• Title/Summary/Keyword: CHILE

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Comparison between Use of PSA Kinetics and Bone Marrow Micrometastasis to Define Local or Systemic Relapse in Men with Biochemical Failure after Radical Prostatectomy for Prostate Cancer

  • Murray, Nigel P;Reyes, Eduardo;Fuentealba, Cynthia;Orellana, Nelson;Jacob, Omar
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8387-8390
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    • 2016
  • Background: Treatment of biochemical failure after radical prostatectomy for prostate cancer is largely empirically based. The use of PSA kinetics has been used as a guide to determine local or systemic treatment of biochemical failure. We here compared PSA kinetics with detection of bone marrow micrometastasis as methods to determine local or systemic relapse. Materials and Methods: A transversal study was conducted of men with biochemical failure, defined as a serum PSA >0.2ng/ml after radical prostatectomy. Consecutive patients having undergone radical prostatectomy and with biochemical failure were enrolled and clinical and pathological details were recorded. Bone marrow biopsies were obtained from the iliac crest and touch prints made, micrometastasis (mM) being detected using anti-PSA. The clinical parameters of total serum PSA, PSA velocity, PSA doubling time and time to biochemical failure, age, Gleason score and pathological stage were registered. Results: A total of 147 men, mean age $71.6{\pm}8.2years$, with a median time to biochemical failure of 5.5 years (IQR 1.0-6.3 years) participated in the study. Bone marrow samples were positive for micrometastasis in 98/147 (67%) of patients at the time of biochemical failure. The results of bone marrow micrometastasis detected by immunocytochemistry were not concordant with local relapse as defined by PSA velocity, time to biochemical failure or Gleason score. In men with a PSA doubling time of < six months or a total serum PSA of >2,5ng/ml at the time of biochemical failure the detection of bone marrow micrometastasis was significantly higher. Conclusions: The detection of bone marrow micrometastasis could be useful in defining systemic relapse, this minimally invasive procedure warranting further studies with a larger group of patients.

A Study on the Business Strategy Changes of Korean Enterprises Followed by the Proliferation of Free Trade Agreement between Korea and Chile (한·칠레 자유무역협정 확산에 따른 한국기업의 경영전략 변화에 관한 연구)

  • Shim, Dong-Sup;Suh, Chung-Suk
    • International Area Studies Review
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    • v.12 no.3
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    • pp.495-516
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    • 2008
  • This study looks into the change in business strategies of Korean firms under the inauguration of FTA between Korea and Chile. In conclusion, the business strategy changes of Korean enterprises followed by the proliferation of FTA between Korea and Chile are able to be summarized as followings: Firstly under the proliferation of FTA, Korean companies have strategically responded so as to achieve the positive results of their businesses after the inauguration of the FTA system since April 1, 2004. Secondly, Korean large corporations including multinational corporations dealt with this changes of business environments by comprehensively considering both the changes in the business environments(Industry Attractiveness) and their Businesses Strengths, while SMEs have positively responded to the changes of business environments on the basis of their Business Strengths rather than the changes in the market. Lastly, the business strategies of Korean multinational corporations did not change much even after the inauguration of the FTA system, due to the fact that they had already started a global business strategy before the spread of FTAs.

Analysis of Gender Chapters in Five Free Trade Agreements and Its Lessons for Korea

  • Ko, Bomin
    • Journal of Korea Trade
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    • v.24 no.6
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    • pp.82-100
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    • 2020
  • Purpose - This paper attempts to compare five free trade agreements with gender chapters ratified by Chile and Canada and derives lessons for Korea in terms of gender-aware trade policy. While Chile and Canada have three and two FTAs with gender chapter respectively, Korea has none so far, although it has already ratified an FTA with the two countries. Design/methodology - This study first investigates all the gender-provisions with the gender chapters, conducts a comparative analysis on the five chapters as well as a case study of one target FTA's implementation and achievements, and finally suggests policy implications for Korea's trade administration as well as trade-related agencies. Findings - According to the analysis, there are three phases in terms of advancement in gender-related trade policy. As Chile is in phase two and Canada is in phase three, Korea remains in phase one. It has a ministry related to gender within the government, but not within the OMT. It has statistics on female business, but not of women traders. It has a few gender-related provisions in its FTAs, but not a gender chapter. In this sense, new mandates related to gender-aware trade policy for OMT, KITA, and KOTRA should be provided to realize the concrete economic benefits resulting from empowering women traders and policies promoting them. Originality/value - Existing studies only focus on introducing gender-related international commitments and Korea's participation in them. This paper is the first attempt to compare actual gender chapters of five FTAs ratified by two countries with the most advanced gender chapters in the world. To gain benefits from the positive gender impact of trade agreements, negotiating and signing gender responsive FTA with future partners is one of the most efficient, as well as inclusive, trade policies urgently needed for Korea.

