• Title/Summary/Keyword: HER2-negative

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Cyclooxygenase-2 Expression in Invasive Breast Carcinomas of No Special Type and Correlation with Pathological Profiles Suggest a Role in Tumorigenesis Rather than Cancer Progression

  • Misron, Nurul Akmar;Looi, Lai-Meng;Mustapha, Nik Raihan Nik
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.4
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    • pp.1553-1558
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    • 2015
  • Background: COX-2 has been shown to play an important role in the development of breast cancer and increased expression has been mooted as a poor prognostic factor. The purpose of this study was to investigate the relationship between COX-2 immunohistochemical expression and known predictive and prognostic factors in breast cancer in a routine diagnostic histopathology setting. Materials and Methods: Formalin-fixed paraffin-embedded tumour tissue of 144 no special type (NST) invasive breast carcinomas histologically diagnosed between January 2009 and December 2012 in Hospital Sultanah Bahiyah, Alor Setar, Kedah were immunostained with COX-2 antibody. COX-2 overexpression was analysed against demographic data, hormone receptor status, HER2-neu overexpression, histological grade, tumour size and lymph node status. Results: COX-2 was overexpressed in 108/144 (75%) tumours and was significantly more prevalent (87%) in hormone receptor-positive tumours. There was no correlation between COX-2 overexpression and HER2/neu status. Triple negative cancers had the lowest prevalence (46%) (p<0.05). A rising trend of COX-2 overexpression with increasing age was observed. There was a significant inverse relationship with tumour grade (p<0.05), prevalences being 94%, 83% and 66% in grades 1, 2 and 3 tumours, respectively. A higher prevalence of COX-2 overexpression in smaller size tumours was observed but this did not reach statistical significance. There was no relationship between COX-2 expression and lymph node status. Conclusions: This study did not support the generally held notion that COX-2 overexpression is linked to poor prognosis, rather supporting a role in tumorigenesis. Larger scale studies with outcome data and basic studies on cancer pathogenetic pathways will be required to cast further light on whether COX-2 inhibitors would have clinical utility in cancer prevention or blockage of cancer progression. In either setting, the pathological assessment for COX-2 overexpression in breast cancers would have an important role in the selection of cancer patients for personalized therapy with COX-2 inhibitors.

The Interaction Effects of the Mother's Parenting Guilt and the Father's Parenting Support on the Parenting Behaviors of Mother with Young Children (영유아 어머니의 양육행동에 대한 양육죄책감과 아버지 양육지원의 상호작용효과)

  • Kim, Eun Young;Lee, Joo-Yeon
    • Journal of Families and Better Life
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    • v.32 no.1
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    • pp.167-180
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    • 2014
  • This study aimed to identify the moderating effect of the father's support on the relationship between the mother's parenting guilt and her parenting behavior. For the goal, the present study 1) analysed the differences in the mother's parenting guilt as the general variables of the mother and child, and 2) examined the main effects and interaction effects between the mother's parenting guilt and her spouse's support on the mother's parenting behavior. The participants of the study were 350 mothers whose infants and toddlers were attending a day-care centers in Gwangju and Jeollanamdo. The summary of this study is as follows. First, the mothers younger than 29 years old reported more parenting guilt than the mothers aged 35 to 39. Also, the working mothers felt more parenting guilt than the unemployed mothers. Second, when the main effect and interaction effects among the mother's parenting guilt, parenting behaviors, and the father's parenting support are analysed, the interaction effects were statistically significant with only rejection control parenting behaviors. The result means that even if the mother feels a lot of parenting guilt, if the father's parenting support is high, her rejection control parenting behaviors tend to appear less. The present study suggests that the father's parenting support plays an important role in the reduction of the mother's negative parenting behaviors.

