• 제목/요약/키워드: Current incidence

검색결과 469건 처리시간 0.024초

대장암 환자의 옥살리플라틴(oxaliplatin) 유도 말초신경병증에 대한 약물유전학적 접근: 체계적 문헌고찰 (Current Pharmacogenetic Approach for Oxaliplatin-induced Peripheral Neuropathy among Patients with Colorectal Cancer: A Systematic Review)

  • 안수정;최소영;정혜정;추상희
    • Journal of Korean Biological Nursing Science
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    • 제20권2호
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    • pp.55-66
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    • 2018
  • Purpose: Peripheral neuropathy is common among colorectal cancer (CRC) patients who undergo oxaliplatin-based (OXL) chemotherapy. A pharmacogenetic approach can be used to identify patients at high-risk of developing severe neuropathy. This type of approach can also help clinicians determine the best treatment option and prevent severe neurotoxicity. The purpose of this study is to investigate the evidence of pharmacogenetic markers for OXL-induced peripheral neuropathy (OXIPN) in patients with CRC. Methods: A systematic literature search was conducted using the following databases up to December 2017: Pubmed, EMBASE, and CINAHL. We reviewed the genetic risk factors for OXIPN in observational studies and randomized controlled clinical trials (RCTs). All processes were performed independently by two reviewers. Results: Sixteen studies published in English between 2006 and 2017 were included in this review. A genome-wide association approach was used in one study and various candidate genes were tested, based on their functions (e.g., DNA damage or repair, ion channels, anti-oxidants, and nerve growth etc.). The genes associated with incidence or severity of OXIPN were ABCG2, GSTP1, XRCC1, TAC1, and ERCC1. Conclusion: This study highlighted the need and the importance of conducting pharmacogenetic studies to generate evidence of personalized OXIPN symptoms management. Additional studies are warranted to accelerate the tailored interventions used for OXIPN in patients with CRC (NRF-2014R1A1A3054386).

Effect of Lactobacilli Oral Supplement on the Vaginal Microflora of Antibiotic Treated Patients: Randomized, Placebo-Controlled Study

  • Reid,Gregor;Hammond, Jo-Anne;Bruce, Andrew W.
    • Preventive Nutrition and Food Science
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    • 제8권2호
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    • pp.145-148
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    • 2003
  • Many antibiotic monographs cite the induction of vaginal infections as a possible side effect. Invariably, this is believed to be due to Candide albicans, and empirical therapy is given. However, recent studies raise the question of the extent to which yeast do infect the host after antibiotic use. A double-blind, randomized, placebo-controlled study was undertaken on female patients to determine how many yeast infections occurred following 10 days antibiotic use. In addition, the study was designed to examine whether oval use of probiotic lactobacilli can reduce the risk of vaginal infection. Twenty four patients diagnosed with respiratory, oval or throat infections received one of several types of antibiotic for 10 days, and two capsules containing 10$^{9}$ dried Lactobacillus rhamnosus GR-1 and L. fermentum RC-14 from the day of commencement of antibiotic therapy for 21 days. The most commonly prescribed antibiotic was biaxin (clarithromycin). All but one patient had lactobacilli in the vagina upon entry to the study, and none developed yeast vaginitis or diarrhea during treatment or 20 days after completion of antibiotics. The mean Nugent score was higher in the placebo than the lactobacilli group (4.1 versus 2.4), and three cases of bacterial vaginosis arose (25 % incidence compared to 0% in the lactobacilli group) in the placebo group (2 receiving cefuroxime, 1 on biaxin). The study suggested that current antibiotic use is not necessarily associated with either diarrhea or yeast infection, as is often surmised. Nevertheless, daily use of probiotics was safe and could potentially reduce the risk of patients developing bacterial vaginosis after antibiotic use.

