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Lack of Prognostic Significance of C-erbB-2 Expression in Low- and High- grade Astrocytomas

  • Muallaoglu, Sadik;Besen, Ali Ayberk;Ata, Alper;Mertsoylu, Huseyin;Arican, Ali;Kayaselcuk, Fazilet;Ozyilkan, Ozgur
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.3
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    • pp.1333-1337
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    • 2014
  • Background: Astrocytic tumors, the most common primary glial tumors of the central nervous system, are classified from low to high grade according to the degree of anaplasia and presence of necrosis. Despite advances in therapeutic management of high grade astrocytic tumors, prognosis remains poor. In the present study, the frequency and prognostic significance of c-erb-B2 in astrocytic tumors was investigated. Materials and Methods: Records of 72 patients with low- and high-grade astrocytic tumors were evaluated. The expression of C-erbB-2 was determined immunohistochemically and intensity was recorded as 0 to 3+. Tumors with weak staining (1+) or no staining (0) were considered Her-2 negative, while tumors with moderate (2+) and strong (3+) staining were considered Her-2 positive. Results: Of the 72 patients, 41 (56.9%) had glioblastoma (GBM), 10 (13.9%) had diffuse astrocytoma, 15 (20.8%) had anaplastic astrocytoma, 6 (8.3%) had pilocytic astrocytoma. C-erbB-2 overexpression was detected in the tumor specimens of 17 patients (23.6%). Six (8.3%) tumors, all GBMs, exhibited strong staining, 2 (2.7%) specimens, both GBMs, exhibited moderate staining, and 9 specimens, 5 of them GBMs (12.5%), exhibited weak staining. No staining was observed in diffuse astrocytoma and pilocytic astrocytoma specimens. Median overall survival of patients with C-erbB-2 negative and C-erbB-2 positive tumors were 30 months (95%CI: 22.5-37.4 months) and 16.9 months (95%CI: 4.3-29.5 months), respectively (p=0.244). Conclusions: Although there was no difference in survival, C-erbB-2 overexpression was observed only in the GBM subtype.

Long-term tolerance and outcomes for dose escalation in early salvage post-prostatectomy radiation therapy

  • Safdieh, Joseph J.;Schwartz, David;Weiner, Joseph;Weiss, Jeffrey P.;Rineer, Justin;Madeb, Isaac;Rotman, Marvin;Schreiber, David
    • Radiation Oncology Journal
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    • v.32 no.3
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    • pp.179-186
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    • 2014
  • Purpose: To study the long-term outcomes and tolerance in our patients who received dose escalated radiotherapy in the early salvage post-prostatectomy setting. Materials and Methods: The medical records of 54 consecutive patients who underwent radical prostatectomy subsequently followed by salvage radiation therapy (SRT) to the prostate bed between 2003-2010 were analyzed. Patients included were required to have a pre-radiation prostate specific antigen level (PSA) of 2 ng/mL or less. The median SRT dose was 70.2 Gy. Biochemical failure after salvage radiation was defined as a PSA level >0.2 ng/mL. Biochemical control and survival endpoints were analyzed using the Kaplan-Meier method. Univariate and multivariate Cox regression analysis were used to identify the potential impact of confounding factors on outcomes. Results: The median pre-SRT PSA was 0.45 ng/mL and the median follow-up time was 71 months. The 4- and 7-year actuarial biochemical control rates were 75.7% and 63.2%, respectively. The actuarial 4- and 7-year distant metastasis-free survival was 93.7% and 87.0%, respectively, and the actuarial 7-year prostate cancer specific survival was 94.9%. Grade 3 late genitourinary toxicity developed in 14 patients (25.9%), while grade 4 late genitourinary toxicity developed in 2 patients (3.7%). Grade 3 late gastrointestinal toxicity developed in 1 patient (1.9%), and grade 4 late gastrointestinal toxicity developed in 1 patient (1.9%). Conclusion: In this series with long-term follow-up, early SRT provided outcomes and toxicity profiles similar to those reported from the three major randomized trials studying adjuvant radiation therapy.

Expression Profile Analysis of Zinc Transporters (ZIP4, ZIP9, ZIP11, ZnT9) in Gliomas and their Correlation with IDH1 Mutation Status

  • Kang, Xing;Chen, Rong;Zhang, Jie;Li, Gang;Dai, Peng-Gao;Chen, Chao;Wang, Hui-Juan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.8
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    • pp.3355-3360
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    • 2015
  • Background: Zinc transporters have been considered as essential regulators in many cancers; however, their mechanisms remain unknown, especially in gliomas. Isocitrate dehydrogenase 1(IDH1) mutation is crucial to glioma. This study aimed to investigate whether zinc transporters are correlated with glioma grade and IDH1 mutation status. Materials and Methods: IDH1 mutation status and mRNA expression of four zinc transporters (ZIP4, ZIP9, ZIP11, and ZnT9) were determined by subjecting a panel of 74 glioma tissue samples to quantitative real-time PCR and pyrosequencing. The correlations between the expression levels of these zinc transporter genes and the grade of glioma, as well as IDH1 mutation status, were investigated. Results: Among the four zinc transporter genes, high ZIP4 expression and low ZIP11 expression were significantly associated with higher grade (grades III and IV) tumors compared with lower grade (grades I and II) counterparts (p<0.0001). However, only ZIP11 exhibited weak correlation with IDH1 mutation status (p=0.045). Samples with mutations in IDH1 displayed higher ZIP11 expression than those without IDH1 mutations. Conclusions: This finding indicated that zinc transporters may interact with IDH1 mutation by direct modulation or action in some shared pathways or genes to promote the development of glioma. Zinc transporters may play an important role in glioma. ZIP4 and ZIP11 are promising molecular diagnostic markers and novel therapeutic targets. Nevertheless, the detailed biological function of zinc transporters and the mechanism of the potential interaction between ZIP11 and IDH1 mutation in gliomagenesis should be further investigated.

