• Title/Summary/Keyword: level subgroup

검색결과 175건 처리시간 0.027초

MicroRNA-155 Expression has Prognostic Value in Patients with Non-small Cell Lung Cancer and Digestive System Carcinomas

  • Xu, Tong-Peng;Zhu, Can-Hong;Zhang, Jian;Xia, Rui;Wu, Feng-Lei;Han, Liang;Shen, Hua;Liu, Ling-Xiang;Shu, Yong-Qian
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권12호
    • /
    • pp.7085-7090
    • /
    • 2013
  • Objective: Published data have shown that microRNAs (miRNAs) could play a potential role as diagnostic and prognostic indicators in cancers. Data for the predictive value of microRNA-155 are inconclusive. The aim of the present analysis was therefore to evaluate the role of miR-155 in prognosis for patients with a variety of carcinomas. Methods: Relevant studies were identified by searching PubMed and EMBASE. Data were extracted from studies comparing overall survival (OS), recurrence-free survival (RFS) or cancer-specific survival (CSS) in patients with carcinoma with higher miR-155 expression and those with lower levels. The pooled hazard ratios (HRs) and 95% confidence intervals (CIs) of miR-155 for clinical outcome were calculated. Results: A total of 15 studies were included. The pooled hazard ratio (HR) for OS of higher miR-155 expression in cancerous tissue was 1.89 (95% CI: 1.20-2.99, P=0.006), which could markedly predict poorer survival in general cancer. For RFS/CSS, elevated miR-155 was also associated with poor prognosis of cancer (HR=1.50, 95% CI: 1.10-2.05, P=0.01). On subgroup analysis, the pooled HR for OS in non-small cell lung cancer (NSCLC) was 2.09 (95% CI: 0.68-6.41, P > 0.05), but for RFS/CSS was 1.28 (95% CI: 1.05-1.55, P=0.015), with statistical significance; the pooled HRs for OS and RFS/CSS in digestive system neoplasms were 3.04 (95% CI: 1.48-6.24, P=0.003) and 2.61 (95% CI: 1.98-3.42, P<0.05), respectively. Conclusions: The results indicated that the miR-155 expression level plays a prognostic role in patients with cancer, especially NSCLCs and digestive system carcinomas.

영양과 훈련이 흰쥐의 운동지구력과 혈청성분에 미치는 효과;Selenium을 첨가한 고지방식이를 중심으로 (Effect of Nutrition and Exercise Training on the Endurance and the Serum Lipid Components in Rats;Selenium Added High Fat Diet)

  • 유명수;김송전;조정순;이용억
    • 한국응용과학기술학회지
    • /
    • 제5권2호
    • /
    • pp.39-54
    • /
    • 1988
  • The effects of exercise and selenium added high fat diet on edurance and serum lipid components were studied in rats. A total of 72 male Sprague-Dawley ($150{\pm}35g$, body weight) were divided into trained group and untrained group and were bred for 7 weeks. Each group had 6 different dietary subgroups; namely, basal diet, 20% shortening and 20% soybean oil subgroup and selenium (0.01mg%) added each subgroups. Exercises of 8-min treadmill running and 10-min swimming were given to the trained group every other day during the experimental period while only treadmill running was given to the untrained group during the last week. The amounts of food intake, changes in body weight and endurance were determined once a week and serum lipid components were measured before and after experimental period. Following are the results obtained : 1) The untrained group took a slightly larger amount of food than that in the trained group. The food efficiency is, however, higher in the trained group. Body weight increased more in untrained group, while high fat diet resulted in greater increment in body weight than that in normal diet groups. 2) The trained group showed remarkably longer endurance than the untrained group and selenium added high fat diet enhanced the effect. 3) The trained group showed lower blood level of T-chol., TG and TG/PL than the untrained group. All the other blood values of HDL-chol., PL, MDL-chol./T-chol., HDL/LDL and A/G ratio were higher in trained group. 4) Soybean oil added dietary groups exibited lower blood levels of T-chol., TG, TG/PL and A/G than those in shortening added dietary groups. On the contrary, the former groups showed higher blood HDL-chol., PL., HDL, HDL-chol. and HDL/LDL ratio than those of soybean oil added dietary groups. 5) $LDH_5$ was the most abundant one among serum LDH isozymes. The electrophoretic pattern of serum LDH isozymes was not changed by exercise training and selenium added high fat diet. 6) Exercise training lowered blood GOT and TBA. These effects were enhanced by soybean oil added diets. From the above results it was concluded that a regular and long term exercise training as well as a small amount of selenium added high fat diet result in reduction of body weight and TBA and improve dietary efficiency and physical endurance in rats.

