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Clinical Differences in Triple-Positive Operable Breast Cancer Subtypes in Korean Patients: An Analysis of Korean Breast Cancer Registry Data

  • You, Sun Hyong;Chae, Byung Joo;Eom, Yong Hwa;Yoo, Tae-Kyung;Kim, Yong-seok;Kim, Jeong Soo;Park, Woo-Chan
    • Journal of Breast Cancer
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    • v.21 no.4
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    • pp.415-424
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    • 2018
  • Purpose: Triple-positive breast cancer is defined by estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 (HER2) positivity. Several systemic breast cancer therapies target hormonal and HER2 responsiveness. We compared clinical outcomes of triple-positive disease with those of HER2-enriched and luminal HER2-negative disease and investigated the clinical efficacy of anti-HER2 therapy for triple-positive disease. Methods: We retrospectively compared overall and recurrence-free survival among cases included in the Korean Breast Cancer Society (KBCS) and Seoul St. Mary's Hospital breast cancer registries and the therapeutic efficacy of trastuzumab for triple-positive and HER2-enriched cases. Results: KBCS registry data (2006-2010; median follow-up, 76 months) indicated that patients with triple-positive breast cancer had intermediate survival between those with luminal A and HER2-enriched subtypes (p<0.001). Trastuzumab did not improve overall survival among patients with triple-positive breast cancer (p=0.899) in contrast to the HER2-enriched subtype (p=0.018). Seoul St. Mary's Hospital registry data indicated similar recurrence-free survival outcomes (p<0.001) and a lack of improvement with trastuzumab among patients with triple-positive breast cancer (median follow-up, 33 months; p=0.800). Multivariate analysis revealed that patients with triple-positive breast cancer had better overall survival than those with HER2-enriched disease and similar survival as those with the luminal A subtype (triple-positive: hazard ratio, 1.258, p=0.118; HER2-enriched: hazard ratio, 2.377, p<0.001). Conclusion: Our findings showed that anti-HER2 therapy was less beneficial for treatment of triple-positive breast cancer than for HER2-enriched subtypes of breast cancer, and the triple-positive subtype had a distinct prognosis.

Evaluation of Physical Property on EM Media for Water Treatment (수처리용 EM 담체의 물리적 특성 평가)

  • Bae, Su-Hyun;Ra, Deog-Gwan
    • Journal of the Korean Society for Environmental Technology
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    • v.19 no.6
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    • pp.493-502
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    • 2018
  • The purpose of this study was to develop EM media for water treatment and to remove nitrogen and phosphorus which cause water algae boom in water system. The ideal mixing ratio of raw material such as clay: zeolite: vermiculite: activated carbon for manufacturing the EM media was 10: 2.5: 0.1: 2, and the calcination temperature was $700^{\circ}C$. The comparison of the physical properties of manufactures using distilled water and EM activated liquid as the material mixture are as follows. Porosity and density of EM media were 39.98 % and $1.13kg/m^3$, adsorption efficiencies of nitrogen and phosphorus were 69.3 % and 38.9 %. In contrast, porosity and density of distilled water media were 37.80 % and $1.11kg/m^3$, and adsorption efficiencies of nitrogen and phosphorus were 62.5 % and 37.8 %. The adsorption rate of nitrogen and phosphorus in the EM media was higher than that of the distilled water made one by 6.8 % and 1.1 %, respectively. The adsorption characteristics of the media to nitrogen and phosphorus could be expressed by the Freudlich adsorption isotherm. The change of calcination time did not affect the adsorption efficiency of phosphorus and nitrogen when EM media was formed, but it was considered that it affects the strength of media. Nitrogen removal efficiency was the best record in 4 hours of calcination time and 3 hours of calcination time in phosphorus removal efficiency.

A Study on Information Asymmetry and the Agency Problem of Large-scale Enterprise Group Affiliated Companies - Focusing on the research and development investment and the corporate value relationship - (대규모기업집단 소속 기업의 대리인 문제와 정보비대칭성 - 연구개발투자와 기업가치의 관계를 중심으로 -)

