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Incidence of Cisplatin-Induced Nephrotoxicity and Associated Factors among Cancer Patients in Indonesia

  • Prasaja, Yenny;Sutandyo, Noorwati;Andrajati, Retnosari
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.3
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    • pp.1117-1122
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    • 2015
  • Background: Cisplatin is still used as a first-line medication for solid tumors. Nephrotoxicity is a serious side effect that can decrease renal function and restrict applicable doses. This research aimed to obtain the profile of cisplatin-induced nephrotoxicity and its associated factors in adult cancer patients at Dharmais National Cancer Hospital (DNCH). Materials and Methods: The design was cross-sectional with data obtained from patient medical records. We retrospectively reviewed adult cancer patients treated with cisplatin ${\geq}60mg/m^2$ for at least four consecutive chemotherapy cycles from August 2011 to November 2013. The nephrotoxicity criterion was renal function decline characterized by creatinine clearance <60 ml/min using the Cockroft-Gault (CG) equation. Results: Eighty-eight subjects received at least four chemotherapy cycles of cisplatin. The prevalence of cisplatin nephrotoxicity was 34.1%. Symptoms could be observed after the first cycle of chemotherapy, and the degree of renal impairment was higher with increased numbers of cycles (r=-0.946, $r^2=89.5%$). Factors that affected the decline of renal function were patient age (p=0.008, OR=3.433, 95%CI= 1.363-8.645) and hypertension (p=0.026, OR=2.931, 95%CI=1.120-7.670). Conclusions: Cisplatin nephrotoxicity occurred in more than one-third of patients after the fourth cycle of chemotherapy and worsened after each cycle despite preventive strategies such as hydration. The decline of renal function induced by cisplatin ${\geq}60mg/m^2$ was affected by age and hypertension.

Correlations of Tumor-associated Macrophage Subtypes with Liver Metastases of Colorectal Cancer

  • Cui, Yun-Long;Li, Hui-Kai;Zhou, Hong-Yuan;Zhang, Ti;Li, Qiang
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.1003-1007
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    • 2013
  • Objective: This work aimed to investigate the correlations of tumor-associated macrophages (TAMs) and their subtypes M1 and M2 with liver metastasis of colorectal cancer, and provide useful references for seeking predictors of liver metastasis and studying mechanisms. Methods: 120 patients with colorectal cancer from 2000 to 2009 were divided into low, middle and high liver metastasis groups (group A, B and C, respectively). S-P immunohistochemical staining and microscopic observation were conducted to compare expression in CD68-positive cells (TAMs), CD80-positive cells (M1) and CD163-positive cells (M2) in three groups. Correlations of TAMs, M1, M2, and M2/M1 ratio with clinical and pathological parameters were analyzed. Results: With increase of liver metastatic ability, the number of TAMs decreased gradually, with no significant difference between any two of the three groups (P > 0.05), while the numbers of M1 and M2 were significantly decreased and increased, respectively, with significant difference between any two of three groups (P < 0.05 or P < 0.01). In addition, the M2/M1 ratio increased with increase of liver metastatic ability (P < 0.01). There was no statistical significance of correlation of TAMs with each clinical and pathological parameter. M1 was negatively related with lymphatic metastasis and liver metastatic ability. M2 was positively correlated with preoperative CEA level, lymphatic metastasis, tumor differentiation degree and liver metastatic ability. The same was the case for the M2/M1 ratio. Conclusions: Effects of TAMs on liver metastasis of colorectal cancer do not depend on the total number of TAMs, but on the number and proportion of functional subtypes M1 and M2. M2 number and M2/M1 ratio are more accurate predictors for liver metastasis of colorectal cancer.

