• Journal of Chest Surgery
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• 제42권6호
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• pp.710-718
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• 2009

배경: Cox maze 수술은 거의 20년 가까이 심방세동의 표준적인 외과적 치료방법으로 이용되었다. 최근 저자들은 Cox maze 수술에서 대부분의 절개선을 양극고주파전극(Cox maze IV procedure)으로 대치하였다. 저자들은 지속성 심방세동의 수술적 치료에 양극고주파전극을 이용한 Cox maze 수술의 결과를 조사하고 절개-봉합법을 이용한 Cox maze III 수술의 결과와 비교하였다. 대상 및 방법: 2005년 4월부터 2007년 7월까지 40명의 환자가 양극고주파전극으로 Cox maze 수술을 받았다. 그 결과를 절개-봉합법으로 수술 받은 35예의 결과와 비교하였다. 모두 다른 심장수술과 함께 심방세동 수술을 받았으며, 수술 후 1내지 2개월마다 추적 조사하였다. 결과: 수술 후 6개월에 정규리듬의 전환율은 양극고주파전극방법과 절개-봉합방법 사이에 차이가 없었고(95.0%/97.1%, p=1.0), 마지막 추적시간까지 정규리듬 전환율도 차이가 없었다(92.5%/91.6%, p=1.0). 다변량 분석(Cox-regression)으로 양극고주파군에서 심방세동의 지속 및 재발의 위험인자는 수술 후 좌심방의 내경이었고(hazard ratio 31, p=0.005), 양군 전체의 환자에서 수술 후 심방세동의 지속 및 재발의 위험인자(Cox-regression)는 수술 6개월에 심방세동의 출현(hazard ratio 92.24, p=0.003)과 수술 후 좌심방의 내경(hazard ratio 16.05, p=0.019)이었다. 대동맥차단시간과 체외순환시간은 양극고주파전극군에서 더 짧았다. 결론: Cox maze 수술 시 양극고주파전극의 사용은 절개-봉합법과 같이 우수한 정규리듬 전판율을 보이며, 수술 후 좌심방의 크기가 심방세동의 지속 및 재발에 영향을 주는 독립인자였다.

• Parasites, Hosts and Diseases
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• 제60권4호
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• pp.295-299
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• 2022

Malaria elimination and control require prompt and accurate diagnosis for treatment plan. Since microscopy and rapid diagnostic test (RDT) are not sensitive particularly for diagnosing low parasitemia, highly sensitive diagnostic tools are required for accurate treatment. Molecular diagnosis of malaria is commonly carried out by nested polymerase chain reaction (PCR) targeting 18S rRNA gene, while this technique involves long turnaround time and multiple steps leading to false positive results. To overcome these drawbacks, we compared highly sensitive cytochrome oxidase gene-based single-step multiplex reaction with 18S rRNA nested PCR. Cytochrome oxidase (cox) genes of P. falciparum (cox-III) and P. vivax (cox-I) were compared with 18S rRNA gene nested PCR and microscopy. Cox gene multiplex PCR was found to be highly specific and sensitive, enhancing the detection limit of mixed infections. Cox gene multiplex PCR showed a sensitivity of 100% and a specificity of 97%. This approach can be used as an alternative diagnostic method as it offers higher diagnostic performance and is amenable to high throughput scaling up for a larger sample size at low cost.

• 응용통계연구
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• 제21권2호
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• pp.327-340
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• 2008

본 연구에서는 오차항이 AR(1)을 따르는 회귀모형에서 올바른 추론을 도출하고자 모형식별의 문제를 다루었다. 이를 위해 Box-Cox 변환된 회귀모형을 고려하여 (i) Box-Cox 변환모형과 AR(1) 오차에 대한 동시 검정, (ii) AR(1) 오차가 존재하는 모형에서의 Box-Cox 변환모형에 대한 검정 그리고 (iii) 모형이 Box-Cox 변환되어 있을 때 오차가 AR(1) 과정을 따르는지에 대한 LM 검정통계량을 유도하였다. 특히 LM 검정방법에서 여러개의 모수가 비선형관계를 형성하고있어 정보행렬의 추정은 계산상 매우 어렵다. 따라서 정보행렬의 원소에 대한 기대값을 구함에 있어 Taylor전개를 이용하여 정보행렬을 구하고 이에 기반을 둔 LM 검정통계량($LM_E$)를 제안하고 모의실험결과 $LM_E$가 기존의 헤시안행렬에 기반을 둔 LM 검정통계량($LM_H$)에 비하여 유의수준을 잘 유지하고 있는 것으로 나타났다.