  • Lee, Kewdae;Kim, Chi-Soo
    • International Area Studies Review
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    • v.21 no.1
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    • pp.25-57
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    • 2017
  • In this study, we analyzed the information asymmetry and the agency problem in major affiliated companies on the basis of the R&D investment. As a result of comparing how the R&D investment effects on major affiliated companies and the independent companies, even the achievement of R&D investment effects in a positive way to the firm value, the positive effect appears much lower on major affiliated companies comparing independent companies. In order to analyze the case, we investigated in a separate way according to the shareholding ratio and the affiliated market using the sample of the independent company and the group affiliated company. As a result of such analysis, the cause of this comes from the agency problem in major affiliated company, not the asymmetry information of affiliated company. After we analyzed the sample of the research depending on the affiliation market, we could observe there is a little impact of the asymmetry information in the outcome of the R&D investment of the major affiliated companies. In contrast, the companies which rated lower in the ratio of the shareholding appears much less in the positive effect of R&D investment compared to the companies which rated at a higher level. This phenomenon was also consistently observed when changing the research method or further subdividing the sample of companies belonging to the group based on the ownership share of major shareholders.

A comparative study of the morphology of the ovipositors of wood-boring insects, Tremex fuscicornis and Leucospis japonica (목질을 천공하는 얼룩송곳벌(Tremex fuscicornis)과 밑드리좀벌(Leucospis japonica) 산란관의 형태적 특징 비교)

  • Kim, Ji Yeong;Park, Ji-Hyun;Kwon, Oh Chang;Kim, Jinhee
    • Korean Journal of Environmental Biology
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    • v.38 no.4
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    • pp.554-562
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    • 2020
  • Tremex fuscicornis (Siricidae), known as the xylophagous horntail, and Leucospis japonica (Leucospidae), known as the parasitoid wasp, are wood-boring wasps belonging to the order Hymenoptera. These insects are interesting sources of biological inspiration for the development of drilling mechanisms. To study the biomimicry aspects, the morphological characters of the ovipositor of T. fuscicornis and L. japonica were analyzed using a stereoscopic microscope, a field emission scanning electron microscope, and an optical microscope. There were many differences in the ovipositors between the two species, such as shape, length, surface structure, and arrangement of the teeth. Evenly arranged teeth were developed at the tip of both the dorsal valve and the ventral valve of the ovipositor of T. fuscicornis and looked like a rotating drill bit. In contrast, in L. japonica, the teeth, which looked like a saw, were found only on the ventral valve. Moreover, the tip of the ovipositor of T. fuscicornis was symmetrically divided into four parts, while that of L. japonica was divided into three parts having a 2:1:1 ratio. However, in the case of T. fuscicornis, after the 14th tooth, four parts melded into three parts maintaining a 2:1:1 ratio, and a dovetail joint was found on the horizontal cross-section of the ovipositor that allowed vertical movement for making a hole. These morphological differences of the ovipositor may be due to the insects' lifestyles and phylogenetic distance. Finally, zinc was commonly found at the tip of the ovipositors of both species, a probable result of ecological adaptation created by drilling wood.

A Study on the Usefulness of Copper Filters Made with 3D Printers in Longbone Examination Using Long Length Detector (장골 검출기를 이용한 장골 검사에서 3D 프린터로 제작한 구리 필터의 유용성 연구)

  • Kim, Woo-Young;Seo, Hyun-Soo;Han, Bong-Ju;Yoon, Myeong-Seong;Lee, Young-Jin
    • Journal of radiological science and technology
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    • v.44 no.6
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    • pp.607-613
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    • 2021
  • Long-bone examination is mainly used for inspection of the lower extremities. Recently, a long length detector (FXRD-1751S, VIEWORKS, Korea) with three digital detectors attached has been developed. High energy X-rays are used because pelvic areas require high image quality. In this case, X-rays are transmitted a lot in thin areas such as an ankle, and it is not suitable for diagnosing an image. Therefore, this study use copper filters made with 3D printers to increase image quality in the Long-bone inspection. A copper filter was manufactured in consideration of the overall thickness of the lower part. The experiment was conducted in anterior-posterior (AP) and lateral (LAT) positions, depending on the presence or absence of the filter. 5x5 pixels of region of interest (ROI) were selected from the pelvis, knee, and ankle areas. X-rays were irradiated under the conditions of 70 kVp and 40 mAs for AP, 80 kVp, and 63 mAs for lat when without filters, 90 kVp and 80 mAs for AP, 90 kVp and 100 mAs for lat when with filters. signal to noise ratio(SNR) ratio and contrast to noise (CNR) values were measured 1106.38, 14.34 before applying the filter and 1189.32, 70.43 after the filter. For the knee area, 650.44, 97.61 before applying the filter, and 1013.17, 444.24 after applying the filter. For the ankle area, 206.65, 23.68 before applying the filter and 993.50, 136.11 after applying the filter. In the Long-bone examination, SNR and CNR were greatly measured when the filter was applied, confirmed the availability of using the copper additional filter.