Fuzzy Uncertainty Analysis of the Bird Strike Simulation (퍼지이론을 적용한 불확실성이 존재하는 조류충돌 해석)

  • Lee, Bok-Won;Park, Mi-Young;Kim, Chun-Gon
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.35 no.11
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    • pp.983-989
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    • 2007
  • The bird strike simulation is a problem characterized by a high degree of uncertainty. It deals with nonlinear dynamics, complicated models of bird materials and geometry, as well as a plenty of possible boundary and initial conditions. In this complex field, uncertainty management plays an important role. This paper aims to assess the effect of input uncertainty of bird strike analysis on the impact behavior of the leading edge of the WIG(Wing in Ground Effect) craft obtained with finite element analysis using LS-DYNA 3D. The uncertainties of the bird strike simulation arise due to imprecision or lack of information, due to variability or scatter, or as a consequence of model simplification. These uncertain parameters are represented by fuzzy numbers with their membership functions quantifying an initial guess for the actual value of the model parameter. Using the transformation method as a special implementation of fuzzy arithmetic, the model can be analyzed with the intention of determining the influence of each uncertain parameter on the overall bird strike behavior.

A study on the Development of Antimicrobial Finished and Water Repellent Nonwoven Fabrics using Organic Silicon Quaternary Ammonium Salt (항균성 및 발수성 부직포 소재의 개발에 관한 연구 - 유기실리콘 제 4 차 암모늄염의 이용 -)

  • Cho Gil Soo;Cho Jeong Sook;Sohn Mi Young
    • Journal of the Korean Society of Clothing and Textiles
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    • v.14 no.3 s.35
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    • pp.216-221
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    • 1990
  • This study was performed for the development of antimicrobial finished nonwoven fabrics with water repellency. And it was aimed to examine the changes of moisture related properties and air permeability of the finished fabrics. Viscose rayon nonwoven fabrics were treated with organic silicon quaternary ammonium salt having carbon numbers of 16, which was synthesized for this study Antimicrobial activity was evaluated by shake flask method and the reactivity of antimicrobial agent was measured by degree of luminescence from inductively coupled plasma. Water repellency of treated specimen was evaluated by dynamic water absorption measurement and air permeability was measured by Frazier method. The results obtained from this study were as follows: 1. Excellent antimicrobial activity was obtained for the high concentration of treatment and the durability of finishing after laundering was better as the treatment concentration was higher 2. Silicon contents taken up by specimen increased with increased treatment concentration. 3. Dynamic water absortion of treated specimen decreased compared to that of untreated. And, it was lowered as the treatment of concentration increased and as the silicon content increased. 4. Moistuie regain and uptake with lapse of time of treated specimen increased compared to those of untreated. But, air permeability of treated specimen decreased.

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Forensic Characterization of Four New Bovine Tri-nucleotide Microsatellite Markers in Korean Cattle (Hanwoo)

  • Sim, Yong Teak;Na, Jong Gil;Lee, Chul-Sang
    • Journal of Animal Science and Technology
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    • v.55 no.2
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    • pp.87-93
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    • 2013
  • We identified four new bovine tri-nucleotide microsatellite loci and analyzed their sequence structures and genetic parameters in 105 randomly selected Korean cattle (Hanwoo). Allele numbers of the loci B17S0808, B15S6253, B8S7996, and B17S4998 were 10, 11, 12, and 29, respectively. These alleles contained a simple or compound repeat sequences with some variations. Allele distributions of all these loci were in Hardy-Weinberg equilibrium (P > 0.05). Observed heterozygosity and expected heterozygosity ranged from 0.54 (B15S6253) to 0.92 (B17S4998) and from 0.599 (B15S6253) to 0.968 (B17S4998), respectively, and two measures of heterozygosity at each locus were highly correlated. Polymorphism information content (PIC) for these 4 loci ranged from 0.551 (B15S6253) to 0.932 (B17S4998), which means that all these loci are highly informative (PIC > 0.5). Other genetic parameters, power of discrimination (PD) and probability of exclusion (PE) ranged from 0.783 (B15S6253) to 0.984 (B17S4998) and from 0.210 (B15S6253) to 0.782 (B17S4998), respectively. Their combined PD and PE values were 0.9999968 and 0.98005176, respectively. Capillary electrophoresis revealed that average peak height ratio for a stutter was 13.89% at B17S0808, 26.67% at B15S6253, 9.09% at B8S7996, and 43.75% at B17S4998. Although the degree of genetic variability of the locus B15S6253 was relatively low among these four microsatellite markers, their favorable parameters and low peak height ratios for stutters indicate that these four new tri-nucleotide microsatellite loci could be useful multiplex PCR markers for the forensic and population genetic studies in cattle including Korean native breed.

