• 제목/요약/키워드: DR4

검색결과 1,172건 처리시간 0.024초

Pre-Treatment Performance Status and Stage at Diagnosis in Patients with Head and Neck Cancers

  • Krishnatreya, Manigreeva;Rahman, Tashnin;Kataki, Amal Chandra;Sharma, Jagannath Dev;Nandy, Pintu;Baishya, Nizara
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권19호
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    • pp.8479-8482
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    • 2014
  • Performance status (PS) is a key factor in the selection of treatment in head and neck cancer patients (HNC). There is a probability in the development of an unfavorable PS with HNC advancing stages. This retrospective study was done on data of patients registered during the period from January 2010 to December 2012 at a cancer registry in the North Eastern India. PS was recorded according to the WHO scale. Multinomial logistic regression analysis was conducted to assess the probability of poor performance status with advancing stage. Out of 3,593 patients, there were 78.9% (2,836) males and 21.1% (757) females. Average PS0 was seen in 57.4% of all HNCs, less than 1% of all cases in HNCs with poor PS3-4 except in cases with thyroid, parotid and nose and PNS cancers, 0.7% stage IV (${\pm}M1$) HNC with PS4, favorable PS0-1 was seen in 84% to 100% of cases, RR=57.1 (CI=21.2-154.1) in M1 for PS4 and with advancing stages the probability of worsening of PS0 to PS4 was 3 times (P=0.021, 95% CI= 1.187-8.474). In HNC, the majority of patients presents with a favorable PS0-1 with different odds of worsening of PS with advancing stages and the presence of metastasis in stage IV is significantly associated with a poor PS.

HLA 제 2 항원계 유전자 다형성(genomic polymorphism)과 질병감수성의 연관 (HLA Class II Variants and Disease Associations)

  • 김세종
    • 대한미생물학회지
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    • 제21권2호
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    • pp.171-179
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    • 1986
  • The HLA class II region encodes a series of polymorphic glycoproteins that form cell surface heterodimers each consisting of one $\alpha$ and one $\beta$ chain. Thess class II molecules are encoded by genes clustered within three loci. DP, DQ, and DR are functfonally implicated as regulatory signals in intercellular communication during the immune resposes. The phenotypic hallmark of the HLA complex is a high degree of structural and functional polymorphism. Detailed analysis. of such polymorphisms should aid in understanding the molecular basis for associations between HLA and diseases. We have used techniques of restriction enzyme fragment analysis by Southern blotting to investigate polymorphisms associated with DQ $\beta$ class II genes on haplotypes expressing the HLA-DR4 and -DQw3 specificities. The endonucleases Hind III and Bam HI were used to identify a specific DQ $\beta$ genomic polymorphism that precisely corrresponds with the reactivity of a monoclonal antibody A-10-83, previously shown to define a serologic split of DQw3. This study identifies two allelic DQ va. riants. DQw3.1 and DQw3.2. We used these specific genotypic markers to investigate the genomic basis of the association of DR4 with insulin-dependent diabetes mellitus(IDDM) and seropositive juvenile rheumatoid arthritis(JRA). The DR4 positive IDDM demonstrate the predominant expression of DQw3.2 and the very rare expression of DQw3.l. However, in haplotype matched siblings from two IDDM families, all of the DR4 positive siblings display a IDDM-associated DQw3.2 allele. Thus, both affected and healthy individuals can carry the same haplotypes and genomic markers, demonstrating that thess specific allelic variants are genetic elements that indicate a increased risk of IDDM but are not in fact disease specific. We contrasted this result with a similar analysis of patients with another DR4-associated disease, JRA. In contrast to the preponderance of the DQw3.2 allele in IDDM, the JRA patients expressed either the DQw3.1 or the DQw3.2 allele and sometimes both, without apparent association with disease expession. The different genomic markers reported here within HLA-DQ region potentially an analysis of HLA-associated function and disease susceptibility.

