• Title/Summary/Keyword: Size heterogeneity

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Polyploidization of Hepatocytes: Insights into the Pathogenesis of Liver Diseases

  • Kim, Ju-Yeon;Choi, Haena;Kim, Hyeon-Ji;Jee, Yelin;Noh, Minsoo;Lee, Mi-Ock
    • Biomolecules & Therapeutics
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    • v.30 no.5
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    • pp.391-398
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    • 2022
  • Polyploidization is a process by which cells are induced to possess more than two sets of chromosomes. Although polyploidization is not frequent in mammals, it is closely associated with development and differentiation of specific tissues and organs. The liver is one of the mammalian organs that displays ploidy dynamics in physiological homeostasis during its development. The ratio of polyploid hepatocytes increases significantly in response to hepatic injury from aging, viral infection, iron overload, surgical resection, or metabolic overload, such as that from non-alcoholic fatty liver diseases (NAFLDs). One of the unique features of NAFLD is the marked heterogeneity of hepatocyte nuclear size, which is strongly associated with an adverse liver-related outcome, such as hepatocellular carcinoma, liver transplantation, and liver-related death. Thus, hepatic polyploidization has been suggested as a potential driver in the progression of NAFLDs that are involved in the control of the multiple pathogenicity of the diseases. However, the importance of polyploidy in diverse pathophysiological contexts remains elusive. Recently, several studies reported successful improvement of symptoms of NAFLDs by reducing pathological polyploidy or by controlling cell cycle progression in animal models, suggesting that better understanding the mechanisms of pathological hepatic polyploidy may provide insights into the treatment of hepatic disorders.

Status of Pathology Services and Molecular Pathology in Sub-Saharan Africa: Implications for Combating Breast Cancer

  • Wajana Lako LABISSO
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.3
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    • pp.121-131
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    • 2023
  • African breast cancer patients benefit less from classical pathology services owing to the complex molecular and clinicopathological nature of the disease, poor quality of laboratory supplies, and shortage of experts in the field. This review presents evidence and confirms the need for improving anatomic pathology services in Africa. Peer-reviewed international journal articles available in Medline, Scopus, PubMed, and Google scholars, describing the status of pathology services in Africa, were included. Besides the late presentation of patients, anatomic pathology laboratories are accountable for the escalated mortality of breast cancer patients in several parts of Africa. Conversely, molecular diversity and biological heterogeneity of breast cancers, which disprove the one-size-fits-all therapeutic approach, have been reported from different parts of the continent. Irrespective of the geographical background, the choice of therapeutic options and predicting disease outcome depends on the right identification of the molecular signature of the cancer type. In conclusion, we propose that upgrading and integrating anatomic pathology with molecular diagnostic pathology is essential in order to provide better diagnostic results that will profoundly impact curbing mortality from breast cancers.

A Meta-analysis of Intervention Studies on the Effects of Self Management and Education in Adult Asthmatic Patients (성인 천식환자의 자가관리교육 중재의 효과 메타분석)

  • Kim, Chae-Bong;Han, Min-Kyung;Jeong, Mi-Seon;Choi, Bo-Young;Choi, Kil-Yong;Kim, Moo-Young
    • The Korean Journal of Health Service Management
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    • v.9 no.3
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    • pp.175-185
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    • 2015
  • Objectives : This study was did a meta-analysis of emergency room visits decreased effectiveness of self management education interventions in asthma among adult patients with asthma. Methods : A search of the database PubMed resulted in identifying 8,619 studies done between January 1990 and November 2012. STATA version 10.0 was used to analyze the effect size, explore possible causes of heterogeneity, and determine publication bias with a funnel plot. Results : We included 7 cases on emergency room visits decreased effectiveness of self management and education. Asthmatic patients experienced fewer attacks (summary effect size, 0.75; 95% confidence interval [CI], 0.65-0.95). We found that emergency room visits decreased effectiveness of self management and education were associated with statistically significant effects. Conclusions : Based on these finding, self management and education on interventions are necessary to prevent asthmatic attacks in patients and to reduce the severity of the attacks, and self management and education programs are needed in Korea.

Stimulation-Oriented Interventions for Behavioral Problems among People with Dementia: A Systematic Review and Meta-Analysis (치매 환자의 문제행동을 위한 자극지향적 중재의 효과 연구: 체계적 고찰과 메타분석)

  • Kim, Eun Young;Hwang, Sung-Dong;Kim, Eun Joo
    • Journal of Korean Academy of Nursing
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    • v.46 no.4
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    • pp.475-489
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    • 2016
  • Purpose: This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs). Data were analyzed using R with the 'meta' package and the Comprehensive Meta-Analysis (CMA 2.0) program. Results: Sixteen studies were included for meta-analysis to investigate the effect of stimulation-oriented interventions. The quality of individual studies was rated as '++' for eight studies and '+' for the rest. The effect sizes were analyzed according to three subgroups of interventions (light, music, and others); Hedges' g=0.04 (95% CI: -0.38~0.46), -0.23 (95% CI: -0.56~0.10), -0.34 (95% CI: -0.34~0.00), respectively. To explore the possible causes of heterogeneity ($I^2=62.8%$), meta-regression was conducted with covariates of sample size, number of sessions, and length of session (time). No moderating effects were found for sample size or number of sessions, but session time showed a significant effect (Z=1.96, 95% CI: 0.00~0.01). Finally, a funnel plot along with Egger's regression test was performed to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, stimulation-oriented interventions seem to have a small effect for behavioral problems among people with dementia. Further research is needed to identify optimum time of the interventions for behavioral problems among dementia pateints.

