• 제목/요약/키워드: human cases

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정액(精液)의 액화(液化)에 관한 연구(硏究) (Studies on Liquefaction of Semen)

  • 김석희;이희영
    • Clinical and Experimental Reproductive Medicine
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    • 제3권2호
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    • pp.35-42
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    • 1976
  • The human semen ejaculated in a form of liquid state, coagulates immediately after ejaculation, and then liquefies again. However, the mechanisms of neither coagulation and liquefaction of semen have not been explained clearly so far, and very limited numbers of report are available, although the spermatology and andrology made rapid progress. This clinical study has been undertaken to investigate the liquefaction phenomena and practicability of the results might be applied to fertility and infertility problems. As a preliminary study, in this report the liquefaction time of various semen groups is measured and analysed. The following results are obtained: 1. An average liquefaction time of semen of a total of 60 subjects: 25 minutes. 2. An average liquefaction time of semen according to sperm count: 1) Normospermia group (20 cases): 34 minutes. 2) Oligospermia group (20 cases): 21 minutes. 3) Azoospermia group (20 cases): 20 minutes. 3. An average liquefaction time of semen according to abstinence period: 1) Less than 3 days group (30 cases): 22 minutes. 2) More then 5 days group (30 cases): 28 minutes. In conclusion: 1. The liquefaction time of semen of the normospermia group is longer than oligospermia group or azoosermia group. 2. The liquefaction time of semen may not be greatly influenced by the various factors such as abstinence period, semen volume, semen pH, age of the subjects and so on. 3. In routine semen analyses, it is recommended to begin the analysis at least 25 minutes after the ejaculation. 4. Further studies are required in conjunction with practical application of liquefaction mechanism in infertility and fertility control.

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종합병원 임상간호사 실무교육에서의 기초간호학 교육현황 (Current Status of Biological Nursing Science Education for Clinical Nurses in General Hospital)

  • 정재심;황영희;김용범;류재금;김미경;최소은;박명숙;이향규;이경숙;최스미
    • Journal of Korean Biological Nursing Science
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    • 제20권1호
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    • pp.47-53
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    • 2018
  • Purpose: The purpose of this study was to investigate the extent and the nature of biological nursing science education for clinical nurses in general hospital. Methods: Five advanced general hospitals located in Seoul and Gyeonggi province were conveniently sampled. Contents of education for nurses conducted by the hospital nursing department from January 1 to December 31 of 2015 were collected. Contents of education included biological nursing science and the scope of inclusion and time of assignment were analyzed. Results: A total of 271 cases of nursing education data were collected and 223 cases were analyzed after excluding 48 cases whose contents were not confirmed. Biological nursing science was included in the contents of education for 117 cases (52.5%), but not for 106 cases (47.5%). Regarding the frequency of the biological nursing science education contents, 'pathophysiology'was the most frequently included (n= 286), followed by 'structure and function of the human body' (n= 191), 'mechanisms and effects of drugs' (n= 114) and 'clinical microbiology' (n= 43). Conclusion: Results of this study confirmed that the education for clinical nurses included a lot of biological nursing science related contents. These results can be used as basis for the development of curriculum and training course for nurses.

직업성 발암물질에 의한 국내 악성종양의 규모 (Cancers Attributable to Occupational Exposures in Korea)

  • 이원진;윤충식;이혜진;정지연;이경희;정원건;박미진
    • 한국산업보건학회지
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    • 제31권4호
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    • pp.510-520
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    • 2021
  • Objective: This paper aimed to provide estimates the burden of cancer attributable to occupational exposures in South Korea and to review the processes of estimating the population attributable fraction(PAF). Methods: The PAFs of occupational cancer were reviewed from previous studies. The number and proportion of cancer cases attributable to occupational carcinogens were estimated by multiplying the PAFs by recent Korean cancer data(up to 2016 for incidence and 2017 for death) obtained from the Statistics Korea. The estimation of PAFs included occupational exposures defined as definite or probable human carcinogens by the International Agency for Research on Cancer. Results: In South Korea, an estimated 10,769 new cancer cases(9,017 among men, 1,752 among women) in 2016, and 7,030 cases of death from cancer(6,047 in men, 983 in women) in 2017, were attributable to occupational exposures, representing 1.5-4.7% of all new cancer cases(2.1-7.5% and 0.3-1.6% among men and women, respectively) and 2.7-8.9% of all cancer death cases(3.4-12.4% and 0.5-3.3% among men and women, respectively). Among men and women, lung cancer was the most impactful. The estimation process of PAFs, however, has a variety of uncertainties. Conclusions: Occupational exposures contribute to a substantial burden of cancer in South Korea. PAFs for cancer provide useful information for prevention initiatives and prioritizing health policies for workers. However, PAFs need to be interpreted cautiously and updated regularly.

