• Title/Summary/Keyword: Delayed development

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Short-course Versus Long-course Preoperative Radiotherapy plus Delayed Surgery in the Treatment of Rectal Cancer: a Meta-analysis

  • Liu, Shi-Xin;Zhou, Zhi-Rui;Chen, Ling-Xiao;Yang, Yong-Jing;Hu, Zhi-De;Zhang, Tian-Song
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.14
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    • pp.5755-5762
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    • 2015
  • Background: Short-course preoperative radiation (SCRT) with delayed surgery was found to increase pathologic complete response (pCR) rates in several trials. However, there was no clear answer on whether SCRT or long-course chemo-radiotherapy (LCRT) is more effective. Therefore we conducted this meta-analysis to evaluate the safety and efficacy of SCRT versus LCRT, both with delayed surgery, for treatment of rectal cancer. Materials and Methods: The literature was searched from PubMed, EMBASE, Web of Science, Cochrane Library and clinicaltrials.gov up to November, 2014. Quality of the randomized controlled trials (RCTs) was evaluated according to the Cochrane's risk of bias tool of RCT. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used to rate the level of evidence. Review Manager 5.3 was employed for statistical analysis. Pooled risk ratios (RRs) and 95% confidence intervals (CIs) were calculated. Results: Three RCTs, with a total of 357 rectal cancer patients, were included in this systematic review. Metaanalysis results demonstrated there were no significantly differences in sphincter preservation rate, local recurrence rate, grade 3~4 acute toxicity, R0 resection rate and downstaging rate. Compared with SCRT, LCRT was associated with significant increase in the pCR rate [RR=0.49, 95%CI (0.31, 0.78), P=0.003]. Conclusions: In terms of sphincter preservation rate, local recurrence rate, grade 3~4 acute toxicity, R0 resection rate and downstaging rate, SCRT with delayed surgery is as effective as LCRT with delayed surgery for management of rectal cancer. LCRT significantly increased pCR rate compared with SCRT. Due to risk of bias and imprecision, further multi-center large sample RCTs were needed to confirm this conclusion.

Morphological Changes During Starvation in Early Developmental Stages of Spotted Sea Bass, Lateorabrax sp. I. Post-larval Stage (점농어 Lateorabrax sp. 초기 발육 단계에 있어서의 기아시 형태 변화-I. 후기 자어기)

  • Myoung, Jung-Goo;Park, Chul-Won;Kim, Min-Suk;Kim, Jong-Man;Kang, Chung-Bae;Kim, Yong-Uk
    • Korean Journal of Ichthyology
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    • v.9 no.1
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    • pp.15-21
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    • 1997
  • The influence of delayed(1, 2, 3, 4 days) feeding and starvation on morphological change and survival rate of the spotted sea bass larvae was examined at the KORDI laboratories which located at Poryong Power Plant, Poryong-gun, Chungchongnam-do in November, 1996. 1. The larvae of spotted sea bass began to feed on rotifers at 5 days after hatching. In case of non-feeding, all of the larvae died at 9 days after hatching. The larvae which fed 1 day after the normal first feeding schedule(1 day delayed) grew normally and 2 days delayed groups showed 5.3% in survival rate at 9 days after hatching. In case of non-feeding and 3 or 4 days delayed groups, all of the larvae died between 9 and 10 days after hatching. 2. In case of non-feeding, total length of the larvae decreased gradually. 3. The percente ratio of gut height and mytome height to standard length in starved larvae has declined most rapidly compare to other demensions during the non-feeding period. The percente ratio of gut height to mytome height had also difference between unfed and fed larvae. At 9 days after hatching, the ratio of that between fed and unfed larvae were 84.5 % and 52.4 %, respectively. 4. The morphology of starving larvae were characterized as sharpened jaw, projected edge of lower part of clavicle and bending trunk with slenger gut.

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Embryonic Development of Haploid Olive Flounder Paralichthys olivaceus (반수체 넙치(Paralichthys olivaceus)의 발생학적 특성 분석)

  • Jung, Hyo Sun;Kim, Youn Kyoung;Kim, Hyun Chul;Noh, Jae-Koo;Lee, Jeong-Ho;Kim, Dong Soo
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.48 no.5
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    • pp.696-703
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    • 2015
  • We investigated the characteristics of embryonic and abnormal organ development in haploid olive flounder, Paralichthys olivaceus, by comparing egg development and histological sections in haploid and diploid individuals. After the mid-blastula transition, abnormal development was observed in haploid fish, including delayed epiboly and malformation of the germ ring and embryonic body. In haploid flounder, Kupffer’s vesicles are irregularly shaped and of variable size compared to diploids. The embryonic body of haploids was shorter and broader than that of diploids and the tail length and size were variable. Most haploid embryos failed to hatch and the few larvae that did, did not survive for more than 6 h. The histological analysis of haploid larvae revealed deformed development in diverse organs, including the eye, otic vesicles, notochord, and neural tube. These results may be related to an abnormality in the axial system of haploid larvae. This study confirmed that the abnormalities of haploid olive flounder were similar to the reported characteristics of haploid syndrome. The abnormalities are caused by delayed epiboly and involution and deformity of Kupffer’s vesicle during egg development.

