• Title/Summary/Keyword: 위장의

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Current Methods of Circulating Tumor Cell Detection (순환종양세포 검출 기술)

  • Lim, Minji;Cho, Yoon-Kyoung
    • The Korean journal of helicobacter and upper gastrointestinal research
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    • v.18 no.3
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    • pp.157-161
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    • 2018
  • Liquid biopsy, the analysis of circulating biomarkers from peripheral blood, such as circulating tumor cells (CTCs) and circulating tumor DNA, and exosomes, offers a less invasive, new source of cancer-derived materials that may reflect the status of the disease better and thereby contribute to personalized treatment. Recent advances in microfluidics and molecular analysis technologies have resulted in greatly improved CTC enumeration and detection. In this article, we review commercially available technologies used to isolate CTCs from peripheral blood, including immunoaffinity and label-free, physical property-based isolation methods. Although enormous technological progress has been made, especially within the last decade, only a few CTC detection methods have been approved for routine clinical use. Here, we provide an overview of the current CTC isolation methods and examples of their potential application for early diagnosis, prognosis, treatment monitoring, and prediction of resistance to cancer therapy. Furthermore, the challenges that remain to be addressed before such tools are implemented for routine use in clinical settings are discussed.

A Clinical Study on the Correlation between Gastrointestinal Symptoms, Depression, and Anxiety in Patients with Irritable Bowel Syndrome (과민성 장증후군 환자의 위장관 증상과 우울, 불안과의 상관관계 연구)

  • Hur, Bong-soo;Choi, Seo-hyung;Lyu, Yeoung-su
    • The Journal of Internal Korean Medicine
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    • v.40 no.4
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    • pp.629-636
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    • 2019
  • Objective: This study was designed to assess the correlation between gastrointestinal symptoms, depression, and anxiety in patients with irritable bowel syndrome (IBS). Method: New patients who visited the ${\bigcirc}{\bigcirc}$ Oriental Hospital completed standardized questionnaires. These consisted of questionnaires for IBS based on Rome III criteria, the Gastrointestinal Symptom Rating Scale (GSRS), the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI). Results: A total of 103 patients participated. Among them, IBS was observed in 42 patients. There was a weak correlation between GSRS and BDI, but it was not statistically significant. There was a statistically significant weak correlation between GSRS and BAI. The main symptom factors affecting BAI were borborygmus, increased flatus, sucking sensations in the epigastrium, and abdominal distension. Conclusion: There was a statistically significant correlation between gastrointestinal symptoms and anxiety in patients with irritable bowel syndrome.

A Case Report of the Traditional Korean Treatment of Female Patients with Both Functional Dyspepsia and Chronic Atrophic Gastritis (기능성소화불량과 만성 위축성 위염이 병발된 여성 환자에 대해 한방치료 경험 1례)

  • Yoon, Sang-hyub
    • The Journal of Internal Korean Medicine
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    • v.40 no.4
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    • pp.697-708
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    • 2019
  • Objective: The aim of this study was to introduce gastric dysmotility as a common cause in patients with concurrent functional dyspepsia and chronic atrophic gastritis. Method: Dyspeptic symptoms, the Rydoraku score, gastric motility (electrogastrography, bowel sound analysis), gastric mucosa (gastroendoscopy), and blood and blood chemistry were all evaluated. For the treatment method, Pyengwi-san (solution) and Banwhasashim-tang (extract) were used as herbal drugs. Both ST36 electrical stimulation and simple immersion stimulation of CV11, 12, and 13 in the abdomen were applied. Results: Dyspeptic symptoms including indigestion, headache, and insomnia were all relieved. Gastric myoelectrical activity and gastric pyloric function were additionally improved. The condition of the gastric mucosa was changed from atrophic to erosive. Other side-effects of the treatment were not noted. Conclusion: The traditional Korean treatment showed effectiveness in the relief of dyspeptic symptoms and mucosal improvement of chronic atrophic gastritis. Gastric dysmotility is a common cause of the condition being concurrent with both functional dyspepsia and chronic atrophic gastritis without Helicobacter pylori infection.