NLP 활용 사례 분석 및 도입에 관한 연구: 분석 프레임워크와 시사점 (A Study on Use Case Analysis and Adoption of NLP: Analysis Framework and Implications)

  • 박현정;임희석
    • 한국IT서비스학회지
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    • 제21권2호
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    • pp.61-84
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    • 2022
  • With the recent application of deep learning to Natural Language Processing (NLP), the performance of NLP has improved significantly and NLP is emerging as a core competency of organizations. However, when encountering NLP use cases that are sporadically reported through various online and offline channels, it is often difficult to come up with a big picture of how to understand and interpret them or how to connect them to business. This study presents a framework for systematically analyzing NLP use cases, considering the characteristics of NLP techniques applicable to almost all industries and business functions, environmental changes in the era of the Fourth Industrial Revolution, and the effectiveness of adopting NLP reflecting all business functional areas. Through solving research questions based on the framework, the usefulness of it is validated. First, by accumulating NLP use cases and pivoting them around the business function dimension, we derive how NLP techniques are used in each business functional area. Next, by synthesizing related surveys and reports to the accumulated use cases, we draw implications for each business function and major NLP techniques. This work promotes the creation of innovative business scenarios and provides multilateral implications for the adoption of NLP by systematically viewing NLP techniques, industries, and business functional areas. The use case analysis framework proposed in this study presents a new perspective for research on new technology use cases. It also helps explore strategies that can dramatically improve organizational performance through a holistic approach that encompasses all business functional areas.

Spatiotemporal Clusters and Trends of Pneumocystis Pneumonia in Korea

  • Kim, Hwa Sun;Nam, Ho-Woo;Ahn, Hye-Jin;Lee, Sang Haak;Kim, Yeong Hoon
    • Parasites, Hosts and Diseases
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    • 제60권5호
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    • pp.327-338
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    • 2022
  • This study determined the recent status and trend of Pneumocystis jirovecii pneumonia (PcP) in the non-human immunodeficiency virus (HIV) (non-HIV-PcP) and HIV (HIV-PcP) infected populations using data from the Health Insurance Review & Assessment Service (HIRA) and the Korea Disease Control and Prevention Agency (KDCA). SaTScan and Join-point were used for statistical analyses. Non-HIV-PcP cases showed an upward trend during the study period from 2010 to 2021, with the largest number in 2021 (551 cases). The upward trend was similar until 2020 after adjusting for the population. Seoul had the highest number of cases (1,597) in the non-HIV-PcP group, which was the same after adjusting for the population (162 cases/1,000,000). It was followed by Jeju-do (89 cases/1,000,000). The most likely cluster (MLC) for the non-HIV-PCP group was Seoul (Relative Risk (RR)=4.59, Log Likelihood Ratio (LLR)=825.531), followed by Jeju-do (RR=1.59, LLR=5.431). An upward trend was observed among the non-HIV-PcP group in the Jeju-do/Jeollanam-do/Jeollabuk-do/Gyeongsangnam-do/Busan/Daejeon/Daegu/Ulsan joint cluster (29.02%, LLR=11.638, P<0.001) located in the southern part of Korea. Both women and men in the non-HIV groups showed an overall upward trend of PcP during the study period. Men in the 60-69 age group had the highest annual percentage change (APC 41.8) during 2014-2019. In contrast, the HIV groups showed a falling trend of PcP recently. Men in the 60-69 age group had the most decrease (APC -17.6) during 2018-2021. This study provides an analytic basis for health measures and a nationwide epidemiological surveillance system for the management of PcP.

