A case report of quadruple cancer in a single patient including the breast, rectum, ovary, and endometrium

노수경,Ji Yeong Yoon1,최철훈,Ui Nam Ryoo,Chang Ohk Sung,김태중,배덕수,김병기 대한부인종양학회 2008 Journal of Gynecologic Oncology Vol.19 No.4

Multiple primary cancer is defined as the multiple occurrence of malignant neoplasms in the same individual. Due to the development of new diagnostic techniques and the rise in long-term survival of cancer, reports of multiple primary cancers have gradually increased. Herein, we describe the case of a 68-year-old female patient with quadruple primary cancer of the breast, rectum, ovary, and endometrium. For its great rarity, we report this case with a review of the literature. Multiple primary cancer is defined as the multiple occurrence of malignant neoplasms in the same individual. Due to the development of new diagnostic techniques and the rise in long-term survival of cancer, reports of multiple primary cancers have gradually increased. Herein, we describe the case of a 68-year-old female patient with quadruple primary cancer of the breast, rectum, ovary, and endometrium. For its great rarity, we report this case with a review of the literature.

Assessment of Suitable Reference Genes for RT-qPCR Normalization with Developmental Samples in Pacific Abalone Haliotis discus hannai

Sang Yoon Lee,Choul-Ji Park,Yoon Kwon Nam 한국동물생명공학회(구 한국동물번식학회) 2019 Journal of Animal Reproduction and Biotechnology Vol.34 No.4

Potential utility of 14 candidate housekeeping genes as normalization reference for RT-qPCR analysis with developmental samples (fertilized eggs to late veliger larvae) in Pacific abalone Haliotis discus hannai was evaluated using four different statistical algorithms (geNorm, NormFinder, BestKeeper and comparative ΔCT method). Different algorithms identified different genes as the best candidates, and geometric mean-based final ranking from the most to the least stable expression was as follow: RPL5, RPL4, RPS18, RPL8, RPL7, UBE2, RPL7A, GAPDH, RPL36, PPIB, EF1A, ACTB and B-TU. The findings were further validated via relative quantification of metallothionein (MT) transcripts using the stable and unstable reference genes, and expression levels of MT were greatly influenced according to the choice of reference genes. In overall, our data suggest that RPL5 and RPS18, either singly or in combination, are appropriate for normalizing gene expression in developmental samples of this abalone species, whereas ACTB, B-TU and EF1A are less stable and not recommended. In addition, our findings propose that standard deviations in geometric ranking as well as geometric mean itself should also be taken into account for the final selection of reference gene(s). This study could be a useful basis to facilitate the generation of accurate and reliable RT-qPCR data with developmental samples in this abalone species.

Ginsenosides Attenuate Formalin-Induced Pains Through Spinal and Supraspinal Sites

Yoon, So-Rah,Park, Seok,Jung, Se-Yeon,Kim, Seok-Chang,Ko, Sung-Ryong,Nam, Ki-Yeul,Nah, Seung-Yeol The Korean Society of Ginseng 2000 Journal of Ginseng Research Vol.24 No.3