Latest Research Trends Analysis of Korean Medicine for Research Strategy Establishment of Functional Gastrointestinal Disorders (기능성 위장관 질환의 한의학적 치료 연구전략 수립을 위한 연구 동향 분석)

  • Jo, Geoncheol;Kim, Byung Joo
    • Herbal Formula Science
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    • v.29 no.1
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    • pp.57-70
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    • 2021
  • Obejectives : The purpose of this study was to analyze the papers from 2015 to 2019 to identify trends in gastrointestinal studies in Korean medicine. Methods : The search for related papers was conducted in 10 oriental medicine journals that were actively reported and published, easy to search using the Internet, and freely accessible to researchers. Results : There were many studies related to the stomach, and in particular, there were many papers confirming the effectiveness of Korean medicine treatment for functional digestion, hypersensitive intestinal syndrome, and gastrointestinal reflux diseases. It is regrettable that only about 60 papers of research on gastrointestinal diseases have been published in 10 journals over the past five years of research on gastrointestinal diseases. Conclusions : These results suggest that the need to promote practical research on functional gastrointestinal disorders should be evaluated higher in the Korean medical community, and the development of gastrointestinal-related treatments for Korean medicine can improve the quality of life for all of us.

Fantasy Ethics Disguised with Humor in American Minority Literature: John Leguizamo's Freak (미국 소수인종 문학에 유머로 위장된 환상의 윤리학: 존 레기자모의 『괴물』 중심 연구)

  • Kim, Bong Eun
    • English & American cultural studies
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    • v.14 no.2
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    • pp.49-75
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    • 2014
  • This paper argues that John Leguizamo disguises ethical intention with humor in his one-person show, Freak. The argument proceeds in three stages. First, on the basis of Slavoj ${\check{Z}}i{\check{z}}ek^{\prime}s$ theory that fantasies teach us how to desire discussed in The Sublime Object of Ideology, I analyze how and why Leguizamo exaggerates and thus de-constructs the ideological fantasies about Latin Americans in Freak. Through this analysis the ridiculous exaggeration of the fantasies and their deconstruction emerges as the means to surface the trauma caused by the fantasies, internally and externally curing and reconciling the audience. Second, I apply ${\check{Z}}i{\check{z}}ek^{\prime}s$ theory of the quilting point introduced in Looking Awry: An Introduction to Jacques Lacan through Popular Culture to reveal how "blots" in Freak form "black holes" in the audience's consciousness to smash their established view of the reality, inducing them to encounter with "the real." The investigation into Leguizamo's use of humor as the quilting point illuminates how he invites the audience to look awry beyond the popular fantasy at "the real" America. Third, on the ground of Emmanuel Levinas's theory that theaters are the space of ethics, namely "ethotopos" to emphasize responsible actions discussed in "Ethics as First Philosophy," I assert that Leguizamo disguises his ethical message with humor so as for the audience to recognize their responsibility for others in America and take action towards change.

Performance analysis of deep learning-based automatic classification of upper endoscopic images according to data construction (딥러닝 기반 상부위장관 내시경 이미지 자동분류의 데이터 구성별 성능 분석 연구)

  • Seo, Jeong Min;Lim, Sang Heon;Kim, Yung Jae;Chung, Jun Won;Kim, Kwang Gi
    • Journal of Korea Multimedia Society
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    • v.25 no.3
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    • pp.451-460
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    • 2022
  • Recently, several deep learning studies have been reported to automatically identify the location of diagnostic devices using endoscopic data. In previous studies, there was no design to determine whether the configuration of the dataset resulted in differences in the accuracy in which artificial intelligence models perform image classification. Studies that are based on large amounts of data are likely to have different results depending on the composition of the dataset or its proportion. In this study, we intended to determine the existence and extent of accuracy according to the composition of the dataset by compiling it into three main types using larynx, esophagus, gastroscopy, and laryngeal endoscopy images.

Dioscorea batatas Decne Glycoprotein Prevents Ecotoxicological Effects of Bisphenol A in Gastrointestinal Epithelial Cells and Improves Fecal Malodor and Feed Efficiency in Mice (환경호르몬 비스페놀 A가 유도한 위장관 세포독성 제어효과를 가진 마 당단백질이 마우스의 식이 효율 및 악취저감에 미치는 영향)

