• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.1903-1907
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• 2016

Background: Studies of effects of IL-1 polymorphisms, CYP2C19 genotype together with antibiotic resistance for H. pylori eradication are rare worldwide. The present study was designed to evaluate efficacy of 10-day sequential therapy (SQT) and 14-day standard triple therapy (STT) with four- times-daily dosing of amoxicillin for H. pylori eradication related to these important host and bacterial factors in Thailand. Materials and Methods: This prospective randomized study was performed during March 2015 to January 2016. H. pylori infected gastritis patients were randomized to receive 10-day sequential therapy and 14-day standard triple therapy. CYP2C19 genotyping, IL1 polymorphism (IL-1B and IL-1RN genotypes) and antibiotic susceptibility tests were performed in all patients. 13C-UBT was conducted to confirm H. pylori eradication at least 4 weeks after treatment. Results: A total of 100 patients (33 males and 67 females, mean age=51.1 years) were enrolled. Eradication rate by PP analysis was 97.9% (47/48) with the 10-day SQT regimen and 87.8% (43/49) with 14-day STT regimen (97.9% vs 87.8%; p-value=0.053). Antibiotic susceptibility testing demonstrated 45% resistance to metronidazole, 14.8% to clarithromycin, and 24.1% to levofloxacin. CYP2C19 genotyping revealed 44.9% RM, 49% IM and 6.1% PM. IL-1B and IL-1RN genotypes were demonstrated as 21.4% for CC, 48.1% for TC, 36.8% for TT, 72.7% for 1/1, and 21.2% for 1/2 genotypes, respectively. The 10-day SQT regimen provided 100% eradication in patients with clarithromycin or dual clarithromycin and levofloxacin H. pylori resistant strains. Moreover, the 10-day SQT regimen resulted in a 100% eradication rate in all patients with CYP2C19 genotype RM and almost type of IL-1B (TC and TT) and IL1-RN genotypes ( 1/2 and other). Conclusions: Treatment with 10-day sequential therapy is highly effective for H. pylori eradication regardless of the effects of clarithromycin resistance, dual clarithromycin and levofloxacin resistance, CYP2C19 genotype, IL-1B and IL1-RN genetic polymorphisms and can be used as effective first line therapy in Thailand.

• 대한원격탐사학회지
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• 제29권2호
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• pp.183-195
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• 2013

영상 기반의 정밀한 내비게이션이나 증강현실을 구현하기 위해서 고정밀 영상 지오레퍼런싱의 실시간 수행이 필수적이다. 일반적으로 고정밀 영상 지오레퍼런싱은 일괄 번들 조정 알고리즘을 적용하여 성취될 수 있으나 처리시간으로 인해 후처리로만 가능하였다. 최근에 제안된 연속 번들 조정 알고리즘은 이와 유사한 정확도의 결과를 고속으로 산출하여 실시간 처리의 가능성을 열었다. 그러나 처리시간이 영상의 개수에 따라 점진적으로 증가하기 때문에 영상이 아주 많은 경우에 실시간 수행이 보장되지 못하는 한계가 있었다. 이러한 연속 번들 조정 알고리즘을 보완하여 본 연구는 실시간 처리를 위해 영상의 개수와 무관하게 처리시간을 항상 일정 범위로 한정시킬 수 있는 알고리즘을 제안한다. 제안된 알고리즘은 기존의 영상들 중에서 새롭게 취득된 영상과 통계적으로 관련성이 높은 영상들만 고려하기 때문에 처리시간을 일정 범위로 한정시키면서도 비교적 정확한 결과를 산출할 수 있다. 제안된 알고리즘을 1Hz로 취득된 영상에 적용한 결과, 평균적으로 영상을 취득할 때마다 0.02 초 이내의 처리시간을 소요하면서 기존의 일괄 번들 조정 알고리즘의 결과와 비교하여 지상점 좌표를 기준으로 ${\pm}5$ cm 이내의 정확도로 지오레퍼런싱을 수행할 수 있었다. 신뢰성 높은 고속의 영상 매칭 알고리즘과 결합된다면 스마트폰 또는 UAV 등으로 동영상을 취득하면서 함께 탑재된 위치/자세 센서의 성능을 보완하여 고정밀의 실시간 지오레퍼런싱이 가능할 것으로 판단된다.

