Background: Axitinib, a potent and selective inhibitor of vascular endothelial growth factor (VEGF) receptor (VEGFR) tyrosine kinase 1,2 and 3, is used in chemotherapy because it inhibits tumor angiogenesis by blocking the VEGF/VEGFR pathway. In veterinary medicine, attempts have been made to apply tyrosine kinase inhibitors with anti-angiogenic effects to tumor patients, but there are no studies on axitinib in canine mammary gland tumors (MGTs). Objectives: This study aimed to confirm the antitumor activity of axitinib in canine mammary gland cell lines. Methods: We treated canine MGT cell lines (CIPp and CIPm) with axitinib and conducted CCK, wound healing, apoptosis, and cell cycle assays. Additionally, we evaluated the expression levels of angiogenesis-associated factors, including VEGFs, PDGF-A, FGF-2, and TGF-β1, using quantitative real-time polymerase chain reaction. Furthermore, we collected canine peripheral blood mononuclear cells (PBMCs), activated them with concanavalin A (ConA) and lipopolysaccharide (LPS), and then treated them with axitinib to investigate changes in viability. Results: When axitinib was administered to CIPp and CIPm, cell viability significantly decreased at 24, 48, and 72 h (p < 0.001), and migration was markedly reduced (6 h, p < 0.05; 12 h, p < 0.005). The apoptosis rate significantly increased (p < 0.01), and the G2/M phase ratio showed a significant increase (p < 0.001). Additionally, there was no significant change in the viability of canine PBMCs treated with LPS and ConA. Conclusion: In this study, we confirmed the antitumor activity of axitinib against canine MGT cell lines. Accordingly, we suggest that axitinib can be applied as a new treatment for patients with canine MGTs.
SeongYeon Jung;Sieun Kim;Sul-Min Yun;Jeheon Oh;Chung-Mo Lee
Journal of Soil and Groundwater Environment
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v.29
no.3
/
pp.23-36
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2024
Miryang City, the study area, has a water supply rate of 87.4%, which is 12% lower than the national water supply rate of 99.4%, but has a high dependence on groundwater due to the high ratio of farms. In agricultural areas, contamination becomes relatively more critical, requiring significant attention to the management and conservation of groundwater resources. This study aims at estimate groundwater vulnerability of Miryang City using the DRASTIC index map, Piper diagram, and water quality data to correlated with the DRASTIC index. The results from DRASTIC map were divided into five classes: very high, high, moderate, low, and very low. The areas in central and southern part of study area, which are characterize by a very high index with [Ca-Cl] and [Na-Cl] water types, covering a large alluvium with the Miryang River and Nakdonggang River. In addition, a correlation analysis between groundwater quality parameters and the DRASTIC index was carried out. Chloride, sodium, and sulfate ions showed a weak relationship with DRASTIC index, with correlation coefficient was 0.507, 0.487 and 0.344, respectively. These results suggest that aquifer media, soil media, hydraulic conductivity, and chloride ion are important factors for groundwater vulnerability.
Purpose: Prevention of pancreas-related complications after gastric cancer surgery is critical. Polyglycolic acid (PGA) mesh reduces postoperative pancreatic fistula formation following pancreatic resection. However, the clinical efficacy of PGA mesh in gastric cancer surgery has not been adequately investigated. Materials and Methods: This retrospective study compared the short-term outcomes between two groups: patients who underwent minimally invasive R0 gastrectomy for gastric cancer with the use of a PGA mesh (PGA group) and those without the use of a PGA mesh (non-PGA group) at the Cancer Institute Hospital, Tokyo, between January 2019 and May 2023. Propensity score matching (PSM) was performed to adjust for the possible confounding factors. Results: A total of 834 patients were initially included, of whom 614 (307 in each group) remained after PSM. The amylase levels in the drained abdominal fluid on postoperative days 1 and 3 were similar between the PGA and non-PGA groups. The PGA group had a significantly lower incidence of pancreas-related complications of Clavien-Dindo grade ≥2 than that in the non-PGA group (6.8% vs. 2.9%, P=0.025). In subgroup analyses, the odds ratio for pancreas-related complications appeared to be better in the PGA group than in the non-PGA group in patients with American Society of Anesthesiologists Physical Status Classification score of 2 or 3, those operated via a laparoscopic approach, and those undergoing procedures other than proximal gastrectomy. Conclusions: The use of PGA mesh significantly reduced pancreas-related complications after minimally invasive surgery for gastric cancer and might thus benefit patients at risk of such complications.
