• Title/Summary/Keyword: patterns and treatment

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Gender Differences Associated with Pain Characteristics and Treatment in Taiwanese Oncology Outpatients

  • Liang, Shu-Yuan;Wang, Tsae-Jyy;Wu, Shu-Fang;Chao, Ta-Chung;Chuang, Yeu-Hui;Tsay, Shiow-Luan;Tung, Heng-Hsin;Lee, Ming-Der
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4077-4082
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    • 2013
  • The purpose of this descriptive and comparative study was to examine gender differences relevant to pain intensity, opioid prescription patterns and opioid consumption in Taiwanese oncology outpatients. The 92 participants had been prescribed opioid analgesics for cancer-related pain at least once in the past week and were asked to complete the Brief Pain Inventory - Chinese questionnaire and to recall the dosage of each opioid analgesic that they had ingested within the previous 24 hours. For opioid prescriptions and consumption, all analgesics were converted to morphine equivalents. The results revealed a significant difference between males and female minimum pain thresholds (t = 2.38, p = 0.02) and current pain thresholds (t = 2.12, p = 0.04), with males reporting a higher intensity of pain than females. In addition, this study found that males tended to use prescribed opioid analgesics more frequently than females on the bases of both around the clock (ATC) (t = 1.90, p = 0.06) and ATC plus as needed (ATC + PRN) (t = 2.33, p = 0.02). However, there was no difference between males and females in opioid prescriptions on an ATC basis (t = 0.52, p = 0.60) or at an ATC + PRN basis (t = 0.40, p = 0.69). The results suggest that there may be a gender bias in the treatment of cancer pain, supporting the proposal of routine examination of the effect of gender on cancer pain management. These findings suggest that clinicians should be particularly aware of potential gender differences during pain monitoring and the consumption of prescribed opioid analgesics.

Effect of Lime and Temperature on the Changes of Available Soil Nutrients in Acid Sulfate Soil under Submergence (특이산성토양(特異酸性土壤)에서 담수시(湛水時) 석회처리(石灰處理) 및 온도조절(溫度調節)이 토양(土壤)의 유효성분(有效成分) 변화(變化)에 미치는 영향(影響))

  • Kang, Ui-Gwm;Ha, Ho-Sung
    • Korean Journal of Soil Science and Fertilizer
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    • v.18 no.3
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    • pp.282-288
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    • 1985
  • This experiment was conducted to investigate the changing patterns of the available elements by the control of lime addition amount and temperature in Acid Sulfate Soils under the submerged condition. The results obtained were summarized as follows: 1. pH and contents of available phosphate, soluble silicate, $NH_4-N$, and exchangeable iron in soils were decreased but exchangeable aluminium and manganese, and water soluble sulfur in soils increased after submergence. 2. Lime treatment increased pH, available phosphate, soluble silicate, $NH_4-N$, and water soluble sulfur, but that decreased exchangeable aluminium, iron, and manganese in soils. 3. Treatment with 12me/100gr of Ca as $CaCO_3$, showed the marked effect in increasing the exchangeable aluminium and iron, and increasing pH value to about 6.5 as well as available phosphate and $NH_4-N$. 4. Increases in available phosphate, $NH_4-N$, and exchangeable iron with aging of the soil flooded and lime treated were higher at $35^{\circ}C$ than those at $25^{\circ}C$. 5. Throughout submerged period a significant positive correlation was observed between pH and soluble silicate while the pH has negative correlation with exchangeable elements such as aluminium, iron, and manganese etc.

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Gene Expression Analysis of Methotrexate-induced Hepatotoxicity between in vitro and in vivo

  • Jung, Jin-Wook;Kim, Seung-Jun;Kim, Jun-Sup;Park, Joon-Suk;Yeom, Hye-Jung;Kim, Ji-Hoon;Her, Young-Sun;Lee, Yong-Soon;Kang, Jong-Soo;Lee, Gyoung-Jae;Kim, Yang-Seok;Kang, Kyung-Sun;Hwang, Seung-Yong
    • Molecular & Cellular Toxicology
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    • v.1 no.4
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    • pp.256-261
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    • 2005
  • The recent DNA microarray technology enables us to understand gene expression profiling in cell line and animal models. The technology has potential possibility to comprehend mechanism of multiple genes were related to compounds which have toxicity in biological system. So, microarray system has been used for the prediction of toxicity through gene expression induced by toxicants. It has been shown that compounds with similar toxic mechanisms produce similar changes in gene expression in vivo system. Here we focus on the use of toxicogenomics for the determination of gene expression analysis associated with hepatotoxicity in rat liver and cell line (WB-F344). Methotrexate (MTX) is a chemotherapy agent that has been used for many years in the treatment of cancer because it affects cells that are rapidly dividing. Also it has been known the toxicity of MTX, in a MTX abortion, it stops embryonic cells from dividing and multiplying and is a non-surgical method of ending pregnancy in its early stages. We have shown DNA microarray analyses to assess MTX-specific expression profiles in vivo and in vitro. Male Sprague-Dawely VAF+ albino rats of 5-6 weeks old and WB-F344 cell line have been treated with MTX. Total RNA was isolated from Rat liver and cell line that has treated with MTX. 4.8 K cDNA microarray in house has been used for gene expression profiling of MTX treatment. We have found quite distinct gene expression patterns induced by MTX in a cell line and in vivo system.

