• Title/Summary/Keyword: after school

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Long-term Prognosis in Hepatocellular Carcinoma Patients after Hepatectomy

  • Zhou, Lei;Liu, Chang;Meng, Fan-Di;Qu, Kai;Tian, Feng;Tai, Ming-Hui;Wei, Ji-Chao;Wang, Rui-Tao
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.2
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    • pp.483-486
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    • 2012
  • Background: The hepatocellular carcinoma is very common in China. Our aim in this report was to investigate clinical and pathological factors based on the current decade data that could influence prognosis of HCC patients after hepatectomy. Methods: Between 2002 and 2009, all patients undergoing hepatectomy for HCC were followed up and reviewed retrospectively. Prognostic factors were studied by univariate and multivariate analysis, with Kaplan-Meier and Cox multivariate survival analyses. Results: Complete clinicopathologic and follow-up data were available for 114 patients. The estimated cumulative survival rates at 1, 3, and 5 yr were 84.6%, 60.2% and 51.8%, respectively. On univariate analysis, key prognostic factors were AFP level, GGT level, tumor size, number of tumors, portal vein invasion, liver cirrhosis status and TNM stage. In the multivariate analysis, tumor size, GGT level, liver cirrhosis status and portal vein invasion were significantly associated with patients' prognosis. Conclusion: Through follow-up of a relatively large cohort of Chinese patients, tumor size, GGT level, liver cirrhosis status, portal vein invasion were revealed as important factors for long-term survival after hepatectomy. Early diagnosis for tumor and the improvement of liver function before surgery are important ways to improve the prognosis.

A Study on the Effectiveness of Youth Smoking Cessation Education through the Program by School Doctor of Korean Medicine (한의사 교의 사업을 통한 소아청소년기 금연 교육의 효용성 연구)

  • Kim, Dong-Su;Sung, Hyun Kyung;Shin, Seon Mi;Go, Ho Yeon;Park, Jeong-Su;Lee, Seung Hwan;Park, Jang Kyung
    • The Journal of Pediatrics of Korean Medicine
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    • v.32 no.3
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    • pp.62-71
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    • 2018
  • Objectives Childhood & adolescence is the most crucial period in a lifetime to learn ability to maintain one's health even though this period usually has the least death rate or illness. Smoking is the one of the most common cause of one's death and illness, but can be avoidable. The purpose of this study is to investigate the effectiveness of the smoking cessation education through the program by school doctor of Korean medicine. Methods In 2017, the Seoul metropolitan office of education and the Seoul Korean medicine association implemented the program by school doctor of Korean medicine including smoking cessation education for 2 elementary schools (470 students) and 3 middle schools (1,106 students). And we carried out questionnaire to 211 people (1 elementary school and 1 middle school) and analyzed the results. Results The score in regards to smoking knowledge, before and after education, was increased from 3.35 to 4.22. The score in regards to negative perceptions about smoking, before and after education, was increased from 17.62 to 18.08. Conclusions After the smoking cessation education through the program by school doctor of Korean medicine, participants were highly satisfied because their knowledge about the smoke was increased as well as negative perception of the smoke. Therefore, development and application of smoking cessation programs will be needed.

Enhanced Expression of Angiotensinogen mRNA in Rat Central and Peripheral Tissues Following Hemorrhage

  • Do, Eun-Ju;Yang, Eun-Kyoung;Kim, Kyung-Soon;Kim, Suk-Hee;Park, Yoon-Yub;Ahn, Dong-Kuk;Park, Jae-Sik;Lee, Won-Jung
    • The Korean Journal of Physiology
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    • v.29 no.2
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    • pp.259-267
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    • 1995
  • The renin-angiotensin system plays an important role in the regulation of blood pressure and in body fluid homeostasis. There is increasing evidence for generation of endogenous angiotensin II in many organs and for its role in paracrine functions. Studies were designed to investigate whether hemorrhage produces rapid changes in the gene expression of angiotensinogen in peripheral and brain tissues. Wistar rats received saline drinking water for 7 days, were bled at a rate of $3\;ml\;kg^{-1}\;min^{-1}$ for 7 min, and then decapitated 0, 2, 4, 8, or 24 hr after hemorrhage. Hemorrhage produced a produced hypotension with tachycardia at $2{\pm}8\;hr$, but blood pressure and heart rate had not fully recovered to the basal level at 24 hr. Plasma renin concentration was significantly increased at 2, 4, and 8 hr (maximum sixfold increase at 4 hr) and had returned to the basal level at 24 hr. Renal renin content was significantly increased only at 4 hr after hemorrhage. Angiotensinogen mRNA in both the kidney and liver were stimulated at 2 to 8 hrs, but recovered to the basal level at 24 hr. On the other hand, angiotensinogen mRNA levels il the hypothalamus and brainstem were continuously increased from 2 to 24 hrs. The present study demonstrates the presence of angiotensinogen mRNA in both hepatic and extrahepatic tissues, and more importantly, their up-regulation after hemorrhage. These results suggest that the angiotensinogen-generating systems in the liver, kideny and brain are, at least in part, under independent control and play a local physiological role.

