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Phase II Study of Pemetrexed as Second or Third Line Combined Chemotherapy in Patients with Colorectal Cancer

  • Wu, Xue-Yan;Huang, Xin-En;You, Shan-Xi;Lu, Yan-Yan;Cao, Jie;Liu, Jin;Xiang, Jin
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.2019-2022
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    • 2013
  • Purpose: To investigate the safety and efficacy of pemetrexed combined with chemotherapy as second or third line in patients with stage IV colorectal cancer (CRC). Patients and Methods: This trial was conducted to evaluate the effectiveness and safety of pemetrexed given to patients with recurrent or metastatic colorectal carcinoma who previously received 5-FU-based chemotherapy. All patients were required to have a histological diagnosis of colorectal adenocarcinoma with measurable metastatic disease and prior chemotherapy. Patients received pemetrexed at a dose of 500 $mg/m^2$ by 10 minute infusion on day 1, repeated every 21 days. Doses were modified depending on nadir counts. Combined chemotherapy included Oxaliplatin, Irinotecan and cis-platinum. Results: Thirty patients were enrolled and twenty-nine were evaluable for response. One patient did not have repeat radiological testing to determine response because he went off study after only one cycle of treatment for economic reasons. For 29 evaluable patients, 1 partial response, 6 stable disease and 22 progressive disease were recorded. Response rate was 3.45% (1/29). All responses occurred in patients receiving a starting dose of pemetrexed 500 $mg/m^2$. Median time to progression for all eligible patients was 2.5 months. The most common toxicities experienced were mild to moderate fever, hepatic damage, myelosuppression, nausea, vomiting, constipation, abdominal pain, diarrhea, and skin rash. Conclusion: Pemetrexed at 500 $mg/m^2$ given every three weeks combined with chemotherapy is associated with moderate response and good tolerability in patients with stage IV CRC.

Characteristics of Korean Gypsy Moth Populations at Different Phases and Trapping of Males by Disparlure Baited Milk Carton Trap (매미나방 개체군 변화의 단계별 특징과 페로몬 트랩에 의한 포획 효과)

  • 이장훈;이해풍
    • The Korean Journal of Ecology
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    • v.23 no.1
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    • pp.65-70
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    • 2000
  • Field collections were made from six gypsy moth (Lymantria dispar L.) Populations in Kyonggy and Cheju areas during the period 1987∼1997. Characteristics of gypsy moth populations at different phases were examined in terms of egg mass density, relative larval density, plant damage, and fecundity. Males captured in pheromone trap were recorded, and we examined if there was a relationship between numbers captured and the population density during the following generation. Egg mass density was closely related with larval density, and furthermore these densities were correlated with the level of plant damage, indicating that larval dispersion was limited in oviposition areas. The gypsy moth population cycle was short in Korea with the period from population development to innocuous level usually lasting 2∼3 years. Male caught by pheromone trap (mean number of males caught per trap per day in peak emergence period) was positively correlated with egg mass densities in the following season (r²=0.93). A low fecundity was detected from outbreak populations which accompanied defoliation. Fecundity of gypsy moth ranged from 538 to 601 at other phases.

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Comparison on Physicochemical Properties of Amaranth Starch with Other Waxy Cereal Starches (아마란스 전분과 곡류 찰전분의 특성 비교)

  • Lee, Jae-Hak;Kim, Sung-Ran;Song, Ji-Young;Shin, Mal-Shick
    • Korean Journal of Food Science and Technology
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    • v.31 no.3
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    • pp.612-618
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    • 1999
  • Physicochemical properties of amaranth starch were compared with those of waxy rice and waxy corn starches. Amaranth starch granules vary from $1.1{\sim}1.9\;{\mu}m$ in diameter and are polygonal in shape. Total amylose contents from waxy rice, waxy corn and amaranth starches were 0.01, 0.03 and 0.07%, respectively. Swelling power of amaranth starch granule was slightly different from waxy rice. The swelling power of amaranth increased at $70^{\circ}C$. X-ray diffraction patterns of amaranth and other waxy cereal starches showed an A-type crystalline structure. Relative crystallinities of their starches were similar. According to pasting properties by Rapid Visco-Analyzer, amaranth starch showed a very high gelatinization temperature $(75.1^{\circ}C)$ and lower viscosity and higher stability than other waxy cereal starches during heating and cooling cycle. Peak onset temperatures (To) of starches from waxy rice, waxy corn and amaranth in DSC thermograms were $58.7{\sim}64.0$, 67.2 and $71.5^{\circ}C$, respectively, and their peak enthalpies were similar. Enthalpy of reheated amaranth starch after 3 day storage at $4^{\circ}C$ was higher than those of waxy corn and rices starchs.

