• Journal of Korean Neurosurgical Society
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• 제65권6호
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• pp.834-840
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• 2022

Objective : C-reactive protein (CRP) level, erythrocyte sedimentation rate (ESR), and white blood cell (WBC) count are inflammatory markers used to evaluate postoperative infections. Although these markers are non-specific, understanding their normal kinetics after surgery may be helpful in the early detection of postoperative infections. To compliment the recent trend of reducing the duration of antibiotic use, this retrospective study investigated the inflammatory markers of patients who had received antibiotics within 24 hours after surgery according to the Health Insurance Review & Assessment Service guidelines and compared them with those of patients who had received antibiotics for 5 days, which was proven to be non-infectious. Methods : We enrolled 74 patients, divided into two groups. Patients underwent posterior lumbar interbody fusion (PLIF) at a single institution between 2019 and 2020. Group A included 37 patients who received antibiotics within 24 hours after the PLIF procedure, and group B comprised 37 patients who had used antibiotics for 5 days. A 1 : 1 nearest-neighbor propensity-matched analysis was used. The clinical variables included age, sex, medical history, body mass index, estimated blood loss, and operation time. Laboratory data included CRP, ESR, and WBC, which were measured preoperatively and on postoperative days (POD) 1, 3, 5, and 7. Results : CRP dynamics tended to decrease after peaking on POD 3, with a similar trend in both groups. The average CRP level in group B was slightly higher than that in group A; however, the difference was not statistically significant. Multiple linear regression analysis revealed operation time, number of fused levels, and estimated blood loss as significant predictors of a greater CRP peak value (r²=0.473, p<0.001) in patients. No trend (a tendency to decrease from the peak value) could be determined for ESR and WBC count on POD 7. Conclusion : Although slight differences were observed in numerical values and kinetics, sequential changes in inflammatory markers according to the duration of antibiotic administration showed similar patterns. Knowledge of CRP kinetics allows the assessment of the degree of difference between the clinical and expected values.

• 한국포장학회지
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• 제22권3호
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• pp.143-154
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• 2016

양파의 재배적 요인과 저장 조건에 따른 수확 전 후 특성을 조사하여, 이들 요인간의 상호적 관계에 대해 구명하고자 하였다. 본 연구에서는 양파 품종 이외의 수확전 재배환경과 같은 가변적 요인이 저장 특성과 가공 시에 미치는 영향을 조사하고자, '카스(Kars)' 등의 품종을 이용하여 재배기간 중의 토양 과습과 차광 처리에 의한 재배조건 차이에 따른 생육 차이를 조사하였으며, 수확후 상온($22^{\circ}C$)과 저온($0^{\circ}C$)으로 저장온도를 달리하여 저장 동안의 생체중량 감소와 호흡을 관측하였으며, 저장 후 가공 시 신선편이의 미생물 수, electrolyte leakage, 가스조성 변화 등을 관찰하였다. 양파 저장 시 수확후에 품종뿐만 아니라 수확전 재배조건과 같이 가변적인 요인이 영향을 미치는 것을 확인하였는데, 양파는 재배 시 토양 과습과 차광 처리가 생육에 영향을 미쳐 생육량이 감소하고, 세포조직은 크기가 커지고 엉성한 구조를 가지는 것으로 나타났다. 또한 본 연구의 결과를 통해 재배환경의 차이가 생육뿐만 아니라 수확후에도 영향을 미쳐 생체중량 감소 및 호흡량의 증가로 이어짐을 밝혔는데, 양파 저장 중의 토양 과습과 차광 처리 한 양파의 생체중 변화와 호흡률이 대조구보다 더 높은 것으로 나타났으며, 저장 온도에서는 저온($0^{\circ}C$)뿐만 아니라 상온($22^{\circ}C$)에서 저장한 것도 재배조건의 영향을 받는 것으로 보였다. 본 연구에서 신선편이의 보존 중 변화는 수확전 재배환경보다 저장조건이 더 영향을 미치는 것으로 나타났으나, 재배 후 저장과정을 달리한 신선편이 양파는 측정항목에 따라 영향이 다르게 보였다. 신선편이의 electrolyte leakage나 미생물 수는 재배조건 보다는 최소 가공전의 저장온도에 더 영향을 받아 저온($0^{\circ}C$) 저장한 것이 electrolyte leakage가 높고 미생물수가 많았다. 그러나 가스 조성 변화나 이취는 재배조건이나 저장온도에 따른 영향을 확인하기 어려워 보였다. 향후 신선편이에서 가공 전 영향에 대해서는 지속적인 탐색과 포장 후 품질관리를 통해 효과적인 상품성의 유지를 위한 방법을 밝힐 필요가 있을 것으로 본다. 본 연구를 통해 양파의 품종, 재배환경, 저장조건 등이 수확후나 신선편이에 미치는 영향을 구명하여, 수확전 재배 단계에서부터, 수확후 저장, 가공까지 유기적 관계가 있음을 확인할 수 있었다. 따라서 고품질의 신선한 원예산물에 대한 요구가 높아져 수확후 관리의 중요성이 강조되고 있지만, 저장 이후에도 높은 품질을 유지하기 위해서는 수확후 관리는 원물에 대한 이해를 통해 수확전 재배환경에서부터 수확후 저장기술 등이 연계되어 관리되어야 한다는 인식의 변화와 정론(定論)이 필요할 것으로 생각된다.

