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Evaluation of the Usefulness of Restricted Respiratory Period at the Time of Radiotherapy for Non-Small Cell Lung Cancer Patient (비소세포성 폐암 환자의 방사선 치료 시 제한 호흡 주기의 유용성 평가)

  • Park, So-Yeon;Ahn, Jong-Ho;Suh, Jung-Min;Kim, Yung-Il;Kim, Jin-Man;Choi, Byung-Ki;Pyo, Hong-Ryul;Song, Ki-Won
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.2
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    • pp.123-135
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    • 2012
  • Purpose: It is essential to minimize the movement of tumor due to respiratory movement at the time of respiration controlled radiotherapy of non-small cell lung cancer patient. Accordingly, this Study aims to evaluate the usefulness of restricted respiratory period by comparing and analyzing the treatment plans that apply free and restricted respiration period respectively. Materials and Methods: After having conducted training on 9 non-small cell lung cancer patients (tumor n=10) from April to December 2011 by using 'signal monitored-breathing (guided- breathing)' method for the 'free respiratory period' measured on the basis of the regular respiratory period of the patents and 'restricted respiratory period' that was intentionally reduced, total of 10 CT images for each of the respiration phases were acquired by carrying out 4D CT for treatment planning purpose by using RPM and 4-dimensional computed tomography simulator. Visual gross tumor volume (GTV) and internal target volume (ITV) that each of the observer 1 and observer 2 has set were measured and compared on the CT image of each respiratory interval. Moreover, the amplitude of movement of tumor was measured by measuring the center of mass (COM) at the phase of 0% which is the end-inspiration (EI) and at the phase of 50% which is the end-exhalation (EE). In addition, both observers established treatment plan that applied the 2 respiratory periods, and mean dose to normal lung (MDTNL) was compared and analyzed through dose-volume histogram (DVH). Moreover, normal tissue complication probability (NTCP) of the normal lung volume was compared by using dose-volume histogram analysis program (DVH analyzer v.1) and statistical analysis was performed in order to carry out quantitative evaluation of the measured data. Results: As the result of the analysis of the treatment plan that applied the 'restricted respiratory period' of the observer 1 and observer 2, there was reduction rate of 38.75% in the 3-dimensional direction movement of the tumor in comparison to the 'free respiratory period' in the case of the observer 1, while there reduction rate was 41.10% in the case of the observer 2. The results of measurement and comparison of the volumes, GTV and ITV, there was reduction rate of $14.96{\pm}9.44%$ for observer 1 and $19.86{\pm}10.62%$ for observer 2 in the case of GTV, while there was reduction rate of $8.91{\pm}5.91%$ for observer 1 and $15.52{\pm}9.01%$ for observer 2 in the case of ITV. The results of analysis and comparison of MDTNL and NTCP illustrated the reduction rate of MDTNL $3.98{\pm}5.62%$ for observer 1 and $7.62{\pm}10.29%$ for observer 2 in the case of MDTNL, while there was reduction rate of $21.70{\pm}28.27%$ for observer 1 and $37.83{\pm}49.93%$ for observer 2 in the case of NTCP. In addition, the results of analysis of correlation between the resultant values of the 2 observers, while there was significant difference between the observers for the 'free respiratory period', there was no significantly different reduction rates between the observers for 'restricted respiratory period. Conclusion: It was possible to verify the usefulness and appropriateness of 'restricted respiratory period' at the time of respiration controlled radiotherapy on non-small cell lung cancer patient as the treatment plan that applied 'restricted respiratory period' illustrated relative reduction in the evaluation factors in comparison to the 'free respiratory period.

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Effects of Chelidonii Herbal-acupuncture solution Anti-inflammatory in RAW 264.7 macrophages (백굴채약침액(白屈菜藥針液)이 LPS로 유도(誘導)된 RAW 264.7 대식세포(大食細胞)에서의 항염증효과(抗炎症效果))