• Journal of Chest Surgery
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• 제51권2호
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• pp.109-113
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• 2018

Background: Low cardiac output syndrome (LCOS) after cardiac surgery usually requires inotropes. In this setting, critical illness-related corticosteroid insufficiency (CIRCI) may develop. We aimed to investigate the clinical features of CIRCI in the presence of LCOS and to assess the efficacy of steroid treatment. Methods: We reviewed 28 patients who underwent a rapid adrenocorticotropic hormone (ACTH) test due to the suspicion of CIRCI between February 2010 and September 2014. CIRCI was diagnosed by a change in serum cortisol of <$9{\mu}g/dL$ after the ACTH test or a random cortisol level of <$10{\mu}g/dL$. Results: Twenty of the 28 patients met the diagnostic criteria. The patients with CIRCI showed higher Sequential Organ Failure Assessment (SOFA) scores than those without CIRCI ($16.1{\pm}2.3$ vs. $11.4{\pm}3.5$, p=0.001). Six of the patients with CIRCI (30%) received glucocorticoids. With an average elevation of the mean blood pressure by $22.2{\pm}8.7mm\;Hg$ after steroid therapy, the duration of inotropic support was shorter in the steroid group than in the non-steroid group ($14.1{\pm}2.3days$ versus $30{\pm}22.8days$, p=0.001). Three infections (15%) developed in the non-steroid group, but this was not a significant between-group difference. Conclusion: CIRCI should be suspected in patients with LCOS after cardiac surgery, especially in patients with a high SOFA score. Glucocorticoid replacement therapy may be considered to reduce the use of inotropes without posing an additional risk of infection.

• 한국수정란이식학회지
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• 제33권4호
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• pp.297-304
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• 2018

The purpose of the present study was to determine the elaborate characteristics of ovarian changes including follicles and corpus luteum, and hormonal patterns of gonadotropin surge mode secretions during the normal consecutive estrous cycle in three dairy cows. Non-lactating and multiparous Holstein cows (n=3) used as experimental animals. The cows were assigned to examine the relationship among ovarian changes (follicle, corpus luteum), ovarian steroids (estradiol, progesterone) and gonadotropin (LH, FSH) surge mode secretion during the successive estrous cycles by rectal palpation, ultrasonography and hormonal assay. The mean length of the estrous cycle for the three cows was $23.1{\pm}1.44days$ (${\pm}SEM$), with a range of 20-28 days. In six estrous cycles, the number of two follicular waves, three follicular waves and four follicular waves was 2, 3 and 1, respectively. The sequential ultrasonographic monitoring showed that the corpus luteum with ${\geq}10mm$ in diameter detected from Day 2 (Day 0 is ovulation) in six estrous cycles of all cows. Preovulatory increases in estradiol concentration reached $10.36{\pm}1.10pg/ml$ on the 2 days before ovulation of the last dominant follicle. All cows exhibited a preovulatory rise in estradiol concentration followed by a typical preovulatory LH and FSH surge. The mean interval from the peak of LH/FSH surge to ovulation of the last dominant follicle was $31.3{\pm}1.76h$ (${\pm}SEM$). In these results, each dairy cow showed that ovarian morphological changes and gonadotropin surge mode secretion will be regulated by various environmental factors including age, breeds, nutrition, breeding conditions, etc.

• 한국환경보건학회지
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• 제38권3호
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• pp.233-240
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• 2012

