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A study on the sanitary condition of wells in a rural area, Korea. (일부 농촌지역의 정호에 대한 환경위생학적 조사연구)

  • 이성호;이선덕
    • Journal of Environmental Health Sciences
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    • v.3 no.1
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    • pp.48-52
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    • 1976
  • A study was carried out to investigate the sanitary condition of 107 wells in Jungil Ri, Kyunggi province and Daeso Ri, Choongbuck province, from July 1, to August 30, 1975. In this study, coliform groups were examined by the membrane filter method as well as general sanitary condition, pH value, ammonia nitrogen, hardness and water temperature. The following results were obtained: 1. Average value of general sanitary condition in the wells were 15$\circ$C in temperature, pH 6.4, hardness 124ppm and Cl ion 34ppm. 2. Coliform group was positive at all out of 30 open wells and 33 out of 45 pumped wells, while only 7 out of 32 tap water in the simple typed water supply system showed the evidence of coliform groups. 3. The positive rate of ammonia nitrogen revealed 13% out of 107 wells and that of nitrite nitrogen was 36.4% and 6 wells rate of 5.6% were ammonia nitrogen and nitrite nitrogen positive at same time. 4. Colflorin group positive of 32 tap water in the simple typed water supply system 3(27%) out of 11 samples with no residual chlorine, 3(17%) out of 17 with 0.1 to 0.5ppm, 1 out of 3 with 0.6 to 1.0 ppm and none out of 1 with 1.1 to 1.5 ppm.

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Efficacy of Combined Aromatase Inhibitor and Luteinizing Hormone-Releasing Hormone Agonist in Premenopausal Metastatic Breast Cancer

  • Kim, Sang Hee;Choi, Jihye;Park, Chan Sub;Kim, Hyun-Ah;Noh, Woo Chul;Seong, Min-Ki
    • Journal of Breast Disease
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    • v.6 no.2
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    • pp.46-51
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    • 2018
  • Purpose: Endocrine therapy is the preferred treatment for hormone receptor (HR)-positive metastatic breast cancer (MBC). We investigated the efficacy of combined aromatase inhibitor (AI) and luteinizing hormone-releasing hormone (LHRH) agonist in premenopausal patients with HR-positive MBC. Methods: We retrospectively analyzed the medical records of 21 HR-positive premenopausal MBC patients treated with combined AI and LHRH agonist therapy. Results: The median follow-up period was 32.9 months. The overall response rate was 47.6%, with three complete responses (14.3%) and seven partial responses (33.3%). Nine patients (42.9%) achieved stable disease lasting more than 6 months; thus, the clinical benefit rate was 90.4%. The median time to progression was 45.4 months. No patients experienced grade 3 or 4 toxicity. Conclusion: Combined AI and LHRH agonist treatment safely and effectively induced remission or prolonged disease stabilization, suggesting that this could be a promising treatment option for HR-positive premenopausal patients with MBC.

Cyr61/CCN1 Overexpression Induces Epithelial-Mesenchymal Transition Leading to Laryngeal Tumor Invasion and Metastasis and Poor Prognosis

  • Liu, Ying;Zhou, Yan-Dong;Xiao, Yu-Li;Li, Ming-Hua;Wang, Yu;Kan, Xuan;Li, Qiu-Ying;Lu, Jian-Guang;Jin, De-Jun
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.7
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    • pp.2659-2664
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    • 2015
  • Background: To examine the expression of cysteine-rich 61 (Cyr61/CCN1) protein in laryngeal squamouscell carcinoma (LSCC) tissues, and its relationship with the tumor epithelial-mesenchymal transition (EMT), invasion, metastasis, and prognosis. Materials and Methods: Immunohistochemistry was used to detect the expressions of Cyr61, Vimentin (Vim), and E-cadherin (E-cad) in 88 cases of LSCC tissues and 30 cases of tumor-adjacent normal tissues. Vim and E-cad were used as mesenchymal and epithelial markers, respectively, to determine the relationship between Cyr61 expression and the EMT of LSCC cells. In addition, clinical and histopathological data were combined to analyze the relationship between the positive-expression rates of Cyr61, Vim and E-cad and LSCC invasion, metastasis and prognosis. Results: In LSCC tissues, Vim expression rate was significantly higher than that of the tumor-adjacent tissues, whereas E-cad expression rate was significantly lower than that of the tumor-adjacent tissues. The Vim expression rate was significantly higher in stages T3 and T4 than in stages T1 and T2 LSCC tissues, whereas E-cad expression rate was significantly lower in stages T3 and T4 than in stages T1 and T2 LSCC tissues. Compared to the group without lymph node metastasis, the Vim expression rate was significantly higher and the E-cad expression rate was significantly lower in the group with lymph node metastasis. The expression rate of Cyr61 was significantly higher in LSCC tissues than in the tumor-adjacent normal tissues. In addition, the Cyr61 expression rate was higher in stages T3 and T4 than in stages T1 and T2 LSCC, and higher in the group with lymph node metastasis than in the group without lymph node metastasis. The Vim expression rate was significantly higher in the Cyr61 positive group than in the Cyr61 negative group, whereas the E-cad expression rate was significantly higher in the Cyr61 negative group than in the Cyr61 positive group. Survival analysis indicated that survival rates of Cyr61 positive, Vim positive and E-cad negative groups were significantly lower than that of Cyr61 negative, Vim negative and E-cad positive groups, respectively. Conclusions: Cyr61 expression is closely associated with LSCC invasion and lymph node metastasis. Overexpression of Cyr61 may induce EMT and therefore leads to LSCC invasion and metastasis and poor prognosis. Cyr61 may become a new maker for clinical prediction of LSCC invasion and metastasis and a new target for LSCC treatment.

