• Asian Pacific Journal of Cancer Prevention
• /
• 제17권7호
• /
• pp.3647-3650
• /
• 2016

Background: Colorectal cancer is one of the major health problems worldwide. However, limited studies have been reported from ASEAN countries. This study was conducted to evaluate clinical characteristics and survival of colorectal cancer cases aged <65 years and ${\geq}65$ years in the central region of Thailand. Materials and Methods: Clinical information, histological features, endoscopic findings and treatment outcome were collected and reviewed from Thammasat University Hospital, Pathumthani, Thailand between November 2011 and October 2015. Results: A total of 121 colorectal cancer patients, comprising 69 men and 52 women with a mean age of 65.8 years, were included. There were 57 aged <65 years and 64 aged ${\geq}65$ years. Common presenting symptoms were abdominal pain (37%), weight loss (34%) and anemia (32%). Mean duration of symptoms prior to diagnosis was 173 days. However, longer diagnosis time was demonstrated in patients aged <65 years than age more than ${\geq}65$ years (119.4 vs 58.4 days, P-value=0.30). Colonic fungating mass was the most common endoscopic finding (64.4%) and the location was significantly more commonly left than right side of the colon, both in younger and elderly groups (87.7% vs 12.3%, P=0.02 and 70.3% vs 29.7%, P=0.02, respectively). Adenocarcinoma with moderated differentiated was the most common histology (67.3%). More than half of the patients presented with advanced stage (28.9% with TNM stage 3 and 38.8% TNM stage 4, respectively). Overall 1-year and 5-year survival rates were 76.9% and 5%. Conclusions: Most colorectal cancer patients in Thailand have adenocarcinomas and present at advanced stage with poor prognosis. Screening of high risk patients and early detection might be essential factors to improve the treatment outcome and overall survival rate of colon cancer patients in Thailand and other ASEAN countries.

• 한국산학기술학회논문지
• /
• 제21권10호
• /
• pp.454-460
• /
• 2020

최근 들어, 동영상의 간편한 촬영 그리고 인터넷을 통한 동영상의 보급 및 시청이 기하급수적으로 늘어남에 따라서 개인 정보의 외부 노출로 인한 피해가 발생하고 있다. 본 논문에서는 연속적으로 들어오는 영상으로부터 사람의 개인 정보가 노출된 목표 객체 영역을 강인하게 추출한 다음, 추출된 객체를 위치 예측 알고리즘을 이용해 빠르게 추적하면서 영상 블러링 기법을 통해 동시에 블로킹하는 새로운 방법을 제안한다. 본 논문에서는 먼저 입력받은 컬러 영상으로부터 개인 정보 영역이 노출된 목표 객체 영역을 인공 신경망 기반의 학습 알고리즘을 이용하여 정확하게 추출한다. 그런 다음, 검출된 객체를 위치 예측 알고리즘을 이용하여 빠르게 추적하면서 영상 블러링을 적용하여 블로킹한다. 실험 결과에서는 제안된 방법이 받아들인 다양한 종류의 컬러 영상 데이터로부터 개인 정보가 노출된 목표 객체를 기존 방법에 비해 2.5% 보다 정확하게 추적하면서 동시에 블러링함으로써 개인 정보 영역을 효과적으로 차단한다는 것을 보여준다. 본 논문에서 제안된 물체 차단 방법은 개인 정보의 보호, 비디오 감시 및 보안, 객체 검출 및 추적 등과 같은 많은 실제적인 응용 분야에서 유용하게 활용될 수 있을 것으로 기대된다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제14권2호
• /
• pp.1111-1114
• /
• 2013

