• Journal of Gastric Cancer
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• v.20 no.3
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• pp.256-266
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• 2020

Purpose: This study aimed to examine the early postprandial changes in gastrointestinal (GI) hormones and hemodynamics in terms of early dumping syndrome after gastrectomy for gastric cancer. Materials and Methods: Forty patients who underwent gastrectomy for gastric cancer and 18 controls without previous abdominal surgery were enrolled. Before and 20 minutes after liquid meal ingestion, blood glucose, glucagon-like peptide-1 (GLP-1), and GLP-2 concentrations and superior mesenteric artery (SMA) and renal blood flow were measured. The patients' heart rates were recorded at 5-minute intervals. All subjects were examined for dumping syndrome using a questionnaire based on Sigstad's clinical diagnostic index. Results: The postprandial increases in blood glucose, GLP-1, and GLP-2 levels as well as SMA blood flow and heart rate were greater in patients who underwent gastrectomy than in controls (all P<0.010). Patients who underwent gastrectomy showed a significantly decreased renal blood flow (P<0.001). Among patients who underwent gastrectomy, distal gastrectomy was a significant clinical factor associated with a lower risk of early dumping syndrome than total gastrectomy (hazard ratio, 0.092; 95% confidence interval, 0.013-0.649; P=0.017). Patients who underwent total gastrectomy showed a greater postprandial increase in blood glucose (P<0.001), GLP-1 (P=0.030), and GLP-2 (P=0.002) levels as well as and heart rate (P=0.013) compared to those who underwent distal gastrectomy. Conclusions: Early postprandial changes in GI hormones and hemodynamics were greater in patients who underwent gastrectomy than in controls, especially after total gastrectomy, suggesting that these changes play a crucial role in the pathophysiology of early dumping syndrome.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.1
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• pp.261-267
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• 2012

Purpose: The relationship between thymidylate synthase (TS) expression and outcomes in gastric cancer (GC) patients remains controversial, although most studies reported poor survival and reduced response to fluoropyrimidine were related to high TS in tumors. We carried out a systematic review of the literature with meta-analysis to estimate the predictive value of TS expression from published studies. Methods: We indentified 24 studies analysing the outcome data in gastric cancer stratified by TS expression. Effect measures of outcome were hazard ratios (HRs) for overall survival (OS) and event-free survival (EFS), or the odds ratio (OR) for overall response rate (ORR). HRs and ORs from these eligible studies were pooled using random-effects meta-analysis. Results: Fifteen studies investigated outcomes in a total of 844 patients with advanced GC, and nine studies investigated outcomes in a total of 1,235 patients with localized GC undergoing adjuvant therapy. Meta-analysis of estimates showed high TS expression was significantly associated with poor OS in the advanced setting (HR: 1.43, 95%CI: 1.08 - 1.90), and poor EFS in the adjuvant setting (HR: 1.53, 95%CI: 1.01 - 2.32). Subgroup analysis demonstrated TS expression to haves even greater value in predicting OS, EFS and ORR in advanced GC patients treated with fluoropyrimidine monotherapy (HR for OS: 2.32, 95%CI: 1.53 - 3.50; HR for EFS: 1.76, 95%CI: 1.19 - 2.60; OR for ORR: 0.32, 95%CI: 0.11 - 0.95). Conclusion: High levels of TS expression were asssociated with a poorer OS for advanced GC patients compared with low levels. In the adjuvant setting, high TS expression was also associated with a worse EFS. Additional studies with consistent methodology are needed to define the precise predictive value of TS.

• Smart Structures and Systems
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• v.16 no.4
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• pp.701-723
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• 2015

Friction isolators are one of the most important types of bearings used to mitigate damages of earthquakes. The adaptive behavior of these isolators allows them to achieve multiple levels of performances and predictable seismic behavior during different earthquake hazard levels. There are three main types of friction isolators. The first generation with one sliding surface is known as Friction Pendulum System (FPS) isolators. The double concave friction pendulum (DCFP) with two sliding surfaces is an advanced form of FPS, and the third one, with fully adaptive behavior, is named as triple concave friction pendulum (TCFP). The current study has been conducted to investigate and compare seismic responses of these three types of isolators. The structure is idealized as a two-dimensional single degree of freedom (SDOF) resting on isolators. The coupled differential equations of motion are derived and solved using state space formulation. Seismic responses of isolated structures using each one of these isolators are investigated under seven near fault earthquake motions. The peak values of bearing displacement and base shear are studied employing the variation of essential parameters such as superstructure period, effective isolation period and effective damping of isolator. The results demonstrate a more efficient seismic behavior of TCFP isolator comparing to the other types of isolators. This efficiency depends on the selected effective isolation period as well as effective isolation damping. The investigation shows that increasing the effective isolation period or decreasing the effective isolation damping improves the seismic behavior of TCFP compared to the other isolators. The maximum difference in seismic responses, the base shear and the bearing displacement, for the TCFP isolator are calculated 26.8 and 13.4 percent less than the DCFP and FPS in effective isolation damping equal to10%, respectively.

