• Title/Summary/Keyword: Multiple-dose

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Clinical application of RapidArc volumetric modulated arc therapy as a component in whole brain radiation therapy for poor prognostic, four or more multiple brain metastases

  • Lee, Seung-Heon;Lee, Kyu-Chan;Choi, Jin-Ho;Kim, Hye-Young;Lee, Seok-Ho;Sung, Ki-Hoon;Kim, Yun-Mi
    • Radiation Oncology Journal
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    • v.30 no.2
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    • pp.53-61
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    • 2012
  • Purpose: To determine feasibility of RapidArc in sequential or simultaneous integrated tumor boost in whole brain radiation therapy (WBRT) for poor prognostic patients with four or more brain metastases. Materials and Methods: Nine patients with multiple (${\geq}4$) brain metastases were analyzed. Three patients were classified as class II in recursive partitioning analysis and 6 were class III. The class III patients presented with hemiparesis, cognitive deficit, or apraxia. The ratio of tumor to whole brain volume was 0.8-7.9%. Six patients received 2-dimensional bilateral WBRT, (30 Gy/10-12 fractions), followed by sequential RapidArc tumor boost (15-30 Gy/4-10 fractions). Three patients received RapidArc WBRT with simultaneous integrated boost to tumors (48-50 Gy) in 10-20 fractions. Results: The median biologically effective dose to metastatic tumors was 68.1 $Gy_{10}$ and 67.2 $Gy_{10}$ and the median brain volume irradiated more than 100 $Gy_3$ were 1.9% (24 $cm^3$) and 0.8% (13 $cm^3$) for each group. With less than 3 minutes of treatment time, RapidArc was easily applied to the patients with poor performance status. The follow-up period was 0.3-16.5 months. Tumor responses among the 6 patients who underwent follow-up magnetic resonance imaging were partial and stable in 3 and 3, respectively. Overall survival at 6 and 12 months were 66.7% and 41.7%, respectively. The local progression-free survival at 6 and 12 months were 100% and 62.5%, respectively. Conclusion: RapidArc as a component in whole brain radiation therapy for poor prognostic, multiple brain metastases is an effective and safe modality with easy application.

Stripping of Ion-Implanted Photoresist Using Cosolvent-Modified Supercritical Carbon Dioxide (공용매로 변형된 초임계 이산화탄소를 이용한 이온 주입 포토레지스트 세정)

  • Jung, In-Il;Kim, Ju-Won;Lee, Sang-Yun;Kim, Woo-Sik;Ryu, Jong-Hoon;Lim, Gio-Bin
    • Korean Chemical Engineering Research
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    • v.43 no.1
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    • pp.27-32
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    • 2005
  • We propose an effective and environmentally friendly dry stripping method using a supercritical carbon dioxide ($SCCO_2$) system modified by a single and multiple cosolvents to remove ion-implanted photoresist and residue from a wafer surface at three different temperatures (97, 148, $200^{\circ}C$) and pressures (200, 300, 400 bar). After high dose of ion implantation the photoresist was not easily removed by using pure $SCCO_2$, but swollen. The $SCCO_2$ system modified by single cosolvents and multiple cosolvents mixed with aprotic solvents could not effectively remove the heavy organics, but swell them. However, the $SCCO_2$ system modified with multiple cosolvent (5%, v/v) composed of DMSO and DIW showed high removal efficiency for ion-implanted photoresists at $97^{\circ}C$ and 200 bar for 30 min (about 80%). In this study it has been shown that the dry stripping method using $SCCO_2$ system modified with multiple cosolvents could replace either plasma ashing or acid and solvent wet bench method and dramatically reduce accompanied chemical usage and disposal.

Imaging Characteristics of Computed Radiography Systems (CR 시스템의 종류와 I.P 크기에 따른 정량적 영상특성평가)