Background: For early detection of renal damage during the usage of cisplatin based chemotherapy, changes in renal function should be monitored carefully. In recent years, neutrophil gelatinase-associated lipocalin, a small polypeptide molecule, has shown promise as a marker of acute renal failure. The aim of this present study was to assess possible risk prediction of cisplatin-induced nephrotoxicity using serum NGAL. Materials and Methods: A total of 34 consecutive patients with documented serum creatinine at least 24 hours before every cycle of cisplatin-based chemotherapy were included in the study. Demographic and medical data including age, performance status, tumor characteristics and comorbid diseases were collected from medical charts. Renal function was evaluated at least 48 hours before the treatment and at the end of the treatment based on the Modification of Diet in Renal Disease (MDRD) formula. Before and after cisplatin infusion serum NGAL levels were measured for the first and 3rd cycles of chemotherapy. Results: The median age of the study population was 54 (32-70) years. Fifteen patients (41.1%) were treated on an adjuvant basis, whereas 19 patients (58.9%) were treated for metastatic disease. There was no correlation of serum NGAL levels with serum creatinine (r=0.20, p=0.26) and MDRD (r=-0.12, p=0.50) and creatinine clearance-Cockcroft-Gault (r=-0.22, p=0.22) after cisplatin infusion at the end of the 3rd cycle of chemotherapy. Conclusions: In our study, serum NGAL levels were not correlated with the cisplatin induced nephrotoxicity. Further prospective studies are needed to conclude that serum NGAL level is not a good surrogate marker to predict early cisplatin induced nephrotoxicity.

• 한국발생생물학회:학술대회논문집
• /
• 한국발생생물학회 1998년도 제4차 학술발표대회 및 정기총회
• /
• pp.12-18
• /
• 1998

Tremendous progress has been made over the past quarter-century studying the genetics of gametogenesis and the resulting gametes and embryos. Studies merging molecular techniques and conventional cytogenetics are now beginning to bridge the gap between what we have learned about the meiotic process in males and females and what we know of the mitotic chromosomes of zygotes. Numerical abnormalities in sperm, oocytes and embryo can now diagnosed by fluorescence in situ hybridization (FISH). "At risk" couples can, therefore, have only unaffected embryos replaced in the sterus and avoid the possibility of terminating a pregnancy that might only be diagnosed as affected later gestation. Single-cell genetic analysis has also provided powerful tools for studying genetic defects arising during early human development. Recent studies of sperms, oocytes and cleavage-stage human embryos have revealed an unexpectedly high incidence. These genetic abnormalities are likely to contribute to early pregnancy loss and have important implications for improving pregnancy rates in infertile couples by assisted reproduction. The widespread use of preimplantation genetic diagnosis (PGD) awaits further documentatio of safety and accuracy. Other issues also must be addressed. First, the ethical issues regarding germ cell and embryo screening must be addressed including what diseases are serious enough to warrant the procedure. Another concern is the use of this technology for non-genetic disorders such as gender selection. Finally, the experimental nature of these procedure must continually be discussed with patients, and long-term follow-up studies must be undertaken. Development of more accurate and less expensive assays coupled with improved assisted reproductive technology success rates may make PGD a more widely use clinical tool. The future awaits these development.velopment.

• 한국대기환경학회지
• /
• 제20권6호
• /
• pp.715-727
• /
• 2004

This study was carried out to evaluate non-smoker's exposure levels to environmental tobacco smoke (ETS) in the air of offices in urban areas. A total of 65 offices were selected from two large cities, i.e. Daegu and Daejeon. The field sampling was conducted repeatedly in summer (1999) and winter (1999～2000). The measured ETS markers included respirable suspended particles (RSP as PM$_{40}$ ), vapor and particulate phase ETS markers, including nicotine, 3-ethnyl pyridine (3-EP), ultraviolet absorbing particulate matter (UVPM), fluorescing particulate matter (FPM), and solanseol in ETS particles (SolPM). RSP was measured gravimetrically by a microbalance. The particle samples were then used for the determination of particulate ETS markers by HPLC, while vapor phase markers determined by GC/NPD. The analytical methods were validated for repeatability, linearity, detection limits, and duplication precision. The concentrations of RSP and other ETS markers were significantly higher in smoking offices than non-smoking offices. Despite the similar smoking strength in each office for different seasons, the concentration levels of ETS components appeared to be higher in winter than summer. The contributions of ETS to RSP concentrations based on SolPM, FPM, and UVPM methods were estimated to be in the range of 15.2 ～ 25.3% in smoking offices, whereas 2.4 ～ 15.9% in non-smoking offices. The cooling and heating types did not affect significantly the concentrations of RSP and other ETS markers. Finally, further research issues were suggested to obtain more scientific information on the non-smoker's exposure to ETS with respect to the frame of risk assessment..

