• 대한후두음성언어의학회지
• /
• 제32권3호
• /
• pp.130-134
• /
• 2021

Background and Objectives Voice therapy (VT) is considered to be the gold standard of treatment of vocal fold nodule in children. This study was designed to analyze the success rate of pediatric VT and investigate the predictive factors for good response of periatic VT for vocal fold nodule. Materials and Method This was a retrospective cohort study of 23 patients under 18 years old who were diagnosed with vocal fold nodule and received pediatric VT. We divided the patients into responding and non-responding groups. We analyzed clinical and voice parameters related to the voice results. Results Twelve patients showed improved findings after VT. By univariate analysis, female patients (85.7%) and adolescence children (100%) showed a good response to VT. In multivariate analysis, female sex (p<0.05) and adolescence children (p<0.05) were significantly related to a successful voice response. Proton pump inhibitor or antihistamine, mucolytics treatment and pre-VT voice parameters did not significantly influence voice outcomes. Conclusion Pediatric VT is more effective in female and adolescence children.

• Animal Bioscience
• /
• 제34권9호
• /
• pp.1451-1459
• /
• 2021

Objective: The objectives of the study were to evaluate reproductive performance and selection response through genetic trend of community-based breeding programs (CBBPs) of Bonga sheep. Methods: Reproduction traits data were collected between 2012 and 2018 from Bonga sheep CBBPs. Phenotypic performance was analyzed using the general linear model procedures of Statistical Analysis System. Genetic parameters were estimated by univariate animal model for age at first lambing (AFL) and repeatability models for lambing interval (LI), litter size (LS), and annual reproductive rate (ARR) traits using restricted maximum likelihood method of WOMBAT. For correlations bivariate animal model was used. Best model was chosen based on likelihood ratio test. The genetic trends were estimated by the weighted regression of the average breeding value of the animals on the year of birth/lambing. Results: The overall least squares mean±standard error of AFL, LI, LS, and ARR were 375±12.5, 284±9.9, 1.45±0.010, and 2.31±0.050, respectively. Direct heritability estimates for AFL, LI, LS, and ARR were 0.07±0.190, 0.06±0.120, 0.18±0.070, and 0.25±0.203, respectively. The low heritability for both AFL and LI showed that these traits respond little to selection programs but rather highly depend on animal management options. The annual genetic gains were -0.0281 days, -0.016 days, -0.0002 lambs and 0.0003 lambs for AFL, LI, LS, and ARR, respectively. Conclusion: Implications of the result to future improvement programs were improving management of animals, conservation of prolific flocks and out scaling the CBBP to get better results.

• 한국수자원학회:학술대회논문집
• /
• 한국수자원학회 2023년도 학술발표회
• /
• pp.161-161
• /
• 2023

Bias correction of values is a necessary step in downscaling coarse and systematically biased global climate models for use in local climate change impact studies. In addition to univariate bias correction methods, many multivariate methods which correct multiple variables jointly - each with their own mathematical designs - have been developed recently. While some literature have focused on the inter-comparison of these multivariate bias correction methods, none have focused extensively on the effect of diverse configurations (i.e., different combinations of input variables to be corrected) of climate variables, particularly high-dimensional ones, on the ability of the different methods to remove biases in uni- and multivariate statistics. This study evaluates the impact of three configurations (inter-variable, inter-spatial, and full dimensional dependence configurations) on four state-of-the-art multivariate bias correction methods in a national-scale domain over South Korea using a gridded approach. An inter-comparison framework evaluating the performance of the different combinations of configurations and bias correction methods in adjusting various climate variable statistics was created. Precipitation, maximum, and minimum temperatures were corrected across 306 high-resolution (0.2°) grid cells and were evaluated. Results show improvements in most methods in correcting various statistics when implementing high-dimensional configurations. However, some instabilities were observed, likely tied to the mathematical designs of the methods, informing that some multivariate bias correction methods are incompatible with high-dimensional configurations highlighting the potential for further improvements in the field, as well as the importance of proper selection of the correction method specific to the needs of the user.