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The Theraputic Effects of Sociodrama on the Adolescents Who are Maladjusted in School (학교 부적응 청소년 치료를 위한 소시오드라마의 효과 연구)

  • 오세현;이정숙
    • Journal of Families and Better Life
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    • v.21 no.5
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    • pp.93-107
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    • 2003
  • The purpose of this study was to verify the effectiveness of sociodrama on adolescents who are maladjusted in school. For this study, nine adolescents were selected from a middle school located in Seoul. The Inventory of School adjustment by Bae Sook-Jin, Buss-Durkee Hostility Inventory(BDHI) and Impulsivity Test by Eysenck were administered. The experiment group acted out a sociodrama twelve times. The first follow-up test was conducted twelve weeks after the pre-test. The second follow-up test was conducted six weeks after first follow-up test. Each time the adolescents acted out a sociodrama their behavior was recorded by a video- camera and then documented by research assistants. Also in order to discover any changes in daily life after sociodrama, an interview survey were done with the adolescents' teachers. The findings were as follows. First, in the initial follow-up test degree of school-maladjustment was less than in the pre-test. Further decreases in the level of maladjustment were noted in the subsequent follow-ups. Therefore, it can be concluded that the performance of sociodramas can reduce school-maladjustment among adolescents and that this reduced level is maintained. Second, the level of hostility discovered in the first follow-up test was less than that in the pre-test, and this level continued to decrease in the following follow-ups. Therefore, we may conclude that sociodrama that reduces adolescent hostility and the reduced levels continue. Finally, the degree of impulse detected in the first follow-up was, once again, less than that of the pre-test, And, as in the other cases, there was a continued decrease in this level. We may therefore conclude that sociodrama does reduce the impulse of adolescents and that this reduction is maintained. This study indicates that sociodrama is an effective method to improve the psychological characters of adolescents who are maladjusted in school. Given the above, a follow up study is suggested.

Usefulness of Oncoplastic Volume Replacement Techniques after Breast Conserving Surgery in Small to Moderate-sized Breasts

  • Yang, Jung Dug;Kim, Min Chul;Lee, Jeong Woo;Cho, Young Kyoo;Choi, Kang Young;Chung, Ho Yun;Cho, Byung Chae;Park, Ho Yong
    • Archives of Plastic Surgery
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    • v.39 no.5
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    • pp.489-496
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    • 2012
  • Background In Korean women, many of whom have small to moderate-sized breasts, it is difficult to cover a partial breast defect using oncoplastic volume displacement techniques after removal of an adequate volume of tissue during oncologic surgery. In such cases, oncoplastic volume replacement techniques are more useful. Methods From January 2007 to December 2011, 104 women underwent a total of 107 breast-conserving surgeries with various kinds of oncoplastic volume replacement techniques. We used latissimus dorsi (LD) myocutaneous flap for cases in which the resection mass was greater than 150 g. In case with a resection mass less than 150 g, we used regional flaps such as a lateral thoracodorsal flap, a thoracoepigastric flap, or perforator flaps such as an intercostal artery perforator (ICAP) flap or a thoracodorsal artery perforator (TDAP) flap. Results The mean age was 46.1 years, and the average follow-up interval was 10.3 months. The patients underwent oncoplastic volume replacement techniques with a lateral thoracodorsal flap (n=9), thoracoepigastric flap (n=7), ICAP flap (n=25), TDAP flap (n=12), and LD flap (n=54). There was one case of congestion in an LD flap, and two cases of fat necrosis in an ICAP flap. Most of the patients were satisfied with the cosmetic results. Conclusions Oncoplastic volume replacement techniques can be reliable and useful for the correction of breast deformity after breast-conserving surgery, especially in patients with small to moderate-sized breasts.