• 대한골관절종양학회지
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• 제13권2호
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• pp.105-112
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• 2007

목적: 최근 골 및 연부조직 종양을 포함한 각종 악성 종양에서 cyclooxygenase-2 (COX-2) 의 발현 증가가 보고되고 있다. 그러나 연골 종양에서의 COX-2 발현에 대해서는 별로 알려진 바가 없다. 대상 및 방법: 내연골종 10예, 연골모세포종 11예, 연골점액양섬유종 5예, 통상적 연골육종 17예, 투명세포 연골육종 7예, 간엽성 연골육종 6예를 대상으로 COX-2에 대한 면역조직화학법을 시행하였다. 결과: 양성 연골 종양 중 연골모세포종 11예 중 6예(54.5%)에서 특징적인 강한 양성 반응을 나타내었다. 내연골종과 연골점액양섬유종은 단 1예를 제외하고는 모든 증례에서 음성이었다. 통상적인 연골육종에서 3예(17.6%)는 COX-2에 대해 강한 양성 반응을 보였는데 이러한 양성 증례는 모두 조직학적 등급 3의 분화가 나쁜 연골육종이었다. 투명세포 연골육종 중 2예(28.5%)는 국소적인 양성 반응을 나타내었고 모든 간엽성 연골육종은 음성이었다. 결론: 이러한 결과는 통상적인 연골육종에서 COX-2 과발현이 조직학적 등급 진행과 관계된 소견임을 시사한다. 연골모세포종의 COX-2 발현은 특별히 이 종양에 동반되는 종양 주변부의 염증성 변화를 유발하는 중요한 요소로 생각된다.

• Journal of Chest Surgery
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• 제47권4호
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• pp.358-366
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• 2014

Background: To improve sinus rhythm conversion, the Cox maze III procedure with narrow mazes (width: ${\leq}3.0cm$) was performed in combination with left atrial volume reduction. Methods: From October 2007 to April 2013, 87 patients with atrial fibrillation (paroxysmal in 3, persistent in 14, and permanent in 70) underwent the Cox maze procedure concomitant with another cardiac procedure. They were followed-up with serial electrocardiographic and echocardiographic studies. We used 24-hour Holter monitoring tests to evaluate postoperatively symptomatic patients. Results: At the mean follow-up time of 36.4 months, 81 patients (94.2%) had sinus rhythm and two were on anti-arrhythmic medication (one on a beta-blocker and the other on amiodarone). Five patients (5.8%) with postoperative recurrent and persistent atrial fibrillation never experienced sinus rhythm conversion; however, they did not require any medication for rate control. On postoperative echocardiography, the left atrial A waves were more frequently observed after concomitant mitral valve repair than after concomitant mitral valve replacement (82.4% vs. 40.4%, respectively; p<0.001). Conclusion: For the Cox maze procedure, narrow mazes and atrial volume reduction resulted in excellent sinus rhythm conversion without the preventive use of anti-arrhythmic drugs, and they did not affect the presence of the left atrial A waves on echocardiography.

• 지식경영연구
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• 제11권2호
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• pp.95-109
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• 2010

The objectives of this study are to identify the survival function (hazard function) of small and medium enterprises by using technology rating data for the companies guaranteed by Korea Technology Finance Corporation (KOTEC), and to figure out the factors that affects their survival. To serve the purposes, this study uses Kaplan-Meier Analysis as a non-parametric method and Cox proportional hazards model as a semi-parametric one. The 17,396 guaranteed companies that assessed from July 1st in 2005 to December 31st in 2009 are selected as samples (16,504 censored data and 829 accident data). The survival time is computed with random censoring (Type III) from July in 2005 as a starting point. The results of the analysis show that Kaplan-Meier Analysis and Cox proportional hazards model are able to readily estimate survival and hazard function and to perform comparative study among group variables such as industry and technology rating level. In particular, Cox proportional hazards model is recognized that it is useful to understand which technology rating items are meaningful to company's survival and how much they affect it. It is considered that these results will provide valuable knowledge for practitioners to find and manage the significant items for survival of the guaranteed companies through future technology rating.

