• Title/Summary/Keyword: Endpoints

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Efficacy of the pocket-creation method with a traction device in endoscopic submucosal dissection for residual or recurrent colorectal lesions

  • Daisuke Ide;Tomohiko Richard Ohya;Mitsuaki Ishioka;Yuri Enomoto;Eisuke Nakao;Yuki Mitsuyoshi;Junki Tokura;Keigo Suzuki;Seiichi Yakabi;Chihiro Yasue;Akiko Chino;Masahiro Igarashi;Akio Nakashima;Masayuki Saruta;Shoichi Saito;Junko Fujisaki
    • Clinical Endoscopy
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    • v.55 no.5
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    • pp.655-664
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    • 2022
  • Background/Aims: Endoscopic submucosal dissection (ESD) for residual or recurrent colorectal lesions after incomplete resection is challenging because of severe fibrosis. This study aimed to compare the efficacy of the pocket-creation method (PCM) with a traction device (TD) with that of conventional ESD for residual or recurrent colorectal lesions. Methods: We retrospectively studied 72 patients with residual or recurrent colorectal lesions resected using ESD. Overall, 31 and 41 lesions were resected using PCM with TD and conventional ESD methods, respectively. We compared patient background and treatment outcomes between the PCM with TD and conventional ESD groups, respectively. The primary endpoints were en bloc resection and R0 resection rates. The secondary endpoints were the dissection speed and incidence of adverse events. Results: En bloc resection was feasible in all cases with PCM with TD, but failed in 22% of cases of conventional ESD. The R0 resection rates for PCM with TD and conventional ESD were 97% and 66%, respectively. Dissection was significantly faster in the PCM with TD group (13.0 vs. 7.9 mm2/min). Perforation and postoperative bleeding were observed in one patient in each group. Conclusions: PCM with TD is an effective method for treating residual or recurrent colorectal lesions after incomplete resection.

Action Spectra of Apoptosis Induction and Reproductive Cell Death in L5178Y cells in UV-B Region

  • Mizuho Aoki;Yoshiya Furusawa;Higashi, Sho-ichi;Masakatsu Watanabe
    • Journal of Photoscience
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    • v.9 no.2
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    • pp.454-456
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    • 2002
  • It is important to determine the action spectrum of UV-B radiation contained in the sunlight to estimate the risk of skin cancer. We have investigated action spectra for induction of apoptosis and reproductive cell death in L5178Y cells using the Okazaki Large Spectrograph at NIBB. L5178Y cells were exposed to light at different wavelengths in UV-B or UV-A region. Frequencies of apoptosis induction and reproductive cell death were determined by counting cells with chromatin condensation, and by the colony formation assay, respectively. The measured sensitivity spectra for the two end-points were in very good agreement. Sensitivity decreased steeply with increase of wavelength in UV-B region and remains nearly constant in UV-A region. The action spectra were also slightly steeper than that for the minimum erythematic dose (MED), but very similar to the light absorption spectrum of DNA in UV-B region. On the other hand, the spectra for both endpoints were similar to MED spectrum but not DNA spectrum in the UV-A region. Also different time-course and morphological difference of apoptosis were found between UV-B (long time, fragmentation) and UV-A (short time, shrinkage) region. These results suggest that DNA damage induced by UV-B light triggers apoptosis and reproductive cell death, but other damaged targets (membrane, protein and so on) trigger these effects in UV-A region.

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Developmental and Neurobehavioral Effects of Mycotoxin Fumonisin B1 in Rats

  • Kwon, Oh-Seung;Ryu, Jae-Chun
    • Toxicological Research
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    • v.16 no.2
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    • pp.117-124
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    • 2000
  • The objective of this experiment is to investigate neurobehavioral and developmental effects of fumonisin B1 (FB1) after prenatal FB1 administration in rats. FB1 (0.8 or 1.6 mg/kg) was orally exposed to pregnant rats during gestational days 13 to 20, whereas the vehicle alone was administered to control group. Maternal and offspring body weights, physical landmarks of incisor eruption, eye opening, testes descending and vaginal opening, open field activity, running wheel activity, and complex maze performance were included as endpoints for developmental and neurobehavioral measurement. Maternal body weights were not signfficantly altered after FB1 exposure. Percentage of maternal weight gain difference between control and 1.6 mg/kg FBI groups was about 4%. Pre- and post-weanling weight of offsprings after prenatal exposure to FB1 was not signfficantly changed, suggesting that FB1 at 0.8 or 1.6 kg/kg doses may not cross the placenta. Significant gender difference in running wheel activity on postnatal days 57 to 63 and complex maze performance on postnatal days 75 to 78 was observed.

