• Advances in pediatric surgery
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• v.17 no.1
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• pp.45-50
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• 2011

Meckel's diverticulum (MD) has various clinical presentations and due to the limitation of imaging studies, pre-operative diagnosis is a challenge in pediatric patients. Recently, laparoscopic exploration has been suggested as a favorable method for the diagnosis and treatment of complicated MD. We investigated the results of laparoscopic-assisted surgery compared with open technique. We retrospectively studied patients who underwent resection of complicated MD at our institute from 1997 to 2010 and compared 11 treated by laparoscopic-assisted diverticulectomy (LD) with 11 treated by open diverticulectomy (OD) for complicated MD. Operation time was not significantly different in the two groups. Hospital stay and time to diet were not significantly different. Two patients were re-admitted due to mechanical ileus in the LD group. None of patients in either group needed re-operation. Considering the possibility of false-positive results with imaging studies and the cosmetic benefit, laparoscopic-assisted surgery is a safe and effective treatment modality to diagnose and treat complicated Meckel's diverticulum.

• Asian-Australasian Journal of Animal Sciences
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• v.26 no.4
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• pp.509-516
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• 2013

This study estimated the fermentation characteristics and nutrient value of corn-lablab bean mixture silages relative to corn silages. The effects of feeding corn-lablab bean mixture silages on nutrient apparent digestibility and milk production of dairy cows in northern China were also investigated. Three ruminally cannulated Holstein cows were used to determine the ruminal digestion kinetics and ruminal nutrient degradability of corn silage and corn-lablab bean mixture silages. Sixty lactating Holstein cows were randomly divided into two groups of 30 cows each. Two diets were formulated with a 59:41 forage: concentrate ratio. Corn silage and corn-lablab bean mixture silages constituted 39.3% of the forage in each diet, with Chinese wildrye hay constituting the remaining 60.7%. Corn-lablab bean mixture silages had higher lactic acid, acetic acid, dry matter (DM), crude protein (CP), ash, Ca, ether extract concentrations and ruminal nutrient degradability than monoculture corn silage (p<0.05). Neutral detergent fiber (NDF) and acid detergent fiber (ADF) concentrations of corn-lablab bean mixture silages were lower than those of corn silage (p<0.05). The digestibility of DM, CP, NDF, and ADF for cows fed corn-lablab bean mixture silages was higher than for those fed corn silage (p<0.05). Feeding corn-lablab bean mixture silages increased milk yield and milk protein of dairy cows when compared with feeding corn silage (p<0.05). The economic benefit for cow fed corn-lablab bean mixture silages was 8.43 yuan/day/cow higher than that for that fed corn silage. In conclusion, corn-lablab bean mixture improved the fermentation characteristics and nutrient value of silage compared with monoculture corn. In this study, feeding corn-lablab bean mixture silages increased milk yield, milk protein and nutrient apparent digestibility of dairy cows compared with corn silage in northern China.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.13
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• pp.5305-5310
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• 2015

Purpose: The aim of this study was to investigate the association between preoperative leukocyte and platelet counts and the stage of the disease in patients with endometrial cancer. Materials and Methods: Data for 100 patients undergoing total abdominal hysterectomy and bilateral salpingoophorectomy for benign uterine diseases and 177 patients surgically staged for endometrial cancer at Ondokuz Mayis University, Department of Gynecology and Obstetrics between 2005 and 2013, with preoperative complete blood count in the week prior to surgery including WBC, platelet count, pathologic evaluation for both benign and malign endometrium lesions, tumor stage and presence of lymphovascular space invasion (LVI), were retrospectively analyzed. Results: The preoperative leukocyte count was significantly higher in patients with endometrial cancer when compared to the patients with benign diseases. However, there were no significant differences in platelet counts between the groups. Patients with advanced stage endometrial cancer had higher preoperative leukocyte counts when compared to the early stage disease whereas there was no difference in platelet count. Multivariate regression analysis identified preoperative leukocytosis as an independent prognostic factor for endometrial cancer. The optimal cut-off point for WBC was calculated as 10,500 to differentiate stage 1-2-3 and 4 with 88.9% sensitivity and 86.3% specificity (AUC: 0.901, 95% CI: 0.829-0.973, p<0.001, PPV: 25.8%, NPV: 99.3%). Conclusions: Preoperative leukocytosis is independently associated with advanced endometrial cancer.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.20
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• pp.9015-9019
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• 2014