월악산국립공원 송계계곡 일대의 양서.파충류 노상상해 현황 및 보전방안 (Current Status of Road-Killed Amphibian and Reptile and Conservation Plands in Songgye Valley, Woraksan National Park)

  • 송재영;오홍식
    • 한국환경생태학회지
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    • 제20권4호
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    • pp.400-406
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    • 2006
  • 월악산국립공원의 송계계곡 일대의 양서 파충류 노상상해 현황을 파악하기 위하여 송계계곡을 300m간격으로 50개구간을 나눈 후 구간별로 2003년 1월부터 2005년 12월까지 조사를 실시하였다. 그 결과 송계계곡에서 확인된 양서류 10종중 4종이, 파충류는 12종중 7종이 차량에 의해 노상상해된 것으로 확인되었다 또한 가장 많이 차량에 의해 죽는 종은 북방산개구리(Rana dybowskii)로 전체 노상상해 개체수중 94.9%를 차지하였으며, 시기로는 4월${\sim}$5월경에 가장 많은 피해가 있는 것으로 나타났다. 따라서 북방산개구리를 보호하기 위해 생태이동통로 설치가 필요하며, 북방산개구리와 다른 양서류의 보호를 위해서 지속적인 모니터링을 실시해야 한다.

통합 사이버 보안 상황분석을 통한 관제 상황인지 기술 (Context cognition technology through integrated cyber security context analysis)

  • 남승수;서창호;이주영;김종현;김익균
    • 디지털융복합연구
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    • 제13권1호
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    • pp.313-319
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    • 2015
  • 인터넷을 이용하는 응용의 수가 급격히 증가함에 따라 인터넷 상에서 이루어지는 사이버 공격의 발생 빈도는 점점 증가하고 있다. 전 세계적으로 L3 DDoS 공격 탐지 중비의 장비에서 응용계층 기반의 지능형 DDoS 공격에 대한 탐지가 미비하다. 차세대 네트워크 보안솔루션의 다양한 요구사항을 충족할 수 있는 고성능 유무선 네트워크 위협대응 기술에 있어서 국내제품은 외국제품에 비해 기능면에서는 근접하나 성능은 미비한 상황에 있으며, 악성코드 탐지 및 시그니쳐 생성연구 관련하여 주로 Window OS에서 동작하는 악성코드 탐지 및 분석 연구 중심으로 진행하고 있다. 본 논문에서는 최신 사이버 보안 상황 침해 공격 분석을 통한 최신 다양한 신종 공격 기법 및 분석 기술의 현황 조사, 분석등을 기술한다.

교과서 분석을 통해 본 북한의 구순$\cdot$구개열 현황 (The status of Cleft Lip and Palate in North Korea; Analysis of North Korean textbooks)

  • 허진영;김태연;김범수;이충국
    • 대한구순구개열학회지
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    • 제4권2호
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    • pp.1-8
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    • 2001
  • The dissimilarities between South and North Korea have persisted in spite of the reconciliation campaign by both countries. The situation of the cleft lip & palate of North Korea was very unclear until now. The purpose of this study is to understand all the current facts of cleft lip & palate in North Korea so that we can find ways of helping North Korea in this field of medicine. The present data and analysis are extracted from North Korean textbooks. The results are as follow. 1. In North Korea, patients with CLP are treated by oral surgeons or maxillofacial surgeons. The detailed contents about the CLP are well described in the North Korean textbooks for the dental students. 2. The terminology of CLP in North Korea has changed from time to time, but the present terminology not being so different from South Korean counterpart. So there will be no particular problems in mutual communication. 3. The main classification for CLP in North Korea originated from Kernahan & Stark's classification as is with South Korea. 4. The incidence of CLP is 1 : 1,000-1,200 in North Korea, which is lower than that of South Korea. There is, however, some difference between the North and South Korean CLP in detailed statistics. 5. We found the North Korean physicians have shown much interest in pursuing the etiology and the prevention of CLP. 6. The timing of CLP operations varied a lot in North Korea. There was recommendation by few for the operation in much late age than in South Korea. 7. The classical operation techniques of cleft lip have changed. For unilateral cleft lip Tennison-Randall method was replaced by Millard I method: and for bilateral cleft lip LeMesurier method was replaced by Veau III and Tennison methods. But for cleft palate Pushback palatoplasty has been utilized consistently.