  • Jung, Ji-Young;Park, Hye-Suk;Cho, Hyo-Min;Lee, Chang-Lae;Nam, So-Ra;Lee, Young-Jin;Kim, Hee-Joung
    • Progress in Medical Physics
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    • v.19 no.1
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    • pp.63-72
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    • 2008
  • With recent advancement of the medical imaging systems and picture archiving and communication system (PACS), installation of digital radiography has been accelerated over past few years. Moreover, Computed Radiography (CR) which was well established for the foundation of digital x-ray imaging systems at low cost was widely used for clinical applications. This study analyzes imaging characteristics for two systems with different pixel sizes through the Modulation Transfer Function (MTF), Noise Power Spectrum (NPS) and Detective Quantum Efficiency (DQE). In addition, influence of radiation dose to the imaging characteristics was also measured by quantitative assessment. A standard beam quality RQA5 based on an international electro-technical commission (IEC) standard was used to perform the x-ray imaging studies. For the results, the spatial resolution based on MTF at 10% for Agfa CR system with I.P size of $8{\times}10$ inches and $14{\times}17$ inches was measured as 3.9 cycles/mm and 2.8 cycles/mm, respectively. The spatial resolution based on MTF at 10% for Fuji CR system with I.P size of $8{\times}10$ inches and $14{\times}17$ inches was measured as 3.4 cycles/mm and 3.2 cycles/mm, respectively. There was difference in the spatial resolution for $14{\times}17$ inches, although radiation dose does not effect to the MTF. The NPS of the Agfa CR system shows similar results for different pixel size between $100{\mu}m$ for $8{\times}10$ inch I.P and $150{\mu}m$ for $14{\times}17$ inch I.P. For both systems, the results show better NPS for increased radiation dose due to increasing number of photons. DQE of the Agfa CR system for $8{\times}10$ inch I.P and $14{\times}17$ inch I.P resulted in 11% and 8.8% at 1.5 cycles/mm, respectively. Both systems show that the higher level of radiation dose would lead to the worse DQE efficiency. Measuring DQE for multiple factors of imaging characteristics plays very important role in determining efficiency of equipment and reducing radiation dose for the patients. In conclusion, the results of this study could be used as a baseline to optimize imaging systems and their imaging characteristics by measuring MTF, NPS, and DQE for different level of radiation dose.

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Surfactant Replacement Therapy for RDS: a Collaborative Study of 72 Multi-center Trials in Korea (2010) and a Review of Korean Experiences over 20 Years (2010년 전국 72개 병원에서 신생아 호흡곤란증후군의 폐 표면활성제 치료 결과: 지난 20년간의 비교)

  • Bae, Chong-Woo;Hahn, Won-Ho;Chang, Ji-Young;Kim, Sung-Mi
    • Neonatal Medicine
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    • v.18 no.2
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    • pp.409-411
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    • 2011
  • In Korea, pulmonary surfactant (PS) replacement therapy in respiratory distress syndrome (RDS) was started in 1991 since when Surfacten$^{(R)}$ was imported from Japan. At the present time, Surfacten$^{(R)}$, Newfactan$^{(R)}$, Curosurf$^{(R)}$, and Infasurf$^{(R)}$ are available in Korea. The governmental health insurance covers the expense for multiple dose treatment since 2002 and the early prophylactic treatment (BW: <1,250 g or GP: <30 wks) since 2011. We undertook a multi-institutional collective study to evaluate the outcomes of PS over past 20 years in Korea (Period-I; 1990/91, P-II; 1996, P-III; 2002, and P-IV; 2007, P-V; 2010). There were 60 RDS neonates with PS treatment in P-I (16 hospitals), 1,179 in P-II (64), 1,595 in P-III (62), 1,921 in P-IV (57), and 3,160 in P-V (72). Decreased mortality rate, defined as the percentage of neonates who died within 28 days of birth, was seen between periods, P-V vs P-I, II, III, and IV (mortality rate: 10.1% vs. 40.0%, 30.0%, 18.7%, and 14.3%). We conclude that PS therapy contributed to improve remarkable outcome in RDS neonates over the last 20 years in Korea. However, more efforts should be made to optimize PS therapy for better outcome. Multiple PS doses for relapse and poor response, early prophylactic use, and better supportive care for pre-term infants are mandatory.