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초광대역 모노폴 유전체 공진기 복합체 안테나 설계 (Design of Ultra Wideband Monopole/Dielectric Resonator Antenna)

  • 김종성
    • 전자공학회논문지
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    • 제50권12호
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    • pp.22-29
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    • 2013
  • 광대역 주파수 범위에 대해서 무지향성 방사 패턴을 나타내는 실린더형 유전체 공진기와 1/4 파장 길이의 모노폴의 결합구조를 제안한다. 모노폴은 저주파 대역에서 동작하고 DR 은 고주파 대역에서 동작하며 모노폴이 DR 에 전계 결합에 의하여 급전기로서 작동한다. 실린더형 DR에서 광대역 동작을 위해서 아래쪽에 직사각 구조로 식각이 이루어진다. 안테나의 크기는 DR 의 내경, 외경 및 높이가 5.8 mm, 11.6 mm 및 6.0 mm 의 크기이며 10 dB 대역폭은 4.7-18.2 GHz 범위의 대역폭을 나타내었다.

우유 단백질 유발성 장염 증후군의 병리 기전으로 세포 자멸사와 TNF-${\alpha}$, TRAIL receptor 1 (DR4)의 발현 증가 (Apoptosis and upregulation of TNF-${\alpha}$ and TRAIL receptor 1 (DR4) in the pathogenesis of food protein-induced enterocolitis syndrome)

  • 황진복;김상표;강유나;이성룡;서성일;권택규
    • Clinical and Experimental Pediatrics
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    • 제53권4호
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    • pp.525-531
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    • 2010
  • 목 적: 융모 위축을 보이는 FPIES 환자의 소장 점막에는 TNF-${\alpha}$의 발현이 증가한다. TNF-${\alpha}$는 상피 세포의 세포 자렴사를 유발하는 것으로 알려져 있다. 저자들은 FPIES 병리생리의 특성을 알아보고자 십이지장 점막 조직에서 TNF family와 TNF-수용체 family의 세포 자멸사를 연구하였다. 방 법: 표준화된 경구 유발 시험을 통하여 FPIES로 진단된 15례의 환자와 5례의 대조군을 대상으로 연구하였다. 세포 자멸사를 확인하기 위하여 terminal deoxynucleotidyl transferase-mediated dUTP nick end-labeling (TUNEL) 염색을 시행하였다. 세포 자멸의 기전을 알아 보기 위해 TNF family의 TNF-${\alpha}$, Fas ligand (FasL)와 TNF-수용체 family의 TNF-related apoptosis-including ligand (TRAIL) receptor 1 (DR4), TRAIL receptor 2 (DR5), Fas를 면역조직화학으로 염색하였다. 결 과: $TUNEL^+$ 세포는 대조군에 비하여 FPIES 환자군의 십이지장 점막에서 의미 있게 높게 발현하였다($P$=0.043). TNF-${\alpha}$ ($P$=0.0001)와 DR4 ($P$=0.003)도 대조군에 비하여 FPIES군에서 의미 있게 높게 발현하였다. FasL, Fas, DR5의 발현은 두 군 모두에서 낮았으며, 두 군간에 의미 있는 차이를 보이지도 않았다. 결 론: FPIES의 병리생리는 세포 자멸사에 의하여 발생하며, TNF-${\alpha}$의 발현과 DR4 경로가 세포 자멸사에서 중요한 역할을 하는 것으로 추정된다.

