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Histopathology Analysis of Benign Colorectal Diseases and Colorectal Cancer in Hatyai Hospital, Songkhla, Thailand

  • Kotepui, Manas;Piwkham, Duangjai;Songsri, Apiram;Charoenkijkajorn, Lek
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2667-2671
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    • 2013
  • Background: Colorectal cancer (CRC) is a major cause of morbidity and mortality in the western world and also ranks as the fifth-leading malignancy and death in Thailand. This study aimed to provide a present outlook of colorectal diseases among Thai patients with special emphasis on CRC in Hatyai, Songkhla, southern Thailand. Materials and Methods: This retrospective study covered ten year data of CRC, benign colorectal tumors and non-colorectal tumors from the Department of Pathology in Hatyai Hospital, Songkhla, Thailand, between years 2003-2012. Incidence rates based on age, gender, ten year incidence trends, and distribution of histopathological characteristics of patients were calculated and demonstrated. Results: Out of 730 biopsies, 100 cases were benign colorectal tumors, 336 were CRC and 294 were non-colorectal tumors. Colorectal tumors (both benign and CRC) (60.1%) were more common than non-colorectal tumors (39.9%). CRC (77.1%) were more common than benign colorectal tumors (32.9%). Colorectal tumors were mainly found in patients aged over sixty whereas non-colorectal and benign colorectal tumors were found in those under sixty (P=0.01). sAmong CRC, adenocarcinoma contributed about 97.3% of all cases with well differentiated tumors being the most frequent (56.9%). Both benign colorectal tumors and CRC were more commonly found in males (63%) than females (37%). The incidence trend of CRC demonstrated increase from 2003-2012. Conclusions: The incidence of CRC increased in Hatyai from 2003-2012. CRC tends to be more common in people older than sixty, thus, screening programs, cost-effective analysis of treatment modalities, and treatment protocols for the elderly should be examined. Proper implementation of preventive measures such as changing lifestyle factors might enhance control of colorectal disease.

A Study on Breakfast Dietary Behavior of Female Middle School Students by Intention to Participate in School Breakfast Programs (학교 아침급식 참여 희망 여부에 따른 여중생의 아침식사 관련 실태조사)

  • Lee, Ae-Rang
    • The Korean Journal of Food And Nutrition
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    • v.27 no.6
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    • pp.1163-1174
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    • 2014
  • The purposes of this study were to investigate the eating of breakfast by female middle school students in Seoul, the perception of the school breakfast program (SBP), and determine the factors affecting the intention to participate in SBP. Out of 340 questionnaires distributed to the female middle school students, 334 were returned (98.2% response rate) and 323 were analyzed. The subjects were categorized into two groups by the intention to participate in SBP. Subjects were classified as participating and non participating groups. As a result of analyzing the breakfast intake frequency, 'hardly eat' showed the highest with 18.5% in the participating group and 10.3% in non participating group, while 'eat every day' showed 38.2% in the participating group, and the highest with 65.5% in non participating group (p<0.001). For the reason for skipping breakfast, 'no time' showed the highest with 30.0% in the participating group, 'over sleep' and 'no appetite' showed the highest with 24.8% in non participating group. For the reason for not participating in SBP, 'breakfast should be eaten at home' showed the highest with 47.2% in non participating group and 'may get up early in the morning' showed the highest with 46.2% in participating group (p<0.01). To determine the factors affecting the intention to participate in SBP, logistic regression analyses were conducted for female middle school students. According to the logistic regression analysis, father's education level was independently associated with the intention to participate in SBP in female middle school students [Odds Ratios (OR) 2.38, 95% Confidence Interval (CI) 1.03~5.52]. Frequency of eating breakfast on weekdays (OR 1.36, 95% CI 1.01~1.81), Level of need for school breakfast (OR 0.52, 95% CI 0.35~0.76) and whether to approve school breakfast (OR 0.27, 95% CI 0.18~0.41) were independently associated with the intention to participate in SBP in female middle school students. In conclusion, proper educational efforts for importance of school breakfast could be useful plan to develop school breakfast program.

