• Journal of Preventive Medicine and Public Health
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• 제44권3호
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• pp.125-130
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• 2011

Objectives: The microRNA (miRNA) miR-196a2 may play an important role in lung cancer development and survival by altering binding activity of target mRNA. In this study, we evaluated their associations with the susceptibility of non-small cell lung cancers (NSCLC) by case-control study in a Korean population. Methods: We performed genotyping analyses for miR-196a2 rs11614913 T/C at miRNA regions in a case-control study using blood samples of 406 NSCLC patient and 428 cancer-free control groups. Results: The total C allele frequencies for miR-196a2 were 48.8% for the patients and 45.6% for the controls; and the genotype frequencies of TT, TC, and CC were 23.7%, 55.2%, and 21.1% for the patients and 31.1%, 46.35%, and 22.4% for the controls (p<0.05). Participants who possesses TC/CC genotypes showed high risk for NSCLC compared to those possessed TT genotypes (OR, 1.42; 95% CI, 1.03 to 1.96). The association was persisted in 60 and older age group, male, smokers, those without family history for cancer. However, no significant association of CC genotypes in recessive genetic model was observed. Conclusions: In conclusion, this case-control study provides evidence that miR-196a2 rs11614913 C/T polymorphisms are associated with a significantly increased risk of NSCLC in a dominant model, indicating that common genetic polymorphisms in miR-196a2 rs11614913 are associated with NSCLC. The association of miR196a2 rs11614913 polymorphisms and NSCLC risk require confirmation through additional larger studies.

• 한국균학회지
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• 제30권2호
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• pp.124-130
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• 2002

본 연구에서는 버들송이(Agrocybe cylindracea)와 말똥진흙버섯(Phellinus igniarius)을 배양한 대두 추출물의 암예방 효과를 검토하기 위하여 in vitro상에서 암발생 억제물질 연구에 널리 이용되고 있는 기작 즉, Quinone reductase(QR), glutathione S-transerase(GST)의 활성 유도, glutathione(GSH)의 생성 촉진 그리고, polyamine 합성대사의 억제능을 측정하였다. 그 결과, 버들송이와 말똥진흙버섯를 배양한 대두 추출물이 마우스 hepatoma Hepa1c1c7 cell 배양에서 QR과 GST 유도활성이 있음이 확인되었다. 또한 GSH 생성량은 버들송이를 배양한 대두 추출물에서 20%, 말똥진흙버섯를 배양한 대두 추출물에서 40%로 증가하였다. 한편, 버들송이와 말똥진흙버섯을 배양한 대두 추출물의 polyamine 합성대사의 억제효과를 검토하기 위해 Acanthamoeba castellanii의 증식을 측정하였다. 그 결과, 버들송이와 말똥진흙버섯을 배양한 대두 추출물 20mg/3ml와 40mg/3ml를 처리할 경우 A. castellanii의 증식을 억제하는 것으로 나타났다. 이러한 결과 담자균을 배양한 대두 추출물은 in vitro상에서 나타난 암과 관련된 각종 활성으로부터 암예방 효과가 있는 것으로 나타나 기능성 식품으로서의 가능성을 보여주었다.

• Journal of Korean Neurosurgical Society
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• 제29권8호
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• pp.1024-1029
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• 2000