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Cholesteryl Ester Transfer Protein (CETP) Deficiency and CETP Inhibitors

  • Mabuchi, Hiroshi;Nohara, Atsushi;Inazu, Akihiro
    • Molecules and Cells
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    • 제37권11호
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    • pp.777-784
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    • 2014
  • Epidemiologic studies have shown that low-density lipoprotein cholesterol (LDL-C) is a strong risk factor, whilst high-density lipoprotein cholesterol (HDL-C) reduces the risk of coronary heart disease (CHD). Therefore, strategies to manage dyslipidemia in an effort to prevent or treat CHD have primarily attempted at decreasing LDL-C and raising HDL-C levels. Cholesteryl ester transfer protein (CETP) mediates the exchange of cholesteryl ester for triglycerides between HDL and VLDL and LDL. We have published the first report indicating that a group of Japanese patients who were lacking CETP had extremely high HDL-C levels, low LDL-C levels and a low incidence of CHD. Animal studies, as well as clinical and epidemiologic evidences, have suggested that inhibition of CETP provides an effective strategy to raise HDL-C and reduce LDL-C levels. Four CETP inhibitors have substantially increased HDL-C levels in dyslipidemic patients. This review will discuss the current status and future prospects of CETP inhibitors in the treatment of CHD. At present anacetrapib by Merck and evacetrapib by Eli Lilly are under development. By 100mg of anacetrapib HDL-C increased by 138%, and LDL-C decreased by 40%. Evacetrapib 500 mg also showed dramatic 132% increase of HDL-C, while LDL-C decreased by 40%. If larger, long-term, randomized, clinical end point trials could corroborate other findings in reducing atherosclerosis, CETP inhibitors could have a significant impact in the management of dyslipidemic CHD patients. Inhibition of CETP synthesis by antisense oligonucleotide or small molecules will produce more similar conditions to human CETP deficiency and may be effective in reducing atherosclerosis and cardiovascular events. We are expecting the final data of prospective clinical trials by CETP inhibitors in 2015.

Gender Differences in HIV-Related Sexual Risk Behaviors among Korean College Students

  • Sohn, Aeree;Chun, Sung-Soo
    • 보건교육건강증진학회지
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    • 제22권3호
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    • pp.49-63
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    • 2005
  • Objectives: The study was designed to assess the trends of the incidence of HIV among young people and their sexual risk-taking behaviors by gender in Korean college students. Methods: The cross-sectional study was used from college students from selected 60 among 208 4-year colleges and universities in 9 provinces and Seoul. A self-reported anonymous questionnaire administered and completed to a national representative sample of 4-year college students from May 15th to June 14th in 2003. We analyzed 2,385 cases. The overall response rate was 82.0%. Results: After controlling age effects, male students were more likely to be sexually experienced than female students(40.0% vs. 8.1%), OR=5.5, p<.000. The proportions of 19 years and before reported for initiation of sexual intercourse were 18.6% for males and 3.2% for females. Males reported significantly younger ages than females at initiation of sexual intercourse(p<.01). Only 14.8% of current sexually active subjects reported consistent use of contraceptive methods. After controlling age effects, male students reported a higher proportion of sexually experienced respondents with one or more casual partners(excluding a formal partner) during the last 12 months than women(38.8% vs. 22.2%), OR=2.2, p<. 05. Conclusion : This study can conclude that although males students initiate sex earlier and have higher percentage of sexual experience, the percentage of sexually experience female students has risen rapidly compared to the past. This data revealed a number of young people were at risk for HIV infection. Both genders are equally likely to have engaged in inconsistent condom use even though when they have a sex with an unknown partner. These findings suggest that practical sex education focused on using condom use should have been included in the school curricular. Educational and community interventions need to prevent sex-related problems.