The undrained shear strength is widely acknowledged as a fundamental mechanical property of soil and is considered a critical engineering parameter. In recent years, researchers have employed various methodologies to evaluate the shear strength of soil under undrained conditions. These methods encompass both numerical analyses and empirical techniques, such as the cone penetration test (CPT), to gain insights into the properties and behavior of soil. However, several of these methods rely on correlation assumptions, which can lead to inconsistent accuracy and precision. The study involved the development of innovative methods using extreme gradient boosting (XGB) to predict the pile set-up component "A" based on two distinct data sets. The first data set includes average modified cone point bearing capacity (qt), average wall friction (fs), and effective vertical stress (σvo), while the second data set comprises plasticity index (PI), soil undrained shear cohesion (Su), and the over consolidation ratio (OCR). These data sets were utilized to develop XGBoost-based methods for predicting the pile set-up component "A". To optimize the internal hyperparameters of the XGBoost model, four optimization algorithms were employed: Particle Swarm Optimization (PSO), Social Spider Optimization (SSO), Arithmetic Optimization Algorithm (AOA), and Sine Cosine Optimization Algorithm (SCOA). The results from the first data set indicate that the XGBoost model optimized using the Arithmetic Optimization Algorithm (XGB - AOA) achieved the highest accuracy, with R2 values of 0.9962 for the training part and 0.9807 for the testing part. The performance of the developed models was further evaluated using the RMSE, MAE, and VAF indices. The results revealed that the XGBoost model optimized using XGBoost - AOA outperformed other models in terms of accuracy, with RMSE, MAE, and VAF values of 0.0078, 0.0015, and 99.6189 for the training part and 0.0141, 0.0112, and 98.0394 for the testing part, respectively. These findings suggest that XGBoost - AOA is the most accurate model for predicting the pile set-up component.
Beam-column joints in the frame structure are at high risk of brittle shear failure which would lead to significant residual deformation and even the collapse of the structure during an earthquake. In order to improve the damage issue and enhance the recoverability of the beam-column joints, a sector lead rubber damper (SLRD) has been developed. The SLRD can increase the bearing capacity and energy dissipation capacity, and also demonstrating recoverability of seismic performance following cyclic loading. In this paper, the hysteretic behavior of SLRD was experimentally investigated in terms of the regular hysteretic behavior, large deformation behavior and fatigue behavior. Furthermore, a parametric analysis was performed to study the influence of the primary design parameters on the hysteretic behavior of SLRD. The results show that SLRD resist the exerted loading through the shear capacity of both rubber parts coupled with the lead cores in the pre-yielding stage of lead cores. In the post-yielding phase, it is only the rubber parts of the SLRD that provide the shear capacity while the lead cores primarily dissipate the energy through shear deformation. The SLRD possesses a robust capacity for large deformation and can sustain hysteretic behavior when subjected to a loading rotation angle of 1/7 (equivalent to 200% shear strain of the rubber component). Furthermore, it demonstrates excellent fatigue resistance, with a degradation of critical behavior indices by no more than 15% in comparison to initial values even after 30 cycles. As for the designing practice of SLRD, it is recommended to adopt the double lead core scheme, along with a rubber material having the lowest possible shear modulus while meeting the desired bearing capacity and a thickness ratio of 0.4 to 0.5 for the thin steel plate.
Purpose - This study aims to verify whether the effect of tax avoidance on corporate value is non-linear in the Korean financial markets. Design/methodology/approach - This study believes that the cause of the inconsistent empirical analysis results of previous studies that verified the relationship between tax avoidance and firm value may be an error in assuming linearity, and verifies whether a nonlinear relationship exists. The sample company in this study is a December settlement corporation listed on the Korean stock market, and the analysis period is from 2000 to 2021. In the empirical analysis model, Tobin's Q is used as a proxy for corporate value, tax avoidance is used as the main independent variable, and a regression model is designed with corporate size, growth rate, and debt ratio set as control variables. Findings - As a result of the empirical analysis, it can be confirmed that there is an inverted U-shaped nonlinear relationship between tax avoidance and corporate value. In the additional analysis using Ohlson (1995) firm valuation model for the robustness of the results of the empirical analysis, the same nonlinear value relationship between tax avoidance can be confirmed. Research implications or Originality - This study is considered to be meaningful in that it verifies the non-linear relationship of tax avoidance, which has not been attempted in previous studies. The meaning of the inverted U-shaped nonlinear relationship presented in this study is that corporate tax avoidance acts as a factor that increases corporate value up to a certain level, but rather becomes a factor that decreases corporate value when it exceeds a critical point. These results are expected to provide new perspectives and perspectives on tax avoidance to companies belonging to the Korean capital market.