  • Kim, Do-Wan;Park, Moon-Ki;Kim, Tae Hoon;Lee, Sei-Jung
    • Journal of Environmental Science International
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    • v.31 no.1
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    • pp.23-31
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    • 2022
  • As a herbal supplement, Dioscorea batatas Decne (DBD) presents potent antioxidant activity and diverse health benefits. In the present study, functions of a 30 kDa glycoprotein isolated from DBD (hereafter, DBD glycoprotein) in the regulation of feed efficiency and fecal malodor in mice were explored. DBD glycoprotein produced protective effect against cytotoxicity induced by the ecotoxicological endocrine-disrupting substance bisphenol A in gastrointestinal epithelial HT-29 cells. To investigate its potential roles in the regulation of feed efficiency and fecal malodor, mice were administered an oral injection of DBD glycoprotein for 2 weeks. Compared with the control values, the weight of internal organs (liver, heart, kidney, and spleen) and levels of glutamate pyruvate transaminase, glutamate oxaloacetate transaminase, and lactic dehydrogenase were not significantly changed during DBD glycoprotein administration for 2 weeks. Interestingly, DBD glycoprotein improved feed efficiency and reduced hydrogen sulfide concentration without altering the ammonia level in mouse feces. Collectively, these results indicate that DBD glycoprotein is a functional agent that exerts gastrointestinal protective effects against ecotoxicological substances, improves feed efficiency, and reduces fecal malodor.

Vision transformers for endoscopic pathological findings classification (내시경 병리소견 분류를 위한 비전 트랜스포머)

  • Ayana, Gelan;Choe, Se-woon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.396-398
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    • 2022
  • The endoscopic pathological findings of gastrointestinal tract (GIT) are important in the early diagnosis of colorectal cancer. Deep learning based on convolutional nueral network (CNN) has been implemented to solve the subjective analysis problem and to increase the performance of early detection of pathological findings. However, the desired performance is yet to be achieved and CNNs are computationally complex. To solve these problems, in this paper, we propose a vision transformer based endoscopic pathological findings classification for the early detection of colorectal cancer. Publicly available endoscopic images with three pathological findings, including esophagitis, polyps, and ulcerative colitis, each with 1000 images were used. Using our approach, we have achieved a test accuracy of 98% in classifying the three pathological findings.

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IPv6 and IPv4/IPv6 Translation Security Vulnerability (IPv6 및 IPv4/IPv6 전환기법에 대한 보안 취약점 조사)

  • Kim, Juho;Lee, Jaehwoon;Park, Neungsoo
    • Annual Conference of KIPS
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    • 2011.11a
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    • pp.862-865
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    • 2011
  • 현재 IPv4 주소가 고갈됨으로써 IPv6 를 사용할 수 밖에 없는 상황에 놓여지게 되었다. 그리고 IPv6 주소체계를 이용하다 보니 이에 따른 보안취약점들이 발견되었다. IPv6 보안취약점에는 확장헤더, ICMPv6, NDP, 다양한주소에 따른 취약점들이 있다. 이것뿐만 아니라 IPv4 와 IPv6 네트워크 간에 통신이 가능한 6to4, ISATAP, Tunnel Broker, Teredo 와 같은 기술이 나오게 되었고, 이러한 것들 또한 보안취약점이 발견되었다. 6to4 보안취약점에는 분산반사 스푸핑 트래픽 공격이 있고, Teredo 에는 로컬 peer 발견 절차에 다른 캐쉬 오버플로우 공격이 있다. 그리고 ISATAP 에는 라우터를 가장한 MITM 공격이 있고, Tunnel Broker 에는 Tunnel Borker 와 Tunnel Server 를 위장하여 공격하는 방법이 있다. 이렇게 IPv6 주소체계로 바뀌면서 생기는 새로운 보안취약점들에 대응하기 위해 현재 존재하는 라우터 같은 네트워크장비들도 보안취약점에 대응할 수 있는 변화가 필요하다.

Clinical Course and Side Effects of Imatinib in Recurrent Patient after Surgical Resection of GIST - A Case and Literature Review (위장관 간질종양의 수술 후 재발한 환자에서 발생한 Imatinib의 부작용과 효능 - 증례와 문헌고찰)

  • Jung Ho Bae;Gwang Ha Kim;Dong Uk Kim;Bong Eun Lee;Geun Am Song
    • Journal of Digestive Cancer Research
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    • v.1 no.2
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    • pp.100-103
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    • 2013
  • A 79-year-old man was diagnosed with gastrointestinal stromal tumor (GIST) of the gastric cardia. We performed proximal subtotal gastrectomy and started imatinib therapy as adjuvant treatment after surgery. Whole body skin rash with urticaria was onset on 10 days after imatinib treatment, and the patient decided to stop imatinib because of side effect. After 3 months, PET CT revealed GIST was recurred at spleen and abdominal lymph nodes, abdominal wall. The patient was then restarted on imatinib therapy. On follow-up imaging studies, the tumor almost disappeared, but both pleural effusion and pericardial effusion were found. In this paper, we describe a case of clinical course and side effects in recurred GIST after adjuvant imatinib mesylate treatment.

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