Distribution of Cyhalofop-butyl and Penoxsulam Resistant Echinochloa spp. in Korean Paddy Fields (국내 Cyhalofop-butyl과 Penoxsulam 저항성 피의 지역별 분포)

  • Lee, Jeongran;Kim, Jin-Won;Lee, In-Yong
    • Weed & Turfgrass Science
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    • v.6 no.4
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    • pp.345-349
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    • 2017
  • Herbicides are important weed control tools for increasing crop yields and the efficiency of crop production. As the use of herbicides increases, the occurrrence of herbicide-resistant weeds has been an increaing problem. In Korea, since the first occurrence of acetolactate synthase (ALS) inhibitor resistant Monochoria korsakowii was reported in the Seosan reclaimed paddy field in 1998, resistance has been reported in 14 weed species, including Echinochola spp. and their populations are gradually increasing. The objective of this study is to investigate the nationwide occurrence of ALS and Acetyl-CoA Carboylase inhibitor resistant Echinochloa spp. in Korea. In 2013, 2014, and 2015, we collected 594 accessions of Echinochloa spp. in Korean rice fields except for Jeonnam and Chungbuk provinces. They were then treated with the recommended rates of penoxsulam and cyhalofop-butyl. We harvested seeds from 45 accessions of E. oryzicola in the case of cyhalofop-butyl treatment. Also, 44 and 46 accessions of E. oryzicola and E. crus-galli survived and their seeds were harvested after penoxsulam treatment. Twenty accessions of E. oryzicola survived from both herbicides inferring possible multiple resistance. Two accessions out of 20 inferred from possible multiple resistance survived after cyhalofop-butyl treatment at a dose of $500ga.i.ha^{-1}$. Seeds of herbicide resistant populations will be provided and utilized for further research.

Induced and Multiple Spawnings by Human Chorionic Gonadotropin Injection of the Loach, Misgurnus mizolepis (Teleostomi : Cobitidae) (태반성 성선 자극 호르몬 (Human Chorionic Gonadotropin) 처리에 의한 미꾸라지의 산란 유도 및 연중 다산란 유도를 위한 연구)

  • KIM Dong Soo;KIM Jong Hyun;PARK In-Seok
    • Journal of Aquaculture
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    • v.5 no.2
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    • pp.109-115
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    • 1992
  • Effects of intraperitonial injections of human chorionic gonadotropin (HCG) on ovulation and spawning of the loach, Misgurnus mizolepts, were investigated. Matured females spawned successfully by a single dose of 6 IU (HCG) per gram body weight. Spawning usually occured 13 to 25 hours after hormone injection. Most of the eggs were fertilized and hatched normally. Fertilization rate, hatching percentage and Pseudo-gonadosomatic index were not correlated with increasing HCG doses. For the study of multiple spawning of this species, fatness, hepatosomatic and gonadosomatic indices of artificially spawned females were checked for 42 days after first spawning. According to this result, females could spawn again 40 days after first spawning.

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Multiple Target Angle Tracking Algorithm with Efficient Equation for Angular Innovation (효율적으로 방위각 이노베이션을 구하는 다중표적 방위각 추적 알고리즘)

  • Ryu, Chang-Soo;Lee, Jang-Sik;Lee, Kyun-Kyung
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.38 no.6
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    • pp.1-8
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    • 2001
  • Recently, Ryu et al. proposed a multiple target angle tracking algorithm using the angular innovation extracted from the estimated signal subspace. This algorithm obtains the angles of targets and associates data simultaneously. Therefore, it has a simple structure without data association problem. However it requires the calculation of the inverse of a real matrix with dimension (2N+1)${\times}$(2N+1) to obtain the angular innovations of N targets. In this paper, a new linear equation for angular innovation is proposed using the fact that the projection error is zero when the target steering vector is projected onto the signal subspace. As a result, the proposed algorithm dose not require the matrix inversion and is computationally efficient.

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Antiherpetic Activities of Natural Hesperetin Alone and in Combinations with Acyclovir and Vidarabine (천연 Hesperetin의 항허피스바이러스작용과 Acyclovir 및 Vidarabine과의 병용효과)

  • Lee, Ji-Hyun;Eo, Seong-Kug;Kim, Young-So;Lee, Chong-Kil;Han, Seong-Sun
    • Korean Journal of Pharmacognosy
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    • v.30 no.1
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    • pp.40-47
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    • 1999
  • To search for less toxic antiherpetic agents, the inhibitory effects of natural hesperetin on the plaque formation of herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2) in Vero cells were examined by the plaque reduction assay in vitro. Hesperetin inhibited plaque formations of HSV-1 and HSV-2 in a dose dependent manner. It also exhibited more potent antiherpetic activity on HSV-2 with selectivity index (SI) of 9.8 than on HSV-1 with SI of 8.4. The combined antiherpetic effects of hesperetin with nucleoside antiherpetic agents, acyclovir and vidarabine, were examined on the multiplication of these two strains of herpesviruses in Vero cells by the combination assay. The results of combination assay were evaluated by the combination index (CI) that was calculated by the multiple drug effect analysis. The combinations of hesperetin with acyclovir on HSV-1 and HSV-2 showed synergistic effects with CI values of $0.29{\sim}0.73$ for 50%, 70%, 90% effective levels and those with vidarabine showed partially synergistic or additive effects with CI values of $0.83{\sim}1.33$.

