• Title/Summary/Keyword: Grade resistance

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Meta-analysis of Seven Randomized Control Trials to Assess the Efficacy and Toxicity of Combining EGFR-TKI with Chemotherapy for Patients with Advanced NSCLC who Failed First-Line Treatment

  • Xiao, Bing-Kun;Yang, Jian-Yun;Dong, Jun-Xing;Ji, Zhao-Shuai;Si, Hai-Yan;Wang, Wei-Lan;Huang, Rong-Qing
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.7
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    • pp.2915-2921
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    • 2015
  • Background: Some recent clinical trials have been conducted to evaluate a combination of EGFR- TKI with chemotherapy for advanced NSCLC patients as second-line therapy, but the results on the efficacy of such trials are inconsistent. The aim of this meta-analysis was to evaluate the efficacy and safety of combination of EGFR-TKI and chemotherapy for patients with advanced NSCLC who failed first-line treatment. Materials and Methods: We searched relative trials from PubMed, EMBASE, ASCO Abstracts, ESMO Abstracts, Cochrane Library and Clinical Trials.gov. Outcomes analyzed were overall response rate (ORR), progression- free survival (PFS), overall survival (OS) and major toxicity. Results: Seven trails eventually were included in this meta-analysis, covering 1,168 patients. The results showed that the combined regimen arm had a significant higher ORR (RR 1.76 [1.16, 2.66], p=0.007) and longer PFS (HR 0.75 [0.66-0.85], p<0.00001), but failed to show effects on OS (HR 0.88 [0.68-1.15], p=0.36). In terms of subgroup results, continuation of EGFR-TKI in addition to chemotherapy after first-line EGFR-TKI resistance confered no improvement in ORR (RR 0.95 [0.68, 1.33], p=0.75) and PFS (HR 0.89[0.69, 1.15], p=0.38), and OS was even shorter (HR1.52 [1.05-2.21], p=0.03). However, combination therapy with EGFR-TKI and chemotherapy after failure of first-line chemotherapy significantly improved the ORR (RR 2.06 [1.42, 2.99], p=0.0002), PFS (HR 0.71 [0.61, 0.82], p<0.00001) and OS (HR 0.74 [0.62-0.88], p=0.0008), clinical benefit being restricted to combining EGFR-TKI with pemetrexed, but not docetaxel. Grade 3-4 toxicity was found at significantly higher incidence in the combined regimen arm. Conclusions: Continuation of EGFR-TKI in addition to chemotherapy after first-line EGFR-TKI resistance should be avoided. Combination therapy of EGFR-TKI and pemetrexed for advanced NSCLC should be further investigated for prognostic and predictive factors to find the group with the highest benefit of the combination strategy.

Chloride Ion Penetration Resistance of Slag-replaced Concrete and Cementless Slag Concrete by Marine Environmental Exposure (해양환경 폭로에 의한 슬래그 치환 콘크리트 및 슬래그 콘크리트의 염화물 이온 침투 저항성)

  • Lee, Bo-Kyeong;Kim, Gyu-Yong;Kim, Gyeong-Tae;Shin, Kyoung-Su;Nam, Jeong-Soo
    • Journal of the Korea Concrete Institute
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    • v.29 no.3
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    • pp.299-306
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    • 2017
  • In this research, it was examined chloride ion penetration resistance of slag-replaced concrete and cementless slag concrete considering marine environmental exposure conditions of splash zone, tidal zone and immersion zone. In the design strength of grade 24 MPa, the specimens were tested to determine their compressive strength, scanning electron microscopy images and chloride migration coefficient. Further, chloride ion penetration depth and carbonation depth of specimens exposed to marine environment were measured. Experimental results confirm that chloride migration coefficient of specimens tended to decrease with increasing the replacement ratio of ground granulated blast-furnace slag in accelerated laboratory test. In addition, the specimens exposed to the tidal zone were found to be the greatest chloride ion penetration depth compared to splash zone and immersion zone. On the other hand, the chloride ion penetration depth of the specimens exposed to splash zone tended to increase with increasing the replacement ratio of ground granulated blast-furnace slag in contrast with the results for the tidal zone and immersion zone.