도재 수리시스템에 따른 도재와 복합레진의 전단결합강도 (SHEAR BOND STRENGTHS OF COMPOSITE RESIN TO PORCELAINS AMONG PORCELAIN REPAIR SYSTEMS)

  • 김경규;신상완;이정렬;김영수
    • 대한치과보철학회지
    • /
    • 제45권4호
    • /
    • pp.419-430
    • /
    • 2007
  • Purpose: This in vitro study evaluated shear bond strengths of surface treatment porcelains with four porcelain repair systems simulating intraoral bonding of composite resin to feldspathic porcelain or pressable porcelain. Material and methods: Eighty Porcelain disks were prepared. Group A: forty disk specimens were fabricated with Feldspathic Porcelain($Omega^{(R)}900$, Vident, Menlo Park, CA, USA). Group B: forty disk specimens were fabricated with Pressable Porcelain(IPS Empress 2 ingot, Ivoclar-Vivadent, Schaan, Liechtenstein, Germany). Each groups was divided into 4 subgroups and composite resin cylinders were bonded to specimen with one of the following four systems: Clearfil Porcelain Bond(L. Morita, Tustin, CA, USA), Ulradent Porcelain Etch. (Ultradent, Salt Lake City UT, USA), Porcelain Liner-M(Sun Medical Co., Kyoto, Japan), Cimara Kit(Voco, Germany). After surface conditioning with one of the four porcelain repair systems substrate surfaces of the specimen were examined microscopically(SEM). Shear bond strengths of specimens for each subgroup were determined with a universal testing machine (5mm/min crosshead speed) after storing them in distilled water at $37{\pm}1^{\circ}C$ for 24 hours. Stress at failure was measured in $MP_a$, and mode of failure was recorded. Differences among four repair systems were analyzed with two way ANOVA and Duncan test at the 95% significance level. Results: In the scanning electron photomicrograph of the treated porcelain surface, hydrofluoric acid etched group appeared the highest roughness. The shear bond strength of the phosphoric acid etched group was not significantly(p>0.05) different between feldspathic porcelain and pressable porcelain. But in no treatment and roughened with a bur group, the shear bond strength of the feldspathic porcelain was significantly higher than that of the pressable porcelain. In hydrofluoric acid etched group, the shear bond strength of the pressable porcelain was significantly higher(p<0.05). Conclusion: 1. Treatment groups showed significantly greater shear bond strengths than no treatment group(p<0.05). 2. Group with more roughened porcelain surface did not always show higher shear bond strengths. 3. In phosphoric acid etched group, there was no significant difference in shear bond strength between feldspathic porcelain and pressable porcelain(p>0.05). However in the other groups, there were significant differences in shear bond strengths between feldspathic porcelain and pressable porcelain(p<0.05).

공복 혈당과 간암 발생 위험에 관한 코호트 연구 (Fasting Serum Glucose and Subsequent Liver Cancer Risk in a Korean Prospective Cohort)

  • 곽진;황승식;고광필;전재관;박수경;장성훈;신해림;유근영
    • Journal of Preventive Medicine and Public Health
    • /
    • 제40권1호
    • /
    • pp.23-28
    • /
    • 2007
  • Objectives : Chronic infections with hepatitis B or C and alcoholic cirrhosis are three well-known major risk factors for liver cancer. Diabetes has also been suggested as a potential risk factor. However, the findings of previous studies have been controversial in terms of the causal association. Therefore, the aim of this study was to evaluate the association between serum glucose levels and liver cancer development in a Korean cohort. Methods : Thirty-six liver cancer cases were identified in the Korean Multi-Center Cancer Cohort (KMCC). Baseline information on lifestyle characteristics was obtained via questionnaire. Serum glucose levels were measured at the study's enrollment. Relative risks (RRs) were estimated using a Cox proportional hazard regression model. The adjusting variables included age, gender, smoking history, alcohol consumption, body mass index, and hepatitis B surface antigen (HBsAg) seropositivity. Results : The RRs of serum glucose for liver caner were 1.20 (95% CI = 0.48-2.99) for the category of 100 to 125 mg/dL of serum glucose and 2.77 (95% CI = 1.24-6.18) for the >126 mg/dL serum glucose category (both compared to the <100 mg/dL category). In a subgroup analysis, the RR of serum glucose among those who were both HBsAg seronegative and non-drinkers was 4.46 (95% CI = 1.09-18.28) for those with glucose levels >100 mg/dL. Conclusions : The results of this study suggest that a high level of serum glucose can increase liver cancer risk independently of hepatitis infection and drinking history in Koreans. This study implies that glucose intolerance may be an independent risk factor for liver cancer.

