• 제목/요약/키워드: Survival rates

검색결과 2,482건 처리시간 0.028초

Surgical Management of Infective Endocarditis Complicated by Embolic Stroke: Early versus Delayed Surgery

  • Kim, Gwan-Sic;Kim, Joon-Bum;Jung, Sung-Ho;Yun, Tae-Jin;Choo, Suk-Jung;Chung, Cheol-Hyun;Lee, Jae-Won
    • Journal of Chest Surgery
    • /
    • 제44권5호
    • /
    • pp.332-337
    • /
    • 2011
  • Background: The optimal timing of surgery for infective endocarditis complicated by embolic stroke is unclear. We compared early versus delayed surgery in these patients. Materials and Methods: Between 1992 and 2007, 56 consecutive patients underwent open cardiac surgery for the treatment of infective endocarditis complicated by acute septic embolic stroke, 34 within 2 weeks (early group) and 22 more than 2 weeks (delayed group) after the onset of stroke. Results: The mean age at time of surgery was $45.7{\pm}14.8$ years. Stroke was ischemic in 42 patients and hemorrhagic in 14. Patients in the early group were more likely to have highly mobile, large (>1 cm in diameter) vegetation and less likely to have hemorrhagic infarction than those in the delayed group. There were two (3.7%) intraoperative deaths, both in the early group and attributed to neurologic aggravation. Among the 54 survivors, 4 (7.1%), that is, 2 in each group, showed neurologic aggravation. During a median follow-up of 61.7 months (range, 0.4~170.4 months), there were 5 late deaths. Overall 5-year neurologic aggravation-free survival rates were $79.1{\pm}7.0%$ in the early group and $90.9{\pm}6.1%$ in the delayed group (p=0.113). Conclusion: Outcomes of early operation for infective endocarditis in stroke patients were similar to those of the conventional approach. Early surgical intervention may be preferable for patients at high risk of life-threatening septic embolism.

마황 추출물의 나노 입자화를 통한 항암 활성 증진 (Enhancement of Anticancer Activities of Ephedra sinica Stapf Extracts by Nano-encapsulation)

  • 정향숙;김승섭;오성호;정명훈;최운용;서용창;나천수;곽형근;이현용
    • 한국약용작물학회지
    • /
    • 제18권3호
    • /
    • pp.143-150
    • /
    • 2010
  • This study showed the increase of antitumor activities of water soluble E. sinica extract by nano-encapsulation process with lecithin. Five groups of lecithin only group (LO), lecithin nano-encapsulated E. sinica group (LE), E. sinica only group (EO), one negative control group (NCO) and positive control group (PCO) were set for several anticancer experiment and fed into Sarcoma-180 injected mice. The cytotoxicity of LE on the human normal kidney cell (HEK293) showed 14.8% lower than 19.2% of EO and 18.4% of LO. Growth of human liver carcinoma cell and human stomach carcinoma cell as representative of digestive system in vitro was inhibited up to about 85.1% and 87.3%, in adding 1.0 mg/$m{\ell}$ of LE, which values 15% higher than that from conventional EO. The survival rates of each mice group were 40%, 63%, 48%, 33% and 100%, respectively after 40 days of injecting Sarcoma-180. The increment of their body weights of the extract feeding groups was suppressed down to 10~15%, compared to the negative control. The nano-particles also reduced the hypertrophy of the internal organs such as spleen and liver down to 15~20%, compared to those as the other groups. Among them, LE effectively reduced the size of tumor form to 20%. From these results, in vitro and in vivo antitumor activities of E. sinica could be enhanced by using nano-encapsulation process with lecithin because of better permeation into the cancer cells by confocal observations.

