• Journal of Digestive Cancer Research
• /
• 제10권1호
• /
• pp.22-30
• /
• 2022

Immune checkpoint inhibition has been established as a new treatment option for various types of carcinoma, and many clinical trials are being actively conducted as a treatment for advanced or metastatic gastric cancer, either as a monotherapy with an immune checkpoint inhibitor or as a combination therapy with standard chemotherapy. In the CheckMate-649 clinical trial to confirm the efficacy of the combination of nivolumab and chemotherapy (FP) in advanced gastric cancer and gastroesophageal junction cancer, nivolumab group showed improvement in overall survival in programmed death ligand 1-positive cancer patients compared with placebo group. Also, the combination therapy of pembrolizumab, trastuzumab and chemotherapy (FP) in first-line treatment was tested through the KEYNOTE-811 trial. The pembrolizumab group showed 22.7% of improvement in objective response rate compared with placebo group. Accordingly, the combination of nivolumab/pembrolizumab with standard chemotherapy was approved for the first-line treatment. In KEYNOTE-059 trials for patients with progressive disease after at least two lines of chemotherapy, pembrolizumab monotherapy showed improvement in objective response rate and overall survival, and the use of pembrolizumab was approved for the third-line or more treatment. In this article, we review the result of clinical trials related to immune checkpoint inhibitors that have been recently introduced in the treatment of gastric cancer.

• Environmental Engineering Research
• /
• 제14권3호
• /
• pp.195-199
• /
• 2009

A series of laboratory-scale corrosion experiments was carried out to observe the effect of dissolved oxygen (DO) in the presence of other water quality parameters, such as hardness, Cl-, and pH using various pipe materials. In addition, a simulated loop system was installed at a water treatment plant for pilot-scale experiment. Laboratory-scale experiment showed that corrosion rates for galvanized steel pipe (GSP), carbon steel pipe (CSP), and ductile cast iron pipe (DCIP) were decreased to 72%, 75%, and 91% by reducing DO concentration from 9${\pm}$0.5 mg/L to 2${\pm}$0.5 mg/L. From the pilot scale experiment, it was further identified that the average ionization rate of zinc in GSP decreased from 0.00533 to 0.00078 mg/$cm^2$/d by controlling the concentration of DO. The reduction of average ionization rate for copper pipe (CP) and stainless steel pipe (SSP) were 71.4% for Cu and 63.5% for Fe, respectively. From this study, it was concluded that DO could be used as a major parameter in controlling the corrosion of water pipes.

• Journal of Digestive Cancer Research
• /
• 제3권1호
• /
• pp.17-20
• /
• 2015

췌장암은 예후가 좋지 않은 악성 질환으로 진단 당시 10-20%에서만 수술적 절제가 가능한 것으로 알려져 있다. 수술적 절제가 유일한 근치적 치료로 알려져 있으나, 높은 재발률로 인해 예후가 좋지 않아 예후를 개선시키기 위한 항암화학요법이나 방사선요법 등의 보조적 치료가 시도되고 있다. 수술 후 보조항암요법이 시행되고 있으나 생존율의 향상은 미비한 수준으로 최근에는 항암화학요법, 항암방사선요법, 항암화학요법 후 항암방사선요법 등의 다양한 선행보조항암요법이 시행되고 있다. 본 종설에서는 절제 가능한 췌장암과 국소진행성 췌장암에서의 선행보조항암요법에 대한 최근의 연구를 정리하고 임상적인 역할에 대해 규명해 보고자 한다.

• Journal of Korean Medical Science
• /
• 제33권52호
• /
• pp.346.1-346.11
• /
• 2018

