• Title/Summary/Keyword: DR

Search Result 2,847, Processing Time 0.032 seconds

Adult Non Hodgkin's Lymphoma Patients: Experience from a Tertiary Care Cancer Centre in North East India

  • Hazarika, Munlima;Iqbal, Asif;Krishnatreya, Manigreeva;Sharma, Jagannath Dev;Bhuyan, Chidananda;Saikia, Bhargab Jyoti;Roy, Partha Sarathi;Das, Rashmi;Nandy, Pintu;Kataki, Amal Chandra
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.16 no.7
    • /
    • pp.2879-2881
    • /
    • 2015
  • There is paucity of data on non Hodgkin's lymphoma (NHL) from our population in North-East India. In this retrospective study, patients were consecutively followed-up to see the clinic-pathological pattern of NHL, various responses, and pattern of relapses to first line treatment with chemotherapy. All patients in the present study received standard regimen of cyclophosphamde, doxorubicin, vincristine, prednisolone (CHOP) with or without rituximab (R-CHOP) as per our institutional protocol as first line therapy. Our study has shown that, in our adult population, the majority of NHL cases present with stage II and stage III disease and extra nodal involvement, B-cell lymphomas and diffuse large cell lymphomas being the most common subtypes. International prognostic index was a significant factor for varied responses to treatment. The majority of relapses after complete remission occurred in the first year.

Hybrid Capture 2 Assay Based Evaluation of High-Risk HPV Status in Healthy Women of North-East India

  • Rai, Avdhesh Kumar;Das, Debabrata;Kataki, Amal Chandra;Barmon, Debabrata;Aggarwal, Dippy;Deka, Pankaj;Shrivastava, Sushruta;Sharma, Jagannath Dev;Sarma, Anupam;Baruah, Upasana;Sharma, Mousumi
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.2
    • /
    • pp.861-865
    • /
    • 2014
  • Background: High risk HPV (HR-HPV) testing has been recommended as an effective tool along with cytology screening in identification of cervical intraepithelial lesions (CINs) and prevention of their progress towards invasive cervical cancer. The aim of this study was to assess the HR-HPV DNA status by Hybrid Capture 2 (HC2) assay in healthy asymptomatic women of North-East India. Materials and Methods: This study examined cervical cell samples of forty three (n=43) healthy women by HC2 assay. A High Risk HPV DNA kit (Qiagen) was used which can detect 13 high risk HPV types: 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 and 68. Results: The mean relative light units (RLU) for samples was in the range of 141-5, 94, 619. HR-HPV DNA was confirmed in 16% (7/43) of participant women samples. Among demographic and clinical parameters, menstrual irregularity (p=0.039) and infection history (p=0.028) has shown statistically significant differences between the HR-HPV-positive and negative groups. In the HR-HPV positive group, two women were confirmed for CINs after colposcopy and histopathologic examination. Conclusions: We suggest that there may be an association between irregular menstruation and infection history of the urogenital tract with HR-HPV DNA prevalence in North-East Indian asymptomatic women. HC2 assay can be a valuable tool for HR-HPV screening.

Validity of the Self-report Assessment Forecasting Elderly Driving Risk (SAFE-DR) Applicable to Community Health Convergence (지역사회 보건 융합에 활용 가능한 노인 운전자용 자가-보고식평가(SAFE-DR)의 타당도 연구)

  • Choi, Seong-Youl
    • Journal of Convergence for Information Technology
    • /
    • v.9 no.6
    • /
    • pp.175-182
    • /
    • 2019
  • This study was conducted to test the assessment validity and examine the cut-off scores for driving risk as a part of the Self-report Assessment Forecasting Elderly Driving Risk (SAFE-DR) development project. The 132 senior drivers were categorized as either risky of 58 or safe of 74 drivers through the Drivers 65 Plus. Based on this initial assessment, we analyzed the risk prediction cut-offs. Furthermore, we tested the construct, content, and predictive validity. The cut-off score for the prediction of driving risk was found to be 74.5 points. The positive predictive value was 88.6%, and the negative predictive value was 86.3% about the cut-off score, signifying an excellent level of discrimination. Convergent validity, nomological validity, and content validity were found to be appropriate. Therefore, this study confirms that SAFE-DR is an appropriate assessment that can be used to screen dangerous elderly drivers.