• Korean Journal of Community Nutrition
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• v.25 no.1
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• pp.61-70
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• 2020

Objectives: This study examined the association of the total diet quality with the incidence risk of metabolic syndrome constituents and metabolic syndrome among Korean adults. Methods: Based on a community-based cohort of the Korean Genome and Epidemiology Study (KoGES) from 2001 to 2014, data from a total of 5,549 subjects (2,805 men & 2,744 women) aged 40~69 years at the baseline with a total follow-up period of 38,166 person-years were analyzed. The criteria of the National Cholesterol Education Program Adult Treatment Panel was employed to define metabolic syndrome. The total diet quality was estimated using the Korean Healthy Eating Index (KHEI). Hazard ratios (HR) and 95% confidence intervals (CI) for risk of metabolic syndrome constituents and metabolic syndrome in relation to KHEI quintile groups was calculated by multivariate Cox proportional hazards regression model. Results: After adjusting for age, energy intake, income, education, physical activity, smoking, and drinking, the incidence of abdominal obesity and high blood pressure was significantly lower, by approximately 29.7% (P < 0.01) and 25.2% (P < 0.01), respectively, in the fifth KHEI quintile compared to the first quintile in men. A significant decreasing trend of the metabolic syndrome incidence was observed across the improving levels of KHEI (HRq5vs.q1: 0.775, 95% CIq5vs.q1: 0.619~0.971, P for trend < 0.01). In women, the incidence of abdominal obesity and metabolic syndrome was significantly lower, by approximately 29.8% (P < 0.01) and 22.5% (P < 0.05), respectively, in the fifth KHEI quintile compared to the first quintile adjusting for multiple covariates. On the other hand, the linear trend of metabolic syndrome risk across the KHEI levels did not reach the significance level. Conclusions: A better diet quality can prevent future metabolic syndrome and its certain risk factors among Korean men and women.

• Journal of Preventive Medicine and Public Health
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• v.32 no.2
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• pp.155-161
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• 1999

Objectio ostinato the carcinogenic risks from the ingestion of some carcinogenic pesticides (CPs) in vegetables sampled at a local agricultural product market in Seoul. Methods: After applying a hazard identification step, we selected four pesticides, such as DDT, dieldrin, folpet, and heptachlor epoxide, for this risk assessment. Concentrations of each pesticide were measured from randomly sampled vegetables. In order to estimate the human exposure levels, we combined the concentration of pesticides in the vegetables with consumption rate of those vegetables. Three scenarios were hypothesized for human exposure assessment. Scenario I was the most conservative which supposed the undetected CPs would be the detection limit values. Scenario II was assumed that the undetected CPs would be a half of the detection limit values, and finally scenario III merely considered only values greater than the detection limit values. We finally presented the estimated carcinogenic risks on the basis of the traditional risk assessment procedure suggested by U.S. EPA. Results: Pesticides including DDT, dieldrin, folpet and heptachlor epoxide were detected in 9 samples (6%) in the range of $0.0006\sim0.09ppm$. The daily intake levels of carcinogenic pesticides were estimated in the range of $0.0009\sim0.0079{\mu}g/day$. As we expected, excess cancer risks based on scenario I was also the highest $(1.1\times10^{-8}\sim5.5\times10^{-5})$. Conclusions: We found that the estimated risks from the pesticides we investigated were not serious. We, however, propose that a continuos monitoring is needed to make sure for the protection of public health.

• Journal of the Earthquake Engineering Society of Korea
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• v.9 no.3 s.43
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• pp.23-32
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• 2005

Torsional behavior of eccentric structure under seismic leading may cause the stress and/or deformation concentration, which arouse the failure of the structure in an unexpected manner. This study suggests D-R relationship which shows the overall displacement and rotation of the system based on the ultimate displacement capacity of the each lateral load resistant member. Using the suggested D-R relationship and displacement spectrum, the seismic assessment is conducted and verified in comparison with the time history analysis result. Multi-level seismic assessment Is considered which takes multiple seismic hazard levels and respective performance levels into account. Finally, based on the seismic assessment result, seismic rehabilitation process is presented. In this research, two rehabilitation methods are considered. One is done by means of stiffening/strengthening the seismic resistant members, and the other is based on the member ductility. Especially, in the first method, to optimize the rehabilitation result, the rehabilitation problem is modeled as an optimization problem, and solved using BFGS quasi-Newton optimization method.

