• Journal of Gastric Cancer
• /
• v.17 no.1
• /
• pp.74-87
• /
• 2017

Purpose: Neoadjuvant chemotherapy has been shown to improve survival in locally advanced gastric cancer, but it is associated with significant toxicity. Sarcopenia and sarcopenic obesity have been studied in several types of cancers and have been reported to be associated with higher chemotherapy toxicity and morbi-mortality. The aim of this study was to assess the prevalence of sarcopenia/sarcopenic obesity in patients with gastric cancer, as well as its association with chemotherapy toxicity and long-term outcomes. Materials and Methods: A retrospective analysis was performed using an academic cancer center patient cohort diagnosed with locally advanced gastric cancer between January 2012 and December 2014 and treated with neoadjuvant chemotherapy. We analyzed body composition (skeletal muscle and visceral fat index) in axial computed tomography images. Results: A total of 48 patients met the inclusion criteria. The mean age was $68{\pm}10years$, and 33 patients (69%) were men. Dose-limiting toxicity was observed in 22 patients (46%), and treatment was terminated early owing to toxicity in 17 patients (35%). Median follow-up was 17 months. Sarcopenia and sarcopenic obesity were found at diagnosis in 23% and 10% of patients, respectively. We observed an association between termination of chemotherapy and both sarcopenia (P=0.069) and sarcopenic obesity (P=0.004). On multivariate analysis, the odds of treatment termination were higher in patients with sarcopenia (odds ratio=4.23; P=0.050). Patients with sarcopenic obesity showed lower overall survival (median survival of 6 months [95% confidence interval {CI}=3.9-8.5] vs. 25 months [95% CI=20.2-38.2]; log-rank test P=0.000). Conclusions: Sarcopenia and sarcopenic obesity were associated with early termination of neoadjuvant chemotherapy in patients with gastric cancer; additionally, sarcopenic obesity was associated with poor survival.

• The Journal of Korean Academy of Prosthodontics
• /
• v.33 no.2
• /
• pp.281-299
• /
• 1995

The purpose of this study was to evaluate the degree of occlusal contact under the fixed implant prosthesis of partially edentulous patients which was hased on occlusal concept of implant prosthesis. From the patients who have free-standing implant supported prosthesis of unilateral partially edentulous area, occlusal and occlusal contact point of th enatural tooth side and implant side of light closure and heavy closure were analyzed by T-scan system throuht pre-and post-adjustment and the degree of occlusal contact was estimated by Shimstock. The following results were obtained : 1. The occlusal force of natural tooth side(NF) from mid-sagittal axis was relatively constant at light and heavy closure through pre-and post-adjustment, but the occlusal force of implant side(IF) was decreased significantly at light closure(P<0.01) and heavy closure(P<0.05) of post-adjustment. 2. Natural tooth side-implant side moment(MIMoment) fo occlusal force from mid-sagittal axis was significant(p<0.05) through pre-and post-adjustment and the deviation from mid-sagittal axis was increased at light closure of post-adjustment, but was decreased at heavy closure of post-adjustment. 3. Comparing the NF and IF, IF was greater at heavy closure of pre-adjustment, and NF was greater at light closure of post-adjustment, and the NF and IF was relatively equally distributed at light closure of pre-adjustment and at heavy closure of post-adjustment. 4. The number of occlusal contact point of natural tooth side(NC) was relatively constant through pre-and post-adjustment, but the number of occlusal contact point of implant side(IC) was significantly decreased(P<0.05) at light closure of post-adjustment, and was not significant but was lesser at heavy closure of post-adjustment. 5. Difference of the NC and IC was greater at light closure of post-adjustment, but it was less at heavy closure of post-adjustment, and therefore occlusal contact point of natural tooth side and implant side was relatively equally distributed at heavy closure of postadjustment. 6. When bilaterally distribution of occlusal force and occlusal contact point was established, degree of occlusal contact of implant suporoted prosthesis with opoosing teeth at light clousre was $34.13{\pm}21.69{\mu}m$.

