• Title/Summary/Keyword: combined effects

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Clinical Study on Safety and Efficacy of Qinin® (Cantharidin Sodium) Injection Combined with Chemotherapy in Treating Patients with Gastric Cancer

  • Zhan, Yi-Ping;Huang, Xin-En;Cao, Jie;Lu, Yan-Yan;Wu, Xue-Yan;Liu, Jin;Xu, Xia;Xu, Lin;Xiang, Jin;Ye, Li-Hong
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4773-4776
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    • 2012
  • Objectives: To assess the efficacy, side effects, and the impact on quality of life with $Qinin^{(R)}$ (Cantharidin sodium) injection combined with chemotherapy for gastric cancer patients. Method: A consecutive cohort of 70 patients were divided into two groups: experimental group with cantharidin sodium injection combined with chemotherapy, while the control group received chemotherapy alone. After more than two courses of treatment, efficacy, quality of life and side effects were evaluated. Results: The response rate of experimental group was not significantly different from that of the control group (P>0.05), but differences were significant in clinical benefit response and KPS score. In addition, gastrointestinal reactions and the incidence of leukopenia were lower than in the control group (P<0.05). Conclusions: $Qinin^{(R)}$ (Cantharidin sodium) injection combined with chemotherapy enhances clinical benefit response, improving quality of life of gastric cancer patients and reducing side effects of chemotherapy. Thus $Qinin^{(R)}$ (Cantharidin sodium) injection deserves to be further investigated in randomized control clinical trails.

Crack-tip Stress Field of Fully Circumferential Surface Cracked Pipe Under Combined Tension and Thermal Loads (원주방향 부분 관통 균열이 존재하는 직관에 인장하중과 열하중의 복합하중이 가해지는 경우의 균열 선단 응력장)

  • Je, Jin Ho;Kim, Dong Jun;Kim, Yun Jae
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.11
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    • pp.1207-1214
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    • 2014
  • Under excessive plasticity, the fracture toughness of a material depends on its size and geometry. Under fully yielded conditions, the stresses in a material near its crack tip are not unique but rather depend on the geometry. Therefore, the single-parameter J-approach is limited to a high-constraint crack geometry. The JQ theory has been proposed for establishing the crack geometry constraints. This approach assumes that the crack-tip fields have two degrees of freedom. In this study, the crack-tip stress field of a fully circumferential surface-cracked pipe under combined loads is investigated on the basis of the JQ theory by using finite element analysis. The combined loads are a tensile axial force and the thermal gradient in the radial direction. Q-stresses of the crack geometry and its loading state are used to determine the constraint effects. The constraint effects of secondary loading are found to be greater than those of primary loading. Therefore, thermal shock is believed to be the most severe loading condition of constraint effects.

Combined Treatment of Herbal Mixture Extract H9 with Trastuzumab Enhances Anti-tumor Growth Effect

  • Lee, Sunyi;Han, Sora;Jeong, Ae Lee;Park, Jeong Su;Jung, Seung Hyun;Choi, Kang-Duk;Yang, Young
    • Journal of Microbiology and Biotechnology
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    • v.25 no.7
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    • pp.1036-1046
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    • 2015
  • Extracts from Asian medicinal herbs are known to be successful therapeutic agents against cancer. In this study, the effects of three types of herbal extracts on anti-tumor growth were examined. Among the three types of herbal extracts, H9 showed stronger anti-tumor growth effects than H5 and H11 in vivo. To find the molecular mechanism by which H9 inhibited the proliferation of breast cancer cell lines, the levels of apoptotic markers were examined. Proapoptotic markers, including cleaved PARP and cleaved caspases 3 and 9, were increased, whereas the anti-apoptotic marker Bcl-2 was decreased by H9 treatment. Next, the combined effect of H9 with the chemotherapeutic drugs doxorubicin/cyclophosphamide (AC) on tumor growth was examined using 4T1-tumor-bearing mice. The combined treatment of H9 with AC did not show additive or synergetic anti-tumor growth effects. However, when tumor-bearing mice were co-treated with H9 and the targeted anti-tumor drug trastuzumab, a delay in tumor growth was observed. The combined treatment of H9 and trastuzumab caused an increase of natural killer (NK) cells and a decrease of myeloid-derived suppressor cells (MDSC). Taken together, H9 induces the apoptotic death of tumor cells while increasing anti-tumor immune activity through the enhancement of NK activity and diminishment of MDSC.