• 한국정보처리학회논문지
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• 제3권4호
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• pp.697-708
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• 1996

본 논문에서는 ATM 망에서 우선권을 갖는 반응 혼잡 제어에 대해 연구하였다. 버퍼에 접속에 대한 우선권 할당은 부분 버퍼 공유 기법으로 대부분의 트래픽 요구를 만족 시키기 위해 망 자원의 이용을 향상 시키기가 위해 사용되어 졌다. 도착 모델은 MMPP(Markov Modulated Poisson Process)를 사용하였다. 우선권 할당에 의한 부분버퍼 공유 기법이 실제 ATM망에서 버스트 트래픽에 대한 영향을 분석하였다. 이러한 기법으로 버스트트래픽에 대한 시스템의 셀 수를구하고 손실 확률도 구해 보았다. 예방 제어가 망 내에서 동작 중에 있을 지라도 트래픽소스의 예측할 수 없는 통계적 변동으로 인해 여전히 혼잡이 발생할 수가 있다. 이논문 에서는 반응혼잡 제어를 연구한다. 반응 혼 잡제어에서 각각의 소스는 전송된 셀을노드에서 트래픽 부하로 변화시킨다. ATM망에서 반응 혼잡 제어방식을 병용하므로써 더욱 효율적인 제어를 하는 것이다. 해석적인 모델을 개발하여 우선권을 가지는 반응 혼잡 제어의수학적 해석을 수행하 였다.수치적인 결과는 우선권이 없는 계층의 성능에 대한 영향력을 거의 가지고 있지 않는 높은 우선권을 갖는 계층에 대해 손실 확률 값의 개선을 보여준다. 또한, 우선권을 가지는 반응 혼잡 제어는 혼잡을 피하는 것과 통례적 이득을 얻는 데 있어서 매우 효 과적임을 보여준다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권2호
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• pp.815-822
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• 2015