• 대한의용생체공학회:학술대회논문집
• /
• 대한의용생체공학회 1998년도 추계학술대회
• /
• pp.181-182
• /
• 1998

In previous study for correlation between P-wave Signal Averaged Electrocardiography (SAECG) and Paroxysmal Atrial Fibrillation (PAF) subjects, we showed that the duration of P-wave in subjects is longer than in controls. In this respect, the P-wave SAECG is a new method proving to be an accurate and independent noninvasive marker for the risk of PAF. To prove this suggestion, accurate detection and alignment of P-wave are indispensible. In previous study, we measured P-wave duration by manual. So it was not accurate and consistent. To measure the P-wave duration accurately and automatically, we have developed an automatic algorithm for P-wave duration measurement. We showed that the duration of P- wave in the subjects is longer than in controls with this algorithm.

• 대한수의학회지
• /
• 제57권4호
• /
• pp.209-214
• /
• 2017

Wild raccoon dogs (Nyctereutes procyonoides koreensis) may play a role transmitting several pathogens to humans and pet animals. Information concerning the incidence of rabies, canine distemper virus (CDV), canine parvovirus (CPV), canine adenovirus type 2 (CAdV-2), canine parainfluenza virus type 5 (CPIV-5), and canine herpesvirus (CHV) is needed in wild raccoon dogs. In total, 62 brain samples of raccoon dogs were examined for rabies virus (RABV) and CDV, and 49 lung samples were screened for CDV, CAdV-2, CPIV-5, and CHV. No RABV, CAdV-2, CPIV-5, or CHV was identified, but nine CDV antigens (8.1%, 9/111) were detected. Moreover, 174 serum samples from wild raccoon dogs were screened for antibodies against the five major viral pathogens. The overall sero-surveillance against CDV, CPV, CAdV-2, CPIV-5, and CHV in wild raccoon dogs was 60.3%, 52.9%, 59.8%, 23.6%, and 10.3%, respectively. Comparisons of the sero-surveillance of the five pathogens showed that raccoon dogs of Gyeonggi province have slightly higher sero-positive rates against CDV, CPV, and CHV than those of Gangwon province. These results indicate high incidences of CDV, CPV, and CAdV-2 in wild raccoon dogs of two Korean provinces and a latent risk of pathogen transmission to companion and domestic animals.

• Journal of Chest Surgery
• /
• 제15권4호
• /
• pp.432-439
• /
• 1982

Congenital posterolateral diaphragmatic hernia [Bochdalek hernia] is the result of a congenital diaphragmatic defect in the posterior costal part of the diaphragm in the region of the tenth and eleventh ribs. There is usually free communication between the thoracic and abdominal cavities. The defect is most commonly found on the left [90%], but may occurs on the right, where the liver often prevents detection. The male to female ratio is 2:1. Owing to the negative intrathoracic pressure, herniation of abdominal contents through the defects occurs, with resultant collapse of the lung. Shifting of mediastinum to the opposite side and compression of the opposite lung occurs. Most often these hernias are manifestated by acute respiratory distress in the newborn. A second, but less well recognized, group of patient with Bochdalek hernia survive beyond the neonatal period, usually present at a later time with "failure of thrive, intermittent vomiting, or progressive respiratory difficulty. " The diagnosis can often be made on clinical ground from the presence of respiratory distress, absence of breath sounds on the chest presence of bowel sounds over the chest . Roentgenogram of the chest confirm the diagnosis. Obstruction and strangulation have been reported but are rare. Treatment consists of early reliable identification of these congenital diaphragmatic hernia with high risk and surgical repairment. and postoperative pharmacological management with extracorporeal membranous oxygenation [=ECMO] support in the period of intensive care. On the surgical approach, for defects on left side, an abdominal incision is preferred, because of the high incidence of malrotation and obstructing duodenal bands. In the neonate, the operative mortality may be appreciable, but, later repair almost always is successful. During the period from 1972 to 1982, 4 cases of congenital Bochdalek hernia were experienced at the Kyung-Hee University Hospital.

