• 한국발생생물학회지:발생과생식
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• 제27권1호
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• pp.1-7
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• 2023

Small-cell lung cancer (SCLC) continues to be the deadliest of all lung cancer types. Its high mortality is largely attributed to the unchangeable development of resistance to standard chemo/radiotherapies, which have remained invariable for the past 30 years, underlining the need for new therapeutic approaches. Recent studies of SCLC genome revealed a large number of somatic alterations and identified remarkable heterogeneity of the frequent mutations except for the loss of both RB and P53 tumor suppressor genes (TSGs). Identifying the somatic alterations scattered throughout the SCLC genome will help to define the underlying mechanism of the disease and pave the way for the discovery of therapeutic vulnerabilities associated with genomic alterations. The new technique made it possible to determine the underlying mechanism for the discovery of therapeutic targets. To these ends, the techniques have been focused on understanding the molecular determinants of SCLC.

• The Journal of Korean Physical Therapy
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• 제15권4호
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• pp.46-64
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• 2003

Therapeutic angiogenesis is the controlled induction or stimulation of new blood vessel formation to reduce unfavourable tissue effects caused by local hypoxia and to enhance tissue repair. Therapeutic ultrasound can be considered as a physical agent to deliver therapeutic angiogenesis. The purpose of this study was to evaluate the effect of therapeutic ultrasound after muscle contusion injury by observed immunoreactivity of vascular endothelial growth factor(VEGF) that plays an important role in angiogenesis and substance-P in pain transmission. Ultrasound irradiation(1MHz, $1W/cm^2$, continuous mode, treatment time 5 min) was applied through water submersion technique to 1 limb daily by kept off 5cm from muscle belly of gastrocnemius. The result of this study were as follows. 1. In morphological observation, there were no significant changes excepts of 7 days. At 7 days, granular tissue viewed abundantly in control group. In other groups, general feature were increased interspace of muscle fiber; centronucleated muscle fiber; collapsed of muscle and nerve tissue; appeared inflammatory cell. 2. The VEGF was expressed in interspace of muscle fiber. Especially, at 7 days in experimental group, VEGF was showed in connective tissue surrounding gastrocnemius muscle. 3. The VEGF was higher expressed in experimental group at 2 and 3 days, but in control group at 7 days. These data suggest therapeutic ultrasound enhanced production of VEGF in the early day relatively, therefore stimulated angiogenesis in the skeletal muscle induced contusion injury. Also therapeutic ultrasound may stimulate pain relief by diminish of substance-P in dorsal horn of spinal cord.

• Clinical Endoscopy
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• 제55권6호
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• pp.736-741
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• 2022

Endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y gastric bypass anatomy is a well-documented challenge. Traditionally, this problem has been overcome with adjunctive techniques, such as device-assisted ERCP, including double-balloon or single-balloon enteroscopy and laparoscopy-assisted transgastric ERCP. Endoscopic ultrasound-directed transgastric ERCP (EDGE) is a novel technique that enables access to the ampulla using a duodenoscope without surgical intervention and has shown high clinical and technical success rates in recent studies. However, this approach is technically demanding, necessitating a thorough understanding of the gastrointestinal anatomy as well as high operator experience. In this review, we provide a technical overview of EDGE in parallel with our personal experience at our center and propose a simple algorithm to select patients for its appropriate application. In conjunction, the outcomes of EDGE compared with those of device-assisted and laparoscopy-assisted transgastric ERCP will be discussed.

• 대한방사선치료학회지
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• 제1권1호
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• pp.37-42
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• 1985

Radiation Therapy(RT) has been used in the treatment of breast cancer for over 80 years. Technically, it should include a part or all of such areas as chest wall or breast, axilla, internal mammary nodes(IM) and supraclavicular nodes (SCL). Authors tried three-field technique for the treatment of breast cancer using 6 MV linear accelerator, exclusively the department of Radiology, Kang-Nam St. Mary's Hospital, at Catholic Medical College. The field junction was checked by a phantom study and radiation doses measured by film densitometry and TLD. The 3 fields we used in this study were two isocentric opposing tangential fields encompassing the breast, chest wall and occasionally IM and one single anterior field encompassing the axilla and SCL. Using appropriate beam blocks and blouses, we were able to avoid unwanted intrinsic divergency of photon beam. Blocking also enabled us to set-up precise radiation field with ease.

