• 제목/요약/키워드: levels of evidence

검색결과 1,183건 처리시간 0.028초

Evaluation of Insulin Like Growth Facror-1 Genetic Polymorphism with Gastric Cancer Susceptibility and Clinicopathological Features

  • Farahani, Roya Kishani;Azimzadeh, Pedram;Rostami, Elham;Malekpour, Habib;Aghdae, Hamid Asadzadeh;Pourhoseingholi, Mohamad Amin;Mojarad, Ehsan Nazemalhosseini;Zali, Mohammad Reza
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권10호
    • /
    • pp.4215-4218
    • /
    • 2015
  • Gastric cancer (GC) is one of the most common malignancies in the world. It is the first cause of cancer deaths in both sexes In Iranian population. Circulating insulin-like growth factor-one (IGF-1) levels have been associated for gastric cancer. IGF-1 protein has central roles involved in the regulation of epithelial cell growth, proliferation, transformation, apoptosis and metastasis. Single nucleotide polymorphism in IGF-1 regulatory elements may lead to alter in IGF-1expression level and GC susceptibility. The aim of this study was to investigate the influence of IGF-1 gene polymorphism (rs5742612) on risk of GC and clinicopathological features for the first time in Iranian population. In total, 241 subjects including 100 patients with GC and 141 healthy controls were recruited in our study. Genotypes were analyzed using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) assay with DNA from peripheral blood. The polymorphism was statistically analyzed to investigate the relationship with the risk of GC and clinicopathological properties. Logistic regression analysis revealed that there was no significant association between rs5742612 and the risk of GC. In addition, no significant association between genotypes and clinicopathological features was observed (p value>0.05). The frequencies of the CC, CT, and TT genotypes were 97%, 3%, and 0%, respectively, among the cases, and 97.9%, 2.1%, and 0%, respectively, among the controls. CC genotype was more frequent in cases and controls. The frequencies of C and T alleles were 98.9% and 1.1% in controls and 98.5% and 1.5% in patient respectively. Our results provide the first evidence that this variant is rare in Iranian population and it may not be a powerful genetic predisposing biomarker for prediction GC clinicopathological features in an Iranian population.

실험적 치은염에서 dextranase 함유 구강 세정액의 양치 효과 (The Effect of Dextranase-Containing Mouthwash in Human Experimental Gingivitis)

  • 손은주;김영준;김도만;정현주
    • Journal of Periodontal and Implant Science
    • /
    • 제31권2호
    • /
    • pp.401-420
    • /
    • 2001
  • A novel glucanhydrolase from a mutant of Lipomyces starkeyi(KSM 22)has been shown effective in hydrolysis of mutan, reduction of mutan formation by Streptococcus mutans and removal pre-formed sucrose-dependent adherent microbial film and Lipomyces starkeyi KSM 22 dextranase has been strongly bound to hydroxyapatitie. These in vitro properties of Lipomyces starkeyi KSM 22 dextranase are desirable for its application as a dental plaque control agent. This study was performed to determine oral hygiene benefits and safety of dextranase(Lipomyces starkeyi KSM 22 dextranase)-containing mouthwash in human experimental gingivitis. This 3-week clinical trial was placebo-controlled double-blind design evaluating 1U/ml dextranase mouthwash and 0.12% chlorhexidine mouthwash. A total 39 systemically healthy subjects, who had moderate levels of plaque and gingivitis were included. At baseline, 1, 2 and 3 weeks, subjects were scored for plaque(Silness and $L{\ddot{o}e$ plaque index and plaque severity index), gingivitis($L{\ddot{o}e$ and Silness gingival index), and at baseline and 3 weeks of experiment, subjects were scored for plaque(Turesky-Quingley-Hein's plaque index and plaque severity index), tooth stain(Area and severity index system by Lang et al). Additionally, oral mucosal examinations were performed and subjects questioned for adverse symptoms. Two weeks after pre-experiment examinations and a professional prophylaxis, the subjects provided with allocated mousewash and instructed to use 20-ml volumes for 30s twice dailywithout toothbrushing. All the groups showed significant increase in plaque accumulation since 1 week of experiment. During 3 weeks' period, the dextranase group showed the least increase in plaque accumulation of Silness and $L{\ddot{o}e$ plaque index, compared to the chlorhexidine and placebo groups, but chlorhexidine group showed the least increase inplaque accumulation of Turesky-Quingley-Hein's plaque index. As for gingival inflammation, all the groups showed significant increase during 3 weeks of experiment. The dextranase group also showed the least increase in gingival index score, compared to the chlorhexidine as well as the placebo groups. Whereas the tooth stain was increased significantly in the chlorhexidine group, compared to the baseline score and the placebo group since 3 weeks of mouthrinsing. It was significantly increased after 3 weeks in the dextranase group, still less severe than the chlorhexidine group. As for the oral side effect, the dextranase group showed less tongue accumulation, bad taste, compared to the chlorhexidine group. From these results, mouthrinsing with Lipomyces starkeyi KSM 22 dextranase was comparable to 0.12% chlorhexidine mouthwashin inhibition of plaque accumulation and gingival inflammation and local side effects were if anything less frequent and less intense than chlorhexidine, in human experimental gingivitis. All data had provided positive evidence for Lipomyces starkeyi KSM 22 dextranase as an antiplaque agent and suggested that further development of dextranase formulations for plaque control are warranted.

