Jeong, Hye-In;Lee, Mi Jee;Nam, Woong;Cha, In-Ho;Kim, Hyung Jun
Journal of the Korean Association of Oral and Maxillofacial Surgeons
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v.43
no.5
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pp.312-317
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2017
Objectives: In order to assess clinical behavior, response to treatment, and factors influencing prognosis of Korean patients with osteosarcoma of the jaws (OSJ). Materials and Methods: A retrospective study of clinical, and pathological records of 26 patients with OSJ treated at the Department of Oral and Maxillofacial Surgery in Yonsei University Dental Hospital from 1990 to March 2017. Results: Of 26 patients, there were 9 men (34.6%) and 17 women (65.4%). Twenty-one of 26 patients had osteosarcoma of the mandible, and 5 of 26 patients had osteosarcoma of the maxilla. The histopathology of OSJ is highly variable, ranging from chondroblastic type (6 out of 26), osteoblastic type (10 out of 26), fibroblastic type (2 out of 26), to the rare variants like mixed type, small cell osteosarcoma types and more. All patients underwent gross total excision and only a few patients underwent neoadjuvant chemotherapy. Postoperative chemotherapy was given to most of the patients as adjuvant treatment or in combination with radiotherapy. The overall survival rate was 73.1% with an overall 2-year survival rate of 83.3%. The overall 5-,10-,15-year survival rates in this study were 73.5%, 73.5%, 49%, respectively. Using Kaplan-Meier analysis with log rank tests, the size of tumor (T-stage), and resection margins were found to affect the survival rate significantly. The chemotherapy was not significantly associated with improved survival rate. Conclusion: Surgical resection with a clear margin is the most important factor in disease survival. The role of chemotherapy and radiotherapy in OSJ remains controversial, and deserves further studies.
Objective : The aim of the study was to investigate the therapeutic effect of BVA in the treatment of patients with acute ankle sprain. Design : A prospective randomized double-blind study of BVA was conducted. Setting : The study was done in the Kyungwon University Seoul Hospital from August 1st, 2004 to June 15th, 2005. Patients : 30 patients diagnosed with acute ankle sprain, especially 2nd degree on the Ankle grade pain chart(AGPC) participated in the study, who were divided into two groups (A and B) randomly by a coordinator flipping a coin. Group A and B were relevant to control and BVA group respectively, of which a coordinator never informed any other participant involved. Eventually 13 of 17 in group A and 11 of 13 in Group B finished all the process of the clinical trial. Intervention : In both group A and B, The Procedure of acupuncture treatment was made similar by appearance that four acupoints such as 坵墟(GB40), 中封(LR4), 商丘(SP5), 解谿(ST41) of the injured side were selected and Normal saline aqua-acupuncture(control, as a placebo) or BVA was done and then acupuncture at 坵墟(GB40), 中封(LR4), 商丘(SP5), 解谿(ST41), 足三里(ST36), 陽陵泉(G34) of the affected side was given again. the needles were retained for 20 minutes under the infrared rays. The treatment was given daily for a week. Outcome Measures : Ankle-Hindfoot Scale (AHS) and Visual Analogue Scale(VAS) were followed by three treatments. Statistical Analysis : Analysis regarding variations in AHS and VAS is carried out by applying Mann-Whitney test and Wilcoxon signed rank test sign test with level of significance at 5%. Results : At the end of the treatment, there was significant statistical differences between the two groups in VAS and AHS as well, while at the 3rd day only a VAS showed statistical significance. In each group, both VAS and AHS showed statistical significance along with duration of treatment. Conclusions : BVA was thought to be effective alternatives for relieving symptoms of acute ankle sprain, although further study was needed on the large scale.
Kim, Young-Kyun;Kim, Bum-Su;Yun, Pil-Young;Mun, Sang-Un;Yi, Yang-Jin;Kim, Su-Gwan;Jeong, Kyung-In
Journal of the Korean Association of Oral and Maxillofacial Surgeons
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v.40
no.2
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pp.68-75
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2014
Objectives: This study was performed to analyze the cumulative survival rate of Osstem implants (Osstem Implant Co., Ltd.) over a seven-year period. Materials and Methods: A total of 105 patients who had 467 Osstem implants that were placed at the Section of Dentistry, Seoul National University Bundang Hospital (Seongnam, Korea) from June 2003 through December 2005 were analyzed. The life table method and a cross-tubulation analysis, log rank test were used to evaluate the survival curve and the influence that the prognostic factors. The prognostic factors, i.e., age and gender of patients, diameter and length, type of implants, bone graft history and loading time were determined with a Cox proportional hazard model based on logistic regression analysis. Results: The seven-year cumulative survival rate of Osstem implants was 95.37%. The Cox proportional hazard model revealed that the following factors had a significant influence on survival rate; increased diameter, reduced prosthetic loading period and performance of bone grafting. Conclusion: The osstem implants showed satisfactory results over the seven-year study period.
