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Phase II Study of Compliance and Morbidity with 4 Cycles of Taxotere Followed by 4 of Doxorubicin-Cyclophosphamide for Adjuvant Treatment of Operable Breast Cancer Patients

  • Yaghan, Rami Jalal;Dagher, Nawaf Mahmood
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.4031-4035
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    • 2016
  • Background: In the adjuvant treatment of breast cancer, anthracycline and taxane based regimens can be used concomitantly or sequentially. The best order in the sequential regimens has yet to be well established. This study evaluated the feasibility of 4 cycles of adjuvant taxotere ($100mg/m^2$) every 3 weeks followed by 4 cycles of doxorubicin ($60mg/m^2$) and cyclophosphamide ($600mg/m^2$) every 3 weeks. The primary outcome was the safety profile. Secondary outcomes were disease free survival (DFS) and overall survival (OS). Materials and Methods: This non-randomize prospective phase II stud was performed at Jordan University of Science and Technology and its affiliated King Abdulla Teaching Hospital between July 2009 and August 2010. Data collection was closed on May $31^{th}$, 2015 giving a median follow up period of 62 months. The study was approved by the institutional review board and a written informed consent was obtained for each patient. Results: Fifty patients were enrolled. The median age was 53.1 years (range 34-76). One patient (2%) had stage I disease, 17 (34%) stage II, and 32 (64.0%) stage III. Forty-six patients were evaluable for efficacy analysis. The completion rate was 95.7%. No dose modifications were needed. The incidences of grade 3-4 neutropenia and febrile neutropenia were 14 % and 10%. No grade 3-4 non-hematological adverse events were encountered. At a median follow up time of 62 months the OS and the DFS rates were 76.1% and 56.5%. Those for stages I and II combined were 100% and 75%. Conclusions: Taxotere first followed by doxorubicin-cyclophosphamide appears a feasible regimen as evidenced by an acceptable completion rate, a satisfactory safety profile, and an OS and DFS rates comparable to other studies.

HARD AND SOFT TISSUE CHANCES AFTER ORTHOGNATHIC SURGERY OF MANDIBULAR PROGNATHISM (하악전돌증 환자의 악교정 수술후 경조직과 연조직 변화에 관한 두부방사선 계측학적 연구)

  • Choe, Yoo-Kyung;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.23 no.4 s.43
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    • pp.707-724
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    • 1993
  • The purpose of the study is to estimate hard and soft tissue changes after orthognathic surgery for the correction of the mandibular prognathism and to describe interrelationship and ratios of soft and hard tissue changes. The presurgical and postsurgical lateral cephalograms of 31 treated patients(17 males and 14 females) was used ; these patients had received combined orthodontic-surgical treatment by means of a bilateral sagittal split ramus osteotomy. Their ages ranged from 16 to 31 years and mean age was 21.4 years. A computerized cephalometric appraisal was developed and used to analyse linear and angular changes of skeletal and soft tissue profile. The statistical elaboration of the data was made by means of $SPSS/PC^+$. The results of the study were as follows : 1. The correlations of soft and hard tissue horizontal changes were significantly high and the ratios were $97\%$ at LI, $107\%$ at ILS, and $93\%$ at Pog'. 2. The correlations of vertical changes at Stm, LI and horizontal changes at Pog were high$(26\%)$ and at the other areas were not statistically high. 3. The correlations of soft ad hard tissue vertical changes were not significantly high in all areas except Gn' $(30\%)$ and Me' $(56\%)$. 4. The soft tissue thickness was significantly decreased in upper lip and increased in lower lip, and the amount of changes after surgery was reversely correlated with initial thickness. 5. The facial convexity was increased and relative protrusion of upper lip was increased and that of lower lip was decreased. 6. The upper to lower facial height(Gl-Sn/Sn-Me') was increased and upper to lower jaw height(Sn-Stms/Stmi-Me') was increased.