Han Sol Lee;Chul Ho Lee;Jae Seok Jang;Jun Woo Cho;Yun-Ho Jeon
Journal of Chest Surgery
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v.57
no.3
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pp.281-288
/
2024
Background: Venoarterial extracorporeal membrane oxygenation (ECMO) is a key treatment method used with patients in cardiac arrest who do not respond to medical treatment. A critical step in initiating therapy is the insertion of ECMO cannulas. Peripheral ECMO cannulation methods have been preferred for extracorporeal cardiopulmonary resuscitation (ECPR). Methods: Patients who underwent ECPR at Daegu Catholic University Medical Center between January 2017 and May 2023 were included in this study. We analyzed the impact of 2 different peripheral cannulation strategies (surgical cutdown vs. percutaneous cannulation) on various factors, including survival rate. Results: Among the 99 patients included in this study, 66 underwent surgical cutdown, and 33 underwent percutaneous insertion. The survival to discharge rates were 36.4% for the surgical cutdown group and 30.3% for the percutaneous group (p=0.708). The ECMO insertion times were 21.3 minutes for the surgical cutdown group and 10.3 minutes for the percutaneous group (p<0.001). The factors associated with overall mortality included a shorter low-flow time (hazard ratio [HR], 1.045; 95% confidence interval [CI], 1.019-1.071; p=0.001) and whether return of spontaneous circulation was achieved (HR, 0.317; 95% CI, 0.127-0.787; p=0.013). Low-flow time was defined as the time from the start of cardiopulmonary resuscitation to the completion of ECMO cannula insertion. Conclusion: No statistically significant difference in in-hospital mortality was observed between the surgical and percutaneous groups. However, regardless of the chosen cannulation strategy, reducing ECMO cannulation time was beneficial, as a shorter low-flow time was associated with significant benefits in terms of survival.
Purpose: Administering early parenteral amino acids to very low birth weight (VLBW) premature infants (birth body weight [BBW]<1,500 g) is challenging due to factors such as holidays, cost, and access to sterile compounding facilities. Using advance-prepared parenteral nutrition (PN) may address this issue and should be evaluated for its safety and potential benefits. Methods: We extracted data from medical records collected between July 2015 and August 2019. VLBW infants received PN for at least seven days and were split into two groups: the traditional group (n=30), which initially received a glucose solution and then PN on workdays, and the pre-preparation group (n=16), which received advance-prepared PN immediately upon admission to the neonatal intensive care unit. Results: The median BBWs of the traditional and pre-preparation groups were 1,180.0 vs. 1,210.0 g. In the initial two days, the pre-preparation group had a significantly higher amino acid intake (2.23 and 2.24 g/kg/d) than the traditional group (0 and 1.78 g/kg/d). The pre-preparation group exhibited greater head circumference growth ratio relative to birth (7th day: 1.21% vs. -3.57%, p=0.014; 21st day: 7.71% vs. 3.31%, p=0.017). No significant differences in metabolic tolerance were observed. Conclusion: Advanced preparation of PN can be safely implemented in VLBW preterm infants, offering advantages such as early, higher amino acid intake and improved head circumference growth within the first 21 days post-birth. This strategy may serve as a viable alternative in settings where immediate provision of sterile compounding facilities is challenging.
In the present work, the interaction of lipid-based zwitterionic surfactant CDP-W with the vesicle membrane of phospholipids was investigated. For this purpose, interfacial properties such as critical micelle concentration (CMC) and surface tension were measured for the zwitterionic surfactant CDP-W and lecithin S100-3. The zeta potential of 1 wt% aqueous surfactant solutions was also measured as a function of pH to determine the iso-electric point of CDP-W surfactant, where the characteristic of CDP-W surfactant changes from a cationic surfactant to an anionic surfactant. Based on the iso-electric point measurement of CDP-W surfactant, the effects of pH change and CDP-W addition on the stability of S100-3 liposome systems were studied, such as average particle size, polydispersity index (PDI), and zeta potential. The effect of CDP-W on the fluidity characteristics of liposome membranes such as fluorescence anisotropy ratio, deformability, and melting point was investigated at pH 6 where the most stable liposomes were prepared to understand the effect of the fluidity of the liposome membrane on the encapsulation efficiency of active materials and the stability of liposome systems.
Background: Acute pulmonary embolism (APE) is a fatal disease with varying clinical characteristics and imaging. The aim of this study was to define the clinical characteristics, risk factors, and outcomes in patients with APE at a university hospital in Thailand. Methods: Patients diagnosed with APE and admitted to our institute between January 1, 2017 and December 31, 2022 were retrospectively enrolled. The clinical characteristics, investigations, and outcomes were recorded. Results: Over the 6-year study period, 369 patients were diagnosed with APE. The mean age was 65 years; 64.2% were female. The most common risk factor for APE was malignancy (46.1%). In-hospital mortality rate was 23.6%. The computed tomography pulmonary artery revealed the most proximal clots largely in segmental pulmonary artery (39.0%), followed by main pulmonary artery (36.3%). This distribution was consistent between survivors and non-survivors. Multivariate logistic regression analysis revealed that APE mortality was associated with active malignancy, higher serum creatinine, lower body mass index (BMI), and tachycardia with adjusted odds ratio (95% confidence interval [CI]) of 3.70 (1.59 to 8.58), 3.54 (1.35 to 9.25), 2.91 (1.26 to 6.75), and 2.54 (1.14 to 5.64), respectively. The prediction model was constructed with area under the curve of 0.77 (95% CI, 0.70 to 0.84). Conclusion: The overall mortality rate among APE patients was 23.6%, with APE-related death accounting for 5.1%. APE mortality was associated with active malignancy, higher serum creatinine, lower BMI, and tachycardia.
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