• 응용통계연구
• /
• 제35권6호
• /
• pp.703-724
• /
• 2022

다변량 경시적 자료 분석은 반복 측정된 자료에 존재하는 상관관계를 올바르게 추정하면서 자료를 분석해야 한다. 경시적 연구에서는 다변량 경시적 자료가 주로 생성되지만, 기존 통계적 모형은 대부분 단변량으로 분석되어 다변량 경시적 자료에 존재하는 복잡한 상관관계를 제대로 설명하지 못하게 된다. 따라서 본 논문에서는 복잡한 상관관계를 설명하기 위해 공분산 행렬을 모형화하는 다양한 방법에 대해 고찰한다. 그 중 수정된 콜레스키 분해, 수정된 콜레스키 블록분해와 초구분해를 살펴본다. 그리고 일반화 자기회귀모수 행렬이 가지는 희박성 문제를 해결하기 위해 베이지안 방법을 이용하여 청소년 패널 데이터를 분석한다. 청소년 패널 데이터는 다변량 경시적 자료이며, 반응 변수로는 학교 적응도, 학업 성취도, 휴대전화 의존도를 고려한다. 자기 상관 구조와 혁신 표준 편차 구조를 달리 가정하여 여러 모형을 비교한다. 가장 적합한 모형에 대해 학교 적응도와 학업 성취도에 대해 모든 설명 변수가 유의미하며, 휴대전화 의존도가 반응 변수일 때 사교육 시간을 제외한 모든 설명 변수가 유의미한 것으로 나타난다.

• 아태비즈니스연구
• /
• 제14권1호
• /
• pp.73-91
• /
• 2023

Purpose - The purpose of this study is to re-examine the disclosure effect of stock splits and long-term performance after stock splits using stock split data over the past 10 years, and infer the motivation (signal or opportunism) of stock splits. In addition, we focus on exploring the determinants of the short- and long-term market response to stock splits. Design/methodology/approach - We measure the short-term market response to a stock split and the long-term stock performance after the stock split announcement using the event study method. We analyze whether there is a difference in the long-term and short-term market response to a stock split according to various company characteristics through univariate analysis and regression analysis. Findings - In the case of the entire sample, a statistically significant positive excess return is observed on the stock split announcement date, and the excess return during the 24-month holding period after the stock split do not show a difference from zero. In particular, the difference between short-term and long-term returns on stock splits is larger in companies with a large stock split ratio, small companies, large growth potential, and companies with a combination of financial events after a stock split. Research implications or Originality - The results of this study suggest that at least the signal hypothesis for a stock split does not hold in the Korean stock market. On the other hand, it suggests that there is a possibility that a stock split can be abused by the manager's opportunistic motive, and that this opportunism can be discriminated depending on the size of the stock split, corporate characteristics, and financing plan.

• 우울조울병
• /
• 제9권2호
• /
• pp.126-132
• /
• 2011

Background and Objectives : This study aims to identify sociodemographic and disease-related variables which predicts continuity of outpatient treatment after discharge among bipolar patients. Materials and Method : The medical records of patients who discharged with the diagnosis of bipolar disorder from Department of Psychiatry, St. Mary's hospital from 2005 to 2009 were reviewed. Data on sociodemographic and disease-related variables were analyzed. Results : It showed older age, higher rate of male and higher rate of being married in 1-year follow-up group than in non-follow-up group. And it showed longer duration of index hospitalization, higher rate of previous psychiatric outpatient treatment within 3 months before index hospitalization, higher rate of involuntary admission in 1-year follow-up group than in non-follow-up group. The univariate logistic regression analysis revealed that older age, being male, previous psychiatric treatment and longer duration of index hospitalization were significantly related to an increased likelihood of 1-year follow-up visits. Conclusion : Age, sex, history of previous psychiatric treatment, and duration of hospitalization seems to have influence on continuity of outpatient treatment after discharge.