  • PDF

Dextranase 함유 구강 세정액의 치태 억제 및 치은염 예방 효과에 관한 임상적 연구 (A Clinical Trial of Dextranase-Containing Mouthwash on the Inhibition of Plaque Formation and Gingivitis)

  • 송우성;손은주;김도만;정현주
    • Journal of Periodontal and Implant Science
    • /
    • 제31권2호
    • /
    • pp.371-388
    • /
    • 2001
  • A novel glucanhydrolase(DXAMase) from a mutant of Lipomyces starkeyi(KSM 22) has been shown effective in hydrolysis of mutan, reduction of mutan formation by Streptococcus mutans and removal pre-formed sucrose-dependentadherent microbial film and DXAMase has been strongly bound to hydroxyapatitie. These in vitro properties of Lipomyces starkeyi DXAMase are desirable for its application as a dental plaque control agent. This study was performed to determine the adjunctive oral hygiene benefits and safety of dextranase(Lipomyces starkeyi KSM 22 DXAMase)-containing mouthwash when used alongside normal tooth-brushing. This 6-month clinical trial was placebo-controlled double-blind design evaluating 1U/ml dextranase mouthwash and 0.12% chlorhexidine mouthwash. A total 39 systemically healthy subjects, who had moderate levels of plaque and gingivitis were included. At baseline, 1, 3 and 6 months, subjects were scored for plaque accumulation(Turesky modification of Quingley-Hein's plaque index), gingivitis status($L\ddot{o}e$ and Silness gingival index), and tooth stain(Area and severity index system by Lang et al). Additionally, oral mucosal examinations were performed and subjects questioned for adverse symptoms. Two weeks after pre-experiment examinations and a professional prophylaxis, the subjects provided with allocated mousewash and instructed to use 20-ml volumes for 30s twice daily after toothbrushing. All the groups showed significant increase in plaque accumulation since 1 month of experiment. During 6 months' period, the Dextranase mouthwash group showed the least increase in plaque accumulation, compared to the Chlorhexidine mouthwash and placebo groups. As for gingival inflammation, all the groups showed significant increase during 6 months of experiment. The Experimental group(Dextranase mouthwash) also showed the least increase in gingival index score, compared to the Positive control(Chlorhexidine mouthwash)as well as the Negative control(placebo)groups. Whereas the tooth stain was increased significantly in the Positive control group, compared to the baseline score and the Negative controlgroup since 3 months of mouthrinsing. It was significantly increased after 6 months in the Experimental group, still less severe than the Positive control group. As for the oral side effect, the Experimental group showed less tongue accumulation, bad taste, compared to the Positive control group. From these results, mouthrinsing with Lipomyces starkeyi KSM 22 dextranase provided adjunctive benefits to toothbrushing, comparable to 0.12% chlorhexidine mouthwash in inhibition of plaque accumulation and gingival inflammation and local side effects were if anything less frequent and less intense than chlorhexidine, with long-term use of the mouthwash. All data had provided positive evidence for Lipomyces starkeyi KSM 22 dextranase as an antiplaque agent and suggested that further development of dextranase formulations for plaque control are warranted.

