• Asian Pacific Journal of Cancer Prevention
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• v.15 no.10
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• pp.4175-4179
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• 2014

Aims: To delineate the histopathological pattern of prostate diseases and to highlight age variations in prostate specific antigen (PSA) values and histopathological features. Materials and Methods: A retrospective review was made of all prostate biopsy reports seen between January 2006 and December 2013 at the King Fahad Hospital, Madinah, Saudi Arabia. Prostate lesions were tabulated and classified into benign and malignant groups. Histological scoring of adenocarcinomas was accomplished using the Gleason system. PSA values were correlated with Gleason scores. Results: Of 417 prostate lesions reviewed, 343 (82.3%) were benign and 74 (17.7%) were malignant, giving a benign to malignant ratio of 4.6:1. Benign prostatic hyperplasia (both with and without inflammation) was the commonest prostatic lesion and accounted for 80.3% of all cases and 97.6% of all benign cases. The age range was 20 to 97 years with a mean of 69.2 years and a peak age group at 70-79 years. Seventy one cases of adenocarcinoma accounted for 95.9% of the total of 74 malignant tumors. It showed an age range of 44 to 95 years, a mean age of 70.9 years and peak prevalence in the 80-89 year age group. Gleason score seven was the most frequent (39.4%) in occurrence. Most adenocarcinomas, 41 cases (57.7%), were moderately differentiated (Gleason score of 5-7). PSA values ranged widely between 16-1,865ng/ml with a mean of 363.4ng/ml. Elevated PSA (>100ng/ml) levels were found in 53 (81.6%) patients. There was a statistically significant positive correlation between serum PSA level and Gleason score (p=0.0304). Conclusions: Prostatic lesions constitute a significant source of morbidity among adult males in Madinah. Benign prostatic hyperplasia was the commonest benign prostatic lesion and adenocarcinoma was the commonest histological subtype of prostatic cancer.

• Journal of Radiation Protection and Research
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• v.37 no.3
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• pp.149-158
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• 2012

In this paper, we measured the variations of radon concentrations in groundwater using low-level Liquid Scintillation Counter (LSC), an instrument for analyzing the alpha and beta radionuclides at its 10 sites around the Kumjung-Gu, north-western of Busan. Optimization of Pulse Shape Analyzer (PSA) to determinate the highest value of figure of merit (FM) was decided using Quantulus 1200 LSC with radium-226 source, the optimal PSA level was shown in the range of 100 to 110. The results show that the Minimum Detectable Activity (MDA) of radon concentrations is 0.61 $Bq{\cdot}L^{-1}$ for 20 minutes in PSA level. We find that the average radon concentration in groundwater is high in granitic rock area and low in volcanic rock area. (Biotite granite : 191.39 $Bq{\cdot}L^{-1}$, Micro graphic granite : 141.88 $Bq{\cdot}L^{-1}$, Adamellite : 92.94 $Bq{\cdot}L^{-1}$, Andesite (volcanic) : 35.35 $Bq{\cdot}L^{-1}$). No significant seasonal variation pattern is observed from the long-term variation analysis from 10 selected sites. We have not seen the significant correlation of radon concentration to groundwater temperature, atmospheric temperature, atmospheric pressure and rainfall. The concentration variation is probably caused by more complex factors and processes.

• 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.

• Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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• 2006.04a
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• pp.319-323
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• 2006

파형분석(PSA) 기능과 백그라운드 낮고 계측효율이 높은 장점을 가지고 있는 저준위 액체섬광계수기를 이용하여 지하수중의 $^{222}Rn$ 측정을 위한 최적 분석조건을 확립하였다. 라돈분석을 위해 섬광용액 HiSafe 3 12 ml를 사용하여 물시료 8 ml 내 $^{222}Rn$ 을 측정하였다. 라돈은 딸핵종과의 방사평형을 위해 3시간동안 방치한 후 계측하였다. 최적 파형분석 (PSA) 준위는 100 이었다. $^{222}Rn$의 계측효율은 $^{226}Ra$ 표준시료를 동일 조건으로 제조한 후 약 20일 이상 방치한 다음 측정하여 결정하였으며 측정효율은 약 $91.6{\pm}3.6%$ 이었다. 동일 시료의 라돈 추출실험 재현성은 2 % 이내이었다. 계측시간 10시간을 기준으로 바탕값은 0.035 cpm 이었고 300분 계측시 검출하한값은 0.11 Bq/L 이었다.