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Progesterone Effects on Microsomal Epoxide Hydrolase and Glutathione S-transferease mRNA Levels in Rats (랫드 간 Epoxide Hydrolase와 Glutathione S-Transferase 유전자 발현에 미치는 Progesterone의 효과)

  • Cho, Joo-Youn;Kim, Sang-Geon
    • The Korean Journal of Pharmacology
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    • v.32 no.2
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    • pp.233-241
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    • 1996
  • Previous studies have shown that glucocorticoid suppresses microsomal epoxide hydrolase(EH) gene expression and that EH expression is altered during pregnancy. The effects of progesterone on the expression of rat EH and certain glutathione S-transferase(GST) genes were examined in this study. Northern RNA blot analysis revealed that progesterone was effective in increasing hepatic EH mRNA levels at 12 h to 48 h after treatment with a maximal 9-fold increase being noted at 12 h time point. Nonetheless, multiple daily treatment with progesterone rather caused minimal relative increases in EH mRNA levels. GST Ya and Yb1/2 mRNA levels were also transiently elevated at 12 h after progesterone treatment, followed by gradual decreases from the maximal Increases at day 1, 2 and 5 post-treatment. These changes in EH and GST mRNA levels were noted only at a relatively high dose of progesterone. Furthermore, immunoblot analyses showed that rats treated with progesterone for 5 days failed to show EH or GST induction, indicating that progesterone-induced alterations in EH and GST mRNA levels do not reflect bona fide induction of the detoxifying enzymes. Concomitant progesterone treatment of rats with the known EH inducers including ketoconazole and clotrimazole failed to additively nor antagonistically alter EH mRNA levels. In contrast, dexamethasone substantially reduced ketoconazole- or clotrimazole-inducible EH expression. These results showed that progesterone stimulates the EH, GST Ya and Yb1/2 gene expression at early times followed by marked reduction in the RNA levels from the maximum after multiple treatment and that the changes in mRNA do not necessarily reflect induction of the proteins.

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Bioeuqivalence Study of Nabumetone Tablets in Man

  • Lee, Young-Joo;Jang, Eun-Ju;Lee, Jeong-Uk;Han, Yong-Hae;Chung, Suk-Jae;Lee, Min-Hwa;Shim, Chang-Koo
    • Archives of Pharmacal Research
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    • v.18 no.5
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    • pp.340-345
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    • 1995
  • A nebumetone tablet in development $(Navuton^R)$ was tested for its bioequivalence to the erference tablet $(Uniton^R)$. Seventeen healthy Korean male subjects participated in this study. Each subject received a 1-g dose of nabumetone (2tables each) in an unbalanced, randomized, two-way crossover investigation. Serum concentrations of 6-methoxy-2-na-phthylacetic acid (6-MNA), a major metabolite of nebumetone, were measured over 120 hr interval by a high-performance liquid chromatography. The maximum serum concentration $(C_{max})$ and time to reach the maximum concentration$(T_{max})$ were read directly, but area under the serum concentration time curve from time 0 to 120 hr (AUC) and mean residence time serum curves showed multiple peaks of 6-MNA in most subjects, and the $C_{max}$ and $T_{max}$ were read from the highest serum peaks. calculated bioavailability parameters for test and reference tablets were 148.6 : 1377.9 $\mug \cdot hr/ml$ for AUC; 25.2:23.1 $\mu/ml$ for $C_{max}$; 11.8:16.4 hr for $T_{max}$, and 42.6 : 43.8 hr for MRT, respectively. The paired t-test revealed no significant differences in all the parameters between the two tablets. Analysis ofl variance (ANOVA) revealed no significant differences between groups and formulations in all the parameters ($C_{max}$ and $T_{max}$, AUC and MRT) indicating the crossover design of the experiment was properly performed. But significant differences (p<0.05) between subject/groups and periods were found for all the parameters indicating substantial intersubject and interperiodic variations for these parameters.

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