• 한국산업보건학회지
• /
• 제28권2호
• /
• pp.230-239
• /
• 2018

Objective: The purpose of this study is to identify the kinds and exposure levels of health hazards in the metalworking process in relation to acute poisoning accidents caused by methanol in 2016. Methods: The number of industries, workplaces, exposed workers, regional distribution, and exposure level of health hazards in metalworking process were investigated based on employee exposure assessment database provided by KOSHA (the Korea Occupational Safety and Health Agency), which was collected from workplace hazard evaluation programs in Korea. Exposure metrics for methanol were assessed by RCR (risk characterization ratio). Results: The numbers of processes, workplaces, and exposed workers of metalworking, which include CNC (computer numerical control) were 25, 14,405, and 169,102 respectively. The numbers of samples of chemical hazards including methanol were 91,325, and it was found that workers in metalworking were exposed to 249 kinds of chemical hazards. There were 16 kinds of special controlled substances including beryllium. It is estimated that the number of workplaces involving CNC process was 2,537, and the number of exposed workers was 27,976. In CNC process, the total number of workplaces handling methanol was 36, and 298 workers were estimated to be exposed. There was no exceeded that surpassed the OEL and 49% of samples were below the limit of detection. Methanol exposure concentrations in Gyeonggido Province were statistically significantly higher than in other areas (p <0.0001). Conclusions: In the metalworking process including CNC, there is exposure to a wide variety of health hazards. There was no sample exceeding the OEL for methanol. Therefore, it is necessary to recognize the limits of the employee exposure assessment system and urgently improve measures to prevent the occurrence of events like methanol poisoning.

• 한국식품위생안전성학회지
• /
• 제24권2호
• /
• pp.148-153
• /
• 2009

본 연구에서는 심혈관계 질환의 표지인자인 콜레스테롤의 농도를 새롭게 개발한 형광 크로마토그라피 방법에 의하여 측정 하고자 시도하였다. 개발된 측정 시스템은 크로마토그라피 스트립이 들어 있는 카트리지, 발색제 AEC, 콜레스테롤 옥사데이즈 (Cholesterol Oxidase, CO), 콜레스테롤 에스트라아제(Cholesterol Esterase, CE), 호스래 디쉬페록시다아제 (Horseradish peroxidase, HRP)를 포함하는 효소혼합 수용액, 그리고 형광 판독기로 구성되어 었다. 콜레스테롤 농도 변화에 따른 형광 세기 변화로 얻은 상관계수 r= 0.968로 측정 가능한 농도 범위에서 신뢰할 만한 직선성 관계를 제시하여 주었다. 회복률과 Hitachi 747 검사기기와 비교 테스트에서는 각각 106.5-94%와 상관관계 r = 0.939 (p<0.001)로 비교적 높은 유의성을 보여주었다. 따라서 본 연구에서 개발된 새로운 콜레스테롤 농도 측정법은 빠른 반응 시간 (8분)과 적은 시료량 ($5\;{\mu}l$)을 사용하기에 시료를 실험실로 운반할 필요없이 클리닉에서 측정 가능한 준현장검사 플랫폼형으로 개발되었으며 기존의 고가의 자동화 장비를 사용하는 생화학적 진단방식 대체용으로의 응용이 기대된다.