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Poor Prognostic Factors in Surgically Resected Stage I Non-small Cell Lung Cancer: Histopathologic and Immunohistochemical Analysis

  • Cho, Suk-Ki;Park, Tae-In;Lee, Eung-Bae;Son, Shin-Ah
    • Journal of Chest Surgery
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    • 제45권2호
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    • pp.101-109
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    • 2012
  • Background: A better understanding of the histopathology and molecular biology of lung cancer might improve our capability to predict the outcome for any individual patient. The purpose of this study was to evaluate several histopathologic and molecular markers in order to assess their prognostic value in stage I non-small cell lung cancer. Materials and Methods: One hundred ten patients at the Kyungpook National University Hospital were enrolled in the study. Histopathologic factors and molecular markers were selected. Results: Univariate analysis showed that the T stage, differentiation, visceral pleural invasion, and survivin expression were significantly associated with recurrence. Multivariate analysis demonstrated that differentiation and survivin overexpression emerged as independent prognostic factors of recurrence. Conclusion: In resected stage I non-small cell lung cancer, poor differentiation and survivin overexpression have been identified as independent predictors of poor disease-free survival.

경기지역 중학생의 학교급식 잔반량에 따른 식생활 및 영양지수 평가 (Evaluation of Dietary Habits and Nutrition Quotient Scores according to Leftover Food during School Meal Service among Middle School Students in Gyeonggi)

  • 엄미향;박소영;계승희
    • 한국식생활문화학회지
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    • 제36권2호
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    • pp.198-209
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    • 2021
  • This study examined the dietary habits and nutrition quotient (NQ) scores according to leftover food during school meal services among middle school students in the Gyeonggi region. A survey on the dietary habits was conducted among 405 male and female middle school students located in Seongnam City, Gyeonggi Province. The amount of leftover food in the school meals was surveyed using the visual method through a questionnaire over two days. The survey was conducted from July 8, 2019, to July 12, 2019. After calculating the average total leftovers of each student over the two days, they were categorized into the following three groups: the top third was the large leftover group. The middle third was the medium leftover group, and the lower third was the small leftover group. The characteristics of the groups that had leftovers were analyzed. Female, normal-weight, and underweight students accounted for a greater proportion of the large leftover group than male, overweight, and obese students. The rates of selective eating and compliance with new food intake were significantly lower in the large leftover group than in the small leftover group. A comparison of the nutrition quotient for the adolescent (NQ-A) scores of each group revealed significantly lower scores of the large leftover group for all factors (balance, moderation, food diversity, practice, and environment) than the small leftover group. Therefore, there are statistically significant differences in the dietary habits, nutritional quality, and eating behaviors of middle school students that are associated with the amount of leftover food during school meals.

Progression-Free Survival: An Important Prognostic Marker for Long-Term Survival of Small Cell Lung Cancer

  • Park, Myoung-Rin;Park, Yeon-Hee;Choi, Jae-Woo;Park, Dong-Il;Chung, Chae-Uk;Moon, Jae-Young;Park, Hee-Sun;Jung, Sung-Soo;Kim, Ju-Ock;Kim, Sun-Young;Lee, Jeong-Eun
    • Tuberculosis and Respiratory Diseases
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    • 제76권5호
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    • pp.218-225
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    • 2014
  • Background: Small cell lung cancer (SCLC) is an extremely aggressive tumor with a poor clinical course. Although many efforts have been made to improve patients' survival rates, patients who survive longer than 2 years after chemotherapy are still very rare. We examined the baseline characteristics of patients with long-term survival rates in order to identify the prognostic factors for overall survivals. Methods: A total of 242 patients with cytologically or histologically diagnosed SCLC were enrolled into this study. The patients were categorized into long- and short-term survival groups by using a survival cut-off of 2 years after diagnosis. Cox's analyses were performed to identify the independent factors. Results: The mean patient age was 65.66 years, and 85.5% were males; among the patients, 61 of them (25.2%) survived longer than 2 years. In the multivariate analyses, CRP (hazard ratio [HR], 2.75; 95% confidence interval [CI], 1.25-6.06; p=0.012), TNM staging (HR, 3.29; 95% CI, 1.59-6.80; p=0.001), and progression-free survival (PFS) (HR, 11.14; 95% CI, 2.98-41.73; p<0.001) were independent prognostic markers for poor survival rates. Conclusion: In addition to other well-known prognostic factors, this study discovered relationships between the long-term survival rates and serum CRP levels, TNM staging, and PFS. In situations with unfavorable conditions, the PFS would be particularly helpful for managing SCLC patients.