Purpose: In this study, we aimed to evaluate the effects of sex-based non-small cell lung cancer (NSCLC) varieties on survival rates. Materials and Methods: A retrospective study was performed in patients with NSCLC who were diagnosed by histological methods between the years 2000 and 2010. A chi-square test was used to compare variables. Overall survival (OS) was estimated by the Kaplan-Meier method. Results: Of the 844 patients, 117 (13.9%) were women and 727 (86.1%) were men. Adenocarcinoma was more common in women than in men (p<0.0001). There were more women non-smokers than men (p<0.0001). There was no statistically significant difference in ECOG PS, weight loss>10%, stage, LDH, albumin and treatment between women and men. Women younger than 65 years (17.0 vs 12.0 months; p=0.03), who had adenocarcinoma histology (15.0 vs 10.0 months; p=0.006) and who had a hemoglobin level ${\geq}12g/dL$ (18.0 vs 12.0 months; p=0.01) were found to have a better median OS rate than men. Median OS rates were found to be 13.0 months in females and 12.0 months in males (p=0.14). Among metastatic patients, the median OS was 11.0 months in females and 8.0 months in males (p=0.005). Among stage IIIB and stage IV patients who had first line platinum-based chemotherapy, the median OS was 17.0 months in women and 11.0 months in men (p=0.002). The response rate of chemotherapy was higher in women than in men (p=0.03). Conclusions: In our study, we found that survival duration is longer and chemotherapy response is better in women with NSCLC who do not have anemia or comorbidities and who are mostly non-smokers with adenocarcinomas. Further studies regarding the causes of these differences may provide clarity on this subject.

• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.5971-5976
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• 2015

Background: Several prognostic factors have been studied in NSCLC, although it is unknown which is most useful. In this study, we aimed to investigate whether pre-treatment serum albumin level has prognostic value in patients with Stage IIIB NSCLC. Materials and Methods: This cross-sectional study included a total of 204 patients with Stage IIIB NSCLC who met the inclusion criteria. Pre-treatment serum albumin levels and demographic, clinical, and histological characteristics, as well as laboratory variables were recorded. A cut-off value was defined for serum albumin level and the patients were stratified into four groups on thios basis. Results: The majority of the patients was males and smokers, with a history of weight loss, and squamous histological type of lung cancer. The mean serum albumin level was $3.2{\pm}1.7g/dL$ (range, 2.11-4.36 g/dL). A cut-off value 3.11 g/dL was set and among the patients with a lower level, 68% had adenocarcinoma and 82% were smokers. The patients with low serum albumin levels had a lower response rate to e first-line chemotherapy with a shorter progression-free survival and overall survival. Multivariate analysis showed that low serum albumin level was an independent poor prognostic factor for NSCLC. Conclusions: This study results suggest that low serum albumin level is an independent poor prognostic factor in patients with Stage IIIB NSCLC, associated with reduction in the response rate to first-line therapy and survival rates.

• 대한치과보철학회지
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• 제51권3호
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• pp.175-182
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• 2013

연구 목적: 본 연구에서는 알렌드로네이트 투여기간의 차이가 백서의 상악 제 1대구치 발치와의 초기 창상치유에 미치는 영향을 알아보고자 하였다. 연구 재료 및 방법: 4주령 Sprague Dawley Rat (Body weight 130-140 g) 15마리를 이용하여 알렌드로네이트(Merial Inc., Parramatta, Australia) 투여군(실험군)과 투여하지 않은 대조군으로 나누고 실험군은 다시 투여기간에 따라 1주 투여군부터 2주 투여군, 4주 투여군, 6주 투여군까지 총 4개의 실험군으로 나눴다. 실험군에 정해진 시기(발치 5 주전, 발치 3주전, 발치 1주전, 발치 시)부터 발치 1주 후까지 알렌드로네이트를 1 mg/kg의 농도로 주 3회 피하주사 한 후 6주 투여군과 대조군에서 한 개체씩을 이용하여 미세배열(microarray)분석을 실시하였고, 다른 시편들을 이용하여 조직학적 분석을 시행하였다. 발치와 내에서의 신생골의 형성 비율과 발치와 주위 골에서 활성을 잃은 뼈에 대해 분석하였고, 파골세포 표지자인 TRAP 염색을 하여 분석하였다. 통계적인 분석으로 크루스컬-왈리스 검정(Kruskal Wallis test)을 실시하였다(${\alpha}=.05$). 결과:발치 후 1주 시점에서의 발치와 내에서의 신생골의 생성 비율은 대조군보다 ($16.77%{\pm}1.36%$) 4주 투여군($14.99%{\pm}6.26%$)에서 더 낮게 나오는 경향은 있었지만 유의 하지는 않았다. 투여기간이 증가할수록 활성을 잃은 골수강(empty lacuna)의 수는 증가하였고, TRAP positive cell 수는 감소하는 경향이 있으나 유의하지는 않았다. 결론: 본 예비실험을 통해서 알렌드로네이트의 투여기간이 증가할수록 신생골의 생성 비율이 감소되고 활성을 잃은 뼈들이 많아지며 파골세포의 수는 줄어드는 경향이 있음을 알 수 있었으나 통계적으로 유의차는 없었다.