One Pot Synthesis of Substituted [1,2,4]-Triazolo [1',2':1,2]pyrimido [6,5-b]-quinoline and Its Antibacterial Activity

  • Joshi, Ratnadeep S.;Mandhane, Priyanka G.;Chate, Asha V.;Khan, Wajid;Gill, Charansingh H.
    • Bulletin of the Korean Chemical Society
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    • 제31권8호
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    • pp.2341-2344
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    • 2010
  • A convenient synthesis of substituted [1,2,4]-triazolo [1',2':1,2]pyrimido[6,5-b]-quinoline 4(a-i) from substituted 2-chloroquinoline-3-carbaldehyde 1(a-i) and 4H-1,2,4-triazol-3-amine 2 by using $SiO_2/K_2CO_3$ under microwave irradiation. This method affords the [1,2,4]-Triazolo [1',2':1,2]pyrimido[6,5-b]-quinoline 4(a-i) under the influence of microwave irradiation in solvent-free conditions within short span (12 - 20 min), & gaves excellent yields (89 - 95%). All the synthesized compounds were further screened for their antibacterial activities. Some of our compounds showed excellent antibacterial activities against control drugs.

지역사회 보건 융합에 활용 가능한 노인 운전자용 자가-보고식평가(SAFE-DR)의 타당도 연구 (Validity of the Self-report Assessment Forecasting Elderly Driving Risk (SAFE-DR) Applicable to Community Health Convergence)

  • 최성열
    • 융합정보논문지
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    • 제9권6호
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    • pp.175-182
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    • 2019
  • 본 연구는 노인운전자용 자가 보고식 평가 SAFE-DR 개발 프로젝트의 일환으로 운전위험성 선별을 위한 기준점수를 확인하고 평가의 타당성을 검증하기 위해 수행되었다. Driver 65 Plus평가를 통해 노인운전자 132명을 58명의 위험성 운전자와 74명의 안전성 운전자로 구분하고, 이를 기준으로 SAFE-DR 평가의 위험성 예측 기준을 분석하였다. 또한 SAFE-DR 평가의 구성 타당도, 내용 타당도, 예측 타당도를 검증하였다. SAFE-DR 평가의 운전위험성 예측을 위한 기준점수는 74.5점으로 분석되었으며, 이 기준의 양성 예측도는 88.6%, 음성 예측도는 86.3%로 판별력은 훌륭한(excellent) 수준으로 확인되었다. 또한 집중타당성, 법칙타당성, 내용타당성이 적절한 것으로 판정되었다. 따라서 본 연구를 통해 SAFE-DR은 위험한 노인운전자를 선별하는 용도로 활용할 수 있는 적절한 평가임을 확인하였다.

Association of advanced chronic kidney disease with diabetic retinopathy severity in older patients with diabetes: a retrospective cross-sectional study

  • Geun Woo Lee;Chul Ho Lee;Seong Gyu Kim
    • Journal of Yeungnam Medical Science
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    • 제40권2호
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    • pp.146-155
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    • 2023
  • Background: Despite the recent increasing trend in the prevalence of type 2 diabetes among older individuals, the relationship between diabetic retinopathy (DR) and chronic kidney disease (CKD) in these patients remains unclear. This study investigated the severity of renal dysfunction according to the degree of DR in older patients with type 2 diabetes. Methods: A total of 116 patients with diabetes and CKD stage ≥3 who visited both the nephrology and ophthalmology outpatient departments between July 2021 and January 2022 were screened. There were 53 patients in the no DR group, 20 in the nonproliferative DR (NPDR) group, and 43 in the proliferative DR (PDR) group. Results: DR severity was related to the deterioration of renal function. The proportion of patients with advanced CKD significantly increased with DR severity (p for trend <0.001). In the multivariate regression model adjusted for age of ≥80 years, male sex, poorly controlled diabetes, macroalbuminuria, insulin use, diabetes duration of ≥10 years, cerebrovascular accident, hypertension, hyperlipidemia, and cardiovascular disease history, the odds ratio compared with the no DR group was approximately 4.6 for the NPDR group and approximately 11.8 for the PDR group, which were both statistically significant (p=0.025 and p<0.001, respectively). Conclusion: DR severity in older patients with diabetes may be associated with deterioration of renal function and high prevalence of advanced CKD. Therefore, periodic examination for DR in older patients with diabetes is important for predicting renal function deterioration and CKD progression.