Triple Negative Breast Cancer in People of North East India: Critical Insights Gained at a Regional Cancer Centre

  • Sharma, Mousumi;Sharma, Jagannath Dev;Sarma, Anupam;Ahmed, Shiraj;Kataki, Amal Chandra;Saxena, Rahul;Sharma, Dilutpal
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.11
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    • pp.4507-4511
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    • 2014
  • Background: Breast cancer is a heterogeneous disease comprising of distinct biological subtypes with many targeted prognostic biomarkers having therapeutic implications. However, no specific targeted therapy for triple negative breast cancer has been discovered to date and hence further research is needed. Aim: The aim and objectives of the present study were to examine the prevalence of triple negative breast cancer (TNBC) in North-East India and to compare the clinicopathological parameters in two study groups defined by immunohistochemistry (IHC) - "TNBC" and "Others". Materials and Methods: We carried out a retrospective study in a cohort of 972 patients diagnosed with invasive breast carcinoma in the Department of Pathology, Dr. B. Borooah Cancer Institute, a Regional Cancer Centre for treatment and research, Guwahati, for a period of 3 years and 10 months from January 2010 to October 2013. Based on IHC findings, patients were divided into two groups - "TNBC" and "Others". All relevant clinicopathological parameters were compared in both. TNBC were defined as those that were estrogen receptor (ER), progesterone receptor (PR), and HER2/neu negative while those positive for any of these markers were defined as "Others". Results: In this study, out of total 972 cases 31.9% (310 cases) were defined as TNBC and 662 cases (68.1%) as "Others" based on IHC markers. Compared to the "Others" category, TNBC presented at an early age (mean 40 years), were associated with high grade large tumours and high rate of node positivity, IDC NOS being the most common histological subtype in TNBC. Conclusions: TNBC accounts for a significant portion of breast cancers in this part of India and commonly present at younger age and tend to be large high grade tumours.

Private Information, Short Sales, and Long-Run Performance

  • Senchack, A.J.;Yoon, Pyung-Sig
    • The Korean Journal of Financial Studies
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    • v.2 no.2
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    • pp.315-344
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    • 1995
  • The relationship of information flow and market price formation are central to the basic tenets of financial economics. Whereas information is usually treated as being either public or private(monopolistic), most empirical studies focus on the price effects of public announcements. More recent research has centered more on the role of private information, such as insider trading, in efficient pricing and whether such trading increases investor welfare. Typically, 'insider trading' refers to an officer that trades in his/her company's shares. Insider trading, however, also refers to anyone who generates private, albeit costly, information concerning a stock's fundamental value. Normally, such insider activity is more difficult to ascertain. One way in which negative information is revealed is through short-selling activity, especially the monthly short-interest positions reported by the national stock exchanges. Diamond and Verrecchia(1987) provide a theoretical paradigm that predicts a negative price adjustment upon announcement of n company's monthly short interest, if the short interest displays an unusual increase and is correlated with negative information that is not yet public. Empirical studies of the short-run, negative price effect predicted by Diamond and Verrecchia find mixed results. One explanation is that the time period studied is too short for the market to absorb the informational content of these announcements. One reason is that these announcements are an ambiguous signal that requires more individuals and time to collect and act on the same information before full revelation occurs or before the implicit information becomes publicly known. This 'long delayed reaction' also serves as a motivation for related research on the wealth effect of mergers, share repurchases, and initial equity offerings in which long-run performance differs from the initial, short-run reaction to such announcements or offerings.

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A Study on Urban wives' Marital satisfaction and Divorce Attitude (도시주부의 결혼 만족도와 離婚태도에 관한 연구)

  • 박찬미;서병숙
    • Journal of Families and Better Life
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    • v.5 no.2
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    • pp.145-162
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    • 1987
  • The purpose of this study is to investigate the relations between Wives' marital satisfaction and Divorce attitude as a basis building in marital stability . A measurement tools used for this study are marital satisfaction scale, which was adapted and reproducted from Dyadic Adjustment Scale(DAS) developed by Spanier and Divorce attitude Scale, which was developed by researcher refer to preceding study connected with a cause of divorce. The subjects were 354 married women dwelling in Seoul. Statistical methods such as frequency, percentile. mean , standard deviation, one way ANOVA, and Pearson Correlation were used for data analysis. The results of this study are as follows; 1) there is the tendency to high marital satisfaction group rather more than low marital satisfaction group and to permissional attitude group rather more than negative attitude group about divorce attitude. 2) There was difference in marital satisfaction by number of children, wives's educational level, parents marriage happiness. While, there was no difference in marital satisfaction by length of marriage, family income, wives employments status, marriage pattern. 3) There was partially difference in wives' attitude toward divorce by wives educational level, family income. Both there was no difference in wives attitude toward divorce by the other factors. 4) wives' attitude toward divorce correlates with marital satisfaction. The correlation coefficients is 283 significantly of .001 level. The more satisfaction wife feels about her own matrimony. the more negative a attitude she has toward divorce. This menas that attitude toward divorce depends upon their matrimony. 5) The four type of marital stability are as follows; high marital stability type, high subjective unstability type, high objective unstability type, high marital unstability type.