  • PDF

뇌성마비 환아 중증도별 시각화척도, 시간교환법, EQ-5D-Y Proxy를 이용한 삶의 질 측정 (Measuring Quality of Life in Cerebral Palsy Children According to the Severity Using the Visual Analogue Scale, Time Trade-Off, and EQ-5D-Y Proxy)

  • 이고은;김남권;윤영주;왕혜민;김정훈;이동효
    • 동의신경정신과학회지
    • /
    • 제28권2호
    • /
    • pp.49-59
    • /
    • 2017
  • Objectives: To measure the quality of life in patients according to virtual cerebral palsy severity by using the Korean version of EQ-5D-Y proxy, Visual Analogue Scale (VAS), and Time Trade-Off method (TTO). Methods: The study was conducted in parents of children and adolescents aged 4 to 15 years in Seoul. We analyzed the difference in the utility value according to five levels of cerebral palsy severity in the Gross Motor Function Classification System (GMFCS) and test-retest reliability. Results: 1. There were significant differences in VAS, TTO, and EQ-5D-Y proxy according to the cerebral palsy severity (p<.001). 2. VAS was significantly different according to the respondent's visit to the medical institution, the presence of disease in the respondent, a visit to the child's medical institution, the age of the child, and the sex of the child. The value of TTO was significantly different according to the respondent's visit to the medical institution, respondent's sex, and the age of the child. Also, EQ-5D-Y proxy was significantly different according to the age of the child. 3. Intraclass correlation coefficient values were more than 0.6 for both VAS and TTO at all stages. But for the EQ-5D-Y proxy, the value was less than 0.6 at all stages. Conclusions: The quality of life assessment using EQ-5D-Y proxy showed significant differences in the severity of cerebral palsy. However, large-scale studies using EQ-5D-Y proxy are needed because of low test-retest reliability.

응급실로 내원한 약물중독 자살시도자의 자살 진정성에 미치는 사회적 요인 분석: 응급실 기반 자살 시도자 관리시스템 자료를 이용한 후향적 연구 (Analysis of social factors influencing authenticity of suicide for patient who attempt to suicide in emergency department: Retrospective study based Post-suicidal Care Program data)

  • 지재구;김양원;강지훈;장윤덕
    • 대한임상독성학회지
    • /
    • 제19권1호
    • /
    • pp.8-16
    • /
    • 2021
  • Purpose: This study was conducted to analyze the social factors influencing the 'authenticity of suicidal ideation' based post-suicidal care programs in emergency departments (EDs). Methods: This retrospective study was an analysis using the data of patients who had attempted suicide and visited the ED in tertiary urban hospitals from January 1, 2016, to December 31, 2018. The variables examined included gender, age, history of previous psychiatric disease, suicide method, and the number of previous attempts. Univariate and multivariate logistic regression analyses were conducted to identify factors influencing the registration rate for the community-based post-suicide care program. Results: Overall,1,460 suicides were analyzed, 177 (1.16%) showed a high authenticity of suicide. The social factors influencing the authenticity of suicide intent were the unmarried status of men and women, joblessness, history of mental illnesses, more than two previous suicide attempts, the influence of alcohol, and an attempt to commit suicide after midnight more specifically between 24:00 to 6:00 hours in the morning (p<.05). The factors influencing the severity of the condition of high authenticity suicide patients were low Glasgow coma scores (12 points or less), lactate levels, and oxygen saturation observed in the patients who were admitted to the intensive care unit for treatment and died (p<.05). Conclusion: The need for evidence-based preventive measures and early assessment tools at the emergency medicine level is emphasized to reduce the rate of suicide attempts. If the results of this study are used in the management of suicide prevention, the evaluation of the authenticity of suicide intent will be more likely to be made at the emergency medicine level, allowing the severity to be assessed earlier.

상황 물추출물이 LPS로 유도된 Raw 264.7 cell에서의 TNF-$\alpha$, IL-1$\beta$, IL-6 및 Nitric Oxide production에 미치는 영향 (Inhibitory Effect of Phellinus Igniarius water extract on TNF-$\alpha$, IL-1$\beta$, IL-6 and Nitric Oxide Production in lipopolysaccharide - activated Raw 264.7 cells)

  • 김상찬;정연숙;이재령;김영우;변부형;권택규;서성일;변성희;권영규
    • 동의생리병리학회지
    • /
    • 제18권3호
    • /
    • pp.880-886
    • /
    • 2004
  • Phellinus igniarius has been clinically used for the treatment of hemorrhoidal fistula, dysmenorrhea and the prevention of cancer in traditional oriental medicine. Recent studies showed that Phellinus igniarius produced anti-cancer, anti-metastasis and immuno-modulatory effects, There is lack of studies regarding the effects of Phellinus igniarius on the immunological activities. The present study was conducted to evaluate the effect of Phellinus igniarius on the regulatory mechanism of cytokines and nitric oxide (NO) for the immunological activities in Raw 264,7 cells. After the treatment of Phellinus igniarius water extract, cell viability was measured by MTT assay, NO production was monitored by measuring the nitrite content in culture medium. COX-2 and iNOS were determined by Immunoblot analysis, and levels of cytokine were analyzed by sandwich immunoassays. Results provided evidence that Phellinus igniarius inhibited the production of nitrite and nitrate (NO), inducible nitric oxide synthase (iNOS), interleukin-1β (IL-1β) and interleukin-6 (IL-6), and the activation of phospholylation of inhibitor κBα (p-IκBα) in Raw 264.7 cells activated with lipopolysaccharide (LPS). These findings suggest that Phellinus igniarius can produce anti-inflammatory effect, which may play a role in adjunctive therapy in Gram-negative bacterial infections.