Effects of Drynariae Rhizoma on the Proliferation of Human Bone Cells

  • Lee, Bu-Tae;Jeong, Ji-Cheon
    • 대한한의학회지
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    • 제24권4호
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    • pp.43-53
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    • 2003
  • Drynariae Rhizorna (DR), an herbal medicine known for its effect to purify blood quality and improve circulation, frequently appears as the main ingredient in prescriptions for bone injuries. Currently, how pharmacologically it contributes to the reformation of bone is unclear. In the present study, the effect of the aqueous extract of DR on bone cells was investigated in vitro for the first time. The human osteoprecursor cells (OPC-I) were incubated in the medium with different concentrations of the aqueous extract of DR and the cell proliferation was studied. When the concentration of DR aqueous extract was $<120{\;}\mu\textrm{g}/ml$, the proliferation of OPC-I was enhanced. However, the proliferation of OPC-I was inhibited by DR extract with the concentrations $>250{\;}\mu\textrm{g}/ml$. Under most treatments, the cells presented very pale expression for cyclooxygenase-2 (Cox 2) protein; a slightly intensified band showed at the highest DR concentration, 1.0 mg/ml during the course of culture. From the results, it was concluded that the aqueous extract of DR was found to directly stimulate the proliferation, alkaline phosphatase (ALP) activity, protein secretion and particularly type I collagen synthesis of OPC-I at dose-dependent manner.

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유방촬영의 화질관리 환경에 대한 고찰 (A Study of Quality Control Environment of Mammography)

  • 황인선;김영근;주형윤
    • 대한디지털의료영상학회논문지
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    • 제12권2호
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    • pp.133-138
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    • 2010
  • The purpose of this study was to survey and test quality control of mammography system. The conclusion of this study is as follows ; First, The rate of pass for phantom image test shows that Film-Screen mammography system(F/S) and computed mammography system(CR) is 80%, Indirect digital mammography system(DR) is 100%. Second, The test of exposure dose shows that F/S is 921 mR. CR is 1,140 mR, DR is 474 mR. The grade of this testament is CR > F/S > DR. Third, The test of average glandular dose shows that F/S is 1,336 mGy, CR is 1,635 mGy, DR is 1,26 mGy. The grade of this testament is CR > F/S > DR. Fourth, The testament of resolution shows as follows F/S is 11~13 Lp/mm, CR is 4~5 Lp/mm, and DR is 5~7 Lp/mm(F/S > DR > CR) Fifth, The survey of projection, cassette, development and reading shows that user are indifference.

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Altered Delayed Rectifier $K^+$ Current of Rabbit Coronary Arterial Myocytes in Isoproterenol-Induced Hypertrophy

  • Kim, Na-Ri;Han, Jin;Kim, Eui-Yong
    • The Korean Journal of Physiology and Pharmacology
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    • 제5권1호
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    • pp.33-40
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    • 2001
  • The aim of present study was to define the cellular mechanisms underlying changes in delayed rectifier $K^+\;(K_{DR})$ channel function in isoproterenol-induced hypertrophy. It has been proposed that $K_{DR}$ channels play a role in regulation of vascular tone by limiting membrane depolarization in arterial smooth muscle cells. The alterations of the properties of coronary $K_{DR}$ channels have not been studied as a possible mechanism for impaired coronary reserve in cardiac hypertrophy. The present study was carried out to compare the properties of coronary $K_{DR}$ channels in normal and hypertrophied hearts. These channels were measured from rabbit coronary smooth muscle cells using a patch clamp technique. The main findings of the study are as follows: (1) the $K_{DR}$ current density was decreased without changes of the channel kinetics in isoproterenol-induced hypertrophy; (2) the sensitivity of coronary $K_{DR}$ channels to 4-AP was increased in isoproterenol-induced hypertrophy. From the above results, we suggest for the first time that the alteration of $K_{DR}$ channels may limit vasodilating responses to several stimuli and may be involved in impaired coronary reserve in isoproterenol-induced hypertrophy.

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