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Mobile IPv6 Session Key Distribution Method At Radius-based AAAv6 System

  • Lee Hae Dong;Choi Doo Ho;Kim Hyun Gon
    • Proceedings of the IEEK Conference
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    • 2004.08c
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    • pp.581-584
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    • 2004
  • Currently, there are many subscriber access networks: PSTN, ADSL, Cellular Network, IMT200 and so on. To these service providers that provide above network service, it is important that they authenticate and authorize legal subscribers and account for their usage. At present, There exist the several protocols that Support AAA(Authentication, Authorization and Accounting) service : RADIUS, Diameter, TACACS+. Nowadays, RADIUS has used for AAA service widely. It has been extended to support other access network environment. So, we extend RADIUS to support environment of Mobile IPv6. Mobile IPv6 uses IPsec as a security mechanism, basically. But, IPsec is a heavy security technology for small, portable, mobile device. Especially, it is serious at IKE, the subset of IPsec. IKE is a key distribution protocol that distributes the key to the endpoints of IPsec. In t:lis paper, we extend RADIUS to support environment of Mobile IPv6 and simplify the IKE phase of IPsec by AAA system distributing the keys by using its security communication channel. Namely, we propose the key distribution method for IPsec SA establishment between mobile node and home agent. The suggested method was anticipated to be effective at low-power, low computing deyice. Finally, end users feel the faster authentication.

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Radiofrequency catheter ablation of atrioventricular nodal reentry tachycardia in children and adolescents: a single center experience

  • Hyun, Myung Chul
    • Clinical and Experimental Pediatrics
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    • v.60 no.12
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    • pp.390-394
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    • 2017
  • Purpose: Atrioventricular nodal reentry tachycardia (AVNRT) is less common in pediatric patients than in adult patients. Thus, data for pediatric AVNRT patients are insufficient. Hence, we aimed to analyze the patient characteristics, treatment, and any recurrences in pediatric AVNRT patients. Methods: We reviewed the records of 50 pediatric AVNRT patients who had undergone radiofrequency catheter ablation (RFCA) between January 1998 and December 2016 at a single regional center. The patients were aged ${\leq}18years$. Results: Among 190 pediatric patients who underwent RFCA for tachyarrhythmia, 50 (26.3%; mean age, $13.4{\pm}2.6years$) were diagnosed as having AVNRT by electrophysiological study. Twenty-five patients (25 of 50, 50%) were male. Twenty patients (20 of 50, 40%) used beta-blockers before RFCA. All patients had no structural heart disease except 1 patient with valvular aortic stenosis and coarctation of the aorta. RFCA was performed using the anatomic approach under fluoroscopic guidance. The most common successfully ablated region was the midseptal region (25 of 50, 50%). Slow pathway (SP) ablation and SP modulation were performed in 43 and 6 patients, respectively. Complication occurred in 1 patient with complete atrioventricular block. During follow-up, 6 patients had recurrence of supraventricular tachycardia, as confirmed by electrocardiography. Among them, 5 underwent successful ablation at the first procedure. In 1 patient, induction failed during the first procedure. Conclusion: RFCA is safe and effective in pediatric AVNRT patients. However, further research is needed for establishing the endpoints of ablation in pediatric AVNRT patients and for identifying risk factors by evaluating data on AVNRT recurrence after RFCA.

Cancer Gene Therapy : Chemosensitization by an Enzyme-Prodrug Activation Strategy

  • Chung, Injae
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1997.11a
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    • pp.35-39
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    • 1997
  • Recent development of human genetics and techniques of gene transfer and expression have opened the way for investigating novel approaches based on the genetic modification of cells to treat both inherited and acquired diseases. This approach is referred to as gene therapy. Over the past few years, gene therapy has moved from the laboratory to phase I clinical trials. Although the clinical performance of gene transfer experiments is still in an early phase of development, the NIH of Health Recombinant DNA Advisory Comittee (RAC) has approved more than 150 protocols that involve gene transfer or putative gene therapy procedures in clinical settings. Many sectors of society in United States have participated in the design and formulation of these clinical trials through local Institutional Review Boards, the National Institutes of Health (NIH) RAC, the Chemotherapy Evaluation Program of the National Cancer institute, and the FDA. Currently, clinical trials involving gene modification are under way at many medical centers throughout the United Slates. The goals of these trials are as follows. (1) The design should be directed to short-term achievable goals. (2) Each clinical trial is best considered as an intermediate step in a multistep process. (3) The design should identify evaluable proximate endpoints for toxicity and for efficacy, (4) The potential benefits and possible risks for patients participating in these trial should be defined.