기초공통개념으로서 에너지에 대한 3~9학년 학생들의 문항 반응 분석 (Item Response Analysis of Energy as a Cross-Cutting Concept for Grades 3 to 9)

  • 김영민;강남화;강훈식;맹승호;이준기
    • 한국과학교육학회지
    • /
    • 제36권6호
    • /
    • pp.815-833
    • /
    • 2016
  • 이 연구에서는 기초공통개념으로서 에너지에 대한 학습발달과정연구의 기초 자료를 제공하기 위하여 3~9학년 학생들의 평가 문항 응답 결과를 분석하였다. 검사 문항은 전기 회로, 낙하 물체의 역학적 에너지, 물질의 상태 변화, 용해 현상, 생물체의 생명 현상, 먹이 사슬, 태양과 지구의 복사평형, 및 물의 순환계에서 에너지에 대한 이해를 조사하는 순위 선다형 문항으로 구성되었다. 학생들의 응답 결과는 학년별, 선택지 수준별 응답 빈도에 따라 교차분석을 실시하였고, Rasch 모델을 적용한 문항반응 분석으로서 Wright map 및 DIF 분석을 수행하였다. 연구 결과, 8가지 주제들에 대하여 에너지 이해의 발달과정은 현상과 에너지의 관련성을 인식하거나 에너지의 종류를 파악, 에너지의 이동과 전달을 인식, 에너지가 다른 형태로 전환 및 변환됨을 인식, 에너지의 보존을 인식하는 순서로 진행된다는 경험적 근거를 확보할 수 있었다. 전체 학년에 걸쳐서 공통적으로 8개 주제에 대하여 에너지 보존에 대한 이해가 부족하였다. 학년이 높아짐에 따라 에너지의 전달과 전환에 대한 이해 수준은 주제들마다 다소 차이가 있었다. Rasch 모델을 적용한 문항 반응을 분석한 결과 학생들은 다른 현상의 에너지에 비해 용해 현상의 에너지를 가장 쉬운 과제로 인식하였고 물의 순환 과정에서 에너지 이해를 가장 어려운 과제로 인식하였다. 이 연구의 결과는 에너지의 관점에서 각 주제들이 초중등 과학 교육과정의 어느 학년에, 몇 번째 단원에 어떤 방식으로 배치되어야 할 것인지는 경험적인 연구 자료로서 활용될 수 있으며, 새 과학 교육과정의 내용 체계를 구성할 때 고려할 수 있는 중요한 시사점이 될 수 있었다.

Practical modeling of cigarette ventilation rate

  • Kim, Young-Hoh;Lee, Moon-Yong;Rhee, Kyu-Seo;Lee, Dong-Wook
    • 한국연초학회지
    • /
    • 제21권2호
    • /
    • pp.109-118
    • /
    • 1999
  • A model predicted describing the effect of cigarette making materials on the level of filter ventilation was developed and evaluated. The developed model was expressed in terms of a linear and quadratic relationship which was validated with experimental measurements for different porosity of plug wrap and tipping paper, unencapsulated pressure drop of filter plug and cigarette column and vent position. Forty-six experimental frequencies were determined as a result of using three levels with five factors Box-Behnken design and analyzed by the multiple regression analysis with backward stepwise in STATISTICA/PC under restricted conditions. The four factors, except filter pressure drop variable, were statistically significant at the level of 0.05 but most of all linear by linear interactions were comparatively lower significant. By the analysis of linear and quadratic regression coefficient, filter ventilation of the cigarette was affected by porosity of plugwrap (5.87, -4.25), porosity of tip paper (5.68, -1.00), vent position (-3.87, 3.08), tobacco column pressure drop (2.56, 0.66), and filter pressure drop (1.50, 0.58) in the decreasing order. It should be emphasized that the major conclusion of this study was not that any particular parameter was linear or quadratic on any limit scale, but that there were highly significant relationships among factors involving linear, quadratic and their interaction and perhaps even linearity between and within factors. While, there is also quite strong evidence that vent position from mouth end and cigarette making materials are reverse relationship on this experimental model. On the basis of the result, it can be concluded that the porosity of the plug wrap and tipping paper has a marked effect on degree of filter ventilation rate. The F-value of plug wrap and tipping paper porosity among five factors were 39.2 and 36.8 respectively with P-value of 0.000 indicating higher significant for both factors. According to the analysis of variance, the model fitted for filter ventilation was significant at 5% confidence level and the coefficient of determination ($R^2$=0.84) was the proportion to variability in the data well fitted for by the model.

