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Efficacy of Transarterial Chemoembolization Combined with Radiofrequency Ablation in Treatment of Hepatocellular Carcinoma

  • Xu, Chuan;Lv, Peng-Hua;Huang, Xin-En;Wang, Shu-Xiang;Sun, Ling;Wang, Fu-An
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.14
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    • pp.6159-6162
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    • 2015
  • Purpose: To evaluate efficacy of transarterial chemoembolization (TACE) combined with radiofrequency ablation (RFA) in treatment of patients with hepatocellular carcinoma. Materials and Methods: During January 2009 to March 2012, 80 patients with hepatocellular carcinoma underwent TACE, with or without RFA. Alfafetoprotein (AFP) was checked before and after procedure. CT scans were obtained one month after TACE or RFA for all patients to evaluate tumor changes. Complete response+partial response+stable disease (CR+PR+SD)/n were used to assess the disease control rate (DCR). Survival at 3, 6 and 12 months was compared in both groups. Results: AFP levels in TACE + RFA group dropped rapidly, becoming obviously lower than that of the TACE group. In the TACE + RFA group DCR was 93.8%, while only 76.8% in the TACE group. The treatment effect between the two groups was statistically significant (P<0.05) by Ridit analysis. 1 year survival rate in the TACE + RFA group was 92.5%, significantly higher than that of the TACE group at 77.5% (P<0.05). Conclusions: TACE and RFA as combined therapy method for patients with middle and terminal stage HCC gives full play to synergy between the two and improves the therapeutic effect.

Intensity-modulated Radiotherapy Combined with Endocrine Therapy for Intermediate and Advanced Prostate Cancer: Long-term Outcome of Chinese Patients

  • Luo, Hua-Chun;Cheng, Hui-Hua;Lin, Gui-Shan;Fu, Zhi-Chao;Li, Dong-Shi
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4711-4715
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    • 2013
  • Aim: The aim of this study was to evaluate acute adverse events and efficacy of three-dimensional intensitymodulated radiotherapy (IMRT) combined with endocrine therapy for intermediate and advanced prostate cancer. Methods: Sixty-seven patients were treated with three-dimensional IMRT combined with maximum androgen blockade. The correlation between radiation-induced rectal injury and clinical factors was further analyzed. Results: After treatment, 21 patients had complete remission (CR), 37 had partial remission (PR), and nine had stable disease (SD), with an overall response rate of 86.5%. The follow-up period ranged from 12.5 to 99.6 months. Thirty-nine patients had a follow-up time of ${\geq}$ five years. In this group, three-year and five-year overall survival rates were 89% and 89.5%, respectively; three-year and five-year progression-free survival rates were 72% and 63%. In univariate analyses, gross tumor volume was found to be prognostic for survival ($X^2$ = 5.70, P = 0.037). Rates of leucopenia and anemia were 91.1% and 89.5%, respectively. Two patients developed acute liver injury, and a majority of patients developed acute radiation proctitis and cystitis, mainly grade 1/2. Tumor volume before treatment was the only prognostic factor influencing the severity of acute radiation proctitis (P < 0.05). Conclusions: IMRT combined with endocrine therapy demonstrated promising efficacy and was well tolerated in patients with intermediate and advanced prostate cancer.

Evaluation of the health status of preschool children stratified based on the weight-length index (WLI)