The Effects of a Combined Exercise Program and Telephone Counseling on Physiological Functions, Self-efficacy and Depression in Obese Middle-aged Women (복합운동프로그램과 전화상담이 중년 비만여성의 생리적 기능, 자기효능감, 우울에 미치는 효과)

  • Park, Nam-Hee;Choi, Eun-Oak;Han, Chae-In
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.69-78
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    • 2007
  • Purpose: This study was to determine the effects of a combined exercise program and telephone counseling in obese middle-aged women. The study also attempted to measure the effects of the program on physiological functions, self-efficacy and depression. Method: This research employed a nonequivalent control group pretest-posttest design. The experimental group consisted of 29 obese middle-aged women, and the control group of 30 women. The subjects in the experimental group participated in a combined exercises program and telephone counseling for 12 weeks. Results: After performing the program for 12 weeks, BMI (p=.000), percent body fat (p<.007), TC (p=.026), TG (p=.035) and depression (p=.012) in the experimental group decreased significantly compared with the control group. Self-efficacy (p=.000) in the experimental group increased significantly compared with the control group after the program. Conclusion: From these findings, it was confirmed that a combined exercises program and telephone counseling for obese middle-aged women can increase self-efficacy and decrease BMI, percent body fat, total cholesterol, triglyceride and depression. Therefore, this program can be utilized for various population groups including women, and further researches are required on programs for men.

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Protective Effects of Nueihyuljunbang on LPS Combined PMA Induced Cytotocity in C6 Gilal Cell (LPS와 PMA에 손상된 신경교세포에 대한 뇌혈전방의 방어효과)

  • 서관수;문병순;성강경;임규상;신선호
    • The Journal of Korean Medicine
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    • v.22 no.3
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    • pp.1-10
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    • 2001
  • Objectives : The water extract of Nueihyuljunbang (NHJB) has long been used for treatment of ischemic brain damage in Oriental Medicine. However, little is known about the mechanism by which the water extract of NHJB recovers brain cens from ischemic damage. Methods : To elucidate the protective mechanism on ischemic induced cytotoxicity, we investigated the regulation of lipopolysaccharide (LPS) and phorbol-12-myristate-13-acetate (PMA)-induced inducible nitric oxide synthase (iNOS) expression in C6 glial cells. Results : LPS combined PMA treatment for 72 hours in C6 glial cells markedly induced nitric oxide (NO), but treatment of the cells with the water extract of NHJB decreased dose-dependently nitrite formation. In addition, LPS combined PMA treatment for 72 hours induced severe celt death and lactate dehydrogenase (LDH) release in C6 glial cells. However, treatment of the celts with the water extract of NHJB did not induce significant change compared to control cells. Furthermore, the protective effects of the water extract of NHJB were mimicked by the treatment of NGMMA, a specific inhibitor of NOS. LPS combined PMA induced iNOS activation in C6 glial cells caused chromosomal condensation and fragmentation of the nuclei by caspase activation. The treatment of C6 glial cells with the water extract of NHJB might suppress apoptosis via caspase inhibition by regulation of iNOS expression. Conclusions : From the results, we suggest that the protective effects of the water extract of NHJB against ischemic brain damage may be mediated by regulation of iNOS during ischemic condition.