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A Design and Implementation of a Wireless Audio Sharing (WASH) System (Wireless Audio Sharing (WASH) 시스템 설계 및 구현)

  • Son, Ji-Yeon;Kim, Myung-Gyu;Yang, Il-Sik;Park, Jun-Seok
    • Journal of KIISE:Information Networking
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    • v.33 no.2
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    • pp.139-148
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    • 2006
  • Recently with the advancement of local wireless communication technologies, digital trends of audio contents and devices are paving the way for new experiences to network-based audio streaming services. In this paper, we present the Wireless Audio Sharing (WASH) technology over Bluetooth and Wireless Local Area Network (WLAN). WASH system provides an audio sharing mechanism over multiple users and also provides stereo audio streaming between Bluetooth-enabled devices and Universal Plug and Play (UPnP) media devices connected to wired/wireless LANs. To achieve these, we extended the Bluetooth audio distribution profile and combined the extended profile with the UPnP AV architecture. With the implementation of this WASH technology, we show some experimental results of the stereo audio streaming in a real environment.

Development of Optimization Technique of Warm Shrink Fitting Process for Automobile Transmission Part(Shaft/Gear) (자동차 변속기 단품(축/기어)용 온간압입공정 최적화 기법 개발)

  • Kim Ho-Yoon;Bae Won-Byong;Kim Chul
    • Journal of the Korean Society for Precision Engineering
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    • v.23 no.5 s.182
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    • pp.37-43
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    • 2006
  • Fitting process carried out in automobile transmission assembly line is classified into three classes; heat fitting, press fitting, and their combined fitting. Heat fitting is a method that heats gear to a suitable range under the tempering temperature and squeezes it toward the outer diameter of shaft. Its stress depends on the yield strength of gear. Press fitting is a method that generally squeezes gear toward that of shaft at room temperature by press. Another method heats warmly gear and safely squeezes it toward that of shaft. Warm shrink fitting process for automobile transmission part is now gradually increased, but the parts (shaft/gear) assembled by this process produced dimensional change in both outer diameter and profile of the gear. So that it may cause noise and vibration between gears. In order to solve these problems, we need an analysis of warm shrink fitting process, in which design parameters are involved; contact pressure according to fitting interference between outer diameter of shaft and inner diameter of gear, fitting temperature, and profile tolerance of gear. In this study, an closed form equation to predict contact pressure and fitting load was proposed in order to develop optimization technique of warm shrink fitting process and verified its reliability through the experimental results measured in the field and FEM, that is, thermal-structural coupled field analysis. Actual loads measured in the field have a good agreement with the results obtained by theoretical and finite element analysis and also the expanded amounts of the outer diameters of the gears have a good agreement with results.

Numerical analysis of vertical drains accelerated consolidation considering combined soil disturbance and visco-plastic behaviour

  • Azari, Babak;Fatahi, Behzad;Khabbaz, Hadi
    • Geomechanics and Engineering
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    • v.8 no.2
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    • pp.187-220
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    • 2015
  • Soil disturbance induced by installation of mandrel driven vertical drains decreases the in situ horizontal hydraulic conductivity of the soil in the vicinity of the drains, decelerating the consolidation rate. According to available literature, several different profiles for the hydraulic conductivity variation with the radial distance from the vertical drain, influencing the excess pore water pressure dissipation rate, have been identified. In addition, it is well known that the visco-plastic properties of the soil also influence the excess pore water pressure dissipation rate and consequently the settlement rate. In this study, a numerical solution adopting an elastic visco-plastic model with nonlinear creep function incorporated in the consolidation equations has been developed to investigate the effects of disturbed zone properties on the time dependent behaviour of soft soil deposits improved with vertical drains and preloading. The employed elastic visco-plastic model is based on the framework of the modified Cam-Clay model capturing soil creep during excess pore water pressure dissipation. Besides, nonlinear variations of creep coefficient with stress and time and permeability variations during the consolidation process are considered. The predicted results have been compared with V$\ddot{a}$sby test fill measurements. According to the results, different variations of the hydraulic conductivity profile in the disturbed zone result in varying excess pore water pressure dissipation rate and consequently varying the effective vertical stresses in the soil profile. Thus, the creep coefficient and the creep strain limit are notably influenced resulting in significant changes in the predicted settlement rate.

