• Asian Pacific Journal of Cancer Prevention
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• 제15권17호
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• pp.7395-7399
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• 2014

Background: Persistent human papillomavirus (HPV) infection, especially with high-risk types such as HPV16 and HPV18, has been identified as the primary cause of cervical cancer. E6 and E7 are the major onco-proteins of high-risk HPVs, which are consistently expressed in HPV infected tissues but absent in normal tissues and represent ideal therapeutic targets for immunotherapy of cervical cancer. Materials and Methods: In this study, the optimized fusion gene HPV18 E6E7 (HPV18 ofE6E7) was constructed according to genetic codon usage for human genes. At the same time, for safety future clinical application, a mutant of HPV18 ofE6E7 fusion gene was generated by site-directed mutagenesis at L52G for the E6 protein and C98G for the E7 protein. Results: HPV18-E6E7 mutant (HPV18 ofmE6E7) constructed in this work not only lost the transformation capability for NIH 3T3 cells and tumorigenicity in BALB/c nude mice, but also maintained very good stability and antigenicity. Conclusion: These results suggest that the mutant should undergo further study for application as a safe antigenspecific therapeutic vaccine for HPV18-associated tumors.

• 한국임상약학회지
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• 제28권3호
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• pp.181-187
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• 2018

Background: Posaconazole is a broad-spectrum triazole antifungal agent and the most recommended prophylactic antifungal agent for patients with acute myeloid leukemia (AML) undergoing induction chemotherapy. In this study, we evaluated the status and effectiveness of posaconazole as a prophylactic antifungal agent in pediatric patients receiving induction chemotherapy for AML. Methods: We retrospectively reviewed the electronic medical records of 36 pediatric patients with AML (between January 2013 and September 2017) at the Yonsei University Health System. Invasive fungal disease (IFD) was assessed as the primary endpoint of prophylactic antifungal effect. The secondary endpoints were incidence of fever, persistent fever despite the use of broad-spectrum antibiotics for 72 h, alteration of antifungal agent, intensive care unit admission, and death within 100 days. Results: Among the 36 patients, 18 patients used posaconazole, 12 were treated with suspension formula, and 6 of them were treated with tablets. Eighteen patients did not use antifungal agents prophylactically. The mean number of days of posaconazole administration was $26.8{\pm}16days$. IFD occurred in 2/18 (11.1%) patients in the no prophylaxis group and in 1/18 (5.6%) patients in the posaconazole group (p=0.49). Conclusion: Posaconazole is expected to be useful for the prevention of IFD in pediatric patients with AML undergoing induction chemotherapy. Prospective studies of the effectiveness of posaconazole prophylaxis should be conducted in more pediatric patients in the future.

• Asian Pacific Journal of Cancer Prevention
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• 제15권15호
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• pp.5983-5991
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• 2014

Introduction: Upper aero-digestive tract cancer is a multidimensional problem, international trends showing complex rises and falls in incidence and mortality across the globe, with variation across different cultural and socio-economic groups. This paper seeks some explanations and identifies some research and policy needs. Methodological Approach: The literature illustrates the multifactorial nature of carcinogenesis. At the cellular level, it is viewed as a multistep process involving multiple mutations and selection for cells with progressively increasing capacity for proliferation, survival, invasion, and metastasis. Established and emerging risk factors, in addition to changes in incidence and prevalence of cancers of the upper aero-digestive tract, were identified. Risk Factors: Exposure to tobacco and alcohol, as well as diets inadequate in fresh fruits and vegetables, remain the major risk factors, with persistent infection by particular so-called "high risk" genotypes of human papillomavirus increasingly recognised as also playing an important role in a subset of cases, particularly for the oropharynx. Chronic trauma to oral mucosa from poor restorations and prostheses, in addition to poor oral hygiene with a consequent heavy microbial load in the mouth, are also emerging as significant risk factors. Conclusions: Understanding and quantifying the impact of individual risk factors for these cancers is vital for health decision-making, planning and prevention. National policies and programmes should be designed and implemented to control exposure to environmental risks, by legislation if necessary, and to raise awareness so that people are provided with the information and support they need to adopt healthy lifestyles.

• 정보보호학회논문지
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• 제27권2호
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• pp.267-279
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• 2017

본 연구는 한 회사에서 실제 업무 중에 있는 임직원들을 대상으로 장기간 여러 차수에 걸쳐 외부 해커들이 공격하는 동일한 경로와 방식으로 피싱(phishing)메일을 발송하고, 차수가 경과됨에 따라 메일 수신자들의 피싱 메일에 대한 식별능력과 대응행동을 측정하였으며, 훈련 간 부가적으로 외부통제 조건을 변화시켜 수신자들의 대응행동이 추가적으로 어떻게 변화되는지를 분석하였다. 분석결과 단발적 훈련보다는 지속적인 훈련이 임직원들의 피싱메일 식별능력과 감염율 감소에 정(+)의 영향을 주고 있음을 확인하였으며, 사회적 이슈나 시기적 이벤트와 연계한 피싱공격에 더 많은 임직원들이 감염이 되며, 감염자에 대한 인사조치와 같은 내부통제정책 강화가 임직원들의 피싱공격 대응행동에 정(+)의 영향을 주고 있음을 확인할 수 있었다. 이러한 결과에 따라 각 기관이 임직원들의 피싱공격 대응역량 강화를 위한 올바른 훈련방향을 제시하고자 한다.

