• Journal of Yeungnam Medical Science
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• 제38권4호
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• pp.282-288
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• 2021

Medication alone is not sufficient to treat insomnia. In addition, the side effects of sleep medications themselves cannot be ignored during treatment. Insomnia begins with poor sleep quality and discomfort, but as it continues, patients fall into a vicious circle of insomnia with negative thoughts and dysfunctional and distorted perceptions related to sleep. Mindfulness-based intervention for insomnia corrects these sequential cognitive and behavioral processes. The mindfulness technique basically recognizes all the thoughts, feelings, and experiences that occur to us as they are, nonjudgmentally, and then trains them to return to the senses of our body. In this way, while noticing all the processes of the sequential vicious cycle and training them to return to our bodies (e.g., breathing), mindfulness determines whether we are really sleepy or just fatigued. This mindfulness-based intervention can be a useful nonpharmaceutical intervention for insomnia, and its stability and efficacy has been proven by many studies.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제15권2호
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• pp.63-73
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• 2012

Development of antiviral resistance to lamivudine is the most important factor for the treatment failure. It is necessary to establish proper guidelines to overcome drug resistance for children with chronic hepatitis B. Primary treatment with lamivudine should be considered if patients are in immune-clearance phase and have persistently elevated ALT levels more than twice the upper limit of normal value. Before initiating the therapy, careful consideration of the patient's status is required to exclude abnormal liver function tests due to other causes. The treatment option should be carefully decided to suppress the viral replication effectively. To obtain good compliance, clinicians should educate patients and their parents. Appropriate monitoring for virologic breakthrough and genotypic resistance is important in deciding to change the treatment plan. Sequential monotherapy should be avoided and a combination of drugs in other categories is recommended. New antiviral agents, such as entecavir and tenofovir, which have high potency and high genetic barrier, are soon expected to be available for use with children.

• BMB Reports
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• 제31권4호
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• pp.405-408
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• 1998

Endonuclease-sensitive sites detected by T4 endonuclease V or UvrABC nuclease treatments were compared in the dihydrofolate reductase gene of UV-irradiated Chinese hamster ovary B-11 cells. The number of endonuclease-sensitive sites detected by T4 endonuclease V treatment followed by NaOH denaturation was twice that of formamide denaturation. Repeated treatment of damaged genomic DNA with T4 endonuclease V resulted in no further increase in the number of endonuclease-sensitive sites detected. The numbers of endonuclease-sensitive sites detected by UvrABC nuclease using each denaturation condition were similar. Sequential treatment with the two endonucleases using formamide denaturation resulted in twice the number of endonuclease-sensitive sites detected by treatment of each nuclease alone. Due to a lack of AP endonuclease activity these results suggest the presence of T4 endonuclease V-sensitive sites which could be complemented by alkaline gel separation or by UvrABC nuclease treatment.

• Asian Pacific Journal of Cancer Prevention
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• 제13권12호
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• pp.6257-6261
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• 2012

Objective: To investigate the safety and efficacy of transcatheter arterial chemoembolization (TACE), combined with portal vein embolization (PVE), and high intensity focused ultrasound (HIFU) sequential therapy in treating patients with hepatocellular carcinoma (HCC). Methods: Patients with inoperative HCC were treated by two methods: in the study group with TACE first, then PVE a week later, and then TACE+PVE every two months as a cycle, after 2~3 cycles finally HIFU was given; in the control group only TACE+PVE was given. Response (CR+PR), and disease control rate (CR+PR+SD), side effects, overall survival and time to progress were calculated. Results: Main side effects of both groups were nausea and vomiting. No treatment related death occurred. In the study group, 32 patients received TACE for overall 67 times, PVE 64 times, and HIFU 99 times; on average 2.1, 2 and 3.1 times for each patient, respectively. In the control group, 36 patients were given TACE 78 times and PVE 74 times, averaging 2.2 and 2.1 times per patient. Effective rate: 25.0% in study group and 8.3% in control group (p>0.05). Disease control rates were 71.9% and 44.4%, respectively (p<0.05). In patients with portal vein tumor thrombus, the rate reduced over 1/2 after treatment was 69.2%(9/13) in the study and 21.4%(3/14) in the control group (p<0.05). Rate of AFP reversion or decrease over 1/2 was 66.7%(16/24) in study and 37%(10/27) (p<0.05) in control group. Median survival time: 16 months in study and 10 months in control group. PFS was 7months in study and 3 months in control group. Log-rank test suggested that statistically significant difference exists between two groups (p=0.024). 1-, 2- and 3-year survival rates were 56.3%, 18.8% and 9.3% in study, while 30.6%, 5.6% and 0 in control group, respectively, with statistically significant difference between two groups (by Log-rank, p = 0.014). Conclusions: The treatment of TACE+PVE+HIFU sequential therapy for HCC increases response rate, prolong survival, and could thus be a safe and effective treatment for advanced cases.

