• Title/Summary/Keyword: Treatment Grade

검색결과 2,135건 처리시간 0.031초

Patients with HER2-positive Early Breast Cancer Receiving Adjuvant Trastuzumab: Clinicopathological Features, Efficacy, and Factors Affecting Survival

  • Ulas, Arife;Kos, Tugba;Avci, Nilufer;Cubukcu, Erdem;Olmez, Omer Fatih;Bulut, Nilufer;Degirmenci, Mustafa
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권4호
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    • pp.1643-1649
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    • 2015
  • Background: The aim of the present study was to evaluate clinicopathological characteristics of our early stage breast cancer patients who are epidermal growth factor receptor 2 (HER2) overexpressed/amplified (HER2+), the efficacy of trastuzumab treatment and survival results. Materials and Methods: Patients with HER2-positive early stage breast cancer receiving adjuvant trastuzumab were investigated retrospectively. Clinicopathological features of 210 patients and treatment outcome were analysed. To evaluate survival rates, the Kaplan-Meier method was used. Univariate and multivariate analyses were conducted with the Cox regression model. Results: Mean age of the patients was 51.8, 71.9% being postmenopausal. Some 37.6% of patients were node negative, and 31% had T1 tumor size and 52.4% were positive for estrogen receptor. Of 210 patients, 89.5% completed planned 52 weeks adjuvant trastuzumab treatment. The median follow up was 27.5 months (6.0-86.0). Relapse free survival (RFS) was 68.0 months (95% CI: 62.1-74.0) and overall survival (OS) was 74.8 months (95% CI: 69.5-80.1). The 3 year OS for all patients was 92.0% and RFS was 79.6%. During follow up, relapse was detected at the rate of 14.3%. Trastuzumab associated cardiotoxicity was found at the rate of 3.3%. In univariate analyses, larger tumor size and grade III were significantly associated (p<0.05) with RFS. Multivariate analyses of covariates displaying p<0.05 identified grade III as an independent prognostic factor. Conclusions: In the present study, it was established that trastuzumab had a satisfactory safety profile and treatment efficacy as in other clinical studies and that among clinicopathological factors evaluated, only being grade 3 had a significant effect on RFS. The occurrence of relapse with adjuvant trastuzumab makes it necessary to identify molecular predictors, which will define this group better and help explain resistance to anti HER2 based therapies.

전자비임 용접한 250 및 300 Grade 18% Ni Maraging 강의 수소취화 거동에 관한 연구 (A study of hydrogen embrittlement behavior in E.B welded 250,300 grade 18% Ni maraging steel)

  • 윤한상;정병호
    • Journal of Welding and Joining
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    • 제5권2호
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    • pp.53-59
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    • 1987
  • The effect of applied stress, current density and heat-treatment after welding on the time to fracture, fracture behavior was investigated by the method of constant load tensile testing under catholic charging with hydrogen in E.B. welded 250,300 Grade 18% Ni Maraging steel sheet. The main results obtained are as follows: 1. All specimen showed the characteristic delayed failure and the time to fracture showed decreasing tendency with the increase in current density and applied stress. 2. Hydrogen embitterment susceptibility of notched specimen after solution-treatment and aging after welding was more increased than that of aged smooth specimen and as welded specimen. 3. Fracture surface showed a typical intergranular fracture on the border, a dimple pattern in the center of specimen and some quasi-cleavage fracture between the intergranular and the dimple.

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염색견직물의 크롬매염에 관한 연구 (A Study on the Chrome Mordant with Dyed Silk Fabric)

  • 정인모;장병호
    • 한국잠사곤충학회지
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    • 제26권2호
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    • pp.26-31
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    • 1984
  • In general, acid dyes been used for silk dyeing, but acid dyed silk shows weakness in color fastess, To improve this defect, the silk dyed with Acid Mordant Blue 13 was treated with chromes salts solution. Some mechanical properties and dyeing behaviors of the chrome mordant with dyed silk fabric were tested in this work. The tensile strength of silk fabric treated with chrome salts solution was decreased as the duration of treatment was increased. The mean rate constant (K) of photo-degradation was 1.019, and 1.047 after treated with Cr (III) and Cr (Ⅵ), respectively, whereas it was 1.304 in untreatment. The washing fastness of silk fabric also was improved by treatment with mordant and it was 3rd-4th grade and 4th grade when silk was treated with Cr (III) and Cr (Ⅵ), respectively, while untreatment gave 1st grade. The colour of dyed silk fabric was 2.5RP.3/10, but it was 5PB.4/3 and 5PB. 4/4 when the silk fabric was treated with Cr (III) for two hours and with Cr (Ⅵ) for one hour at 90$^{\circ}C$, respectively.

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수열반응에 의한 인공점토의 합성연구(I) 강화도산 백운모질 풍화 화강암의 수열처리 (A Study on the Hydrothermal Synthesis of Clay Mineral(I) Hydrothermal Treatment of the Weathered Two-Mica Granite in Kang Wha district of Korea)

  • 이응상;이상훈
    • 한국세라믹학회지
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    • 제32권1호
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    • pp.71-82
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    • 1995
  • The weathered two-mica granite is widely distributed in Korea and called a kind of ground rock for kaolin. The major minerla compositions are consist of this quartz, feldspar, mica and clay mineral. At present, only a small portion of this granite is used as the material for the low-grade tile industry due to the low S.K. value and the high contents of impurities such as Fe2O3 and FeO. The low S.K. value is caused by feldspars not weathered to clay minerals. The refinement of this thus has been required for the recent shortage of the resources of high-grade one. This paper concerns an optimum hydrothermal treatment condition to refine the low-grade weathered two-mica granite of which impurities are feldspar mineral and Fe2O3. FeO components in using for the main material of ceramic industry. And then, from this result, we tried to fine out the basic formation mechanism of clay mineral from feldspar etc and develope the effectual utilization method of this.