Restoration Model of Quercus mongolica Community in the Case of Korean National Capital Region (수도권지역의 신갈나무군집 복원모형)

  • 강현경;방광자
    • Journal of the Korean Institute of Landscape Architecture
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    • v.28 no.6
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    • pp.1-15
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    • 2001
  • The purpose of this study is to figure out the structural characteristics of urban plant community and suggest restoration model of Quercus mongolica in the case of Korean national Capital Region. The investigation areas were selected from urban area of Mt. Nam at Chung-Gu, suburban areas of Mt. Bong at Eunpyoung-GU, Mt. Sungju at Buchon City and non-urban areas of Mt. Suri at Kunpu City and Mt. Chonma t namyangju-City. After the main study field had been classified into the evaluation of the ecological characteristics and the modeling of the vegetation. We analyzed to evaluate the ecological characteristics of the forest structure -- successional stage, naturalness, multi-layer structure of the forest and species diversity, and the plant community structures. We have proposed vegetation restoration model based on the selection of proper plants, the number of individuals, diameter short area of breast height, the shortest distance between plants in non-urban area. As for successional stage, It was judged that the ecological succession may not be followed like the present stage of the surveyed areas in urban, suburban and non-ruban areas. As for the retention of naturalness and multi-layer structures of vegetation, In Quercus mongolica community, Robinia pseudo-acacia and Ailanthus altissima occurred in each layers at Mt. Nam, Mt. Bong and Mt. Sungju, and Eupatorium rugosum occurred in herbaceous layer at Mt. Nam. Consequently, the ecological restoration plan following the structure of the vegetation in Mt. Chonma seemed to be advisable in Q. mongolica community, there were less number of species and individuals in urban areas than those of non-urban areas. Planting of trees following the simulated native plant community of non-urban areas seemed to be required to promote the plants in urban areas. Considering the number of individuals up to three layers in each 400$m^2$ area, it was composed of twenty nine in canopy layer, forth nine in understory layer, 367 in shrub layer and 33.7% herbaceous ground cover in the Q.mongolica community. The suggested restoration model in this study is nan applicable model for the introduction in the cities, and this study shows that continuous experiments and field investigation on this model should be performed in the future.

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Toxicity Screening After Single Dose of a Newly Developed Oral Heparin Derivative in Male Cynomolgus Monkeys (게잡이 원숭이에 있어 새로운 헤파린유도체의 단회투여 독성스크리닝)

  • Kim, Choong-Yong;Kim, Sang-Kyoon;Woo, Young-Ah;Jeong, Eun-Ju;Han, Su-Cheol;Heo, Jeong-Doo;Park, Kui-Lea;Byun, Young-Ro
    • Toxicological Research
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    • v.23 no.2
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    • pp.159-164
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    • 2007
  • Toxicity screening of a newly developed oral heparin derivative were carried out in 6 male cynomolgus monkeys (Macaca fascicularis), composed of a treatment group and vehicle control group. A newly orally active heparin derivative, developed by Seoul National University, was once given to treatment group at dose of 500 mg/kg. A treatment group did not show any change in body weights, hematological parameters including platelet-related varivables (platelet, PDW, PCT, MPV) and serum biochemical parameters (e.g., AST, ALT, BUN, etc.) for 2 weeks compared with those of vehicle control group. We also confirmed the maximum plasma concentration (Cmax, 1.73 IU/ml) and the time (Tmax, 1 hr) to reach Cmax. The present study will be valuable in the proper interpretation for nonclinical study using cynomolgus monkeys in the development of new drug of heparin derivative.

Effect of Samul-tang (Siwu-tang) on Procollagen Synthesis in Cultured Murine Hepatic Non-parenchymal Cells

  • Kim, Young-Chul;Lee, Jang-Hoon;Woo, Hong-Jung
    • The Journal of Korean Medicine
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    • v.24 no.4
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    • pp.120-126
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    • 2003
  • Object : This study was done to evaluate the inhibitory effect of Samul-tang (Siwu-tang) on collagen production by cultured murine hepatic non-parenchymal cells. Methods : Hepatic non-parenchymal cells were cultured from normal Sprague-Dawley rats and established in a primary cell culture on uncoated plastic culture plates. The Samul-tang (Siwu-tang) was treated into the cell culture media for 72 hours and the cells were harvested for analysis. Analyses were done on cell proliferation, [3H]thymidine incorporation assay and procollagen type IC-peptide. Results : The cultured cells resembled fibroblasts in shape and produced procollagen which is consistent to fibrogenesis in vivo. Proliferation of the non-parenchymal cells was inhibited slightly and the [3H]thymidine incorporation assay showed a dose-dependent decrease by Samul-tang (Siwu-tang) treatment. Production of procollagen type I C-peptide was decreased by low-concentration treatment of the Samul-tang (Siwu-tang), but increased by high-concentration treatment. Conclusion : It seemed that the cells were responding to the Samul-tang (Siwu-tang) in low-concentration, thus producing less collagen. However, when the drug was administered with high enough concentration to cause excessive stimulation of cells, it seemed that the activated cells might overly produce procollagen, the precursor of collagen, thus aggravating fibrosis of the liver. So, it is considered that the proper concentration of Samul-tang (Siwu-tang) is important when treating patients with liver cirrhosis based on the patients' status.