오매(烏梅)의 다성분동시분석 및 마우스를 이용한 경구 단회투여 급성독성시험 (Simultaneous determination and acute toxicity study of Fructus mume extracts in ICR mice)

  • 이인선;한창현;이철;황방연;정상혁;이영준;전원경
    • 대한예방한의학회지
    • /
    • 제15권1호
    • /
    • pp.37-47
    • /
    • 2011
  • Objectives : Previous studies have shown that Fructus mume (FM) has anti-platelet effects. The present study was performed to determine the acute oral toxicity and quality control of a crude extract of FM in ICR mice. Methods : We investigated the in vivo single dose acute toxicity of FM 95% ethanol extract. This test was orally administered once by gavage to 20 male and 20 female mice at dose levels of 0 (control group), 1250, 2500 and 5000mg/kg body weight, respectively. Mortalities, clinical findings, autopsy findings and body weight changes were monitored daily for the 14 days following the administration. HPLC analysis was performed for the simultaneous determination of ursolic acid and p-hydroxycinnamic acid in FM. Reverse-phase chromatography using a C18 column and photodiode array detection at 211 nm was used for quantification of the two maker components. The mobile phase for gradient elution consists of water and acetonitrile. Results : We observed survival rates, general toxicity, change of body weight, and autopsy. The mice did not die after single oral administration of maximum dose of FM. Autopsy of animal revealed no abnormal gross finding. Therefore, $LD_{50}$ value of FM for ICR mice was more than 5000mg/kg on oral route. The HPLC analysis showed that ursolic acid and p-hydroxycinnamic acid amounts to 9.75- and 0.12% in the extract with the retention times of 47.99- and 15.38 minutes, respectively. Conclusions : These results suggest that no toxic dose level of FM in mice is considered to be more than 5000mg/kg. Consequently, it was concluded that FM have no effect on acute toxicity and side effect in ICR mice. For the quality control of FM extract, simultaneous determination of ursolic acid and p-hydroxycinnamic acid was established.

High frequency direct plant regeneration from leaf, internode, and root segments of Eastern Cottonwood (Populus deltoides)

  • Yadav, Rakesh;Arora, Pooja;Kumar, Dharmendar;Katyal, Dinesh;Dilbaghi, Neeraj;Chaudhury, Ashok
    • Plant Biotechnology Reports
    • /
    • 제3권3호
    • /
    • pp.175-182
    • /
    • 2009
  • Simple, reproducible, high frequency, improved plant regeneration protocol in Eastern Cottonwood (Populus deltoides) clones, WIMCO199 and L34, has been reported. Initially, aseptic cultures established from axillary buds of nodal segments from mature plus trees on MS liquid medium supplemented with $0.25mg\;1^{-1}$ KIN and $0.25mg\;1^{-1}$ IAA. Nodal and internodal segments were found to be extra-prolific over shoot apices during course of aseptic culture establishment, while $0.25mg\;1^{-1}$ KIN concentration played a stimulatory role in high frequency plant regeneration. Diverse explants, such as various leaf segments, internodes, and roots from in vitro raised cultures, were employed. Direct plant regeneration was at high frequency of 92% in internodes, 88% in leaf segments, and 43% in root segments. This led to the formation of multiple shoot clusters on established culture media with rapid proliferation rates. Many-fold enhanced shoot elongation and growth of the clusters could be achieved on liquid MS medium supplemented with borosilicate glass beads, which offer physical support for proliferating shoots leading to faster growth in comparison to semi-solid agar or direct liquid medium. SEM examination of initial cultures confirmed direct plant regeneration events without intervening calli. In vitro regenerated plants induced roots on half-strength MS medium with $0.15mg\;1^{-1}$ IAA. Rooted 5- to 6-week-old in vitro regenerated plants were transferred into a transgenic greenhouse in pots containing 1:1 mixture of vermicompost and soil at $27{\pm}2^{\circ}C$ for hardening and acclimatization. 14- to 15-week-old well-established hardened plants were transplanted to the field and grown to maturity. The mature in vitro raised poplar trees exhibited a high survival rate of 85%; 4-year-old healthy trees attained an average height of 8 m and an average trunk diameter of 25 cm and have performed well under field conditions. The regeneration protocol presented here will be very useful for undertaking genetic manipulation, providing a value addition to Eastern Cottonwood propagation in future.

