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Efficacy and safety of dienogest in patients with endometriosis: A single-center observational study over 12 months

  • Park, So Yun;Kim, Sung Hoon;Chae, Hee Dong;Kim, Chung-Hoon;Kang, Byung Moon
    • Clinical and Experimental Reproductive Medicine
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    • v.43 no.4
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    • pp.215-220
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    • 2016
  • Objective: To evaluate the efficacy and safety of dienogest treatment in patients who had received dienogest for 12 months or more to treat endometriosis. Methods: We analyzed the clinical data of 188 women with endometriosis who had been treated with 2 mg of dienogest once a day for 12 months or more at a single institute. We evaluated changes in endometriosis-associated pain and endometrioma size, recurrence rate, and adverse events following dienogest administration. Bone mineral density (BMD) was measured in patients who were prescribed dienogest for more than 18 months. Results: Pain was significantly reduced at 12 months after dienogest medication. In those treated with dienogest due to recurrent endometrioma, the size of the endometrioma was significantly decreased at the 12-month and 18-month follow-ups. We found only one case of sonographic recurrence during dienogest administration among those who were treated postoperatively to prevent recurrence (1 of 114, 0.9%). The most common adverse drug reaction was uterine bleeding (3.2%), and other adverse events were generally tolerable and associated with low discontinuation rates (5.2%). Among the 50 patients in whom BMD was measured, 10 patients (20%) had a Z-score below the expected range for age. Conclusion: The administration of dienogest for a year or more seems to be highly effective in preventing recurrence after surgery, reducing endometriosis-associated pain, and decreasing the size of recurrent endometrioma, with a favorable safety and tolerability profile. However, BMD should be checked in patients on long-term medication due to possible bone loss in some women.

A STUDY ON THE SHEAR BOND STRENGTHS AND MICROLEAKAGES OF THREE BONDING AGENTS ON DENTIN (상아질 접착제의 전단결합강도와 미세누출에 관한 연구)

  • Kim, Jeong-Ho;Cho, Young-Gon;Moon, Joo-Hoon
    • Restorative Dentistry and Endodontics
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    • v.22 no.2
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    • pp.680-692
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    • 1997
  • New bonding agent systems have been supplied which operators can simply apply to conditioned tooth surfaces. The purpose of this study was to evaluate the shear bond strengths and the microleakages of three bonding agents and composite resins to dentin. Seventy-five extracted human maxillary and mandibular molar teeth were used in this study. For the shear bond strength test, the entire occlusal dentin surfaces of thirty teeth were exposed with Diamond Wheel Saw and smoothed with Lapping and Polishing Machine (South Bay Technology Co., U.S.A). For the microleakage test, Class V cavities were prepared in the buccal surfaces of fourtyfive teeth. They were randomly assigned into 3 groups according to dentin bonding agents ($Scotchbond^{TM}$ Multi-Purpose plus, ONE-$STEP^{TM}$ and Prime & $Bond^{TM}$)and composite resins (Z-100, $Aelitefil^{TM}$ and TPH $Spectrum^{TM}$) to be used. Bonding agents and composite resins were bonded to exposed dentin surfaces of the tooth crown and to Class V cavities on the buccal surfaces respectively according to manufacturer's directions. The shear bond strengths were measured by universal testing machine($U^{TM}$ AGS-100, Japan). In addition, the degree of micro leakage at the occlusal and gingival margin was examined by 2 % methylene blue and stereomicroscope(Olymous SZH 10, Japan). The results were as follows: 1. The shear bond strength to dentin was the highest value in SBMP-Plus group($16.68{\pm}7.38$ MPa) and the lowest value in Prime & Bond group($11.61{\pm}5.82$ MPa), but there was no significant difference of shear bond strength among three groups. 2. The degree of microleakage at both occlusal and gingival margin was showed the lowest in SBMP-Plus group and the highest in ONE-STEP group. 3. At both occlusal and gingival margin, there was significant difference of microleakage between SBMP-Plus and ONE-STEP/ Prime & Bond groups(p<0.05), but no significant difference of microleakage between ONE-STEP and Prime & Bond group(p>0.05).