Neural Injuries in Ankle Sprain (족근관절 염좌시 동반된 신경 손상)

  • Chu, In-Tak;Park, Hyun-Woo;Kim, Chan-Kyu
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.247-249
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    • 2006
  • Purpose: The neural injuries by the sprain around the ankle joint may contribute the chronic pain. Authors analyzed the incidence and the contributing factor of the neural injuries in ankle sprain. Materials and Methods: 52 patients (54 cases) were involved in this retrospective study. Patient with diabetes or spinal disease were excluded. Plain radiograph and MR image were evaluated. Treatments were consisted of cast immobilization for 4 weeks with weight bearing ambulation following bracing for 8 weeks. Neurologic evaluation were performed at 3 months, 6 months, 12 months post-injury period and each neural injury were confirmed by electromyography or lidocaine block test. Results: The average age was 39 years old and 34 cases were male and 20 cases were female. Rupture of the anterior talofibular ligament was observed in 48 cases, distal anterior tibiofibular ligament in 37 cases, calcaneofibular ligament in 6 cases. One cases revealed no injury of the ligament. Neural injuries around ankle was observed in 13 cases ; superficial peroneal nerve in 9 cases, sural nerve in 5 cases, saphanous nerve in 1 case. Neural injury was not influenced by the degree of ligament injuries but by the incidence numbers of ankle sprain. All cases were treated conservatively and symptom was subsided in all but 2 cases. Conclusion : Although the incidence is relatively low, the neural injuries in ankle sprain may occur in the recurrent ankle sprain and conservative treatment for neural injuries is satisfactory.

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Management Methods and Vegetation Characteristics of Rhododendron mucronulatum Habitat in Mt. Biseul (비슬산 진달래나무군락지의 식생특성과 관리방안)

  • Park, In-Hwan;Cho, Kwang-Jin
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.15 no.3
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    • pp.55-66
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    • 2012
  • This study was carried out to investigate vegetation of Rhododendron mucronulatum habitat in Mt. Biseul to recommend basic information for synecological characteristics and management methods. The survey was carried out from May to July, 2011 and totally 46 vegetation data including 42 families 93 genera 108 species 16 varieties and 5 forma were collected and analyzed. Among the investigated 129 taxa, the numbers of rare plant resources were summarized as 19 taxa; The rare plants designated by Korea Forest Service, the specific plants by floristic region and the endemic plants were listed as 3 taxa, 15 taxa and 4 taxa, respectively. Rhododendron mucronulatum habitat of Mt. Biseul was classified into 3 plant communities (Carex lanceolata-Rhododendron mucronulatum community, Potentilla dickinsii-Selaginella rossii community, Carex lanceolata-Quercus mongolica community). Carex lanceolata-Rhododendron mucronulatum community was subdivided into Tripterygium regelii subunit and Miscanthus sinensis for. purpurascens subunit by human interference degree. And synecology, syndynamics, synchorology of these plant communities were identified, and Site-species ordination analysis by Principal Coordinate Analysis (PCoA) reflected that human impact, soil moisture condition were main ecological factors determining the distribution pattern of classified plant communities. Therefore these plant communities correspond to quite distinctive 4 habitat types : unstable-dry type=Miscanthus sinensis for. purpurascens subunit, unstable-moderate type=Tripterygium regelii subunit, stable-dry type=Potentilla dickinsii-Selaginella rossii community, stable-moderate type=Carex lanceolata-Quercus mongolica community. Finally, through the vegetational diagnosis, proper management methods such as a limit on the access of visitors, planting of native woody plants after removing unwanted vines or grass were suggested.