잠재적인 생균제제 Lactobacillus plantarum P1201을 이용한 항산화 활성이 증진된 두유-요구르트 제조 (Potential Probiotic Lactobacillus plantarum P1201 to Produce Soy-yogurt with Enhanced Antioxidant Activity)

  • 황정은;안민주;이희율;이병원;김현태;고종민;백인열;서원택;조계만
    • 한국식품과학회지
    • /
    • 제46권5호
    • /
    • pp.556-565
    • /
    • 2014
  • 잠재적인 생균제제 L. plantarum P1201의 두유 발효 중 이화학적 특성, 총 phenolics과 isoflavone 함량 및 항산화 활성 변화를 연구하였다. 균주 P1201는 pH 2.5의 산 및 인공위액산 환경에서 4 h 후 각각 58.14%와 62.22%의 생존율을 나타내었다. 두유 요구르트의 최적 발효 조건은 배양온도 $35^{\circ}C$, 종균 접종량 5.0% 및 10%의 sucrose이었다. 한편 총 phenolic와 isoflavone 함량 및 항산화 활성은 SM 요구르트보다 SPM 요구르트가 우수하였다. 특히 SPM 발효 48 h 후, daidzein, glycitein 및 genistein의 함량은 각각 91.50, 12.34 및 $61.39{\mu}g/g$이 검출되었다. 이러한 결과로 본 연구의 두유 요구르트 추출물은 잠재적인 천연 항산화제로 식품에서 사용할 수 있을 것으로 판단되었다.

향장기성 두경부 편평세포암종의 미세잔존암 모델에서 GM-CSF 유전자를 이입시킨 제한복제성 헤르페스바이러스 벡터를 이용한 종양백신의 유전자 치료 (Gene Therapy Using GM-CSF Gene Transferred by a Defective Infectious Single-cycle Herpes Virus in Micro-residual Organotropic Head and Neck Squamous Cell Cancer Model)

  • 김세헌;최은창;김한수;장정현;김지훈;김광문
    • 대한두경부종양학회지
    • /
    • 제19권1호
    • /
    • pp.25-33
    • /
    • 2003
  • Background and Objectives: The Herpes Simplex type 2 Defective Infectious Single Cycle virus (DISC virus) is attenuated virus originally produced as viral vaccines but are also efficient gene transfer vehicle. The main goals of this study were to examine the efficiencies of the gene transfer using DISC vectors for various head and neck squamous cell carcinoma cell lines and to evaluate the efficacy of vaccination with DISC virus carrying a immunomodulatory genes (GM-CSF) as cancer therapy in a organotopic oral cavity squamous cell cancer model. Materials and Methods : We determinated the gene transfer efficiency of DISC virus by x-gal stain method and proved gene and protein expression of DISC-GMCSF transfected SCCVII cells by RT-PCR and ELISA method. Also we evaluated the ex vivo vaccination effects of SCCVII/GMCSF (DISC-GMCSF transfected SCCVII vaccine) vaccine on preventing the recurrence of micro-residual tumor. After the vaccination of SCCVII/GMCSF, specific cytotoxic T-cell responses was evaluated by CTL assay. Results: At an MOI of 10 DISC virus showed 64-88% of transfection rates in various head and neck squamous cancer cell lines. SCCVII cells transduced by DISC virus vector (MOI=10) carrying the GM-CSF gene, produced 4.5 nanogram quantities of GM-CSF per $10^6$ cells. In vivo vaccination using tumor cells transduced ex vivo with DISC-GMCSF resulted in better protection rate against subsequent tumor recurrence in organotopic oral cavity cancer model. Although tumor free survival rate was not statistically significantly increased in vaccination group (p=0.078), tumor specific cytotocic T-cell responses were significantly increased in SCCVII/GMCSF vaccination group. Conclusion: These data demonstrate that; 1) The DISC virus vector is capable of efficient gene transfer to various head and neck squamous cancer cell lines, 2) GM-CSF secreting genetically modified tumor vaccine (SCCVII/GMCSF) efficiently protected against tumor recurrence in organotopic micro-residual oral cavity cancer model and produced tumor specific cytotoxic T-cell response. DISC virus-mediated, cytokine gene transfer may prove to be useful as a clinical therapy for head and neck cancers.