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Development and Construction of low Magnetic Field Control System for Analysis of Magnetic Field Effect in the Deflection Yoke (브라운관의 자기장 영향 분석용 저자기장 제어 장치의 설계 및 제작)

  • Park, Po-Gyu;Kim, Young-Gyun;Shin, Suk-Woo;Choi, Hyung-Ho;Kim, Tae-Ik;Jung, Dong-Keun
    • Journal of the Korean Magnetics Society
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    • v.13 no.6
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    • pp.251-256
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    • 2003
  • We have developed the quality analysis system for magnetic field effect of cathode-ray tube that is used a monitor, TV and medical appliance. We designed and constructed the large 3-axis square coil (2 m length) system for the generation of 3-component magnetic field using power supply, magnetometer and computer below 0.2 mT range. The coil constant is 30.31 ${\mu}$T, 29.73 ${\mu}$T and 30.51 ${\mu}$T for the X, Y and Z axis square coil respectively. The magnetic field resolution was 0.01 T. The uniformity of magnetic field was measured within 1 % in the range of 12 cm.

Enhancing value of quality assurance rounds in improving radiotherapy management: a retrospective analysis from King Hussein Cancer Center in Jordan

  • Khader, Jamal K.;Al-Mousa, Abdelatif M.;Mohamad, Issa A.;Abuhijlih, Ramiz A.;Al-Khatib, Sondos A.;Alnsour, Anoud Z.;Asha, Wafa A.;Ramahi, Shada W.;Hosni, Ali A.;Abuhijla, Fawzi J.
    • Radiation Oncology Journal
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    • v.37 no.1
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    • pp.60-65
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    • 2019
  • Purpose: The quality assurance (QA) chart rounds are multidisciplinary meetings to review radiation therapy (RT) treatment plans. This study focus on describing the changes in RT management based on QA round reviews in a single institution. Materials and Methods: After 9 full years of implementation, a retrospective review of all patients whose charts passed through departmental QA chart rounds from 2007 to 2015. The reviewed cases were presented for RT plan review; subcategorized based on decision in QA rounds into: approved, minor modifications or major modifications. Major modification defined as any substantial change which required patient re-simulation or re-planning prior to commencement of RT. Minor modification included treatment plan changes which didn't necessarily require RT re-planning. Results: Overall 7,149 RT treatment plans for different anatomical sites were reviewed at QA rounds. From these treatment plans, 6,654 (93%) were approved, 144 (2%) required minor modifications, while 351 (5%) required major modifications. Major modification included changes in: selected RT dose (96/351, 27%), target volume definition (127/351, 36%), organs-at-risk contouring (10/351, 3%), dose volume objectives/constraints criteria (90/351, 26%), and intent of treatment (28/351, 8%). The RT plans which required major modification according to the tumor subtype were as follows: head and neck (104/904, 12%), thoracic (12/199, 6%), gastrointestinal (33/687,5%), skin (5/106, 5%), genitourinary (16/359, 4%), breast (104/2387, 4%), central nervous system (36/846, 4%), sarcoma (11/277, 4%), pediatric (7/251, 3%), lymphoma (10/423, 2%), gynecological tumors (2/359, 1%), and others (11/351, 3%). Conclusion: Multi-disciplinary standardized QA chart rounds provide a comprehensive and an influential method on RT plans and/or treatment decisions.

High-temperature drying of Pinus densiflora and Pinus rigida dimension lumber (소나무와 리기다소나무 평소각재(平小角材)의 고온건조(高溫乾燥))

