• Journal of Gastric Cancer
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• 제9권1호
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• pp.1-5
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• 2009

악성 위장관 협착에 의한 폐쇄 증상의 개선을 위하여 과거에는 고식적인 수술적 우회술을 주로 시행하였으나, 최근 내시경적 스텐트 삽입술이 개발되고 기술적 진보와 임상 경험이 축적됨에 따라 새로운 치료 방침의 하나로 확립되었다. 스텐트 삽입술은 고식적 우회술에 비해 시술이 간편하여 성공률이 높고 비침습적이며 단기간에 증상을 개선시키고 시술과 관련된 이환률이 적다는 장점이 있으며 시술에 필요한 입원기간이 짧고 비용면에서 더욱 효과적일 수 있다. 반면 종양의 스텐트 내발육 혹은 위산이나 담즙에 의한 스텐트 손상, 스텐트 일탈 등의 합병증이 발생하여 폐쇄 증상이 조기에 재발하고 재시술이 필요할 수 있다는 문제점이 있어 최근에는 스텐트 일탈을 예방하고 종양의 내발육을 극복할 수 있는 다양한 종류의 스텐트가 개발되어 임상에 응용되고 있다. 일반적으로 악성 위장관 폐쇄에 의한 폐쇄 증상의 완화를 목적으로 하는 스텐트 삽입술은 기대 여명이 6개월 이하인 환자에서 효과적이고 그 이상의 생존이 기대되는 환자에서는 고식적 우회술을 시행하는 것이 적합한 치료 방침으로 생각된다. 본 종설에서는 악성 위출구 폐쇄 환자의 치료에서 쟁점이 되고 있는 스텐트 삽입술과 수술적 우회술 중 어떤 치료가 보다 적절한가를 판단하기 위해서 기술적 측면, 임상 증상의 개선, 합병증, 비용 대비 효과 등을 문헌 고찰을 통해 비교함으로써 적절한 치료 방법의 선택에 대한 해답을 찾고자 한다.

• Journal of Gastric Cancer
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• 제3권4호
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• pp.195-200
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• 2003

Purpose: Advancement of computed tomography (CT) hardware and software has allowed thin section scanning and reconstruction of fascinating 2-dimentional (2D) and 3- dimentional (3D) images. Especially, the reconstruction of 3D images of gastrointestinal tract has been used in the detection and diagnosis of pre-malignant and malignant diseases. To compare the efficacy of CT gastrography with conventional upper gastrointenstinal series (UGIs) in gastric cancer patients. Materials and Methods: During Nov. 2002 and Mar. 2003, twenty-seven patients who had gastric cancer received both double contrast upper GI series and CT gastrography prior to radical surgery. Among these patients, nineteen had early gastric cancer (EGC) and 8 had advanced gastric cancer (AGC). Fifteen patients were male and 12 were female. The mean age was 54 yrs (range, $27\∼75$ yrs). The patients were placed on NPO and Stomach was distended with gas in fasting state prior to CT scanning. Double contrast upper GI series were performed as routine manual. CT scan was conducted in all patients using 8 or 16-channel multidetector CT in this study. The collimation and reconstruction for CT scanning were set at 2.5 mm and 1.25 mm, respectively. CT scanning was performed in the supine position. For image processing, CT gastrography, in which raysum and surface rendering images were constructed, virtual and 2D image in coronal and sagittal images were performed. The detectability of gastric cancer was assessed between UGIs and CT gastrography. Results: In AGCs, the detection rate of cancer using CT gastrography and virtual gastroscopy was higher than EGC cases. However, CT gastrography and virtual gastroscopy showed less favorable results than UGIs. Even though only a small number of cases had been studied, we might conclude that CT gastrography and virtual gastroscopy could replace UGIs in the detection of AGC cases. Conclusion: The detection rate used with CT gastrography and Virtual gastroscopy is not better than that of UGIs in early gastric cancer, however, in advanced gastric cancer cases, it is nearly equal to that of UGIs.

• Asian Pacific Journal of Cancer Prevention
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• 제17권5호
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• pp.2351-2360
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• 2016

Management of Helicobacter pylori infection is an important aspect of many upper gastrointestinal tract diseases, such as chronic gastritis, peptic ulcer disease, gastric cancer and mucosa-associated lymphoid tissue (MALT) lymphoma. The Thailand Consensus on H. pylori treatment 2015 consisted of 22 national experts who took active roles, discussed all important clinical information and investigated clinical aspects in four workshops, focuising on: (1) Diagnosis (2) Treatment (3) Follow-up after eradication and (4) H. pylori infection and special conditions. Experts were invited to participate on the basis of their expertise and contribution to H. pylori works and/or consensus methodology. The results of each workshop were taken to a final consensus vote by all experts. Recommendations were developed from the best evidence and availability to guide clinicians in management of this specific infection associated with variety of clinical outcomes.

