The impact of pathologic differentiation (well/ poorly) and the degree of Ki-67 index in patients with metastatic WHO grade 3 GEP-NECs.

Kim, Seung Tae,Lee, Su Jin,Lee, Jeeyun,Park, Joon Oh,Park, Young Suk,Lim, Ho Yeong,Kang, Won Ki Grune & Stratton 2017 Journal of clinical oncology Vol.35 No._suppl15

<P> e15686 </P><P> Background: Herein, we investigated the impact of pathologic differentiation (well or poorly differentiated) in metastatic grade 3 GEP-NEC patients receiving etoposide and platinum-based therapy. Simultaneously, we evaluated a more exact Ki67 index cut-off point to select patients with grade 3 GEP-NEC who might benefit from etoposide plus platinum (EP)-based therapy. Methods: Among patients pathologically diagnosed with metastatic grade 3 GEP-NECs at Samsung Medical Center between June 2013 and March 2016, 31 GEP-NEC patients receiving etoposide and platinum-based therapy were included in this study. Results: Primary sites included 13 foregut-derived GEP-NECs [stomach (n = 4), duodenum (n = 4), and pancreas (n = 5)] and 2 hindgut-derived GEP-NECs of the rectum. Sixteen unclassified GEP-NECs originated from 7 gall-bladder (GB), 6 liver and 3 unknown primary sites. According to pathologic differentiation, 14 patients had well differentiated and 17 had poorly differentiated grade 3 GEP-NECs. Between well differentiated and poorly differentiated grade 3 GEP-NECs, there was a significant difference in the distribution of Ki67 index. There was no significant difference of treatment efficacy between well and poorly differentiated grade 3 GEP-NECs (RR; 35.7% vs. 41.2%, p = 0.525). Tumor response to EP occurred in 5 of 7 patients with Ki67 > 60% and 7 of 24 with Ki67≤60%, which was significantly different (RR; 71.4% vs. 29.2%, P = 0.043). There was no significant difference in PFS according to pathologic differentiation (well differentiated vs. poorly differentiated) and Ki67 index ( > 60% vs ≤60%). Conclusions: Grade 3 GEP-NECs could be morphologically classified into well and poorly differentiated NETs. Additionally, among grade 3 GEP-NECs, there was a significant difference in ranges of Ki67 index between well and poorly differentiated NECs. Higher levels ( > 60%) of Ki67 index might be a predictive marker for efficacy of EP as a standard regimen in grade 3 GEP-NECs. </P>

뇌동맥류 수술시 체성감각유발전위의 모니터링

염기훈,김국기,이기택,박종태,임영진,김태성,이봉암,임언 대한신경외과학회 1999 Journal of Korean neurosurgical society Vol.28 No.4

The oncoprotein, gankyrin, is up-regulated in middle ear cholesteatoma

Kim, Ki Hyun,Lim, Hye Jin,Kim, Yeon Ju,Kim, Seung Won,Kim, Young Sun,Tian, Chunjie,Park, Keehyun,Park, Tae Jun,Choung, Yun-Hoon Scandinavian University Press 2014 Acta oto-laryngologica Vol.134 No.3

<P><I>Conclusion:</I> Gankyrin seems to be a better biomarker for cholesteatoma compared with Ki-67. <I>Objective:</I> Gankyrin is an oncoprotein, and occurs in cancers but not in benign diseases. The goal of this study was to compare expression of gankyrin, p53, and a proliferation marker (Ki-67) in cholesteatoma and retroauricular skin (RAS), and to evaluate their significance as clinical parameters. <I>Methods:</I> The levels of expression of gankyrin, Ki-67, and p53 in 10 cholesteatoma and 10 paired samples of normal RAS were evaluated by immunohistochemical staining and Western blot. The results were compared with clinical profiles to investigate a correlation. <I>Results:</I> The expression of gankyrin, Ki-67, and p53 proteins was observed in both basal and suprabasal layers of cholesteatoma. The intensity of gankyrin expression was ‘positive’ in two cases (20%) and ‘strongly positive’ in eight cases (80%); p53 expression in the suprabasal layer was ‘positive’ in 70% of cases; and the Ki-67 staining was ‘focal’ in 80% of cases. In RAS, these proteins were expressed dominantly in the basal layer. Western blot analysis showed that the gankyrin band was more intense in cholesteatoma than in RAS for three of four cases (<I>p</I> < 0.05). However, there was no significant difference in the expression of gankyrin, Ki-67, and p53 according to clinical variables.</P>

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

단체법에서 효과적인 초기기저의 설정

임성묵,김기태,박순달 한국경영과학회 2000 經營 科學 Vol.17 No.2

In this research, we compare and anlyze the two initial basis construction procedures : LPAKO's procedure proposed by Seo et. al. and symbolic crash procedure proposed by Maros et. al.. Based on the analysis, we present a new procedure which complements the previous procedures. The new procedure shows superiority to the previous procedures with respect to the optimality of initial basis. Also, the initial basis constructed by the new procedure reduces the number of simplex iterations.