In previous studies we have demonstrated that several individual ginsenosides such as Rc, Rd, Re and Ri relieves formalin-induced pain following systemic treatment. But it is unknown where these single ginsenosides induce antinociception. We investigated the antinoiceptive effect of four individual ginsenosides on formalin-induced pain after intrathecal (i.t.), intracereventricular (i.c.v.), or subcutaneous (s.c.) administration using mice. We found that ginsenoside Rc, Rd, and Re except Rf attenuated both acute and tonic phase of pain. Ginsenoside Rf attenuated only tonic phase of pain after i.t. administration. The ED$\_$50/ was 1.0 (0.55∼l.75 mg/kg) for Rc, 1.15 (0.6∼2.25 mg/kg) for Rd, and 8.9 (3.9∼20.5 mg/kg) for Re in acute phase of pain. The ED$\_$50/ was 0.3 (0.1∼0.85 mg/kg) for Rc, 0.6 (0.35∼l.1 mg/kg) for Rd, 2.45 (1.25∼4.65 mg/kg) for Re, and 1.9 (1.5∼4.25 mg/kg) for Rf in tonic phase of pain. We also found that ginsenoside Rc, Rd, Re, and Rf after i.c.v. administration attenuated both acute and tonic phase of pain. The ED5o for acute phase of pain was 0.9 (0.55∼l.4mg/kg) for Rc, 0.9 (0.45∼1.7 mg/kg) for Rd, 0.93 (0.5∼l .75 mg/kg) for Re, and 1.85 (0.95∼3.5 mg/kg) for Rf. The ED$\_$50/ for tonic phase of pain was 0.7 (0.45∼1.05 mg/kg) for Rc,1.25 (0.7∼2.2 mg/kg) for Rd, 0.85 (0.45∼1.6 mg/kg) for Re, and 0.8 (0.4∼1.45 mg/kg) for Rf. Thus, the order of the analgesic potency was Rc$\geq$Rd>Re>Rf in both i.t. and i.c.v. administration routes. However, s.c. pretreatment of four ginsenosides did not reduce formalin-induced pain. These results suggest that analgesic effect of ginsenosides is achieved through spinal or supraspinal site(s) in formalin test. 앞의 연구에서 우리는 진세노사이드 Rc, Rd, Re 및 Rr를 복강내 전 처리할 경우 포르말린으로 유도된 통증을 억제하다는 것을 보고하였다 그러나 이러한 진세노사이드가 어느 위치에서 항통증작용을 발휘하는가에 대하여서는 아직 알려지지 않고 있다. 본 연구에서는 이들 진세노사이드를 뇌실내, 척수강내 혹은 피하내 전처리한 다음 포르밀린에 의하여 유도되는 통증이 어느 위치에서 억제되는가를 연구하였다. 연구 결과 이들 진세노사이드는 척수강내 전처리할 경우 포르말린에 의하여 유도되는 통증을 억제하는 것으로 나타났다. 급성 통증 phase에서 ED$_{50}$는 Rc가 1.0 (0.SS~l.75mg/kg)이었고, Rd가 1.15 (0.6~2.25 mg/kg)이었고, Re가 8.9(3.9~20.5 mg/kg)이었다. 지속성 통증 phase에서 ED$_{50}$는 Rc가0.3 (0.1~0.85 mg/kg)이었고, Rd가 0.6 (0.35~l.1 mg/kg)이었고, Re가 2.45 (1.2s~4.65 mg/kg)이었고, Rf가 1.9(1.5~4.25 mg/kg)인 것으로 나타났다. 또한 뇌실내 전처리할 경우에도 이들 진세노사이드들은 포르말린에 의하여 유도되는 통증을 억제하였다. 급성통증 phase에서 ED$_{50}$는 Rc가 0.9 (0.55~l.4 mg/kg)이었고, Rd가0.9 (0.45~l.7 mg/kg)이었고, Re가 0.93 (0.Sol.75 mg/kg), Rf가1.85 (0.95~3.5 mg/kg)인 것으로 나타났다. 지속성 통증 phase에서는 ED$_{50}$는 Rc가 0.7 (0.45~l.05 mg/kg)이었고, Rd가 1.25(0.7~2.2 mg/kg)이었고, Re가 0.85 (0.45~l.6 mg/kg)이었고, H의 경우에는 0.8 (0.4~l.45 mg/kg) 이었다. 항통증 효능 potency는 두 가지 투여 경로에 있어서 Rc$\geq$Rd>Re>Rf인 것으로 나타났다. 그러나, 피하내 주사는 포르말린에 의하여 유도되는 통증을 억제하지 않은 것으로 나타났다. 이러한 연구 결과는 진세노사이드에 의한 항통증 작용은 척수 수준 및 척수위 수준에서 이루어진다는 것을 보여주고 있다.보여주고 있다.

Traffic Considerations on Frame Relay / ATM Interworking Implementation

Yoon Seok Nam,Sung Jae Lee,Won Sik Park,Jung Sik Kim 대한전자공학회 1997 ITC-CSCC :International Technical Conference on Ci Vol.- No.-

Laparoscopy Assisted versus Open Distal Gastrectomy with D2 Lymph Node Dissection for Advanced Gastric Cancer: Design and Rationale of a Phase II Randomized Controlled Multicenter Trial (COACT 1001)

Nam, Byung Ho,Kim, Young-Woo,Reim, Daniel,Eom, Bang Wool,Yu, Wan Sik,Park, Young Kyu,Ryu, Keun Won,Lee, Young Joon,Yoon, Hong Man,Lee, Jun Ho,Jeong, Oh,Jeong, Sang Ho,Lee, Sang Eok,Lee, Sang Ho,Yoon, The Korean Gastric Cancer Association 2013 Journal of gastric cancer Vol.13 No.3

Purpose: Laparoscopy-assisted distal gastrectomy for early gastric cancer has gained acceptance and popularity worldwide. However, laparoscopy-assisted distal gastrectomy for advanced gastric cancer is still controversial. Therefore, we propose this prospective randomized controlled multi-center trial in order to evaluate the safety and feasibility of laparoscopy assisted D2-gastrectomy for advanced stage gastric cancer. Materials and Methods: Patients undergoing distal gastrectomy for advanced gastric cancer staged cT2/3/4 cN0/1/2/3a cM0 by endoscopy and computed tomography are eligible for enrollment after giving their informed consent. Patients will be randomized either to laparoscopyassisted distal gastrectomy or open distal gastrectomy. Sample size calculation revealed that 102 patients are to be included per treatment arm. The primary endpoint is the non-compliance rate of D2 dissection; relevant secondary endpoints are three-year disease free survival, surgical and postoperative complications, hospital stay and unanimity rate of D2 dissection evaluated by reviewing the intraoperative video documentation. Discussion: Oncologic safety is the major concern regarding laparoscopy-assisted distal gastrectomy for advanced gastric cancer. Therefore, the non-compliance rate of clearing the N2 area was chosen as the most important parameter for the technical feasibility of the laparoscopic procedure. Furthermore, surgical quality will be carefully reviewed, that is, three independent experts will review the video records and score with a check list. For a long-term result, disease free survival is considered a secondary endpoint for this trial. This study will offer promising evidence of the feasibility and safety of Laparoscopy-assisted distal gastrectomy for advanced gastric cancer. Trial Registration: NCT01088204 (international), NCCCTS-09-448 (Korea).