A Comparison of Dietary Behaviors of Korean Adolescents before and during the COVID-19 Pandemic (코로나-19 유행 이전과 코로나-19 유행 시기의 청소년 식생활 행태 비교분석)

  • Lee, Jung Woo;Kim, Yookyung
    • Journal of Korean Home Economics Education Association
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    • v.35 no.2
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    • pp.61-72
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    • 2023
  • This study examined the changes of the dietary behaviors of Korean adolescents during the COVID-19 pandemic. Data were obtained from 227,139 students aged 12-18 who participated in the Korean Youth Risk Behavior Survey from 2018 to 2021. The participants were divided into two groups: 117,343 students from the 2018-2019 survey and 109,796 from the 2020-2021 survey. Multiple regression analyses were used to calculate the adjusted odds ratio (AOR) for dietary behavior changes between the two groups. The AOR for consuming carbonated beverages among those who consumed three or more times per week compared to those who did not consume carbonated beverages at all was 0.81 (95% confidence interval [CI]: 0.78-0.84), which significantly decreased during the COVID-19 pandemic (p<0.001). Similarly, the AOR for consuming sweetened beverages between those with three or more times and not at all per week was 0.69 (95% CI: 0.67-0.72) (p<0.001). In contrast, there was a significant increase in the AORs for consuming fast food (AOR: 1.15, 95% CI: 1.11-1.20) and skipping breakfast more than three times per week (AOR: 1.23, 95% CI: 1.20-1.26) during the same period. Fruit intake decreased during the COVID-19 pandemic (AOR: 1.26, 95% CI: 1.21-1.31). In conclusion, the COVID-19 pandemic had both positive and negative impacts on the dietary habits of Korean adolescents.

Analysis for Economic Induced Effect of Oil and Gas E&P Industry's Business Ecosystem (산업생태계를 고려한 석유·가스개발산업의 경제적 유발효과 분석)

  • Ji Whan Kim;Yoon Kyung Kim
    • Environmental and Resource Economics Review
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    • v.31 no.4
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    • pp.669-691
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    • 2022
  • In this analysis, from the perspective of the business ecosystem, the economic effects of the oil and gas E&P industry were estimated. Australia, Norway, and the US, which are countries that are active in oil and gas E&P projects, and Japan and Korea, which are not, were analyzed. According to the analysis results, every country has a induced production coefficient of the oil and gas E&P industry greater than 1. Norway and the US have formed an industrial ecosystem across all industries, evenly demanding intermediate inputs for the primary, secondary, and tertiary industries. In contrast, Korea and Japan have a very large input ratio from the tertiary industry and an industrial ecosystem centered on the tertiary industry. It should be considered that the high input ratio of certain industry in business ecosystem determine the scale of the induced effect. When the business ecosystem are formed with many industries evenly, and the induced coefficient is high, it is necessary to increase the amount of final demand of the industry to make the effects of coefficient to increase.

Ziziphus spina christifor Sustainable Agroforestry Farming in Arid Land of Khartoum State of Sudan

  • Mustafa Abdalla Nasre Aldin;Hussein Alawad Seid Ahmed;Mohamed El Mukhtar Ballal;Adil Mahgoub Farah
    • Journal of Forest and Environmental Science
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    • v.39 no.1
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    • pp.20-26
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    • 2023
  • Cow pea (Vigna unguiculata) was intercropped with Ziziphus spina-christi as summer forage in two consecutive seasons of 2017 and 2018. The aims to find out suitable agroforestry practice for saline soils of Khartoum State. And to investigate effect of tree spacing on forage biomass yield under semi -irrigated systems. Completely randomized block design with 3 replicates was conducted for this trial. Thus Z.spina-christi that fixed at 4×4 m was intercropped with cowpea at 1 m and 1.5 m spacing from trees trunk. Tree growth parameters were measured in terms of tree height, tree collar diameter, tree crown diameter and fruit yield per tree. While crop were parameters were determined in terms of plant height, number of plant, forage biomass yield per ha and land equivalent ratio. Soil profile of 1×1 m and 1.5 m depth was excavated and its features were described beside its chemical and physical properties were analyzed for 0-10 cm, 0-30 cm, and 30-60 cm and 60-100 cm layers. The results revealed that soil pH, CaCO3, SAR, ESP, and EC ds/m were increased by increasing soil depths. Meanwhile tree growth in terms of tree height was significant in the first season 2017 when compared with tree collar diameter and tree crown diameter. Also significant differences were recorded for tree growth when compared with sole trees in the second season in 2018. Tree fruit showed marked variations between the two seasons, but it was higher under intercropping particularly at ZS2. Crop plant height was highly significant under sole cropping than intercropping in first season in 2017. In contrast forage biomass yield was significant under intercropping in ZS1 and ZS2 treatments. Land equivalent ratio was advantageous under this agroforestry system particularly under ZS2. Thus it recorded 5 and 9 for ZS2 in the two consecutive seasons respectively. Therefore, it is feasible to introduce this agroforestry system under such arid lands to provide summer forage yield of highly nutritive value and low cost for animals feed as well as to increase farmers' income and to halt desertification and to sequester carbon.

