• Clinical Endoscopy
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• v.56 no.6
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• pp.812-816
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• 2023

We report a rare case of gastric cancer presenting with a gastrocolic fistula during ramucirumab and paclitaxel combination therapy that was successfully managed with colonic stenting. A 75-year-old man was admitted to our hospital with the chief complaint of melena. Esophagogastroduodenoscopy revealed a large ulcerated tumor in the lower stomach, judged by laparoscopy as unresectable (sT4bN1M0). After four cycles of first-line chemotherapy with S-1 plus oxaliplatin, the patient showed disease progression, and second-line therapy with ramucirumab and paclitaxel was started. At the end of the third cycle, the patient had gastric antral stenosis, which necessitated the placement of a gastroduodenal stent. When the patient complained of diarrhea 10 days later, esophagogastroduodenoscopy revealed a fistula between the greater curvature of the stomach and the transverse colon. The fistula was covered by double colonic stenting, with a covered metal stent placed within an uncovered metal stent, after which leakage from the stomach to the colon stopped.

• Asian-Australasian Journal of Animal Sciences
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• v.14 no.7
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• pp.947-950
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• 2001

To improve the low content of crude protein and low quality fermentation of napiergrass silage, ensiling with phasey bean was examined. Napiergrasses, (Pennisetum purpureum cv. Merkeron), hybrid napiergrass (Pennisetum purpureum${\times}$ Pennisetum typhoides) and phasey bean (Macroptilium lathyroides cv. Murray) were cultivated in Fukuoka, Japan. The first growth of napiergrasses and phasey bean were harvested at 90 days of age and chopped into about 1 cm lengths. The mixing levels of phasey bean with napiergrasses were 0, 25, 50 and 75; 700 g of plant materials were ensiled into a laboratory silo (1.0 litre. polyethylene container) and incubated for 30 days. After opening silos, pH, total nitrogen (TN), volatile basic nitrogen (VBN) and organic acids (lactic acid: LA, acetic acid: AA, butyric acid: BA) were determined. The experiment was a factorial design of $2{\times}4$ with 3 replicates. The data were analyzed statistically by two-way analysis of variance. Without inclusion of phasey bean, lower quality was observed for hybrid silage than for Merkeron silage. The inclusion of phasey bean at the rate of 25% increased DM and TN, and decreased pH value, VBN/TN, AA and BA in both Merkeron and hybrid napiergrass silages. The value of pH, TN, VBN/TN, AA and BA were not significantly different among 25, 50 and 75% mixing levels of phasey bean. LA production increased significantly with the increase in phasey bean mixing level in both hybrid and Merkeron silages. At all mixing levels of phasey bean, LA production did not show significant differences between Merkeron and hybrid silages.

• Korean Journal of Health Education and Promotion
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• v.24 no.5
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• pp.39-54
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• 2007

This study attempts to provide fundamental information for a health policy and health services by looking at the trends and types of the mortality rates in Korea and Japan. In this study, data of the death statistics of Korea and Japan over the 21-year period from 1983 to 2003 are analyzed. Mortality data are standardized ${\times}100,000$ to the 2003 Japan population, according to the direct method. In 2001/2003, the ranking of major causes of death in Korea and Japan has been greatly changed. In Korea, mortality rates from malignant neoplasms, diabetes mellitus, renal failure, falls and suicide have increased. In Japan, the mortality rates from pneumonia increase more than those from diabetes mellitus. In 2001/2003, the proportions of the mortality rates from chronic diseases are higher than those from acute diseases. In the Korean health promotion policy "Health Promotion 2020", a more intensive goal management is needed.

• Korean Journal of Health Education and Promotion
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• v.22 no.2
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• pp.63-76
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• 2005

Objectives: The purpose of this study was to evaluate the effectiveness of K-WIFY model that was a participatory health education program. Based on WIFY, this study developed K-WIFY that was only focused on health related issues rather than all broad ranges of life issues. This study evaluated changes in health related recognition, self-efficacy, self-esteem, social support, perceived benefits, perceived barriers, and situational barriers of the subjects after participating the program. Methods: During from March 16 to April 1, 2004, 216 study subjects of university students were subjected to a quantitative survey and 187 subjects of the total subjects were exposed to qualitative survey. Results: The results were as follows: 1. Health related perceptions were statistically different after taking participatory a health education program using K-WIFY. The amount of improvement was 6.36. 2. After participatory health promotion education using K-WIFY, self-efficacy(p=.029), self-esteem(p=.019) and perceived benefits(p=.031) were statistically higher than before. Conclusions: In conclusion, this study verified the effectiveness of participatory health education promotion using K-WIFY. We recommend K-WIFY to national and regional health promotion plans and health promotion education for university students.