  • Shin, Kyung-Ok;Chung, Keun-Hee;Park, Hyun-Suh
    • Nutrition Research and Practice
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    • v.4 no.5
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    • pp.383-392
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    • 2010
  • This study was conducted to prepare basic materials and offer advice regarding dietary habits to prevent and cure childhood obesity by comparing and analyzing dietary habit, nutritional status, blood factors, and mineral contents of hair. All subjects were stratified by their weight-length index (WLI). According to the standard WLI values, 64.9% of children were within the normal value, 13.5% of children were underweight, and 21.6% of children were overweight and obese (WLI ${\geq}$ 110%). Overall, the score assessed dietary habit for all children was $21.32{\pm}2.55$ point (921 subjects), with 5.1% of children having excellent dietary habits and 3.1% having poor dietary habits. Additionally, 37.9% of underweight children, 37.6% of normal weight children, and 43.2% of overweight and obese children consumed higher amounts of protein than underweight children did (meat, fish, eggs, and soy products) (P < 0.05). Overweight and obese children consumed more fried foods than underweight or normal weight children (P < 0.05). Moreover, 38.0% of the children had hemoglobin levels of 12 g/dl, while 7.6% were anemic (11.1 g/dl). When a hematocrit level of 33% was taken as the standard, 11.0% of children were anemic. The plasma transferrin content was $263.76{\pm}54.52$ mg/dl in overweight and obese children. The mean values of Fe, Cu, Ca, Cr, Mn, Se, Na, K, Li, V, Co, and Mo were within the reference values, but the Zn concentrations of underweight, normal weight, and overweight and obese children were $67.97{\pm}28.51$ ppm, $70.09{\pm}30.81$ ppm, and $73.99{\pm}30.36$ ppm, respectively. The Zn concentration of overweight and obese children ($73.99{\pm}30.36$ ppm) was lower than that of the standard value (180~220 ppm). Therefore, a nutritional education program and new guidance for dietary pattern should be developed to reduce the number of underweight and overweight and obese children.

Bacterial Degradation of Monoethanolamine (생물학적 방법에 의한 Monoethanolamine의 분해 연구)

  • Hyun, Jun-Taek;Rhee, In-Hyoung;Kwon, Sung-Hyun;Kim, Dong-Jin;Cho, Dae-Chul
    • KSBB Journal
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    • v.22 no.3
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    • pp.157-161
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    • 2007
  • This study is to investigate the biological degradation and the characteristics of MEA, a pH regulator to be put in the cooling water circulation system for power plants, loading to elevate concentrations of COD and N when eluted into the water environment. MEA, $NH_4^+$ and CODcr were monitored in flask cultures and in a batch aerator. MEA was found to be biologically degradable, producing substantial amount of ammonia (max. 78.1%) in a form of $NH_4^+$ and other carboneous intermediates. The degradation reaction rates were similar one another over all MEA concentrations tested as the activated sludge (microbial consortium) was acclimated to MEA with the gradual and stepwise increase in MEA input into the batch aerator. Also, MLVSS kept increasing with increasing MEA input. The COD-based degradation reaction order was determined to be 1.

Effects of Different Light Spectra on the Oocyte Maturation in Grass Puffer Takifugu niphobles

  • Choi, Song-Hee;Kim, Byeong-Hoon;Hur, Sung-Pyo;Lee, Chi-Hoon;Lee, Young-Don
    • Development and Reproduction
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    • v.22 no.2
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    • pp.175-182
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    • 2018
  • In order to examine the effects of four different light spectra (white, red, green, and blue) on the oocyte maturation, the change of reproductive parameters, via brain-pituitary-gonad (BPG) axis in grass puffer, were investigated. After exposure four different light spectra for 7 weeks, the abundance of gonadotropin-releasing hormone (GnRH) mRNA which is a type of seabream (sbGnRH) and two different subunit of gonadotropin hormones mRNAs, follicle-stimulating hormone ($fsh{\beta}$) mRNA and luteinizing hormone ($lh{\beta}$) mRNA, were analyzed in the brain and pituitary. Histological analysis showed that the mature oocyte ratio in the green spectrum was higher than other light spectra-exposed groups. Gonadosomatic index (GSI) and oocyte developmental stage were also investigated in the gonad based on histological observations. GSI value with the presence of yolk stage oocytes was significantly increased in the green spectrum-exposed group when compared to that of the other light-exposed groups (white, red, and blue) (p<0.05). The abundances of sbGnRH mRNA and $fsh{\beta}$ mRNA in the green spectrum-exposed group were also significant higher than those of the other light spectra-exposed groups (p<0.05). These results indicate that the maturation of oocyte in grass puffer can be accelerated by exposure to the spectrum of green. To better understand the molecular mechanism for the maturation of oocyte in grass puffer, further study examining the relationship between oocyte development and its related genes is required.