A Study on the Management of Non-Communicable Disease in Fiji (피지에서의 만성병 관리)

  • Kim, Daeseon;Romakin, Pablo;Rafai, Eric;Lee, Chulwoo
    • Journal of Appropriate Technology
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    • v.6 no.2
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    • pp.163-173
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    • 2020
  • For the successful execution of an ODA project, it is necessary to know what areas are weak and necessary to the country of demand exactly. The health sector is also a top priority in most of developing countries. This study was carried out to introduce non-communicable disease (NCD) in Fiji for ODA projects planning. The major causes of death in Fiji in 2016 are diabetes, ischemic heart disease, cerebrovascular disease, chronic kidney disease, lower respiratory infect, asthma in ranking. The major causes of death in Korea in same year are cancer, ischemic heart diseases, cerebrovascular diseases, pneumonia, suicide, diabetes in the order of ranking. The chronic disease as non-communicable disease (NCD) has been increasing continuously due to changes in lifestyle and consumption patterns and population aging in prevalence rate. This global trend is also apparent in Fiji and Korea, reflected in increasing mortality and personal costs for the treatment and management of NCD. The need for a sustained comprehensive treatment tailored for individual patients has suggested from many studies and the development of a systematic program to manage NCD patients to provide such care have been recommended. The Fiji government developed Non-communicable Diseases Strategic Plan 2015-2019 and has tried to reduce the prevalence rate of non-communicable diseases by factors. The WHO global action plan guiding national-level NCD policies requires an NCD prevention and control model at the community level, presenting strategic goals and detailed options for the introduction and application of the approach to communities. It is necessary to develop an NCD prevention and control model, consisting of a strategy of community intervention, education for students and NCD patients, and the legal enactment of NCD that adequately meets the needs of community members.

A Study on Reduction Effects of Air Pollutant Emissions by Automotive Fuel Standard Reinforcement (자동차연료 기준강화에 따른 대기오염물질 배출량 저감효과)

  • Lim, Cheol-Soo;Hong, Ji-Hyung;Kim, Jeong-Soo;Lee, Jong-Tae;Lim, Yun-Sung;Kim, Sang-Kyu;Jeon, Sang-Jin
    • Journal of Korean Society for Atmospheric Environment
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    • v.27 no.2
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    • pp.181-190
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    • 2011
  • The air pollutants from vehicle exhaust gas are affected by many factors including fuel qualities, engine and vehicle technologies, driving patterns. In particular, fuel qualities and after-treatment devices could directly affect the emission level of pollutants. The pollutant reduction characteristics that caused by enforced fuel quality standard were analyzed. Three types of test fuel were selected in accordance with Korean automotive fuel standard in 2006, 2009, 2012 and used for vehicle emission test in chassis dynamometer. European COPERT correction equation of fuel impact was considered as reference information to quantify the vehicle emission test results. The contribution rates of exhaust emission by COPERT correction equation showed that aromatic compounds and oxygen contents in gasoline fuel was most important. In case of diesel fuel, cetane index and polycyclic aromatic compounds accounted for the greater part. The exhaust emission effects by COPERT correction equation revealed that CO and VOC was increased 0.86%, 1.57% respectively in after 2009 gasoline when compared to before 2009 gasoline fuel. In case of light-duty diesel vehicle CO, VOC and PM were decreased in range of 3~7%. The result from this study could be provided for developing future fuel standards and be used to fundamental information for Korean clean air act.

Can we omit prophylactic inguinal nodal irradiation in anal cancer patients?