  • Park, Dong-Cheon;Park, Ji-Hyeon;Lee, U-Kyung;Leek, Jin-Kyu;Seo, Il-Bok;Kim, Ho-Hyun;Kim, Jeong-Seon;Kim, Ee-Hwa
    • Korean Journal of Acupuncture
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    • v.21 no.2
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    • pp.125-137
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    • 2004
  • Objectives : Recently, Herbal-acupuncture therapeutics has been used for the treatment of inflammatory diseases such as rheumatoid arthritis. Especially, we have been interested in chemical mediators concerned with inflammation such as prostaglandin, cytokine, nitrous oxide. The purpose of this study is investigated that the effect of Chelidonii Herbal-acupuncture solution in lipopolysaccharide-stimulated RAW 264.7 macrophages, performed several expeimental items : those are prostaglandin $E_2$, nitric oxide and cyclooxygenase-2. Methods : The cytotoxicity of Chelidonii Herbal-acupuncture solution in RAW 264.7 macrophages were measured by MTT-based cytotoxicity assay. In order to observe cyclooxygenase-2 mRNA expression in lipopolysaccharide-stimulated RAW 264.7 macrophages, RT-PCR was used. Prostaglandin $E_2$ formation and nitric oxide production was measured by competitive enzyme immunoassay and Griess assay. Results : 1.The MTT assay demonstrated that cytotoxic effect of Chelidonii Herbal-acupuncture solution in RAW 264.7 macrophages were not appeared before concentration of 1mg/ml. 2.Chelidonii Herbal-acupuncture solution inhibited cyclooxygenase-2 mRNA expression in lipopolysaccharide-stimulated RAW 264.7 macrophages. 3. Chelidonii Herbal-acupuncture solution inhibited nitric oxide production in lipopolysaccharide-stimulated RAW 264.7 macrophages. 4. Chelidonii Herbal-acupuncture solution inhibited prostaglandin $E_2$ formation in lipopolysaccharide-stimulated RAW 264.7 macrophages. Conclusions : On the basis of these results, It was shown that Chelidonii Herbal-acupuncture solution is significantly able to inhibit the production of $PGE_2$ and NO, as well as COX-2 mRNA expression. Our results may provide new mechanism by which Chelidonii Herbal-acupuncture solution accounts for its beneficial effect on accelerating wound healing and anti-inflammation.

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Water Extract of Rosa laevigata Michx. Protects Hepatocytes from Arachidonic Acid and Iron-mediated Oxidative Stress (아라키돈산과 철 유도성 산화적 스트레스에 대한 금앵자(金櫻子) 열수 추출물의 간세포 보호 효능)

  • Ko, Hae Li;Jegal, Kyung Hwan;Song, Si Yeon;Kim, Nan Ee;Kang, Jiwon;Byun, Sung Hui;Kim, Young Woo;Cho, Il Je;Kim, Sang Chan
    • The Korea Journal of Herbology
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    • v.30 no.6
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    • pp.7-15
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    • 2015
  • Objectives : Rosa laevigata Michx. has been used for the treatment of renal disease in traditional Korean medicine. In this study, we investigated cytoprotective effect of R. laevigata water extract (RLE) against oxidative stress induced by arachidonic acid (AA) + iron.Methods : To evaluate the protective effects of RLE against AA + iron-induced oxidative stress in HepG2 cell, cell viability and changes on apoptosis-related proteins were assessed by MTT and immunoblot analyses. The effects of RLE on reduced glutathione level, production of reactive oxygen species and mitochondrial membrane potential were also monitored. Furthermore, to verify underlying molecular mechanism, NF-E2-related factor 2 (Nrf2) was examined by immunoblot analysis. Additionally, Nrf2 transactivation and its downstream target genes expression were also determined by reporter gene and realtime RT-PCR analyses.Results : RLE pretreatment (30-300 μg/ml) prevented cells from AA + iron-mediated cell death in a concentration dependent manner. In addition, 100 μg/ml RLE inhibited AA + iron-induced glutathione depletion, reactive oxygen species production and mitochondrial dysfunction. RLE accumulated nuclear Nrf2 and also transactivated Nrf2, which was evidenced by antioxidant response element- and glutathione S-transferase A2-driven luciferase activities and mRNA level of glutamate-cysteine ligase catalytic subunit, NAD(P)H:quinone oxidoreductase 1 and sestrin 2. Moreover, protective effect of RLE against AA + iron was abolished in Nrf2 knockout cells.Conclusions : These results indicate that RLE has the ability to protect hepatocyte against oxidative stress through Nrf2 activation.