Treatment of Extremely High Risk and Resistant Gestational Trophoblastic Neoplasia Patients in King Chulalongkorn Memorial Hospital

  • Oranratanaphan, Shina;Lertkhachonsuk, Ruangsak
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.925-928
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    • 2014
  • Background: Gestational trophoblastic neoplasia (GTN) is a spectrum of disease with abnormal trophoblastic proliferation. Treatment is based on FIGO stage and WHO risk factor scores. Patients whose score is 12 or more are considered as at extremely high risk with a high likelihood of resistance to first line treatment. Optimal therapy is therefore controversial. Objective: This study was conducted in order to summarize the regimen used for extremely high risk or resistant GTN patients in our institution the in past 10 years. Materials and Methods: All the charts of GTN patients classified as extremely high risk, recurrent or resistant during 1 January 2002 to 31 December 2011 were reviewed. Criteria for diagnosis of GTN were also assessed to confirm the diagnosis. FIGO stage and WHO risk prognostic score were also re-calculated to ensure the accuracy of the information. Patient characteristics were reviewed in the aspects of age, weight, height, BMI, presenting symptoms, metastatic area, lesions, FIGO stage, WHO risk factor score, serum hCG level, treatment regimen, adjuvant treatments, side effects and response to treatment, including disease free survival. Results: Eight patients meeting the criteria of extremely high risk or resistant GTN were included in this review. Mean age was 33.6 years (SD=13.5, range 17-53). Of the total, 3 were stage III (37.5%) and 5 were stage IV (62.5%). Mean duration from previous pregnancies to GTN was 17.6 months (SD 9.9). Mean serum hCG level was 864,589 mIU/ml (SD 98,151). Presenting symptoms of the patients were various such as hemoptysis, abdominal pain, headache, heavy vaginal bleeding and stroke. The most commonly used first line chemotherapeutic regimen in our institution was the VAC regimen which was given to 4 of 8 patients in this study. The most common second line chemotherapy was EMACO. Adjuvant radiation was given to most of the patients who had brain metastasis. Most of the patients have to delay chemotherapy for 1-2 weeks due to grade 2-3 leukopenia and require G-CSF to rescue from neutropenia. Five form 8 patients were still survived. Mean of disease free survival was 20.4 months. Two patients died of the disease, while another one patient died from sepsis of pressure sore wound. None of surviving patients developed recurrence of disease after complete treatment. Conclusions: In extremely high risk GTN patients, main treatment is multi-agent chemotherapy. In our institution, we usually use VAC as a first line treatment of high risk GTN, but since resistance is quite common, this may not suitable for extremely high risk GTN patients. The most commonly used second line multi-agent chemotherapy in our institution is EMA-CO. Adjuvant brain radiation was administered to most of the patients with brain metastasis in our institution. The survival rate is comparable to previous reviews. Our treatment demonstrated differences from other institutions but the survival is comparable. The limitation of this review is the number of cases is small due to rarity of the disease. Further trials or multicenter analyses may be considered.

Investigation on the Heating Patterns Depending on the Packaging Materials During Microwave Cooking (포장 소재에 따른 전자레인지 가열 조리 패턴 조사)

  • Lee, Hwa Shin;Cho, Ah Reum;Moon, Sang Kwon;Yoon, Chan Suk;Lee, Keun Taik
    • KOREAN JOURNAL OF PACKAGING SCIENCE & TECHNOLOGY
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    • v.21 no.1
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    • pp.27-34
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    • 2015
  • Heating patterns depending on the packaging materials were examined in order to investigate the causes of thermal deformation of packages used for ready-to-eat foods for microwave heating due to the non-uniformity of microwaves. Physical properties including tensile strength, heat-resistance and elongation of four different CPP grades were compared. High retortable CPP had higher sealing strength and heat resistance compared to the conventional CPPs. All CPP samples tested were proved to have melting temperatures around $160^{\circ}C$. However, they were all thermally deformed by microwave heating due to a limited penetration of microwave and non-uniform heating within the spicy sauce of high viscosity contained high salt, especially on the above the filling line and sealing edge of pouches. When the laminated stand-up pouches composed of G-PET/PET/PET/CPP and G-PET/PET/NY/CPP were retorted and microwaved, significant deformations were noticed in both samples after retorting. Besides, pouches contained titanium dioxide showed more intense thermal deformation than the control. When the $10{\mu}m$ aluminium foil was affixed on the pouch, small thermal deformation was observed only in the bottom layer. More studies are required to prevent the thermal deformation of packaging materials used for RTE foods during microwave heating by developing the technologies to increase the thermal stability of CPP layer and the modification of packaging design to modify the microwave access into the package.