월슨씨병에서 나타난 안검개방실행증 1예

박기종,권오영,최낙천,김남곤,김태유,임병훈 대한신경과학회 1997 대한신경과학회지 Vol.15 No.5

관상동맥 질환에서 도플러 심초음파도로 측정한 확장기 좌심실기능의 지표와 혈역학적 소견과의 비교 검토

임헌관,기신영,유창범,최태명,김성구,권영주 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.1

Background : Left ventricular diastolic dysfunction is now recognized as a significant cause of cardiac symptoms even in patient with normal systolic ventricular function. During the last several years, the use of Doppler echocardiography for assessing left ventricular diastolic function has attracted increased attention. Doppler study have demonstrated that patients with ischemic heart disease have abnormal diastolic filling pattern suggesting impaired relaxation. Methods : This study was designed to correlate Doppler mitral flow velocity patterns and measuared variance with hemodynamic findings in 33 patients: 10 with myocardial infarction(group 1), 10 with angina pectoris(group 2) and 13 with no coronary disease(group 3). Results: 1. E/A ratio (0.87±0.24 m/sec versus 1.09±0.91 m/sec, P<0.05) was lower in group 1 than in group 3. 2. Significant correlation were demonstrated between pulmonary capillary wedge pressure (PCWP) and isovolumic relaxation time(IVRT) (r=-0.58; p<0.001), and E velocity (r=0.61; p<0.005). 3. IVRT was (61±30msec versus 92±35msec, p<0.05) shorter in patients with PCWP>10mmHg than in patients with PCWP≤10mmHg. Conclusion: Doppler mitral flow recordings have partially clinical potentiality in assessing left ventricalar diastolic function in patient with ischmic heart disease.

일부 중소병원 조직구성원의 갈등이 직무만족과 조직몰입에 미치는 영향

임경태,강명근,전재두,박계남,김기순 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

Objectives and Method : This study was conducted to identify the influences of conflict among hospital employees on job satisfaction and organizational commitment measured as the result variables of organizational conflict. The data for this study were collected from 305 employees who were employed as a physician, a nurse, an administrative personnel or other hcalthcare professional in 4 medium-sized general hopitals in 2 middle sized cities including Yeosu and Soonchcon. The survey instrument used in this study was a structured questionnaire developed from modifying those of some previous studies, for example, Minnesota Satisfaction Questionnaire for a measure of job satisfaction. Results : 1. The groups experienced relatively high degree of overall intra- organizational conflict were the female, the younger, the non-married or the divorced married, and the college-graduated. And according to the job-related variables, these groups were the lower-salaried employees with a lower job status, 3 or 5 years on their duties, especially the nurses. 2. The degree of conflict experienced by the hospital employees was highest in the intra-organizational conflict due to the factors such as a gap of goals, communication problems and were relatively lower in the conflict due to the factors such as a collective coherence, an interdependence, a leadership problem. And the degree of conflict due to the horizontal relationship with their colleagues was higher than that of vertical relationship with their bosses or subordinates. 3. Comparcd with the degree of conflict according to the general characteristics of our study subjects, the degree of job satisfaction and organizational commitment of them were reverse in that the male, the elderly, the married, the eradnated of praduate school, the physicians, and higher-salaried employees with a higher job status, 6 vears or more on their duties perceived the highest degree of the job satisfaction and the organizational commitment. As a result of correlation analysis, all values of correlation coefficients between the degree of intra-organizational conflict and the degree of the job satisfaction, the organizational commitment were negative. 4. As a result of a multiple regression analysis inputting the variables such as variable general characteristics and job-related variables as the putative confounders, the conflict scores due to the factors such as the communication problems, leadership problems, individual personality were the significant independent variables having negative influence on the overall, intrinsic, and extrinsic components of job satisfaction. 5. As a result of a multiple regression analysis inputting- the variables such as general characteristics and job-related variables as the putative confounders, the conflict scores due to the factors such as an interdependence, leadership problems, and an individual personality were the significant independent variables having negative influence on the score of organizational commitment. And as a result of a multiple regression analysis inputting scores of conflict factors, scores of conflict types, intrinsic and extrinsic components of job satisfaction, and above putative confounders altogether as independent variables, the significant independents having influence on the score of organizational commitment were conflict scores due to the interdependence (β=-0.379; p=0.026), the individual personality (β=-0.716: p=0.000), conflict score from vertical interpersonal relationships (β=-0.555; p=0.019), intrinsic (β=0.097; p=0.000) and extrinsic (β=0.076: p=0.049) components of job satisfaction. Conclusion : Our research had some limitations, which, for example, were an omitting some job related putative confounders such as a daily work loading measured by an individual. But the fact that all the regression models showed hig'h explanatory power suggested the bias due to this problem might be little. And we hope to be conducted more advanced researches with robust theoretical background and precise analytic tools, in this research area.