Gonadal Maturation and Artificial Spawning of the Manila Clam, Ruditapes philippinarum (Bivalvia: Veneridae), in Komso Bay, Korea

  • Chung Ee-Yung;Hur Sung Bum;Hur Young-Baek;Lee Jung Sick
    • Fisheries and Aquatic Sciences
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    • v.4 no.4
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    • pp.208-218
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    • 2001
  • We have investigated the gonad index (GI), gonadal development, reproductive cycle, first sexual maturity, sex ratio, the number of spawned eggs and spawning frequency of the Manila clam, Ruditapes philippinarum. Samples were collected from the intertidal zone of Komso Bay, Korea from January to December in 1999. Monthly changes in the gonad index (GI) and condition index showed a similar pattern in the reproductive cycle. The spawning period was once a year between early June and early October, there was a spawning peak between July and August when seawater temperature was over $20^{\circ}C$. The reproductive cycle of this species can be categorized into five successive stages; early active (February to March), late active (April to May), ripe (April to August), partially spawned (June to October), and spent/inactive stage (August to March). Percentages of first sexual maturity of female and male clams of l5.1-20.0mm in shell length were $56.3\%$ and $60.0\%$, respectively, and $100\%$ for the clams >25. mm. The sex ratio of individuals >15.1 mm in shell length was about 1:1 $(\chi^2= 0.02,\;p>0.05)$. Number of the eggs released from each clam by the induction increased as the size of clam in terms of shell length increased. Mean number of the eggs from the second induction of the spawning was $75.35-84.30\%$ $(average\;79.81\%)$ of the number of the eggs released in the first spawning. Our data indicated that R. philippinarum in Komso Bay has one major spawning peak with over two minor spawning, and the interval of each spawning was estimated to be approximately 15-17 (average 16.5) days.

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Macro- and Micro-nutrient Utilization and Milk Production in Crossbred Dairy Cows Fed Finger Millet (Eleucine coracana) and Rice (Oryza sativa) Straw as Dry Roughage Source

  • Gowda, N.K.S.;Prasad, C.S.
    • Asian-Australasian Journal of Animal Sciences
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    • v.18 no.1
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    • pp.48-53
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    • 2005
  • Finger millet straw and rice straw are the major source of dry roughage in southern India. They distinctly vary in their morphological and nutritional characters. Hence an effort was made to study the nutrient utilization, milk yield and composition in crossbred dairy cows fed either finger millet (group 1) or rice straw (group 2) as a source of dry roughage. The cows in both the groups were fed as per requirement with concentrate, green fodder and straw in the ratio of 30:45:25 parts (DM). At the end of 50 days of preliminary feeding a digestibility trial was conducted for 7 days and pooled samples of feed, fodder, feces, urine and milk were analysed for macro and micro nutrient content. Finger millet straw contained more CP, Ca, P, Mg, Cu, Zn and Co than rice straw and rice straw contained higher ADF, ash and silica. The intake of DM, CP, EE, NDF, ADF and most micronutrients (Ca, P, Mg, Cu, Zn, Fe, Mn and Co) was significantly higher in cows fed finger millet straw. The digestibility of DM, CP, NDF and ADF was significantly higher in cows fed finger millet straw and the gut absorption of Ca, Cu, Mn and Co was significantly higher in cows fed finger millet straw. The dietary requirement of all micronutrients in both the group of cows could be met irrespective of the type of roughage fed except that of Ca, which was low (0.61 and 0.40%) in rice straw fed cows. The average daily milk yield (L/cow) was also higher (7.0 L) in cows fed finger millet straw as compared to cows fed rice straw (6.3 L). The average milk composition also did not differ except that of milk fat which was significantly (4.7 and 4.5%) low in cows fed rice straw. The overall results of this study have indicated that finger millet straw is a better source of dry fodder than rice straw and while feeding rice straw as the sole roughage to dairy cows there is need to supplement additional calcium as this could be one of the limiting nutrients for milk production.

Feed Intake, Nutrient Utilization and Growth Rate of Jamunapari Goats Fed Sundried Leucaena leucocephala