• Asian-Australasian Journal of Animal Sciences
• /
• v.22 no.6
• /
• pp.812-818
• /
• 2009

This study evaluated the effects of live yeast and yeast cell-wall mannan-oligosaccharide supplementation onperformance and nutrient digestibility during early lactation in cows fed a diet based on a mixture of corn silage and alfalfa hay as forage sources. Eight multiparous Holstein dairy cows (average days in milk, 27${\pm}$6) were used in a replicated 4${\times}$4 Latin square design. Diets contained 45% forage and 55% concentrate on a dry matter (DM) basis and treatments were: i) basal diet without additive (Control), ii) basal diet with 32 g/d of mannan-oligosaccharides (MOS), iii) basal diet with $1.2{\times}10^{10}$ colony forming units per day (cfu/d) of live yeast (Saccharomyces cerevisiae CNCM 1-1077; SC), and iv) basal diet with a mixture of MOS (32 g/d) and SC ($1.2{\times}10^{10}$ cfu/d; MOS+SC). Treatments had no effect (p>0.05) on DM intake and yields of milk, 3.5% fat-(FCM) and energy-corrected milk (ECM), and on milk fat percentage, body condition score and blood metabolites. Compared with the Control, only supplementation of SC resulted in numerically higher yields of FCM (41.9 vs. 40.1 kg/d) and ECM (41.8 vs. 40.3 kg/d), and milk fat percentage (3.64 vs. 3.43%). While the MOS diet had no effects on performance compared to the Control, the combination treatment MOS+SC increased milk protein percentage (p<0.05). Also, the MOS supplementation, both alone or in combination with SC, numerically increased milk fat percentage. The SC supplementation increased apparent digestibility of DM and crude protein while the MOS supplementation did not affect digestibility. Concentrations of total volatile fatty acids (VFA) and ruminal pH were similar across treatments. Overall results indicated that supplementation of MOS produced variable and inconsistent effects on rumen metabolism and performance, whereas SC supplementation improved nutrient digestibility and numerically increased FCM and ECM yields, which could not be enhanced by the combined supplementation of MOS+SC. According to our experimental condition, there was no effect of MOS alone or in combination with SC on dairy cow performance.

• Proceedings of the Korea Society for Energy Engineering kosee Conference
• /
• 2008.04a
• /
• pp.69-75
• /
• 2008

기포반응도는 월성발전소를 비롯한 CANDU형 원자로의 주된 안전성 쟁점사안으로 끊임없이 논의되어 왔다. 이는 설계기준사고가 노심에서 열에너지 불균형이 원인이 되어 기준이상의 핵연료 파손과 방사성물질 누출로 발전할 위험이 있는 사건들로 정의될 때, 사건 진행 과정에 기포반응도 증가는 조기에 운전중단을 실패할 경우 출력폭주로 이어지므로 사건의 결말이 중대사고로 전환될 위험이 크기 때문이다. 본 연구는 공개된 최신 핵자료인 ENDF/B-VII.0를 NJOY.99로 처리한 연속에너지 반응단면적 라이브러리를 구축하고 MCNP-4C에 접속하여 37봉 천연우라늄 핵연료다발의 표준노심격자에 대한 기포반응도를 시뮬레이션하여, 지금까지 각종문헌에 제시된 값들과 비교, 종합하므로 내제된 불확실성을 추정하는 내용이다. ENDF/B-VII.0 기반 MCNP-4C의 CANDU 노심격자 모델은 동일한 핵자료와 핵종농도를 사용한 WIMS-IAEA 모델과 비교할 때, 초기 노심의 임계도 오차 약 3.51mk가 연소 진행에 따라 $7.5\times10^{-4}mk$/MWD/teU의 비율로 감소하는 것으로 나타났다. 또한 MCNP-4C 예측기포반응도는 초기노심에서 기포율 50% 및 100%에 대해 각각 8.38 및 15.96mk, 평형노심에서 7.68 및 14.72mk로 계산된다. 이는 월성 2, 3, 4 FSAR의 초기노심 및 평형노심에서 100% 기포상태에 대한 값, 약15.0 및 10.6mk와 비교할 때, 초기노심은 약 1.0mk 평형노심은 약4, 1mk 보수적이지만, 다른 연구결과들과는 최대오차 ${\pm}1{\sim}2mk$ 이내에서 잘 일치하는 것으로 평가되었다. 본 연구는 CANDU 노심의 기포반응도 불확실성 요인의 규명 및 영향평가를 위한 노력의 일부로서 앞으로 감속재의 붕산농도 변화, 감속재 및 냉각재의 중수 순도 변화, 기기노화에 의한 격자 구조 및 물성 변화, 중성자속 및 출력 분포 불균형, 반응도조절장치의 위치, 등 주요 설계변수의 변화에 대한 반응도영향 분석연구를 계속할 계획이다.