A Study on the Pollution of Heavy Metals in Soils and Dusts in Satellite Cities of the Seoul Capital Area (수도권 위성도시의 토양과 분진의 중금속 오염에 대한 연구)

  • Chon, Hyo-Taek;Ahn, Joo-Sung
    • Economic and Environmental Geology
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    • v.29 no.1
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    • pp.87-103
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    • 1996
  • The purposes of this research are to investigate the pollution level of heavy metals due to the urbanization and industrialization in the satellite cities of Seoul, and to assess the chemical species and the sources of heavy metals in highly contaminated soils and dusts. Soil and dust samples were collected from the Uijeongbu and the Koyang cities, which are northern and the northwestern satellite cities of Seoul metropolitan city, respectively. Relatively high pH values($6.3{\sim}9.9$) were found in roadside soils compared with agricultural and forest soils. Difference in pH values of soils was not identified between before and after rainy seasons. In spite of no specific pollution sources in the above cities, the contents of Cu, Pb, and Zn in soils and dusts were much higher than the world average contents. The metal levels in dusts were higher than those in soils, but the metal concentration in dusts was significantly decreased after rainy season. Pollution index was high(> 1.0) in the areas of heavy traffic, industrial complex, and city centres. There is an appreciable proportion of total Zn in exchangeable/water-acid soluble fraction. Copper is predominantly associated with reducible and oxidizable phases, whereas Pb is largely in reducible association. It is concluded that the mobility and bioavailability of metals are high in the order of Zn >> Cu > Pb, on the basis of characteristic particle morphology and chemical composition, Pb-containing particles are originated probably from the automobile exhaust, particularly in heavy traffic areas. The metallic forms and iron-oxide associated forms of Cr, Ni, Cu, Zn, and Pb can be assessed as industrial origin.

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A Comparative Study on Recovery of Motor Function in Stroke Patients with Corona Radiata Infarcts and Intracerebral Hemorrhage

  • Kim, Chung-Sun;Park, Sang-Young;Kwon, Jung-Won
    • The Journal of Korean Physical Therapy
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    • v.22 no.6
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    • pp.53-58
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    • 2010
  • Purpose: Our goal was to determine the difference in motor recovery between two stroke types: the corona radiata (CR) infarct type and the intracerebral hemorrhage (ICH) type, by using assessment methods for motor functions. Methods: Forty subjects who were diagnosed as having had a stroke with an infarct (men: 11, women: 9, mean age: $62.25{\pm}7.59$) or a stroke with an ICH (men: 12, women: 8, mean age: $59.75{\pm}6.11$) were recruited. In all subjects, motor functions of the affected extremities were measured 2 times: at stroke onset (initial) and 6 months after the onset (final) by the motricity index (MI), the modified Brunnstrom classification (MBC), and functional ambulatory category (FAC). We compared the final assessment with the initial one. Results: Motor functions of all patients improved with the passing of time. All scores of motor function assessment in the ICH type were higher than in the infarct type. Comparing the initial assessment with the final one, upper MI and MBC scores of the upper extremities were significantly different between the two stroke types (p<0.05), but lower MI and FAC scores of the lower extremities were not (p>0.05). Conclusion: These findings imply that patterns of motor recovery in patients with either the infarct type or the ICH type of stroke change for the better over time. The degree of motor recovery in the ICH type was better than in the infarct type. Therefore, one can introduce clinical interventions by the aspect of progress in functional motor recovery.