• 대한수의학회지
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• 제13권1호
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• pp.85-102
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• 1973

In the event a population of animals is exposed to ionizing radiation, proper disposition of animals will minimize loss to the farmer and protect the public from unwholesome meat and dairy products. Clinical response is an important factor in considering salvage of animals for food following exposure to ionizing radiation whether the dose is lethal or not. It is the purpose of this report to present the discussions of blood picture and growth of y ung growing rabbits exposed to cobalt-60 gamma-irradiation. The experimental animals were Hyrnalayan rabbits of 65 days old. The body weight for all animals of the time of irradiation was approximately 450g. The 96 rabbits used in the experiment were allotted t groups of eight. Rabbits in one group served as controls and the others were exposed to single doses of 100, 200, 300, 400, 500, 600 and 700 Roentgens (R). The exposure does rate averaged 15 R per minute. Central blood was obtained by heart puncture. Erythrocyte and leukocyte enumerations and, determinations of hemoglobin in blood and hematocrit value were made in the usual manner. Erythrocyte counts, concentrations of hemoglobin in blood, and hematocrit readings dropped to the lowest value between 1 and 4 weeks postirradiation, returning towards the control values. But recovery was not complete at the time of the last determination on 6 weeks postirradiation. There was a progressive decrease with increasing radiation does in the above values. Mean corpuscular volume, mean corpuscular hemoglobin and mean corpuscular hemoglobin concentration were not affected by the irradiation. After irradiation of each does the numbers of total leukocyte and the absolute numbers of various types of white cell began to decrease rapidly, and reached a minimum after 2 weeks, returning towards normal levels. But recovery was not complete at the time of the last determination on 6 weeks postirradiation. The reductions in total leukocyte and differential counts as the radiation does increases were apparent. Relative neutrophilia was observed in each irradiated group because of more expense of lymphocytes after irradiation. Growth rate of the rabbits was not affected by 100 R of whloe-body irradiation, while rabbits irradiated with 200, 300, 400 and 500 R showed marked depression of growth rate. As the radiation does increases, a depression of growth rate was apparent. The rabbits exposed to 600 and 700 R ceased from growing and recovery was not recognized during the experimental period.

• Asian Pacific Journal of Cancer Prevention
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• 제15권6호
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• pp.2465-2472
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• 2014