Background: To evaluate the therapeutic benefits of the treat-to-target (T2T) strategy for Asian patients with early rheumatoid arthritis (RA) in Korea. Methods: In a 1-year, multicenter, open-label strategy trial, 346 patients with early RA were recruited from 20 institutions across Korea and stratified into 2 groups, depending on whether they were recruited by rheumatologists who have adopted the T2T strategy (T2T group) or by rheumatologists who provided usual care (non-T2T group). Data regarding demographics, rheumatoid factor titer, anti-cyclic citrullinated peptide antibody titer, disease activity score of 28 joints (DAS28), and Korean Health Assessment Questionnaire (KHAQ) score were obtained at baseline and after 1 year of treatment. In the T2T group, the prescription for disease-modifying antirheumatic drugs was tailored to the predefined treatment target in each patient, namely remission (DAS28 < 2.6) or low disease activity (LDA) ($2.6{\leq}DAS28$ < 3.2). Results: Data were available for 163 T2T patients and 162 non-T2T patients. At the end of the study period, clinical outcomes were better in the T2T group than in the non-T2T group (LDA or remission, 59.5% vs. 35.8%; P < 0.001; remission, 43.6% vs. 19.8%; P < 0.001). Compared with non-T2T, T2T was also associated with higher rate of good European League Against Rheumatism response (63.0% vs. 39.8%; P < 0.001), improved KHAQ scores (-0.38 vs. -0.13; P = 0.008), and higher frequency of follow-up visits (5.0 vs. 2.0 visits/year; P < 0.001). Conclusion: In Asian patients with early RA, T2T improves disease activity and physical function. Setting a pre-defined treatment target in terms of DAS28 is recommended.

• Journal of Animal Science and Technology
• /
• 제63권4호
• /
• pp.864-871
• /
• 2021

Infectious calf diarrhea is one of the most significant diseases of neonatal calves. This study is conducted to identify the prevalence of pathogens in calf diarrhea for 2 years. A total of 544 feces samples from Korean native beef calves were obtained to investigate selected seven pathogens causing calf diarrhea: bovine rotavirus, bovine coronavirus, Cryptosporidium parvum, bovine viral diarrhea virus, Eimeria species, Escherichia coli K99, and Salmonella species. The presence of diarrhea, the number and species of detected pathogens, and the calves' ages were analyzed using various statistical methods depending on the case. Of the 544 calves, 340 calves (62.5%) had normal feces and 204 calves (37.5%) had diarrhea. The presence of pathogens was significantly associated with diarrhea (p < 0.01) and fecal scores and the number of detected pathogens showed a significant linear trend (p < 0.001). Of the 7 target pathogens, 6 were detected in samples, but only C. parvum (p = 0.001) and bovine rotavirus (p < 0.001) were found at significantly higher rates in diarrheic calves than in non-diarrheic calves. Only Eimeria spp. showed a significant linear trend between the detection rate of the pathogen and the age groups (p < 0.05).

• Tuberculosis and Respiratory Diseases
• /
• 제86권3호
• /
• pp.234-244
• /
• 2023

Background: Effective treatment of fluoroquinolone-resistant multidrug-resistant tuberculosis (FQr-MDR-TB) is difficult because of the limited number of available core anti-TB drugs and high rates of resistance to anti-TB drugs other than FQs. However, few studies have examined anti-TB drugs that are effective in treating patients with FQr-MDR-TB in a real-world setting. Methods: The impact of anti-TB drug use on treatment outcomes in patients with pulmonary FQr-MDR-TB was retrospectively evaluated using a nationwide integrated TB database (Korean Tuberculosis and Post-Tuberculosis). Data from 2011 to 2017 were included. Results: The study population consisted of 1,082 patients with FQr-MDR-TB. The overall treatment outcomes were as follows: treatment success (69.7%), death (13.7%), lost to follow-up or not evaluated (12.8%), and treatment failure (3.9%). On a propensity-score-matched multivariate logistic regression analysis, the use of bedaquiline (BDQ), linezolid (LZD), levofloxacin (LFX), cycloserine (CS), ethambutol (EMB), pyrazinamide, kanamycin (KM), prothionamide (PTO), and para-aminosalicylic acid against susceptible strains increased the treatment success rate (vs. unfavorable outcomes). The use of LFX, CS, EMB, and PTO against susceptible strains decreased the mortality (vs. treatment success). Conclusion: A therapeutic regimen guided by drug-susceptibility testing can improve the treatment of patients with pulmonary FQr-MDR-TB. In addition to core anti-TB drugs, such as BDQ and LZD, treatment of susceptible strains with later-generation FQs and KM may be beneficial for FQr-MDR-TB patients with limited treatment options.