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Social Perceptions of Breast Cancer by Women Still Undergoing or Having Completed Therapy: a Qualitative Study

  • Mermer, Gulengul;Nazli, Aylin;Ceber, Esin
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.503-510
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    • 2016
  • Background: Diagnosis and treatment of breast cancer is a crisis situation which effects women's lives physically, socially and spiritually. Investigating women's perceptions of this disease is crucially important for treatment decisions. We therefore determined social perceptions and interpretations of women diagnosed with breast cancer during therapy and in the post-treatment period. Materials and Methods: In the study, focus group and in-depth interviews were made with women still undergoing or having completed breast cancer treatment. Some 25 women were included in the research. Content analysis was used in the analysis of the qualitative data obtained after the focus group and in-depth interviews. Results: Some of the women demonstrated positive perceptions towards accepting the disease, whereas others had emotions such as rebellion and anger. The loss of a breast is important with different interpretations. Conclusions: Women's acceptance or rebellion against the disease varies within their social interpretations after the treatment, as at the stage of diagnosis/treatment. All stages of breast cancer negatively affect the social life of the affected individual as much as her body. Nurses assume crucial roles in coping with these negative effects. Thus, it is necessary to know, and sociologically interpret, what is indicated by the information on what the negative effects concerning the disease are and how they are interpreted.

What Kinds of Rearing Stress Do the Mothers of the Gifted Have?: Using a Concept Mapping Approach (영재 자녀를 둔 어머니들의 양육 스트레스 분석: 개념도 기법을 활용하여)

  • Han, Ki-Soon;Lee, Young-Mi
    • Journal of Gifted/Talented Education
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    • v.22 no.4
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    • pp.893-916
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    • 2012
  • This research investigates gifted students' mothers' rearing stress based on the concept mapping method. For this, 12 gifted students' mothers solicited, gathered and analyzed related statements, and then did multidimensional scaling and hierarchical cluster analysis. The stress value was .273 which was appropriate for the two level concept mapping study. In addition 101 mothers of gifted students rated for the rearing stresses they experience. Results were as follows. First, 79 concrete statements were solicited and as a result of concept mapping were categorized as 'burden and conflict as mothers of the gifted', 'possible negative characteristics due to the giftedness', and 'self-esteem and pressure by the title of the gifted'. Especially following items showed relatively high average: worrying about how to give the child a specific help for his/her career(M=4.65); worrying that she might be intervening too much in their child's behaviors(M=4.60); getting pressured supporting the child to get involved in the gifted education system continually(M=4.46); worrying if her child is not developing his/her talent enough due to the lack of time and money(M=4.44); being concerned that her high expectations might be putting her child under too much pressure (M=4.43). Implications of the study related to gifted education practices were discussed.

Clinicopathologic and Demographic Evaluation of Triple-Negative Breast Cancer Patients among a Turkish Patient Population: a Single Center Experience