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Effect of dietary chlortetracycline on productivity and respiratory disease in pigs (Chlortetracycline(CTC)의 사료 첨가가 돼지의 생산성과 호흡기 병변에 미치는 영향)

  • Kwon, Young-bang;Lee, Won-hyung;Lee, Wan-kyu;Kang, Jong-koo;Jung, Young-chul;Kim, Sung-hoon;Han, Byung-woo
    • Korean Journal of Veterinary Research
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    • v.40 no.2
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    • pp.345-360
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    • 2000
  • The effects on CTC (T1) and CTC, Sulfathiazole and Penicillin Combination (T2) medication in feed through one life cycle of pigs, namely, weaning, mating, farrowing, lactation, growing, finishing and slaughter, were tested under local condition. In sow phase, productivity and the number of microflora in urine before and after medication of CTC were studied and average daily gain and feed conversion rate were checked during growing and finishing period. All pigs reached at 155 days old were slaughtered for pathological examination. 1. Litter size, farrowing rate and survival rate at birth were improved by CTC medication from weaning to 21th day after mating and mortality of piglet at weaning, 25 days after farrowing, was reduced in the CTC medication group, but no siginificant. 2. The number of microflora in the sow urine was changed with the medication at 200ppm of CTC in feed. In particular, the number of E coli, Samonella and Staphylococci were reduced by CTC medication. 3. The average daily gain and feed conversion rate of grower and finisher pigs was improved significantly in both treated groups, most in the high level CTC (T1) medicated group and was lowest in the control group. 4. The number of infected lungs was reduced not significant by both treatments (as % pneumonic lesions Co 66.7%, T1 47.1%, T2 31.4%) and the severity of lung lesions was significantly reduced by both high level of CTC and CTC combination medication in feed. 5. Although there were no statistical differences in atrophic rhinitis based on turbinate scores among the 3 groups, the number of mild and moderate (Grade 2 and 3) infections was higher in the control group (9/36) than in the treated groups (T1 2/34 & T2 4/35).

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Winter Zonation of the Benthic Amphipods in the Sandy Shore Surf Zone of Dolsando, Southern Korea (돌산도 모래해안 쇄파대에 사는 저서성 단각류의 겨울철 대상분포)

  • SUH Hae-Lip;Yu Ok-Hwan
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.30 no.3
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    • pp.340-348
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    • 1997
  • Sledge net samples were taken over the neap and spring tide cycles in January 1993 from the bottom and surface of 1 m depth and at the water's edge in the sandy shore surf zone of Dolsando, southern Korea. Zonation pattern of three dominant gammarid amphipods was compared. The amphipods were more abundant on the bottom and at water's edge than in the surface. Average densities at both sites of Pontogeneia rostrata and Allorchestes angusta were higher during the neap tide than the spring tide, whereas that of Synchelidium lenorostralum was lower during the neap tide. P. rostrata migrated horizontally during the flooding and ebbing tides, but S. lenorostralum and A. angusta did not. Unlike other species, P. rostrata was significantly more abundant at night, suggesting its active nocturnal movement. During flooding tide, P. rostrata was not found on the shore above the mean sea level (MSL) during daytime, but found in 100 cm above MSL at night. Zonal distribution of P. rostrata which was restricted from MSL to 250 cm below MSL, however, did not vary with the day-night cycle during ebbing tide. S. lenorostralum and A. angusta were not found during flooding tide but ebbing tide. The upper distribution limit of the former was 150 cm below MSL, and the distribution of the latter ranged from MSL to 150 cm below MSL. The highest densities of P. rostrata, S. lenorostralum and A. angusta were 32, 26 and 3 ind. $m^{-2}$, respectively. We discussed the relationships between the distribution pattern of three dominant species of gammarid amphipods and their life styles in the sandy shore.