• 대한환경공학회지
• /
• 제35권8호
• /
• pp.571-578
• /
• 2013

본 연구에서는 음폐수를 이용 낮은 유기물 부하율에서 소화조 내부 pH 조절 유무에 따른 소화조 운전의 바이오가스 발생량 및 미생물 군집도 변화에 대한 비교 분석했다. 그 결과, 내부 pH를 조절하지 않은 반응조는 pH, Free ammonia, Volatile fatty acid의 증가에 의한 반응조 안정성이 떨어짐에도 불구하고 내부 pH 조절 반응조와 비슷한 바이오가스 전환율을 보였다. 이는 미생물 군집도 분석 결과에 따르면 외부환경에 대한 내성이 강한 Methanosarcina sp.의 우점에 의해 반응조의 안정성을 유지할 수 있었던 것으로 나타났다.

• 한국전기전자재료학회논문지
• /
• 제35권6호
• /
• pp.594-602
• /
• 2022

Cast-resin transformers are widely installed in various electrical power systems because of their low operating cost and low influence on external environmental factors. However, when they have an internal defect during the manufacturing process or operation, a partial discharge (PD) occurs, and eventually destroys the insulation. In this paper, a Rogowski-type PD sensor was studied to replace commercial PD sensors used for the insulation diagnosis of power apparatus. The proposed PD sensor was manufactured with four different types of PCB-based winding structures, and it was analyzed in terms of the detection characteristics for standard calibration pulses and the changes of the output voltage according to the distance. The output increased linearly in accordance with the applied discharge amount. It was confirmed that the hexagon structure sensor had the highest sensitivity, because the winding cross-sectional area of the sensor was larger than others. In addition, as the distance from the defect increased, the output voltage of the sensors decreased by 7.32% on average. It was also confirmed that the attenuation rate according to the distance decreased as the input discharge amount increased. For the application of this new type sensor, PD electrode system was designed to simulate the void defect. Waveforms and PRPD patterns measured by the proposed PD sensors at DIV and 120% of DIV were the same as the results measured by MPD 600 based on IEC 60270. The proposed PD sensors can be installed on the inner wall of the transformer tank by coating its surfaces with a non-conductive material; therefore, it is possible to detect internal defects more effectively at a closer distance from the defect than the conventional sensors.

• 한국산학기술학회논문지
• /
• 제15권9호
• /
• pp.5467-5473
• /
• 2014

최근 전자 및 기계부품 기술의 발전으로 전자 장비는 더욱 고성능화, 소형화, 다기능화 되면서 시스템 내부에 발생하는 발열부의 온도를 제어하기 위해 히트싱크가 사용된다. 본 연구에서는 내부 터널 구조의 2가지 형상의 히트싱크의 열 성능평가를 유한요소 프로그램인 ANSYS를 이용하여 수치해석 하였다. 수치해석은 자연대류 상태에서의 열 성능을 수치해석으로 비교 분석하여 냉각핀 형상에 따른 열 성능을 평가하였다. 또한 시간에 따른 열전달 특성과 온도분표의 해석결과를 기초로 하여 히트싱크의 성능평가를 예측하였다. 수치해석의 결과, 형상 A 히트싱크가 형상 B의 히트싱크보다 열 전달율이 자연대류에서 약 70% 향상되었다.

• Journal of Trauma and Injury
• /
• 제24권2호
• /
• pp.136-142
• /
• 2011

Purpose: Blunt pancreatic injury has a high mortality rate, especially if adequate management is delayed. Although many guidelines exist for diagnosis and treatment, there is no consensus to date. Therefore, we analyzed the role of endoscopic retrograde cholangiopancreatography (ERCP) as a diagnostic and therapeutic tool for the treatment of traumatic pancreatic injury. Methods: We retrospectively reviewed the electronic medical records (EMR) database at Asan Medical Center (Seoul, South Korea) to identify all patients diagnosed with trauma to the pancreas between June 2003 and December 2010. Clinical and operative findings, CT (computed tomography) images, and ERCP findings were assessed. Results: A total of 40 patients were evaluated in this study. Of these, 14 patients underwent diagnostic ERCP, and 26 did not. Of the 14 patients who underwent diagnostic ERCP, 5 were found to have normal pancreatic ducts, thereby preventing a needless laparotomy in these patients. Of the patients diagnosed with ductal injury, four were treated with endoscopic intervention, and four underwent an exploratory laparotomy. The remaining patient was treated with radiologic intervention (percutaneous drainage) to manage pancreatic pseudocyst formation. Conclusion: Our findings suggest that ERCP is a beneficial diagnostic and therapeutic modality for the treatment of traumatic pancreatic injury.