  • Somali, Isil;Ustaoglu, Bahar Yakut;Tarhan, Mustafa Oktay;Yigit, Seyran Ceri;Demir, Lutfiye;Ellidokuz, Hulya;Erten, Cigdem;Alacacioglu, Ahmet
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.10
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    • pp.6013-6017
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    • 2013
  • Background: To evaluate the clinicopathologic and demographic characteristics of triple-negative breast cancer (TNBC) patients and to determine differences from non-triple-negative cases. Materials and Methods: A detailed review of the medical records of 882 breast cancer (BC) patients was conducted to obtain information regarding age, menopausal status, height and weight at the time of diagnosis, presence of diabetes or hypertension, and pathologic characteristics of the tumor (tumor size, lymph node status, histologic grade, ER status, PR status, HER2 status, p53 mutation). Body mass index (BMI) was calculated and a value of ${\geq}30$ was considered as indicative of obesity. Results: 14.9% (n=132) of the patients had TNBC. There was no difference among the patients in terms of median age, comorbid conditions and menopausal status. The proportion of medullary, tubular and mucinous carcinomas was significantly higher (15.9%) in the triple-negative (TN) group, while invasive lobular histology was more frequent (8.2%) among non-triple negative (NTN) cases (p<0.001). Grade 3 (G3) tumors were more frequent in the triple-negative group (p<0.001). The rate of p53 mutation was 44.3% in TN tumors versus 28.2% in the NTN group (p<0.001). The two groups were similar in terms of LN metastasis. In the NTN group, the rate of patients with BMI ${\geq}30$ was 53% among postmenopausal patients, while it was 36% among premenopausal women, and the difference was statistically significant (p<0.001). No significant difference was observed in terms of BMI between postmenopausal and premenopausal patients in the TN group (p=0.08). Conclusions: TNBC rates and clinicopathologic characteristics of the Turkish patient population were consistent with the data from Europe and America. However, no relationship between obesity and TNBC was observed in our study. The association between TNBC and obesity needs to be evaluated in a larger patient population.

Parental Stress of Working Mothers with 3-6 aged Children (유아기 자녀를 둔 취업모의 양육스트레스)

  • Park, Sung-Ok
    • Korean Journal of Human Ecology
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    • v.6 no.2
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    • pp.37-45
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    • 1997
  • The purpose of this study is to identify parental stress of working mothers with young children and to fine its rented variables. subjects were consisted of 108 working mothers who had children from 3 to 6 ages. The measurement instruments are the questionnaire which consisting the following parts; Parenting Daily Hassles, Employment Subjective Expected Utility, Beck Depression Inventory, Emotionality, Activity, Sociablity Temperament Scale. The data were analyzed by the statistical method based on frequency, percentile, t-test, F-test, Pearson's correlation, and multiple regression. The main results were as follows: 1. Parental stress of working mother had a significant correlation with working mothers' negative attitudes for their occupations. 2. The higher working mothers' depression resulted in the higher working parental stress. 3. There was a significant positive correlation between children's difficult temperament and parental stress of working mothers. 4. The influential variables on parental stress of working mothers were mothers' attitude to her occupations and children's temperament.

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Characteristics of Invasive Breast Ductal Carcinoma, NOS, Diagnosed in a Tertiary Institution in the East Coast of Malaysia with a Focus on Tumor Angiogenesis

  • Ch'ng, Ewe Seng;Sharif, Sharifah Emilia Tuan;Jaafar, Hasnan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4445-4452
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    • 2012
  • Background: Prognosis of breast cancer depends on classic pathological factors and also tumor angiogenesis. This study aimed to evaluate the clinicopathological factors of breast cancer in a tertiary centre with a focus on the relationship between tumor angiogenesis and clinicopathological factors. Methods: Clinicopathological data were retrieved from the archived formal pathology reports for surgical specimens diagnosed as invasive ductal carcinoma, NOS. Microvessels were immunohistochemically stained with anti-CD34 antibody and quantified as microvessel density. Results: At least 50% of 94 cases of invasive breast ductal carcinoma in the study were advanced stage. The majority had poor prognosis factors such as tumor size larger than 50mm (48.9%), positive lymph node metastasis (60.6%), and tumor grade III (52.1%). Higher percentages of estrogen and progesterone receptor negative cases were recorded (46.8% and 46.8% respectively). Her-2 overexpression cases and triple negative breast cancers constituted 24.5% and 22.3% respectively. Significantly higher microvessel density was observed in the younger patient age group (p=0.012). There were no significant associations between microvessel density and other clinicopathological factors (p>0.05). Conclusions: Majority of the breast cancer patients of this institution had advanced stage disease with poorer prognostic factors as compared to other local and western studies. Breast cancer in younger patients might be more proangiogenic.