• Asian Pacific Journal of Cancer Prevention
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• 제15권1호
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• pp.299-304
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• 2014

Cholangiocarcinoma (CCA), a malignancy of biliary duct with a very poor prognosis, is the leading cause of cancer death in countries of the Mekong subregion. Liver fluke infection is the main etiological factor, but genetic variation has been recognized as also important in conferring susceptibility to CCA risk. Nuclear factor (erythroid derived 2)-like 2 (NRF2) is a key transcription factor in detoxification and antioxidant defense. Emerging evidence has demonstrated that genetic polymorphisms in the NRF2 gene may be associated with cancer development. The objectives of this study were to investigate the association of NRF2 genetic polymorphism with CCA risk and to evaluate the influence of the NRF2 genotype on survival time of affected patients. Single nucleotide polymorphisms (SNPs) of the NRF2 gene, including rs6726395: A/G, rs2886161: C/T, rs1806649: C/T, and rs10183914: C/T, were analyzed using TaqMan$^{(R)}$ SNP genotyping assays. Among 158 healthy northeastern Thai subjects, the allele frequencies were 41, 62, 94, and 92%, respectively. The correlation of NRF2 SNPs and CCA risk was analyzed in the 158 healthy subjects and 198 CCA patients, using unconditional logistic regression. The results showed that whereas the NRF2 SNPs were not associated with CCA risk (p>0.05), Kaplan-Meier analysis of 88 intrahepatic CCA patients showed median survival time with rs6726395 genotypes of GG and AA/AG to be $344{\pm}138$ (95%CI: 73-615) days and $172{\pm}37$ (95%CI: 100-244) days, respectively, (p<0.006). On multivariate Cox proportional hazard analysis, the GG genotype of rs6726395 was found to be associated with longer survival with a hazard ratio of 0.54 (95%CI: 0.31-0.94). In addition, non-papillary adenocarcinoma was associated with poor survival with a hazard ratio of 2.09 (95%CI: 1.16-3.75). The results suggest that the NRF2 rs6726395 polymorphism can be a potential prognostic biomarker for CCA patients.

• 지구물리와물리탐사
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• 제20권1호
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• pp.12-17
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• 2017

동아시아 지역에 대한 지각과 상부맨틀의 속도구조를 파악하기 위해서, 레일리파 분산곡선에서 측정한 군속도 값을 사용하여 SV파 토모그래피 역산을 수행하였다. 한국, 일본, 그리고 중국에 설치된 253개의 광대역 관측소에 기록된 321개의 지진자료를 사용하였다. 다중필터기법(multiple filtering technique)을 사용하여, 3 ~ 150초 사이의 주기 범위에 대하여, 5,167개의 레일리파 분산 곡선을 획득한 후, 역산을 수행하여 깊이 10 ~ 100 km에 대한 SV파 토모그래피 모델을 얻었다. 다른 지역과는 다르게 동해지역 하부의 깊이 10 km에서 고속도 이상이 관찰되며 깊이 15 ~ 20 km에서는 강한 고속도 이상이 관측되는데, 이는 맨틀물질의 존재를 나타내는 것으로 생각된다. 따라서 모호면의 깊이가 주변지역에 비해 얕다는 것으로 추정되며, 이를 바탕으로 동해지역의 지각 두께는 10 ~ 20 km 사이로 판단된다. 고속도 이상의 존재 여부로 판단할 때, 한반도 지역의 모호면은 35 km 깊이 부근에 존재하는 것으로 생각된다. 일본열도 북동쪽 지역에서 좁은 범위지만 태평양판의 섭입이 관찰된다. 강원도 연안 하부의 100 km 깊이에서 강한 저속도 이상이 보이며, 이는 울릉도와 울릉분지 형성에 영향을 끼친 용융체의 존재로 생각된다. 또한, 야마토 분지 하부의 100 km 깊이에서 강한 저속도 이상체가 관찰되며, 이는 유체탈수(dehydration) 작용으로 인해 태평양판으로부터 유체가 빠져 나온 후 상승하면서 생성된 저속도 이상체로 해석된다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권18호
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• pp.8281-8285
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• 2016