EFFECT OF LENGTH-SCALE IN DDES FOR BACKWARD-FACING STEP FLOW (후향계단 DDES 해석의 길이척도 영향 분석)

  • Lee, C.Y.;Sa, J.H.;Park, S.H.;Lee, E.S.;Lee, J.I.;Lee, K.S.
    • Journal of computational fluids engineering
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    • v.17 no.4
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    • pp.24-31
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    • 2012
  • Effects of the subgrid length-scale in the Delayed-Detached Eddy Simulation(DDES) are investigated based on the Spalart-Allmaras(S-A) and the k-$\omega$ Shear Stress Transport(SST) turbulence models. Driver & Seegmiller's experimental results are used to validate numerical results. Grid convergence with grid resolution and subgrid length-scale is investigated. The simulation results show that the volume method for the subgrid length-scale is more resistant to unfavorable effects of the grid size in the periodic direction than the maximum method. Using a sufficient grid resolution and an appropriate subgrid length-scale, both S-A based DDES and SST based DDES methods can provide a good correlation with the experimental data.

Limiting the Number of Open Projects to Shorten the NPD Schedule

  • Wang, Miao-Ling;Yang, Chun-I;Chang, Sheng-Hung
    • Industrial Engineering and Management Systems
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    • v.10 no.1
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    • pp.34-42
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    • 2011
  • Many companies open multiple projects simultaneously due to market trends, which results in a crowding out effect because of limited resources. R&D engineers become overloaded and scheduling of product development is delayed resulting in timing misses and lost sales leads. The company in this case study (Company A), often opens up many projects simultaneously in order to respond to market needs quickly. The engineers are overloaded and, of course, the schedule is delayed. In order to identify problems, Company A began using Dr. Goldratt's Thinking Processes (TP) during new product development (NPD). When the analysis phase of TP was completed, Company A's core problem was identified as "the quantity of kick-off projects." Consequently, new rules and conditions and procedures were proposed for the opening, suspending, stopping, and closing of projects. Finally, the "Future Reality Tree" ensured that the proposed rules, conditions and procedures were set up as an available solution approved for practical application by executives. After a one-year trial run, the results showed that the Project Duration Rate was reduced by 53%, the Project Closed Rate was increased by 140% and the Project on Time Rate was increased from 10% to 68%. The above results give significant evidence of the benefits of the proposed methodology.

Factors Associated with Delayed Neuropsychological Sequelae in Acute Carbon Monoxide Poisoning Patients Treated by Hyperbaric Oxygen (고압산소치료를 받은 급성 일산화탄소 중독 환자들에서 발생한 지연성 신경정신과학적 후유증 발생과 관계된 인자)

  • Lee, Dong-Ha;Choi, Woo-Ik
    • Journal of The Korean Society of Clinical Toxicology
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    • v.9 no.2
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    • pp.88-94
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    • 2011
  • Purpose: Delayed neuropsychological sequelae (DNS) commonly occurs after recovery from acute carbon monoxide poisoning. The aim of this article is to identify the factors associated with DNS development. Methods: We retrospectively evaluated patients, admitted to the medical center emergency department from June 2005 to March 2011, who were suffering from acute carbon monoxide (CO) poisoning. We categorized the patients into two groups - those with DNS, and those without DNS. Multiple regression analysis was performed to identify the factors related to manifestation of DNS. Results: Of the total one hundred fifty seven patients (157) recruited for the study, twenty two (22) developed DNS. Longer CO exposure times and lower GCS scores were positively associated with development of DNS symptoms. Conclusion: Our study identified two potential factors which are predictive of DNS development in CO intoxication, however, more studies are needed. Adequate follow-up after hospital discharge to monitor for and accurately identify manifestation of DNS, is also important.

