Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy in management of peritoneal carcinomatosis: Single center experience in Korea

Hee Ju Lee1,HyungJoo Baik1,박요한,서상혁,김광희,Ki Beom Bae,Kwan Hee Hong,김기향,변정미,Dae Hoon Jeong,Kyung Bok Lee,오민경,조광래,안민성 대한종양외과학회 2019 Korean Journal of Clinical Oncology Vol.15 No.2

Purpose: Peritoneal carcinomatosis (PC) has been considered a terminal condition and cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS/HIEPC) is regarded as an alternative therapeutic option. This study aimed to evaluate the 30-day clinical outcomes of CRS/HIPEC and the feasibility of the surgery by investigating the morbidity and mortality in Inje University Hospital. Methods: Data were retrospectively collected from 19 patients with PC who underwent CRS/HIPEC at Inje University Hospital in 2018. We evaluated pre-, intra-operative parameters and postoperative clinical outcomes and early complications. Results: The mean operating time was 506.95 minutes and the mean blood loss was 837.11 mL. Six cases (31.58%) had morbidity of grade III or above. A longer operating time (≥560 minutes, P=0.038) and large blood loss (≥700 mL, P=0.060) were positively correlated with grade III or worse postoperative complications. Conclusion: Our early experience with CRS/HIPEC resulted in a 31.58% morbidity rate of grade III and above, with risk factors being longer operating time and greater intraoperative blood loss. As the surgical team’s skills improve, a shorter operating time with less intraoperative blood loss could result in better short-term outcomes of CRS/HIPEC.

자동차 탑승자 사고에서 외상계수를 이용한 구급대원의 중증도 분류 평가

김상철 ( Sang Chul Kim ),김병우 ( Byung Woo Kim ),탁양주 ( Yang Ju Tak ),이상희 ( Sang Hee Lee1 ) 대한외상학회 2013 大韓外傷學會誌 Vol.26 No.3

Purpose: The assessment of trauma patients in the prehospital setting is difficult, but appropriate field triage is critical to the prognosis of trauma patients. We sought to evaluate the triage given by the emergency medical technicians (EMTs) using the trauma score to patients injured in motor vehicle collisions (MVCs). Methods: From June 2012 to July 2012, questionnaires were distributed to EMTs, who had transported injured patients to the study hospital. Scene records, photos of the damaged vehicle, and ambulance run sheets were used to provide physiologic, physical, and mechanistic information about the MVC. To evaluate the appropriateness of the injury assessment by EMTs, we compared their impressions with the hospital`s final diagnosis within a 3 level triage system comprising both the maximum abbreviated injury scale (MAIS) and the injury severity score (ISS). Kappa (k) was calculated to evaluate the agreement between the triage by EMTs and the triage based on hospital`s final diagnosis. Results: A total of 91 patients were analyzed by 31 EMTs. The percentage of males was 57.1%, the mean age was 44.5, and the mean MAIS and ISS were 2.7 and 16.6 respectively. While EMTs correctly diagnosed patient injuries to the extremities in 35.7%, and to the neck in 32.1%, pelvic injuries were missed in 80.0%. The agreement between the triage by the EMTs and the triage based on the hospital`s final diagnosis was 62.6%(k=0.366) by the MAIS and 50.5%(k=0.234) by the ISS. The kappa value was higher in EMT-I than in EMT-II. Conclusion: In MVC, the assessment of injured patients by EMT-I was more appropriate, and the 3-level triage method based on the MAIS could contribute to a more accurate triage. Prospective studies to search for appropriate methods of field triage are required for programming practical education for EMTs.