• Parasites, Hosts and Diseases
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• 제48권3호
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• pp.247-251
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• 2010

Feline intestinal tritrichomoniasis by Tritrichomonas foetus was first recognized in USA in 1999 and has so far been reported from UK, Norway, Switzerland, and Australia, but not from the Far East Asian countries. In November 2008, 2 female and male littermate Siamese cats, 6-month old, raised in a household in Korea were referred from a local veterinary clinic with a history of chronic persistent diarrhea. A direct smear examination of fecal specimens revealed numerous trichomonad trophozoites which were isolated by the fecal culture in $InPouch^{TM}$ TF-Feline medium. A PCR testing of the isolate based on the amplification of a conserved portion of the T. foetus internal transcribed spacer (ITS) regions (ITS1 and ITS2) and the 5.8S rRNA gene, and the molecular sequencing of the PCR amplicons confirmed infection with T. foetus. This is the first clinical case of feline intestinal trichomoniasis caused by T. foetus in Korea.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권2호
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• pp.147-151
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• 2016

Neonatal hemochromatosis (NH) is a severe neonatal liver injury that is confirmed by extra-hepatic iron accumulation. Although a recent study described treating NH with exchange transfusions and intravenous immunoglobulin, liver transplantation should be considered for patients with severe liver failure that does not respond to other medical treatment. Herein, we report the case of a two-month-old female infant who presented with persistent ascites and hyperbilirubinemia. Her laboratory findings demonstrated severe coagulopathy, high indirect and direct bilirubin levels, and high ferritin levels. Abdominal magnetic resonance imaging presented low signal intensity in the liver on T2-weighted images, suggesting iron deposition. The infant was diagnosed with NH as a result of the clinical findings and after congenital infection and metabolic diseases were excluded. The infant was successfully treated with a living-donor liver transplantation. Living related liver transplantation should be considered as a treatment option for NH in infants.

• The Plant Pathology Journal
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• 제29권3호
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• pp.223-233
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• 2013

Rice stripe virus (RSV) is one of the most destructive viruses of rice, and greatly reduces rice production in China, Japan, and Korea, where mostly japonica cultivars of rice are grown. RSV is transmitted by the small brown plant-hopper (SBPH) in a persistent and circulative-propagative manner. Several methods have been developed for detection of RSV, which is composed of four single-stranded RNAs that encode seven proteins. Genome sequence data and comparative phylogenetic analysis have been used to identify the origin and diversity of RSV isolates. Several rice varieties resistant to RSV have been selected and QTL analysis and fine mapping have been intensively performed to map RSV resistance loci or genes. RSV genes have been used to generate several genetically modified transgenic rice plants with RSV resistance. Recently, genome-wide transcriptome analyses and deep sequencing have been used to identify mRNAs and small RNAs involved in RSV infection; several rice host factors that interact with RSV proteins have also been identified. In this article, we review the current statues of RSV research and propose integrated approaches for the study of interactions among RSV, rice, and the SBPH.

• 한국임상수의학회지
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• 제32권2호
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• pp.212-214
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• 2015

토끼에서 뇌포자육충증은 Encephalitozoon(E.) cuniculi에 의해 유발되는 전염성 질환이다. E.cuniculi는 숙주영역이 상당히 넓으며, 특히 면역능이 저하된 사람에서 기회 감염을 유발하기도 한다. 본 증례 보고에서 4 마리의 토끼가 사경과 안구진탕 증상으로 내원하였으며, 각 개체의 채혈을 통해 ELISA 검사를 수행하여 E.cuniculi에 양성임을 확인하였다. 토끼들은 fenbendazole로 4 주간 치료를 실시하였고, 치료효과는 신경증상의 발현정도에 따라 평가하였다. 치료한 네 마리 토끼 중 세 마리의 토끼에서 치료 3-5일 후부터 증상이 상당히 개선되었으나, 한 마리는 식욕부진과 사경증상이 개선되지 않고 치료 후 10일째 폐사하였다. 본 증례보고는 뇌포자육충 감염 애완토끼에 대한 fenbendazole의 치료효과를 규명한 최초의 보고이며, 본 증례를 통하여 애완토끼가 사람과 동물에 있어서 잠재적 E. cuniculi 보균동물로 인식되므로 이에 대한 주의를 필요로 한다.

• Journal of Chest Surgery
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• 제29권2호
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• pp.157-163
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• 1996

1986년 1월 부터 1994년 7월까지 원광대학병원 흉부외과학교실에서는 23명의 감염성 심내막염 환자를 수술하였다. 남녀의 비는 13:5 이 었고 평균 43.7세 이었다. 분포는 고유판막 심내막염 21례, 인공판막 심내막염 2례이었고 승모판막을 치환한 경우가 16례로 가장 많았고 대동맥 판막 치환술 11례, 삼천판막 치환술 2례 순이었다. 가장 흔한 감염균주는 연쇄상포도구균 이었으나 배양이 않된 경우는 7례나 되었다. 수술대상은 조절되지 않는 심부전증, 거대식균 그리고 판막부전을 보이는 경우이었고, 술후 사망율은 13.4%로 만기사망은 없었다. 사망의 주 원인은 뇌경색증과 저심박출증이었다. 술전 기능등급이 III-IV 이었던 모든 환자는 사망 3례를 제외한 모든 례에서 I-II 등급으로 호전되었다. 결론적으로 조기 수술적 조작은 지속적이거나 진행성 심부전을 갖고있는 환자에서는 감염의 활동성 내지는 항생제 치료의 유무에 관계없이 생명을구할수 있는 방법이다.

• Tuberculosis and Respiratory Diseases
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• 제51권5호
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• pp.462-465
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• 2001

상기도 감염으로 인한 발작성 기침 후 복벽 혈종을 보인 1예를 보고하였다. 복벽 혈종은 수술을 요하는 급성 복증과 감별하여야하는 질환으로, 심한 기침 후 복동이 발생한 경우 반드시 복벽 혈종을 고려하여야하며, 필요한 경우 초음파 검사나 전산화단층촬영을 시행하여 불필요한 수술을 피해야한다.