• Fire Science and Engineering
• /
• v.32 no.2
• /
• pp.73-81
• /
• 2018

The purpose of this study is to survey the learner's recognition about the descending life lines for the fire emergency escaping purpose (DLL-FEEP). For that, we surveyed 307 adult males and females in Chungcheongnam-do, Daejeon metropolitan city, and Sejong metropolitan autonomous city. The surveyed data was statistically analyzed by SPSS 20.0 win program. In the results, 72.64% research participates have received a fire safety education. However, among them, 39.46% research participates have received a fire safety education without the contents of the DLL-FEEP. The style of the education for the DLL-FEEP is mainly the instructor-led training which is 79.26%. The 81.43% research participates have never used a DLL-FEEP. Based on the results in this study, the political proposal based on these results was as follows. We think that the expansion of the educational contents for the DLL-FEEP need in the fire safety education. We believe that results of this paper will help to serve as a basis for the efficient fire safety education with adults.

• Journal of Trauma and Injury
• /
• v.24 no.2
• /
• pp.61-67
• /
• 2011

Purpose: Lawn trimmers are widely used to cut the weeds around graves in South Korea, but they can cause ocular injury. We investigate at the emergency room the incidence and the clinical features of ocular trauma induced by lawn trimmers. Methods:The authors analyzed 106 patients who visited Konyang University Hospital's emergency room from March 1, 2007, to October 31, 2011, because of ocular trauma caused by a lawn trimmer. Patients were sorted into two groups, severe ocular injury and mild ocular injury. Results: Over a 5-year period, 106 patients with ocular trauma caused by a lawn trimmer underwent clinical study. Most of the patient (103 patients) were males, and the average age of the patients was $51.75{\pm}11.66$ years. The incidence of ocular trauma peaked in the sixth decade of life. Most injuries occurred between July and September. Severe ocular injury developed in 46.2% of all patients. As age increased, so did the severity of the ocular injury. The impacting object was a small stone in 43.4% of all patients. Nobody wore protective gear. The most common diagnosis were corneal abrasion, followed by intraocular foreign body, corneal laceration, and sclera laceration. Fifty-four patients were followed up, and thirty-six patients of them had severe injury. The most common complication was a traumatic cataract. Conclusion: Ocular trauma induced by a lawn trimmer is more severe than general ocular trauma. We suggest that everyone using a lawn trimmer should wear protective gear and follow safety guidelines.

• Journal of Oriental Neuropsychiatry
• /
• v.16 no.2
• /
• pp.277-285
• /
• 2005

Tension Myositis Syndrome is defined as the muscle syndromes affected by brain signal as a result of stress. Furthermore, painful muscles cause tensional emotions in body system. Pain is the result of mutual co-operations between the brain and muscles. Unpleasant feelings increase the pain intensity. In addition, painful muscles were seen to have influences on the brain neurological system. Therefore, in spite of physical treatments, chronic pain has a tendency to be persistent and incurable. For psychological cures, We applied deep breathing, muscle relaxation therapy for anxious, sensitive chronic neck pain patient, then we evaluated her Visual Analogue Scale in reference to subjective feelings of pains every other day at 9 PM. In conclusion, We found that deep breathing and muscle relaxations helped reduce the feeling of pains for those who suffered from anxiety, tensional pains. Therefore, relaxation therapies are necessary methods for pain controls as well as physical treatments.