  • Park, Moon-Jae;Jung, Hee-Suk
    • Journal of the Korean Wood Science and Technology
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    • v.15 no.2
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    • pp.53-66
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    • 1987
  • Korean red pine (Pinus densiflora S. et. Z.) and pitch pine(Pinus rigida Mill) $5{\times}10cm$ dimension lumber were dried in a kiln providing a cross-circulation velocity of 5 m/sec at dry-and wet-bulb temperatures of 116 and $71^{\circ}C$, followed by 3 hours at 91 and $85^{\circ}C$. Compared to dimension lumber dried lumber were as follows. 1. To dry to 10 percent moisture content, the high-temperatures schedule of Korean red pine and pitch pine lumber took less than one seventh the time required by the conventional kiln drying schedule. 2. High-temperature drying rate and conventional drying rate to 10 percent moisture content of Korean red pine lumber were 2.75 and 0.35%/hr, and those of pitch pine lumber were 3.38 and 0.46%/hr respectively. 3. Compared to lumber of both species on conventional schedule, moisture gradient of high-temperature lumber was greater. 4. Compared to lumber on conventional schedule, maximum surface checking of high-temperature lumber of both species was severer, and maximum end checking of high-temperature lumber of both species was similar to that of lumber on conventional schedule. 5. Compard to lumber on conventional schedule, Korean red pine lumber dried at high temperature showed more honeycombing, but pitch pine lumber dried at high-temperature showed significantly slighter honeycombing. 6. Compared to lumber on conventional schedule, the high-temperature lumber showed less warping lumber of both species. 7. Collapse and casehardening of Korean red pine and pitch pine lumber on both scheules were slight.

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Heat Shock Protein 90 Regulates the Stability of c-Jun in HEK293 Cells

  • Lu, Chen;Chen, Dan;Zhang, Zhengping;Fang, Fang;Wu, Yifan;Luo, Lan;Yin, Zhimin
    • Molecules and Cells
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    • v.24 no.2
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    • pp.210-214
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    • 2007
  • The 90-kDa heat shock protein (HSP90) normally functions as a molecular chaperone participating in folding and stabilizing newly synthesized proteins, and refolding denatured proteins. The HSP90 inhibitor geldanamycin (GA) occupies the ATP/ADP binding pocket of HSP90 so inhibits its chaperone activity and causes subsequent degradation of HSP90 client proteins by proteasomes. Here we show that GA reduces the level of endogenous c-Jun in human embryonic kidney 293 (HEK293) cells in a time and dose dependent manner, and that this decrease can be reversed by transfection of HSP90 plasmids. Transfection of HSP90 plasmids in the absence of GA increases the level of endogenous c-Jun protein, but has no obvious affect on c-Jun mRNA levels. We also showed that HSP90 prolongs the half-life of c-Jun by stabilizing the protein; the proteasome inhibitor N-benzoyloxycarbonyl (Z)-Leu-Leu-leucinal (MG132) blocks the degradation of c-Jun promoted by GA. Transfection of HSP90 plasmids did not obviously alter phosphorylation of c-Jun, and a Jun-2 luciferase activity assay indicated that over-expression of HSP90 elevated the total protein activity of c-Jun in HEK293 cells. All our evidence indicates that HSP90 stabilizes c-Jun protein, and so increases the total activity of c-Jun in HEK293 cells.

Effect of Application of Organic Fertilizer on the Growth of Korea Lawngrass(Zoysia matrella L. Merr.) by base-dressing and top-dressing application (기비 및 추비에 의한 유기질비료의 사용이 금잔디(Zoysia matrella L. Merr.)의 생육에 미치는 영향(影響))

  • Ham, Suon-Gyu;Lee, Jyung-Jae;Kim, In-Seob
    • Journal of the Korea Organic Resources Recycling Association
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    • v.2 no.1
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    • pp.41-49
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    • 1994
  • This experiment was carried out in order to study the effect of organic fertilizer on the growth of Korean lawngrass (Zoysia matrella L. Merr.) and the change of soil chemical characteristics. The results obtained are summarized as follows : 1. Organic fertilizer was appropriate for base-dressing in the sod establishment of Korean lawngrass(Z. matrella L. Merr.) 2. Chlorophyll contents in mixed application plot of complex fertilizer(21-17-17) and organic fertilizer were more abundant than that in single application plot of organic fertilizer. 3. Application of organic fertilizer promotes the contents of available phosphorous in soil. 4. Dry weights of base-dressing and top-dressing plot had more weight about 40%, 12% than that of control plot, respectively. So base-dressing was more effective than top-dressing in the application of organic fertilizer.