• Journal of Korean Dental Science
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• 제9권2호
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• pp.81-89
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• 2016

Necrotizing periodontal diseases, especially acute necrotizing ulcerative gingivitis (ANUG), it should be noted, occur abruptly and progress rapidly, eventually causing severe soft-tissue and alveolar bone loss. This report presents the cases of two ANUG patients and provides a brief treatment protocol for easy and effective clinical management. After proper diagnosis, sequential treatment with cessation of mechanical brushing, along with a prescription of systemic antibiotics and chlorhexidine as a mouth rinse, scaling, root planing, and supportive periodontal therapy, was utilized. In all cases discussed in this report, there was marked improvement in a few days. ANUG, though an uncommon disease, can be efficiently managed with proper diagnosis and immediate treatment.

• Tuberculosis and Respiratory Diseases
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• 제42권2호
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• pp.130-141
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• 1995

연구배경: 기관지 결핵은 조기 진단하여 유효적절한 치료를 시행하지 않을시 기관지 협착증이 병발하며, 일단 기관지 협착증이 발생되면 이에대한 치료가 어려울 뿐만아니라 원위부 폐의 허탈로 지속적인 호흡 곤란, 기침, 객혈 및 천명음을 초래하며 무기폐, 기관지 확장증, 이차적 폐렴과 같은 합병증을 유발한다. 따라서 기관지 결핵 치료시 기관지 협착의 예방을 위해 스테로이드 병용 투여가 시도되어 왔는데, 지금까지의 연구 결과에 의하면 스테로이드의 유용성은 확실하지 않다. 이에 저자 등은 스테로이드 사용의 유용성을 판단하고 기관지 결핵 치료에 따른 기관지 내시경 경과 관찰 소견, 폐기능 검사 및 흉부 방사선 호전 소견을 관찰하여 기관지 결핵에 의한 기관지 협착증의 예방 및 치료에 도움이 되고자하였다. 방법: 1988년부터 1992년까지 중앙대학교 부속병원에서 기관지 결핵을 진단 받은 환자 58명을 대상으로 하여 항결핵 요법만을 시행한 군(control group, n=39)과 스테로이드 병용 요법을 시행한 군(steroid group, n=19) 사이의 기관지 내시경 추적 관찰 소견, 폐기능 검사 및 흉부 방사선 촬영상 호전 소견을 비교 분석하였다. 결과: 1) 기관지 결핵은 20대 젊은 여성에서 호발하였다. 2) 치료전 양 군간 기관지 내시경에 의한 형태학적 분포상 가장 많은 형태는 건락성 괴사형과 섬유화를 동반하지 않은 협착형이었다. 3) 기관지 내시경에 의한 육안적 경과 관찰 소견상 양군 모두에서 호전 소견을 관찰할 수 있었으며 행태학적 분류에 따른 호전 소견 빈도에 있어서도 양 군간 유의한 차이는 없었다. 4) 흉부 방사선 및 폐기능 검사 경과 관찰 소견상 양군에서 모두 호전소견을 관찰할 수 있었으며 양군간 유의한 차이는 없었다. 5) 스테로이드 사용을 중단할 만한 부작용은 관찰되지 않았다. 결론: 이상의 결과로 기관지 결핵 치료에 있어서 스테로이드 병용 요법은 질환의 치료 경과에 커다한 영향을 미치지는 않는 것으로 판단된다.

• 생물정신의학
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• 제23권2호
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• pp.37-40
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• 2016

Treatment-resistant depression (TRD) is a major public health problem. It is estimated that about 30% of patients with major depressive disorder do not show substantial clinical improvement to somatic or psychosocial treatment. Most of studies for TRD have focused on the subjects already known as TRD. Patients with unipolar depressive episodes that do not respond satisfactorily to numerous sequential treatment regimens were included in the TRD studies. Such post hoc experimental design can be regarded only as consequences of having TRD, rather than as causal risk factors for it. Although informative, data derived from such studies often do not allow a distinction to be made between cause and effect. So, we should shift paradigm toward examining the risk for developing TRD in untreated depressed patients. To deal with this problem, untreated depressed patients should be enrolled in the study to identify biological markers for treatment resistance. The peripheral or central biological markers should be explored before starting treatment. Subsequent systematic administration of treatments with appropriate monitoring in the subjects can determine the risk for developing treatment resistance in untreated individuals. Such information could give a cue to improve the initial diagnosis and provide more effective treatment for TRD.

