• Journal of Chest Surgery
• /
• 제53권3호
• /
• pp.104-113
• /
• 2020

Background: Accurate intraoperative assessment of mediastinal lymph nodes is a critical aspect of lung cancer surgery. The efficacy and potential for upstaging implicit in these dissections must therefore be revisited in the current era of uniportal video-assisted thoracoscopic surgery (VATS). Methods: A retrospective study was conducted in which 544 patients with stage I (T1abc-T2a, N0, M0) primary lung cancer were analyzed. To assess risk factors for nodal upstaging and to limit any imbalance imposed by surgical choices, we constructed an inverse probability of treatment-weighted (IPTW) logistic regression model (in addition to non-weighted logistic models). We also evaluated risk factors for early locoregional recurrence using IPTW logistic regression analysis. Results: In the comparison of uniportal and multiportal VATS, the resected lymph node count (14.03±8.02 vs. 14.41±7.41, respectively; p=0.48) and rate of nodal upstaging (6.5% vs. 8.7%, respectively; p=0.51) appeared similar. Predictors of nodal upstaging included tumor size (odds ratio [OR], 1.74; 95% confidence interval [CI], 1.12-2.70), carcinoembryonic antigen level (OR, 1.11; 95% CI, 1.04-1.18), and histologically confirmed pleural invasion (OR, 3.97; 95% CI, 1.89-8.34). The risk factors for locoregional recurrence within 1 year were found to be number of resected N2 nodes, age, and nodal upstaging. Conclusion: Uniportal and multiportal VATS appear similar with regard to accuracy and thoroughness, showing no significant difference in the extent of nodal dissection.

• 한국식품위생안전성학회지
• /
• 제34권4호
• /
• pp.374-379
• /
• 2019

본 연구에서는 대표적인 신선 잎채소류인 상추의 세척 단계에서 초음파 (37 kHz) 와 염소 (100~300 ppm) 의 병용처리 후 냉장 ~ 실온저장 ($10{\sim}25^{\circ}C$)에 따른 이 식품 중의 Salmonella Typhimurium의 성장예측모델을 개발하였다. 1 차 모델 개발을 위해 Gompertz 방정식을 활용하여 각기 다른 실험 조건에서의 S. Typhimurium의 생육도 (SGR 과 LT)를 조사했다. 본 방정식에 의한 1 차 모델 개발시 $R^2$가 0.92 이상으로 우수하게 나타났으며 저장온도가 낮을수록 초음파에 사용된 염소의 농도가 높을수록 SGR 값은 감소하였고 LT 값은 증가하였다. 이를 바탕으로 2 차 polynomial 모델을 개발하여 다양한 통계적 지표 ($R^2$, MSE, $A_f$ 및 $B_f$)를 통해 분석한 결과 개발된 모델의 적합성을 확인할 수 있었다. 따라서 개발된 모델이 초음파와 염소의 병용 세척에 따른 저장 중 상추에 대한 S. Typhimurium의 성장예측모델로 사용 가능하다고 판단되어지며, 신선 잎채소류에서의 식중독을 예방하고 미생물학적 위생관리기준을 설정하는데 기초자료로 활용될 수 있을 것으로 사료된다.

• Toxicological Research
• /
• 제26권4호
• /
• pp.261-266
• /
• 2010

In the workplace, the arsenic is used in the semiconductor production and the manufacturing of pigments, glass, pesticides and fungicides. Therefore, workers may be exposed to airborne arsenic during its use in manufacturing. The purpose of this study was to evaluate the potential toxicity of particulate matters (PMs) doped with arsenic (PMs-Arsenic) using a rodent model and to compare the genotoxicity in various concentrations and to examine the role of PMs-Arsenic in the induction of signaling pathway in the lung. Mice were exposed to PMs $124.4{\pm}24.5\;{\mu}g/m^3$ (low concentration), $220.2{\pm}34.5\;{\mu}g/m^3$ (middle concentration), $426.4{\pm}40.3\;{\mu}g/m^3$ (high concentration) doped with arsenic $1.4\;{\mu}g/m^3$ (Low concentration), $2.5\;{\mu}g/m^3$ (middle concentration), $5.7\;{\mu}g/m^3$ (high concentration) for 4 wks (6 h/d, 5 d/wk), respectively in the whole-body inhalation exposure chambers. To determine the level of genotoxicity, Chromosomal aberration (CA) assay in splenic lymphocytes and Supravital micronucleus (SMN) assay were performed. Then, signal pathway in the lung was analyzed. In the genotoxicity experiments, the increases of aberrant cells were concentration-dependent. Also, PMs-arsenic caused peripheral blood micronucleus frequency at high concentration. The inhalation of PMs-Arsenic increased an expression of phosphorylated Akt (p-Akt: protein kinase B) and phpsphorylated mammalian target of rapamycin (p-mTOR) at high concentration group. Taken together, inhaled PMs-Arsenic caused genotoxicity and altered Akt signaling pathway in the lung. Therefore, the inhalation of PMs-Arsenic needs for a careful risk assessment in the workplace.