The study aimed to compare the 2 main types of insurance used by colorectal cancer (CRC) patients in a university hospital in Thailand: universal coverage (UC) and 'Civil Servant Medical Benefit Scheme' (CSMBS) in terms of hospital expenditure and survival outcomes. CRC cases in stages I-IV who were operated on and had completed their adjuvant therapy in Songklanagarind Hospital from 2004 through 2013 were retrospectively reviewed regarding their hospital expenditure, focusing on surgical and chemotherapy costs. Of 1,013 cases analyzed, 524 (51.7%) were in the UC group while 489 (48.3%) belonged to the CSMBS group. Cases with stage IV disease were significantly more frequent in the UC group. Average total treatment expenditure (TTE) was 143,780 Thai Baht (THB) (1 US$ =~ 30 THB). The TTE increased with tumor stage and the chemotherapy cost contributed the most to the TTE increment. TTE in the CSMBS group was significantly higher than in the UC group for stage II-III CRCs. The majority of cases in the UC group (65.5%) used deGramont or Mayo as their first line regimen, and the proportion of cases who started with a capecitabine-based regimen (XELOX or $Xeloda^{(R)}$) was significantly higher in the CSMBS group (61.0% compared to 24.5% in the UC group, p-value < 0.01). On survival analysis, overall survival (OS) and progress free survival in the CSMBS group were significantly better than in the UC group. The 5-year OS in the CSMBS and UC groups were 84.3% and 74.6%, respectively (p-value < 0.01). In conclusion, the study indicates that in Thailand, the type of insurance influences resource utilization, especially the choice of chemotherapy, in CRC cases. This disparity in treatment, in turn, results in a gap in treatment outcomes.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.5
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• pp.2095-2100
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• 2014

Objective: Most patients with advanced breast cancer experience resistance to endocrine treatment and eventual disease progression. This meta-analysis was designed to compare the efficacy and tolerability of fulvestrant 250mg with anastrozole 1mg in postmenopausal women with advanced breast cancer. Methods: Electronic literature databases (Cochrane Library, Medline, and Embase) were searched for randomized controlled trials (RCTs) published prior to August 2013. Only RCTs that compared fulvestrant 250mg to anastrozole 1mg in postmenopausal women with advanced breast cancer were selected. The main outcomes were time to treatment failure (TTF), time to progression (TTP), duration of response (DOR), clinical benefit rate, and tolerability. Results: Four RCTs covering 1,226 patients (fulvestrant, n=621; anastrozole, n=605) were included in the meta-analysis. Fulvestrant increased the DOR compared to anastrozole (HR =1.31, 95% confidence interval [CI] 1.13-1.51). There was no statistically significant difference between fulvestrant and anastrozole in terms of TTF (HR=1.02, 95%CI 0.89-1.17), complete response (RR=1.79, 95%CI, 0.93-3.43), and partial response (RR=0.91, 95%CI 0.69-1.21). As for safety, there was no statistical significance between the two groups for common adverse events. Conclusion: Fulvestrant 250mg is as effective and well-tolerated as anastrozole 1mg treatment for advanced breast cancer in postmenopausal women whose disease progressed after prior endocrine treatment. Thus, fulvestrant may serve as a reasonable alternative to anastrozole when resistance is experienced in breast cancer cases.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.10
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• pp.6109-6114
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• 2013