유전체맞춤의료를 둘러싼 인체유래물 및 인간유전체 정보의 도덕성 논쟁 - 잊혀질 권리와 공유할 의무를 중심으로 - (Moral Debate on the Use of Human Materials and Human Genome Information in Personalized Genomic Medicine: - A Study Focusing on the Right to be Forgotten and Duty to Share -)

  • 정창록
    • 의료법학
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    • 제17권1호
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    • pp.45-105
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    • 2016
  • 본 논문은 현대 유전체 맞춤 의료에서 인간유전체 정보를 둘러싼 잊혀질 권리와 공유할 의무를 중심으로 전개되는 논쟁들을 살펴보고 그 의의를 고찰하는 것을 목적으로 한다. 이 목적을 위해 필자는 먼저 인간유전체 맞춤 의료의 정의와 이슈를 정리해 볼 것이다. 이후 본 논문은 인체유래물 및 인간유전체 정보를 둘러싼 논란을 크게 두 방향에서 전개한다. 두 방향이란 인간유전체 정보의 소위 개인적인 측면과 공동체적 측면을 말한다. 인간유전체 정보는 과연 누구의 것일까? 한 개인의 것일까? 그 개인이 속한 가족이나 공동체의 것일까? 필자는 인간유전체 정보가 이 두 속성을 모두 갖는다고 본다. 그리고 이 두 속성은 정보가공과 관련하여 개인과 공동체의 입장차를 중심으로 정보가공자인 연구자와 정보소유를 둘러싼 몇몇 문제를 제기한다. 그리고 이렇게 제기된 문제는 또 다른 의문을 불러일으킨다. 인체유래물로부터 그 정보를 가공한 연구자는 그 정보에 대해 얼마만큼의 소유권을 주장할 수 있을 것인가? 본 논문에서 필자는 이러한 문제의식들을 가지고 헬라세포(HeLa cell), 트리스탄 다 쿠나(Tristan da Cunha)섬 사람들의 천식유전자 특허, 과이미(Guaymi)여성 세포주, 하가하이(Hagahai)남성 세포주 등의 사례를 통해 유전체 맞춤의료를 위한 연구와 유전정보데이터베이스 구축에서 벌어지는 다양한 논쟁점들을 고찰해 보려 노력한다. 마지막으로 필자는 인체유래물 및 인간유전체 정보의 잊혀질 권리와 공유할 의무의 변증법적 종합을 몇몇 도덕철학자들의 입장을 통해 시도해 본다.

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Evaluation of Several Screening Approaches for Detection of Cervical Lesions in Rural Shandong, China

  • Zong, Li-Ju;Zhang, You-Zhong;Yang, Xing-sheng;Jiang, Jie;Cui, Bao-Xia;Qiao, Yun-Bo;Li, Li;Jiang, Kan;Zhang, Wen-Jing;Kong, Bei-Hua;Shen, Keng
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권5호
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    • pp.1907-1912
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    • 2015
  • Purpose: The study was designed to: (1) investigate the prevalence of high-risk human papillomavirus (HR-HPV) infection and cervical neoplasia; and (2) evaluate clinical performance of visual inspection with acetic acid/ Lugol's iodine (VIA /VILI), Pap smear, high-risk human papillomavirus (HR-HPV) DNA test for detecting cervical intraepithelial neoplasia grade 2 or worse (CIN2+) and (3) explore appropriate screening approach in rural areas of Shandong Province. Materials and Methods: A total of 3,763 eligible women from Yiyuan County in Yimeng mountainous areas of rural Shandong, China, were enrolled and underwent Pap smear, HR-HPV DNA testing by Hybrid Capture 2 (HC2), and VIA /VILI tests. Women positive in any test were referred to colposcopy and biopsy as indicated. Results: The prevalence of HR-HPV infection among all enrolled women was 11.1% and that in healthy women was 9.9%. In total 33 cases of CIN1, 16 cases of CIN2, 6 cases of CIN3 but none of cervical cancer were detected and the crude prevalence of CIN2+ was 0.58%. For detecting CIN2+, the sensitivity of HR-HPV DNA testing, VIA/VILI, Pap smear was 90.9%, 77.3%, 81.8%, respectively. Pap smear had the best specificity of 98.2%, followed by HR-HPV DNA testing with specificity of 89.4%, VIA/VILI had the lowest specificity of 81.2%. Colposcopy referral rate of HR-HPV DNA testing, VIA/VILI, Pap smear was 11.1%, 18.5%, 2.3%, respectively. Conclusions: Our results suggest that HR-HPV DNA testing alone might be appropriate for primary cervical cancer screening in rural low-resource areas of Shandong Province, China.