Mitral Valve Reconstruction (승모판 재건술)

  • 이현우
    • Journal of Chest Surgery
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    • v.28 no.12
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    • pp.1107-1112
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    • 1995
  • Between December 1993 and December 1994, fifty-eight percent of the mitral valve patients[33/57 had undergone mitral valve repair. Their mean age was 49[SD-16 years[range 11 - 75 and they were consisted with 15 males and 18 females. The causes of mitral disease in 33 patients were classified as follows: 19 cases[58% were degenerative, 9[27% were rheumatic, 3[9% were congenital and 2[6% were infectious. Carpentier`s functional classification was consisted with Class I 4 cases[12% , II 25 [76% and III 4 [12% . Surgical techniques included prosthetic annuloplasty in 32 cases[97% , leaflet resection in 16[48% , chorda shortening in 13[39% , chorda transfer in 9[27% , new chorda formation in 7[21% , commissurotomy in 7[21% , leaflet mobilization in 4[12% , chorda resection in 3[9% , papillary muscle splitting in 2[6% , cleft repair in 2[6% , leaflet patching in 1[3% and vegetation removal in 1[3% . Average number of mitral anatomical lesions per patient was 3.3 and We used average 3.0 procedures upon mitral valve apparatus per patient. Intraoperative transesophageal echocardiography was carried out in 27 patients[82% for providing an immediate and accurate assessment of the adequacy of the reconstruction before closure of the chest. Operative mortality was absent. The mean functional class[NYHA was 2.87 preoperative and improved to 1.03 postoperatively. Postoperative Doppler echocardiography showed much improvement from grade II MR[5 , grade III[5 , grade IV[21 to no MR[26 , only trace MR[3 , grade III MR[2 . Postoperative mean mitral valve area was 2.4$\pm$0.6cm2[range 1.5 - 4.0 . We conclude that cautiously evaluated mitral valve reconstruction is stable and predictable operation with minimal postoperative left ventricular dysfunction.

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The Case Study of Using Technology in Education of Pre-service Mathematics Teachers. - Developing Materials Assisting Teaching-Learning for 7th-9th Grade Mathematics Classroom - (예비수학교사교육에서의 공학적 도구 활용 사례연구 - 7${\~}$9단계 수학수업과 연계된 교수$\cdot$학습보조자료 개발을 중심으로 -)

  • Kim, Nam-Hee
    • School Mathematics
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    • v.7 no.4
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    • pp.337-352
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    • 2005
  • In this study, we carried out a case study with 38 pre-service mathematics teachers. A theoretical basis of this study is the 'technology principle' by NCTM(2000) and teaching-learning methods by the 7th curriculum. Using mathematics program(Grafeq.), we executed classroom activities for developing materials assisting teaching-teaming for 7th-9th grade mathematics. Pre-service mathematics teachers constructed mathematical designs for each grade by Grafeq. program. We tried to find the results for three research problems. On the basis of observation data, interview data and document materials, we analysed our results as follows. First, our activities help Pre-service mathematics teachers to examine and understand each grade mathematics. Second, we can developamathematicaldesignineachgrade mathematics. Therefore mathematical designs developed in this study can be used middle school mathematics classroom. Third, pre-service mathematics teachers gained the belief that the activities using mathematical in this study can be applied program. effectively to teaching and loaming school mathematics.

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Behaviors Related to Pornography in Primary, Middle and High School Students (초.중.고등학생의 음란물 접촉 일부 행태)

  • Kim, Hyeon-Ok;Park, Gwang-Sug
    • Child Health Nursing Research
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    • v.14 no.1
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    • pp.90-98
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    • 2008
  • Purpose: This study was done to investigate behavior related to viewing pornography sites by primary, middle, and high school students in one province. Methods: The participants were 2,939 primary (5, 6 grade), middle and high school students (1, 2 and 3 grade), chosen at random in big cities, small towns and rural areas of North Cholla Province. Results: The first experience of finding pornography sites by oneself was 21.1% for the total sample and for primary school students 6.8%, for middle school students, 31.0%, and for high school students, 62.2%. The first time on a pornography site was highest for middle school students (62.0%) and for grade, middle school 1 grade (25.7%). The pornography use resulted in difficulties with study (11.3%), desire to imitate what was seen in pornography (10.9%), imitation of what was seen the pornography (3.9%), and desire to visit pornography sites everyday (2.3%). Pornography contact behavior was related to gender and school type (p<.05). Independent access to pornography and experiencing difficulties with study were related to area of residence (p<.05). Conclusion: These findings suggest that systematic education policy and further research on needs for pornography contact should be examined to develop programs to decrease pornography contact behavior.