Presidentialism and Consensual Politics: The Problems of South Korea and the US and Chile's Alternative Party Systems (대통령제와 협치가능성: 한국의 문제점과 미국 및 칠레의 대안적 정당체계들)

  • Lee, Sun-Woo
    • Korean Journal of Legislative Studies
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    • v.27 no.3
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    • pp.69-106
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    • 2021
  • This paper aims to explain why severe political conflicts and confrontation between the ruling and opposition forces have been continuously caused, focusing on the institutional combination of presidentialism and the two-party system with strong party disciplines, after democratization in South Korea. And this also presents the US as a case in which presidentialism and a two-party system with weak party disciplines were combined once, and the Chile as another case in which presidentialism and a multi-party system with strong party disciplines is combined, respectively, and further analyzes how the chance of consensual politics could be raised in both the countries. In addition, this study suggests a practical implication that, in South Korea also, the political reforms for changes in party system such as the decentralization or democratization in party organizations to enhance the autonomy of individual legislators, or the introduction of runoff system in presidential elections or proportional representation system in parliamentary elections to product a multi-party system, are required for a high chance of consensual politics.

Diagnostic Yield of Primary Circulating Tumor Cells in Women Suspected of Breast Cancer: the BEST (Breast Early Screening Test) Study

  • Murray, Nigel P;Miranda, Roxana;Ruiz, Amparo;Droguett, Elsa
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.5
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    • pp.1929-1934
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    • 2015
  • Purpose: To determine the diagnostic yield of primary circulating tumor cells in women with suspicion of breast cancer, detected as a result of an abnormal mammography. Materials and Methods: Consecutive women presenting for breast biopsy as a result of a mammogram BiRADs of 3 or more, had an 8ml blood sample taken for primary circulating tumor cell (CTC) detection. Mononuclear cells were obtained using differential gel centrifugation and CTCs identified using standard immunocytochemistry using anti-mammoglobin. A test was determined to be positive if 1 CTC was detected. Results: A total of 144 women with a mean age of $54.7{\pm}15.6$ years participated, 78/144 (53.0%) had breast cancer on biopsy, 65/140 (46.3%) benign pathologies and 1(0.7%) non-Hogkins lymphoma. Increasing BiRADs scores were associated with increased cancer detection (p=0.004, RR 1.00, 4.24, 8.50). CTC mammoglobin positive had a sensitivity of 81.1% and specificity of 90.9%, with positive and negative predictive values of 90.9% and 81.1% respectively. Mammoglobin positive CTCs detected 87% of invasive cancers, while poorly differentiated cancers were negative for mammoglobin. Only 50% of in situ cancers and none of the intraductal cancers had CTCs detected. Menopausal status did not affect the diagnostic yield of the CTC test, which was higher in women with BiRADS 4 mammograms. There was a significant trend (p<0.0001 Chi squared for trends) in CTC detection frequency from intraductal, in situ and invasive (OR 1.00, 8.00, 472.00). Conclusions: The use of primary CTC detection in women suspected of breast cancer has potential uses, especially with invasive cancer, but it failed to detect intra-ductal cancer and 50% of in situ cancer. There was no difference in the diagnostic yield between pre and post menopausal women. To confirm its use in reducing biopsies in women with BIRADs 4a mammagrams and in the detection of interval invasive breast cancer, larger studies are needed.

An Investigation to Outlook the Effect of FTA on Motor Car Export to Latin America and the Appropriate Action Plan - By Looking at Statistics and Factors that Influenced Export of Motor Cars to Chile - (FTA 체결에 의한 중남미 자동차 수출 전망과 대응 방안 연구 -대(對) 칠레 자동차 수출 성과 및 영향요인 변화 분석을 중심으로-)

  • Choi, Ki-Young
    • International Commerce and Information Review
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    • v.14 no.3
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    • pp.139-158
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    • 2012
  • FTA is one of the most important trade policies for the motor car industry. Due to the large amount of employment and production the motor car industry provides in a country, in a lot of cases, the protective trade policies that countries employ are targeted for the motor car industry. In this point of view, it can be said that the Latin American FTA strategy such as the 'Korea-Columbia FTA', 'Korea-Peru FTA' and 'Korea-Chile FTA' has a large influence in the development of Korea's car industry. This paper analyses changes in factors influencing car export before and after the signing of the Korea-Chile FTA to forecast the export of motor cars to Latin America and aims to propose an action plan. Research shows that out of the variables 'exchange rate', 'GDP', and 'oil price, 'GDP' showed a strong corelation with export before and after the FTA. Regression analysis also showed that only 'GDP' has an impact on export rates and that its impact is most highest after the exhibition of FTA's effects. This suggests that FTA has an important effect in motor car export to Latin America but export is also strongly interlocked with the local country's economic condition which highlights the requirement for an action plan such as the establishment of local production systems.