부분정제 폐흡충 항원의 유용성 검토 (On the Applicability of Partially Purified Antigenic Preparations of Paragonimus westermani)

  • 김석일;강신영조승열
    • Parasites, Hosts and Diseases
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    • 제21권2호
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    • pp.257-264
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    • 1983
  • In order to obtain more specific antigenic preparation for the diagnosis of human paragonlmiasis, crude saline extract of whole worm (=PwWWE), secretory.excretory components (PwSEC) and secretion-excretion-free somatic extract (PwSM) of 12 week-old ParagoninBus westermani were filtrated through Sephadex G-200 gel column. The adult Paragonimus worms were obtained from expevimentally infected doge. A total of 11 antigenic solutions was Iyophilised or diluted to adjust protein content of 1mg/ml. To evaluate the antigenicity of crude antigens and fractions, micro-ELISA was done with the sera from P westermani in(ected cases, C. sinensis infected cases and non-infected control cases to detect Paragonimus specific IgG antibody. The results were as follows: 1. When the PwWWE was filtrated through Sephadex G-200 gel, it was separated into three fractions; PwWWE Fr. 1, PwWWE Fr. 2 and PwWWE Fr. 3. The percentage of protein content was 28.0%, 21.6% and 50.4% respectively. The PwSM was also. separated into three fractions; PwSM Fr. 1, PwSM Fr. 2, PwSM Fr. 3. and their percentage of protein content was 41.3%, 38.6% and 20.1%. However, the PwSEC showed different fractionation pattern; i.e. fraction 1 (=PwSEC Fr.1) and 3 (PwSEC Fr. 3) without fraction 2. The percentage of protein content was 14.0% in PwSEC Fr. 1 and 86.0% in PwSEC Fr. 3. 2. When the antigenicity of each Paragonimus crude antigen and fractionated antigen was evaluated for specific IgG aritibody by micro-ELISA in 10 human paragonimiasis sera, PwSEC Fr, 1 was the most potent antigen showing the mean absorbance 1.98. The PwWWE Fr. 1, PwSEC, PwWWE were next to that: their mean absorbance were 1.72, 1.38 and 0.83 respectively. The antigenicity of fractions 2 and 3 was much weaker in binding specific IgG antibody. 3. When the antigens were reacted in micro-ELISA with 10 human clonorchiasis sera, most antigens showed weak reactivity. Each fraction 1 of crude antigens reacted higher than other fractions or crude antigens; the mean absorbance was 0.17 in fraction 1, but in others the absorbances were about 0.06. 4. With non-infected control sera, the result of micro-RLISA revealed almost same pattern with those of the clonorchiasis sera. From the above results, it became apparent that PwWWE Fr. 1, especially PwSEC Fr. 1 was the most potent antigen reacted with Paragonisfaus specific IgG antibody.