Second report on intestinal parasites among the patients of Seoul Paik Hospital (1984-1992) (서울 백병원 환자의 제2차 장내 기생충 검사 성적(1984-1992))

  • 이상금;신보문
    • Parasites, Hosts and Diseases
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    • v.32 no.1
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    • pp.27-34
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    • 1994
  • The results of fecal examination for helminth eggs and protozoan cysts in Seoul Paik Hospital during 1984-1992 are reported. Fecal specimens of a total of 52,552 out- or in- patients were examined by formalin-ether sedimentation and/or direct smear method. The overall egg Positive rate of helminths was 6.5% and the cyst Positive rate of Protozoa 2.5%. The egg positive rate (number of positive cases) for each species of helminth was; Clonorchis sirensis 3.2%(1,667) , Trichuris trichiura 2.0%(1,089), Metqsonimw yokogawai 1.2% (613), Ascaris lumbricoides 0.2% (100), Trichostrongylus orientalis 0.1% (34), Taenin spp. 0.05% (28), Hymenolepis nana 0.03% (181), hookworms 0.03% (17), Poragonimlrkf westermani 0.02% (12), Echinostoma spp. 0.03% (12), Enterobius uermiculans 0.02% (10), Strongyloides stercora;is (larvae) 0.01% (6) , and Diphyllobothrium latum 0.004% (2). The cyst positive rate (number of positive casesl for each protozoan was; Entamoebc coli 1.1% f5881, Snnolimox nana 0.8% (402), Ginrdin lomblia 0.3% (173) , Entamoeba histo;utoca 0.3% (164), and Trichomonos hominis (trophozoites) 0.004% (2). Viewing from the data of 9 years, it was evident that the prevalence of soil-transmitted helminths such as A. Lumbricoines and T. trichiuro has been decreasing remarkably, while that of snail transmitted helminths such as C. sinenris and intestinal protozoans has not.

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Seroprevalence Rate of Toxocariasis in Keoje-Island and Inchon City of Korea (우리 나라 일부 지역에 있어서 개회충증의 혈청역학적 조사)

  • Chung, Myung-Sook;Quan, Fu-Shi;Lee, Haeng-Sook;Cho, Sung-Weon;Joo, Kyoung-Hwan
    • Journal of agricultural medicine and community health
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    • v.26 no.2
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    • pp.181-191
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    • 2001
  • Toxocariasis is produced by the migration of Toxocara canis larvae into the extra- intestinal tissue of unnatural hosts or natural hosts under unsuitable conditions. Soil contaminated with T. canis embryonated eggs in the main source of infection of man. In the present study, ELISA with T. canis adult crude antigen was used for determination the seroprevalence of T. canis infection in two areas of Korea. It was found that antibody positive rate was 15.7% in Keoje- Island. In the analysis according to sex, female group presented significantly higher positive rate than male group (23.8% in female and 7.4% in male, p<0.05). In Inchon city, the positive rate was 13.1%, and there was no significant difference between female and male group. Immunoblot analysis was performed to some positive patient sera. As the results, 9 cases of 15 cases were positive in Keoje-Island, and 22 cases of 27cases were positive in Inchon city by immunoblotting.