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Applications of Micro-Droplet Cell to Study of Localized Corrosion Resistance of Stainless Steels (스테인리스강의 국부부식 저항성 연구에 미세방울셀의 응용)

  • Kim Sung-Yu;Kim Hee-San
    • Journal of the Korean Electrochemical Society
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    • v.9 no.2
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    • pp.70-76
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    • 2006
  • Micro-droplet cell with free droplet as a micro-electrochemical technique has been limited to apply to electrochemical systems with high wetting properties such as an acidic solution and low grade stainless steels(Type 316L). By loading negative pressure to a droplet, control of droplet size, and use of hydrophobic gasket, the cell is modified to be allowed to use for electrochemical systems with high wetting properties. For giving the reliability of new cell, studies on local corrosion were conducted for three different systems-an acidic chloride solution and high chromium ferritic stainless steel, the other acidic chloride solution and type 316, and a neutral chloride solution and type 316. stainless steel. Firstly, the modified micro-droplet cell allows the anodic polarization curves in an acidic chloride solution to show the fact that the local corrosion of high chromium stainless steel near the $\alpha/\sigma$ interface is due to the Cr depleted zone. Secondly, the local anodic polarization test of type 316 L in the other acidic chloride solution can be successfully conducted in the cell. Furthermore, the local polarization curves help elucidating the corrosion of type 316 with $\delta-ferrite$ phase. Finally, the polarization curves of type 316 L in a neutral chloride solution indicates that the factor affecting the pitting corrosion resistance was inclusions rather than $\delta-ferrite$.

Galvanic Anode Charactristics of Grounding Cell Design for Corrosion Protection of Pipings (배관 방식용 접지전지 설계를 위한 유전양극의 특성에 관한 연구)

  • 임우조
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.19 no.1
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    • pp.57-62
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    • 1983
  • The galvanic anodes have three kinds of Zn alloy anode, Al alloy anode and Mg alloy anode, which are widely used in cathodic protection for all metal structures in water or under ground. This paper to be used for designing of the grounding cell has reached the following conclusion as the results of an experimental study on the characteristics of such galvanic anodes for corrosion protection of pipings: 1) Zn alloy anode was the best when the specific resistance of the environment was bellow 1000 $\Omega$.cm, and when above 1000 $\Omega$.cm, Mg alloy anode to be used for designing of the grounding cell was the best. 2) Al alloy anode was better than Mg alloy anode for grounding cell when the specific resistance was bellow 500 $\Omega$.cm, but the Al alloy anode in all the environments reduced the characteristics of galvanic anode to the lower grade than those of Zn alloy anode. 3) Each impressed voltage (E) of the anodes at which drainage current density ($\rho$) begins rapidly increasing is quantitatively presented as follows: \circled1 E sub(Zn)=log (4.9465/$\rho$super(0.0639))+11$\times$10 super(-6)$\rho$super(0.8923i) \circled2 E sub(Al)=log (4.9306/$\rho$super(0.0525))+13$\times$10 super(-6)$\rho$super(0.9314i) \circled3 E sub(Mg)= log (3.7086/$\rho$super(0.0988))+181$\times$10 super(-6)$\rho$super(0.5406i) 4) The empirical equations between the drainage current density (i) and impressed environment are modeled as the following type. logi=g+root(n.E+r)(g,n,r; constants)

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'Gwangyoung', Forage Triticale Cultivar of Winter Hardiness, Resistance to Lodging and High-Yielding (내한 내도복 다수성 조사료용 트리티케일 품종 '광영' 개발)

  • Han, Ouk-Kyu;Ku, Ja-Hwan;Park, Jong-Ho;Kim, Jin-Jin;Woo, Jae-Hoon
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.41 no.1
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    • pp.10-15
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    • 2021
  • 'Gwangyoung', a winter forage triticale cultivar (X Triticosecale Wittmack), was developed at the Department of Rice and Winter Cereal Crop, NICS, RDA in 2018. The cultivar 'Gwangyoung' has leaves of wide width, medium length, and green color, and spikes of medium length and yellowish-brown color, and a large grain of yellowish-brown color. The heading date of the cultivar 'Gwangyoung' was April 22 which was similar to check cultivar 'Shinyoung'. Its tolerance or resistance to cold, lodging, wet injury powdery mildew, and leaf rust were also similar to those of the check cultivar. The leaf blade ratio of 'Gwangyoung' (27.5%) was higher than that of 'Shinyoung' (21.2%). The average forage fresh and dry matter yield of cultivar 'Gwangyoung' at milk-ripe stages were 50.0 and 17.6 MT ha-1, respectively, which were higher than those (47.7 and 17.1 MT ha-1) of the check cultivar. The silage quality of 'Gwangyoung' was lower than that of the check cultivar 'Shinyoung' in crude protein content (5.3%) and total digestible nutrients (61.3%), while was higher than the check cultivar in neutral detergent fiber (58.2%) and acid detergent fiber (34.9%). 'Gwangyoung' showed the silage of 1 grade and a grain yield of 6.03 MT ha-1.