  • PDF

β3GnT8 Regulates Laryngeal Carcinoma Cell Proliferation Via Targeting MMPs/TIMPs and TGF-β1

  • Hua, Dong;Qin, Fang;Shen, Li;Jiang, Zhi;Zou, Shi-Tao;Xu, Lan;Cheng, Zhi-Hong;Wu, Shi-Liang
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제13권5호
    • /
    • pp.2087-2093
    • /
    • 2012
  • Previous evidence showed ${\beta}1$, 3-N-acetylglucosaminyltransferase 8 (${\beta}3GnT8$), which can extend polylactosamine on N-glycans, to be highly expressed in some cancer cell lines and tissues, indicating roles in tumorigenesis. However, so far, the function of ${\beta}3GnT8$ in laryngeal carcinoma has not been characterized. To test any contribution, Hep-2 cells were stably transfected with sense or interference vectors to establish cell lines that overexpressed or were deficient in ${\beta}3GnT8$. Here we showed that cell proliferation was increased in ${\beta}3GnT8$ overexpressed cells but decreased in ${\beta}3GnT8$ knockdown cells using MTT. Furthermore, we demonstrated that change in ${\beta}3GnT8$ expression had significant effects on tumor growth in nude mice.We further provided data suggesting that overexpression of ${\beta}3GnT8$ enhanced the expression of matrix metalloproteinase-2 (MMP-2) and matrix metalloproteinase-9 (MMP-9) at both the mRNA and protein levels, associated with shedding of tissue inhibitors of metalloproteinase TIMP-2. In addition, it caused increased production of transforming growth factor beta 1 (TGF-${\beta}1$), whereas ${\beta}3GnT8$ gene knockdown caused the reverse effect. The results may indicate a novel mechanism by which effects of ${\beta}3GnT8$ in regulating cellular proliferation are mediated, at least in partvia targeting MMPs/TIMPs and TGF-${\beta}1$ in laryngeal carcinoma Hep-2 cells. The finding may lay a foundation for further investigations into the ${\beta}3GnT8$ as a potential target for therapy of laryngeal carcinoma.

천식 환자 가정 내 굽기조리 활동에 의한 실내 미세먼지(PM2.5) 농도 수준의 변화 (Impact of Indoor Pan-frying Cooking Activity on Change of Indoor PMPM2.5 Concentration Level in Asthmatics' Homes)

  • 박수정;박춘식;임대현;이상운;장소영;유솔;김성렬
    • 한국환경과학회지
    • /
    • 제29권1호
    • /
    • pp.109-117
    • /
    • 2020
  • Asthmatics are more susceptible to fine particulate matters (PM2.5), compared to the general population. It has been reported that indoor PM2.5 is mainly generated by combustion of fossil fuels, meat or fish In particular, asthmatics are known to be more susceptible to indoor PM2.5 because 65~95% of child or adult asthmatics stay inside the house. Thus, understanding the association between indoor activity patterns and variations in indoor PM2.5 levels is important. The purpose of this study is to determine the distribution of hourly indoor PM2.5 concentrations in asthmatics' homes, and to evaluate its association with pan-frying cooking activity patterns, the most common PM2.5 emission related activity. From November 2017 to February 2018, real-time PM2.5 concentrations were measured in the living room of each asthmatic's house (n = 35) for three weeks at 1 minute intervals. At the same time, self-reported daily activity patterns, hourly proportion (%) of cooking activities, were also recorded every hour over three weeks for each patient. In this study, we provided quantitative evidence that the distribution patterns of indoor hourly PM2.5 concentrations were associated with indoor cooking activities, especially in the homes of adult asthmatics. In addition, we observed that PM2.5 emitted by pan-frying could maintain even over up to 2 hour lagtime.