강에서 발생한 익수 환자의 경추손상 위험도 (The Risk of Cervical Spine Injuries among Submersion Patients in River)

  • 김석환;최경호;최세민;오영민;서진숙;이미진;박규남;이원재
    • Journal of Trauma and Injury
    • /
    • 제19권1호
    • /
    • pp.47-53
    • /
    • 2006
  • Purpose: Recently, the American Heart Association recommended that routine cervical spine protection in submerged patients was not necessary, except in high-energy injury situations. However, until now, this recommendation has few supportive studies and literatures. This retrospective study was performed to demonstrate the risk of cervical spine injury in patients who had been submerged in a river. Methods: Seventy-nine submerged patients who visited St. Mary's Hospital between January 2000 and December 2005 were included in this retrospective study. We investigated and analyzed the victim's age, sex, activity on submersion, mental status and level of severity at admission, prognosis at discharge, associated injuries, and risk group by using the medical records and cervical spine lateral images. According to the activity on submersion, victims were classified into three groups: high risk, low risk, and unknown risk. The reports of radiologic studies were classified into unstable fracture, stable fracture, sprain, degenerative change, and normal. Results: The patients' mean age was 36.8 yrs, and 54% were males. Of the 79 patients, adult and adolescent populations (80%) were dominant. Jumping from a high bridge (48%) was the most common activity on submersion and accounted for 52% of the high-risk group. The Glasgow coma scale at admission and the cerebral performance scale at discharge showed bimodal patterns. The results of the radiologic studies showed one stable fracture, one suspicious stable fracture, and 18 sprains. The incidence of cervical spine fracture in submerged patients was 2.5% in our study. The incidence of cervical spine injury was higher in the high-risk group than it was in the low-risk group, especially in the jumping-from-high-bridge subgroup; however this observation was not statistically significant. No other factors had any significant effect on the incidence of cervical spine injury. Conclusion: Our study showed that even submerged patients in the high risk group had a low incidence of cervical spine fracture and that the prognosis of a patient did not seem to be influenced by the cervical spine fracture itself.

Age Differences in Signs and Symptoms of Patients with Temporomandibular Disorders

  • Jo, Jung Hwan;Park, Ji Woon;Kim, Ji Rak;Seo, Hyong Duk;Jang, Ji Hee;Chung, Jin Woo
    • Journal of Oral Medicine and Pain
    • /
    • 제40권2호
    • /
    • pp.55-62
    • /
    • 2015
  • Purpose: The aims of this study were to evaluate the differences in subjective symptoms, clinical characteristics, distribution according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) subgroup, psychological profile of TMD patients, and to identify the prevalence and trend according to age. Methods: A total of 1,052 patients (261 men and 791 women; mean age, $34.40{\pm}15.73$ years) who visited the Orofacial Pain Clinic of the Department of Oral Medicine, Seoul National University Dental Hospital complaining of TMD symptoms of were evaluated. All patients were questioned for medical history, clinical symptoms and contributing factors. Clinical examination and patient grouping based on RDC/TMD was conducted. Radiographies were taken. The Korean version of RDC/TMD axis II and Symptom Checklist-90-Revision (SCL-90-R) were administered to evaluate pain-related disability level and psychological status of the patients. Results: Prevalence peaked in the 20-year-old age group. There were more women than men in all groups. The highest T-score among SCL-90-R dimensions was somatization in each group, except for teenagers who showed the highest T-score in interpersonal sensitivity. The 30-year-old age group showed the highest distribution of high disability based on the graded chronic pain scale. Age was positively associated with pain intensity (r=0.100), number of positive muscles on palpation (r=0.137) and negatively associated with maximum mouth opening (r=-0.168). Conclusions: Subjective symptoms and clinical characteristics of TMD patients show distinct tendencies according to different age groups. Treatment should be customized and personalized according to age for efficient symptom resolution and patient satisfaction.