화목피 추출물이 Streptozotocin 으로 유발시킨 흰쥐의 당뇨와 Free Radical 에 미치는 효과

임병우,서태원,신흥묵,박동기,김선여,조금호,김호철 대한본초학회 2000 大韓本草學會誌 Vol.15 No.2

Type I diabetes is caused by destruction of the pancreatic beta cells responsible for insulin-secretion. It can be induced by the drugs alloxan or streptozotocin (STZ). Both an increase in reaction oxygen free radical species and a decrease in the antioxidant defense mechanism lead to the increase in oxidative stress in diabetes mellitus. Oxygen radicals scavengers are effective in preventing diagetes in animal models. Experiments were conducted by two system. The Sprague-Dawley rats were treated with STZ intravenous injection after oral administrated Betula's extract and quercetin for a week, and were administrated them for a week. In vitro, Betula's extracts and quercetin showed a tendency towards inhibition of free radical oxidation in all. In vivo, Betula's extracts group exhibited suppression morphologic change in pancreatic islet compare quercetin group on light microscopy. The Betula's extract significantly inhibited formation of MDA compared to the STZ-induced diabetic group in pancreas.They also significantly inhibited formation of Phosphatidylcholine hydroperoxide(PCOOH) compared to the STZ-induced diabetic group in pancreas and plasma, which considered defense against destruction in beta cells. The protection by Betula's extracts may be due to scavenging of deleterious and highly reactive free radical which is generated by STZ. In streptozotocin-induced diabetic rats, the effect of Betula's extract are greater than that of quercetin. Based on this result, we concluded that Betula's extract has the ability to effectively suppress in vitro and in vivo oxidation, thereby providing additional evidence for their potential beneficial type I diabetes.

Cu-SiO₂촉매상에서 메탄올의 메틸포메이트로의 탈수소 반응에 관한 연구

김경림,박해경,설용건,이태희,전민기 연세대학교 산업기술연구소 1990 논문집 Vol.22 No.2

Cu-SiO₂촉매상에서 구리의 함량을 달리하며 메탄올을 반응물질로 하여 탈수소 반응을 고정층 연속흐름 반응기에서 행하였다. 조작조건의 범위는 온도 175∼250℃, 압력 ?? 접촉시간 0.013∼0.043g.cat.hr/mL이었다. 구리의 함량에 따라 전화율과 선택도가 달라지고 구리의 함량이 1.5wt.%일 때 메틸포메이트로의 수율이 가장 좋았다. 최적 조작 조건은 온도와 접촉시간이 각각 225℃, 0.033g.cat.hr/mL 부근이었다. 이온 교환법으로 제조된 1.5wt.% Cu-SiO₂촉매상에서 메탄올의 탈수소 반응의 활성화 에너지는 3.73kcal/mol이었다. The dehydrogenation of methanol to methylformate was studied over Cu-SiO₂catalyst prepared by ion-exchange method with the change of copper content in a fixed bed, continuous flow reactor. The ranges of experimental conditions were : at the temperature between 175℃ and 250℃, pressure at ??, and contact time between 0.013 and 0.043g.cat.hr/mL. Conversion and selectivity were changed with Cu content and yield of methylformate showed the highest value with 1.5wt.% Cu. The optimum conditions were 225℃, 0.033g.cat.hr/mL for reaction temperature and contact time, respectively. The activation energy of dehydrogenation of methanol to methylformate was 3.73kcal/mol over 1.5wt.% Cu-SiO₂.