The effects of Constant Use of Herbal Medicine with Western Medicine On Liver and Kidney Functions (뇌졸중환자에서 한약과 양약의 병용투여가 간장 및 신장에 미치는 영향)

  • Park Sung-Wook;Lee Hyung-Chul;Ko Chang-Nam;Yun Sung-Woo;Han Ji-Young;Lee Sang-Wook
    • The Journal of Internal Korean Medicine
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    • v.24 no.1
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    • pp.68-74
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    • 2003
  • Objectives : The purpose of this study was to evaluate whether herbal medication may injure the liver function and kidney function. We clinically studied the changes of biochemistry and complete blood cell count in patients who were hospitalized in Korean hospital. Methods : The subjects were 160 patients admitted in Kangnam Korean hospital, Kyung Hee, whose mean duration of medication was 70 days(min 30, max 252). All patients had been checked biochemistry and complete blood cell count for 30 days since their hospitalization. Results : Aspartate aminotransferase(AST), alanine aminotransferase(ALT), alkaline phosphatase(ALP), blood urea nitrogen(BUN) and Creatinine(Cr) decreased significantly on discharge, compared with the values of admissoin(P<0.05). Total protein significantly elevated on dischrge compared with the values of admisson(P<0.05). Conclusions : This study suggests that even though there are few toxic herbal medicines, in general, herbal medications which are prescribed by oriental medicine doctors should be carefully administered not to hurt liver and kidney function.

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Assessment of the Soil Quality of Chonan City using Soil Pollution Index (토양오염지표에 의한 천안시 토양환경 평가)

  • 장인성;정창모;임계규
    • Journal of Korea Soil Environment Society
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    • v.4 no.2
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    • pp.185-192
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    • 1999
  • To assess the soil quality of Chonan City, soil analyses were conducted according to the 14 different sampling sites. The soil pH of the agricultural area near the expressway was lower than that of the other farming area, which indicated that this acidification was probably attributed to the acid rain caused by the traffic exhaust gas such as SOx and NOx. Acidification was more severe in the dry farming area than in the rice paddy area. All concentration of 6 different heavy metals (As, Cu, Cd, $Cr^{6+}$, Hg, Pb) and organic contaminants (cyanide, organic-p, PCBs, phenols) were found to be lower than the standard of soil pollution. The concentration of BTEX also lower than the standard of soil pollution. An assessment using the SPI (Soil Pollution Index). which was developed to estimate an overall soil quality, was performed. Each SPC (Soil Pollution Score) were evaluated with the results of the data from this study. The soil quality of most area of Chonan City was determined to Class 1 , which indicated that the soil was healthy.

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Soil Characteristics and Management Proposal of the Monument Beobsoo Marsh, Korea (천연기념물 법수늪의 토양특성 및 관리방안)

  • Kim, Do-Gyun;Kim, Yong-Shik
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.14 no.3
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    • pp.15-32
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    • 2011
  • This study was carried out to investigate the soil characteristics and propose the management for the Monument Beobsoo Marsh, Korea. The soil properties of O.M, $Ca^{2+}$, $Na^+$ and CEC were higher and the soil properties of pH_{1:5}$ and $P_2O_5$ were lower the studied sites than other marsh sites in Korea. Although the Heavy metals such as Pb, Hg, Cd, Cu, Zn, Cr and As were lower compare to the safety standard of soil pollution in Korea, the overall conservation management plan based on long-term monitoring should be considered just because it varied by the point and non-point source pollution within the studied marsh. The source of water pollution varied due to non-point polluting origins such as sewage inlet, degraded terrain for agriculture, fishing sites, sites of removed water grasses, pesticides, chemical fertilizers, as well as fallen leaves. The creation of an artificial marsh is recommended due to the soil environment of the studied sites may be changed owing to the accumulated contaminants from the sources of both of point or non-point contaminants. The establishment of the zones of core, buffer and transition which is basic management structure of the UNESCO MaB could be applied to manage the studied site. Simultaneously the promotion of voluntary participation and education of the local residents are needed.