  • Kim, Hakyoung;Park, Hee Chul;Yu, Jeong Il;Choi, Doo Ho;Ahn, Yong Chan;Kim, Seung Tae;Park, Joon Oh;Park, Young Suk;Kim, Hee Cheol
    • Radiation Oncology Journal
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    • v.33 no.2
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    • pp.83-88
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    • 2015
  • Purpose: To evaluate the appropriateness of prophylactic inguinal nodal irradiation (PINI), we analyzed patterns of failure in anal cancer patients who were inguinal node-negative at presentation and did not receive PINI. Materials and Methods: We retrospectively reviewed the records of 33 anal cancer patients treated by definitive concurrent chemoradiation therapy (CCRT) between 1994 and 2013. Radiotherapy consisted of a total dose of 44-45 Gy (22-25 fractions in 5 weeks) on the whole pelvis, anus, and perineum. Except inguinal lymphadenopathy was present at initial diagnosis, the entire inguinal chain was not included in the radiation field. In other words, there was no PINI. Results: The median follow-up duration was 50 months (range, 4 to 218 months). Median survival and progression-free survival (PFS) were 57 months (range, 10 to 218 months) and 50 months (range, 4 to 218 months), respectively. Among the survival, the median follow-up duration was 51 months (range, 12 to 218 months). The 5-year overall survival and PFS rates were 93.4% and 88.8%, respectively. Although none of the patients received inguinal node irradiation for prophylactic purposes, there was no inguinal recurrence. Conclusion: Treatment of anal cancer by omitting PINI might be considered in selected patients with clinically uninvolved inguinal nodes.

Growth and Characteristics of SrBi2Nb2O9 Thin Films for Memory Devices (메모리 소자에의 응용을 위한 SrBi2Nb2O9 박막의 성장 및 전기적 특성)

  • Gang, Dong-Hun;Choe, Hun-Sang;Lee, Jong-Han;Im, Geun-Sik;Jang, Yu-Min;Choe, In-Hun
    • Korean Journal of Materials Research
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    • v.12 no.6
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    • pp.464-469
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    • 2002
  • $SrBi_2Nb_2O_9(SBN)$ thin films were grown on Pt/Ti/Si and p-type Si(100) substrates by rf-magnetron co-sputtering method using two ceramic targets, $SrNb_2O_6\; and \;Bi_2O_3$. The structural and electrical characteristics have been investigated to confirm the possibility of the SBN thin films for the applications to destructive and nondestructive read out ferroelectric random access memory(FRAM). For the optimum growth condition X-ray diffraction patterns showed that SBN films had well crystallized Bi-layered perovskite structure after $700^{\circ}C$ heat-treatment in furnace. From this specimen we got remnant polarization $(2P_r)$ of about 6 uC/$\textrm{cm}^2$ and coercive voltage $(V_c)$ of about 1.5 V at an applied voltage of 5 V. The leakage current density was $7.6{\times}10^{-7}$/A/$\textrm{cm}^2$ at an applied voltage of 5V. And for the NDRO-FRAM application, properties of SBN films on Si substrate has been investigated. From transmission electron microscopy (TEM) analysis, we found the furnace treated sample had a native oxide about 2 times thicker than the RTA treated sample and this thick native oxide layer had a bad effect on C-V characteristics of SBN/Si thin film. After $650^{\circ}C$ RTA process, we got the improved memory window of 1.3 V at an applied voltage of 5 V.

Effects of Sardine Oil Fedding and Vitamin E Supplementation on Histopathological Changes and $\alpha$-L-Fucosidase Activity in Experimental Hepatocarcinogenesis (정어리유 섭취와 비타민 E 보충이 실험적 간 발암과정의 병리조직학적 변화와 $\alpha$-L-fucosidase의 활성도에 미치는 영향)

  • 김정희;윤혜진
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.30 no.1
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    • pp.119-126
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    • 2001
  • Effects of Sardine Oil Feeding and Vitamin E Supplementation on Histopathological Changes and $\alpha$-L-fucosidase activity in experimental hepatocarcinogenesis. Sprague-Dawley rats weighing 80~90 g were fed the diet containing either 15% corn oil (CO) or sardine oil (SO) with or without vitamin E supplements (dl-$\alpha$-tocopherol acetate 800 IU/kg diet) for 8 weeks. After 2 weeks of feeding, the rats were given a single intraperitoneal injectin of diethylnitrosamine (DEN, 200 mg/kg BW). From the fifth week, rats were given 0.02% acetylaminofluorene (AAF) in diet for 4 weeks. At the seventh week, 0.05% phenobarbital in liver and hepatic glutathione S-transferase palcental form positive (GST-P+) foci were examined by Hematoxylin& Eosin (H&E) staining and immunohistochemical method, respectively. Serum $\alpha$-L-fucosidase activity was determined. The livers fromt he carcinogen treated rats showed significantly increased formation of GST-P+ foci at sacrifice points while the livers fromthe non-carcinogen treated groups showed almost no foci. Although GST-P+ foci formation was not affected by dietary oil, it was increased unexpectedly by vitamin E supplementation. Histopathological changes were similar to patterns of GST-P+ foci formation in almost all groups. Serum $\alpha$-L-fucosidase activities were increased by carcinogen treatment in all dietary groups. $\alpha$-L-fucosidase activities were positively correlated with GST-P+ foci formation. There results suggest that excessive vitamin E supplementation can enhance hepatocarcinogenesis although the mechanisms involved are not clearly understood.