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Cervical Cancer Screening and Analysis of Potential Risk Factors in 43,567 Women in Zhongshan, China

  • Wang, Ying;Yu, Yan-Hong;Shen, Keng;Xiao, Lin;Luan, Feng;Mi, Xian-Jun;Zhang, Xiao-Min;Fu, Li-Hua;Chen, Ang;Huang, Xiang
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.671-676
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    • 2014
  • Objective: The objective of this study was to establish a program model for use in wide-spread cervical cancer screening. :Methods: Cervical cancer screening was conducted in Zhongshan city in Guangdong province, China through a coordinated network of multiple institutes and hospitals. A total of 43,567 women, 35 to 59 years of age, were screened during regular gynecological examinations using the liquid-based ThinPrep cytology test (TCT). Patients who tested positive were recalled for further treatment. Results: The TCT-positive rate was 3.17%, and 63.4% of these patients returned for follow-up. Pathology results were positive for 30.5% of the recalled women. Women who were younger than 50 years of age, urban dwelling, low-income, had a history of cervical disease, began having sex before 20 years of age, or had sex during menstruation, were at elevated risk for a positive TCT test. The recall rate was lower in women older than 50 years of age, urban dwelling, poorly educated, and who began having sex early. Ahigher recall rate was found in women 35 years of age and younger, urban dwelling, women who first had sex after 24 years of age, and women who had sex during menstruation. The positive pathology rate was higher in urban women 50 years of age and younger and women who tested positive for human papillomavirus. Conclusion: An effective model for large-scale cervical cancer screening was successfully established. These results suggest that improvements are needed in basic education regarding cervical cancer screening for young and poorly educated women. Improved outreach for follow-up is also necessary to effectively control cervical cancer.

Breast Cancer Recurrence According to Molecular Subtype

  • Shim, Hee Jin;Kim, Sung Hun;Kang, Bong Joo;Choi, Byung Gil;Kim, Hyeon Sook;Cha, Eun Suk;Song, Byung Joo
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5539-5544
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    • 2014
  • Background: To evaluate the location of tumor relapse and imaging modality for detection according to the breast cancer subtype: luminal A, luminal B, HER2 positive luminal B, nonluminal HER2 positive, and triple negative. Materials and Methods: A total of 1244 patients with breast cancer with known estrogen receptor (ER), progesterone receptor (PR), Ki-67 and human epidermal growth factor receptor 2 (HER2), who underwent breast surgery from 2009 to 2012 were analyzed. Patients were classified into the following categories: luminal A (n=458), luminal B (n=241), HER2 positive luminal B (n=227), nonluminal HER2 positive (n=145) and triple negative (n=173). A total of 105 cases of relapse were detected in 102 patients: locoregional recurrence (n=46), recurrence in the contralateral breast (n=28) and distant metastasis (n=31). Comparison of proportions was used to determine the difference between subtypes. Results: Relapse rates by subtypes are as follows: luminal A 23 of 458 (5.02%), luminal B 19 of 241(7.88%), HER2 positive luminal B 15 of 227 (6.61%), nonluminal HER2 postive 19 of 145 (13.10%) and triple negative 29 of 173(16.76%). Luminal A tumors had the lowest rate of recurrence and had significantly lower recurrence rate in comparison with nonluminal HER2 postive (p=0.0017) and triple negative subtypes (p<0.0001). Compared with all other subtypes except nonluminal HER2 positive, triple negative tumors had the highest rate of tumor recurrence (p<0.01). Triple negatives were most likely to develop contralateral recurrence against all subtypes (p<0.05). Detection rate of locoregional and contralateral tumor recurrence were 28.3% on mammography (n=17/60). Conclusions: Luminal A tumors are associated with a low risk of recurrence while triple negative lesions have a high risk. In case of triple negative tumors, the contralateral breast has much more recurrence as compared with all other subtype. In terms of detection rates, breast USG was the best modality for detecting tumor recurrence, compared with other modalities (p<0.05). Subtyping of breast tumors using a molecular gene expression panel can identify patients who have increased risk of recurrence and allow prediction of locations of tumor recurrence for each subtype.

Causes of False Negative Bedside Head Impulse Test (나안 두부충동검사에서 위음성의 원인분석)

  • Kim, Dae-Young;Choi, Yoon-Gi;Kyung, Tae-Suk;Hwang, Jun-Ha;Kim, Hyun Ji;Lee, Seung Chul;Kim, Kyu-Sung
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.60 no.3
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    • pp.107-111
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    • 2017
  • Background and Objectives The bedside head impulse test (bHIT) in bare eyes often overlooks possible vestibular losses by missing the corrective saccade. This is why it is necessary to compare bHIT against video head impulse test (vHIT), which is more accurate in identifying vestibular losses than the bedside test. Subjects and Method A total of 51 vHIT positive ears underwent the study, and out of those, 47 were diagnosed with dizziness. bHIT and vHIT were performed for patients, and the occurrence rate of overt saccade (OS) was calculated. Results Among the 51 vHIT positive ears, 33 (64.7%) were bHIT positive ears and 18 ears (35.3%) were bHIT negative. Patterns of positive vHIT were classified as A: no corrective saccade, B: covert saccade (CS) only, C: OS only, and D: CS with OS (CS+OS), which were 45 out of 51 ears (88%). The occurrence rate of OS was higher in the bHIT positive group than in the bHIT negative group (p=0.05), and higher in the CS negative group (CS-) than in the CS positive group (CS+) (p<0.001). Conclusion Possible causes of false negative results of bHIT are seen as following: the absence of corrective (covert and overt) saccade, the occurrence of CS only, and missing the OS during the bHIT (probably due to low occurrence rate of OS). The occurrence of CS should be considered as an important factor in false negative bHIT when lowering the occurrence rate of OS.

