Background: Breast cancer is the commonest female cancer worldwide and its propensity to metastasize negatively impacts on therapeutic outcome. Several clinicopathological parameters with prognostic/predictive significance have been associated with metastatic suppressor expression levels. The role of metastatic suppressor gene (MSG) KiSS1 in breast cancer remains unclear. Our goal was to investigate the possible clinical significance of KiSS1 breast cancer. Materials and Methods: The study was conducted on 87 histologically proven cases of breast cancer and background normal tiisue. Quantitative reverse transcriptase polymerase chain reaction (qRT PCR) and immunohistochemistry (IHC) were used to investigate KiSS1 at gene and protein levels, respectively, for correlation with several patient characteristics including age, family history, hormonal receptor status, stage, tumor size, nodal involvement and metastatic manifestation and finally with median overall survival (OS). Results: Our study revealed (i) KiSS1 levels were generally elevated in breast cancer vs normal tissue (P < 0.05). (ii) however, a statistically significant lower expression of KiSS1 was observed in metastatic vs non metastatic cases (P = 0.04). (iii) KiSS1 levels strongly correlated with T,N,M category, histological grade and advanced stage (p<0.001) but not other studied parameters. (iv) Lastly, a significant correlation between expression of KiSS1 and median OS was found (P = 0.04). Conclusions: Conclusively, less elevated KiSS1 expression is a negative prognostic factor for OS, advancing tumor stage, axillary lymph node status, metastatic propensity and advancing grade of the breast cancer patient. Patients with negative KiSS1 expression may require a more intensive therapeutic strategy.
The purpose of this study was to examine the relationship between the weight of seasonal garments worn by Korean women in their daily lives and thermal insulation. We selected a total of 121 garments(13 kinds of Under garments, 51 Upper garments, 32 Lower garments, 15 Headgear, 10 Gloves Footgear) based on our previous survey using questionnaire and interview. Thermal insulation of single garment was measured with a thermal manikin. Also we measured garment weight, covering area, thickness, air permeability on the each garment(chamber air temperature: $21.5{\pm}0.5^{\circ}C$, humidity: $50{\pm}5%R.H.$ air speed: 0.15m/s). The results are as follow: The very strong positive correlation(r=0.905, p<.01) was recognized between the weight of single garment and thermal insulation. The regression equation of thermal insulation can be represented as follows: Thermal Insulation(clo)=$0.03+0.0004{\times}Garment$ Weight(g)($r^2$=0.820, SEE =0.059). There are significant differences in the thermal insulation and garment weight by season and garment type(p<.05). The each garment category's thermal insulation and garment weight has as follows: Under garment(0.06clo, 89g), Blouse Shirt T-shirt(0.13clo, 200g), Cardigan Sweater Vest(0.14clo, 287g), Coat Jacket Jumper(0.41clo, 890g), Skirt(0.16clo, 276g), Trousers(0.20clo, 438g), Headgear(0.03clo, 102g), Gloves Footgear(0.03clo, 33g).
This study was conducted to find out characterization of spatial distribution of birds observed in river areas. Our bird survey was carried out 4 times at 31 sites from January to September in 2011. A total of 1,609 accumulated individuals belonging to 59 species, 28 families and 11 orders were observed. In the result of spatial autocorrelation analysis using the richness index of the maximum counts of each sites, we confirmed that the distribution of birds in Namdaecheon river was clustered and the tendency of spatial autocorrelation was apparent. The area of each sites within a 200m radius was classified in four biotope categories such as agricultural land, forest, residential area and water area, and the spatial autocorrelation was analysed about four types. In the result of spatial autocorrelation analysis for four biotope categories, all types were showed the positive spatial autocorrelation, but the type of water area was higher than other types. The positive correlation was found between the water area and water birds in statistical significance. However, the forest birds had non-significance values. Therefore, it is appropriate to focus on water birds except for forest birds, when researches of bird distribution in river ecosystem is conducted. The number of bird species and individuals increased as the riverside of water area was to widen. Thus, if the areas of riverside offering the feeding and roosting area increase, it will be accommodated many birds. Also, the areas of riverside should be maintained naturally because it is an important habitats of birds. Our study area is on the outskirts the city of higher rates of forest and agricultural land, it may be unreasonable to apply our results to the whole rivers. If the research about the river flowing around the city will be conducted, it is expected to be useful to the relation study area such as ecological river's restoration.