Effects of Bojungchiseub-tang on the Production of Inflammatory Adipokine and MAPK Signaling in 3T3-L1 Mature Adipocytes (보중치습탕이 3T3-L1 성숙지방세포의 염증성 아디포카인의 생산 및 MAPK 신호전달에 미치는 영향)

  • Lee, Soo-Jung;Kim, Won-IL;Kang, Kyung-Hwa
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.5
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    • pp.486-493
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    • 2014
  • Adipocytes are endocrine cells that release bioactive mediators called adipokines. In condition of obesity characterized by low-grade chronic inflammation, adipocytes release inflammatory adipokines, which is related to insulin resistance. Bojungchiseub-tang (BJCST) has been used in symptoms and signs of edema, dampness-phlegm, kidney failure, and so on in Korean medicine. BJCST is also expected to have anti-obesity activities. In the present study, we examined whether BJCST modulate the production of inflammatory adipokines and the activations of the mitogen-activated protein kinases (MAPK) signaling pathway related to induce adipocyte inflammation to elucidate the effects and its mechanism of BJCST on lowering the content of inflammatory adipokines in 3T3-L1 adipocytes. As a result, BJCST suppressed the production of proinflammatory cytokines, tumor necrosis factor (TNF) $-{\alpha}$, interleukin (IL) $-1{\beta}$, IL-6, interferon (IFN) -${\gamma}$, granulocyte-macrophage colony-stimulating factor (GM-CSF), monocyte chemoattractant protein-1 (MCP-1), and the production of other inflammatory mediators, prostaglandin $E_2(PGE_2)$ and nitric oxide(NO)viadownregulationofcyclooxygenase-2(COX-2)andinducible NO synthase (iNOS) gene expressions. In addition, BJCST decreased the phosphorylation of MAPK that promotes the production of inflammatory adipokines in 3T3-L1 mature adipocytes. In conclusion, BJCST could regulate the production of inflammatory adipokines and MAPK signaling pathway related to induction of adipose inflammation.

Development of Durable Reliability Assessment Methods for Heavy Duty Coatings

  • Kim, Seung-Jin;Jung, Ho;Yang, In-Mo;Tanaka, Takeyuki
    • Corrosion Science and Technology
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    • v.4 no.4
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    • pp.155-163
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    • 2005
  • Heavy duty coating are required to have minimum durable period of 15 years under average usage environment because these paints are coated with purpose of anti-corrosion, antifouling, plastering etc. Onto steel structures constructed upon land and sea and other ferrous structures of electric power generation plants, electricity transmission towers, large structures of various plants, etc. Therefore we tried to estimate heavy duty coating longevity through reliability evaluation method and used combined cyclic anti-conrrosion test method composed of drying, moisturizing and salt spray as for accelerated life test to estimate longevity. Accelerated life test hours to heavy duty coating of first grade (with longevity not less than 15 years) specification may be obtained from troubleless test hours $t_n=\frac{B_p}{n^{1/\beta}}\left[\frac{1n(1-CL)}{1n(1-p)} \right]^{1/\beta}=19.671$ (yr) where shape parameter $\beta=1.1$, confidence level CL=80 %, warranty life $B_{10}=15$ yr and sampling size n=10 (2 sets). Because acceleration factor {AF} found by accelerated test is 41.7, accelerated life test hours required may be represented about 4,132 hr so that if this amount of hours is converted to number of cycles(6 hr/cycle) of complex cycle corrosion resistance test then the amount is tantamount about 690 cycles. That means if there does not occur trouble failure (with defect factor sum not more than 20) during when there is performed 690 cycles of combined cyclic anti-corrosion test to heavy duty coating specimen then it signifies that there can be warranted longevity $B_{10}$ of 15 yr under condition of confidence level CL=80 %.

Fundamental Study of Fire-Proof Characteristics of High Strength Concrete Using Meta-Kaolin and Waste Tire Chip (메타카올린과 폐타이어 잔입자를 사용한 고강도콘크리트의 내화성능에 관한 기초적 연구)

  • Lee, Mun-Hwan;Lee, Sea-Hyun
    • Journal of the Korea Concrete Institute
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    • v.20 no.1
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    • pp.89-97
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    • 2008
  • By replacing the meta-kaolin with cement and the waste tire chip with fine aggregate separately, the high strength concrete is protected from the spalling in fire and the method to constrain the temperature increase of steel bar within the concrete and the basic properties of the high strength concrete mixed with the material are reviewed. As the result, meta-kaolin increases the self fire proof characteristics of the concrete, the waste tire chip can share the internal expanding pressure so it can be deleted. In detail, using the meta-kaolin about the cement in 4$\sim$8% of weight ratio about the cement and the waste tire chip under the grade scope of 0.6$\sim$3 mm in 5$\sim$10% of weight ratio about the sand is very effective to prevent the spalling.