, there was no significant difference in the overall duration of the labor(P=0.233). The duration of the first stage of labor was $187.6{\pm}167.3min$ in Group NE, $248.6{\pm}168.7min$ in Group E (Mean${\pm}$SD, P=0.032). The duration of the second stage of labor was $67.1{\pm}57.8min$ in Group NE, $64.1{\pm}47.5min$ in Group E (Mean${\pm}$SD, P=0.693). Epidural analgesia delayed the first stage of labor in this study. But there were no significant differences between the two groups in the duration of the second stage and the total duration of labor.

Analysis of the Reinforcement Effect of Aging Reservoir Reinforced by Environmental Soil Stabilizer as Chemical Grouting Material (친환경 지반안정재를 약액주입재로 사용하여 보강한 노후 저수지의 보강효과 분석)

  • Kim, Se-Min;Seo, Se-Gwan;Cho, Dae-sung
    • Journal of the Korean Geosynthetics Society
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    • v.20 no.2
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    • pp.1-11
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    • 2021
  • In this study, a study related to laboratory and pilot test were performed to use an environmental soil stabilizer developed to induce a hardening reaction similar to that of Ordinary Portland Cement (OPC) by using industrial by-products of blast furnace slag and the combustion ash of a circulating fluidized bed boiler as the main material. For this, specimens were prepared using liquid A of sodium silicate and silica sol, and liquid B of an environmental soil stabilizer (or OPC), and laboratory tests were performed to analyze the strength and environmental characteristics. And pilot test was performed on the aging reservoir, field permeability test and electrical resistivity survey were performed in the field to analyze the applicability. As a result of the laboratory test, the homo-gel compressive strength of the chemical injection material using the environmental soil stabilizer as liquid B was about 2.88 to 3.23 times greater than that of OPC. In addition, the elution amount of most heavy metals was lower than that of OPC, and the survival rate in the fish, acute toxicity test was 100%. Therefore, when judged based on the results of the laboratory test, it was analyzed to be superior to OPC in terms of strength and environment. In the results of the pilot test in the aging reservoir, when the environmental soil stabilizer was reinforced with liquid B of the chemical injection material, the coefficient of permeability in the aging reservoir decreased to 1/50 level. In addition, as a result of the electrical resistivity survey, it was analyzed that the electrical resistivity inside the aging reservoir increased as time passed, the saturation zone disappeared, and the overall reinforcement.

Entrepreneurship Policy Changes from the Perspective of Policy Paradigm (정책 패러다임 관점에서 살펴본 창업정책 변화)

  • KIM, Mansu;KANG, Jae Won
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.16 no.3
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    • pp.43-58
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    • 2021
  • This study analyzes the entrepreneurship policies of the previous Korean administrations from the perspective of the Policy Paradigm by Hall(1993). A total of 195 newspaper articles and 202 government documents were examined to identify policy paradigm shifts through an analysis of policy objectives, policy instruments, and changing quality of policy instruments by each administration. The first paradigm was built during the 5th and 6th Republic, where 'Support for Small and Medium Enterprise Establishment Act' was enacted in 1986 to promote and support start-ups in the manufacturing sector. Next is the so-called 'people's government' period where 'Act on Special Measures for the Promotion of Venture Businesses' was enacted to tackle the challenges posed during the 1997 Asian financial crisis. A new policy goal was set to promote and nurture venture companies seeking subsequent means to achieve it. The third paradigm shift took place during President Moon's administration in order to effectively respond to the issues stemming from the fourth industrial revolution and the COVID-19 pandemic. Through the overall revision of the 'Support for Small and Medium Enterprise Establishment Act', the scope of startups were expanded, new industries and technology startups were supported and promoted, and venture investment-related laws were streamlined. In addition, the Small and Medium Business Administration was promoted as the Ministry of SMEs and Startups, enabling them to take initiative in implementing startup policies. Particularly, this study focuses on examining the low survival rate of startup companies and the revitalization of private investment as rising policy issues for recent startups, and suggests the improvement direction due to startup policy paradigm shift.