Objectives : With recent improvements in neuroimaging and the development of third and fourth-generation radiosurgical dose-planning soft ware, came a renewed interest in using radiosurgery for the treatment of movement disorders. Radiosurgery involves no opening of the cranium and no incisions, eliminating both the risk of hemorrhage from passing an electrode to the depths of meningitis from operative infection. It is for these reasons stereotactic radiosurgical treatment of movement disorders has value in a small subgroup of patients. The authors report four cases of Parkinson's disease and one case of dystonia that were treated by Gamma knife. Methods : Radiosurgical nucleus ventralis intermedius thalamotomy using the gamma knife unit was performed to make lesion in two Parkinson's disease patients. A radiation dose of 120Gy was delivered to nucleus using a single 4-mm collimator plug pattern following classic anatomical landmarks. Patients were followed for a median of 10.5 months(range 9-12 months). An independent neurological evaluation of tremor, based on the change in the United Parkinson's Disease Rating Scale tremor score(UPDRS), was correlated with a subjective evaluation. Gamma knife ventrolateral(V.O.P) thalamotomy was performed in one case of dystonia. A central dose of 150Gy was delivered and the patient was followed for 18 months. Gamma knife globus pallidus interna pallidotomy was performed in two Parkinson's disease patients. A radiation dose of 130Gy(range 120-140Gy) was delivered. Patients were followed for a median of 13 months(range 9-14 months). Result : Ventrolateral thalamotomy in dystonia produced regained left hand usage in order to be able to use the telephone. Ventralis intermedius thalamotomy produced an excellent improvement of the tremor in one case, mild improvement of the tremor in the other case of Parkinson's disease. A globus pallidus internalis(GPi) pallidotomy produced improvement of rigidity and dyskinesia : one other showed no change. There were no neurological complications. Conclusion : Gamma Knife thalamotomy considered a safe and effective technique for the treatment of tremor in Parkinson's disease. Although the results from Longer follow-up is not available yet, the short-term results seem to be encouraging.

• Applied Biological Chemistry
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• 제49권1호
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• pp.77-81
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• 2006

쇠뜨기 추출물을 이용하여 당뇨병에 대한 기능성 의약품 개발을 목적으로 쇠뜨기 가루의 화학성분, 항산화 활성을 조사하였다. 일반성분은 탄수화물이 53.20%로 탄수화물의 함량이 가장 높았다. 그 밖에 조회분, 조단백질, 수분, 조지방 순으로 나타났으며, 각각 20.42%, 15.32%, 8.85%, 2.21%로 나타났다. 쇠뜨기 가루에 가장 많은 무기성분으로는 K, Ca등 2종류가 기타원소에 비해 다량 함유되어 있었다. 이중 가장 많이 검출된 것은 K로 3768.12 mg/100 g으로 가장 많았으며, Ca은 1,130.44 mg/100 g로 나타났다. P, Mg, Na는 $180{\sim}110\;mg/100g$이며, 가장 적은 양을 보인 것은 Zn이 2.19 mg/100 g로 나타났다. 구성당은 총 2종이 분리 동정되었으며, 그 중 glucose가 13,351.88 mg/100 g, mannose는 1,616.31 mg/100 g으로 나타났다. 지방산 중 가장 많이 포함하고 있는 것은 linolenic acid$(C_{18:3})$가 42.83%으로 나타났으며 linoleic acid$(C_{18:2})$ 23.60%, palmitic acid$(C_{16:0})$ 19.00% 순으로 나타났다. 또한 총 지방산 중 포화지방산이 25.57%로 불포화 지방산이 포화지방산에 비해 3 배정도 많이 함유하고 있는 것으로 드러났다. DPPH 라디칼 소거법에 의한 쇠뜨기 추출물들의 항산화 활성은 70% ethanol 추출물의 항산화 활성$(IC_{50})$이 $168.1\;{\mu}g/ml$로 가장 높게 나타났고, 다음으로 70% methanol 추출물이 $187.8\;{\mu}g/ml$으로 나타났으며, chloroform 추출물이 $194.2\;{\mu}g/ml$, methanol, 물, ethanol추출물 순으로 나타났다. ${\alpha}-Glucosidase$ 측정값은 70% methanol 추출물에서 82.05%의 높은 저해 활성을 보였다.