• 한국환경농학회지
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• 제29권1호
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• pp.47-53
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• 2010

본 연구에서 비소로 오염된 토양에 함유된 비소를 안정화시키기 위하여 4종류의 안정화제를 이용 처리하여 다음과 같은 결론을 얻었다. 안정화 처리에 사용된 오염토는 약알칼리성을 띄고 있으며, 입도분포 결과 사토계열이였고 57.5%의 비소가 무정형 및 비결정형 철/알루미늄 수산화물형태로 존재했다. 안정화 실험 결과 소석회/포틀랜드시멘트 혼합 안정화처리가 모든 안정화 처리와 비교 했을 때 현저한 우의를 보였으며 총 함량 30%로 토양오염 우려기준 20 mg/kg('나'지역)을 통과 하였다. 소석회/$FeCl_3{\cdot}6H_2O$ 혼합 이용시 효율적인 비소 저감효과룹 기대할 수 없었으며 소석회/NaOH는 효과적이었으나 소석회/포틀랜드시멘트 보다는 효율성이 제한적 이였다. 소석회/포틀랜드시멘트 혼합 안정화 처리 후 연속추출결과는 처리 전 오염토와 비교했을 때 특이적 흡착과 잔류대의 증가를 보였다. 특히 25wt%+10wt% 처리 시료에서 잔류태의 증가는 2배가 넘어 (16%에서 35.7%) 매우 안정적인 비소 존재 형태를 보여 비소 용출농도 저감에 현저하게 기여한 것으로 판단된다.

• 생태와환경
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• 제38권3호통권113호
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• pp.334-340
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• 2005

The chemical forms of Cd, Cu, Pb, and Zn were analysed by sequential extraction technique to evaluate the effects of drying and heating of dredged sediments from Lake Chungcho. The most abundant fraction of Cd, Cu, and Zn in the wet and untreated sediment was organic/sulfidic fraction that is state in reducing environment such as the bottom condition of Lake Chungcho, while Pb dominated in residual fraction. This means that the source of Cd, Cu, and Zn in the Chungcho lake sediment is related to the organic degradation and Pb to the erosion from surrounding rocks. With drying and oxidation by dredging, heating treatment, and disposal of the lake sediment, the chemical forms of studied metals changed greatly from organic/sulfidic fraction to adsorbed and reducible fractions which are more labile in oxygenated environment. Organic/sulfidic fraction of Cd, Cu and Pb in the wet sediment was transformed with drying and heating treatments to the labile ones like adsorbed and reducible fraction, but Zn to carbonate and reducible fraction. Heating of the sediment at $320^{\circ}C$ greatly increased the labile fraction of Cd and Cu, while that at $105^{\circ}C$ for Pb and Zn. It is believed that the increase in labile forms of heavy metals in the sediments by drying and heating is caused by the contact with oxygen during drying and heating and by the increase of pH of the pore water at the expense of organic/sulfidic fraction. It is concluded that the drying and oxidation currently used in the treatment of dredged sediment can increase labile forms of heavy metals in the sediment, and the potential of the metal availability from the sediment.

• 한국환경과학회지
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• 제33권2호
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• pp.131-138
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• 2024

The effect of magnetite particles on the anaerobic digestion (AD) of furfural wastewater was investigated using sequential anaerobic batch tests. The batch tests with four 500 mL anaerobic bioreactors were performed under two conditions: FC treatment for AD of furfural without magnetite particles, and FM treatment for AD of furfural with magnetite particles. The FC bioreactors showed a decreasing methane production rate (MPR) across the sequential batches, with a final batch MPR of 11.3 ± 0.4 mL CH₄/L/d, indicating the need for a methanogenesis enhancer to achieve high-rate AD of furfural. Conversely, FM bioreactors exhibited significantly higher MPR, exceeding FC values by 4-196%, with a final batch MPR of 33.5 ± 0.1 mL CH₄/L/d, which was about three times higher than FC. Additionally, FM bioreactors had faster degradation rates of furfural, valeric acid, and acetic acid compared to FC, with values exceeding those in PC by 3.0, 1.14, and 2.8 times, respectively. These results demonstrate that magnetite particles can enhance the AD of furfural not only by accelerating methanogenesis but also by accelerating the anaerobic degradation of furfural and its intermediates, such as volatile fatty acids. This study provides valuable insights for developing high-rate AD systems for furfural wastewater treatment.