Fracture Risk and Its Prevention Patterns in Korean Patients with Polymyalgia Rheumatica: a Retrospective Cohort Study

Nam Bora,Sung Yoon-Kyoung,Choi Chan-Bum,Kim Tae-Hwan,Jun Jae-Bum,Bae Sang-Cheol,Yoo Dae-Hyun,Cho Soo-Kyung 대한의학회 2021 Journal of Korean medical science Vol.36 No.41

Background: To evaluate the incidence of fractures and fracture risk factors in Korean patients with polymyalgia rheumatica (PMR). Methods: All PMR patients who visited a rheumatology clinic at a tertiary referral hospital between March 2005 and March 2018 were retrospectively assessed. We estimated bone mineral density (BMD) screening rate within 6 months of the first visit and classified the patients according to the performance and results of BMD screening. Incidence rates (IRs) of fractures were calculated in each group and risk factors for fractures were identified using Poisson regression analysis. Results: A total of 95 PMR patients with median (interquartile range) age of 64.0 (56.0–72.0) years were included. Baseline BMD was assessed in only 55.8% of these patients (n = 53); 24 patients with osteoporosis, 20 with osteopenia, and 9 with normal BMD. During 433.1 person-years (PYs) of observation, 17 fractures occurred in 12 patients (IR, 3.93 [95% confidence interval (CI), 2.46–6.26]/100 PYs); 8.32 (95% CI, 4.09–16.90)/100 PYs in the osteopenia group, 3.40 (95% CI, 1.30–8.90)/100 PYs in the osteoporosis group, and 3.37 (95% CI, 1.53–7.39)/100 PYs in the no BMD test group. Risk factors for fractures were female sex, advanced age (≥ 65 years), longer follow-up duration, initial glucocorticoid dose ≥ 10 mg/day, and higher cumulative glucocorticoid dose over the first 6 months. Conclusion: The incidence rate of fractures in Korean patients with PMR was 3.93/100 PYs. Female sex, advanced age, longer follow-up duration, and increased glucocorticoid dose are risk factors for osteoporotic fracture.

The Effects of Heat Application on the Immune Activities of the Human Body

Sang Bin Lee,Joo Hyun Park,Yong Nam Kim,Byoung Hee Lee,Jung Gyu Yoon,Suk Hee Lee,Sung Joong Kim,Kyoung Tae Yoo,Sung Joong Kim,Mi Joung Lee 국제물리치료학회 2010 Journal of International Academy of Physical Ther Vol.1 No.1

The purpose of this study was to determine the effects of heat appli˗ cation on the immune activities of the human body. To exam, further˗ more, the immune effect from the healthy volunteer(male:15, female:15) by monitoring changes of immune substances such as various leukocytes[total white blood cell(WBC), eosinophil, neutrophil, basophil, monocyte, and lymphocyte], a comparative study with warm water immersion(40.8±0.3℃) and infrared(250W) was carried out. The plasma analysis showed that the count of white blood cell, eosinophil, and neutrophil were elevated in warm water immersion- or infrared˗ stimulated group compared with control group. However, the count of basophil was decreased in both warm water immersion- and infrared-stimulated group than control group. Therefore, these results suggest that the thermostimulation improved immune activity.

ON THE QUALITATIVE BEHAVIOR OF DISCRETE VOLTERRA EQUATIONS

Sung Kyu Choi,Yoon Hoe Goo,Dong Man Im,Nam jip Koo 충청수학회 2010 충청수학회지 Vol.23 No.4

We investigate the boundedness and asymptotic al- most periodicity of solutions for discrete Volterra equations.

BOUNDEDNESS OF THE SOLUTIONS OF VOLTERRA DIFFERENCE EQUATIONS

Sung Kyu Choi,Yoon Hoe Goo,Nam jip Koo 충청수학회 2007 충청수학회지 Vol.20 No.3

Using the representation of the solution by means of the resolvent, we study the boundedness of the solutions of some Volterra di??erence equations.

DEVELOPMENT OF NEW SHAPE OF EVACUATED SOLAR COLLECTOR

Nam Choon BAEK,Eung Sang YOON,Jin Kook LEE,Wang Je LEE,U Cheul SHIN 한국신재생에너지학회 2015 AFORE Vol.2015 No.11