• Journal of Nutrition and Health
• /
• v.37 no.10
• /
• pp.908-916
• /
• 2004

Due to the common dietary practice of preparing foods in various ways using the same food item, in addition to rather a large number of food items that average Koreans consume, it is difficult to accurately assess the nutritional adequacy. In an effort to identify a reliable means of assessing the nutritional adequacy of Korean adults, we analyzed the association between the scores of dietary diversity (DDS) and dietary variety (DVS), and the quality of nutrient intake as assessed by Nutrient Adequacy Ratio (NAR) and Mean Adequacy Ratio (MAR). A three day-dietary record was obtained from each of 324 inhabitants, aged 40 to 69 years (mean :t SD,52.4 $\pm$ 8.7), of a rural area (Ansung) and a mid-sized city (Ansan) of Korea. These individuals were randomly selected among the participants of the Korean Health and Genome Study. The number of consumed foods and food groups were assesses by DDS (scored 1 to 5) and DVS (ranked 30 $\leq$,31 - 40, 41 - 50, 51 - 60, and 60 <) over three-day period, respectively. As DDS/DVS increased, mean daily food intakes tended to increase, and NARIMAR was improved. Thus, DDS and DVS were significantly correlated with the quality of nutrient intake. Over 95% of the subjects scored less than 2 in DDS for the first one-day period, whilst over 62% recorded 4 during the full three-day period (p < .0001). The mean number of consumed food items increased from 24.9 to 44.4 as a function of days of the record period (p < .0001). We also analyzed the association of DDS and DVS with MAR, using regression analysis, controlling age and sex as covariates. For DDS, the adjusted coefficient determination (adj $R^2$) values were 8.7%,15.8%,23.3% of MAR, also increasing as a function of the record duration, whereas they were 27.3%, 33.3%, 37.6% for DVS, respectively, demonstrating that NAR/MAR has a better correlation with DVS than DDS. Our data show that DDS, and DVS in particular, are useful parameters for evaluating nutrient intake in the Korean population. Our data also support that one day-dietary records are by no means adequate for accurately describing a wide variety of food choices offered for average Koreans, and that dietary assessment at least for 3 days or longer should be obtained for a reliable evaluation of dietary quality using DDS or DVS.

• Korean Journal of Food Science and Technology
• /
• v.46 no.1
• /
• pp.87-93
• /
• 2014

We investigated the effects of an ethanol extract from Perilla frutescens sprouts (PFSE) as an antioxidant, and its effects on edema and inflammation in RAW 264.7 cells and HMC-1 cells. The antioxidant activities (DPPH and ABTS radical scavenging) of PFSE were similar to those of butylated hydroxytoluene (BHT) and (${\pm}$)-6-hydroxy-2,5,7,8-tetramethylchromane-2-carboxylic acid (Trolox). We also investigated the anti-inflammatory effects of PFSE on lipopolysaccharide (LPS)-stimulated RAW 264.7 cells and HMC-1 cells stimulated with phorbol 12-myristate 13-acetate (PMA) with the calcium ionophore A23187. TNF-${\alpha}$ and IL-$1{\beta}$ production, which had been increased by treatment with LPS or PMA plus A23187, were significantly inhibited by PFSE in a dose-dependent manner. Furthermore, PFSE significantly reduced the xylene-induced ear edema and the carrageenan-induced paw edema of ICR mice in a dose-dependent manner. The effects of PFSE (200 mg/kg) in reducing ear and paw edema were similar to those of aspirin (50 mg/kg). These results suggest that PFSE can be potentially used as a medicine for treating oxidative stress, an edematous and inflammatory disease.

• Asian Journal of Atmospheric Environment
• /
• v.9 no.4
• /
• pp.237-246
• /
• 2015

We conducted intensive observations of ozone, CO, $NO_x$ (=NO and $NO_2$), $NO_y$ (total odd nitrogen species including particulate nitrate) and total nitrate (the sum of gaseous $HNO_3$ and particulate nitrate) at Cape Hedo, Okinawa, Japan, from 19 March to 3 April, 2009, to investigate ozone production during long-range transport from the Asian continent. Ozone production efficiency (OPE) was used to evaluate photochemical ozone production. OPE is defined as the number of molecules of ozone produced photochemically during the lifetime of a $NO_x$ molecule. OPE is calculated by the ratio of the concentration increase of ozone to that of $NO_z$ ($=NO_y-NO_x$). Average OPE during observation was estimated to be $12.6{\pm}0.5$, but concentrations of ozone increased nonlinearly with those of $NO_z$. This non-linearity suggests that OPE depends on air mass origin and $NO_z$ concentrations. There were very different values of OPE for the same air mass origin, so that only the air mass origin alone does not control OPE. OPE was low when $NO_z$ concentration was high. We examined the correlation between $NO_z$ and $CO/NO_y$ ratios, which we used instead of the ratio of non-methane hydrocarbons (NMHCs) to $NO_x$. The $CO/NO_y$ ratios decreased with increasing $NO_z$ concentrations. These results indicate that competition reactions of OH with NMHCs and $NO_2$ are the rate determining steps of photochemical ozone production during long-range transport from the Asian continent to Cape Hedo, for high concentrations of nitrogen oxides.