• Radiation Oncology Journal
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• 제20권2호
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• pp.179-185
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• 2002

목적 : 본 교실에서 개발한 정위방사선수술 시스템의 정도관리를 위하여 다용도 팬톰을 제작하고 정위방사선수술 기법의 선량의 정확도를 확인하려 하였다. 대상 및 방법 : CL2100C 선형가속기에서 발생하는 6 MV 엑스선을 사용하여 정위적 방사선수술을 시행하였고 Farmer형 이온함, 0.125 cc 이온함, 다이오드 검출기 등을 정위 기준기구가 부착된 팬톰내에 설치한 후 선량을 측정하였다. 고정 빔, $20^{\circ}\~100^{\circ}$의 각도를 갖는 단일회전빔, 복합회전빔 등의 방사선조사 조건에서 측정기와 팬톰의 상대적 위치를 변화시키면서 측정하였다. 내경이 10, 20, 30, 40 mm인 원형의 3차 콜리메이터를 사용하였다. 결과 : 고정 빔, 단일 회전빔, 5개의 회전 빔으로 구성된 복합회전빔 등에서의 선량오차는 Farmer형 이온함으로 측정한 경우는 $0.5\%$ 이하, 0.125 cc 이온함의 경우에는 $0.5\%$, 다이오드 검출기인 경우에는 $2\%$ 이내였다. 결론 : 본 교실 개발 정위방사선수술 기법에 의한 방사선 조사선량의 정확도를 확인하였으며 이 자료는 향후 정위방사선수술 및 다분할 방사선치료의 정도관리에 유용한 기초자료로 활용될 것이다.

• Radiation Oncology Journal
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• 제20권4호
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• pp.391-395
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• 2002

목적 : 서울대학교병원에서 개발한 정위방사선수술 시스템에서의 표준적 정위방사선수술기법을 적용시 중심점에서의 방사선량 오차를 확인하고자 하였다. 재료 및 방법 : 내경 10 mm 20 mm인 원통형의 3차 콜리메이터를 장착후 5개의 호형(arc)으로 구성된 표준형 정위방사선수술계획에 따라 시행한 정위방사선수술시의 선량을 측정하였다. 방사선은 CL2100C 선형가속기에서 발생하는 6 MV X-선을 사용하였고 자체 개발한 다용도 팬톰에서 0.125 cc 전리함 및 다이오드 검출기로 중심점 선량을 측정하였다. 결과 : 내경 20 mm인 3차 콜리메이터를 장착한 정위방사선수술 시행시 호형에 따른 계획선량과 측정선량 간 오차는 0.125 cc 전리함 측정시 $-0.73\%$ 내지 $-2.69\%$, 다이오드 검출기 측정시 $-1.29\%$ 내지 $-2.91\%$이었다. 내경 10 mm 인 3차 콜리메이터 장착한 경우의 오차는 다이오드 검출기로 측정하였을 때 $-2.39\%$ 내지 $-4.25\%$이었다. 결론 : 중심점 선량 오차는 약 $3\%$ 정도로서 DICOM 3.0 표준형식을 통한 영상자료 처리 등의 개선책을 통한 최소화 노력이 필요하다.

• Radiation Oncology Journal
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• 제13권2호
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• pp.113-120
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• 1995

Purpose : To investigate the effect of alkaloid fraction from Korean ginseng on radiation-induced DNA double strand breaks (dsb) formation and repair in murine lymphocytes Materials and Methods : We used the neutral filter elution technique to assay $^{60}Co\;{\gamma}$ ray-induced DNA double strand breaks formation and repair in C57BL/6 mouse spleen lymphocytes for evaluating the dose-response relationship in the presence of alkaloid fraction as a radioprotective agent. The lymphocytes were stimulated with Phytohemagglutinin (PHA, 2 u g/ml) to label $^3[H]-thymidine.$ Isotope-labelled lymphocytes in suspension were exposed to 100 Gy at $0^{\cdot}C$ in the alkaloid fraction-treated group and elution procedure was performed at PH 9.6. The extents of formation of radiation-induced DNA double strand breaks and repair were compared respectively via strand scission factor (SSF) and relative strand scission factor (RSSF). Results: Alkaloid fraction reduced the formation of double strand breaks with dose modification factor of 2 15, compared to control group Rejoining of DNA dsb appeared to take place via two components. The first fast component was completed within 20.4 minutes, but the second slow component was not completed until 220.2 minutes after irradiation. About $30\%$ of dsb formed by irradiation was ultimately unrejoined despite the administration of alkaloid fraction. The administration of alkaloid fraction had a great effect on the second slow component of repair; the half-time of fast component repair was not changed, but that of slow component was 621.8 minutes. Conclusion: Neutral filter elution assay Proved to be a very effective method to quantitate the extents of DNA dsb formation and its repair. By using this technique, we were able to evaluate the efficiency of alkaloid fraction from Korean ginseng as a valuable radioprotector. Alkaloid fraction can be used prophylactically to prevent or ameliorate the severe radiation damages in workers and neighbors around the atomic power plants. For more refined study, however, more advanced purification of alkaloid fraction wil be needed in the near future.