• 약학회지
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• 제54권4호
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• pp.258-269
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• 2010

As people are easy to access the National Health Insurance, medical health service has been increased. It contributed to extend human's average life expectancy and to get better health care. But also increased unnecessary health service or inappropriate drug use. Therefore, DUR (Drug Use Review) is needed to induce appropriate drug use. The purpose of this study is to evaluate outpatient prescriptions by General Practitioner (GP) and Specialized Practitioner, especially indication for ENT referral including common cold which is the frequent indications that have patient see doctor. This study was reviewed retrospectively prescriptions for ENT referral collected at the A pharmacy for ENT Clinic in Cheong-Ju, B pharmacy for GP Clinic in BoEun from Feb 2nd, 2009 to Feb 28th, 2009. Each pharmacy located closed to the each enrolled clinic. The numbers of collected prescriptions were each A pharmacy (n=2501), B pharmacy (n=1343). This study was classified Drug Related Problems (DRPs) those prescriptions had as total 6 groups according to following 6 categories; 1) Unnecessary Drug, 2) Wrong Drug, 3) Low Dose, 4) Overdose, 5) Wrong Instruction, 6) Wrong Combination. In results, Specialized Practitioner's prescriptions had more DRPs than General Practitioner's prescriptions (ENT 155.34% vs GP 130.01%). In detail, Specialized Practitioner's prescriptions had more DRPs in Low Dose (ENT 16.95% vs GP 4.77%), Overdose (ENT 6.72% vs G.P 5.51%), Wrong Instruction (ENT 7.91% vs GP 5.81%), Wrong Combination (ENT 29.31% vs GP 25.09%). These DRPs would be caused from lack of consideration for dosage and drug interaction. General Practitioner's prescriptions had more DRPs in Unnecessary Drug (ENT 70.37% vs GP 78.85%), Wrong drug (ENT 4.12% vs GP 9.98%). These DRPs would be associated with drug selection. This study was assumed that Specialized Practitioner is better prescriber than General Practitioner because Specialized Practitioner complete additional intern and residency training. But, Specialized Practitioner is not always better prescriber than General Practitioner. Furthermore, prescriptions of both Specialized Practitioner and General Practitioner had many problems. In conclusion, It could be cut down the excessive medical expense and expected more efficient medical care by reducing DRPs, thus contributing to the improvement of national health. In order to pharmacist must have good professional ability of pharmacotherapy to help the physician for the drug selection.

• 대한간호학회지
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• 제12권2호
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• pp.80-90
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• 1982

This study was undertaken to determine the influence of a chronic disease on body image, and to show that body image is directly related to one's self concept. Body image is the concept of one's own body based on present and past perception, and is elated to one's self concept. Body image is a dynamic concept constantly changing throughout the life cycle but it changes greatly in illness, surgery, and accident. The child with a chronic disease experiences pain and immobilization due to illness and he/she experiences a strange environment in the hospital. illness often brings feeling of frustration and loss of self-esteem. Therefore this study was done to compare the body image of a child with a chronic disease（Asthma), with that of a normal healthy child, and to determine the relationship between the body image and self concept. The subjects in this study were 36 children being treated for asthma at the allergy clinic of Y University Hospital in Seoul (patient group) and 44 children attending elementary school in Kwanak Ku Seoul (normal healthy group). For the measurement of the body image, the researcher used Secord & Jourard's Body Cathexis Scale, and another scale which was constructed after reading about Osgood's Semantic Differential Method. For the measurement of the self concept, the researcher used Jacox & Stewart's Health Self Concept. The period for data collection was from October 7th to October 27th, 1982. The analysis of data was done by use of Percentage, t-test, Chi-square test, Pearson Correlation Coefficient and ANOVA, The results of the study were as follows: 1. The first hypothesis,“That the chronically ill (Asthma) child will have a more negative body image than the normal healthy child.”was supported. 2. The second hypothesis,“The more negative the body image, the lower the self concept.”was also supported. 3. The researcher failed to obtain statistically significant results in the analysis of the general characteristics which affect the body image except in the case of the older child as compare to the younger Child having a mole positive body image (r=.2751, r=.2481, p<.05). However it was found that, 1) Boy's have a more positive body image than girls (Mean=〔37.81, 141.09〕,〔37.00, 126.54〕), 2) The child who has been hospitalized has a more negative body image than the child who has never been hospitalized (Mean=〔33.25, 122.45〕,〔35.68, 129.93〕). 3) The younger the child when the disease is discovered and diagnosed, the more negative the body image (Onset of illness: Mean=〔31.44, 117.33〕,〔34.00, 103.50〕, 〔35.75, 140.38〕,〔36.33, 130.00〕, Time of Diagnosis: Mean=〔29.00, 117.33〕,〔33.89, 115.00〕,〔33.36, 124.93〕,〔37.10, 139. 20〕). In conclusion the chronically ill(.Asthma) child has a more negative body image than the normal healthy child, and the more negative the body image the lower the self concept. Therefore the concept of body image is useful in understanding the influences of chronic disease on body' image and self concept.