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Comprehensive Analysis of Temozolomide Treatment for Patients with Glioma

  • Yang, Wen-Bing;Xing, Bian-Zhi;Liang, Hua
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권19호
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    • pp.8405-8408
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    • 2014
  • Background: This analysis was conducted to evaluate the efficacy and safety of temozolomide based chemotherapy in treating patients with glioma. Methods: Clinical studies evaluating the efficacy and safety of temozolomide based regimens for patients with glioma were identified using a predefined search strategy. Pooled response rates (RRs) were calculated. Results: In temozolomide based regimens, 5 clinical studies including 152 patients with advanced glioma were considered eligible for inclusion. Four clinical studies included temozolomide. Systematic analysis suggested that, in all patients, pooled CR was 21% (32/152), and PR was 21% (32/152). Grade 3/4 toxicity included neutropenia, thrombocytopenia, and anemia. No grade 3 or 4 renal or liver toxicity was observed. No treatment related death occurred with temozolomide based treatment. Conclusion: This systematic analysis suggests that temozolomide based regimens are associated with mild response rate and acceptable toxicity for treatment of glioma patients.

Surgical Treatment for the Shoulder Joint in Rheumatoid Patients

  • Yoon, Hyung Moon;Jo, Young-Hoon;Lee, Bong Gun
    • Clinics in Shoulder and Elbow
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    • 제19권3호
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    • pp.179-185
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    • 2016
  • Rheumatoid arthritis (RA) is a systemic disease with medication as the treatment of choice. However, surgical treatment is recommended when no improvement is noted despite aggressive conservative treatment. Synovectomy provides desirable outcomes for RA patients in the early stage with a glenohumeral joint of Larsen grade II or less; conversely, arthroplasty is recommended for patients with a glenohumeral joint of grade III or higher. RA patients often have attenuation and dysfunction of the rotator cuff, and reverse shoulder arthroplasty has been proven to provide favorable outcomes in some patients. RA is often complicated with osteoporosis and bony deformity; therefore, close attention is necessary to prevent fractures during shoulder arthroplasty.

매립지내 환경에너지단지의 무방류 시스템 구축방안 (Construction Method of Zero Discharge System for Environmental Energy Complex in Landfill)

  • 천승규
    • 상하수도학회지
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    • 제27권5호
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    • pp.581-590
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    • 2013
  • A research was performed for zero discharge system of waste water which is produced from energy recovery process of waste and biomass. Leachate and all kinds of waste water should be separated and integrated into three categories in addition to converting existing leachate treatment facility into waste water treatment facility as well as introducing a management system of reverse osmosis membrane facility and bioreactor landfill. Following these conditions to better water treatment process, it was likely to produce over 3,000 tons of low-grade recycling water and 2,000 tons of high-grade recycling water per day when zero discharge system of waste water is applied starting from 2016. Economical efficiency was also surveyed in total treatment fee. Present system costs 18,129 million won per year, and suggested zero discharge system would cost 15,789 million won per year.

An Unusual Complication of Colonic Perforation Following Percutaneous Nephrostomy in a Grade IV Blunt Renal Injury Patient

  • Yan, Joan Gan Cheau;Huei, Tan Jih;Lip, Henry Tan Chor;Mohamad, Yuzaidi;Alwi, Rizal Imran
    • Journal of Trauma and Injury
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    • 제32권2호
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    • pp.118-121
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    • 2019
  • Percutaneous nephrostomy is relatively safe for temporary urinary diversion. However, colonic perforation due to percutaneous nephrostomy can happen with an incidence of 0.2% as reported in the English literatures. To our knowledge, this is the first case being reported as a complication following treatment for traumatic renal injury. This paper is to share our treatment approach which differs from the usual approach according to existing literatures. We report on a young man who sustained grade IV renal injury due to blunt trauma and was managed conservatively. The treatment of traumatic renal injury via urinary diversion was complicated with an iatrogenic colonic perforation. The management and subsequent treatment of this patient is discussed in this case report.

하등급 잎담배의 Ozone처리 효과에 관한 연구 (EFFECT OF OZONIZATION ON THE QUALITIES OF LOWER GRADE TOBACCO LEAF)

  • 김형갑;김웅주
    • 한국연초학회지
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    • 제6권2호
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    • pp.215-219
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    • 1984
  • This experiment was conducted to investigate the effect of physical and chemical characteristics of lower grade tobacco with treatment of ozone. In ozonization of low grade tobacco, optimum moisture was 20 percentage, and decrease ratio of content of tobacco leaf was 30 percentage in nicotine , 15.9 percentage in total volatile base, 10.5 percentage in petroleum-ether-extract, 29.5 percentage in solanesol, and decrease ratio of cigarette smoke composition was 31 percentage in nicotine, 6.08 percentage in tar.

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