Aim: To determine whether beta-blockers (BBs) improve the overall survival (OS) of patients with metastatic non-small cell lung cancer (NSCLC). Materials and Methods: The medical charts of 107 patients with metastatic NSCLC were retrospectively assessed. Thirty-five patients (BB group) using BBs during chemotherapy (CT) were compared with 72 controls [control=(C) group] who did not use BBs following the diagnosis of NSCLC. The histological tumor subtype, performance status (ECOG), age, gender, smoking status, comorbidities, other medications and chemotherapeutics that were received in any line of treatment were recorded. We compared the overall survival (OS) of the patients in the BB and C groups. Results: The mean age of the patients was 61 years (range 42-81 years) and all patients were administered CT. The BB group was more likely to have HT and IHD and was more likely to use RAS blockers (p<0.01 for all) compared with the C group, as expected. The mean follow-up time was 17.8 months (range 1-102 months) for the entire group. The most commonly prescribed BB agent was metoprolol (80% of cases). At the time of the analysis, 74 (69%) of all patients had died. In the univariate analysis the median overall survival (OS) was 19.25 (${\pm}2.87$) months (95%CI: 13.62-24.88) in the BB group and 13.20 (${\pm}2.37$) months (95%CI: 8.55-17.85) in the C group (p=0.017). However, the benefit of BBs on survival disappeared in the multivariate analysis. Conclusions: The use of BBs during CT may be associated with an improved OS for patients with metastatic NSCLC.

• Asian-Australasian Journal of Animal Sciences
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• v.14 no.2
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• pp.288-296
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• 2001

The behavior of declawed emus in a farm environment has not been described despite its importance in the husbandry and welfare of the emu. This study examined whether declawing of emus causes chronic pain resulting in permanent changes in the locomotor and general behavior of declawed yearling emus compared to emus not declawed. One group of 40 emus were declawed on the day of hatch by removing the distal phalangeal joint using a Lyon beak-trimming machine. Another group of 40 emus not declawed were the controls. Declawed emus one year of age were allocated to a paddock $250m{\times}125m$, while the control group was placed in an adjoining paddock of the same dimensions. One hour video records of individual emus from each treatment were made from 08:00 and 17:00 h over 2 periods; firstly when food and water was available and secondly during a period when food and water was not available after being withdrawn overnight. Inactive, ingestive, posture change, grooming, aggressive and locomotor behaviors were monitored from the videotape. There was no behavioral evidence to indicate loss of locomotor ability of declawed emus or to suggest declawed emus were suffering from severe chronic pain as indicated by declawed emus engaging in significantly more bouts (p<0.05) and time of searching (p<0.05). Declawed emus also engaged in less stereotype pacing (p<0.05) indicating they were under less stress and not as frustrated as control birds which engaged in more step pushing behavior (p<0.05). Modelling analysis showed that pecking behavior in birds was most closely related to foraging behavior. Birds subject to pecking attacks demonstrated higher levels of stereotype behavior presumably as a method to cope with stress. The behavioral evidence in this study would indicate that declawing does not compromise the locomotor ability of emus and has the benefit of improving the social structure in the groups by reducing stereotype behavior and aggression.

• Asian-Australasian Journal of Animal Sciences
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• v.14 no.2
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• pp.224-230
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• 2001