Sohn, Jin-Hun;Estate M. Sokhadze;Lee, Kyung-Hwa;Lee, Jong-Mi;Park, Mi-Kyung;Park, Ji-Yeon
한국감성과학회:학술대회논문집
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한국감성과학회 2000년도 추계학술대회 논문집
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pp.62-68
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2000
The aim of the study was to compare effects of music and white noise on the recovery of facial blood flow parameters after stressful visual stimulation. Twenty-nine subjects participated in the experiment. Three visual stimulation sessions with aversive slides (the IAPS, disgust category) were followed by subjectively "pleasant" (in the first session), "sad" music (in the second ), and white noise (in the third ). Order of sessions was counterbalanced. Blood flow parameters (peak blood flow, blood flow velocity, blood volume) were recorded by Laser Doppler single-crystal system (LASERFLO BPM 403A) interfaced through BIOPAC 100WS with AcqKnowledge software (v.3.5) and analyzed in off-line mode. Aversive visual stimulation itself decreased blood flow and velocity in all 3 sessions. Both "pleasant" and "sad" music led to the restoration of baseline levels in all blood flow parameters, while noise did not enhance recovery process. Music on post-stress recovery had significant change in peak blood flow and blood flow velocity, but not in blood volume measures. Pleasant music had bigger effects on post-stress recovery in peak blood flow and flow velocity than white noise. It reveals that music exerted positive modulatory effects on facial vascular activity measures during recovery from negative emotional state elicited by stressful slides. Results partially support the undoing hypothesis of Levenson (1994), which states that positive emotions may facilitate process of recovery from negative emotions.
The purpose of this study was to classify the courses of the dental-hygiene curricula into several categories by field, to incorporate the subjects in the same category into an integrated course, and to suggest how to ensure the successful phase-in application of integrative education according to Ronald M. Harden's 11-stage integrative ladder model. The findings of the study were as follows: 1. When the existing curricula were analyzed, it's found that many credits were provided to the courses in the area of basic dentistry that offered both theory and practice. In particular, the subjects tested by the national examination were offered by every college. In the field of public oral health, the largest number of credits was allocated to theory of oral prophylaxis and practice courses. In clinical area, clinical practice, in the area of dental office management, dental insurance course was given the largest credit. There were 31 to 61 major subjects in the colleges, which indicated that the major subjects were segmented in detail. 2. It seemed necessary to incorporate the subjects in the field of basic dentistry into oral biology, and theory of oral prophylaxis/practice, preventive dentistry/practice, preclinical stage, emergency treatment and introduction to dental hygiene should be integrated in to clinical dental hygiene. The courses in clinical area should be combined into clinical dentistry, and in the field of medical management, dental insurance, hospital management and medical relation law should be incorporated into management of dental clinic. 3. In the 11-stage integrative ladder, the subjects in the same field could perfectly be incorporated as the stages advanced. Each of the subjects was less emphasized, and communication and joint plans among teachers who were respectively in charge of the courses were increasingly considered important. Specifically, there should be a consensus among the teachers in regard to the outline of teaching programs, order of education. objects and objectives of programs and what and how to evaluate.
PURPOSE. This study aimed to investigate the potential clinical application of digitized silicone rubber impressions by comparing the accuracy of zirconia 3-unit fixed partial dentures (FPDs) fabricated from 2 types of data (working model and impression) obtained from a laser scanner. MATERIALS AND METHODS. Ten working models and impressions were prepared with epoxy resin and vinyl polysiloxane, respectively. Based on the data obtained from the laser scanner (D-700; 3Shape A/S, Copenhagen, Denmark), a total of 20 zirconia frameworks were prepared using a dental CAD/CAM system (DentalDesigner; 3shape A/S, Copenhagen, Denmark / Ener-mill, Dentaim, Seoul, Korea). The silicone replicas were sectioned into four pieces to evaluate the framework fit. The replicas were imaged using a digital microscope, and the fit of the reference points (P1, P2, P3, P4, P5, P6, and P7) were measured using the program in the device. Measured discrepancies were divided into 5 categories of gaps (MG, CG, AWG, AOTG, OG). Data were analyzed with Student's t-test ($\alpha$=0.05), repeated measures ANOVA and two-way ANOVA (${\alpha}=0.05$). RESULTS. The mean gap of the zirconia framework prepared from the working models presented a narrower discrepancy than the frameworks fabricated from the impression bodies. The mean of the total gap in premolars (P=.003) and molars (P=.002) exhibited a statistical difference between two groups. CONCLUSION. The mean gap dimensions of each category showed statistically significant difference. Nonetheless, the digitized impression bodies obtained with a laser scanner were applicable to clinical settings, considering the clinically acceptable marginal fit ($120{\mu}m$).
Objectives : The aim of this study was to report the effectiveness of Combined Korean Medicine treatment on a intracerebral hemorrhage patient with hemiplegia and gait disturbance. Methods : A 56-year-old, female patient with hemiplegia and gait disturbance was treated by Korean Medicine including acupuncture, moxibustion and herbal medicine. The effect of the treatment was evaluated by Manual Muscle Test(MMT), Modified Rankin Scale(MRS), Korean version of Modified Barthel Index(K-MBI). The gait of the patient was evaluated by 10m walk test, Timed Up&Go Test(TUG), Functional Ambulatory Category(FAC), GAITRite and Symmetry Criterion(SC). Results : After treatment, MMT, MRS, K-MBI, gait parameters and gait symmetry were improved. Conclusions : This study suggests that Combined Korean Medicine treatment might be effective for a intracerebral hemorrhage patient with hemiplegia and gait disturbance.