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Polymorphisms and Functional Analysis of the Intact Human Papillomavirus16 E2 Gene

  • Ekalaksananan, Tipaya;Jungpol, Watcharapol;Prasitthimay, Chuthamas;Wongjampa, Weerayut;Kongyingyoes, Bunkerd;Pientong, Chamsai
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권23호
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    • pp.10255-10262
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    • 2015
  • High risk human papillomavirus (HR-HPV) E2 proteins play roles in transcriptional regulation and are commonly functionally disrupted when the HPV genome integrates into host chromosomes. Some 15-40% of cancer cases, however, contain an intact E2 gene or episomal HPV. In these cases, polymorphism of the E2 gene might be involved. This study aimed to determine polymorphisms of the E2 gene in episomal HPV16 detected in high grade squamous intraepithelial lesions and squamous cell carcinomas and altered functions compared to the E2 prototype. The E2 gene was amplified and sequenced. Two expression vectors containing E2 gene polymorphisms were constructed and transfected in SiHa and C33A cells, then E6 gene as well as Il-10 and TNF-${\alpha}$ expression was determined by quantitative RT-PCR. Expression vectors and reporter vectors containing the HPV16 long control region (LCR) were co-transfected and transcriptional activity was determined. The results showed that a total of 32 nucleotides and 23 amino acids were changed in all 20 cases of study, found in the transactivation (TA) domain, hinge (H) region and DNA binding (DB) domain with 14, 5 and 13 nucleotide positions. They mostly caused amino acid change. The expressing vectors containing different E2 gene polymorphisms showed E6 mRNA suppression, TNF-${\alpha}$ mRNA suppression and IL-10 induction but no statistically significant differences when compared to the E2 prototype. Moreover, promoter activity in HPV16 LCR was not affected by E2 protein with different gene polymorphisms, in contrast to nucleotide variations in LCR that showed an effect on transcription activity. These results demonstrated that E2 gene polymorphisms of episomal HPV16 did not affect transcriptional regulation and suggested that nucleotide variation as well as epigenetic modification of the LCR might play a role in inducing malignant transformation of cells containing episomal HPV16.

Contribution of the MLH1 -93G>A Promoter Polymorphism in Modulating Susceptibility Risk in Malaysian Colorectal Cancer Patients

  • Nizam, Zahary Mohd;Abdul Aziz, Ahmad Aizat;Kaur, Gurjeet;Abu Hassan, Muhammad Radzi;Mohd Sidek, Ahmad Shanwani;Lee, Yeong Yeh;Mazuwin, Maya;Ankathil, Ravindran
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권2호
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    • pp.619-624
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    • 2013
  • Background: Colorectal cancer (CRC) exists in a more common sporadic form and less common hereditary forms, associated with the Lynch syndrome, familial adenomatous polyposis (FAP) and other rare syndromes. Sporadic CRC is believed to arise as a result of close interaction between environmental factors, including dietary and lifestyle habits, and genetic predisposition factors. In contrast, hereditary forms such as those related to the Lynch syndrome result from inheritance of germline mutations of mismatch repair (MMR) genes. However, in certain cases, the influence of low penetrance alleles in familial colorectal cancer susceptibility is also undeniable. Aim: To investigate the genotype frequencies of MLH1 promoter polymorphism -93G>A and to determine whether it could play any role in modulating familial and sporadic CRC susceptibility risk. Methods: A case-control study comprising of 104 histopathologically confirmed CRC patients as cases (52 sporadic CRC and 52 Lynch syndrome patients) and 104 normal healthy individuals as controls was undertaken. DNA was extracted from peripheral blood and the polymorphism was genotyped employing PCR-RFLP methods. The genotypes were categorized into homozygous wild type, heterozygous and homozygous variants. The risk association between these polymorphisms and CRC susceptibility risk was calculated using binary logistic regression analysis and deriving odds ratios (ORs). Results: When risk association was investigated for all CRC patients as a single group, the heterozygous (G/A) genotype showed a significantly higher risk for CRC susceptibility with an OR of 2.273, (95%CI: 1.133-4.558 and p-value=0.021). When analyzed specifically for the 2 types of CRC, the heterozygous (G/A) genotype showed significantly higher risk for sporadic CRC susceptibility with and OR of 3.714, (95%CI: 1.416-9.740 and p-value=0.008). Despite high OR value was observed for Lynch syndrome (OR: 1.600, 95%CI: 0.715-3.581), the risk was not statistically significant (P=0.253). Conclusion: Our results suggest an influence of MLH1 promoter polymorphism -93G>A in modulating susceptibility risk in Malaysian CRC patients, especially those with sporadic disease.