Analysis of Five Years of US Immigration Medical Exams (5년간의 미국 이민 비자 신체검사 결과 분석)

  • Lim, Juwon
    • Korean journal of aerospace and environmental medicine
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    • v.31 no.3
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    • pp.77-81
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    • 2021
  • Purpose: The United States of America have pre-migration screening program are mandated through legislation. The one of purpose of this program is to prevent the importation of certain communicable diseases. Examinations of migration applicants are performed by panel physicians who are licensed physicians in the countries of origin that have agreements with the government departments of the country of destination to undertake this activity. In recent decades, the number of US migrants has increased, however COVID-19 impacted this trend of international migrants. The Aim of this study is to examine trends of US applicants and outcomes of tuberculosis and sexual transmitted infections (STIs) screening in South Korean applicants for US visa. Methods: A total of 4,442 applicants participated in US visa health check-up in 2016 to 2020. Results: The numbers of applicant for US visa in males and females was 1,814 and 2,628. The positive results in tuberculosis and STIs screening was noted with 0.66% in nontuberculous mycobacteria (NTM), 0.03% in tuberculosis, 0.03% in gonorrhea, 0.08% in syphilis, and 0.74% in chlamydia. The age groups of 2 to 14 years showed higher positive rate (13.89%) in tuberculin skin test (TST) tests compared to the rate of interferon gamma release assay (IGRA) tests (0.44%, P<0.001). The positive ratio of NTM and abnormal chest X-ray (CXR) which required sputum tests among the applicants over 15 years old has trends to increase with age. The age groups of over 70 years showed high positive rate in NTM and abnormal CXR (4.10%, 20.51%). However, ages 15 to 49 years groups showed 0.00% to 0.30% in NTM and 1.08% to 3.91% in abnormal CXR. In the study population, the positive rates of STIs were 0.03%, 0.08%, and 0.74% in gonorrhea, syphilis, and chlamydia, respectively. Among the participants who underwent sputum smears and cultures were just 1 case of active tuberculosis (0.03%) and 25 cases of NTM infection (0.66%). Conclusion: This study found that rate of positivity in tuberculosis and STIs screening among South Korean applicants for US visa in 2016 to 2020. Regarding tuberculosis, the positivity of CXR among the aged 15 to 59 years applicants was lower than that among over 60 years old. Among 2 to 14 years, positivity of IGRA was very low. And IGRA test can reduce effort of further evaluation compared to TST test in South Korea, so IGRA test among young adults can be useful. High positive rates in STI among young adult could result in high active sexuality, especially chlamydia infection is most common. Therefore Chlamydia polymerase chain reaction should be considered formal protocol among the Korean applicant for US visa.

Extraction of the Biological Diagnostic Parameters for Physical Constitutional Identificaion Using Thermography (적외선 체열 촬영을 이용한 체질 판별의 특징 파라메터의 추출)

  • Jo, Bungkwan;Ko, Byounghee;Saito, Masao
    • Journal of Sasang Constitutional Medicine
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    • v.7 no.2
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    • pp.265-274
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    • 1995
  • Skin temperatures were tested under the same conditions by using the thermography in order to extract the biological characteristics of the physical constitutional types in according to the Lee's 4 type physical constitutional theory. The subjects of this experiment were 14 ; 5 Macro-Negative subjects, 5 Micro-Negative subjects, 3 Micro-Positive subjects and 1 Macro-Positive subject. All subjects were stimulated with 2.5Hz 30Vpeak-peak pulses for 2 minutes. As the results, in normal prestimulation state the skin temperatures of the trunk in Micro-Positive and Macro-Positive subjects were higher than those of Macro-Negative and Micro-Negative subjects. In Macro-Negative subjects the reflected skin temperature of lever was the highest in the anterior trunk. In Micro-Negative subjects the reflected skin temperature of kidney was the highest in the trunk. In Micro-Positive subjects the reflected skin temperature of stomach was the highest in the trunk.In Macro-Positive subject the reflected skin temperature of lung was the highest in the trunk. In transient poststimulation state, heart rate was decreased in 7 cases among of 10 Macro-Negative ana Micro-Negative subjects, but it was increased in 3 cases among of 4 Micro-Positive and Macro-Positive subjects. And the hand temerature was increased in 8 cases among of 10 Macro-Negative and Micro-Negative subjects, but it was decreased in 3 cases among of 4 Micro-Positive and Macro-Positive subjects.

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