• Title/Summary/Keyword: 4-META

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Docetaxel-cisplatin-fluorouracil Induction Chemotherapy Followed by Concurrent Chemoradiotherapy Versus Concurrent Chemoradiotherapy for Locally Advanced Head and Neck Cancer : A Meta-analysis (국소진행성 두경부암에서 Docetaxel, Cisplatin, Fluorouracil 선행항암요법의 효과 및 부작용에 대한 메타분석)

  • Hwang, Ilseon;Park, Keon Uk
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.2
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    • pp.21-28
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    • 2015
  • 서론: 국소 진행성 두경부암 환자에서 선행 항암요법 후 동시 항암화학방사선요법은 원격 전이를 줄이고, 국소병변을 줄여 방사선 치료의 효과를 높이거나, 기관의 기능을 보존할 목적으로 시도된다. 선행 항암요법의 약제로 는 docetaxel, cisplatin, fluorouracil (DPF) 삼제요법이 가장 효과적인 것으로 알려져 있다. 선행 항암요법 후 동시 항암화학방사선요법과 표준치료인 동시화학방사선요법을 비교한 3상 연구들이 모두 선행 항암요법이 더 낫다는 결과를 보여 주지 못하였지만, 이 연구들은 충분한 환자를 모집하지 못하고 조기 종료된 불완전한 연구라는 한계가 있었다. 이에 저자들은 DPF 선행 항암요법 후 동시 화학방사선요법과 표준치료인 동시 화학방사선요법을 비교하는 메타분석을 시행하였다. 대상 및 방법: 체계적 문헌고찰을 통해 국소진행성 두경부암 환자를 대상으로 시행된 DPF 선행 항암요법 후 동시화학방사선요법과 현재 표준치료인 동시화학방사선요법을 비교한 5개의 3상 연구 결과를 분석하였다. 대상환자는 862 명이었고, 분석 결과 DPF 선행 항암요법 후 동시화학방사선요법은 표준치료와 비교하였을 때 반응률, 2년 및 3년 생존율, 2년 및 3년 무진행 생존율, 점막염 및 빈혈 발생 빈도에서 통계적으로 유의한 차이가 없었다. 하지만, 완전관해율과 3~4도의 백혈구감소증 및 혈소판 감소증의 빈도는 선행 항암요법 시행군에서 더 높았다. 결론: 국소진행성 두경부암의 치료에서 DPF 선행 항암요법 후 동시 항암화학방사선요법을 시행하는 것은 표준치료인 항암화학방사선요법에 비해 생존율 개선을 보이지 못하였다. 선행항암치료를 추가하는 것이 특정 환자군에서 효과가 있을지에 대해서는 추가적인 연구가 필요하다.

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Topomer-CoMFA Study of Tricyclic Azepine Derivatives-EGFR Inhibitors

  • Chung, Jae-Yoon;Pasha, F.A.;Chung, Hwan-Won;Yang, Beom-Seok;Lee, Cheol-Ju;Oh, Jung-Soo;Moon, Myoung-Woon;Cho, Seung-Joo;Cho, Art E.
    • Molecular & Cellular Toxicology
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    • v.4 no.1
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    • pp.78-84
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    • 2008
  • EGFR has been intensively investigated as a target to block the signal transduction pathway which stimulates cancer growth and metastasis. Studies about structure-activity relationship for tricyclic azepine derivatives were performed with topomer-CoMFA. The derived topomer-CoMFA model with steric and electrostatic field parameters based on fragment units gave reasonable statistics ($q^2$=0.561, $r^2$=0.679). The model explains why a halogen atom at the meta position of aniline is important to increases inhibitory activity. This comes from an electrostatically negative groups are favored near this region. The model also shows that there are sterically favored regions around methoxy group extended from oxazepine derivatives. The findings about steric and electrostatic effects can be utilized for designing new inhibitors.

Endovascular Treatment with Intravenous Thrombolysis versus Endovascular Treatment Alone for Acute Anterior Circulation Stroke : A Meta-Analysis of Observational Studies

  • Kim, Chul Ho;Jeon, Jin Pyeong;Kim, Sung-Eun;Choi, Hyuk Jai;Cho, Yong Jun
    • Journal of Korean Neurosurgical Society
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    • v.61 no.4
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    • pp.467-473
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    • 2018
  • Objective : The aim of this study was to determine outcome of ischemic stroke patients in the anterior circulation treated with endovascular treatment (EVT) with intravenous thrombolysis (IVT) versus EVT alone group. Methods : A systemic literature review was performed using online database from January 2004 to January 2017. Primary outcomes were successful recanalization seen on finial angiography and good outcome at three months. Secondary outcomes were mortality and the development of symptomatic intracranial hemorrhage (S-ICH) after the procedure. A fixed effect model was used when heterogeneity was less than 50%. Egger's regression test was used to assess publication bias. Results : Five studies were included for final analysis. Between EVT with IVT and EVT alone group, successful recanalization (odds ratio [OR] 1.467, p=0.216), good clinical outcome at three months (OR 1.199, p=0.385), mortality (OR 0.776, p=0.371), and S-ICH (OR 1.820, p=0.280) did not differ significantly. Egger's regression intercept with 95% confidence interval (CI) was 1.99 (95% CI -2.91 to 6.89) in successful recanalization and -0.27 (95% CI -6.35 to 5.80) in good clinical outcome, respectively. Conclusion : The two treatment modalities, EVT with IVT and EVT alone, could be comparable in treating acute anterior circulation stroke. Studies to find specific beneficiary group for EVT alone, without primary IVT, are needed further.