• Journal of Radiation Protection and Research
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• 제28권3호
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• pp.225-231
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• 2003

Up-front irradiation technique as 3-dimensional conformation, or intensity modulation has kept large proportion of brain tumors from being complicated with acute radiation reactions in the normal tissue during or shortly after radiotherapy. For years, we've cannot help but counting on 2-D vertex beam technique to reduce acute reactions in the brain tumor patients because we're not equipped with 3-dimensional planning system. We analyzed its advantages and limitations in the clinical application. From 1998 to 2001, vertex or oblique vertex beams were applied to 35 patients with primary brain tumor and 25 among them were eligible for this analysis. Vertex(V) plans were optimized on the reconstructed coronal planes. As the control, we took the bilateral opposed techniques(BL) otherwise being applied. We compared the volumes included in 105% to 50% isodose lines of each plan. We also measured the radiation dose at various extracranial sites with TLD. With vertex techniques, we reduced the irradiated volumes of contralateral hemisphere and prevented middle ear effusion at contralateral side. But the low dose volume increased outside 100%; the ratio of V to BL in irradiated volume included in 100%, 80%, 50% was 0.55+/-0.10, 0.61+/-0.10, and 1.22+/-0.21, respectively. The hot area within 100% isodose line almost disappeared with vertex plan; the ratio of V to BL in irradiated volume included in 103%, 105%, 108% was 0.14+/-0.14, 0.05./-0.17, 0.00, respectively. The dose distribution within 100% isodose line became more homogeneous; the ratio of volume included in 103% and 105% to 100% was 0.62+/-0.14 and 0.26+/-0.16 in BL whereas was 0.16+/-0.16 and 0.02+/-0.04 in V. With the vertex techniques, extracranial dose increased up to $1{\sim}3%$ of maximum dose in the head and neck region except submandibular area where dose ranged 1 to 21%. From this data, vertex beam technique was quite effective in reduction of unnecessary irradiation to the contralateral hemispheres, integral dose, obtaining dose homogeneity in the clinical target. But it was associated with volume increment of low dose area in the brain and irradiation toward the head and neck region otherwise being not irradiated at all. Thus, this 2-D vertex technique can be a useful quasi-conformal method before getting 3-D apparatus.

• 한국임상수의학회지
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• 제40권6호
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• pp.423-428
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• 2023

The mouse kidney transplantation model serves as an invaluable tool for exploring various aspects of the transplant process, including acute rejection, cellular and humoral rejection, ischemia-reperfusion injury, and the evaluation of novel therapeutic strategies. However, conducting venous anastomosis in this model poses a significant challenge due to the thin and pliable characteristics of the renal vein, which often obstruct clear visualization of the resected vein's edge. This study proposes the adoption of a two stay suture technique to enhance the visualization of the renal vein's edge, thereby facilitating efficient and successful venous anastomosis. A total of 22 mice served as kidney donors in this study. The conventional anchoring suture technique was employed for venous anastomosis in 11 of these mice, while the remaining 11 underwent the two stay suture technique. The anastomosis duration and completion rates were then compared between these two groups. The conventional anchoring suture technique yielded an average anastomosis time of 29 minutes and a completion rate of 64%. In contrast, the two stay suture technique demonstrated a substantial improvement, with an average anastomosis time of 14 minutes and a completion rate of 100%. The two stay suture technique offers a promising solution to enhance visualization during venous anastomosis in murine kidney transplantation. This technique may particularly benefit novices by enabling them to perform venous anastomosis more easily, swiftly, and successfully.

• 대한감각통합치료학회지
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• 제4권1호
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• pp.57-64
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• 2006

Objective : The purpose of this paper was to suggest a model of the home-visiting occupational therapy for the child with sensory integrative dysfunction through parent's satisfaction of volunteer activity to home-visiting occupational therapy. Method : A questionnaire survey were conducted to investigate the satisfaction on after of volunteer activity to home-visiting occupational therapy for the child with sensory integrative dysfunction. The 12 parents agreed on this service that students of department of occupational therapy visited at home 2 or 3times during the 16weeks. Results : Parents responded that satisfaction was seen orderly agreed(66%), very agreed (34%) in the convenient portion of service process, orderly agreed(50%), very agreed(42%), moderate agreed(8%) in the therapeutic technique and professionalism, very agreed(58%), agreed(42%) in the portion of general satisfaction. Correlation was not between satisfaction of convenient portion and related questions, but in the student attitude and the therapeutic technique, professionalism and related question was related to all question except a family treatment access method portion. Conclusions : It will be able to present the model of the home-visiting service in various occupational therapy field above the results and home-visiting occupational therapy service system must be introduced with the hygienic medical treatment delivery system through the deepening research.