Quantitative assessment of depth and extent of notch brittle failure in deep tunneling using inferential statistical analysis

  • Lee, Kang-Hyun;Lee, In-Mo;Shin, Young-Jin
    • Geomechanics and Engineering
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    • v.21 no.2
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    • pp.201-206
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    • 2020
  • A stress-induced brittle failure in deep tunneling generates spalling and slabbing, eventually causing a v-shaped notch formation. An empirical relationship for the depth of the notch to the maximum tangential stress assuming an equivalent circular cross-section was proposed (Martin et al. 1999). While this empirical approach has been well recognized in the industry and used as a design guideline in many projects, its applicability to a non-circular opening is worth revisiting due to the use of equivalent circular profile. Moreover, even though the extent of the notch also contributes to notch failure, it has not been estimated to date. When the estimate of both the depth and the extent of notch are combined, a practical and economically justifiable support design can be achieved. In this study, a new methodology to assess the depth as well as the extent of notch failure is developed. Field data and numerical simulations using the Cohesion Weakening Frictional Strengthening (CWFS) model were collected and correlated with the three most commonly accepted failure criteria (σ13, Dismaxc, σdevcm). For the numerical analyses, the D-shaped tunnel was used since most civil tunnels are built to this profile. Inferential statistical analysis is applied to predict the failure range with a 95% confidence level. Considering its accuracy and simplicity, the new correlation can be used as an enhanced version of failure assessment.

Amelioration of lipid abnormalities by vitamin therapy in women using oral contraceptives

  • Torkzahrani, Shahnaz;Heidari, Afrooz;Mostafavi-pour, Zohreh;Ahmadi, Majid;Zal, Fatemeh
    • Clinical and Experimental Reproductive Medicine
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    • v.41 no.1
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    • pp.15-20
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    • 2014
  • Objective: Combined oral contraceptives (COCs) have some adverse effects on the serum lipid profile. Because hyperlipidemia is one of the risk factors in cardiovascular diseases, lipid abnormalities should be evaluated in women consuming COCs. Vitamins E and C are known to have beneficial effects on serum lipid profiles. Therefore, in this study, we evaluated the effects of vitamins E and C on serum lipids in women using COCs. Methods: The study compared changes in lipid parameters with and without vitamin therapy in women consuming COCs compared to those of a control group (40 non-contraceptive users or NCU) for 4 weeks. Total cholesterol and triglyceride, low-density lipoprotein (LDL), and high-density lipoprotein (HDL) levels along with HDL/LDL ratios were measured for all participants. Results: COC users experienced significantly higher increases in the levels of triglycerides and LDL than non-users (p<0.05). However, no significant differences were noted in the total cholesterol and HDL levels. In the treated COC group receiving vitamins E and C, the HDL level and the HDL/LDL ratio increased and the LDL and triglycerides levels decreased significantly compared with those of the other groups. Conclusion: The results of our study indicate that supplementation with antioxidant vitamins E and C restores a normal lipid profile in COC users.

Four-Elements L-Shaped Slot Array Monopole Antenna with Dipole-like Radiation Pattern (다이폴형 방사 패턴을 갖는 4소자 L-슬롯 배열 모노폴 안테나)

  • Nam, Sung-Soo;Lee, Hong-Min
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.20 no.3
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    • pp.273-279
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    • 2009
  • In this paper, an antenna which has dipole-like radiation pattern and low profile is proposed. The antenna is composed of four elements slot array based on L-shaped 0.43 $\lambda_g$ slot element. It presents a omni-directional radiation patter in the azimuth plane and has a null toward broad-side direction. In the design, a small mono-pole antenna which acts as a large capacitance element, combined with the partially removed ground plane by four L-shaped slots. As a result, these structure act as a LC resonator for radiation. The measured result shows, the impedance bandwidth(VSWR$\leq$2) of the proposed antenna is 60 MHz(2.35$\sim$2.41 GHz). The measured maximum radiation gain and efficiency of proposed antenna is 0.02 dBi, 56.7 % at center frequency 2.38 GHz, respectively. The proposed antenna can be applied to wireless tan access point system.