The Big Vitamin D Mistake

  • Papadimitriou, Dimitrios T.
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.4
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    • pp.278-281
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    • 2017
  • Since 2006, type 1 diabetes in Finland has plateaued and then decreased after the authorities' decision to fortify dietary milk products with cholecalciferol. The role of vitamin D in innate and adaptive immunity is critical. A statistical error in the estimation of the recommended dietary allowance (RDA) for vitamin D was recently discovered; in a correct analysis of the data used by the Institute of Medicine, it was found that 8895 IU/d was needed for 97.5% of individuals to achieve values ${\geq}50nmol/L$. Another study confirmed that 6201 IU/d was needed to achieve 75 nmol/L and 9122 IU/d was needed to reach 100 nmol/L. The largest meta-analysis ever conducted of studies published between 1966 and 2013 showed that 25-hydroxyvitamin D levels <75 nmol/L may be too low for safety and associated with higher all-cause mortality, demolishing the previously presumed U-shape curve of mortality associated with vitamin D levels. Since all-disease mortality is reduced to 1.0 with serum vitamin D levels ${\geq}100nmol/L$, we call public health authorities to consider designating as the RDA at least three-fourths of the levels proposed by the Endocrine Society Expert Committee as safe upper tolerable daily intake doses. This could lead to a recommendation of 1000 IU for children <1 year on enriched formula and 1500 IU for breastfed children older than 6 months, 3000 IU for children >1 year of age, and around 8000 IU for young adults and thereafter. Actions are urgently needed to protect the global population from vitamin D deficiency.

Analytic Review of Research Trends on Recycling of Construction Wastes: 1995-2016 (건설폐기물의 재활용에 관한 국내 연구동향 분석: 1995-2016년)

  • Li, Zhi-Run;Kim, Young-Joo
    • The Journal of the Korea Contents Association
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    • v.17 no.1
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    • pp.485-495
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    • 2017
  • The purpose of this study was to analyze research trends on recycling of construction wastes. Total 72 research papers published in domestic academic journals from 1995 to 2016 were analyzed. Four indicators were used for analytical framework of this study: research period, research field, research method, and research theme. The greatest amount of researches related to construction wastes recycling were executed during 2006-2010. Over half of the researches were done in architecture area. The most frequently used research method was combined method which used qualitative and qualitative method simultaneously. In terms of research theme, many of the subject researches were interested in understanding the current state of construction wastes recycling. It is recommended for further research to perform meta analysis which extends research subjects and range of keyword in macro perspective.

Research Trend and Analysis on the Issues of Informatization and E-Government in Korea (국내의 정보화 및 전자정부 연구동향 분석)

  • Lee, Hye Won;Myeong, Seunghwan
    • Informatization Policy
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    • v.20 no.4
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    • pp.3-22
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    • 2013
  • This study analyzed the research trends and methodologies through meta analysis method on the issues of ICT policy and e-government in Korean major journals and proceedings including Korean Association of Public Administration (KAPA), Korean Association of Policy Studies (KAPS), and Korean Journal of Information Policy of NIA (National Information Agency). The results showed that methodology has changed from explorative study with conceptualization to experimental study with theoretical model and cases. Qualitative approaches including case studies and description with policy implications were employed more as analyses tools. In terms of contents, system effectiveness and e-governance issues prevailed in the early 2000s, and since then, it has changed into ICT-based social changes and looking for generalization of theories including e-democracy, e-service, e-participation, digital divide, and post-information society. Now we are facing another ICT revolution of social network via web3.0 and gov3.0 and it is time to open a new theoretical debate, deconstruction of discourse, and collaborative perspective among different disciplines.