• Parasites, Hosts and Diseases
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• v.51 no.6
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• pp.683-687
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• 2013

Among Paragonimus species, P. paishuihoensis is one of the most mysterious and poorly understood species. Metacercariae are characterized by having a unique dendritically branched excretory bladder. However, the morphology of the adult worm remains unknown. To date, metacercariae of this species have been reported only in China and Thailand. In this study, we first found P. paishuihoensis metacercariae in freshwater crabs, Potamon lipkei, in Hinheub District, Vientiane, Lao PDR, with a prevalence of 77.7% and the average intensity of 10.3 (range 1-28) metacercariae per crab. The molecular data based on ITS2 and CO1 markers indicated that P. paishuihoensis from Laos and Thailand were almost completely identical and were close to members of the Paragonimus bangkokensis/Paragonimus harinasutai complex. Attempts to infect experimental animals (cats, dogs, and rats) with P. paishuihoensis were unsuccessful, suggesting that these animals might be unsuitable definitive hosts for the species. Further studies are necessary to elucidate the taxonomic status and life cycle of P. paishuihoensis.

• Asian Journal of Atmospheric Environment
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• v.11 no.2
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• pp.122-130
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• 2017

The main purpose of the study was to clarify the properties of individual particles collected at each behavior space of a factory worker. The samplings of size-segregated ($PM_{2.1-1.1}$ and $PM_{4.7-3.3}$) indoor particles were conducted at three different behavior spaces of a factory worker who is engaged in an auto parts manufacturing plant (i.e., his home, his work place in factory, and his favorite restaurant). Elemental specification (i.e., relative elemental content and distribution in and/or on individual particles) was performed by a micro-PIXE system. Every element detected from the coarse particulate matters of home was classified into three groups, i.e., a group of high net-counts (Na, Al, and Si), a group of intermediate net-counts (Mg, S, Cl, K, and Ca), and a group of minor trace elements (P, Ti, V, Cr, Mn, Fe, Co, Ni, Cu, Zn, and Pb). The results of EF for $PM_{4.7-3.3}$ in home indicated that several heavy metals were generated from the sources within the house itself. An exceptional feature shown in the individual particles in workplace is that Cr, Mn, and Co were clearly detected in both fine and coarse particles. Cluster analysis suggested that the individual coarse particles ($PM_{4.7-3.3}$) collected at the indoor of factory were chemically heterogeneous and they modified with sea-salt, mineral, and artificially derived elements. The principal components in individual coarse particles collected at restaurant were sea-salt and mineral without mixing with harmful trace elements like chromium and manganese. Compared to the indoor fine particles of home and restaurant, many elements, especially, Cl, Na, Cr, Mn, Pb, and Zn showed overwhelmingly high net-counts in those of factory.

• Asian Journal of Atmospheric Environment
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• v.6 no.1
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• pp.14-22
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• 2012

This paper is focused on the comprehensive and detailed interpretation for the chemical transformation of individual Asian dust (hereafter called "AD") particles during long-range transport from source regions to receptor area. A multi-stage particle sampler was operated at a ground-based site in Taean, Korea directly exposed to the outflow of air masses from China during AD period in April 2003. Both quantitative and qualitative analyses for size-classified individual particles were carried out by a microbeam X-ray fluorescence (XRF) method and a microbeam Particle Induced X-ray Emission (micro-PIXE), respectively. Among major characteristic elements, the elemental masses of soil derived components, sulfur, and chloride varied as a function of particle size showing the monomodal maximum with a steeply increasing at 3.3-4.7 ${\mu}m$ particle size. Although the details on chemical composition of AD particle collected on a straight line from source area to our ground-based site are needed, a large amount of Cl coexisted in and/or on AD particles suggests that AD particles collected in the present study might be actively engaged in chemical transformation by sea-salt and other Cl containing pollutants emitted from the China's domestic sources. Through the statistical analyses it was possible to classify individual AD particles into six distinct groups. The internally mixed AD particles with Cl, which has various sources (e.g., sea-salt, coal combustion origin HCl, gaseous HCl derived from the adsorption of acids to sea-salt, and Cl containing man-made particles) were thoroughly fractionated by the elemental spectra drivened by the double detector system of micro-PIXE.