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Prostate Cancer Screening in the Fit Chilean Elderly: a Head to Head Comparison of Total Serum PSA versus Age Adjusted PSA versus Primary Circulating Prostate Cells to Detect Prostate Cancer at Initial Biopsy

  • Murray, Nigel P.;Reyes, Eduardo;Orellana, Nelson;Fuentealba, Cynthia;Jacob, Omar
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.601-606
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    • 2015
  • Background: Prostate cancer is predominately a disease of older men, with a median age of diagnosis of 68 years and 71% of cancer deaths occurring in those over 75 years of age. While prostate cancer screening is not recommended for men >70 years, fit elderly men with controlled comorbidities may have a relatively long life expectancy. We compare the use of age related PSA with the detection of primary malignant circulating prostate cells mCPCs to detect clinically significant PC in this population. Materials and Methods: All men undergoing PC screening with a PSA >4.0ng/ml underwent TRUS 12 core prostate biopsy (PB). Age, PSA, PB results defined as cancer/no-cancer, Gleason, number of positive cores and percentage infiltration were registered. Men had an 8ml blood sample taken for mCPC detection; mononuclear cells were obtained using differential gel centrifugation and mCPCs were identified using immunocytochemistry with anti-PSA and anti-P504S. A mCPC was defined as a cell expressing PSA and P504S; a positive test as at least one mCPC detected/sample. Diagnostic yields for subgroups were calculated and the number of avoided PBs registered. Esptein criteria were used to define small grade tumours. Results: A total of 610 men underwent PB, 398 of whom were aged <70yrs. Men over 70 yrs had: a higher median PSA, 6.24ng/ml versus 5.59ng/ml (p=0.04); and a higher frequency of cancer detected 90/212 (43%) versus 134/398 (34%) (p=0.032). Some 34/134 cancers in men <70yrs versus 22/90 (24%) of men >70yrs complied with criteria for active surveillance. CPC detection: 154/398 (39%) men <70yrs were CPC (+), specificity for cancer 86%, sensitivity 88%, 14/16 with a false (-) result had a small low grade PC. In men >70 years, 88/212 (42%) were CPC (+); specificity 92%, sensitivity 87%, 10/12 with a false (-) had small low grade tumours. False (+) results were more common in younger men 36/154 versus 10/88 (p<0.02). With a PSA cutoff of 6.5ng/ml, in men <70yrs, 108 PB would be avoided, missing 56 cancers of which 48 were clinically significant. Using CPC detection, 124 biopsies would be avoided, missing only 2 clinically significant cancers. In men >70 yrs using a PSA >6.5ng/ml would have resulted in 108 PB with 34 PC detected, of which 14(41%) were small low grade tumours. Conclusions: The use of CPC detection in the fit elderly significantly decreases the number of PBs without missing clinically significant cancers, indicating superiority to the use of age-related PSA.

FOLLOW-UP OBSERVATIONS TOWARD PLANCK COLD CLUMPS WITH GROUND-BASED RADIO TELESCOPES

  • LIU, TIE;WU, YUEFANG;MARDONES, DIEGO;KIM, KEE-TAE;MENTEN, KARL M.;TATEMATSU, KEN;CUNNINGHAM, MARIA;JUVELA, MIKA;ZHANG, QIZHOU;GOLDSMITH, PAUL F;LIU, SHENG-YUAN;ZHANG, HUA-WEI;MENG, FANYI;LI, DI;LO, NADIA;GUAN, XIN;YUAN, JINGHUA;BELLOCHE, ARNAUD;HENKEL, CHRISTIAN;WYROWSKI, FRIEDRICH;GARAY, GUIDO;RISTORCELLI, ISABELLE;LEE, JEONG-EUN;WANG, KE;BRONFMAN, LEONARDO;TOTH, L. VIKTOR;SCHNEE, SCOTT;QIN, SHENGLI;AKHTER, SHAILA
    • Publications of The Korean Astronomical Society
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    • v.30 no.2
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    • pp.79-82
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    • 2015
  • The physical and chemical properties of prestellar cores, especially massive ones, are still far from being well understood due to the lack of a large sample. The low dust temperature (< 14 K) of Planck cold clumps makes them promising candidates for prestellar objects or for sources at the very initial stages of protostellar collapse. We have been conducting a series of observations toward Planck cold clumps (PCCs) with ground-based radio telescopes. In general, when compared with other star forming samples (e.g. infrared dark clouds), PCCs are more quiescent, suggesting that most of them may be in the earliest phase of star formation. However, some PCCs are associated with protostars and molecular outflows, indicating that not all PCCs are in a prestellar phase. We have identified hundreds of starless dense clumps from a mapping survey with the Purple Mountain Observatory (PMO) 13.7-m telescope. Follow-up observations suggest that these dense clumps are ideal targets to search for prestellar objects.