An Indigenous Case of Intestinal Capillariasis with Protein-Losing Enteropathy in Korea

  • Jung, Woon Tae;Kim, Hyun Jin;Min, Hyun Ju;Ha, Chang Yoon;Kim, Hong Jun;Ko, Gyung Hyuck;Na, Byoung-Kuk;Sohn, Woon-Mok
    • Parasites, Hosts and Diseases
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    • v.50 no.4
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    • pp.333-337
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    • 2012
  • We encountered an indigenous case of intestinal capillariasis with protein-losing enteropathy in the Republic of Korea. A 37-year-old man, residing in Sacheon-si, Gyeongsangnam-do, admitted to the Gyeongsang National University Hospital (GNUH) due to long-lasting diarrhea, abdominal pain, anasarca, and weight loss. He recalled that he frequently ate raw fish, especially the common blackish goby (Acanthogobius flavimanus) and has never been abroad. Under the suspicion of protein-losing enteropathy, he received various kinds of medical examinations, and was diagnosed as intestinal capillariasis based on characteristic sectional findings of nematode worms in the biopsied small intestine. Adults, juvenile worms, and eggs were also detected in the diarrheic stools collected before and after medication. The clinical symptoms became much better after treatment with albendazole 400 mg daily for 3 days, and all findings were in normal range in laboratory examinations performed after 1 month. The present study is the 6th Korean case of intestinal capillariasis and the 3rd indigenous one in the Republic of Korea.

Involvement of PI3K/AKT and MAPK Pathways for TNF-α Production in SiHa Cervical Mucosal Epithelial Cells Infected with Trichomonas vaginalis

  • Yang, Jung-Bo;Quan, Juan-Hua;Kim, Ye-Eun;Rhee, Yun-Ee;Kang, Byung-Hyun;Choi, In-Wook;Cha, Guang-Ho;Yuk, Jae-Min;Lee, Young-Ha
    • Parasites, Hosts and Diseases
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    • v.53 no.4
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    • pp.371-377
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    • 2015
  • Trichomonas vaginalis induces proinflammation in cervicovaginal mucosal epithelium. To investigate the signaling pathways in $TNF-{\alpha}$ production in cervical mucosal epithelium after T. vaginalis infection, the phosphorylation of PI3K/AKT and MAPK pathways were evaluated in T. vaginalis-infected SiHa cells in the presence and absence of specific inhibitors. T. vaginalis increased $TNF-{\alpha}$ production in SiHa cells, in a parasite burden-dependent and incubation time-dependent manner. In T. vaginalis-infected SiHa cells, AKT, ERK1/2, p38 MAPK, and JNK were phosphorylated from 1 hr after infection; however, the phosphorylation patterns were different from each other. After pretreatment with inhibitors of the PI3K/AKT and MAPK pathways, $TNF-{\alpha}$ production was significantly decreased compared to the control; however, $TNF-{\alpha}$ reduction patterns were different depending on the type of PI3K/MAPK inhibitors. $TNF-{\alpha}$ production was reduced in a dose-dependent manner by treatment with wortmannin and PD98059, whereas it was increased by SP600125. These data suggested that PI3K/AKT and MAPK signaling pathways are important in regulation of $TNF-{\alpha}$ production in cervical mucosal epithelial SiHa cells. However, activation patterns of each pathway were different from the types of PI3K/MAPK pathways.

Myositis as an Initial Presentation of Ulcerative Colitis before Gastrointestinal Symptoms

  • Kim, Doo Ri;Kim, DongSub;Choi, SangJoon;Suh, Yeon-Lim;Yoo, So-Young;Kim, Mi Jin;Choe, Yon Ho;Kim, Yae-Jean
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.3
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    • pp.297-303
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    • 2020
  • The musculoskeletal system can be involved as an extra-intestinal manifestation of inflammatory bowel disease. Among these, myositis in ulcerative colitis (UC) is very rare. A 14-year-old girl was admitted due to severe shoulder tenderness. She had complained of left jaw pain and swelling for the past 10 days. Inflammatory markers were elevated with no evidence of infectious etiology. Myositis was suspected by shoulder magnetic resonance imaging. Three days after admission, she developed hematochezia. Muscle biopsy and colonoscopy was performed due to worsening left mandibular area pain and persistent hematochezia. Colonoscopy showed consistent findings with UC. She was finally diagnosed with UC with myositis as an extra-intestinal manifestation. She showed a dramatic response to UC treatment. Gastrointestinal symptoms were well-controlled. After 14 months, UC symptoms and muscle pain were aggravated, which were relieved after steroid and cyclosporin treatment. We report a unique case of UC initially presented with myositis, preceding gastrointestinal symptoms.