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Electrospun Non-Directional Zinc Oxide Nanofibers as Nitrogen Monoxide Gas Sensor (전기방사법에 의해 합성된 무방향성 산화아연 나노섬유의 일산화질소 가스 감지 특성)

  • Kim, Ok-Kil;Kim, Hyojin;Kim, Dojin
    • Korean Journal of Materials Research
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    • v.22 no.11
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    • pp.609-614
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    • 2012
  • We report on the NO gas sensing properties of non-directional ZnO nanofibers synthesized using a typical electrospinning technique. These non-directional ZnO nanofibers were electrospun on an $SiO_2$/Si substrate from a solution containing poly vinyl alcohol (PVA) and zinc nitrate hexahydrate dissolved in distilled water. Calcination processing of the ZnO/PVA composite nanofibers resulted in a random network of polycrystalline ZnO nanofibers of 50 nm to 100 nm in diameter. The diameter of the nanofibers was found to depend primarily on the solution viscosity; a proper viscosity was maintained by adding PVA to fabricate uniform ZnO nanofibers. Microstructural measurements using scanning electron microscopy revealed that our synthesized ZnO nanofibers after calcination had coarser surface morphology than those before calcination, indicating that the calcination processing was sufficient to remove organic contents. From the gas sensing response measurements for various NO gas concentrations in dry air at several working temperatures, it was found that gas sensors based on electrospun ZnO nanofibers showed quite good responses, exhibiting a maximum sensitivity to NO gas in dry air at an operating temperature of $200^{\circ}C$. In particular, the non-directional electrospun ZnO nanofiber gas sensors were found to have a good NO gas detection limit of sub-ppm levels in dry air. These results illustrate that non-directional electrospun ZnO nanofibers are promising for use in low-cost, high-performance practical NO gas sensors.

A Survey on the Actual Administrating Condition and Teacher′s Recognition on the In-service Training of Home Economics Education in the Secondary School - Centering around Kangwon Province- (중등학교 가정교과 교사의 직무연수 운영 실태 및 인식 조사 - 강원도 지역을 중심으로-)

  • 최미선;윤인경
    • Journal of Korean Home Economics Education Association
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    • v.13 no.2
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    • pp.85-99
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    • 2001
  • The purpose of this research is intended to analyze the actual condition of in-service training for the teachers who teach Home Economics Education in the middle and high school and to survey their viewpoints on the actual condition of the in-service training. So I could find the effective ways on the in-service training by finding many kinds of needs and improvements on the basis of present problems in the Home Economics Education. The research results are as follows : 1. This research indicated that most teachers answered that the most proere significant per time of the in-service training was the school vacations(49.5%). 63.4% of the teachers answered that the present 60 hours on the question of how many hours are appropriate is proper. On the question of what the most proper cycle for the educational training is. 47.2% of the teachers answered that the present 3-year cycle is appropriate. 35% of them supported the selecting system for the trainee according to the experienced or non-experienced for the up-to-date in-service training. And 35% of them answered that the speakers for the training program must be the experienced teachers in education. In the contents of the training program. many teacher insisted that the percentage of the text for the major should be raised(49.6%). According to the survey about the teaching and learning methods and evaluation. teachers were satisfied with the levels of satisfaction on the teaching and learning methods in 65.1%. This survey indicated that teacher preferred the discussion and case study(35.9%). the practice-centered class(29.3%) and the on-the-spot study(20.9%) in order on the teaching methods. In terms of the educational environment. 56.9% of the teachers answered the number of trainee is too many and they suggested that the proper number of trainee is about 20∼30. 2. This research showed that the most important problem of this training system was the over-population of the trainee(33.5%) and the most severe problem of the educational environment was the lack of air-cooled and heated system(24.8%).

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A Study on the Proper Resin Film Thickness in RFI Process (RFI 공정시 적정 수지필름 두께에 관한 연구)

  • Yoon, S.H.;Lee, J.W.;Kim, J.S.;Kim, W.D.;Um, M.K.
    • Composites Research
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    • v.31 no.1
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    • pp.23-29
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    • 2018
  • The RFI process can be applied to very thick structures without limiting the resin viscosity. When the proper thickness of the resin film cannot be set, the resin film creates either the non-impregnated section or the excessive resin contents and this leads to the deterioration of mechanical properties. Therefore, this study proposed a method for setting the resin film thickness in the RFI process. The fiber compaction behavior test was proposed by setting the proper resin film thickness and the properties of composites were evaluated through short beam shear strength test, compression test and porosity measurement to verify the proposed method. The evaluation of physical properties of composites was conducted and an appropriate level of resin film thickness was found based on the results of fiber compaction behavior test.