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Control of Bezier Curve Shapes by Midpoint Slope Handle (중점 기울기 핸들에 의한 베지에 곡선 제어)

  • Jou, Wou-Seok;Jang, Hyuk-Soo;Lim, Tae-Shik
    • The Transactions of the Korea Information Processing Society
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    • v.7 no.9
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    • pp.3019-3028
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    • 2000
  • One of the most frequently used spline scheme in CAD and graphics package is Bezier curve. Although simple and easy to implement, it supports diverse kinds of curves and surfaces. In view of the design convenience, the main advantage of the Bezier curves is that they observe user-specified slope conditions at both endpoints while maintaining smoothness. This paper expands the advantage by deriving equations for generalized Bezier curves, and applying the equation to observe additional slope condition at midpoint. This is possible by decomposing and analyzing the user-specified midpoint slope, and reflecting the result back into the Bezier basis matrix in parametric form. Consequently, users can control the curve shapes not only by the endpoint slope handles but also at the midpoint slope handle, which helps them to be able to apply more accurate control over the conventional Bezier curve shapes.

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SIMULATION OF FLUID-STRUCTURE INTERACTION OF A TOWED BODY USING AN ASYMMETRIC TENSION MODEL (비대칭 장력 모델을 이용한 예인 물체의 유체-구조 상호작용 모사)

  • Shin, Sang-Mook
    • Journal of computational fluids engineering
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    • v.16 no.1
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    • pp.7-13
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    • 2011
  • The fluid-structure interaction of a towed body is simulated using a developed code, which is based on the flux-difference splitting scheme on the hybrid Cartesian/immersed boundary method. To improve the stability in the coupling between the fluid and structure domains, a scheme is used, in which the effects of structure deformation are treated implicitly. The developed code is validated for the fluid-structure interaction problem through comparisons with other results on the vortex-induced vibration of elastically mounted cylinders. To simulate behavior of a towed body, an asymmetric tension modelling for a towing cable is suggested. In the suggested model, the tension is proportional to the elongation of the cable, but the cable has no effect on the body motion whenever the distance between the endpoints of the cable is smaller than the original length of the cable. The fluid-structure interactions of a towed body are simulated on the basis of different parameters of the towing cables. It is observed that the suggested tension model predicts the snapping for a shorter towing cable, which is in accordance with the reported results.

The Toxicological Effects of Ahnjon-Yichun-Tang in Pregnant Rats and Fetuses (안존이천탕 추출물이 흰쥐의 모체 및 태자에 미치는 영향)

  • Kim, Bum Hoi
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.2
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    • pp.157-168
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    • 2013
  • The objective of this study was to characterize the adverse effects of Ahnjon-Yichun-Tang during early pregnancy. Following successful mating, female Sprague-Dawley rats were given Ahnjon-Yichun-Tang(AYT) extract by oral administration daily with dose of 150mg (n=10), 300mg(n=10), 450mg(n=10) for 20 days of pregnancy. The rats in Control group(n=10) were orally administrated with Saline. All pregnant rats of Ahnjon-Yichun-Tang-treated and Control groups were sacrificed on day 20 of pregnancy. The pregnancy outcome was determined and the internal and reproductive organs of pregnant rat were observed. The fetuses were examined for the presence of various developmental toxic endpoints and stained with alcian blue and alizarin red S, and observed skeletal malformations. The results obtained in this study represent that there is no significant changes between Control and Ahnjon-Yichun-Tang-treated groups in body weight, organ weight, blood chemistry values, hematological values and pregnancy indexes of pregnant rat. The skeletal malformation of fetus was not observed as well. These results suggest that oral administration of Ahnjon-Yichun-Tang does not produce either maternal or developmental toxicity.

Development of an Arc Segmentation Technique Based on Line Segment Expansion from Simple Drawing (단순한 도면으로부터 선분 확장을 이용한 아크 분할 기법 개발)

  • 정성태
    • Journal of Korea Multimedia Society
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    • v.7 no.4
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    • pp.579-591
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    • 2004
  • This paper presents a new arc segmentation method which extracts curves from simple drawing consisted of straight lines and curves and segments them into circular arcs. First, it finds center points and finds line segments and curve segments by tracing connected center points. Next, it expands the segment by searching neighbor segment at the two endpoints. Next, it removes straight lines and segments the extracted curves into circular arcs by using the recursive subdivision method. The proposed method has been compared with previous vectorization software and vector based arc segmentation method. Experimental results show that the proposed method produces more correct results for the curves which contain intersection with other lines or curves.

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