• Korean Journal of Optics and Photonics
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• v.33 no.1
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• pp.11-21
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• 2022

We have investigated the optimal design of an aperiodic optical phased array (OPA) for use in light detection and ranging applications. Three optimization algorithms - particle-swarm optimization (PSO), a genetic algorithm (GA), and a pattern-search algorithm (PSA) - were employed to obtain the optimal arrangement of optical antennas comprising an OPA. The optimization was performed to obtain the minimal side-lobe level (SLL) of an aperiodic OPA at each steering angle, using the three optimization algorithms. It was found that PSO and GA exhibited similar results for the SLL of the optimized OPA, while the SLL obtained by PSA showed somewhat different features from those obtained by PSO and GA. For an OPA optimized at a steering angle <45°, the SLL value averaged over all steering angles increased as the angle of optimization decreased. However, when the angle of optimization was larger than 45°, low average SLL values of <13 dB were obtained for all three optimization algorithms. This implies that an OPA with high signal quality can be obtained when the arrangement of the optical antennas is optimized at a large steering angle.

• Korean Journal of Clinical Laboratory Science
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• v.45 no.1
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• pp.5-8
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• 2013

In the specimen of free PSA in the low concentration, the result in % bias from our institution and comparable evaluation institution was -33.7% which is exceeded % bias ${\pm}20%$ ; however, it was the domestically allowable limit recommended by the laboratory accreditation commission for specimen at the low concentration. In this paper, the cause was accredited by instability of free PSA substance within the specimen, and the specimen stability test was performed according to CLSI documents GP29-A2. After the low and high concentration specimen were made, and rapidly cooled down in a deep freezer with $-30^{\circ}C$, serum of two concentrations was measured for 10 consecutive days with 3 times a day by Architect i2000 and observed a change in the mean value. As the results of two groups, there were changes in the established target value, and a change level was evaluated by calculating it with % bias. The low concentration specimen had no significant reduction until the 4 day lapse in cold storage. However, % bias were reduced by -17.5% from the 5 day lapse, by 21.5% after the 7 day lapse, and by -26.9% after the 9 day lapse. The frozen specimen had only intra-day variation for 10 days. In the high concentration specimen, bias began to show as -12.2% from the 3 day lapse in cold storage. There was reduction by -28.9% from the 5 day lapse, by -39% after the 7 day lapse, and by -42.9% after the 9 day lapse. In the frozen specimen, there was only intra-day variation like the low concentration specimen in cold storage.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.3
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• pp.1259-1275
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• 2015

Background: This study reviewed the published evidence as to how prostate cancer outcomes vary across geographical remoteness and area level disadvantage. Materials and Methods: A review of the literature published from January 1998 to January 2014 was undertaken: Medline and CINAHL databases were searched in February to May 2014. The search terms included terms of 'Prostate cancer' and 'prostatic neoplasms' coupled with 'rural health', 'urban health', 'geographic inequalities', 'spatial', 'socioeconomic', 'disadvantage', 'health literacy' or 'health service accessibility'. Outcome specific terms were 'incidence', 'mortality', 'prevalence', 'survival', 'disease progression', 'PSA testing' or 'PSA screening', 'treatment', 'treatment complications' and 'recurrence'. A further search through internet search engines was conducted to identify any additional relevant published reports. Results: 91 papers were included in the review. While patterns were sometimes contrasting, the predominate patterns were for PSA testing to be more common in urban (5 studies out of 6) and affluent areas (2 of 2), higher prostate cancer incidence in urban (12 of 22) and affluent (18 of 20), greater risk of advanced stage prostate cancer in rural (7 of 11) and disadvantaged (8 of 9), higher survival in urban (8 of 13) and affluent (16 of 18), greater access or use of definitive treatment services in urban (6 of 9) and affluent (7 of 7), and higher prostate mortality in rural (10 of 20) and disadvantaged (8 of 16) areas. Conclusions: Future studies may need to utilise a mixed methods approach, in which the quantifiable attributes of the individuals living within areas are measured along with the characteristics of the areas themselves, but importantly include a qualitative examination of the lived experience of people within those areas. These studies should be conducted across a range of international countries using consistent measures and incorporate dialogue between clinicians, epidemiologists, policy advocates and disease control specialists.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.14
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• pp.5967-5970
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• 2015