• Ocean and Polar Research
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• 제27권1호
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• pp.15-24
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• 2005

In order to investigate the structures and dynamics of phytoplankton communities, each physicochemical environmental factor, species composition, standing crop, and dominant species were examined in the marine ranching ground of Tongyeong coastal waters from April to October, 2000. During the studies, mean water temperature and salinity were $18.8^{\circ}C$ and 33.1 psu, respectively. DO, SS and transparency varied from 5.43 to 11.39 mg/l, 14.6 to 32.4mg/l and 3.5 to 9.0m, respectively. Light intensities varied from 0.02 to $966{\mu}E/m^2/s$, which decreased with depth. $NH_4-N,\;NO_3-N,\;NO_2-N,\;PO_4-P,\;and\;SiO_2-Si$ were fluctuated from 0.059 to 0.332 mg/l, 0.040 to 0.800 mg/l, 0.001 to 0.468 mg/l, 2.3 to $143.0{\mu}g/l$, and 0.007 to 0.600 mg/l, respectively. chlorophyll a concentrations were fluctuated from 0.7 to $8.9{\mu}g/l$. Among 130 taxa of phytoplankton communities observed. diatoms occupied more than 81.54% of the total species, and the others were dinoflagellates and silicoflagellates. Phytoplankton standing crops ranged from $4.6{\times}10^4\;to\;2.6{\times}10^6cells/l$. In October, the standing crops were at bloom level showing more than $10^6cells/lat$ all stations. Dominant species changed by month and station. Leptocylindrus danicus occupied 59.84% in April and 22.03% in June. Pseudo-nitzschia pungens in August and Chaetoceros socialis and Skeletonema costatum in October were predominant species. In order to investigate factors influencing the total phytoplankton standing crops the correlations between the standing crops of diatoms, dinoflagellates, all phytoplanktons occurred and environmental factors were calculated using a multiple regression analysis. The coefficient of determination $(R^2)$ for total standing crops was 0.63 which explained 63% of variance and that of $R^2$ for diatom was 0.82. In statistical analysis, the results showed that the environmental factors influencing the size of the communities were predominantly water temperature, salinity and silicate.

• Archives of Plastic Surgery
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• 제47권6호
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• pp.583-589
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• 2020

Background Reduction mammoplasty or mastopexy is performed as an additional balancing procedure in patients with large or ptotic breasts who undergo breast-conserving surgery (BCS). Radiation therapy on breasts that have undergone surgery may result in changes in the volume. This study presents a comparative analysis of patients who received post-BCS balancing procedures to determine whether volume changes were larger in breasts that received radiation therapy than on the contralateral side. Methods Thirty-six participants were selected among patients who received BCS using the inverted-T scar technique between September 2012 and July 2017, were followed up for 2 or more years, and had pre-radiation therapy computed tomography images and post-radiation therapy images taken between 12 and 18 months after completion. The average age of the participants was 53.5 years, their average body mass index was 26.62 kg/㎡. Results The pre- and post-radiation therapy volumes of the breasts receiving BCS were 666.08±147.48 mL and 649.33±130.35 mL, respectively. In the contralateral breasts, the volume before radiation therapy was 637.69±145.72 mL, which decreased to 628.14±166.41 mL after therapy. The volume ratio of the affected to the contralateral breasts was 1.05±0.10 before radiation therapy and 1.06±0.12 after radiation therapy. Conclusions The ratio of the volume between the two breasts immediately after surgery and at roughly 18 months postoperatively was not significantly different (P=0.98). For these reasons, we recommend a simultaneous single-stage balancing procedure as a reasonable option for patients who require radiation therapy after BCS without concerns regarding volume change.

• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6585-6590
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• 2013

Background: Although FOLFOX (infusional fluorouracil/leucovorin plus oxaliplatin) is established as a standard chemotherapeutic regimen, the long term efficacy of adjuvant XELOX (oral capecitabine plus intravenous oxaliplatin) in Asian colorectal cancer (CRC) patients remains anecdotal. Moreover, uncertainties persist as to whether pharmacogenetic differences in Asian populations preclude equally tolerable and effective administration of these drugs. Method: One hundred consecutive patients with resected colorectal cancer received adjuvant XELOX (oxaliplatin 130 $mg/m^2$ on day 1 plus capecitabine 900 $mg/m^2$ twice daily on day 1 to 14 every 3 weeks for 8 cycles) at Queen Mary Hospital, Hong Kong. Endpoints monitored during follow-up were disease-free survival (DFS) and disease recurrence, overall survival (OS) and adverse events (AEs). Results: The median patient age was 56 years, 56% were diagnosed with rectal cancer and 44% with colonic cancer. After a median follow-up of 4.3 years (95% confidence interval, 3.2-4.7), 24 recurrences were confirmed including 13 patients who died due to progressive disease. Four-year DFS was 81% in colon cancer patients and 67% in rectal cancer patients (p=0.06 by log-rank test). For the cohort as a whole, OS was 90% at 3 years and 84% at 5 years. Treatment-related AEs led to early withdrawal in four patients. The commonest non-hematological AEs were neuropathy (91%), hand-foot syndrome (49%) and diarrhea (46%), while the commonest grade 3/4 AEs were neutropenia (11%) and diarrhea (10%). Conclusion: These results confirm the favourable long term survival benefit with good tolerability in using adjuvant XELOX in treating East Asian colorectal cancer patients.

• Journal of Trauma and Injury
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• 제20권2호
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• pp.130-137
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• 2007

Purpose: Ultrasound is of proven accuracy in abdominal and thoracic trauma and may be useful for diagnosing extremity injury in situations where radiography is not available, such as disasters and military and space applications. However, the diagnosis of fractures is suggested by history and physical examination and is typically confirmed with radiography. As a alternative to radiography, we prospectively evaluated the utility of extremity ultrasound performed by trained residents of emergency medicine (EM) one patient with wrist and ankle extremity injuries. Methods: Initially, residents of EM performed physical examinations for fractures. The emergency ultrasound (EM US) was performed by trained residents, who used a portable ultrasound device with a 10- to 5-MHz linear transducer, on suspected patients before radiography examination. The results of emergency ultrasound and radiography and the final diagnosis were recorded, and correlation among them were determined by using Kappa s test Results: Thirty-nine patients were enrolled in our study. The average age was $36.6\;{\pm}\;19.3$ years. There were radius Fx. (n=21), radius-ulna Fx. (n=1), ulna Fx. (n=1), and contusion (n=2) injuries among the wrist injury and lat.-med. malleolar Fx. (n=13), lat. malleolar Fx. (n=6), and med. malleolar Fx. (n=3) injuries among the ankle injury. Comparing EM US with radiography, we found the sensitivity, specificity, positive predictive value, and negative predictive value of EM US for Fx. diagnosis to be 100%, 66.7%, 97.3%, 100% and those of radiography to be 97.2%, 100%, 100%, and 75%, respectively. Kappa s test for a correlation between the Fx. diagnosis of EM US and the final diagnosis of Fx was performed, and Kappa's value was 0.787 (P = 0.004).Conclusion: EM US for Fx. can be performed quickly and accurately by EM residents with excellent accuracy in remote locations such as disaster areas and in military and aerospace applications. EM US was as useful as radiography in our study and had a high correlation to the final diagnosis of Fx. Therefore, ultrasound should performed on patients with extremity injury to determine whether extremity evaluation should be added to the FAST (focused abdominal sonography trauma) examination.