사회적 요구를 반영하는 미래 가정과교육 분야의 평생교육 내용 제안: 가족생활교육으로서의 내용과 프로그램을 중심으로 (Proposal of lifelong education contents in future Home Economics Education field reflecting social needs: Focus on the contents proposal as family life education)

  • 강남주
    • Human Ecology Research
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    • 제56권3호
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    • pp.233-246
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    • 2018
  • Korean society is experiencing an increase in multicultural families and single households. The incidence of the MERS, epidemic in 2015, and the subsequent cases of child abuse have been major shocks to Korean society. In addition, there has been a steady increase in household debt, that is in danger of causing a serious crisis in the stability of our society and the family. The current demand for increased accountability in the democratic process is becoming an important topic. There is also an increased awareness of natural disaster preparation due to local earthquakes that have caused concern. At this point, the lifelong education in the home economics education field in Korea is in line with the changes and crises of various societies. Problems related to family life that have happened in the real life of learners stand in the place of the study with preventive character. It should provide the best alternative for family, home, and society, and help to overcome the problems of life. In order for lifelong education to respond to these social changes $vis-{\grave{a}}-vis$ Home Economics Education, it is necessary to develop: 'formation and improvement education of family relationship', 'crisis prevention and management coping ability training', 'safety education', 'learning communication and consensus processes', 'consumer culture education', 'ethics education on environment and resources', 'sustainability education', 'local education of family relationship', 'crisis prevention and management coping ability training', 'safety education', 'learning communication and consensus processes', 'consumer culture education', 'ethics education on environment and resources', 'sustainability education', 'local economic activation education', and other topics of lifelong education topics related to the field of Home Economics Education are required. Consequently, various related programs should be further developed and disseminated.

파킨슨병 치료제 연구분야의 기술 동향 분석 및 기술 융합 현황 : 글로벌 특허 정보를 중심으로 (Analysis of Technology Trends and Technology Covergence for Parkinson's Disease Therapeutics : Based on Global Patent Information)

  • 이도연;허요섭;김근환
    • 한국융합학회논문지
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    • 제11권3호
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    • pp.135-143
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    • 2020
  • 파킨슨병 (PD)은 3대 노인성 신경퇴행질환 중 하나로서, 인구 고령화에 따라 전 세계적으로 발병률이 증가하고 있는 질환이다. 파킨슨병 환자의 수는 1990년 3백만 명에서 2015년 620만 명으로 증가했으며 2040년까지 1,240만명으로 증가할 것으로 예측된다. 아직까지 파킨슨병의 근본적인 치료는 정립되지 못하였으나, 화합물, 유전자, 항체, 줄기세포 등 다양한 과학적인 방법을 이용한 치료제 개발이 지속적으로 시도되고 있다. 본 연구에서는 파킨슨병 치료제 연구분야의 최신 기술 동향 및 기술 융합 현황을 파악하기 위해, 글로벌 특허정보를 활용하여 총 6개의 세부기술로 분류하였으며, 연도별, 국가별, 출원인별, 세부기술별 동향, 기술경쟁력 수준, 이종 간 기술 융합 수준을 분석하였다. 본 연구는 파킨슨병 치료제 관련 기술의 현재 기술 수준 및 기술 융합 현황을 파악하고, 향후 파킨슨병 치료제 관련 연구개발 방향성 설정 및 전략 수립을 위한 기초자료로 활용될 수 있을 것이다.

경부청소술 마취 후 발생한 뇌경색 -증례 보고- (Postanesthetic Cerebral Infarction Following Neck Dissection -A case report -)

  • 박창주;이종호;김명진;김현정;염광원
    • 대한치과마취과학회지
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    • 제3권1호
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    • pp.34-37
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    • 2003
  • Postoperative stroke is uncommon even in elderly patients, who have a higher incidence of all types of postoperative complications. The mechanism of postoperative stroke is not certain, but can be explained by intravascular clottings originated from thrombus or embolus or by intracranial hemorrhage. In a 66-year-old male patient with current hypertension medication, who underwent both neck dissection for malignancy metastasis under general anesthesia, the left hemiparesis and delayed emergency were found postoperatively. After transferred to intensive care unit, he got the thrombolytic therapy and then the therapies to decrease the swelling of the brain on the diagnosis of cerebral infarction in the vascular distribution of the middle cerebral artery. A brain MRI definitely showed the midline deviation to the left of the right brain hemisphere due to the progressing edematous changes. As he got worse, the emergency neurosurgical operation was proposed but rejected by his family. He died at postoperative 3 days. In this hypertensive patient. perioperative stroke could be originated from the surgical stimuli on major vessels, which were inevitable in neck dissection during the operation. We report this case of the postoperative stroke, which could be highly possible to be associated with extensive head and neck surgery.

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