A Study on the Biotope's Characters of the Mixed Rural City(II) - The Analysis of Change in Land Uses and Forest Structure of Sunghwan in Chonan City using Remote Sensing - (도농통합형 도시에 있어서 생물서식처 공간특성에 관한 연구(II) - 천안시 성환읍의 토지이용변화추이와 녹지구조변화를 중심으로 -)

  • Lee, Jin-Hee;Bang, Kwang-Ja;Kim, Hoon-Hee
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.2 no.1
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    • pp.38-47
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    • 1999
  • The mixed rural city is adjusting to change by urbanization. The recent landcover change in mixed rural city is an important factor that changes structure and function of regional ecosystem. Landscape ecology is an integrated ecology widely available for environmental science such as nature conservation and sustainable land-use planning. As the concern about environmental quality rises, many studies are trying to create and conservate for biotop. The creation of biotop is related to the plan and management of the effective landuse because the important factor to change the structure and function of ecological area in the country. This study was carried out to establish the foundation of the landuse plan to analyze the change of landuse and to plan the scheme in creating biotop and landuse. We used the approach of ecological landscape and using landscape indices with RS(Remote Sensing) and GIS(Geographic Information System) technology, spatio-temporal variations of areas and distribution of forest patches were examined in the Sunghwan in Chonan from 1985 to 1996. A result of this study showed that the area of forest and paddy decreased by urban sprawl. The size of patch in the forest and agriculture had been smaller and irregular form, heterogeneity of size of forest and agriculture patches within sub-basin was increased, pattern of forest and agriculture patches decreased the corridor and network from 1985 to 1996.

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Consumers' preference about the attributes of Post PC: reaults of a contingent ranking study (Post PC의 속성별 소비자 선호 분석 : 조건부 순위결정법을 이용하여)

  • Lee, Ju-Seok;Yu, Seung-Hun;Gwak, Seung-Jun
    • Journal of Korea Technology Innovation Society
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    • v.8 no.1
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    • pp.135-153
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    • 2005
  • With an explosive growth of internet and a change of consumer's demand, Post PC is emerging as a substitute for the existing desktop computer and laptop computer. Post PC is a new computer which is portable with wireless networking, cheaper than the existing PCs and specialized in the specific function that consumers want. Furthermore, the shape and the ability of Post PC are dependent on its specific function. The rudimentary Post PCs such as PDA, web-pad and smart-phone are already usable. And in the future, owing to the progress of technologies, the heterogeneity of relate companies and the low entry barrier, various Post PCs will be developed. In this paper, we analyze consumers' willingness-to-pay for Post PC with the attributes such as the portability, the speed of CPU, the data input method (using key board, or notepad etc), the size of monitor and price. To estimating consumers' willingness-to-pay for the attributes of Post PC, we apply a contingent ranking method, which makes the respondents rank hypothetical Post the portability, the speed of CPU, the data input method (using key board, or notepad etc),the size of monitor and price. To estimating consumers' willingness-to-pay for the attributes of Post PC, we apply a contingent ranking method, which makes the respondents rank hypothetical Post PC alternatives featuring various combinations of attributes, to a survey data collected in Korea. Using the estimated willingness-to-pay, we predict the shape and the ability of future's Post PC and draw policy implications for the national and company level R&D strategies.

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Convergence Study of Laughter Therapy's Effects on Depression among Older Adults in Korea: A Meta-Analysis (웃음치료가 노인 우울에 미치는 효과에 관한 융합연구: 메타분석)

  • Do, Eunna;Cho, Sunhee;Kim, Sun Kyung
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.347-355
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    • 2018
  • A convergence study was conducted to identify effect size, intervention characteristics, and tendency of laughter therapies on depression for Korean older adults. Of the 486 studies searched in 10 databases, 20 studies in the inclusion criteria were selected. The risk of bias was assessed by SIGN's tool, and the data were analyzed using CMA 3.0 software. Overall effect size of laughter therapy on depression of older adults was medium (standardized mean difference [SMD]=-0.57, 95% CI: -0.70~-0.44, p<.001), and heterogeneity was small ($I^2=18%$). Subgroup analysis showed that the effect sizes of institutionalized group, mixed group, 4-6 weeks of duration, and group intervention were higher than the compared groups. Findings of this convergent meta-analysis would be helpful for health professionals to provide more effective laugher therapy sessions. Further replicative studies in long-term care facilities and more randomized controlled trials of laughter therapy are needed.