Objectives: The changes in atmospheric $PM_{2.5}$ concentrations were extensively studied in one metropolitan city (Incheon), two small and medium sized cities (Gunsan, Cheonan), and a rural area (Gosan in Jeju). The concentrations of heavy metals (Cr, Mn, Fe, Ni, Cu, Zn, Al, Pb) and the component features of $PM_{2.5}$ were determined for these areas. Methods: This study sampled $PM_{2.5}$ at the designated locations in the metropolitan (Incheon), small and medium sized cities (Gunsan in Jeonbuk and Cheonan in Chungnam), and rural area (Gosan in Jeju) to investigate concentrations with a sampling device (Sequential sampler, APM Eng., Korea). Sampling was undertaken over months, from June 26 to November 26, 2009. Sampling was conducted a total of 44 times, with routine sampling at intervals of six days (24 total times) and intensive sampling (20 total times) during the summer and fall. Mass concentration of $PM_{2.5}$ was evaluated and the concentrations of heavy metals (Cr, Mn, Fe, Ni, Cu, Zn, Al, Pb) were analyzed. Results: The geometric average of concentrations of $PM_{2.5}$ per district was $35.289{\mu}g/m^3$ for Cheonan, $29.955{\mu}g/m^3$ for Incheon, $24.119{\mu}g/m^3$ for Gunsan, and $18.773{\mu}g/m^3$ for Jeju, respectively. The average concentration of $PM_{2.5}$ in Cheonan was the highest. The seasonal concentration distributions per district showed Cheonan $33.387{\mu}g/m^3$, Incheon at $31.550{\mu}g/m^3$, Gunsan $22.900{\mu}g/m^3$, and Jeju $18.900{\mu}g/m^3$ in the summer. For the autumn, the concentrations were $36.873{\mu}g/m^3$ in Cheonan, $28.625{\mu}g/m^3$ in Incheon, $25.227{\mu}g/m^3$ in Gunsan, and $18.667{\mu}g/m^3$ in Jeju. According to the collected data, the concentration showed a tendency to rise during the autumn in all of these regions with the exception of Incheon. For heavy metal distribution per district, Fe showed an elevated concentration during the summer while high concentrations of Pb and Zn occurred during the autumn. Conclusion: These results demonstrated that atmospheric factors affected the concentrations of heavy metals. The results of this study could be used as foundational data for setting environmental air standards focusing on a $PM_{2.5}$ receptor.

• 생명과학회지
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• 제23권3호
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• pp.361-367
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• 2013

Hizikia fusiformis을 80% EtOH 추출물을 용매의 극성에 따라 n-hexane, ethyl acetate, n-BuOH, Aqueous n-BuOH fraction으로 순차적으로 분리하였다. 분리된 4개의 분획물 중에 항산화 활성이 높은 n-BuOH 분획물을 reserve-phase column chromatography를 실시하여 분리된 3개의 BA, BB, BC 분획물에 대한 항산화 활성을 검토하였다. 가장 항산화능이 높은 BB 분획물은 모든 실험에서 농도의존적으로 활성이 증가하는데, 시료의 농도가 1.0 mg/ml일때 DPPH radical scavenging activity와 Reducing power activity는 $45{\pm}0.14%$, $1.34{\pm}0.23$로 가장 높게 나타난다. ${\beta}$-carotene-linoleic acid activity와 Hydrogen peroxide scavenging activity도 $76{\pm}0.12%$와 $82{\pm}0.06%$로 가장 높았으며, ABTS radical scavenging activity도 $65{\pm}0.17%$의 활성을 나타낸다. 이상의 연구 결과에서, 최종 분리된 BB분획물은 높은 항산화능을 가진 물질을 함유하고 있을 것으로 예상되며, 이는 앞으로 새로운 천연 기능성 식품으로서의 이용 가능성을 시사하고 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권6호
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• pp.3743-3746
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• 2013

Background: Of patients with non small cell lung cancer (NSCLC), around one third are locally advanced at the time of diagnosis. Because only a proprotion of stage III patients can be cured by surgery, in order to improve the outcomes, sequential or concurrent chemoradiation, or concurrent chemoradiation with induction or consolidation is offered to the patients with locally advanced NSCLC. Today, PET combined with computerized tomography (PET-CT) is accepted as the most sensitive technique for detecting mediastinal lymph node and extracranial metastases from NSCLC. We aimed to compare PET-CT and conventional staging procedures for decisions regarding curative treatment of locally advanced NSCLC. Materials and Methods: A total of 168 consecutive patients were included from Acibadem Kayseri Hospital, Acibadem Adana Hospital and Kayseri Research and Training Hospital in this study. Results: While the median PFS was $13.0{\pm}1.9$ months in the PET-CT group, it was only $6.0{\pm}0.9$ in the others (p<0.001). The median OS values were $20.5{\pm}15.6$ and $11.5{\pm}1.5$ months, respectively (p<0.001). Discussion: As a result, we found that staging with PET CT has better results in terms of survival staging. This superiority leads to survival advantage in patients with locally advanced NSCLC.