Mathematical Reasoning Ability and Error Comparison through the Descriptive Evaluation of Mathematically Gifted Elementary Students and Non-Gifted Students (초등수학영재와 일반학생의 서술형 평가를 통한 수학적 추론 능력 및 오류 비교)

  • Kim, Dong Gwan;Ryu, Sung Rim
    • Journal of Elementary Mathematics Education in Korea
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    • v.18 no.1
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    • pp.123-148
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    • 2014
  • The purpose of this study is to figure out the perceptional characteristics of mathematically gifted elementary students by comparing the mathematical reasoning ability and errors between mathematically gifted elementary students and non-gifted students. This research has been targeted at 63 gifted students from 5 elementary schools and 63 non-gifted students from 4 elementary schools. The result of this research is as follows. First, mathematically gifted elementary students have higher inductive reasoning ability compared to non-gifted students. Mathematically gifted elementary students collected proper, accurate, systematic data. Second, mathematically gifted elementary students have higher inductive analogical ability compared to non-gifted students. Mathematically gifted elementary students figure out structural similarity and background better than non-gifted students. Third, mathematically gifted elementary students have higher deductive reasoning ability compared to non-gifted students. Zero error ratio was significantly low for both mathematically gifted elementary students and non-gifted students in deductive reasoning, however, mathematically gifted elementary students presented more general and appropriate data compared to non-gifted students and less reasoning step was achieved. Also, thinking process was well delivered compared to non-gifted students. Fourth, mathematically gifted elementary students committed fewer errors in comparison with non-gifted students. Both mathematically gifted elementary students and non-gifted students made the most mistakes in solving process, however, the number of the errors was less in mathematically gifted elementary students.

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Evaluation of Proper Use of NSAIDs to Prevent Gastrointestinal and Cardiovascular Problems in Elderly Patients (노인환자에서 위장관계 및 심혈관계 부작용 발생 예방을 위한 NSAIDs 사용의 적절성 평가)

  • Joo, Sung-Lak;Bang, Joon Seok
    • Korean Journal of Clinical Pharmacy
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    • v.24 no.1
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    • pp.15-25
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    • 2014
  • Background: Elderly patients with gastrointestinal (GI) and cardiovascular (CV) risk factors may be more easily exposed to NSAID-related side effects (SEs). Based on the ACG guideline of year 2009, the aim of the study is to evaluate proper use of NSAIDs and gastroprotective drugs according to the degree of GI and CV risk strengths in the patients. Methods: Retrospectively surveyed 410 elderly patients with NSAIDs for more than 30 days at a general hospital in Korea. GI risk factor includes age, ulcer history, high-dose NSIADs, concurrent aspirin use, steroids or anticoagulants. CV risk factor includes angina, myocardial infarction, cerebral infarction, atrial fibrillation or coronary intervention requiring low-dose aspirin. These factors were classified as high/low cardiovascular groups and high/moderate/low GI groups. Results: There were 14 patients in high CV risk group and high GI risk group. The group was recommended not to use NSAIDs as it is not adequate. There were 101 patients in high CV risk group and moderate GI risk group. This group was recommended to use naproxen and PPI/misoprostol. But all patients except one were not adequate. There were 9 patients in low CV risk group and high GI risk group. This group was recommended to use selective COX-2 inhibitor and PPI/misoprostol. 5 cases were proper while 4 cases did not. There were 285 patients in low CV risk and moderate GI risk group who were recommended to use non selective NSAIDs and PPI/misoprostol or selective COX-2 inhibitor only. 103 patients were proper while 182 patients not adequate. Overall, the SEs were higher in those cases for inadequate use of drugs comparing to the adequate. CV SEs were statistically significant. However, SEs for each risk groups were different. For the case of low CV risk group and high/moderate GI risk group, the inadequate use of drugs makes the SE high and the other groups are not. Also, it was not statistically significant. Conclusions: In elderly patients, the inappropriate use of NSAIDs can increase the risk of the disease. Therefore, GI and CV risk must be considered simultaneously, and the proper use of NSAIDs and gastroprotective drugs for each risk groups should be reconsidered.