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Effects of Combined Electro-Acupuncture and Moxibustion at CV13, CV12, CV10 and ST36 on the Serum Gastrin Level in Rats (상완(上脘), 중완(中脘), 하완(下脘) 및 족삼리(足三里) 침구(鍼灸)의 단용(單用)과 병용자극(倂用刺戟)이 정상(正常) 백서(白鼠) 위기능(胃機能)에 미치는 영향(影響))

  • Yun, Hyuk;Kim, Yong-jeong;Yun, Jung-an;Yu, Yun-cho;Kim, Kang-san;Kang, Byung-ki
    • Journal of Acupuncture Research
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    • v.21 no.6
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    • pp.167-176
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    • 2004
  • Objective : This study was designed to investigate the effects of electro-acupuncture(EA) and moxibustion at CV13, CV12, CV10 and ST36 serum gastin level in rats. Methods : The present study was conducted to see the effects produced by combined electro-acupuncture(EA) and moxibustion using four different acupoints on serum gastrin level in rats. Electro-acupuncture (2 Hz, intensity ; 10 times muscle twitch threshold) was applied for 30 minutes to ST36 under halothane anesthesia. Moxibustion ($1.6{\pm}0.3mg$, 5 times of a day) was applied during 3 days to CV13, CV12, CV10 under halothane anesthesia. Results : Both of EA applied to the ST 36 and Moxibustion applied to the CV10, CV12 decreased serum gastrin level significantly. And the effect of combined EA at ST36 and moxibustion at CV10 was shown stronger effect than each singular stimulus of EA at ST36 and moxibustion at CV10. These data suggest that both of EA and moxibustion at specific acupoints produce change of serum gastrin level in rats and combined EA and moxibustion was shown quite effect than each singular stimulus.

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Early potential effects of resveratrol supplementation on skeletal muscle adaptation involved in exercise-induced weight loss in obese mice

  • Sun, Jingyu;Zhang, Chen;Kim, MinJeong;Su, Yajuan;Qin, Lili;Dong, Jingmei;Zhou, Yunhe;Ding, Shuzhe
    • BMB Reports
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    • v.51 no.4
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    • pp.200-205
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    • 2018
  • Exercise and resveratrol supplementation exhibit anti-obesity functions in the long term but have not been fully investigated yet in terms of their early potential effectiveness. Mice fed with high-fat diet were categorized into control (Cont), exercise (Ex), resveratrol supplementation (Res), and exercise combined with resveratrol supplementation (Ex + Res) groups. In the four-week period of weight loss, exercise combined with resveratrol supplementation exerted no additional effects on body weight loss but significantly improved whole-body glucose and lipid homeostasis. The combined treatment significantly decreased intrahepatic lipid content but did not affect intramyocellular lipid content. Moreover, the treatment significantly increased the contents of mtDNA and cytochrome c, the expression levels of peroxisome proliferator-activated receptor gamma coactivator-1 alpha and its downstream transcription factors, and the activities of ATPase and citrate synthase. However, exercise, resveratrol, and their combination did not promote myofiber specification toward slow-twitch type. The effects of exercise combined with resveratrol supplementation on weight loss could be partly due to enhanced mitochondrial biogenesis and not to fiber-type shift in skeletal muscle tissues.

The Impact of Adverse Employment and Working Conditions on the Risk of Workplace Injury in Canada

  • Nadalin, Victoria;Mustard, Cameron;Smith, Peter M.
    • Safety and Health at Work
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    • v.12 no.4
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    • pp.471-478
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    • 2021
  • Background: Employment standards (ES) include having a regular payday, regular breaks, the right to paid sick or vacation time, and paid wages. Inadequate ES contribute to the labour market vulnerability of workers; however, they are not typically considered to be risk factors for workplace injury. In a sample of Canadian workers, we examine the risk of injury associated with inadequate ES, independent of, and combined with inadequate workplace protections from workplace hazards. Methods: Data from 2,803 adults working 15 hours or more/week in workplaces with at least five employees were analysed. We explored associations between exposure to workplace hazards with inadequate protections [termed occupational health and safety (OHS) vulnerability] and inadequate ES on workplace injury (physical or mental injury; injury requiring time off). Additive interaction models were used to examine the independent and combined effects of these exposures. Results: Occupational health and safety vulnerability and inadequate ES were independently associated with increased injury outcomes. Adjusted models showed an additive relationship for all injury outcomes between OHS vulnerability and inadequate ES. Statistically significant superadditive relationships were observed for physical injury risk with policy and procedure vulnerability plus inadequate ES [synergy index (S) 1.50, 95% CI: 1.13-2.00] and for overall OHS vulnerability plus inadequate ES (S 1.53, 95% CI: 1.16-2.02), suggesting a combined effect greater than independent effects. Conclusion: Occupational health and safety vulnerability and inadequate ES are independently associated with workplace injury. For certain injury outcomes, the combined effect of OHS vulnerability and inadequate ES is greater than the independent effects of each individual exposure.