갑상선 수질암의 재발에 미치는 예후인자에 관한 연구

이주희<SUP>1<,SUP>,이규언<SUP>1,2<,SUP>,박경식<SUP>1,2<,SUP>,구도훈<SUP>1,2<,SUP>,오승근<SUP>1<,SUP>,윤여규<SUP>1,2<,SUP>,Ju Hee Lee,M,D,<SUP>1<,SUP>,Kyu Eun Lee,M,D,<SUP>1,2<,SUP>,Kyung Sik Park,M,D,<SUP>1,2<,SUP>,Do 대한갑상선-내분비외과학회 2008 The Koreran journal of Endocrine Surgery Vol.8 No.3

<B>Purpose:</B> Medullary thyroid carcinoma (MTC) is an uncommon thyroid tumor and the clinical course is variable. Many prognostic factors for MTC have been studied, but the significance of some of these factors remains con</B>troversial. This study aimed to evaluate the prognosis of recurrent disease in patients suffering with MTC. <P><B>Methods: </B>Fifty three patients who were operated for MTC from 1987 to 2006 in Seoul National University Hospital (SNUH) was retrospectively analyzed. Their medical records were reviewed for the demographic data, the laboratory data and the clinical course, the treatment and the long-term outcome. The median duration of follow-up was 66.5 months. Forty-two patients who were operated on primarily in this hospital were analyzed for their recurrence free survival. <P><B>Results:</B> The mean age atdiagnosis was 41.8 years. There were 28 femaleand 25 male patients. Eleven patients (22.9%) had multifocal disease. There were 32 sporadic MTC patients, 15 MEN2A patients, 3 familial medullary thyroid carcinoma (FMTC) patients and 1 MEN 2B patient. The 10- and 15-year overall survival rates were 91.9% and 76.5%, respectively; the 5- and 10-year recurrence-free survival rates were 70.6% and 45.5%, respectively. By univariate statistical analysis, the stage (stage I/II vs. III/IV, P= 0.025), extrathyroidal extension (P=0.039), cervical lymph node metastasis (P=0.044), and the postoperative calcitonin level (≥25 pg/ml) (P=0.003) were the significant factors that influenced recurrence. <P><B>Conclusion:</B> The overall prognosis of MTC is favorable. The significantfactors for a poor prognosis were the presence of lymph node metastasis, TNM stage III and IV, positive extrathyroidal extension at the first diagnosis and a high postoperative calcitonin level.<B> (Korean J Endocrine Surg 2008;8:183-188)</B>

주암댐 집수유역 내 하상퇴적물의 중금속 오염현황 및 거동 특성

염승준Seung-Jun Youm 1 *이평구,Pyeong-Koo Lee 1 강민주,Min-Ju Kang 1,신성천Seong-Cheon Shin 1 and 유연희Youn-Hee Yu 2 대한자원환경지질학회 2004 자원환경지질 Vol.37 No.3

전라남도 보성강에 축조된 주암댐의 집수유역 내 하상퇴적물을 대상으로 중금속의 오염현황과 거동 특성을 알아보았다. 주암댐의 집수유역에는 많은 폐금속 및 탄광이 위치하고 있어 주암댐 호저퇴적물에 잠재적인 오염원으로 작용할 수 있다. 집수유역 내 하상퇴적물의 중금속 함량(Cr, Cu, Ni, Pb, Zn)은 매우 낮기 때문에 주암댐의 호저퇴적물에 영향을 줄 것으로 판단되지 않는다. 하지만 폐금속광산지역 내 하상퇴적물의 Pb 함량은 하류로 갈수록 증가하는 경향을 보여, Pb의 오염 확산이 우려된다. 폐금속광산의 환경을 고려한 강산성 조건의 용출실험결과, 하상퇴적물의 용출비로부터 결정된 중금속의 상대적 이동도는 Pb>Zn=Cu>Ni>Cr으로서, Pb이 주암댐 호저퇴적물에 영향을 미치는 원소가 될 수 있음을 지시해준다. 한편 댐으로 유입한 퇴적물이 호저에 놓이게 되면(즉, 환원환경), Pb의 이동도가 비교적 높게 나타나 물-퇴적물 경계에서 Pb의 수중으로 재용출될 수 있다 We investigated the contamination and behavior of heavy metals in stream sediments within the watershed of Juam Reservoir. Many abandoned mines within the reservoir can act as a potential contaminant source for water quality. Heavy metal concentrations (Cr, Cu, Ni, Pb and Zn) in stream sediments from watershed are very low, indicating that content of heavy metals in the sediments probably do not affect the water quality in Juam Reservoir. However Pb concentration in the stream sediments increases downward streams, suggesting the possible diffusion of Pb contamination. According to the leaching ratio for stream sediments at a strong acidic condition in the abandoned mine areas, the relative mobility for metals decreases in the order of Pb>Zn=Cu>Ni>Cr, indicating that Pb can have a bad effect upon the water quality in Jum Reservoir. Moreover, if contaminated sediment is placed in the bottom of reservoir (i.e., reducing condition), the relative mobility of Pb is the highest, indicating that Pb in the bottom sediments can be leached to water at interface between water and sediment with changing in physicochemical conditions.