• Journal of Microbiology and Biotechnology
• /
• 제34권4호
• /
• pp.958-968
• /
• 2024

In recent years, there has been a growing recognition of the important role that long non-coding RNAs (lncRNAs) play in the immunological process of hepatocellular carcinoma (LIHC). An increasing number of studies have shown that certain lncRNAs hold great potential as viable options for diagnosis and treatment in clinical practice. The primary objective of our investigation was to devise an immune lncRNA profile to explore the significance of immune-associated lncRNAs in the accurate diagnosis and prognosis of LIHC. Gene expression profiles of LIHC samples obtained from TCGA database were screened for immune-related genes. The optimal immune-related lncRNA signature was built via correlational analysis, univariate and multivariate Cox analysis. Then, the Kaplan-Meier plot, ROC curve, clinical analysis, gene set enrichment analysis, and principal component analysis were performed to evaluate the capability of the immune lncRNA signature as a prognostic indicator. Six long non-coding RNAs were identified via correlation analysis and Cox regression analysis considering their interactions with immune genes. Subsequently, tumor samples were categorized into two distinct risk groups based on different clinical outcomes. Stratification analysis indicated that the prognostic ability of this signature acted as an independent factor. The Kaplan-Meier method was employed to conduct survival analysis, results showed a significant difference between the two risk groups. The predictive performance of this signature was validated by principal component analysis (PCA). Additionally, data obtained from gene set enrichment analysis (GSEA) revealed several potential biological processes in which these biomarkers may be involved. To summarize, this study demonstrated that this six-lncRNA signature could be identified as a potential factor that can independently predict the prognosis of LIHC patients.

• Clinical Endoscopy
• /
• 제57권3호
• /
• pp.384-392
• /
• 2024

Background/Aims: Endoscopic ultrasound-guided tissue acquisition (EUS-TA) is a standard diagnostic method for biliary tract cancer (BTC), and samples obtained in this manner may be used for comprehensive genomic profiling (CGP). This study evaluated the utility of EUS-TA for CGP in a clinical setting and determined the factors associated with the adequacy of CGP in patients with BTC. Methods: CGP was attempted for 105 samples from 94 patients with BTC at the Aichi Cancer Center, Japan, from October 2019 to April 2022. Results: Overall, 77.1% (81/105) of the samples were adequate for CGP. For 22-G or 19-G fine-needle biopsy (FNB), the sample adequacy was 85.7% (36/42), which was similar to that of surgical specimens (94%, p=0.45). Univariate analysis revealed that 22-G or larger FNB needle usage (86%, p=0.003), the target primary lesions (88%, p=0.015), a target size ≥30 mm (100%, p=0.0013), and number of punctures (90%, p=0.016) were significantly positively associated with CGP sample adequacy. Conclusions: EUS-TA is useful for CGP tissue sampling in patients with BTC. In particular, the use of 22-G or larger FNB needles may allow for specimen adequacy comparable to that of surgical specimens.

• Journal of Chest Surgery
• /
• 제40권2호
• /
• pp.114-121
• /
• 2007

배경: 종양 발생기전에 있어서 세포자멸사가 중요한 역할을 한다. 조직 내의 세포자멸사 측정은 TUNEL (terminal deoxyribonucleotidyl transferase mediated nick end lagbelling), ISEL (in situ nick end labelling) 등의 방법을 쓰지만, 반응 세포의 비특이성 및 결과 판독의 주관성 등이 논란의 대상이 되어왔다. 최근 이러한 단점을 보완할 수 있는 단클론항체 M30이 소개되어, 인체 조직의 대장암, 가슴 샘종, 유방암, 자궁내막암 등에서 M30 면역염색을 이용한 세포자멸사 연구가 있었으나 폐암에 대한 연구는 없었다. 저자들은 비소세포 폐암에서 M30 면역염색에 의해 발현되는 세포자멸사 양상이 세포주기 핵심조절자인 p53 면역염색 발현양상 및 임상양상과 갖는 연관성을 살펴보고자 하였다. 대상 및 방법: 비소세포 폐암으로 근치적 절제수술을 받은 환자 45명을 대상으로 하였다. M30과 P53 면역조직화학염색에 실시하여 각 항체의 발현양상과 임상 병리학적 특성을 비교 분석하였다. 술 후 생존기간과 무병 생존기간을 구하였고, 단변량 분석을 실시하여 생존기간에 영향을 미치는 인자를 알아보았다. 다변량 분석을 실시하여 M30과 p53 발현양상이 술 후 사망위험도 및 재발위험도에 미치는 영향을 알아보았다. 결과: M30 양성세포 수는 p53 양성군이 p53 음성군보다 유의하게 많았고(p53 양성군 $61.7{\pm}26.8$개 vs. p53 음성군 $45.6{\pm}29.6$개, p=0.005), 세포사멸사 지수가 1 이상(Apoptosis Index, $Al{\ge}1$)인 환자 수도 p53 양성군에서 유의하게 많았다(p53 양성군 52.4% (l1/21) vs. p53 음성군 16.7% (4/24), p=0.025). 단변량 분석에서는 흡연량, 활동도(Performance Status, PS), 그리고 AI가 술 후 생존기간에 유의한 차이를 보였다. 다변량 분석에서는 AI가 높은 군에서 수술 후 암사망 위험도(Relative risk, R.R 7.482; 95% Confidence Interval, CI $1.886{\sim}29.678$; p=0.004)와 재발 위험도(R.R 3.795; 95% CI $1.184{\sim}12.158$; p=0.025)가 유의하게 증가하였다. p53 발현양상은 수술 후 생존기간과 암사망 위험도 및 재발 위험도에 영향을 미치지 않았다. 결론: 이상의 연구에서 단클론 항체 M30을 이용한 면역조직화학염색이 비소세포 폐암의 세포자멸사를 관찰하는 데 매우 유용한 방법임을 확인하였으며, 환자의 예후를 예측하는 데에도 도움이 될 수 있음을 알 수 있었다.