SoEM: a novel PCR-free biodiversity assessment method based on small-organelles enriched metagenomics

  • Jo, Jihoon;Lee, Hyun-Gwan;Kim, Kwang Young;Park, Chungoo
    • ALGAE
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    • 제34권1호
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    • pp.57-70
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    • 2019
  • DNA metabarcoding is currently used for large-scale taxonomic identification to understand the community composition in various marine ecosystems. However, before being widely used in this emerging field, this experimental and analytic approach still has several technical challenges to overcome, such as polymerase chain reaction (PCR) bias, and lack of well-established metabarcoding markers, a task which is difficult but not impossible to achieve. In this study, we present an adapted PCR-free small-organelles enriched metagenomics (SoEM) method for marine biodiversity assessment. To avoid PCR bias and random artefacts, we extracted target DNA sequences without PCR amplification from marine environmental samples enriched with small organelles including mitochondria and plastids because their genome sequences provide a valuable source of molecular markers for phylogenetic analysis. To experimentally enrich small organelles, we performed subcellular fractionation using modified differential centrifugation for marine environmental DNA samples. To validate our SoEM method, two marine environmental samples from the coastal waters were tested the taxonomic capturing capacity against that of traditional DNA metabarcoding method. Results showed that, regardless of taxonomic levels, at least 3-fold greater numbers of taxa were identified in our SoEM method, compared to those identified by the conventional multi-locus DNA metabarcoding method. The SoEM method is thus effective and accurate for identifying taxonomic diversity and presents a useful alternative approach for evaluating biodiversity in the marine environment.

말티즈 견에서 발생한 원발성 폐동맥 고혈압증 (Primary Pulmonary Hypertension in a Maltese Dog)

  • 문형선;이승곤;최란;박인철;현창백
    • 한국임상수의학회지
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    • 제24권4호
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    • pp.613-617
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    • 2007
  • 중성화된 1년령 말티즈 개(2.4kg)가 간헐적인 기침, 호흡곤란, 운동 불내성을 주요 증상으로 내원하였다. 신체검사 시 제 2음 모순 분열, 확장기 역류성 잡음이 관찰되었으며, 심장초음파에서 주폐동맥의 확장, 심실 중격 비대를 동반한 우심실 편심성 비대, 심각한 삼첨판 역류증과 폐동맥 역류증(5.4m/sec, 3.4m/sec)이 관찰되었다. 이러한 진단 검사 결과를 바탕으로, 본 증례를 선천성 심장 내 단락, 폐쇄성 폐질환, 그리고 우심계의 압력 과부하 또는 폐혈관계과관류와 관련된 전신질환과 감별하여 원발성 폐동맥 고혈압증으로 잠정진단 하였다. 환자는 furosemide와 aspirin을 투여하여, 산소요법을 실시하였다. 본 증례는 드물게 발생하는 개의 원발성 폐동맥 고혈압이다.

Open Reduction of Proximal Interphalangeal Fracture-Dislocation through a Midlateral Incision Using Absorbable Suture Materials

  • Lee, Jae Jun;Park, Hyoung Joon;Choi, Hyun Gon;Shin, Dong Hyeok;Uhm, Ki Il
    • Archives of Plastic Surgery
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    • 제40권4호
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    • pp.397-402
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    • 2013
  • Background Fracture-dislocation of the proximal interphalangeal (PIP) joint is a relatively common injury. Various treatments for fracture-dislocation of the PIP joint have been reported. In the present study, we performed open reduction through a midlateral incision using absorbable sutures to reduce the small bone fragments and performed volar plate repair. Methods We treated nine patients with fracture-dislocation of the PIP joint with small fractured bone fragments too small for pinning or screw fixation. Patients with volar plate injury were treated with open reduction and volar plate repair at the periosteum of the middle phalangeal bone base by the modified Kessler method using absorbable sutures. All patients were placed in a dorsal aluminum extension block splint, which maintained the PIP joint in approximately 30 degrees of flexion to avoid excessive tension on the sutured volar plate. Results At a mean final follow-up of postoperative 9 months, all patients were evaluated radiographically and had adequate alignment of the PIP joint and reduction of the displaced bone fragments. Range of motion was improved and there were no complications. Conclusions This technique is an excellent alternative to the current method of treating patients with fracture-dislocations that include small fragments that are too small for pinning or screw fixation. It is a less invasive surgical method and enables stable reduction and early exercise without noticeable complications.