The Impact of Surgical versus Transcatheter Aortic Valve Replacement on Postprocedural Acute Kidney Injury in Patients with Chronic Kidney Disease

  • Eun Chae, Kim;Sue Hyun, Kim;Yeiwon, Lee;Suk Ho, Sohn;Jae Woong, Choi;Jeehoon, Kang;Jung Kyu, Han;Kyung Hwan, Kim;Hyo-Soo, Kim;Ho Young, Hwang
    • Journal of Chest Surgery
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    • v.55 no.6
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    • pp.435-441
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    • 2022
  • Background: This study aimed to evaluate the impact of the treatment modality on post-procedural acute kidney injury (AKI) and other clinical outcomes in patients with advanced chronic kidney disease who underwent surgical or transcatheter aortic valve replacement (AVR). Methods: A total of 147 patients with advanced chronic kidney disease (stage 3 to 5) who underwent isolated surgical AVR (SAVR group; n=70) or transcatheter AVR (TAVR group; n=77) were retrospectively studied. Postprocedural AKI was defined according to the RIFLE definition (an acronym corresponding to the risk of renal dysfunction, injury to the kidney, failure of kidney function, loss of kidney function, and end-stage kidney disease). Factors associated with postoperative complications and mortality were analyzed using multivariable logistic regression models and Cox proportional hazard models. Results: Postprocedural AKI occurred in 17 (24.3%) and 6 (7.8%) patients in the SAVR and TAVR groups, respectively (p=0.006). Multivariable analyses demonstrated that the SAVR group had higher risks of AKI (odds ratio [OR], 5.63; 95% confidence interval [CI], 1.85-17.73; p=0.002) and atrial fibrillation (OR, 16.65; 95% CI, 4.44-62.50; p<0.001), whereas the TAVR group had a higher risk of permanent pacemaker insertion (OR, 5.67; 95% CI, 1.21-26.55; p=0.028). The Cox proportional hazard models showed that the occurrence of AKI, contrary to the treatment modality, was associated with overall survival. Conclusion: In patients with chronic kidney disease, the risk of postprocedural AKI might be higher after SAVR than after TAVR.

Analysis of the affiliated department and the name trend of the department of beauty department of a university located in the central region (중부권역 소재 대학 뷰티학과의 소속 계열과 학과 명칭 동향에 관한 분석)

  • Oh, Jeong-Sun;lee, Sook-ja;Park, Jang-Soon
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.327-332
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    • 2022
  • In the age of population cliff, an aggressive entrance exam strategy for the development of excellent human resources for beauty is very important for the survival of beauty departments and universities. Therefore, for the purpose of in-depth trend analysis of department names and affiliated departments that reflect department characteristics as well as external department promotion tools, we investigated and analyzed department affiliated departments and department titles in 2020 targeting the Beauty Department of Central University. As a result of the study, the departments belonging to each of the four regions had the most beauty arts department (28.57%) and health department (50.00%). In Daejeon, beauty design (37.5%) was the most, and in Chungcheong, beauty care, beauty cosmetics, and medical beauty care (11.11%) were the most. Through this study, it will be possible to analyze the overall characterization trend of the Department of Beauty, and it will be used as an important basic data to suggest the future direction of the department when the departments are merged or separated in the future. In addition, I believe that it will provide a foothold for follow-up research on the curriculum for each department or the change of department name by year.

Virtual Screening and Testing of GSK-3 Inhibitors Using Human SH-SY5Y Cells Expressing Tau Folding Reporter and Mouse Hippocampal Primary Culture under Tau Cytotoxicity