This study was conducted to evaluate the extruding effects of corn and wheat on growth performance and fecal digestibility of amino acids in early-weaned pigs. Ground corn and wheat by a hammer mill (3 mm screen in diameter) were extruded at $130{\pm}2^{\circ}C$ with a moist-type extruder ($Matador^{(R)}$). Treatments were: 1) 3 mm ground corn, 2) extruded corn, 3) 3 mm ground wheat, and 4) extruded wheat. A total of 160 pigs (14 d of age and $4.3{\pm}0.74kg$ BW) were allotted with the dietary treatments for a 21-d feeding trial. All diets were mash and contained 30% corn or wheat products. For a digestibility trial, 16 pigs (14-d old and $4.2{\pm}0.32kg$ BW) were employed in individual metabolic crates. There were no differences (p>0.15) in growth performance between corn-fed and wheat-fed groups. Feeding pigs diets containing extruded corn or wheat did not affect ADG (p>0.15) and ADFI (p>0.15), but it improved feed/gain (p<0.01). Also, feeding pigs diets containing extruded corn or wheat had lower true fecal digestibilities of arginine, histidine, isoleucine, lysine and valine (p<.007) in the pigs. In conclusion, our results suggest that extruding corn and wheat had no benefit on the growth of early-weaned pigs.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.7
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• pp.3321-3324
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• 2016

Background: Androgen receptors (ARs) are expressed in more than 70% of breast cancers (BCs) and have been implicated in BC pathogenesis. Some triple negative (TN)BC tumors express AR and may benefit from AR-targeted therapies. The aim of this study was to evaluate survival and the prevalence of AR expression and its correlation with other risk factors in triple negative BCs in women from Western Iran. Materials and Methods: In a retrospective study between 2009-2015, 41 patients with TNBC were referred to the Private Clinic of Oncology, Kermanshah city, Iran. ER, PR and AR-positive expression was defined as ${\geq}10%$ nuclear staining and also HER2 (2+), FISH was performed. Nuclear staining was considered representative for Ki67 and P53. The mean follow-up for the patients was 25 months. In this time, 5 patients died and 4 lost to follow-up were censored from survival analysis. Results: The mean age at diagnosis was 46.9 years (range, 24-71 years) and all patients were female. The OS rates for AR-positive and AR-negative patients were 90% and 85.1%, respectively, and the mean OS was 26.3 and 23.2 months. Therefore, there was no significant difference between the two groups (Hazard ratio: 0.580, 95% CI: 0.086-3.893, P=0.575). Conclusions: In TNBC patients, evaluation of AR status may provide additional information on prognosis and treatment. The results of studies showed that the prevalence AR expression may differ in the world and probably ethnicity can be an influencing factor.

• Journal of Nutrition and Health
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• v.33 no.8
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• pp.794-801
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• 2000

The purpose of this study is to determine the effects of the aerobic exercise type on macronutrient self-selection. Male Sprague-Dawley rats were placed on a macronutrient self-selection diet for 4 weeks. For this purpose, mixed feeds were prescribed for the rats while they were forced to swim and run for 4 weeks. Animals were either swimming exercise or treadmill running exercised at 20m/min(60min/day). Cumulative daily energy and macronutrient intake were determined during this period. The running exercise group gained weight much more than the control group, while the swimming exercise group lost weight less than the control group. Such findings suggests that the former group took more feed. On the other hand, the dietary efficiency of the control group was higher, which implies that no physical exercise would result in a higher dietary efficiency. And there was significant difference of total dietary and calorie intakes among the three groups, Although insignificant in statistical means, it was found that the running group took feed most, which is attributable to the homeostasis requiring the supplementation of the calorie lost by exercise. Also, the running exercise group took the protein and carbohydrate most. while the control group took fat most. The decrease of fat intake by the running exercise group suggests the possibility that the in-body enzymes should adapt themselves to the changing in-body condition caused by the endurance exercise. In contrast, it is conceived that the more intake of the carbohydrate may be attributable to the need of supplementing the nutrient lost by the endurance exercise. As discussed above, the endurance exercise group took carbohydrate and protein and less fat than control group. In particular, it was found that the amount of feed intakes was affected much by types, intensity and duration of the exercises. All in all, such findings would apply to human beings. Now can increase the intakes of carbohydrate and decrease the intake of fat through an effective running exercise program and thereby, change our dietary patterns to the benefit of our body and simultaneously, prevent and adult\\`s diseases by decreasing the in % body fat level.(Korean J Nutrition 33(8) : 794-801, 2000)