• The Korean Journal of Physiology and Pharmacology
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• 제21권3호
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• pp.345-352
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• 2017

Since previous studies have reported that hydroquinone (HQ) exerted immunosuppressive and anti-inflammatory activity, various HQ derivatives have been synthesized and their biological activities investigated. In this study, we explored the anti-inflammatory activity of JS-III-49, a novel HQ derivative, in macrophage-mediated inflammatory responses. JS-III-49 suppressed the production of the inflammatory mediators nitric oxide (NO) and prostaglandin $E_2$ ($PGE_2$) and down-regulated the mRNA expression of the inflammatory enzymes cyclooxygenase-2 (COX-2) and inducible nitric oxide synthase (iNOS) as well as the expression of the pro-inflammatory cytokines interleukin-6 (IL-6) and IL-$1{\beta}$ without cytotoxicity in LPS-stimulated RAW264.7 cells. JS-III-49 inhibited nuclear translocation of the $NF-{\kappa}B$ transcription factors p65 and p50 by directly targeting Akt, an upstream kinase of the $NF-{\kappa}B$ pathway, in LPS-stimulated RAW264.7 cells. However, JS-III-49 did not directly inhibit the kinase activities of Src and Syk, which are upstream kinases of Akt, in LPS-stimulated RAW264.7 cells. Moreover, JS-III-49 suppressed the nuclear translocation of c-Fos, one of the components of AP-1, by specifically targeting p38, an upstream mitogen-activated protein kinase (MAPK) in the AP-1 pathway in LPS-stimulated RAW264.7 cells. These results suggest that JS-III-49 plays an anti-inflammatory role in LPS-stimulated macrophages by targeting Akt and p38 in the $NF-{\kappa}B$ and AP-1 pathways, respectively.

• Journal of Nutrition and Health
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• 제37권9호
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• pp.786-793
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• 2004

Women with menopause or rats with ovariectomy is associated with increased body weight, body fat and insulin resistance, which are components of metabolic syndrome. Increased prevalence of metabolic syndrome after menopause might be associated with mitochondrial dysfunction, since mitochondrial oxidative and phosphorylation activity is strongly correlated with insulin sensitivity. Although estradiol replacement prevents the metabolic syndrome, harmful effect of estradiol hampers the casual usage to prevent the metabolic syndrome. It has been reported that genistein has a mild estrogenic activity, decreases fat mass in mice and has an antidiabetic role in diabetic rats. Although insulin resistance is closely related to mitochondrial functions, there has not been yet any study in regard to the effect of dietary genistein on mitochondrial function in the insulin resistant female subjects induced by ovariectomy or similar situation. The present study investigated whether the supplementation of genistein in the high fat diet affected the mitochondrial function of high fat fed ovariectomized rats. Female Sprague Dawley rats (8 weeks old) were assigned to the following groups: sham-operated+ high fat diet (S, n=6); sham-operated + high fat diet with 0.1% genistein (S + G, n=7); ovariectomized + high fat diet (OVX, n=8); ovariectomized + high fat diet with 0.1% genistein (OVX+ G, n=8). Ovariectomy significantly increased body weight compared with S group. Genistein consumption in ovariectomized (OVX + G) rats decreased body weight gain compared with OVX rats. Liver weights were increased by ovariectomy. The hepatic mitochondrial protein density expressed as mg per g liver was lower in the OVX group than in the S group. However, OVX + G group showed the increased mitochondrial protein density similar to the level of S group. When mRNA levels of genes related to mitochondria such as peroxisome proliferator-activated receptor ${\gamma}$ coactivator 1 (PGC-1) and cytochrome c oxidase subunit III (COX III) were measured, there were decreases in the mRNA levels of PGC-1 and COX III in S + G, OVX and OVX + G group. The activity of cytochrome c oxidase was not different between groups. We could observe the decrease in succinate dehydrogenase (SDH) activity per g liver in OVX rats. Genistein supplement increased SDH activity. In conclusion, genistein supplementation to the OVX rats enhanced mitochondrial function by increasing mitochondrial protein density and SDH activity. The improvement in mitochondrial function by genistein can contribute to the improvement in metabolic syndrome.