• Asian Journal of Atmospheric Environment
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• v.4 no.3
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• pp.141-149
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• 2010

Aerosol size and number concentration were observed in the atmospheric boundary layer over Beijing (from near the ground to 1,200 m) on March 15 (a clear day) and 16 (a dusty day), 2005. The results were further compared with lidar measurements in order to understand the dependency of extinction on the particle size distribution and their vertical changes. The boundary layer atmosphere was composed of several sub-layers, and a dry air layer appeared between 400 and 1,000 m under the influence of dust event. In this dry air layer, the concentration of the fine-mode particles (diameter smaller than $1.0\;{\mu}m$) was slightly lower than the value on the clear day, while the concentration of coarse-mode particles (diameter larger than $1.0\;{\mu}m$) was remarkably higher than that on the clear day. This situation was attributed to the inflow of an air mass containing large amounts of Asian dust particles and a smaller amount of fine-mode particles. The results strongly suggest that the fine-mode particles affect light extinction even in the dusty atmosphere. However, quantitatively the relation between extinction and particle concentration is not satisfied under the dusty atmospheric conditions since laser beam attenuates in the atmosphere with high concentration of particles. Laser beam attenuation effect becomes larger in the relation between extinction and coarse particle content comparing the relation between extinction and fine particle content. To clarify this problem technically, future in situ measurements such as balloon-borne lidar are suggested. Here extinction was measured at 532 nm wavelength. Measurements of extinction at other wavelengths are desired in the future.

• Asian Journal of Atmospheric Environment
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• v.4 no.3
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• pp.189-197
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• 2010

An orchestrated attempt was made to analyze samples of bulk and individual particulate matters (PM) collected at the Gosan ground-based station on the west coast of Jeju, Korea. A two-stage filter pack sampler was operated to collect particles in both large (> $1.2\;{\mu}m$) and small size fractions (< $1.2\;{\mu}m$) between the Asian dust (hereafter called "AD") storm event and non-Asian dust period. Elemental components in bulk and individual particles were determined by PIXE and synchrotron XRF analysis systems, respectively. To assess the transport pathways of air parcels and to determine the spatial distribution of PM, the backward trajectories of the Meteorological Data Explorer (Center for Global Environmental Research, 2010) and the NOAA's HYSPLIT dispersion-trajectory models were applied. In line with general expectations, Si and other crustal elements in large size particles showed considerably higher mass loading on AD days in comparison with non-AD days. Computation of the crustal enrichment factors [(Z/Si)$_{particle}$/(Z/Si)$_{desert}$ sand] of elements in large size particles (> $1.2\;{\mu}m$) allowed us to estimate the source profile and chemical aging of AD particles as well as to classify the soil-origin elements. On the basis of a single particle analysis, individual AD particles are classified into three distinct groups (neutralized mineral particles, S-rich mineral particles, and imperfectly neutralized particles).

• Asian Journal of Atmospheric Environment
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• v.4 no.2
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• pp.80-88
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• 2010

In order to offer a better understanding of air pollution of China as well as East Asia we attempted to characterize the chemical properties of the raw coal materials mined in China and their combusted bottom ashes generated from coal fired power plant. To this end, we measured the chemical characteristics of individual bottom ashes and feed coal fragments collected at a coal fired power generator which was operated with the raw coal dug at a coal mine in China. The chemical properties of these two sample types were determined by a synchrotron radiation X-ray fluorescence (SR-XRF) microprobe method. Through an application of such technique, it was possible to draw the 2D elemental maps in and/or on raw coal fragments and fired bottom ashes. The pulverized fine pieces of feed coal mainly consisted of mineral components such as Fe, Ca, Ti, Ca, and Si, while Fe was detected as overwhelming majority. The elemental mass of combusted bottom ash shows strong enrichment of many elements that exist naturally in coal. There were significant variations in chemical properties of ash-to-ash and fragment-to-fragment. Although we were not able to clearly distinguish As and Pb peaks because of the folding in their X-ray energies, these two elements can be used as tracers of coal fire origin.