T1N0 성문암의 방사선치료관련 예후 인자 분석 (A Retrospective Analysis of Treatment-Related Prognostic Factors for Local Recurrence after Primary Radiation Therapy for Patients with Primary T1N0 Glottic Cancer)

  • 김수산;김상윤;남순열;최승호;조경자;김종훈;안승도;신성수;송시열;최은경;이상욱
    • 대한두경부종양학회지
    • /
    • 제19권1호
    • /
    • pp.34-40
    • /
    • 2003
  • Objective: To analyze the treatment-related parameters after the radiotherapy of T1N0 squamous cell carcinoma of the glottic larynx. Materials and Methods: Between October 1989 and August 2000, 54 patients with histologically proven T1N0 squamous cell carcinoma of the glottic larynx who received definitive radiation therapy in Department of Radiation Oncology, Asan Medical Center were analyzed. They were all males with age ranged from 31 to 80 years (median 61 years). 1997 AJCC stages were 31 T1a, 23 T1b. Patients were treated with 4-MV X-rays with a parallel-opposed two-field technique. Ten patients received 66.0-68.4Gy at 1.2Gy per fraction twice daily, 21 patients received 64.8-66.6Gy at 1.8Gy per fraction once daily, and 23 patients received 66.0Gy at 2.0Gy per fraction once daily. Follow-up period was 16-119 months (median 56 months). Results: 5-year overall survival and local control rates for patients with T1 lesions were 87.0% and 88.5%, respectively. 5-year local control with larynx preservation rate was 90.5%. Host and tumor-related prognostic factors including age, stage, anterior commissure involvement and tumor bulk proved not to be significant. Only shorter overall treatment time among treatment-related factors had correlation with imporved local control. Conclusion: Comparable high local control rate with organ preservation was achieved with primary radiation therapy and salvage surgery. Shortening of overall treatment time is related to improved local control rate. To determine the optimal fractionation scheme, randomized trial is mandatory.

유자첨가사료가 넙치의 질병저항성에 미치는 영향 (Effects of diets supplemented with Yuzu Citrus junos Siebold ex Tanaka on disease resistance of olive flounder, Paralichthys olivaceus)

  • 정요한;김도형;김흥윤;신태선;오명주;이정호;김종현;임수연;김은희
    • 한국어병학회지
    • /
    • 제23권3호
    • /
    • pp.389-398
    • /
    • 2010
  • 넙치사료에 유자과실을 갈아서 0, 2.5, 5, 7.5% 첨가하여 3개월 간 사육한 후 사육효과 및 자체 항병력 증가 효과를 알아보았다. 유자를 첨가한 사료에서 성장의 유의적인 증가는 없었으나 7.5% 첨가 사료로 사육한 넙치는 2.5%~5% 첨가한 넙치 보다 체중 증가량이 적었다. 혈액학적인 조사 결과에서도 유자첨가로 인하여 넙치의 생리 상태에 부정적인 영향을 보이지는 않았으며 혈중 GOT 및 총콜레스테롤을 감소시키는 효과가 있어 건강도가 증진되는 것으로 나타났다. 혈청의 항세균 활성은 7.5% 시험구에서 높았으나, 라이소자임 활성은 실험구간 차이가 없었다. 어류병원세균의 인위감염에 대한 넙치의 질병저항성은 실험구 간에 차이가 없었으나 2.5% 유자 첨가구의 넙치에서 폐사가 지연되는 효과를 보였다. 그러므로 사료에 유자를 첨가하여 사육하는 것은 넙치의 어류생리학적 식품영양학적인 면에서 부정적인 영향은 없으나 유자첨가량을 2.5 %~5 % 사이로 하여 사육하는 것이 바람직할 것으로 판단되었다.