The Effect of Smartphone Holding Techniques on Kinematic Variables and Muscle Activities in the Thumb during Tapping Numbers (휴대전화 파지방법이 엄지손가락의 운동학적 변인과 근활성도에 미치는 영향)

  • Kim, Dong-Soo;Chae, Woen-Sik;Jung, Jae-Hu;Lee, Haeng-Seob
    • Korean Journal of Applied Biomechanics
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    • v.24 no.3
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    • pp.301-308
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    • 2014
  • The purpose of this study was to determine whether there are significant differences in kinematic variables and muscle activities of the thumb between two smartphone holding techniques. Twelve right handed university students(age $25.4{\pm}3.9yrs$, height $176.2{\pm}5.1cm$, weight $75.8{\pm}11.4kg$, hand length $19.2{\pm}1.1cm$) who have no musculoskeletal disorder were recruited as the subjects and had experience in using a smartphone for more than one year. Maximum joint angle, angular velocity, muscular activities were determined for each trial. For each dependent variable, paired t-test was used to determine whether there were significant differences between one hand (OH) and two hands ([TH], ${\rho}$ <.05). The results of this study showed that there were no significant differences between OH and TH in the maximum joint angle of the thumb. The angular velocity of each joint was not statistically significant between OH and TH. The statistical analysis revealed that the main effect of the smartphone holding conditions was significant in the peak normalized muscular activities of FDI and APL. Although smartphone holding technique doesn't affect on mobility and movement of the thumb joint, it may affect on active degree of the thumb and the upper extremity in directly and indirectly.

Development of a High School Level Physics Curriculum for the Gifted in Science (델파이 조사 방법을 이용한 물리 영재교육과정 구성)

  • Kim, Young-Min;Lee, Sung-Yi;Jeong, Seong-Oh
    • Journal of Gifted/Talented Education
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    • v.12 no.4
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    • pp.46-71
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    • 2002
  • The purpose of this study was to develope a high school level physics curriculum for the gifted in science. The research method for this study was Delphi Survey, which is appropriate for social agreement of experts in a certain area. For the Delphi survey, 11 experts of gifted education in physics field, who consist of 4 physics professors, 3 physics education professors, and 2 science high school teachers, and 2 experts in other institutes, were sampled intendedly. In first survey, free description questions about objectives, contents, teaching methods, and achievement test methods were asked, and their answers were analyzed by frequency. And then, frequent answers were adopted and elaborated. In second survey, they were asked to write numbers according to priority(degree of agreement) for the adopted and elaborated answers in each area. Finally, by analyzing the results of second survey, the physics curriculum for the gifted was developed.

A Study on the Construction method to improve the fuzzy controllers using language variable and coefficient selecting method (언어변수 및 계수선택방법을 이용한 퍼지제어기 설계에 관한 연구)

  • 박승용;변기녕;황종학;김흥수
    • Proceedings of the Korea Society for Industrial Systems Conference
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    • 2000.11a
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    • pp.357-365
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    • 2000
  • In this paper, we proposed a new circuit construction method that reduced the number of CMOS devices of singleton fuzzy controller(SFC) through the proposing a new membership function circuit(MFC) which uses the language variable selecting and the coefficient selecting circuit. According to the range of input values, we can choose the language variables beforehand which will be used in the inference. So we proposed the new MFC which generates the only necessary language variables. Also, we removed all rules of which adapting degree of their antecedents is zero through proposing the coefficient selecting circuit which beforehand selects the coefficients which will influence the inference result. Though this method, we simplified the structure of SFC and reduced the size of hardware. And to solve the problem in the current mode with respect to the restriction of the fan-out number, voltage-input and current-out membership function circuits are constituted of operational transconductance amplifiers. A membership function circuit which includes the language variable selecting circuit, a minimum operation circuit we implemented by current mode CMOS devices. As a result of applying proposed method, total numbers of blocks and devices wave decreased. If the number of variables and antecedents are getting larger, this method is more efficient.

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