• Mass Spectrometry Letters
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• 제4권4호
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• pp.87-90
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• 2013

Isotope amount ratios of lead in a bronze sample have been successfully determined using multicollector inductively coupled plasma mass spectrometry (MC-ICP-MS). Matrix separation conditions were tested and optimized using ion exchange chromatography with anion-exchange resin, AG1-X8, and sequential elution of the 0.5 M HBr and 7 M $HNO_3$ to separate lead from very high contents of copper and tin in bronze matrix. Mercury was also removed efficiently in the optimized separation condition. The instrumental isotope fractionation of lead in the MC-ICP-MS measurement was corrected by the external standard sample bracketing method using an external standard, NIST SRM 981 lead common isotope ratio standard followed by correction of procedure blank to obtain reliable isotope ratios of lead. The isotope ratios, $^{206}Pb/^{204}Pb$, $^{207}Pb/^{204}Pb$, $^{208}Pb/^{204}Pb$, and $^{208}Pb/^{206}Pb$, of lead were determined as $18.0802{\pm}0.0114$, $15.5799{\pm}0.0099$, $38.0853{\pm}0.0241$, and $2.1065{\pm}0.0004$, respectively, and the determined isotope ratios showed good agreement with the reference values of an international comparison for the same sample within the stated uncertainties

• 생명과학회지
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• 제14권2호
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• pp.309-314
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• 2004

cAMP수용성 단백질(CRP)은 E. coli의 100가지 이상의 유전자 전자조절에 관계된다. CRP는 dimer로 존재하며 cAMP의 결합으로 활성인 형태로 전환된다. 이중체인 CRP 단백질의 열 안정성과 구조 전이의 연구에 효과적인 온도 기울기 전기영동장치를 이용하여 확인하였다. 본 연구에서 야생형과 S83C CRP 단백질의 melting temperature (Tm)는 산성인 완충용액[89.8 mM Glycine, 24mM Boric acid (pH 5.8)]에서 57$\pm$1(야생형 CRP)과 55$\pm$1$^{\circ}C$ (S83G CRP)였다. 그리고 온도에 따른 CRP 단백질의 구조변화도 protease digestion과 CD spectropolarimeter을 이용하여 확인하였다.

• 한국안광학회지
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• 제20권4호
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• pp.491-499
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• 2015

목적: 시각이상을 가진 아동을 대상으로 시기능훈련을 통한 시각기능이상의 개선 전후 시지각점수의 변화를 살펴보고 시지각에 미치는 영향을 알아보고자 한다. 방법: 시각기능이상을 가진 13세 미만($8.75{\pm}1.66$)의 아동 23명을 대상으로 시기능훈련 전후에 시지각기능검사(TVPS_R; test of visual perceptual skills-revised)를 실시하여 시기능훈련에 따른 시각기능의 변화와 시지각 평가점수의 변화를 분석하였다. 결과: 시기능훈련을 통해서 원거리 PRC(positive relative convergence) 분리점은 평균 $3.39{\pm}2.59{\Delta}$(prism)에서 $13.87{\pm}6.04{\Delta}$로 증가되었고, 근거리 P.R.C 분리점은 평균 $5.48{\pm}3.42{\Delta}$에서 $18.44{\pm}7.58{\Delta}$로 증가하였다. NPC(near point of convergence)는 $25.87{\pm}7.33cm$에서 $7.48{\pm}2.83cm$로 개선되었고, NPA(near point of accommodation)는 $19.57{\pm}7.16cm$에서 $7.09{\pm}1.88cm$로 개선되었다. 시지각평가에서 시각기억분야를 제외하고는 대응차가 시각완성에서 $17.74{\pm}16.94$(p=0.000), 시각적순차기억에서 $15.65{\pm}17.11$(p=0.000), 배경식별에서 $13.65{\pm}16.63$(p=0.001), 형태향상성에서 $12.74{\pm}18.41$(p=0.003), 시각구별에서 $6.49{\pm}10.07$(p=0.005), 시각적공간지각에서 $4.17{\pm}9.33$(p=0.043) 순으로 개선되었고, 이를 종합한 시지각점수는 대응차가 $15.22{\pm}8.66$(p=0.000)로서 더욱 더 유의한 결과를 나타내었다. 결론: 시기능훈련을 통해서 시각기능의 개선과 시각기억분야를 제외한 시지각점수의 향상이 시각완성, 시각적순차기억, 배경식별, 형태향상성, 시각구별, 시각적공간지각 순으로 유의하게 나타났다. 따라서 시각기능향상을 위한 시기능훈련은 시각의 기능뿐만 아니라 시지각의 기능까지 영향을 미치는 것을 확인 할 수 있으며 시각훈련의 중요성을 인식 할 수 있었다.