Riboprinting에 의한 가시아메바속의 분류 (Subgenus classification of Accnthcmoebc by riboprinting)

  • 정동일;유학선
    • Parasites, Hosts and Diseases
    • /
    • 제36권2호
    • /
    • pp.69-80
    • /
    • 1998
  • 가시아메바 (Aconthamoeba) 속의 종 동정과 분류 체계를 확립하기 위해 18종의 대표주를 포함 한23분리주들의 185rRNA 유전자를 PCR로 증폭하고, RFLP를 비교 분석하는 riboprinting을 시행하였다. 이에 근거한 dendrogram은 형태학적 일 grouping과 잘 부합하였다. 형태학적 제1군에 속 한 별가시아메바와 A.tubiahi는 형태학적 제2군 및 제3군의 분리주들로부터 가장 먼저 분지해 나왔으며, 서로간에도 매우 큰 유전적 거리를 나타내었다. 형태학적 제3군의 4분리주 중 A. cuLbertsonj A. hedvi 및 A.pulesti 는neAfsis는 서로간에 큰 유전적 거리를 나타내어 합당한 분류로 인정할 수 있었으나, A. Ppustulosa는 A. pqlestinenis와 유전적으로 매우 가깝게 나타나 A. pdestinensis로 재동정되어야 할 것으로 판단되었다. 형태학적 제2군의 분리주들은 0.2%의 유전 적 거리를 기준으로 하여 6개의 분지군으로 나누어졌다. 그 중 18S rRNA 유전자 내에 intron을 포함하고 있는 A. griffini가 나머지 분리주들과 가장 큰 유전적 거리를 나타내었다. 카스텔라니가시 아메바 Castellani주, Ma주, A. quplnvi13주, 담수가시아메바 L3a주, 대식가시아메바 Jones주 및 A. triangdris SH621주가 하나의 분지군을 형성하였으며, 그 중 A. quina Vil3와 담수가시아메바 L3a주는 카스텔라니가시아메바로 재동정되어야 할 것으로 판단되었다. Chang주는 A. hntchetti로, A. mcuritaniensis, A. divionensis와 A. puraAivionenis는 A. rhysodes로 재동정되어야 할 것으로 판단되었다. Neff주는 카스텔라니가시아메바보다는 대식가시아메바와 유전적으로 훨씬 가까웠다. Riboprinting은 임상 및 환경에서 분리되는 가시아메바 분리주의 빠른 동정에도 유용할 것으로 사료된다.

  • PDF

Isozyme Polymorphism 및 Random Amplified Polymorphic DNA(RAPD) Pattern에 의한 표고 버섯 품종간 비교 (Differentiation of Lentinus edodes Isolates in Korea by Isozyme Polymorphisms and Random Amplified Polymorphic DNA (RAPD) Analysis)

  • 박원목;고한규;박노조;홍기성;김규현
    • 한국균학회지
    • /
    • 제25권3호통권82호
    • /
    • pp.176-190
    • /
    • 1997
  • Isozyme PAGE에 의한 isozyme polymorphism 및 random amplified polymorphic DNA(RAPD) pattern의 비교를 통하여 한국에서 수집된 63개의 표고 버섯(Lentinus edodes)품종의 유연관계를 조사하여 보았다. NTSYS PC program을 통하여 비교에 사용되어진 3가지 isozyme 즉 esterase, peroxidase, acid phophatase 등은 각각 10, 7, 3개의 isozyme polymorphism type으로 나뉘어질 수 있었고, 이러한 3개의 isozyme type들은 group-average method를 이용하여 최종적으로 6개의 집단으로 구분되어질 수 있었다. 또한 RAPD를 통한 표고 품종간 유연관계 비교는 사용되어진 총 20개의 random primer 들중 3개의 primer(OPA 03, OPA 18, OPA 19)가 품종간 polymorphism을 보였고 사용되어진 전체 random primer의 PCR product들의 집단 분석을 통해 최종적으로 5개의 집단으로 구분할 수 있었다. 사용되어진 두 가지 방법 즉, isozyme polymorphism및 RAPD pattern에 의해 구분되어진 63개 표고 버섯 품종의 subgroup level에서의 절대적인 유사성은 관찰할 수 없었다. Yii-Mattila(1996) 등에 의하면 품종간 비교시 isozyme analyses에서와는 달리 RAPD analyses에서는 많은 수의 strain-specific band들이 얻어질 수 있고 이것이 두 방법간의 유사성을 관찰하지 못하게 하는 원인이라고 보고하였다.