Background: Helicobacter pylori is a cause of chronic gastritis, peptic ulcer disease, and gastric malignancy, infection being a serious health problem in Thailand. Recently, clarithromycin resistant H. pylori strains represent the main cause of treatment failure. Therefore this study aimed to determine the prevalence and pattern of H. pylori resistance to clarithromycin in Suranaree University of Technology Hospital, Suranree University of Technology, Nakhon Ratchasima, Northeastern Thailand, Nakhon Ratchasima province, northeast of Thailand. Materials and Methods: This hospital-based cross-sectional study was carried out between June 2014 and February 2015 with 300 infected patients interviewed and from whom gastric mucosa specimens were collected and proven positive by histology. The gastric mucosa specimens were tested for H. pylori and clarithromycin resistance by 23S ribosomal RNA point mutations analysis using real-time polymerase chain reactions. Correlation of eradication rates with patterns of mutation were analyzed by chi-square test. Results: Of 300 infected patients, the majority were aged between 47-61 years (31.6%), female (52.3%), with monthly income between 10,000-15,000 Baht (57%), and had a history of alcohol drinking (59.3%). Patient symptoms were abdominal pain (48.6%), followed by iron deficiency anemia (35.3%). Papaya salad consumption (40.3%) was a possible risk factor for H. pylori infection. The prevalence of H. pylori strains resistant to clarithromycin was 76.2%. Among clarithromycin-resistant strains tested, all were due to the A2144G point mutation in the 23S rRNA gene. Among mutations group, wild type genotype, mutant strain mixed wild type and mutant genotype were 23.8%, 35.7% and 40.5% respectively. With the clarithromycin-based triple therapy regimen, the efficacy decreased by 70% for H. pylori eradication (P<0.01). Conclusions: Recent results indicate a high rate of H. pylori resistance to clarithromycin. Mixed of wild type and mutant genotype is the most common mutant genotype in Nakhon Ratchasima province, therefore the use of clarithromycin-based triple therapy an not advisable as an empiric first-line regimen for H. pylori eradication in northeast region of Thailand.

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9511-9515
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• 2014

Cholangiocarcinoma (CCA) is a cancer of the bile duct epithelial cells. The highest incidence rate of CCA with a poor prognosis and poor response to chemotherapy is found in Southeast Asian countries, especially in northeastern Thailand and Lao PDR. Cathepsin B is a lysosomal cysteine protease which is regulated by cysteine proteinase inhibitors such as cystatin C. Elevation of cathepsin B levels in biological fluid has been observed in patients with inflammatory diseases and many cancers. We aimed to investigate the serum cathepsin B and cystatin C levels of CCA patients to evaluate the feasibility of using cathepsin B and cystatin C as markers for the diagnosis of CCA. Fifty-six sera from CCA patients, 17 with benign biliary diseases (BBD) and 13 from controls were collected and the cathepsin B and cystatin C levels were determined. In addition, cathepsin B expression was investigated immunohistochemically for 9 matched-pairs of cancerous and adjacent tissues of CCA patients. Serum cathepsin B, but not cystatin C, was significantly higher in CCA and BBD patient groups compared to that in the control group. Consistently, all cancerous tissues strongly expressed cathepsin B while adjacent tissues were negative in 7 out of 9 cases. In contrast, serum cystatin C levels were comparable between CCA and control groups, although serum cystatin C levels in the BBD group was higher than that in the control or CCA groups. When the serum cathepsin B to cystatin C ratio was calculated, that of the CCA group was significantly higher than that of the control group, and, although statistically not significant, the ratio of CCA group showed a trend to be higher than that of the BBD group. Thus, the cathepsin B to cystatin C ratio might be used as an alternative marker for aiding diagnosis of CCA.

• Asian Pacific Journal of Cancer Prevention
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• 제17권1호
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• pp.177-181
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• 2016

This cross-sectional descriptive and qualitative study was aimed to study the people participation and their approaches toward the human carcinogenic liver fluke, Opisthorchis viverrini, prevention and control in Ban Chaun sub-district administrative organization (BCSAO) and Bamnet Narong sub-district municipality (BNSM), Bamnet Narong district, Chaiyaphum Province, Thailand between June 2013 and February 2014. Participants were purposive selected, included chiefs of sub-district administrative organizations, sub-district municipalities, sub-district health promotion hospitals (SHPHs), heads of village, and a further sample was selected with a multi-stage random sampling for public health volunteers, and villagers. The pre-designed questionnaire contained items for individualized status and the participatory steps of sharing ideas, decision-making, and planning, procession, evaluation, and mutual benefit, for the project O. viverrini prevention and control (POPC). In-depth interviews were used for collection of need approaches to POPC. With 375 participants who completed the questionnaire, it was found that people had a high level regarding to participate in the POPC, particularly in the process stage ($\bar{X}=3.78$, S.D. = 0.56), but the lowest level was found in sharing ideas, decision making, and planning step ($\bar{X}=3.65$, S.D. = 0.63). By comparison, participant status and organization did not significantly differ with people participation. In each step, Ban Chaun sub-district had a high level of participation in the step of sharing ideas, decision making, and planning toward POPC, more than Bamnet Narong sub-district municipality (t=2.20, p=0.028). Approaches for POPC in Ban Chaun sub-district and Bamnet Narong sub-district municipality included requirements for budget support, annual campaigns for liver fluke prevention and control, campaign promotion, risk group observation, home visiting, community rules regarding reducing raw fish consumption in their communities, and a professional public health officer for working in their communities, BCSAO, BNSM, and SHPH, for O. viverrini prevention and control. This study indicates that people realize that eradication of the liver fluke needs a continuous people participation for O. viverrini prevention and control in their communities.