• Journal of Gastric Cancer
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• v.14 no.3
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• pp.164-172
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• 2014

Purpose: To evaluate the incidence, clinicopathological characteristics, treatment outcomes, prognostic factors, and survival of gastric cancer patients with bone metastases. Materials and Methods: Of 4,617 gastric cancer patients who were treated between 2001 and 2013, 176 patients with bone metastases were analyzed. Results: The incidence of bone metastasis was 3.8%. The most common histopathological subtype was adenocarcinoma (79%) with poor differentiation (60.8%). The median interval from the diagnosis to bone metastasis was 11 months. The median survival time after bone metastasis was 5.4 months. Factors that were associated with longer median survival times included the following: isolated bone metastasis (P=0.004), well-differentiated tumors (P=0.002), palliative chemotherapy (P=0.003), zoledronic acid treatment (P<0.001), no smoking history (P=0.007), and no metastatic gastric cancer at the time of diagnosis (P=0.01). On the other hand, high levels of lactate dehydrogenase (LDH) (hazard ratio [HR]: 1.86; P=0.015), carcinoembryonic antigen (CEA) (HR: 2.04; P=0.002), and carbohydrate antigen (CA) 19-9 (HR: 2.94; P<0.001) were associated with shorter survival times. In multivariate analysis, receiving zoledronic acid (P<0.001) and performance status (P=0.013) were independent prognostic factors. Conclusions: Smoking history, poor performance status, poorly differentiated adenocarcinoma, and high levels of LDH, CEA, and CA 19-9 were shown to be poor prognostic factors, while receiving chemotherapy and zoledronic acid were associated with prolonged survival in gastric cancer patients with bone metastases.

• Asian-Australasian Journal of Animal Sciences
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• v.17 no.12
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• pp.1736-1740
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• 2004

Since the application of relatively high levels of heavy metals in the compost poses a potential hazard to plants and animals, the content of heavy metals in the compost with animal manure is important to know if it is as a fertilizer. Measurement of heavy metals content in the compost by chemical methods usually requires numerous reagents, skilled labor and expensive analytical equipment. The objective of this study, therefore, was to explore the application of near-infrared reflectance spectroscopy (NIRS), a nondestructive, cost-effective and rapid method, for the prediction of heavy metals contents in compost. One hundred and seventy two diverse compost samples were collected from forty-seven compost facilities located along the Han river in Korea, and were analyzed for Cr, As, Cd, Cu, Zn and Pb levels using inductively coupled plasma spectrometry. The samples were scanned using a Foss NIRSystem Model 6500 scanning monochromator from 400 to 2,500 nm at 2 nm intervals. The modified partial least squares (MPLS), the partial least squares (PLS) and the principal component regression (PCR) analysis were applied to develop the most reliable calibration model, between the NIR spectral data and the sample sets for calibration. The best fit calibration model for measurement of heavy metals content in compost, MPLS, was used to validate calibration equations with a similar sample set (n=30). Coefficient of simple correlation (r) and standard error of prediction (SEP) were Cr (0.82, 3.13 ppm), As (0.71, 3.74 ppm), Cd (0.76, 0.26 ppm), Cu (0.88, 26.47 ppm), Zn (0.84, 52.84 ppm) and Pb (0.60, 2.85 ppm), respectively. This study showed that NIRS is a feasible analytical method for prediction of heavy metals contents in compost.

• Fire Science and Engineering
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• v.29 no.6
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• pp.98-108
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• 2015

An integrated command system is critical for the safety of firefighters and effective work in the headquarters of a special disaster areas such as natural disaster or large man-made hazard. The integrated command system requires environmental information such as temperature, humidity, and $CO_2$ levels, as well as personal physical information such as pulse and air respirator levels. An Analog to Digital Converter (ADC) chip converts sensed information into digital signals, and a Micro Controller Unit (MCU) transmits the digital signals to a transmission board using serial communication through a Serial Peripheral Interface (SPI). The digital signals are saved in a transmission board and transmitted to the integrated command system by a Radio Frequency (RF) unit. The location of fire-fighters in a building are determined using a gyro sensor and an inertial sensor. The collected information is applied to the integrated command system for firefighter safety and to ensure that they can effectively carry out their duties. Tthis study theoretically and experimentally investigated the technologies of RF transmission, indoor position, and an integrated command system that supports decision making using the transmitted information.

• Korean Journal of Organic Agriculture
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• v.25 no.2
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• pp.431-443
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• 2017

This study was conducted to improve correct judgement of HACCP evaluation items in poultry farm. The importance levels and score of each HACCP evaluation item was derived through the non-compliance rate and severity levels of hazard. The total score of HACCP evaluation items of the pre-requisite management section was 200 points and the HACCP management section was developed to have a total of 100 points. Implementation of the result of this study to poultry farm may help to produce safer and hygienic chicken and egg production. For a more objective assessment, detailed criteria should be developed according to the score of each HACCP evaluation item.