Background: The prevalence of prostate cancer is considered high in many countries, and screening tests are very important in order to detect prostate cancer in its early stages; however false positivity with these screening tests means that a lot of patients undergo unnecessary biopsy, which is an invasive procedure, for the confirmatory test. The purpose of this study was to estimate the frequency of unnecessary biopsy cases in patients referred for prostate biopsy in one of the most important and overload cancer centers in Syria. Materials and Methods: Retrospective data for a period of four years between January 2009 and December 2012 were collected in Al-Bayrouni University Medical hospital in Damascus, Syria. The patients from whom data were collected were referred to our histopathological department because of elevated prostate specific antigen (PSA) serum or an abnormal digital rectal examination (DRE). All patients underwent prostatic TRUS-guided biopsies. Diagnosis of prostate cancer (PCa) or benign prostatic hyperplasia (BPH) was based on histopathological examination and prostate cancers cases were graded and scored according to the Gleason score system. Results: For the 406 patients referred to biopsy, the $mean{\pm}SD$ age was $58.4{\pm}23.3$ years. The $mean{\pm}SD$ PSA level was $49.2{\pm}21.5ng/ml$. Of the total we found 237 patients diagnosed with PCa (58. 4%), 166 patients with BPH (40.9%) and 3 cases were unable to be diagnosed (0.7%) because of biopsy collection errors. Conclusions: Our study shows that a high percentage of patients are undergoing unnecessary biopsy, which suggests that the performed screening tests had a high level of false positive and may need re-evaluation.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.9
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• pp.3969-3972
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• 2015

Background: This analysis was conducted to evaluate the efficacy and safety of lenalidomide based regimen in treating patients with castration-resistant prostate cancer. Materials and Methods: Clinical studies evaluating the efficacy and safety of lenalidomide based regimens on response and safety for patients with castration-resistant prostate cancer were identified using a predefined search strategy. A pooled response rate (rate of PSA level decline of ${\geq}50%$) to treatment was calculated. Results: In lenalidomide based regimen, 3 clinical studies which including 98 patients with castration-resistant prostate cancer were considered eligible for inclusion. These lenalidomide based regimens included cisplatin, doxorubicin, or GM-CSF. Pooled analysis suggested that, in all patients, the pooled PSA level decline of ${\geq}50%$ was 13.3% (13/98) in lenalidomide based regimens. Fatigue, nausea and vomitting were the main side effects. No grade III or IV renal or liver toxicity were observed. No treatment related death occurred in patients with lenalidomide based regimens. Conclusions: This evidence based analysis suggests that lenalidomide based regimens are associated with mild response rate and acceptable toxicities for treating patients with castration-resistant prostate cancer.

• Journal of the Korean Society of Safety
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• v.26 no.5
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• pp.105-109
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• 2011

Since a severe accident, which happens in low frequency, can cause serious damages, the interests in off-site consequence analysis for a nuclear power plant have been increased after Chernobyl, TMI and Fukushima accidents. Consequences, which are the effects on health and environment caused by released radioisotopes, are evaluated using MACCS II code based on the method of Level 3 PSA. To perform a consequence analysis for the reference plants, the input data of the code were generated such as meteorological data, population distribution, release fractions, and so on. Using these input data, acute and lifetime dose as an organ, CCDF for early fatalities and latent cancer fatalities, and average individual risk were analyzed by using MACCS II code in this study. These results might contribute to establishing accident management plan and quantitative health object.