International Journal of Industrial Entomology and Biomaterials
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v.30
no.2
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pp.31-39
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2015
Antheraea mylitta Drury (Lepidoptera: Saturniidae) is a commercial silk producing forest insect of India, but it has never been experimented in Uttarakhand state in spite of the huge availability of its forestry host plants. This is the first study on A. mylitta in Uttarakhand. The goal of this study is to introduce forest based commercial rearing of A. mylitta, in tropical forest areas of Uttarakhand to reduce poverty among forest dependent people. In current study, we assessed the effect of seven forest tree species, rearing seasons, and their interactions on cocoon productivity of Daba (bivoltine) ecorace of A. mylitta in the New Forest of FRI, Dehra Dun during 2012 and 2013 and collected the data that was analysed by two-way completely randomized block factorial design. Post HOC Tukey's HSD test was carried out to compare the homogeneous pairs of means. We also carried out Evaluation Index analysis to rank the tested forestry host plants for better growth and development of A. mylitta under the climatic condition of Uttarakhand. Analysis of variance indicated that cocoon yield of A. mylitta differed significantly between rearing seasons (DF=1, F=88.24, p<0.05) and host plants (DF 6, F= 368.63, p<0.05); however, their interactions were found insignificant (DF=6, F=0.99, p>0.05). In first rearing season of July-August, there was higher cocoon yield than the second season of September-November. Results indicated that Terminalia alata fed larvae showed significantly higher cocoon yield (164.11 cocoons/300 larvae); followed by, T. tomentosa (148.89 cocoons), T. arjuna (140.00 cocoons) and Lagerstroemia speciosa (129.47 cocoons) fed larvae. Whereas, Lagerstroemia tomentosa fed larvae that was used by the first time in India, showed lowest cocoon yield (48.81 cocoons), followed by T. chebula (72.53 cocoons) fed larvae. Cocoon yield of T. tomentosa and T. arjuna fed larvae of A. mylitta did not differ significantly with each other.
Objective : Although the L5-S1 has distinct structural features in comparison with other lumbar spine segments, not much is known about adjacent segment degeneration (ASD) at the L5-S1 segment. The aim of study was to compare the incidence and character of ASD of the cephalad and L5-S1 segments after L5 floating lumbar fusion. Methods : From 2005 to 2010, 115 patients who underwent L5 floating lumber fusion were investigated. The mean follow-up period was 46.1 months. The incidence of radiological and clinical ASD of the cephalad and the L5-S1 segments was compared using survival analysis. Risk factors affecting ASD were analyzed using a log rank test and the Cox proportional hazard model. Results : Radiological ASD of the L5-S1 segment had a statistically significant higher survival rate than that of the cephalad segment (p=0.001). However, clinical ASD of the L5-S1 segment was significantly lower survival rates than that of the cephalad segment (p=0.038). Risk factor analysis showed that disc degeneration of the cephalad segment and preoperative spinal stenosis of the L5-S1 segment were risk factors. Conclusion : In L5 floating fusion, radiological ASD was more common in the cephalad segment and clinical ASD was more common in the L5-S1 segment. At the L5-S1 segment, the degree of spinal stenosis appears to be the most influential risk factor in ASD incidences, unlike the cephalad segment.
In consideration of limitations of the classic economic approach to risk evaluation and the psychometric analysis of risk perception, this study applies a facilitated modeling technique to a group of college students in Korea. In this group activities, researchers did not provide a pre-selected list of risk items. Instead, 35 participants had group discussions to generate 63 risk items, to rate their risk level and to evaluate their characteristics in terms of the level of knowledge and dreadfulness. This study also analyzes the influence of mass media, online news papers in particular, on risk perception by counting the number of news articles covering key word corresponding risk items generated. The results show that there are significant differences between the rank order of risk items generated by students and that of statistical or objective risk. Psychometric analyses find that the levels of knowledge and dreadfulness have meaningful correlations with risk level. A well known or a dreadful risk demonstrates a high level of risk. Correlation analyses of media coverage and the risk level also re-confirms strong positive relations. The larger number of news articles a risk issue was covered by, the higher level of risk it showed. It means that college students generated risk items on the basis of what they were exposed by media. The role of mass media in risk perception and the importance of risk communication in risk evaluation are underlined. Implications of research findings and future research are discussed as well.
KIPS Transactions on Computer and Communication Systems
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v.2
no.5
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pp.209-216
/
2013
In traditional social network analysis, the betweenness centrality measure has been heavily used to identify the relative importance of nodes in terms of message delivery. Since the time complexity to calculate the betweenness centrality is very high, however, it is difficult to get it of each node in large-scale social network where there are so many nodes and edges. In this paper, we define a new type of network, called the expanded ego network, which is built only with each node's local information, i.e., neighbor information of the node's neighbor nodes, and also define a new measure, called the expended ego betweenness centrality. Through the intensive experiment with Barab$\acute{a}$si-Albert network model to generate the scale-free networks which most social networks have as their embedded feature, we also show that the nodes' importance rank based on the expanded ego betweenness centrality has high similarity with that based on the traditional betweenness centrality.