• Journal of Chest Surgery
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• 제42권3호
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• pp.317-323
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• 2009

배경: Cox-Maze 술식은 심방세동의 동율동 전환율은 높지만, 좌심방의 크기 및 기계적 수축력 회복 측면에 대한 효과는 아직 확립되어 있지 않다. 본 연구는 Cox-Maze 술식 후 좌심방 크기 및 기계적 수축력 변화를 알아보기 위해 수행되었다. 대상 및 방법: 1997년 7월부터 2008년 7월까지 승모판막 질환과 동반된 심방세동으로 총 647명의 환자에게 Cox-Maze 술식이 이루어졌다. 이 중, (1) 수술 후 경과 관찰 기간이 2년 이상인 경우, (2) 수술 후 항부정맥약의 복용 여부와 상관없이, 경과 관찰 기간도중 시행한 검사상 동율동이 지속된 경우, 그리고 (3) 경과 관찰 기간 도중 시행한 경흉부 심초음파 검사상, 판막의 Grade III 이상의 폐쇄부전증 또는 중등도 이상의 협착증이 없는 경우 등의 3가지 조건을 충족하는 211명을 연구 대상으로 하였다. 결과: 술 후 1년과 그 이후 추적 관찰기간의 경흉부심초음파 검사상 좌심방 크기는 증가하였으며, 기계적 수축력(E/A ratio)은 감소하였다. 추적 관찰기간이 길어질수록 통계적으로 유의하게 좌심방의 크기 증가와 기계적 수축력(E/A ratio) 감소의 소견을 보였다. 결론: 술 후 초기에 보여지는 회복된 좌심방 크기와 기계적 수축력은 시간이 경과함에 따라 각각 크기 승가와 기계적 수축력 감소를 보인다. 따라서 동율동으로 심박동 전환된 환자도 장기적인 추적관찰을 통해 꾸준한 좌심방 기능 평가가 필요하다고 생각된다.

• Archives of Pharmacal Research
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• 제29권10호
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• pp.849-858
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• 2006

Previous screening of the pharmacological action of Gastrodia elata (GE) root (Orchidaceae) showed that methanol (MeOH) extracts have significant anti-inflammatory properties. The antiinflammatory agents of GE, however, remain unclear. In this experiment, MeOH extracts of GE were fractionated with organic solvents for the anti-inflammatory activity-guided separation of GE. Eight phenolic compounds from the ether (EtOEt) and ethyl acetate (EtOAc) fractions were isolated by column chromatography: 4-hydroxybenzaldehyde (I), 4-hydroxybenzyl alcohol (II), benzyl alcohol (III), bis-(4-hydroxyphenyl) methane (IV), 4(4'-hydroxybenzyloxy)benzyl-methylether (V), 4-hydroxy-3-methoxybenzyl alcohol (VI), 4-hydroxy-3-methoxybenzaldehyde (VII), and 4-hydroxy-3-methoxybenzoic acid (VIII). To investigate the anti-inflammatory and anti-oxidant activity of these compounds, their effects on carrageenan-induced paw edema, arachidonic acid (AA)-induced ear edema and analgesic activity in acetic acid (HAc)-induced writhing response were carried out in vivo; cyclooxygenase (COX) activity, reactive oxygen species (ROS) generation in rat basophilic leukemia (RBL 2H3) cells and 1,1-diphenyl-2-picryl-hydroazyl (DPPH) scavenging activity were determined in vitro. These phenolic compounds not only had anti-inflammatory and analgesic properties in vivo, but also inhibited COX activity and silica-induced ROS generation in a dose-dependent manner. Among these phenolic compounds, compound VII was the most potent anti-inflammatory and analgesic. Compound VII significantly inhibited silica-induced ROS generation and compound VI significantly increased DPPH radical scavenging activity. Compounds I, II and III significantly inhibited the activity of COX-I and II. These results indicate that phenolic compounds of GE are anti-inflammatory, which may be related to inhibition of COX activity and to anti-oxidant activity. Consideration of the structure-activity relationship of the phenolic derivatives from GE on the anti-inflammatory action revealed that both C-4 hydroxy and C-3 methoxy radicals of benzyl aldehyde play an important role in anti-inflammatory activities.