The Relationship between Serum Vitamin D Levels and Lifestyle Risk Factors in Office Workers (사무직 근로자의 혈청 Vitamin D 수준과 생활습관위험인자와의 연관성)

  • Jin, Young-Yun;Kang, Hyun-Sik
    • 한국체육학회지인문사회과학편
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    • v.54 no.5
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    • pp.727-737
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    • 2015
  • The study investigated the relationship between vitamin D status and lifestyle risk factors in office workers. A total of 515 office workers(336 men and 179 women) aged 30 years or older were voluntarily recruited from S-city. Along with serum vitamin D levels, lifestyle risk factors including obesity index, physical fitness, metabolic risk factors, lipids profile and sedentary behavior were measured using standardized protocols. Subjects were classified as deficiency (<20ng/mL), insufficiency (20-29ng/mL), and sufficiency (≥30ng/mL) based on serum vitamin D levels. Linear contrast analysis using one-way ANOVA showed significant linear decreases in mean body fat (p=.030) and sedentary behavior (p<.001) and significant linear increases in skeletal muscle (p=.037), cardiorespiratory fitness (p<.001) and HDL-C (p=.013) across incremental serum vitamin D levels. Compared with the low cardiorespiratory fitness group, the high cardiorespiratory fitness group had a significantly higher odds ratio (men OR=2.144, p=.042, women OR=1.971, p=.045) for having vitamin D insufficiency or deficiency even adjustment after age. Compared to the shortest sitting time group, the longest sitting time group had a significantly higher odds-ratio in a group of female office workers (OR=1.262, p=.043) for having vitamin D insufficiency or deficiency even adjustment after age. The current findings of the study showed that poor physical fitness and sedentary behavior were the risk factors of low serum vitamin D levels, implying the urgent need for a healthy lifestyle modification along with vitamin D supplementation.

Using Eeclaimed Land for Potato Cultivation in Saemangeum, South Korea: Determining the Optimal Nitrogen Fertilization Rate with the Giant Miscanthus used as a Source of Soil Organic Matter (새만금간척지에서 거대억새 투입 후 분해 특성 및 감자 재배를 위한 적정 질소시비수준 평가)

  • Yang-Yeol, Oh;Kang-Ho, Jeong;Su-Hwan, Lee;Kwang-Seung, Lee;Bo-Seong, Seo;Kil-Yong, Kim
    • Journal of Environmental Science International
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    • v.31 no.11
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    • pp.911-922
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    • 2022
  • To restore reclaimed land, it needs to be supplemented with organic matter; this is especially true for Korea, where organic matter constitutes only one-tenth of conventional agricultural soils. The giant Miscanthus, a perennial grass known for its extensive biomass, shows signs of being an excellent source of organic matter for restoring reclaimed land. Therefore, the objectives of this study were to (i) evaluate the feasibility of using the giant miscanthus as an organic resource within the context of re-using reclaimed land for agricultural purposes (i.e., potato cultivation), and (ii) determine the optimum fertilization rate for the potatoes while the giant miscanthus is being used as an organic resource. Our results show that after 180 days, giant miscanthus lost 23-47% of its original dry weight, with the extent of the loss dependent on soil salinity. Nutrient concentrations (Mg2+, Na+) continued to increase until the end of the study period. In contrast, potassium (K+) and the ratio of carbon to nitrogen (C/N) decreased until the end of the study period. Specifically, after 180 days, low salinity topsoil treatments had the lowest C/N ratio. In the first year, 150 % of standard N rates were required for the potatoes to achieve maximum productivity; however in the 2nd year, standard rates were sufficient to achieve maximum productivity. Overall, this implies that even though the application of giant miscanthus did eventually improve soil quality, increasing crop yields, N fertilization is still necessary for the best outcomes.