Dysregulation of the enteric nervous system may play an important role in C3 deficiency-induced constipation in the mid colon of C3 KO mice

Hee Jin Song,Yun Ju Choi,Ji Eun Kim,You Jeong Jin,Yu Jeong Roh,Ayun Seol,Su Jin Lee,Dae Youn Hwang1,2 한국실험동물학회 2023 한국실험동물학회 학술발표대회 논문집 Vol.2023 No.2

연구논문 : CMAQ 모델의 화학메커니즘(SAPRC99, CB05) 적용에 따른 수도권 오존농도 모의결과 비교

강윤희 ( Yoon Hee Kang ),오인보 ( In Bo Oh1 ),정주희 ( Ju Hee Jeong ),방진희 ( Jin Hee Bang ),김유근 ( Yoo Keun Kim ),김순태 ( Soon Tae Kim ),김은혜 ( Eun Hye Kim ),홍지형 ( Ji Hyung Hong ),이대균 ( Dae Gyun Lee ) 한국환경과학회 2016 한국환경과학회지 Vol.25 No.1

A comparison of ozone simulations in the seoul metropolitan region (SMR) using the community multiscale air quality (CMAQ) model with SAPRC99 and CB05 chemical mechanisms (i.e. EXP-SP99 and EXP-CB05) has been conducted during four seasons of 2012. The model results showed that the differences in average ozone concentrations between the EXP-SP99 and EXP-CB05 were found to be large in summer, but very small in the other seasons. This can be attributed that the SAPRC99 tends to produce more ozone than the CB05 in urban area like the SMR with low VOC/NOx ratio under high ozone conditions. Through quantitative comparison between two mechanisms for the summer, it was found that the average ozone concentrations from the EXP-SP99 were about 3 ppb higher than those from the EXP-CB05 and agreed well with the observations. Horizontal differences in ozone concentrations between SAPRC99 and CB05 showed that significant differences were found in southern part of the SMR and over the sea near the coast in summer.

Algorithm for Predicting Functionally Equivalent Proteins from BLAST and HMMER Searches

( Yu Dong Su ),( Dae Hee Lee ),( Seong Keun Kim ),( Choong Hoon Lee ),( Ju Yeon Song ),( Eun Bae Kong ),( Jihyun F Kim1 ) 한국미생물 · 생명공학회 2012 Journal of microbiology and biotechnology Vol.22 No.8

In order to predict biologically significant attributes such as function from protein sequences, searching against large databases for homologous proteins is a common practice. In particular, BLAST and HMMER are widely used in a variety of biological fields. However, sequencehomologous proteins determined by BLAST and proteins having the same domains predicted by HMMER are not always functionally equivalent, even though their sequences are aligning with high similarity. Thus, accurate assignment of functionally equivalent proteins from aligned sequences remains a challenge in bioinformatics. We have developed the FEP-BH algorithm to predict functionally equivalent proteins from protein-protein pairs identified by BLAST and from protein-domain pairs predicted by HMMER. When examined against domain classes of the Pfam-A seed database, FEP-BH showed 71.53% accuracy, whereas BLAST and HMMER were 57.72% and 36.62%, respectively. We expect that the FEP-BH algorithm will be effective in predicting functionally equivalent proteins from BLAST and HMMER outputs and will also suit biologists who want to search out functionally equivalent proteins from among sequence-homologous proteins.