  • Chih-Hsin Lin;Yu-Shao Hsieh;Ying-Chieh Sun;Wun-Han Huang;Shu-Ling Chen;Zheng-Kui Weng;Te-Hsien Lin;Yih-Ru Wu;Kuo-Hsuan Chang;Hei-Jen Huang;Guan-Chiun Lee;Hsiu Mei Hsieh-Li;Guey-Jen Lee-Chen
    • Biomolecules & Therapeutics
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    • v.31 no.1
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    • pp.127-138
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    • 2023
  • Glycogen synthase kinase-3β (GSK-3β) is an important serine/threonine kinase that implicates in multiple cellular processes and links with the neurodegenerative diseases including Alzheimer's disease (AD). In this study, structure-based virtual screening was performed to search database for compounds targeting GSK-3β from Enamine's screening collection. Of the top-ranked compounds, 7 primary hits underwent a luminescent kinase assay and a cell assay using human neuroblastoma SH-SY5Y cells expressing Tau repeat domain (TauRD) with pro-aggregant mutation ΔK280. In the kinase assay for these 7 compounds, residual GSK-3β activities ranged from 36.1% to 90.0% were detected at the IC50 of SB-216763. In the cell assay, only compounds VB-030 and VB-037 reduced Tau aggregation in SH-SY5Y cells expressing ΔK280 TauRD-DsRed folding reporter. In SH-SY5Y cells expressing ΔK280 TauRD, neither VB-030 nor VB-037 increased expression of GSK-3α Ser21 or GSK-3β Ser9. Among extracellular signal-regulated kinase (ERK), AKT serine/threonine kinase 1 (AKT), mitogen-activated protein kinase 14 (P38) and mitogenactivated protein kinase 8 (JNK) which modulate Tau phosphorylation, VB-037 attenuated active phosphorylation of P38 Thr180/ Tyr182, whereas VB-030 had no effect on the phosphorylation status of ERK, AKT, P38 or JNK. However, both VB-030 and VB-037 reduced endogenous Tau phosphorylation at Ser202, Thr231, Ser396 and Ser404 in neuronally differentiated SH-SY5Y expressing ΔK280 TauRD. In addition, VB-030 and VB-037 further improved neuronal survival and/or neurite length and branch in mouse hippocampal primary culture under Tau cytotoxicity. Overall, through inhibiting GSK-3β kinase activity and/or p-P38 (Thr180/Tyr182), both compounds may serve as promising candidates to reduce Tau aggregation/cytotoxicity for AD treatment.

Long-term Outcome after Minimally Invasive Treatment for Early Gastric Cancer beyond the Indication of Endoscopic Submucosal Dissection (내시경점막하박리술의 적응증을 넘어선 조기위암의 미세침습 치료 후 장기 추적 결과)

  • Weon Jin Ko;Joo Young Cho
    • Journal of Digestive Cancer Research
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    • v.5 no.1
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    • pp.44-49
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    • 2017
  • Background: Recently, endoscopic submucosal dissection (ESD) with laparoscopic sentinel lymph node dissection, named ESN or endoscopic full-thickness gastric resection with laparoscopic sentinel lymph node dissection, named Hybrid-natural orifice transluminal endoscopic surgery (NOTES) was suggested the possibility of minimally invasive treatment for patients with early gastric cancer (EGC) who were beyond the indication of ESD. This study aimed to evaluate the outcomes of ESN or Hybrid-NOTES. Methods: We retrospectively analyzed patients treated with these therapies from January 2009 to May 2013 in terms of short- and long-term outcomes. Each patient was diagnosed with EGC but was not included in ESD indications and had the high risk of lymph node metastasis (LNM). Results: A total of 42 patients with EGC treated by ESN or Hybrid-NOTES. Of the 21 patients who underwent ESN, a total of 4 patients underwent additional gastrectomy, 1 with LNM, 1 with surgical complication, and 2 with noncurative resection. Of the 21 patients who underwent Hybrid-NOTES, a total of 5 patients underwent additional surgery, 1 with LNM, 2 with surgical complication, and 2 with noncurative resection. Overall survival was 100% over a mean follow-up of 75 months, but 3 patients underwent ESD or gastrectomy with metachronous lesion. And 1 patient who had received ESN was found to have a metastatic lymph node and undergo palliative chemotherapy. Conclusion: ESN or Hybrid-NOTES showed favorable short-and long-term outcomes. These methods may be utilized as a bridge between ESD and gastrectomy in the case of EGC which is more likely to have LNM beyond the ESD indications.

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