• Asian Pacific Journal of Cancer Prevention
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• 제15권8호
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• pp.3721-3729
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• 2014

Background: Cancer is becoming the most important public health burden around the globe. As per the GLOBOCAN 2008 estimates, about 12.7 million cancer cases and 7.6 million cancer deaths were estimated to have occurred in 2008. The burden of cancer cases for India in the year 2020 is calculated to be 1,148,757 (male 534,353; female 614,404) compared to 979,786 in 2010. The pattern of cancer incidence is varying among geographical regions, esophageal cancer for example being high in China, lung cancer in USA, and gallbladder cancer in Chile. The question remains why? Is it due to the diversity in genome pool, food habits, risk factor association and role of genetic susceptibility or some other factors associated with it? In India, the North East (NE)-India region is seeing a marked increase in cancer incidence and deaths, with a very different cancer incidence pattern compared to mainland India. The genome pool of the region is also quite distinct from the rest of India. Northeastern tribes are quite distinct from other groups; they are more closely related to East Asians than to other Indians. In this paper an attempt was made to see whether there is any similarity among the pattern of cancer incidence cases for different sites of NE-India region to South or East-Asia. Materials and Methods: Principal Component Analysis (PCA), Hierarchical Cluster Analysis (HCA), Pearson Correlation coefficient test was assessed to evaluate the linkage of North-East India region to other regions. A p value <0.05 was considered as statistically significant. Results: The results clearly shows that there are similarities in occurrence of cancer incidence patterns for various cancer sites of NE-India with South and East-Asian regions, which may lead to the conclusion that there might be a genetic linkage between these regions.

• Asian Pacific Journal of Cancer Prevention
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• 제13권3호
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• pp.1065-1068
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• 2012

Background: Liver cancer is the most frequent cancer among Thais especially people in northeastern Thailand, but there has as yet been no assessment of trend. The data of all cancers in Khon Kaen can be retrieved from data base of the Khon Kaen Cancer Registry (KKCR) which was established in 1984. Objective: To assess the incidence trend of hepatocellular carcinoma in Khon Kaen, Thailand, between 1990 and 2009. Methods: Population-based cases of liver cancer registered between 1985 and 2009 were retrieved from the KKCR data base and cases with diagnosis of hepatocellular carcinoma (HCC) with the coding C22.0 according to ICD-O were selected. Incidence trends were calculated using the Jointpoint analysis. Results: There were 7,859 cases of HCC during the study period. Males were affected two times more frequently than females. The most common age group of cases was 50 and 69 years (60.3%). Most patients were diagnosed based on radiology imaging (40.6%) while the morphology verification was 7%. The age-standardized rates (ASR) were 13.1 to 49.8 per 100,000 among males and 4.8 to 38.4 per 100,000 among females depending on year of diagnosis since 1985. Remarkably, the ASRs were clearly low during first few years of starting the registration. The overall ASRs of HCC were 30.3 per 100,000 in males (95% CI: 25.9 to 34.6) and 13.1 per 100,000 (95% CI: 10.4 to 15.8) in females. During 1990-2009, the trends in incidences have been decreasing significantly with the annual percent change (APC) of 6.2% per year (95% CI: -7.6 to -4.8) in males and by 6.5% per year in females (95% CI: -8.4 to -4.9). Conclusions: The incidence trends have been decreasing in both sexes. The recent decline in incidence may represent a falling risk.

• 한국광물학회지
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• 제22권2호
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• pp.129-138
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• 2009

북동태평양 클라리온-클리퍼톤 지역에서 채취된 주상시료 내 원소의 수직적인 변화를 살펴보기 위하여 XRF 코어스캐너를 이용하여 주요원소(Al, Ca, Fe, Mn, Ti, Ba) 및 미량원소(Pb, Sr, V, Zr, Zn)를 2 mm 간격으로 분석하였다. XRF 코어스캐너의 분석 능력을 검증하기 위하여 동일 주상시료에서 부시료를 채취하여 ICP-AES 정량분석을 실시하였다. XRF 코어스캐너와 ICP-AES 측정값의 상관계수는 Mn ($r^2$ > 0.89)을 제외하면 대체적으로 낮다. 그러나 두 측정값의 수직적인 분포형태는 매우 유사하며 퇴적물 색상에 의해 분류된 퇴적상 변화와 거의 일치된다. Mn/Al 비는 각 퇴적상(Facies I, Facies II, Facies III)에서 뚜렷한 차이를 보인다. 그리고 각 퇴적상 경계가 뚜렷한 BC08-02-05와 BC8-02-13에서는 퇴적상에 따른 뚜렷한 Mn/Al 비의 변화가 보이나, 퇴적상 경계가 생물활동으로 점이적인 BC08-02-02, BC08-02-09 그리고 BC08-02-10에서는 점이적인 Mn/Al 비가 나타났다. 각 퇴적상의 원소 함량차이는 퇴적물내 산화-환원 환경 변화에 의해서 조절되며, 원소들의 수직적인 분포형태는 퇴적물내 생물활동에 영향을 받는 것으로 나타났다.