출연(연)의 기술사업화에 미치는 요인 분석 -연구소기업을 중심으로- (The Factors Affecting Technology Commercialization of Government Research Institutes: The Case of Research Institute Spin-offs)

  • 정혜진
    • 한국산학기술학회논문지
    • /
    • 제17권9호
    • /
    • pp.74-82
    • /
    • 2016
  • 연구소기업은 공공연구기관의 기술을 직접 사업화하기 위해 연구개발 특구 내에 설립된 기업으로서, 정부 R&D 투자의 결과물이 연구소기업을 통해 상품이나 서비스에 체화되어 경제적 가치를 창출해낼 수 있도록 하는 제도라고 할 수 있다. 일반 창업에 비해 상대적으로 높은 생존율과 고용창출의 효과를 보이는 연구소기업은 지금까지 특허와 기술이전에만 초점을 두어 온 공공연구기관의 사업화에 비해 공공 연구투자의 경제적 성과를 높이는데 크게 기여하고 있다고 알려져 있다. 이와 같은 연구소기업의 긍정적인 기여도에 비해 연구소기업 자체에 대한 연구 뿐 만 아니라, 연구소기업의 설립에 영향을 미치는 요인에 대한 연구는 전무한 실정이다. 이에 본 연구는 선행연구를 통해 기술사업화에 영향을 미치는 요인을 크게 조직, 연구역량, 기술, 지역적 요인으로 구분하고, 이러한 네 가지 요인들이 2006부터 2015년까지 각 출연연구기관의 연구소 기업의 설립여부와 연구소기업의 숫자에 미치는 영향을 패널 로짓과 음이항 모형으로 분석하였다. 분석 결과, 2006년 연구소 기업 제도 실시 이후 과학기술계 출연(연) 기관 중 연구인력과 특허 출원이 많은 기관일수록, 대전 연구개발특구내에 위치하는 기관일수록 연구소기업의 설립확률과 기업 수가 많은 것으로 나타났다. 그러나 출연(연) 기관의 기술요소와 기술사업화 담당 인력규모를 통제할 경우, 최근 5년간 정부 출연 기관의 인력 규모와 개발단계 기술에 집중도가 높을수록 연구소기업을 설립할 가능성과 기업 수가 높은 것을 확인하였다.

The Determinats of Infant and Child Mortality in Korea: 1955-1973

  • Kim, Tai-Hun
    • 한국인구학
    • /
    • 제9권2호
    • /
    • pp.93-105
    • /
    • 1986
  • 우리나라에서의 호구통계작성제도는 오래전부터 운영되고 있었다. 현존하는 기록으로는 통일 신라시대의 촌적제도, 고려, 조선시대의 호구성적 등으로부터의 자료에서 찾아볼 수 있다. 당시 이러한 호구성적제도는 순수한 통계작성목적보다는 징병, 요역, 세금부과, 신분유지 등의 목적으로 이루어지게 된것이다. 이러한 호구성적제도로부터 작성된 호구통계는 완전성 및 정확성의 측면에서 다소 호구의 누락등 오차가 있는것으로 추정된다. 따라서 정확한 호구통계파악을 위하여 1896.9.1자로 호구조사 규칙이 제정되었고, 1909년에는 민적법이, 1925년에는 인구센서스가 도입되어 호구통계를 작성할수 있는 제도가 세분되었다. 오늘날 통계의날 기념일을 매년 9월1일로 정한것도 이와같은 근거 때문이다. 이와 같은 제도는 1960년대 초 호적법, 주민등록법의 전면적인 개정으로 정도 높은 호구 통계를 작성하는데까지 이어졌다.

  • PDF