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EFFECT OF VARIOUS INODIZING CHARACTERISTICS ON BONE INTEGRATION OF TITANIUM IMPLANT SURFACE DESIGN (다양한 양극산화막 처리방법이 임프란트 골유착에 미치는 영향)

  • Cha, Soo-Ryun;Lee, Jun;Min, Seung-Ki
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.5
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    • pp.417-427
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    • 2008
  • The aim of this study is to investigate the effect of anodizing surface to osseointegration of implant by using of resonance frequency analysis (RFA), quantitative and qualitative assessment of an anodically modified implant type with regard to osseous healing qualities. A total of 96 screw-shaped implants were prepared for this study. 72 implants were prepared by electrochemical oxidation with different ways. 24 (group 1 SP) were prepared at galvanostatic mode in 0.25M sulfuric acid and phosphoric acid. 24 (group 2GC) were prepared at galvanostatic mode in calcium glycerophosphate and calcium acetate and 24 (group 3 CMP (Calcium Metaphosphate) Coating were prepared at galvanostatic mode in 0.25M sulfuric acid and phosphoric acid followed by CMP coating. Rest of 24 (control group were as a control group of RBM surface. Bone tissue responses were evaluated by resonance frequency analysis (RFA) that were undertaken at 2, 4 and 6 weeks after implant placement in the mandible of mini-pig. Group 1 SP (anodized with sulfuric acid and phosphoric acid implants) demonstrated slightly stronger bone responses than control Group RBM. Group 2 GC (anodized surface with calcium glycerophosphate and calcium acetate implants) demonstrated no difference which were compared with control group. Group 3 GMP (anodized and CMP coated implants) demonstrated slightly stronger and faster bone responses than any other implants. But, all observation result of RF A showed no significant differences between experimental groups with various surface type. Histomorphometric evaluation demonstrated significantly higher bone-to-implant contact for group 2 GC. Significantly more bone formation was found inside threaded area for group 2 GC. It was concluded that group 2 GC (anodized surface with calcium glycerophosphate and calcium acetate implants) showed more effects on the bone tissue responses than RBM surface in initial period of implantation. In addition, CMP showed a tendency to promote bone tissue responses.

Estimation of Social Costs between the Main Transport Modes using Damage Function Approach (피해함수접근법을 이용한 주요운송수단의 사회적 비용 산정)

  • So, Aerim;Shin, Seungsik
    • Journal of Korea Port Economic Association
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    • v.28 no.4
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    • pp.1-37
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    • 2012
  • The purpose of this paper is to estimate the social costs induced by various transport modes such as truck, rail and sea vessel. For this purpose, we introduce the damage function of each transport modes, and estimate social costs for 10 items using Meta Analysis. As a results, this study can find that shipping is the most efficient transport mode because it gives the lowest social costs among them. This study also find that the iso-cost transport distance that gives the equal social costs between the transport modes. Our methodology can be thought somewhat inferior to the Contingent Valuation Methods, however the advantage of this methodology is that we can decomposite the total social costs into item by item and can apply it to other researches.

Fabrication and Design of a Compact Narrow Band Pass Filter Using Slot Type Split Spiral Resonators (슬롯형 분할 나선형 공진기를 이용한 소형 협 대역통과 필터 설계 및 제작)

  • Choi, Dong-Muk;Kim, Dang-Oh;Jo, Nam-I;Kim, Che-Young
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.47 no.4
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    • pp.38-42
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    • 2010
  • In this paper, a design method of the compact narrow band filter on the microstrip board is proposed using slot-type split spiral resonators. The design technique of this filter is based on cascading filter stages consisting of the combination of slot-type split spiral resonators, capacitive gaps between patches, and inductive grounded stubs with the meander configuration. By these means, it was possible to get the nearly symmetric frequency responses, adjustable bandwidths, compact sizes. And also excellent characteristic of the out-of-band rejection is achieved in contrast to the conventional filter design technique. The measured insertion loss shows good results about -3.47dB at the center frequency($f_0$=1GHz) and passband return loss is less than -12.62dB. The 3dB fractional bandwidth(FBW) is approximately 7.3%. The results of the frequency response measured on the fabricated band pass filter substrate show satisfactory agreement with the simulated frequency responses by the MWS(Microwave Studio) of CST in the region of interest.

Study on the Effectiveness of a Graphic Basic Design Course Based on Different Dimensions of Knowledge in a Flipped Classroom (다양한 지식 차원에 기반한 도형 기초 다자인 과정 플립클라스룸으로 효율성 연구)

  • Cheng, Qin;Pan, Yonghwan
    • Journal of the Korea Convergence Society
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    • v.11 no.11
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    • pp.103-114
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    • 2020
  • This paper's research objective is to test educational content with different dimensions of knowledge during a graphic basic design course, while also proposing teaching plans and opinions for courses in flipped classrooms as well as enhancing educational efficiency. It categorizes educational content of courses based on the dimensions of knowledge in the learning objectives of Bloom's taxonomy. 120 students are divided into four experimental groups to respectively under go flipped classroom learning by using different dimensions of knowledge involved in course content. Course pretests and post tests are used to obtain and analyze experimental data. Among this knowledge, factual and conceptual knowledge obtained during extra curricular independent learning as well as programmed and meta-cognitive knowledge obtained during in-class learning from a flipped classroom can stimulate student's learning initiative and also enhance learning efficiency. According to research results and student feedback, this paper will propose targeted categorization methods for course content and also suggest educational strategies for these courses' flipped classroom model.