Association of advanced chronic kidney disease with diabetic retinopathy severity in older patients with diabetes: a retrospective cross-sectional study

  • Geun Woo Lee;Chul Ho Lee;Seong Gyu Kim
    • Journal of Yeungnam Medical Science
    • /
    • v.40 no.2
    • /
    • pp.146-155
    • /
    • 2023
  • Background: Despite the recent increasing trend in the prevalence of type 2 diabetes among older individuals, the relationship between diabetic retinopathy (DR) and chronic kidney disease (CKD) in these patients remains unclear. This study investigated the severity of renal dysfunction according to the degree of DR in older patients with type 2 diabetes. Methods: A total of 116 patients with diabetes and CKD stage ≥3 who visited both the nephrology and ophthalmology outpatient departments between July 2021 and January 2022 were screened. There were 53 patients in the no DR group, 20 in the nonproliferative DR (NPDR) group, and 43 in the proliferative DR (PDR) group. Results: DR severity was related to the deterioration of renal function. The proportion of patients with advanced CKD significantly increased with DR severity (p for trend <0.001). In the multivariate regression model adjusted for age of ≥80 years, male sex, poorly controlled diabetes, macroalbuminuria, insulin use, diabetes duration of ≥10 years, cerebrovascular accident, hypertension, hyperlipidemia, and cardiovascular disease history, the odds ratio compared with the no DR group was approximately 4.6 for the NPDR group and approximately 11.8 for the PDR group, which were both statistically significant (p=0.025 and p<0.001, respectively). Conclusion: DR severity in older patients with diabetes may be associated with deterioration of renal function and high prevalence of advanced CKD. Therefore, periodic examination for DR in older patients with diabetes is important for predicting renal function deterioration and CKD progression.

Meaning of the DR-$70^{TM}$ Immunoassay for Patients with the Malignant Tumor (악성 종양 환자에 대한 DR-$70^{TM}$ 면역 분석법의 의의: Validation Study)

  • Lee, Ki-Ho;Cho, Dong-Hee;Kim, Sang-Man;Lee, Duck-Joo;Kim, Kwang-Min
    • IMMUNE NETWORK
    • /
    • v.6 no.1
    • /
    • pp.43-51
    • /
    • 2006
  • Background: The DR-$70^{TM}$ immunoassay is a newly developed cancer diagnostic test which quantifies the serum fibrin degradation products (FDP), produced during fibrinolysis, by antibody reaction. The purpose of this study was to evaluate the potential of DR-$70^{TM}$ Immunoassay in screening malignant tumor. Methods: Sample subjects were 4,169 adults, both male and female, who visited the health promotion center of a general hospital from March 2004 to April 2005 and underwent the DR-$70^{TM}$ immunoassay test and other tests for cancer diagnosis. The patient group was defined as 42 adults out of the sample subjects who were newly diagnosed with cancer during the same time period when the DR-$70^{TM}$ immunoassay test was performed. Final confirmation of a malignant tumor was made by pathological analysis. Results: The mean DR-$70^{TM}$ level was $0.83{\pm}0.65{\mu}g/ml$ (range: 0.00 (0.0001)${\sim}7.42{\mu}g/ml)$ in the control group (n=4,127) as opposed to $2.70{\pm}2.33{\mu}g/ml$ (range: $0.12{\sim}9.30{\mu}g/ml)$ in the cancer group (n=42), and statistical significance was established (p<0.0001, Student t-test). When categorized by the type of malignant tumor, all cancer patients with the exception of the subgroups of colon and rectal cancer showed significantly higher mean DR-$70^{TM}$ levels compared with the control group (p<0.0001, Kruscal-Wallis test). The receiver operating characteristic (ROC) curve analysis revealed ${\geq}1.091{\mu}g/ml$ as the best cut-off value. Using this cut-off value, the DR-$70^{TM}$ immunoassay produced a sensitivity of 71.4%, a specificity of 70.1%, a positive predictability of 69.4%, and a negative predictability of 69.2% (1). Conclusion: A significant increase in the mean DR-$70^{TM}$ value was observed in the cancer group (thyroidal, gastric, breast, hepatic and ovarian) com pared with the control group. In particular, the specificity and sensitivity of the DR-$70^{TM}$ immunoassay was relatively high in the subgroups of breast, gastric, and thyroidal cancer patients. There is need for further studies on a large number of malignant tumor patients to see how the DR-$70^{TM}$ level might be changed according to the differentiation grade and postoperative prognosis of the malignant tumor.

A comparative study for resolution and density of chest imaging using film/screen, CR and DR (X-ray 흉부영상 FIlm/Screen, CR, DR Resolution과 Density 비교평가)

  • An, Byeong-Ju
    • Journal of the Korean Society of Radiology
    • /
    • v.4 no.1
    • /
    • pp.25-30
    • /
    • 2010
  • The objective of this study was to compare the resolution and density appropriate to diagnosis in chest PA radiography. In comparing the resolution, we radiographed with conventional radiography, computed radiography(CR) and digital radiography(DR) using the linear resolution phantom(Nuclear Associates-Carle Place. N.Y.). 2 radiologists and 3 radiological technologists read the resolution value by the blind test. DR, conventional radiography and CR measured 3.95, 3.58, 3.48 resolution value respectively. In analysing the density, we chose the fifty normal chest CR and DR and conventional film. We estimated the density using by densitometer(X-rite company-Model 301) in seven regions(lung field, lung field margine, mediastinum I, mediastinum II, heart shadow I, heart shadow II, diaphragm) of chest film. We adapted to analysis the Japanese chest X-ray evaluating method and table. It was scored 0(farthest density value) to 2(nearest density value). DR scored 2 at mediastinum I, mediastinum II, heart shadow I, heart shadow II and diaphragm. On the contrary with, CR scored 2 at lung field and lung field margine. Consequently, DR superior than CR and conventional radiography film compairing density and resolution. It was due to small pixel size and post processing algorithm with digital radiography.