  • Srivastava, S.N.L.;Sharma, K.
    • Asian-Australasian Journal of Animal Sciences
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    • v.11 no.4
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    • pp.337-343
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    • 1998
  • In a feeding trial, Jamunapari male kids (18) of about 4 months age were equally divided into two groups of nine animals each. Goats in the experimental group were fed sun-dried pelleted Leucaena leucocephala leaves and those in the control group were offered a conventional diet without Leucaena leaves as per Kearl (1982) recommendations for a period of 6 months. Daily dry matter intake DMI/100 kg BW was $3.13{\pm}0.04kg$ in the Leucaena group and $3.30{\pm}0.05kg$ in the control. There were significant (p < 0.01) differences in the apparent digestibilities of DM, OM, CP, EE, CF and NFE being lower in the Leucaena group. Contents of digestible crude protein (DCP) and total digestible nutrients (TDN) were 11.40 and 52.20%, respectively, in the Leucaena group and 14.04 and 66.10%, respectively in the control. The nitrogen in the Leucaena group was not well utilized as compared to the control, though kids were in positive nitrogen balance in both the groups. The average daily weight gain of kids on pelleted Leucaena was $29.95{\pm}2.60g$ as against $42.09{\pm}3.24g$ observed in the control. The mean DMI/kg LW gain was significantly (p < 0.01) higher in the Leucaena group ($14.70{\pm}0.78kg$) as compared to the control ($11.55{\pm}0.46kg$). The Hb, BUN, SGOT and SGPT concentrations were statistically similar in both the groups. Histopathological examination of thyroid gland of goats sacrificed at the end of experiment did not reveal any signs of colloidal goitre associated with mimosine toxicity. No significant pathological alterations were observed in vital organs irrespective of dietary treatment. Sundried, pelleted Leucaena foliage appears to be a promising potential feed for growing goats without any significant deleterious effect.

Risk of Treatment Related Death and Febrile Neutropaenia with Taxane-Based Adjuvant Chemotherapy for Breast Cancer in a Middle Income Country Outside a Clinical Trial Setting

  • Phua, Chee Ee;Bustam, Anita Zarina;Yusof, Mastura Md.;Saad, Marniza;Yip, Cheng-Har;Taib, Nor Aishah;Ng, Char Hong;Teh, Yew Ching
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4623-4626
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    • 2012
  • Background: The risk of treatment-related death (TRD) and febrile neutropaenia (FN) with adjuvant taxane-based chemotherapy for early breast cancer is unknown in Malaysia despite its widespread usage in recent years. This study aims to determine these rates in patients treated in University Malaya Medical Centre (UMMC). Patients and Methods: Patients who were treated with adjuvant taxane-based chemotherapy for early breast cancer stages I, II or III from 2007-2011 in UMMC were identified from our UMMC Breast Cancer Registry. The TRD and FN rates were then determined retrospectively from medical records. TRD was defined as death occurring during or within 30 days of completing chemotherapy as a consequence of the chemotherapy treatment. FN was defined as an oral temperature > $38.5^{\circ}C$ or two consecutive readings of > $38.0^{\circ}C$ for 2 hours and an absolute neutrophil count < $0.5{\times}10^9/L$, or expected to fall below $0.5{\times}10^9/L$. Results: A total of 622 patients received adjuvant chemotherapy during this period. Of these patients 209 (33.6%) received taxane-based chemotherapy. 4 taxane-based regimens were used namely the FEC-D, TC, TAC and AC-PCX regimens. The commonest regimen employed was the FEC-D regimen accounting for 79.9% of the patients. The FN rate was 10% and there was no TRD. Conclusion: Adjuvant taxane-based chemotherapy in UMMC for early breast cancer has a FN rate of 10%. Primary prophylactic G-CSF should be considered for patients with any additional risk factor for FN.

Situation Analysis of Work Performance on the Occupational Health Nursing Services Provided in Small Scale Enterprises of Korea (보건관리대행 산업간호사의 업무수행 실태분석)

  • Yoo, Kyung Hae;Ahn, Sung Hee;Cha, Nam Hyun;Song, Yean Ee;Kim, Jeong Ah;Yang, Su Hyung
    • Korean Journal of Occupational Health Nursing
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    • v.7 no.2
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    • pp.186-199
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    • 1998
  • Necessity for the guidebook of occupational health nursing practice has been perceived by our OH research members since the health management of small scale enterprises(SSE) was controlled by law. Mean-while, developing the OH manual, our team found that the work situation of occupational health nursing(OHN) services should be prior to the construction of the OHN manual. This procedure was regarded as helpful for producing the OH manual which is fitting to the Korean nursing circumstances. Thus, this study was planned and carried out. The study aimed to find out current situation of work performance on occupational health nursing practice perceived by nurses working for health management of SSE. Questionnaire was distributed to the OH nurses working in the 55 group occupational health service(GOHS) agencies throughout the Korea from January to March in 1997. Ninety-seven nurses of the 31 GOHS agencies responded. Descriptive statistics was used in the SAS programme. Four nurses participated to select nursing area investigated in the study. Those area were 'document', 'job orientation', 'OH reference', 'nursing theory', 'group health education', 'health examination', 'work dilemma', 'approach attitude', 'workplace visit', 'health promotion' and 'communication'. Results can be summarized as follow : Types of document were mentioned diversely depending on the GOHS agencies. Job orientation was seen to be performed by nurses in 56% among the 75.3% nurses responded. Sixty five percents of nurses agreed to apply nursing theories into the OH with lack of knowledge on them. Health screening and health education were responded as commonly provided nursing activities with various nursing obstacles as well as indicated in the area of 'work dilemma', 'approach attitude', 'workplace visit', 'health promotion'.