Evaluation of HER-2/neu Overexpression in Gastric Carcinoma using a Tissue Microarray

  • Rakhshani, Nasser;Kalantari, Elham;Bakhti, Hadi;Sohrabi, Masoud Reza;Mehrazma, Mitra
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7597-7602
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    • 2014
  • Background: Amplification and overexpression of human epidermal growth factor receptor 2 (HER2/neu) oncogene has considerable prognostic value in breast and gastric cancers. This study aimed to evaluate the frequency, overexpression pattern, clinical significance, and concordance between the results for protein expression and gene amplification of HER-2/neu in gastric and gastro-esophageal junction carcinomas. Materials and Methods: In this study, 101 gastric tissue samples which were included in tissue microarray were immunohistochemically examined for overexpression of HER2/neu. Chromogenic in situ hybridization (CISH) was used for HER-2/neu amplification. The correlation of HER2/neu amplification with clinicopathological parameters was also assessed. In addition, concordance between CISH and IHC was detected. Results: This study demonstrated a significant difference in the overexpression of HER2/neu in gastric tumors. The overexpression of HER2/neu was significantly higher in intestinal type, poorly differentiated grade, large size ($5cm{\leq}$) and positive nodal involvement tumors (p-value=0.041, 0.015, 0.038 and 0.071, respectively). Also, amplification of HER2/neu according to CISH test, had a significant positive correlation with tumor size and tumor type (p-value=0.018 and 0.058, respectively).Concordance between CISH and IHC was 76.9% in 101 evaluable samples. Conclusions: IHC/CISH differences were attributed to basolateral membranous immunoreactivity of glandular cells resulting in incomplete membranous reactivity and/or a higher rate of tumor heterogeneity in gastric cancers compared to breast cancers. Therefore, this can be a potential marker for targeted therapy of malignant gastric tumors.

Viral characteristics of plaque variants of porcine reproductive and respiratory syndrome virus

  • Park, Bong-kyun;Molitor, Thomas W.;Joo, Han-soo
    • Korean Journal of Veterinary Research
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    • v.39 no.4
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    • pp.751-759
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    • 1999
  • Plaque characteristics of porcine reproductive and respiratory syndrome (PRRS) virus isolates were examined using MARC-145 line cells. The plaque morphology of PRRS virus isolates was variable in size and heterogenic in population. Upon serial passages of the PRRS virus isolates on MARC-145 tells, heterogeneity was maintained but numbers of the large plaque size virus were increased with certain isolates. A PRRS virus isolate with variable plaque sizes was subcloned into 2 populations : small plaque ($H_S$) and large plaque ($H_L$) viruses. Growth kinetics of the subclones were then determined in MARC-145 cells, and production of the structural polypeptides was analyzed by SDS-PAGE. In a comparison of the growth kinetics, the $H_S$ virus showed higher infectivity titers during the first 48 hours but slower to reach the peak titier than $H_L$ virus did. In a nucleotide sequence comparison, differences of 4 nucleotides in open reading frames 5-6 gene were found between $H_S$ and $H_L$ viruses. Both the $H_S$ and $H_L$ clones produced 5 polypeptide bands with molecular weights of 15, 19, 26, 36 and 42 kD. The 5 bands were detected at 48 hours postinoculation (PI) with antisera to $H_L$ and another large plaque virus ($W_L$) and at 72 hours PI with $H_S$ virus antiserum. The present results demonstrate differences of biologic and molecular characteristics between the two PRRS virus plaque clones.

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Meta-Analysis on the Effects of Action Observation Training on Stroke Patients' Walking; Focused on Domestic Research (뇌졸중 환자의 동작관찰훈련이 보행에 미치는 효과에 대한 메타분석; 국내연구를 중심으로)

  • Lee, Jeongwoo;Ko, Un;Doo, Yeongtaek
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.119-130
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    • 2019
  • Purpose : The purpose of this study was to investigate the meta-analysis on the effects of action observation training on stroke patients' walking. Methods : Domestic databases (DBpia, KISS, NDSL, and RISS) were searched for studies that conducted randomized controlled trials (RCTs) associated with action observation training in adults after stroke. The search outcomes were items associated with the walking function. The 18 studies that were included in the study were analyzed using R meta-analysis. A random-effect model was used for the analysis of the effect size because of the significant heterogeneity among the studies. Sub-group and meta-regression analysis were also used. Egger's regression test was conducted to analyze the publishing bias. Cumulative meta-analysis and sensitivity analysis were also done to analyze a data error. Results : The mean effect size was 2.77. The sub-group analysis showed a statistical difference in the number of training sessions per week. No statistically significant difference was found in the meta-regression analysis. Publishing bias was found in the data, but the results of the trim-and-fill method showed that such bias did not affect the obtained data. Also, the cumulative meta-analysis and sensitivity analysis showed no data errors. Conclusion : The meta-analysis of the studies that conducted randomized clinical trials revealed that action observation training effectively improved walking of the chronic stroke patients.