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Impairments of Learning and Memory Following Intracerebroventricular Administration of AF64A in Rats

  • Lim, Dong-Koo;Oh, Youm-Hee;Kim, Han-Soo
    • Archives of Pharmacal Research
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    • v.24 no.3
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    • pp.234-239
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    • 2001
  • Three types of learning and memory tests (Morris water maze, active and passive avoidance) were performed in rats following intracerebroventricular infusion of ethylcholine aziridium (AF64A). In Morris water maze, AF64A-treated rats showed the delayed latencies to find the platform iron 6th day after the infusion. In pretrained rats, AF64A caused the significant delay of latency at 7th days but not 8th day. In the active avoidance for the pretrained rats, the escape latency was significantly delayed in AF64A-treatment. The percentages of avoidance in AF64A-treated rats were less increased than those in the control. Especially, the percentage of no response in the AF64A-treated rats was markedly increased in the first half trials. In the passive avoidance, AF64A-treated rats shortened the latency 1.5 h after the electronic shock, but not 24 h. AF64A also caused the pretrained rats to shorten the latency 7th day after the infusion, but not 8th day. These results indicate that AF64A might impair the learning and memory. However, these results indicate that the disturbed memory by AF64A might rapidly recover after the first retrain. Furthermore, these results suggest that AF64A may be a useful agent for the animal model of learning for Spatial cognition .

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A Study on the Improvement of Delay Compensation System in Defense Industry R&D (방위산업 R&D 지체상금 제도 개선방안 연구)

  • Kim, Sun-Young
    • Industry Promotion Research
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    • v.5 no.3
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    • pp.37-44
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    • 2020
  • Currently, the delayed compensation system, which does not reflect the R&D characteristics of the defense industry, is being applied, causing problems such as worsening management of defense companies and delayed power generation. The purpose of this study is to contribute to the development of the defense industry and the efficient promotion of combat capability by studying the improvement plan of the delayed compensation system reflecting the R&D characteristics of the defense industry. The research analyzed the defense industry R&D characteristics, national R&D, delayed compensation rate, reduction and exemption procedures and existing studies. Further, the Delphi technique was applied based on the status of the delayed compensation and the analysis of the cause of delay. It has been studied that it is not appropriate to apply the 'manufacturing and purchasing' standard of commercial products to defense industry R&D where the latest technology is applied and the success is unclear. Four measures were drawn to prevent delays, including the selection of excellent technology companies, and three measures to reduce delay compensation and apply differentials for rational treatment in case of delays. Just as the defense industry R&D is carried out under the Defense Acquisition Program Act due to the nature of the R&D industry, the defense industry will develop if the delayed compensation system is improved to reflect the R&D characteristics of the defense industry, and it will contribute to the acquisition of an efficient and economic weapons system.

Effect of Harvest Time on Yield Components and Quality in 'Heuksaeng', the Purple-Skin Peanut Variety

  • Oh, Eunyoung;Pae, Suk-Bok;Park, Jae Eun;Kim, Jung-In;Kim, Sungup;Lee, Myoung-Hee;Ha, Tae Joung
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.65 no.3
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    • pp.248-254
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    • 2020
  • This study was conducted to investigate the impact of harvest time on yield and seed quality in purple seed coat peanut. Compared to the average Virginia peanut variety, 'Heuksaeng', purple peanut variety has been reported to experience yield loss and reduced seed quality under delayed harvest. We examined the yield components and seed quality at different harvest times from 70 to 110 days after flowering (DAF), with harvesting occurring at intervals of 10 days. The number of mature pods per plant reached a maximum of 51.0 at 80 DAF, and average pod and seed yield peaked at 80 DAF with values of 5,229 and 3,532 kg per ha, respectively. Seed quality drastically decreased after 100 DAF, and the concentrations of two major anthocyanin compounds were significantly lower under delayed harvest. The antioxidative activities of DPPH and ABTS decreased to only 69 and 83% of their maximum values at 110 DAF. On the basis of these results, we recommend that 'Heuksaeng' is harvested approximately 10 to 15 days earlier that average Virginia-type cultivars to obtain the highest yield while minimizing the deterioration of seed quality.

Tracheobronchial Polyps Following Thermal Inhalation Injury

  • Shin, Beomsu;Kim, Mikyeong;Yoo, Hongseok;Kim, Se Jin;Lee, Ji Eun;Jeon, Kyeongman
    • Tuberculosis and Respiratory Diseases
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    • v.76 no.5
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    • pp.237-239
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    • 2014
  • The early pulmonary consequences of inhalation injury are well documented; however, little is known about delayed pulmonary complications following thermal inhalation injury. Although thermal injury below the vocal cords is rare because of effective heat dissipation in the upper airway, inflammatory endobronchial polyps have previously been reported as a delayed complication associated with inhalation injury. We report an extraordinary case of tracheobronchial polyps in patients with smoke inhalation injury. This report shows the delayed development and natural course of tracheobronchial polyps following thermal injury.