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Investigation of Scientific Terms in Physics Units of Middle School Science Textbooks (중학교 과학 교과서 물리 단원에 수록된 과학 전문 용어 조사)

  • Yun, Eun-Jeong;Park, Yune-Bae
    • Journal of The Korean Association For Science Education
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    • v.31 no.8
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    • pp.1175-1185
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    • 2011
  • Language skills in science education seem to have a great impact on student achievement. Most of the language skills affecting students' science learning can be accounted for an understanding of scientific terms. The ultimate goal of this study is selecting and grading the scientific terms for science education. As a basic research, we investigated scientific terms contained in science textbooks, because they are the most basic and selected terminologies. As a result of investigation of scientific terms in physics units of middle school science textbooks, we made a list of 556 scientific terms by grade level. This includes 249 words for grade 7, 170 words for grade 8, and 137 words for grade 9.

Design and Development of 30W Military Grade DC-DC Converter for Guided Weapon and Aircraft (유도무기 및 항공기 탑재장비용 30W급 군사용 DC-DC 변환장치 개발)

  • Park, Sang-Min;Joo, Dong-Myoung;Chae, Soo-Yong;Kim, Hyung-Jung;Lee, Byoung-Kuk
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.66 no.9
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    • pp.1341-1350
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    • 2017
  • In this paper, a high reliability 30W DC-DC converter is designed considering military standard (MIL-STD) for military applications such as guided weapon and aircraft. The performances and specifications of conventional military grade DC-DC converter are practically analyzed. The requirements for military grade DC-DC converter are established in consideration of MIL-STD and analysis results of conventional product. Two isolated DC-DC converter, forward and fly-back converter, are designed and compared to determine topology. From experimental results under various operating conditions, the forward topology satisfied performances and specifications of MIL-STD for military DC-DC converter.

Mitral Valve Reconstruction; Result of Operation Using Prosthetic Ring (승모판막 재건술;인공판륜[prosthetic ring]을 이용한 수술례)

  • 이재원
    • Journal of Chest Surgery
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    • v.26 no.3
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    • pp.191-195
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    • 1993
  • Among 25 consecutive cases having undergone mitral valve surgery between March 1991 and June 1992 in Gill General Hospital, 11 patients[44%] who had undergone mitral valve reconstruction using prosthetic rings is evaluated and presented. Patients` mean age is 43 + 19 years[range:16-72], and they are consisted with 4 males and 7 females. Mitral valve insufficiency is due to degenerative disease in 6 cases[55%] and rheumatic disease in 5 patients[45%]. Carpentier`s functional classification I is 2 cases, II is 6 cases, and III is 2 cases. Surgical techniques include prosthetic ring annuloplasty[11 patients, 100%], chorda shortening[6, 55%], leaflet mobilization[4,36%], new chorda formation[2, 18%], chorda transposition[1, 9%] commissurotomy[3, 27%], and papillary muscle splitting[3, 27%]. Average number of mitral anatomic lesions per patient are 2.7 and we used average 2.8 procedures upon mitral valve apparatus per patient. There were no surgical mortality and no late valve related admission during the mean follow up period of 17 months. The mean functional class[NYHA] is 2.81 preoperatively and improved to 1.10 postoperatively. Doppler echocardiography showed much improvement from grade II MR [1 case], grade III MR [1 case] and 9 cases of grade IV MR to 6 cases of patients showed no MR, only trace MR in 4 cases, and grade I MR was found only in one patient with NYHA functional class II postoperatively. The postoperative mean mitral valve area is $2.10+0.28cm^2$. We conclude that mitral reconstruction is a predictable and stable operation.

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A Case Study on the Benefits of Construction Project with BIM - Focusing on Domestic Project - (BIM을 이용한 건설프로젝트의 이점에 관한 사례 연구 - 국내 건축공사 사례를 중심으로 -)

  • Yun, Tae-Hwan;Han, Man-Chun;Ham, Nam-Hyuk;Kim, Jae-Jun
    • Journal of KIBIM
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    • v.9 no.4
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    • pp.10-20
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    • 2019
  • As a result, the areas of knowledge that received the highest score in a positive impact were areas of risk management, while those that received the highest score in a negative impact were items of software management. In addition, each project was rated according to the score obtained. The distribution of grades by project was 71% for projects above middle grade and 29% for projects below middle grade. These results show that interest in BIM technology is increasing compared to the past, actual field application and research are actively being conducted, and that real construction sites also enjoy significant positive effects in terms of project management through BIM. In addition, the company is using BIM by applying advanced digital technologies such as AI technology, laser scanning technology and drone technology in line with the era of the fourth industrial revolution. Such a steady progress in future research on BIM technology development will reduce the number of low-grade projects and many middle-grade projects are expected to be upgraded to higher-level ones.