Background: The American Joint Committee on Cancer (AJCC) published a new staging system ($7^{th}$ edition) in 2009. In our study, we evaluated the survival results and prognostic factors among T4 local advanced non-small cell lung cancer (LA-NSCLC) patients in a large heterogeneous group, in accordance with this new system. Materials and Methods: We retrospectively evaluated the files of 122 T4 N0-3 M0 LA-NSCLC patients, identified according to the new staging system, treated at two centers between November 2003 and June 2012. Variables correlating with univariate survival at p<0.20 were later included in multivariate Cox regression analysis. Here, selection of relevant predictors of survival was carried out in accordance with the likelihood ratio formula with p<0.05 regarded as significant. Results: The median age was 60 and the median follow-up period was 17.4 months. Median overall survival (OS) was 18.3 months, the 1 year overall survival (OS) rate was 72%, and the 5 year OS rate was 28%. Statistically significant predictors of survival were (p<0.20) ECOG-PS (Eastern Cooperative Oncology Group Performance Status), age, T4 factor subgroup, stage and primary treatment in OS univariate analysis. On multivariate analysis for OS ECOG-PS (p=0.001), diagnostic stage (p=0.021), and primary treatment (p=0.004) were significant. In the group receiving non-curative treatment, the median OS was 11.0 months, while it was 19.0 months in the definitive RT group and 26.6 months in the curative treatment group. There was a significant difference between the non-curative group and the groups which had definitive RT and curative operations (respectively p<0.001 and p=0.001) in terms of OS, but not between the groups which had definitive RT and curative operations. The median event free survival (EFS) rate was 9.9 months, with rates of 46% and 19% at 3 and 5 years, respectively. On univariate analysis of EFS rate with ECOG-PS, weight loss and staging, statistical significance was found only for thorax computerized tomography (CT)+18F-fluorodeoxy-glucose positron emission tomography-CT (PET-CT) use, stage and primary treatment (p<0.20). In multivariate analysis with EFS, only the primary treatment was statistically significant (p=0.001). In the group receiving non-curative treatment, the median EFS was 10.5 months while in the curative operation group it was 14.7 months. When all the primary treatment groups were taken into consideration, grade III/IV side effect swas observed in 57 patients (46.6%). Esophagitis was most prominent among those that received definitive radiotherapy. Conclusions: Independent prognostic factors among these 122 heterogeneous LA-NSCLC T4 N0-3 M0 patients were age at diagnosis, ECOG-PS, stage and primary treatment, the last also being a significant prognostic indicator of EFS. Our findings point to the importance of appropriate staging and a multidisciplinary approach with modern imaging methods in this patient group. In those with T4 lesions, treatment selection and the effective use of curative potential should be the most important goal of clinical care.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제26권4호
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• pp.337-344
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• 2000

본 연구에서는 MSI와 구강암과의 상관관계를 규명하기 위하여 17례의 구강암에 대하여 12종류의 marker를 이용하여 MSI 빈도를 조사하였으며, 동시에 p53단백의 과발현과 유전자 돌연변이 양상에 대해서도 알아보았다. 그 결과 4종류 이상의 marker에 대해서 MSI가 나타나는 widespread MSI의 경우 임상병리학적으로 뚜렷한 특징이 없었다. 또한 흡연과 MSI 빈도간에도 연관성이 없었으나 흡연은 p53 유전자의 돌연변이를 증가시켜 암화과정을 촉진하는 작용을 하는 것으로 나타났다.

• 미생물학회지
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• 제32권4호
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• pp.271-279
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• 1994

${\alpha}$-Amylase와 glucoamylase를 동시에 안정하게 분비하여 전분을 일단계로 직접 에탄올로 발효시킬수 있는 효모 균주를 개발하기 위하여 glucoamylase를 분비하는 Saccharomyces diastaticus hybrid 균주에 쥐의 침샘 유래의 ${\alpha}$-amylase cDNA 유전자를 plasmid vector를 이용하여 도입하였다. 이 균주로부터 효소생산에 필요한 유전자를 잃어버림이 없이 안정하게 분비할 수 있도록 하기 위하여 $\alpha$-amylase 유전자를 효모의 염색체에 삽입시키기 위한 integrating plasmid vector인 YIpMS$\Delta$R(LEU2)를 제작하였다. 이 vector의 효모형질전환에 있어 원형(circular)상태와 제한 효소 XbaI으로 처리된 직선화된(linearized) 상태의 두가지 형태를 비교한 결과 형질전환 효율에서나 형질전환체내의 $\alpha$-amylase 유전자 보유정도가 모두 직선화된 형태의 경우가 원형상태의 경우보다 높았다. Linearized vecotr를 가진 효모 형질전환체에서의 유전자 발현 안정도는 세포분열을 거듭할수록 episomal vecotr에 의한 효모 형질전환체에서의 발현 안정도보다 우수하게 나타났다. 또한 이 linearized vector를 가진 형질전환체는 $\alpha$-amylase와 glucoamylase를 동시에 분비하여 glucoamylase만 분비하는 원균주보다 2배 이상의 전분분해력을 보였다.