농어촌 소규모 중학교 영어 교육과정 편성·운영 개선 방안 사례연구 (A Case Study for Exploring the Ways of Improving the Organization and Implementation of the Curriculum for Small Rural Middle Schools)

  • 박상복
    • 한국콘텐츠학회논문지
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    • 제22권6호
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    • pp.92-103
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    • 2022
  • 본 연구의 목적은 농어촌 소규모 중학교의 교육과정 편성·운영 개선방안을 도출하고자 하는 것이다. 이를 위해 교사·학생 면담과 수업관찰을 통하여 교육과정 편성·운영 실태와 요구를 분석하였다. 전국을 5개 권역으로 나누어 권역별 2개교 씩 총10개 농어촌 소규모 중학교의 사례를 분석하였다. 연구결과 교육과정 측면에서 통합운영학교의 학교(급) 간 교육과정 연계 미흡, 지역사회 측면에서 농어촌 지역 내 교육 시설 및 문화 공간 부족, 교사 수급 측면에서 농어촌 소규모 중학교 교사 수급 문제에 대한 근본적인 해결책 마련 필요와 같은 쟁점을 도출 할 수 있었다. 논의된 쟁점을 중심으로 다음과 같은 교육과정 편성·운영 개선방안을 도출할 수 있었다. 첫째, 교육과정 측면에서 내실 있는 학교(급) 간 통합운영학교 및 공동 교육과정 운영을 위해서는 농어촌 소규모 중학교의 교육과정 편성·운영의 자율권을 대폭 확대할 필요가 있다. 둘째, 지역사회 측면에서 농어촌 지역 내 교육 시설 및 문화 공간 부족에 대한 개선방안으로 교육 및 문화 중심지로서의 학교 공간 혁신과 학생 교육활동 안전 및 편의성 증진을 위한 교통 시스템 구축을 제안하였다. 마지막으로 교사 측면에서 순회교사 운영의 어려움을 개선하기 위해서는 교육청 수준에서 교·강사 인력풀의 체계적인 확대 및 운영 등을 제안하였다.

Identification of small molecules that inhibit the histone chaperone Asf1 and its chromatin function

  • Seol, Ja-Hwan;Song, Tae-Yang;Oh, Se Eun;Jo, Chanhee;Choi, Ahreum;Kim, Byungho;Park, Jinyoung;Hong, Suji;Song, Ilrang;Jung, Kwan Young;Yang, Jae-Hyun;Park, Hwangseo;Ahn, Jin-Hyun;Han, Jeung-Whan;Cho, Eun-Jung
    • BMB Reports
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    • 제48권12호
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    • pp.685-690
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    • 2015
  • The eukaryotic genome is packed into chromatin, which is important for the genomic integrity and gene regulation. Chromatin structures are maintained through assembly and disassembly of nucleosomes catalyzed by histone chaperones. Asf1 (anti-silencing function 1) is a highly conserved histone chaperone that mediates histone transfer on/off DNA and promotes histone H3 lysine 56 acetylation at globular core domain of histone H3. To elucidate the role of Asf1 in the modulation of chromatin structure, we screened and identified small molecules that inhibit Asf1 and H3K56 acetylation without affecting other histone modifications. These pyrimidine-2,4,6-trione derivative molecules inhibited the nucleosome assembly mediated by Asf1 in vitro, and reduced the H3K56 acetylation in HeLa cells. Furthermore, production of HSV viral particles was reduced by these compounds. As Asf1 is implicated in genome integrity, cell proliferation, and cancer, current Asf1 inhibitor molecules may offer an opportunity for the therapeutic development for treatment of diseases.

소형 인공위성을 위한 레이저 삭마 미소 추력기 개발 현황 (Survey on Laser Ablation Micro-thruster for Small Satellites)

  • 박영민;이복직
    • 한국추진공학회지
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    • 제22권1호
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    • pp.98-106
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    • 2018
  • 기술의 발전은 소형화, 집적화, 그리고 경량화를 가능하게 하였고, 기존의 중 대형 인공위성이 수행하던 임무를 소형 인공위성이 대체할 수 있게 하였다. 소형 인공위성의 수요가 증가함에 따라, 소형 인공위성의 정확한 자세 및 위치의 제어를 위한 미소 추력기의 필요성이 대두되고 있다. 레이저 삭마 미소 추력기는 넓은 추력 범위와 낮은 단일 임펄스, 그리고 입사 레이저 에너지 대비 높은 모멘텀을 보여주어, 소형 인공위성의 새로운 추력기 후보로 고려되고 있다. 본 논문에서는 레이저 삭마 미소 추력기의 개요를 설명하고, 최근 연구 동향을 소개한다.