• 한국지구과학회지
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• 제43권1호
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• pp.77-90
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• 2022

최근 동아시아 지역에서 인위적 배출량의 감소에도 불구하고, 봄철에 한국에서는 잦은 연무 사례가 발생하고 있다. 북동 태평양에서 자주 발생하는 대기 블로킹은 지구 규모 대기 변동과 동아시아 지역의 서풍 기류를 정체시키기도 한다. 2019년 3월 동아시아 지역의 온난하고 정체적인 종관 기상 특성이 알래스카 대기 블로킹이 발생한 6-7일 후에 일어나고 있었다. 특히, 2019년 3월 18-24일에 발생한 알래스카 대기 블로킹은 3월 25-28일 동안 한국에서 일평균 미세먼지(particulate matter; PM₁₀) 질량농도가 50 ㎍ m^-3을 넘는 고농도 PM₁₀ 연무 사례가 발생하는 데 영향을 미치고 있었다. 한편, WRF-Chem 모델을 활용하여 한국의 고농도 PM₁₀ 연무 사례에 대한 인위적 배출의 장거리 수송 기여도는 30-40%를 나타내고 있었다. PM₁₀ 에어로졸 구성 성분인 황산염, 질산염, 암모늄, 블랙 카본, 유기 탄소, 기타 무기물의 장거리 수송 기여도는 각각 10-15, 20-25, 5-10, 5-10, 5-10, 15-20%를 나타내었다. 질소 산화물이 온난하고 정체적인 대기에서 암모늄과의 광화학 반응으로 형성된 질산암모늄은 한국의 고농도 PM₁₀ 연무 사례에 대한 장거리 수송 기여도가 PM₁₀ 에어로졸 중 가장 큰 비중을 나타내고 있었다.

• 한국해양학회지:바다
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• 제13권3호
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• pp.168-177
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• 2008

망간단괴를 상업적으로 개발하기 위해 고려할 사항은 망간단괴의 부존량과 금속함량 외에 채광기의 주행성과 채광시 발생하는 환경충격의 최소화를 들 수 있다. 특히 환경충격의 최소화를 위해 우선 채광지역의 해저면 특성을 이해하는 것은 필수적이다. 해저면의 특성 중 해저퇴적물의 물리적 특성과 전단강도는 주행성과 환경변화를 예측하는 중요한 기준이 된다. 이들 특성을 파악하기 위하여 2004년부터 2006년 사이에 북동태평양 클라리온-클리퍼톤 균열대의 대한민국 광구에서 채취한 주상시료 퇴적물의 함수율, 입도, 밀도, 공극률 및 전단강도를 분석하였다. 분석결과, 퇴적물의 물리적인 특성은 경도 변화에 따른 동서간의 차이(KR1과 KR2 차이)보다 위도 변화에 따른 남북간의 차이(KR1 또는 KR2와 KR5 차이)가 뚜렷한 것으로 나타났다. 남쪽 지역의 함수율, 공극비, 공극률은 북쪽 지역보다 높게 나타난 반면에 입자밀도는 남쪽 지역이 북쪽 지역에 비해서 상대적으로 낮게 나타났다. 퇴적물 주상시료의 전단강도는 $0{\sim}10$ cm에서 북쪽 지역이 조금 높지만 10 cm 하부의 깊이에서는 남쪽지역이 뚜렷이 높게 나타났다. 또한 채광기의 정상주행에 필요한 전단강도를 5 kPa라고 가정하면 KR1, KR2, KR5 지역에서 평균적으로 5 kPa에 도달하는 깊이는 각각 18, 13, 10 cm로 나타났다. 채광기가 정상 주행하는 동안 같은 부피의 퇴적물이 교란된다면 함수율이 높은 퇴적물에서 교란되는 퇴적물의 양이 적을 것이다. 또한 채광기의 정상주행에 필요한 전단강도에 도달하는 퇴적층의 깊이가 얕을수록 교란되는 퇴적물의 부피가 작을 것으로 예상된다. 따라서 채광작업은 연구지역 중에서 함수율이 높고 10 cm 하부의 전단강도가 큰 남쪽 지역이 북쪽지역에 비해 유리할 것으로 판단된다.