Abdel-Wahhab, Mosaad A.;Gamil, Khaled;El-Kady, Ahmed A.;El-Nekeety, Aziza A.;Naguib, Khayria M.
Journal of Ginseng Research
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제35권1호
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pp.69-79
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2011
Hepatocellular carcinoma (HCC) is the fi fth most common malignancy in the world and complicates liver cirrhosis related to hepatitis C virus (HCV) in many cases. We evaluated the therapeutic effect of Korean red ginseng extract (KGE) in patients with chronic liver diseases. Thirty male and female patients with HCC and another thirty with liver cirrhosis were included. Each category was divided into two groups; the first was used as control group, and received medical therapy only and the second group received the medical therapy supplemented with KGE capsules. The treated group with HCC received three KGE capsules/day (900 mg) while the treated group with HCV received two KGE capsules/day (600 mg) for 11 weeks along with their medical therapy. All patients were subjected to clinical examination and laboratory investigations, including liver function tests (at baseline, after 6 weeks of treatment and at the end of the study) and abdominal ultrasonography. Patients showing focal hepatic lesions were subjected to triphasic spiral abdominal computerized tomography and alpha-fetoprotein (AFP). HCV RNA was determined quantitatively by Roche for patients in the HCV group. Results showed that the medical therapy alone failed to normalize the liver enzymes or decrease the virus concentration. KGE administration induced a significant improvement in liver function tests, decreased the tumor marker (AFP) levels, and decreased the viral titers in HCV patients. Thus, KGE demonstrated powerful therapeutic effects against HCV and liver cancer.
The purpose of this study was to identify menstrual discomforts and coping m adult women. The subjects were 577 adult women. aged 20 years old and over. selected by convenient sampling. Data were collected through a questionnaire survey from December 2. 2004 to December 31. 2004. Two instruments were modified and used in this study. the Menstrual Discomfort Questionnaire by Park(1988) and the Menstrual Coping Questionnaire by Billings & Moos(198l). The data were analyzed by descriptive statistics. t-test. and ANOVA with SPSS 10.0 program. The results of this study were as follows. 1. The prevalence rate of dysmenorrhea was $85.6\%$. 2. The total mean score for menstrual discomforts was 2.82 of a possible total of 5. The mean score for each category was 3.10 for water retention. 2.93 for negative affect. 2.89 for pain. 2.74 for autonomic reactions. 2.73 for behavioral change. and 2.59 for concentration. 3. Statistical differences were found for menarche age(F=9.351. p<.00l), feeling to menstruation(F=12.376. p<.001). dysmenorrhea(t=7.3l7. p<.001). onset of dysmenorrhea (F= 12.766. p<.001). taking medication(t=6.289. p<.001). and degree of taking medication (F=12.924. p<.00l). 4. The coping modes with the highest scores were 'rest and go to the bed '$(83.3\%)$. 'regard menstruation as a physiological and temporary phenomenon' $(68.6\%)$, and 'take a warm shower' $(64.5\%)$. We conclude that there were many women with dysmenorrhea. that the first day was the onset of menstrual discomfort. and that it differed by menarche age. feeling to menstruation. dysmenorrhea. onset of dysmenorrhea. taking medication. and degree of taking medication. Nursing intervention has to be considered in programs to reduce menstrual discomfort.
Objectives: This study seeks to evaluate the vulnerability assessment of the human health sector for $PM_{10}$, which is reflected in the regional characteristics and related disease mortality rates for $PM_{10}$ in Busan over the period of 2006-2010. Methods: According to the vulnerability concept suggested by the Intergovernmental Panel on Climate Change (IPCC), vulnerability to $PM_{10}$ is comprised of the categories of exposure, sensitivity, and adaptive capacity. The indexes of the exposure and sensitivity categories indicate positive effects, while the adaptive capacity index indicates a negative effect on vulnerability to $PM_{10}$. Variables of each category were standardized by the rescaling method, and each regional relative vulnerability was computed through the vulnerability index calculation formula. Results: The regions with a high exposure index are Jung-Gu (transportation region) and Saha-Gu (industrial region). Major factors determining the exposure index are the $PM_{10}$ concentration, days of $PM_{10}{\geq}50$, ${\mu}g/m^3$, and $PM_{10}$ emissions. The regions that show a high sensitivity index are urban and rural regions; these commonly have a high mortality rate for related disease and vulnerable populations. The regions that have a high adaptive capacity index are Jung-Gu, Gangseo-Gu, and Busanjin-Gu, all of which have a high level of economic/welfare/health care factors. The high-vulnerability synthesis of the exposure, sensitivity, and adaptive capacity indexes show that Dong-Gu and Seo-Gu have a risk for $PM_{10}$ potential effects and a low adaptive capacity. Conclusions: This study presents the vulnerability index to $PM_{10}$ through a relative comparison using quantitative evaluation to draw regional priorities. Therefore, it provides basic data to reflect environmental health influences in favor of an adaptive policy limiting damage to human health caused by vulnerability to $PM_{10}$.
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