Objectives: Warfarin is a representative anticoagulant, and it has been the preferred drug for treating thromboembolic diseases and preventing ischemic stroke. It should be administered in a delicate manner, because combined therapy with other drugs could affect the INR (International Normalized Ratio), thus bleeding tendency might occur. Interaction with herbal medicines still remains controversial. We aimed to examine the effect of herbal medicine on INR in patients being treated with warfarin. We aimed to examine the effect of herbal medicine on INR in the patients being treated with warfarin. Methods: We enrolled subjects being treated with a combined therapy of warfarin and herbal medicine from 1 October, 2002 to 20 November, 2003 at the Department of Cardiovascular & Neurologic Diseases (Stroke Center), Hospital of Oriental Medicine, Kyung Hee Medical Center. INR was monitored per 1 to 2 weeks and the significance of change was examined by Wilcoxon signed rank test or repeated measure analysis Results: Eighty-three subjects were included in the final analysis. As a whole, their INR was not significantly changed. There were only 9 cases in which INR changed more than 1.0; 7 showed increasing tendency, and 2 showed decreasing tendency of INR. Among the 9 cases, only 5 were suspected to have a relation to herbal medicine. Conclusions: We suggest that there was no strong evidence that herbal medicine has an influence on INR, but there is a need to perform further evaluation on larger samples to reach a concrete conclusion.
Yeom, Su-Cheong;Koo, Ok Jae;Park, Chung-Gyu;Lee, Byeong-Chun;Lee, Wang-Jae
Reproductive and Developmental Biology
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v.37
no.1
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pp.1-8
/
2013
In order to investigate genetic stability and gene expression profile after cloning procedure, two groups of cloned pigs were used for swine leukocyte antigen (SLA) gene nucleotide alteration and microarray analyses. Each group was consist of cloned pigs derived from same cell line (n=3 and 4, respectively). Six SLA loci were analyzed for cDNA sequences and protein translations. In total, 16 SLA alleles were identified and there were no evidence of SLA nucleotide alteration. All SLA sequences and protein translations were identical among the each pig in the same group. On the other hand, microarray assay was performed for profiling gene expression of the cloned pigs. In total, 43,603 genes were analyzed and 2,150~4,300 reliably hybridized spots on the each chip were selected for further analysis. Even though the cloned pigs in the same group had identical genetic background, 18.6~47.3% of analyzed genes were differentially expressed in between each cloned pigs. Furthermore, on gene clustering analysis, some cloned pigs showed abnormal physiological phenotypes such as inflammation, cancer or cardiomyopathy. We assumed that individual environmental adaption, sociality and rank in the pen might have induced these different phenotypes. In conclusion, the results of the present study indicate that SLA locus genes appear to be stable following SCNT. However, gene expressions and phenotypes between cloned pigs derived from the same cell line were not identical even under the same rearing conditions.
Hassan, Astrid Sinarti;Naicker, Manimalar;Yusof, Khairul Hazdi;Ishak, Wan Zamaniah Wan
Asian Pacific Journal of Cancer Prevention
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v.16
no.6
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pp.2237-2243
/
2015
Background: Adjuvant chemotherapy improves survival in Dukes C colon cancers post-curative resection. However, the evidence for a role with Dukes B lesions remains unproven despite frequent use for disease characterized by poor prognostic features. In view of limited Asia-specific data, this study aimed to determine survival outcomes and identify prognostic factors in a tertiary teaching hospital in Malaysia. Materials and Methods: A total of 116 subjects who underwent curative surgery with and without adjuvant chemotherapy for Duke B and C primary colon adenocarcinomas diagnosed from 2004-2009 were recruited and data were collected retrospectively. Five-year overall survival (OS) and disease free survival (DFS) were analysed using Kaplan-Meier survival analysis and log-rank (Mantel-Cox) test. Prognostic factors were determined using Cox proportional hazards regression with both univariate and multivariate analyses. Results: The survival analysis demonstrated a 5-year OS of 74.0% for all patients, with 74.9% for Dukes C subjects receiving chemotherapy compared to 28.6% in those not receiving chemotherapy (p=0.001). For Dukes B disease, the 5-year survival rate was 82.6% compared to 75.0% for subjects receiving and not receiving chemotherapy, respectively (p=0.17). Independent prognostic factors identified included a CEA level more than 3.5 ng/ml (hazard ratio (HR)=4.78; p=0.008), serosal involvement (HR=3.75; p=0.028) and completion of chemotherapy (HR= 0.20; p=0.007). Conclusions: In a regional context, this study supports current evidence from the West that adjuvant chemotherapy improves survival in Dukes C colon cancers post curative surgery. However, although a clear benefit has yet to be proven for Dukes B disease, our results suggest survival improvement in selected cases.
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