Effects of Abdominal Draw-In Maneuver Combined with Transcranial Direct Current Stimulation on Balance Ability and Trunk Function in Chronic Stroke Patients (경두개 직류 전기 자극과 병행한 배 드로우인 방법이 만성 뇌졸중 환자의 균형 능력과 몸통 기능에 미치는 영향)

  • Yang-Jin Lee
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.2
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    • pp.101-108
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    • 2023
  • Purpose : To investigate effects of transcranial directed current stimulus (tDCS) combined with abdominal draw-in maneuver (ADIM) on balance ability and trunk impairment scale of chronic stroke patients. Methods : Twenty-six chronic stroke patients were recruited and twenty-four participated after excluding two patients who met the exclusion criteria. After screening tests, they were randomized through excel program into an experimental group (n = 12) to apply a tDCS combined with ADIM and a control group (n = 12) to apply a sham tDCS with ADIM. The intervention lasted three times a week for six weeks. To compare tDCS intervention effects, trunk impairment scale and balance ability were measured. Comparisons between experimental and control groups were statistically processed using an independent t-test and comparisons within groups were statistically processed using a paired t-test. Results : The experimental group showed significant increases of pre- and post-intervention medial lateral velocity, anterior posterior velocity and area of balance ability, and trunk impairment scale (p<.05). The control group showed significant increases in pre- and post-intervention medial lateral velocity of balance ability and trunk impairment scale (p< .05). The experimental group showed significant increases of medial lateral velocity of balance ability and trunk impairment scale compared to the control group (p<.05). Conclusion : Results of this study suggest that tDCS combined with ADIM for chronic stroke patients can be effective in improving medial lateral velocity of balance ability and trunk impairment scale. Thus, tDCS can be used as an effective treatment protocol for trunk rehabilitation of chronic stroke patients.

Aesthetic Characteristics of Grecian Style (그리스 스타일의 미적 특성)

  • Ham, Youn-Ja
    • Fashion & Textile Research Journal
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    • v.9 no.6
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    • pp.595-602
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    • 2007
  • This study examined the aesthetic characteristics of Grecian style which is being considered as the representative classic of Western fashion and the transformations of those Grecian styles on the fashion of the twentieth century. This study used positive research method using literatures on art history and clothing history, fashion related publications, and magazines and websites to understand the trend of fashion designer's collections. The study results are as follows. The aesthetic characteristics of Grecian style was considered to be the ideal beauty combined with symmetry, the functional beauty combined with non-construction, and the sensual beauty combined with natural body. The ideal beauty combined with symmetry appears as a style that shows idealistic proportion of a body emphasizing high-waist based on the golden ratio and the body as a whole rather than details. The functional beauty combined with non-construction appears as perfect recreation a body in its original and natural form. The clothing takes a form that does not have any structural design and has simplified cutting and sewing. It uses pins and strings to fix up the form of clothing which is flexible and naturally draped. The sensual beauty combined with natural body is found in natural silhouette dress alluding naked body in connection with Rousseau' naturalism in neoclassic period. Throughout the twentieth century, the desire for Grecian style was conveyed by a single detail or through an array of allusive effects.