White mineral trioxide aggregate mixed with calcium chloride dihydrate: chemical analysis and biological properties

  • Ahmed, Hany Mohamed Aly;Luddin, Norhayati;Kannan, Thirumulu Ponnuraj;Mokhtar, Khairani Idah;Ahmad, Azlina
    • Restorative Dentistry and Endodontics
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    • v.42 no.3
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    • pp.176-187
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    • 2017
  • Objectives: This study aimed to evaluate the chemical and biological properties of fast-set white mineral trioxide aggregate (FS WMTA), which was WMTA combined with calcium chloride dihydrate ($CaCl_2{\cdot}2H_2O$), compared to that of WMTA. Materials and Methods: Surface morphology, elemental, and phase analysis were examined using scanning electron microscope (SEM), energy dispersive X-ray microanalysis (EDX), and X-ray diffraction (XRD), respectively. The cytotoxicity and cell attachment properties were evaluated on human periodontal ligament fibroblasts (HPLFs) using methyl-thiazoldiphenyltetrazolium (MTT) assay and under SEM after 24 and 72 hours, respectively. Results: Results showed that the addition of $CaCl_2{\cdot}2H_2O$ to WMTA affected the surface morphology and chemical composition. Although FS WMTA exhibited a non-cytotoxic profile, the cell viability values of this combination were lesser than WMTA, and the difference was significant in 7 out of 10 concentrations at the 2 time intervals (p < 0.05). HPLFs adhered over the surface of WMTA and at the interface, after 24 hours of incubation. After 72 hours, there were increased numbers of HPLFs with prominent cytoplasmic processes. Similar findings were observed with FS WMTA, but the cells were not as confluent as with WMTA. Conclusions: The addition of $CaCl_2{\cdot}2H_2O$ to WMTA affected its chemical properties. The favorable biological profile of FS WMTA towards HPLFs may have a potential impact on its clinical application for repair of perforation defects.

Analysis of the Warm Shrink Fitting Process for Assembling the Part(Shaft and Output Gear) (단품(축/OUTPUT 기어)조립을 위한 온간압입공정 해석)

  • Kim, Tae-Jin;Kang, Hee-Jun;Kim, Chul;Chu, Suck-Jae;Kim, Ho-Yun
    • Journal of the Korean Society for Precision Engineering
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    • v.25 no.6
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    • pp.47-54
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    • 2008
  • Fitting process carried out in the automobile transmission assembly line is classified into three classes; heat fitting, press fitting, and their combined fitting. Heat fitting is a method that heats gear to a suitable range under the tempering temperature and squeezes it toward the outer diameter of shaft. Its stress depends on the yield strength of gear. Press fitting is a method that generally squeezes gear toward that of shaft at room temperature by a press. Another method heats warmly gear and safely squeezes it toward that of shaft. Warm shrink fitting process for the automobile transmission part is now gradually increased, but the parts (shaft/gear) assembled by this process produced dimensional changes in both the outer diameter and profile of the gear. So that it may cause noise and vibration between gears. In order to solve these problems, we need an analysis of warm shrink fitting process, in which design parameters are involved; contact pressure according to fitting interference between outer diameter of shaft and inner diameter of gear, fitting temperature, and profile tolerance of gear. In this study, an closed form equation to predict contact pressure and fitting load was proposed in order to develop an optimization technique of the warm shrink fitting process and verified its reliability through the experimental results measured in the field and FEM, that is, thermal-structural coupled field analysis. Actual loads measured in the field was in good agreements with the results obtained by the theoretical and finite element analysis.