• Journal of Radiation Protection and Research
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• 제39권1호
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• pp.1-6
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• 2014

원전에서는 방사성핵종의 체내 섭취에 따른 작업종사자의 내부 방사능을 측정하기 위하여 전신계측기(WBC)를 이용하고 있다. 이 계측기는 인체 내 방사성핵종의 침적위치를 고려하여 다양한 측정 모드를 선택하여 측정할 수 있으나, 대부분 전신 모드를 적용하고 있다. 그런데 전신 모드를 적용한 내부방사능 측정값은 WBC 측정 모드 중에서 가장 보수적인 값을 나타내는 특성이 있고, 따라서 내부피폭 방사선량이 과대평가되는 문제점이 있다. 이러한 문제점을 해결하기 위해 WBC, 팬텀, 표준 방사선원을 이용하여 WBC의 측정 모드별 방사능측정 실험을 수행하였다. 이 결과에 대해 통계적 분석방법을 적용하여 WBC의 상부 및 하부 검출기 계측비율에 따라 WBC의 측정 모드를 선정할 수 있는 정량적인 기준을 제시하였다.

• 구강회복응용과학지
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• 제34권2호
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• pp.63-71
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• 2018

임플란트를 통한 보철 수복은 대중화되어 일상적인 진료가 되었다. 임플란트 보철과정에서 사용되는 기구나 작은 부속품들은 크기가 작아 치과의사의 손에서 미끄러지거나 떨어지는 경우가 많은 빈도로 발생할 수 있다. 치과 기구나 재료가 상부 위장관 내로 넘어가는 경우, 합병증이 없이 체외로 배출될 가능성이 높지만 이물질의 종류에 따라서는 심각한 합병증을 나타낼 수 있다. 이물질이 환자의 기도로 넘어가는 경우는 응급상황이며, 적절한 대처와 처치가 이루어지지 않는 경우에는 치명적인 결과를 가져올 수 있다. 본 연구에서는 치과 치료 중에 발생할 수 있는 이물질의 삼킴과 흡인을 방지하기 위하여, 이물질 삼킴과 흡인이 발생되는 과정과 예방법, 그리고 발생 시의 대처법에 대해 문헌 고찰을 시행하고자 한다.

• 대한수의학회지
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• 제33권1호
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• pp.109-117
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• 1993

This paper dealt with the situation and the hatch rate of bot's eggs on the equine hairs in Cheju horse with the species grouping of the bot flies of equine(genus Gasterophilus). The prevalence and infection dynamics of Gasterophilus spp. larvae was also evaluated in the equine alimentary canal submitted in this laboratory for the necropsy or from the abattoir. Samples including Gasterophilus spp. larvae, bot's flies and its eggs, which were collected from the alimentary canal and equine hairs, respectively, were studied and classified by morphology. The morphologic feature of the spines of Gasterophilus larvae were studied by scanning electron microscope. 1. Gasterophilus intestinalis larvae concentrated in the nonglandular portions of the stomach. The infection of second-, and third stage larvae were common in November, and from January to October, respectively. Gasterophilus nasalis larvae were commonly identified on the gastric pylorus and upper portion of duodenum. Second stage larvae were found from October to December, and 3rd stage larvae, from January to September. 2. The hatch rate of laid eggs of Gasterophilus intestinalis was 28.4%, and that of Gasterophilus nasalis was 79.5%. The hatch rate of Gasterophilus intestinalis eggs was highest(62.5%) in December. The hatch rate of laid eggs were higher in the region of scapula(64.0%) and limbs(62.5%) than on the maned hairs. The eggs of Gasterophilus nasalis were completely hatched by October. 3. Eight hundred five Cheju horses examined in this study were infected with the eggs of Gasterophilus spp. Gasterophilus intestinalis eggs on the body regions from sixty horses were recognized in phalangeal (14.4%), in abdominal(13.8%), metacarpal, brachial and cervical regions. Gasterophilus nasalis eggs were uncommon and recognized in submandibular regions(1.4%). 4. In conclusion, the infection of imago, larvae and eggs of both Gasterophilus intestinalis and Gasterophilus nasalis were indentified in cheju horse.