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Predictors of Hospitalization for Alcohol Use Disorder in Korean Men (알코올사용장애로 인한 한국성인남성의 병원입원여부에 미치는 영향요인)

  • Hong, Hae-Sook;Park, Jeong-Eun;Park, Wan-Ju
    • Journal of Korean Academy of Nursing
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    • v.44 no.5
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    • pp.552-562
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    • 2014
  • Purpose: This study was done to identify the patterns and significant predictors influencing hospitalization of Korean men for alcohol use disorder. Methods: A descriptive study design was utilized. Data were collected using self-report questionnaires from 143 inpatients who met the DSM-5 alcohol use disorder criteria and were receiving treatment and 157 social drinkers living in the community. The questionnaires included Alcohol Use Disorders Identification Test (AUDIT), Alcohol Problems, Alcohol Expectancy Questionnaire (AEQ), Life Position, and The Korean version of the Children of Alcoholics Screening Test (CAST-K). Data were analyzed using descriptive statistics, t-test, ${\chi}^2$-test, F-test, Pearson correlation coefficients, and logistic regression with forward stepwise. Results: AUDIT had significant correlations with alcohol problems, alcohol expectancy, and parents' alcoholism. In logistic regression, factors significantly affecting hospitalization were divorced (OR=4.18, 95% CI: 1.28-13.71), graduation from elementary school (OR=28.50, 95% CI: 8.07-100.69), middle school (OR=6.66, 95% CI: 2.21-20.09), high school (OR=6.31, 95% CI: 2.59-15.36), drinking alone (OR=9.07, 95% CI: 1.78-46.17), family history of alcoholism (OR=2.41, 95% CI: 1.11-5.25), interpersonal relationship problems (OR=1.28, 95% CI:1.17-1.41), and sexual enhancement of alcohol expectancy (OR=0.83, 95% CI: 0.72-0.94), which accounted for 53% of the variance. Conclusion: Results suggest that interpersonal relationship programs and customized cognitive programs for social drinkers in the community are needed to decreased alcohol related hospitalization in Korean men.

A Computational Study of the Focusing Phenomenon of Weak Shock Wave (약한 충격파의 포커싱 현상에 관한 수치해석적 연구)

  • Kweon Yong Hun;Kim Heuy Dong
    • Proceedings of the KSME Conference
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    • 2002.08a
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    • pp.169-172
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    • 2002
  • When a plane shockwave reflects ken a concave wall, it is focused at a certain location, resulting in extremely high local pressure and temperature. This focusing is due to a nonlinear phenomenon of shock wave. The focusing phenomenon has been extensively applied to many diverse folds of engineering and medical treatment as well. In the current study, the focusing of shock wave over a reflector is numerically investigated using a CFD method. The Harten-Yee total variation diminishing (TVD) scheme is used to solve the unsteady, two-dimensional, compressible, Euler equations. The incident shock wave Mach number $M_{s}\;of\;1.1{\~}l.3$ is applied to the parabolic reflectors with several different depths. Detailed focusing characteristics of the shock wave are investigated in terms of peak pressure, gasdynamic and geometrical foci. The results obtained are compared with the previous experimental results. The results obtained show that the peak pressure of shock wave focusing and its location strongly depend on the magnitude of the incident shock wave and depth of parabolic reflector. It is also found that depending up on the depth of parabolic reflector, the weak shock wave focusing process can classified into three distinct patterns : the reflected shock waves do not intersect each other before and after focusing, the reflected shock waves do not intersect each other before focusing, but intersect after focusing, and the reflected shock waves intersect each other before and after focusing. The predicted Schlieren images represent the measured shock wave focusing with a good accuracy.

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