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Comparison of intrathecal versus intra-articular dexmedetomidine as an adjuvant to bupivacaine on postoperative pain following knee arthroscopy: a randomized clinical trial

  • Ismail, Eman A.;Sayed, Jehan A.;Bakri, Mohamed H.;Mahfouz, Reda Z.
    • The Korean Journal of Pain
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    • v.30 no.2
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    • pp.134-141
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    • 2017
  • Background: Postoperative pain is a common, distressing symptom following arthroscopic knee surgery. The aim of this study was to compare the potential analgesic effect of dexmedetomidine after intrathecal versus intra-articular administration following arthroscopic knee surgery. Methods: Ninety patients undergoing unilateral elective arthroscopic knee surgery were randomly assigned into three groups in a double-blind placebo controlled study. The intrathecal dexmedetomidine group (IT) received an intrathecal block with intrathecal dexmedetomidine, the intra-articular group (IA) received an intrathecal block and intra-articular dexmedetomidine, and the control group received an intrathecal block and intra-articular saline. The primary outcome of our study was postoperative pain as assessed by the visual analogue scale of pain (VAS). Secondary outcomes included the effect of dexmedetomidine on total postoperative analgesic use and time to the first analgesic request, hemodynamics, sedation, postoperative nausea and vomiting, patient satisfaction, and postoperative C-reactive protein (CRP) levels. Results: Dexmedetomidine administration decreased pain scores for 4 h in both the intrathecal and intra-articular groups, compared to only 2 h in the control patient group. Furthermore, there was a significant reduction in pain scores for 6 h in the intra-articular group. The time to the first postoperative analgesia request was longer in the intra-articular group compared to the intrathecal and control groups. The total meperidine requirement was significantly lower in the intra-articular and intrathecal groups than in the control group. Conclusions: Both intrathecal and intra-articular dexmedetomidine enhanced postoperative analgesia after arthroscopic knee surgery. Less total meperidine was required with intra-articular administration to extend postoperative analgesia to 6 h with hemodynamic stability.

Study on the Heritabilities of Pinus densiflora S. et Z. (소나무의 유전력(遺傳力)에 관(關)한 연구(硏究)(II))

  • Noh, Eui Rae;Yim, Kyong Bin
    • Journal of Korean Society of Forest Science
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    • v.44 no.1
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    • pp.36-42
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    • 1979
  • A study was conducted on the genetic correlations and simple correlations between some characters of the plus trees of Pinus densiflora. The results can be summarized as follows. 1. Simple correlations height growth by age was measured and high correlation(above r=0.9) were observed. Therefore, early selection seems to be possible in the light of the results made up to 8 years old. 2. Genetic correlation between height and root collar diameter was 0.266 and the correlation between height and branch diameter was 0.091 and 0.391 was between root collar diameter and branch diameter.

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Chemotherapy-related Cognitive Impairment and Quality of Life in People with Colon Cancer: The Mediating Effect of Psychological Distress (대장암 환자의 항암화학요법 관련 인지손상과 삶의 질: 심리적 디스트레스(우울·불안)의 매개효과)

  • Oh, Pok Ja;Kim, Jeong Hye
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.19-28
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    • 2016
  • Purpose: The purpose of this study was to test the mediating effect of psychological distress in the relationship between chemotherapy related cognitive impairment (CRCI) and quality of life (QOL) in people with cancer. Methods: A purposive sample of 130 patients undergoing chemotherapy was recruited for the cross-sectional survey design. Data were collected from November 2014 to June 2015. The instruments were K-MMSE (Korean Mini-Mental State Examination), Everyday Cognition (ECog), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G). Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny steps for mediation. Results: The mean score for objective cognitive function was 27.95 and 69.32 for perceived cognitive decline. Overall quality of life was 91.74. The mean score was 17.52 for psychological distress. The prevalence was 56.2% for anxiety and 63.1% for depression, and 20.0% for CRCI. There were significant correlations among the variables, objective cognitive function and self-reported cognitive decline, psychological distress, and quality of life. Psychological distress was directly affected by CRCI. ($R^2=29%$). QOL was directly affected by CRCI. Psychological distress and CRCI effected QOL ($R^2=43%$). Psychological distress had a partial mediating effect (${\beta}=-.56$, p <.001) in the relationship between self-reported cognitive decline and quality of life (Sobel test: Z= -5.08, p <.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on managing cognitive decline, and decreasing psychological distress are highly recommended to improve quality of life in cancer patients.