• Radiation Oncology Journal
• /
• 제13권2호
• /
• pp.129-142
• /
• 1995

Purpose: Traditionally the patients with early stage non-Hodgkin's lymphoma of the head and neck was treated with radiotherapy. But the results were not satisfactory due to distant relapse. Although combined treatment with radiotherapy and chemotherapy was tried with some improved results and chemotherapy alone was also tried in recent years, the choice of treatment for the patients with early stage non-Hodgkin's lymphoma of the head and neck has not been defined Therefore, in order to determine the optimum treatment method, we analysed retrospectively the outcomes of the patients with Ann Arbor stage I and II non-Hodgkin's lymphoma localized to the head and neck who were treated at Severance Hospital. Materials and Methods: 159 patients with stage I and II non-Hodgkin's lymphoma localized to the head and neck were treated at our hospital from January, 1979 to December, 1992. Of these patients, 114 patients whose primary sites were Waldeyer's ring or nodal region, and received prescribed radiation dose and/or more than 2 cycles of chemotherapy. were selected to analyze the outcomes according to the treatment methods ( radiotherapy alone, chemotherapy alone. and combined treatment with radiotherapy and chemotherapy ). Results: Five year overall actuarial survival of the patients whose Primary site was Waldeyer's ring was $62.5\%.$ and that of the Patients whose primary site was nodal region was $53.8\%$ There was no statistically significant difference between survivals of both groups. Initial response rate to radiotherapy. chemotherapy, and combined treatment was $92\%,\;83\%,\;94\%$ respectively, and 5 year relapse free survival was $49.9\%,\;52.4\%,\;58.5\%$ respectively ( statistically not significant ). In the patients with stage I. 3 year relapse free survival of chemotherapy alone group was $75\%$ and superior to other treatment groups. In the Patients with stage II, combined treatment group revealed the best result with $60.1\%$ of 3 year relapse free survival. The effect of sequential schedule of each treatment method in the Patients who were treated by combined modality was analyzed and the sequence of primary chemotherapy + radiotherapy + maintenance chemotherapy showed the best result ( 3 year relapse free survival was $79.1\%).$ There was no significant survival difference between BACOP regimen and CHOP regimen. Response to treatment was only one significant (p(0.005) prognostic factor on univariate analysis and age and mass size was marginally significant ( p(0.1). On multivariate analysis, age (p=0.026) and mass size (p=0.013) were significant prognostic factor for the relapse free survival. Conclusion: In summary, the patients who have non-Hodgkin's lymphoma of the head and neck with stage I and mass size smaller than 10 cm, can be treated by chemotherapy alone, but remainder should be treated by combined treatment method and the best combination schedule was the sequence of initial chemotherapy followed by radiotherapy and maintenance chemotherapy.