• 대한수의학회지
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• 제52권4호
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• pp.223-230
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• 2012

The worldwide distribution and continuing genetic mutation of avian influenza virus (AIV) has been posed a great threat to human and animal health. A comparison of 3 isolates of AIV H9N2, A/chicken/Korea/KBNP-0028/00 (H9N2) (KBNP-0028), A/chicken/Korea/SNU8011/08 (H9N2) (SNU 8011) and an inactivated oil vaccine strain A/chicken/Korea/01310/01 (H9N2) (01310), was performed. The former 2 AIVs were isolated from field cases before and after the application of an inactivated H9N2 vaccine in 2007, respectively. The antigenic relationship, viral shedding, tissue tropism and genetic analysis were examined. The comparison of virus shedding from the cloaca and the oropharynx revealed that both isolates were more frequently isolated from the upper respiratory tract (90~100%) 1 day post inoculation (DPI) compared with isolation 5 DPI from gastrointestinal tracts (10~60%). Moreover, the isolate KBNP-0028 were recovered from all organs including bone marrow, brain and kidneys, indicating higher ability for broad tissue dissemination than that of SNU 8011. KBNP-0028 replicated earlier than other strains and with a higher titer than SNU 8011. In full-length nucleotide sequences of the NA gene and a partial sequence of the HA gene of SNU 8011, we found that there might be significant changes in tissue tropism, virus replication and genetic mutation in AIV H9N2 isolates.

• Journal of Microbiology and Biotechnology
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• 제25권6호
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• pp.863-871
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• 2015

Bifidobacterium longum subsp. longum BBMN68, isolated from centenarians in Guangxi, China, has been proved to be a promising probiotic strain for its health benefits. In this study, the biodistribution of this strain in the rat gut was first investigated using the quantitative realtime PCR assay and propidium monoazide. Strain-specific primers were originally designed based on the BBMN68 genome sequence. Healthy rats were orally inoculated with either a single dose of BBMN68 (10¹⁰ colony-forming units/kg), or with one dose per day for 7 days and bacterial concentrations were analyzed in detail from the intestinal contents and feces of four different gut locations, including stomach, small intestine, colon, and rectum. Results indicated that strain BBMN68 could overcome the rigors of passage through the upper gastrointestinal tract and transiently accumulate in the colon, even though survival in the stomach and small intestine was not high. A good level of BBMN8 could stay in vivo for 72 h following a 7-day oral administration, and a daily administration is suggested for a considerable and continuous population of BBMN68 to be maintained in the host intestine.

• Preventive Nutrition and Food Science
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• 제18권2호
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• pp.104-110
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• 2013

Presence of Helicobacter pylori is associated with an increased risk of developing upper gastrointestinal tract diseases. Antibiotic therapy and a combination of two or three drugs have been widely used to eradicate H. pylori infections. Due to antibiotic resistant drugs, new drug resources are needed such as plants which contain antibacterial compounds. The aim of this study was to investigate the ability of GutGard$^{TM}$ to inhibit H. pylori growth both in Mongolian gerbils and C57BL/6 mouse models. Male Mongolian gerbils were infected with the bacteria by intragastric inoculation ($2{\times}10^9$ CFU/gerbil) 3 times over 5 days and then orally treated once daily 6 times/week for 8 weeks with 15, 30 and 60 mg/kg GutGard$^{TM}$. After the final administration, biopsy samples of the gastric mucosa were assayed for bacterial identification via urease, catalase and ELISA assays as well as immunohistochemistry (IHC). In the Mongolian gerbil model, IHC and ELISA assays revealed that GutGard$^{TM}$ inhibited H. pylori colonization in gastric mucosa in a dose dependent manner. The anti-H. pylori effects of GutGard$^{TM}$ in H. pylori-infected C57BL/6 mice were also examined. We found that treatment with 25 mg/kg GutGard$^{TM}$ significantly reduced H. pylori colonization in mice gastric mucosa. Our results suggest that GutGard$^{TM}$ may be useful as an agent to prevent H. pylori infection.

• Preventive Nutrition and Food Science
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• 제21권3호
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• pp.197-201
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• 2016

Helicobacter pylori infection is associated with an increased risk of developing upper gastrointestinal tract diseases. However, treatment failure is a major cause of concern mainly due to possible recurrence of infection, the side effects, and resistance to antibiotics. The aim of this study was to investigate the activities of Centella asiatica leaf extract (CAE) against H. pylori both in vitro and in vivo. The minimum inhibitory concentrations (MICs) against 55 clinically isolated strains of H. pylori were tested using an agar dilution method. The MICs of CAE ranged from 0.125 mg/mL to 8 mg/mL, effectiveness in inhibiting H. pylori growth was 2 mg/mL. The anti-H. pylori effects of CAE in vivo were also examined in H. pylori-infected C57BL/6 mice. CAE was orally administrated once daily for 3 weeks at doses of 50 mg/kg and 250 mg/kg. CAE at the 50 mg/kg dose significantly reduced H. pylori colonization in mice gastric mucosa. Our study provides novel insights into the therapeutic effects of CAE against H. pylori infection, and it suggests that CAE may be useful as an alternative therapy.