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The Study of Modified Sequencing Batch Reactor Process for Small Advanced Wastewater Treatment (소규모 고도하수처리를 위한 변형 연속회분식공정에 관한 연구)

  • Han, Woonwoo;Kim, Kyuhyoung
    • Journal of the Korean GEO-environmental Society
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    • v.9 no.3
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    • pp.35-43
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    • 2008
  • This study was carried out to estimate the performance of modified sequencing batch reactor (SBR) process by the application of SBR process for small advanced wastewater treatment plant. Organic, nitrogen and phosphorus were able to remove in the unit reactor by SBR process and it would be able to select the suitable operation method. The plant was operated to achieve high performance with influent control, optimum anoxic/oxic condition using intermediate aeration method, and solid (sludge) /liquid (effluent) separation by modified decanter. The optimum operating mode was 3Cycles a day and intermediate input and aeration. Under these conditions, the treatment efficiencies were good with 60% of designed flow rate and low influent quality. When the influent concentrations of BOD and CODMn were 120.4 mg/L and 95.7 mg/L, respectively. The effluent concentrations of BOD and CODMn were 6.8 mg/L and 11.0 mg/L, respectively. The average removal efficiencies of BOD and CODMn were 94.4% and 88.5%, respectively. The removal efficiencies of T-N and T-P were 69.6% and 73.6%, respectively when the average T-N and T-P concentrations were 32.2mg/L and 4.65mg/L, respectively. The T-N and T-P removal efficiencies were slightly decreased to 58.8% and 68.5%, respectively in the winter season but its were also stable efficiencies. BOD, T-N and T-P were removed by 90%. 67% and 46% respectively in the first anoxic/oxic condition, in addition to T-P was removed by 70% in the second anoxic/oxic condition. From the results, modified sequencing batch reactor (SBR) process is suitable for small advanced wastewater treatment.

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Growth Rate of Dominant Follicles During Controlled Ovarian Hyperstimulation (과배란유도 여성에서 우성난포의 성장속도)

  • Hwang, Eun-Ju;Ku, Seung-Yup;Kim, Yong-Jin;Jee, Byung-Chul;Suh, Chang-Suk;Kim, Seok-Hyun;Choi, Young-Min;Kim, Jung-Gu;Moon, Shin-Yong
    • Clinical and Experimental Reproductive Medicine
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    • v.37 no.3
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    • pp.253-259
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    • 2010
  • Objective: To evaluate if there is any correlation between the growth rate of dominant follicles and clinical characteristics or outcome variables in women undergoing controlled ovarian hyperstimulation (COH). Methods: This study was performed in 313 in vitro fertilization (IVF) cycles. Follicle stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E2) were measured on day 3 of menstrual cycle, and serial ultrasonographic measurement of the diameter of growing follicles was performed. The growth rates of dominant follicles calculated by diameter difference divided by days were correlated with clinical characteristics and outcome variables. Results: There was no significant difference in the growth rate of the dominant follicles between gonadotropin releasing hormone (GnRH) agonist and antagonist cycles. No significant correlation was found between the growth rates and evaluated factors such as age, body mass index, LH, FSH, $E_2$, retrieved oocytes and fertilization rate. Conclusion: The Growth rate of dominant follicles seems to show an independent feature of basal characteristics and ovarian response.

Efficiency of In Vivo Embryo Production following Superovulation with Sex-soted Semen in Hanwoo (Korean Native Cattle) (과배란 처리에 있어 성감별 정액을 이용한 한우 체내 수정란의 생산 효율)

  • Jeon, Hyang-A;Yeom, Gyu-Tae;Park, Hae-Geum;Kim, Sung-Woo;Kim, Hyun;Kim, Young Sin;Seong, Hwan-Hoo;Cho, Young Moo;Cho, Jae-Hyeon;Ko, Yeoung-Gyu
    • Journal of Embryo Transfer
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    • v.29 no.3
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    • pp.283-287
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    • 2014
  • Sexed semen is commonly used for the production of calves of the desired gender. Gender selection is important in animal production industries. For example, female cattle are required for the dairy industry while males are preferred in the beef cattle industry. The present study was to assess the in vivo embryo production efficiency using the semen separated according to sex during superovulation in Hanwoo. Seventy Hanwoo donor cows were flushed on day 7 of estrus cycle with same FSH and artificial insemination by the same technicians. Embryos were recovered on 7 days after the third insemination by flushing the uterus with embryo collection medium. KPN semen straws used artificial insemination contained 20 million sperm (total number 60 million per donor). Sex-sorted semen straws contained 4 million sperm (total number 12 million per donor). The results obtained were as follows: No differences were observed in the efficiency of superovulation rates on KPN semen 87%, and sexed semen 100%, respectively. The mean numbers of total embryos are each $12.58{\pm}8.31$ and $13.25{\pm}7.86$. The mean numbers of transferable embryos, sexed semen were significantly lower than KPN semen ($3.75{\pm}1.98$ vs. $8.23{\pm}6.07$, P<0.05). The rates of unfertilized embryos from superovulation using sexed semen were significantly higher than KPN semen (50% vs. 15%, P<0.05). The rate of degenerated 2-cell embryos from sexed and KPN semen was 60.87% and 11.11%, respectively (p<0.05). In conclusion, these results indicate that superovulation using sexed semen was useful, but efficient embryo production was important to reducing the damage caused by the Flowcytometer-based sperm sorting procedure.