Interconnections between the Rat Dorsal Raphe and the Locus Coeruleus Nuclei Demonstrated by Anterograde Tracing with Phaseolus Vulgaris Leucoagglutinin

  • Lee, Hyun S.
    • Animal cells and systems
    • /
    • v.8 no.3
    • /
    • pp.221-229
    • /
    • 2004
  • The projections from the dorsal raphe (DR) to the locus coeruleus (LC) or vice versa were analyzed in the rat using an anterograde tracer, Phaseolus vulgaris leucoagglutinin (PHA-L) combined with serotonin (5-hydroxytryptamine, 5-HT) or dopamine-beta-hydroxylase (DBH) immunostaining. Following the injection of PHA-L into the middle DR, DR-originating fibers with varicosities have contacted DBH-immunolabeled cells in the rostral, middle, and caudal LC. Axon terminals were also observed in the subcoeruleus nucleus. When the PHA-L injection was confined within the caudal DR, axonal fibers with varicosities were observed mainly at the rostral pole of the LC. Following the injection of PHA-L into the caudal, principal LC, labeled fibers with varicosities have contacted 5-HT-immunolabeled neurons at dorsomedial, ventromedial, lateral wing, and caudal sub-divisions of the DR. The present anterograde study suggests that the DR or the LC nuclei communicate with each other in order to perform a variety of functions including vigilance, analgesia, and stress responses.

An Optimal Current Distribution Method of Dual-Rotor BLDC Machines

  • Kim, Sung-Jung;Park, Je-Wook;Im, Won-Sang;Jung, Hyun-Woo;Kim, Jang-Mok
    • Journal of Power Electronics
    • /
    • v.13 no.2
    • /
    • pp.250-255
    • /
    • 2013
  • This paper proposes an optimal current distribution method of dual-rotor brushless DC machines (DR-BLDCMs) which have inner and outer surface-mounted permanent-magnet rotors. The DR-BLDCM has high power density and high torque density compare to the conventional single rotor BLDCM. To drive the DR-BLDCM, dual 3-phase PWM inverters are required to excite the currents of a dual stator of the DR-BLDCM and an optimal current distribution algorithm is also needed to enhance the system efficiency. In this paper, the copper loss and the switching loss of a DR-BLDCM drive system are analyzed according to the motor parameters and the switching frequency. Moreover, the optimal current distribution method is proposed to minimize the total electrical loss. The validity of the proposed method was verified through several experiments.

L-Proline as an Efficient Catalyst for the Synthesis of 2,4,5-Triaryl-1H-Imidazoles

  • Shitole, Nana V.;Shelke, Kiran F.;Sonar, Swapnil S.;Sadaphal, Sandip A.;Shingate, Bapurao B.;Shingare, Murlidhar S.
    • Bulletin of the Korean Chemical Society
    • /
    • v.30 no.9
    • /
    • pp.1963-1966
    • /
    • 2009
  • L-Proline has been found to be an efficient organocatalyst for one-pot synthesis of 2,4,5-triaryl substituted imidazole by the reaction of an aldehyde, a benzil and an ammonium acetate. The short reaction time and excellent yields making this protocol practical and economically attractive.

Improved method of positioning accuracy using GPS/DR integration DLM filter (GPS/DR 통합 DLM 필터를 이용한 위치 정확도 향상 방안)

  • Jun, Byung-Cheol;Kim, Young-Ho
    • Proceedings of the Korea Information Processing Society Conference
    • /
    • 2001.10b
    • /
    • pp.1179-1182
    • /
    • 2001
  • 본 논문에서는 차량합법시스템에서 위치정확도 향상을 위한 방법으로 GPS/DR 통합시스템을 사용하여 DLM(Dynamic Linear Model) 알고리즘을 적용한 개선된 통합필터를 제안하였다. GPS/DR 통합 시스템의 성능을 개선하기 위해서는 DR 센서의 오류요소를 정확히 모델링 하여야 한다. GPS 로부터 위치를 계산하기 위해서는 적어도 3개 이상의 가시위성이 필요하다. 그러나 도심지에서는 고층빌딩이나 가로수 등에 의한 장애물로 인해서 3개 이상의 가시위성을 확보하기가 힘든 경우가 많다. 본 논문에서는 가시위성의 확보가 힘든 고층 빌딩이나 가로수길 등에서도 우수한 성능을 보이는 GPS 의사거리 및 의사거리율 정보를 이용하는 CPS/DR 통합 DLM 필터를 이용하여 성능을 개선시키는 방법을 제시한다.

  • PDF