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A study on health risk assessment for small-scale water works in Gyeongnam province from 2014 to 2016 (2014~2016년 동안 경남지역 소규모 급수시설에 대한 건강 위해성 평가 연구)

  • Park, Ju-Won;Son, Song-Ee;Lee, Hu-Jang
    • Journal of Environmental Health Sciences
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    • v.44 no.3
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    • pp.227-237
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    • 2018
  • Objectives: This study was investigated the characteristics of small-scale water works (SWW) in Gyeongnam area and conduct a health risk assessment of water-quality inspection items unfitted for water-quality standards (WQS). Methods: The characteristics of SWW in Gyeongnam province were analyzed using the data of SWW in the last three years (2014~2016) published in National Waterworks Information System. In addition, the health risk assessment for inspection items unfitted for WQS was carried out in four steps: hazard identification, dose-response assessment, exposure assessment, and risk characterization. Results: The total number of SWW in Gyeongnam area was gradually decreased from 2014 to 2016. In addition, drinking water sources of SWW were in the order of ground water, valley water, spring water, surface water, and river-bed water. The number of points unfitted for WQS in SWW by year was 22, 45, and 18 in 2014, 2015, and 2016, respectively, and a total of 112 points were found to unfit for WQS in SWW during 2014~2016. The hazard quotient (HQ) for fluoride, nitrate nitrogen, boron in the unfitted points for WQS was more than 1.0, and the mean values for turbidity and color in points unfitted for WQS were 2.38 nephelometric turbidity unit and 16.25 color unit, respectively. Conclusions: The HQ for fluorine, nitrate nitrogen and boron was more than 1.0 in points unfitted for WQS among SWW in Gyeongnam area, and the turbidity and the color degree exceeded WQS, which mean that there is a possibility of harmful impacts on the human health.

Impact of Particle Length of Alfalfa Hay in the Diet of Growing Lambs on Performance, Digestion and Carcass Characteristics

  • Al-Saiady, M.Y.;Abouheif, M.A.;Aziz Makkawi, A.;Ibrahim, Hafiz A.;Al-Owaimer, A.N.
    • Asian-Australasian Journal of Animal Sciences
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    • v.23 no.4
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    • pp.475-482
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    • 2010
  • Thirty-six Najdi ram lambs, weighing an average of 24 kg and circa 3 months old, were utilized in this trial to evaluate the effects of various alfalfa hay particle lengths in the diet on growth performance, digestion coefficients, nitrogen retention and carcass characteristics. Lambs were randomly allotted to three dietary treatments: 9.5 and 14 mm diets, where alfalfa hay was processed to 9.5 and 14 mm particle lengths, respectively, mixed with 3 parts of concentrate and pelleted as a total mixed ration (TMR), and long hay diet, where one part of loose alfalfa hay (17.8${\pm}$2.4 cm) was offered in combination with 3 parts of only-concentrate pellet. All dietary treatments were homogeneous in their ingredient composition. All lambs were slaughtered after a 14-week feeding trial. Although the results showed no significant effect of hay particle length on DMI, TDN and DCP, lambs fed the 9.5 mm pelleted diet had higher (p<0.05) final body weight, ADG, gain efficiency and nitrogen retention than lambs fed the 14 mm and long hay diets. Altering the particle length of alfalfa hay in diets did not affect the digestibility of DM or CP, whereas digestibilities of ADF and NDF were 3.7% and 5.4% higher (p<0.05), respectively, for the long hay diet versus the 9.5 mm pelleted diet. Hot carcass weight, percentage of separable lean from the $9-11^{th}$ rib joint, and percentages of protein and EE in the separable lean increased (p<0.05) as the particle length of alfalfa hay in the diet decreased. Under the conditions of this study, the reduction of particle length in the TMR played an important role in enhancing performance without altering DM consumption, and this may lead to more efficient productivity of lamb fattening compared with longer chopping lengths.