Retrospective Analysis of Chemoradiotherapy for Limited-Stage Small-Cell Lung Cancer (제한병기 소세포암 환자의 항암화학방사선요법에 대한 후향적 분석)

  • Lee, Jong-Hoon;Kim, Sung-Hwan;Kim, Su-Zy;Lee, Joo-Hwan;Kim, Hoon-Kyo;Shim, Byoung-Yong
    • Radiation Oncology Journal
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    • v.27 no.3
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    • pp.133-139
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    • 2009
  • Purpose: This study was designed to analyze the outcome and toxicity of thoracic radiation therapy (TRT) and chemotherapy for patients who suffer with limited-stage small-cell lung cancer (LS-SCLC). Materials and Methods: We retrospectively studied 35 patients with LS-SCLC. TRT was administered once daily (1.8 to 2 Gy per fraction) and it was directed to the primary tumor for a total 50 to 66 Gy in 6 to 7 weeks. The patients received four cycles of etoposide plus cisplatin. TRT was begun on day 1 of the first cycle of chemotherapy in the concurrent arm and after the fourth cycle in the sequential arm. Results: The median progression-free survival time was 16.5 months (95% confidence interval [CI], 9.0 to 24.1 months) for the sequential arm, and 26.3 months (95% CI, 16.6 to 35.9 months) for the concurrent arm. The 2-year progression-free survival rate was 16.0 percent for the sequential arm and 50.0 percent for the concurrent arm (p=0.0950 by log-rank test). Leukopenia was more severe and more frequent in the concurrent arm than in the sequential arm. However, severe esophagitis was infrequent in both arms. The radiotherapy was interrupted more frequently in the concurrent arm than in the sequential arm due to hematologic toxicities (p=0.001). Conclusion: This study suggests that concurrent TRT with etoposide plus cisplatin is more effective for the treatment of LS-SCLC than sequential TRT. However, there is a significant increase in the risk of toxicities, and radiotherapy was frequently interrupted in the concurrent arm due to hematologic toxicities.

Contamination of the Mushim-Cheon and its Countermeasures;I. Analysis of the Water Samples in Summer (무심천 수질 오염 실태와 그 방지책;I. 하계절의 수질 오염 분석)

  • Lee, Jea-Koo;Kyung, Kee-Sung;Kim, Hak-Nam;Oh, Kyeong-Seok
    • Korean Journal of Environmental Agriculture
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    • v.9 no.1
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    • pp.23-37
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    • 1990
  • In order to disclose the contamination of the Mushim-Cheon by pollutants in August and September of 1989 and to establish countermeasures, the collected water samples were analyzed to obtain the following results : 1. The water temperature of the period ranged from 25.8 to $30.8^{\circ}C$ acceptable for the growth of microorganisms and algae to allow the self-purification of the stream. 2. The pHs at the sites during the same period ranged from 6.5 to 8.5 which fall within the allowed values for the first grade water supplies except for site 14. 3. At site 18 which is the confluence of the sewer of the excretion disposal facilities and the main stream, the DO was observed to fall down to 0.7 ppm in September. 4. The BOD value reached a maximum of 62.1 ppm at site 18, which far exceeded the limit of 40 ppm, the allowed value for the discharges from the disposal facilities. In addition, the SS values were 200 and 520 ppm in August and September, respectively, which were three to seven times as high as the allowed limit of 70 ppm. 5. The high $NH_3-N$ value of 46.2 ppm at site 18 in September suggested that the water was heavily contaminated with excretions. 6. The BOD load of the sewage from site 12, the Sajik-Dong Sewer, in September was estimated to be about 0.306 ton/day. 7. The contamination of the influents, the family wastewater, and the discharges from the disposal facilities was greater than that of the main stream. 8. In the samples collected from site 12, the Sajik-Dong sewer at an interval of every two hours, a close correlation was observed between the pollutant load and the life cycle of the nearby inhabitants. 9. Compared with the results obtained from the water samples in 1979, it was observed that the water was heavily contaminated at site 12 (the Sajik-Dong Sewer, under the Chung Ju Great Bridge) and site 15 (Under the 2nd Uncheon Bridge) over the last 10 years, with little difference at site 9(Young Un-Dong water supply source).

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