  • PDF

체중 변화가 인지기능 저하에 미치는 영향 (Impact of Weight Change on Decline of Cognitive Function Among Korean Adults)

  • 김승연;신상윤;유혜진;박기혜;이지영;이정상;김은경
    • 한국임상약학회지
    • /
    • 제29권4호
    • /
    • pp.238-246
    • /
    • 2019
  • Background: In South Korea, as an aged society, an understanding of dementia and its risk factors is important from clinical and healthcare policy perspectives. Relationship between cognitive impairment and body weight or weight changes have been reported, but these were contradictory. We have evaluated the association between weight changes and cognitive decline using national level longitudinal data. Methods: Data from the Korean Longitudinal Study of Ageing from 2006 to 2012 were used. Association between weight changes and decline in cognitive function as measured by K-MMSE (the Korean version of the Mini-mental state examination) score was assessed by multivariate logistic regression. Weight changes were calculated from 1st wave and 3rd wave survey data, and classified into five groups as stable, increases, decreases of >10%, or 5%-10%. Results: About 37% of the total participants (n=4,512) were 65 years or older. These participants made up the largest proportion of the groups with weight change exceeding 10%. Multivariate logistic regression analyses revealed that weight changes exceeding 10% (10% increase vs stable, adjusted OR [aOR] 1.47, 95% confidence interval (CI) 1.11-1.95; 10% decrease vs stable, aOR 1.44, 95% CI 1.11-1.88) were significant predictive factors for decline in cognitive function. In subgroup analyses, the association between weight changes and cognitive decline was significant in males aged over 65 years and in normal BMI groups. Conclusion: Weight changes, both increases and decreases exceeding 10% of baseline, were significantly associated with declines in cognitive function among older adults in South Korea.

지역사회 주민의 고혈압 예방 식이프로그램의 효과 평가 (Effects of Dietary Approaches to Stop Hypertension Program on Blood Pressure among the Pre-hypertension Group in the Community)

  • 조희숙;심정하;정헌재;황문선;이혜진;김명희
    • 농촌의학ㆍ지역보건
    • /
    • 제31권3호
    • /
    • pp.237-244
    • /
    • 2006
  • 이 연구에서는 고혈압 위험군을 대상으로 8주간의 개인별 맞춤형 DASH 식이 교육을 수행하여 고혈압 식단 관련 지식수준과 DASH 식단 실천정도, 혈압 조절 효과를 분석하고자 하였다. 프로그램 대상은 고혈압 발생 위험군으로 JNC에서 정의한 고혈압전단계로 정의한 수축기압이 120-139 mmHg, 또는 이완기혈압이 80-89 mmHg인 경우와, 체질량지수가 25이상인 경우, 그리고 허리둘레와 엉덩이둘레의 비율이 남자 0.95이상, 여자 0.85이상인 경우 중 어느 하나를 만족하는 경우로 하였다. 연구는 강원도 C시에서 2002년-2003년 주민 건강행태 및 건강조사 대상 중 기준에 해당하는 경우와 보건소 및 보건지소에서 외래 환자 중 해당자를 포함하였으며 8주 교육에 참가한 141명에 대하여 효과분석을 수행하였다. 교육프로그램 적용 후 지식수준 및 DASH 식습관 실천정도가 유의하게 증가하였으며 수축기압은 참여 전 $136.03{\pm}12.40mmHg$, 프로그램 참여 후 $126.09{\pm}11.25mmHg$로 프로그램 참여 후의 평균 혈압이 낮아졌으며 이완기 혈압 또한 프로그램 참여 전 $81.80{\pm}6.32mmHg$, 프로그램 참여 후 $76.44{\pm}10.61mmHg$로 통계적으로 유의한 감소를 나타냈다. 고혈압 환자의 혈압 조절을 위한 노력뿐 아니라 고혈압 예방을 위한 보건사업이 필요하며, 이 경우 DASH 프로그램은 효과적인 교육도구로 적용될 수 있다. 향후 관련된 교육 프로그램의 개발과 프로그램 적용이 지역사회를 대상으로 소개되고 확대 적용되기를 기대하는 바이다.

  • PDF