• Journal of Chest Surgery
• /
• 제55권3호
• /
• pp.214-224
• /
• 2022

Background: Studies of the prognostic role of circulating tumor cells (CTCs) in early-stage non-small cell lung cancer (NSCLC) are still limited. This study investigated the prognostic power of CTCs from the pulmonary vein (PV), peripheral blood (PB), and bone marrow (BM) for postoperative recurrence in patients who underwent curative resection for NSCLC. Methods: Forty patients who underwent curative resection for NSCLC were enrolled. Before resection, 10-mL samples were obtained of PB from the radial artery, blood from the PV of the lobe containing the tumor, and BM aspirates from the rib. A microfabricated filter was used for CTC enrichment, and immunofluorescence staining was used to identify CTCs. Results: The pathologic stage was stage I in 8 patients (20%), II in 15 (38%), III in 14 (35%), and IV in 3 (8%). The median number of PB-, PV-, and BM-CTCs was 4, 4, and 5, respectively. A time-dependent receiver operating characteristic curve analysis showed that PB-CTCs had excellent predictive value for recurrence-free survival (RFS), with the highest area under the curve at each time point (first, second, and third quartiles of RFS). In a multivariate Cox proportional hazard regression model, PB-CTCs were an independent risk factor for recurrence (hazard ratio, 10.580; 95% confidence interval, 1.637-68.388; p<0.013). Conclusion: The presence of ≥4 PB-CTCs was an independent poor prognostic factor for RFS, and PV-CTCs and PB-CTCs had a positive linear correlation in patients with recurrence.

• 응용통계연구
• /
• 제30권1호
• /
• pp.135-145
• /
• 2017

주성분 분석(principal component analysis; PCA)은 서로 상관되어 있는 다변량 자료의 차원을 축소하는 대표적인 기법으로 많은 다변량 분석에서 활용되고 있다. 하지만 주성분은 모든 변수들의 선형결합으로 이루어지므로, 그 결과의 해석이 어렵다는 한계가 있다. sparse PCA(SPCA) 방법은 elastic net 형태의 벌점함수를 이용하여 보다 성긴(sparse) 적재를 가진 수정된 주성분을 만들어주지만, 변수들의 그룹구조를 이용하지 못한다는 한계가 있다. 이에 본 연구에서는 기존 SPCA를 개선하여, 자료가 그룹화되어 있는 경우에 유의한 그룹을 선택함과 동시에 그룹 내 불필요한 변수를 제거할 수 있는 새로운 주성분 분석 방법을 제시하고자 한다. 그룹과 그룹 내 변수 구조를 모형 적합에 이용하기 위하여, sparse 주성분 분석에서의 elastic net 벌점함수 대신에 계층적 벌점함수 형태를 고려하였다. 또한 실제 자료의 분석을 통해 제안 방법의 성능 및 유용성을 입증하였다.

• 응용통계연구
• /
• 제30권6호
• /
• pp.889-899
• /
• 2017

독립성분분석은 혼합된 신호에서 원신호들을 분리하기 위해서 사용되는 다변량 분석방법으로서, 블라인드 음원 분리 중 가장 널리 사용되는 방법이다. 독립성분분석은 주성분분석이나 요인분석과 같이 선형변환을 사용하지만, 원신호들의 통계적 독립과 비정규성 가정을 필요로 한다는 점에서 다르다. 설명되는 분산의 누적비율이 클수록 더 중요한 성분을 의미하게 되는 주성분분석과 달리, 독립성분분석에서는 독립성분들의 중요순서를 결정하는데 적절한 유일한 기준이 정해지지 않는다. 군집분석이나 차원축소된 그래프 작성 등과 같은 후속 연구를 진행하기 위해서는 일부의 주요 독립성분을 사용하게 되므로, 성분의 순서를 정하는 것은 의미가 있다. 본 연구에서는 성분의 순서를 결정하기 위한 몇 가지 기준의 성능을 비교하였다. 첨도와 첨도의 절댓값, 음의 엔트로피, 콜모고로프-스미르노프 통계량, 계수제곱합을 이용한 방법이 고려되었다. 이들은 알려진 그룹을 분류하는 능력을 기준으로 평가되었다. 두 가지 형태의 자료를 이용한 분석결과를 제시하였다.

• Clinical Nutrition Research
• /
• 제5권2호
• /
• pp.126-136
• /
• 2016

Due to poor nutrition and abnormal energy metabolism, cancer patients typically experience the loss of muscle mass. Although the diabetic conditions or dyslipidemia have been reported as a causal link of cancer but the consequence of such conditions in relation to gain or loss of skeletal muscle mass in cancer patients has not been well documented. The purpose of this study was to investigate the relationship of lean body mass and systemic parameters related to lipid metabolism in non-diabetic cancer patients using data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008-2011. As results the level of serum total cholesterol (total-C) was negatively associated with both total lean body mass and appendicular lean body mass in cancer patients after adjustment for sex, physical activity, energy intake and comorbidity. The associations between consumption of dietary factors (energy, carbohydrate, protein and fat) and lean body mass were disappeared after adjusting comorbidities of cancer patients. Multivariate-adjusted linear regression analysis by quartiles of serum total-C showed that higher quartile group of total-C had significantly lower percent of lean body mass than reference group in cancer patients. The data indicate that serum lipid status can be the potential estimate of loss of skeletal muscle mass in cancer patients and be referenced in nutrition care of cancer patients under the onset of cachexia or parenteral/enteral nutrition. This data need to be confirmed with large pool of subjects and should be specified by stage of cancer or the site of cancer in future studies.

• 한국동물생명공학회지
• /
• 제37권3호
• /
• pp.193-201
• /
• 2022

Subgroups of sperm which share similar motility features documented in mammals indicate between-subject variations that might be related to fertilizing potential of the respective ejaculates. The objectives of this study were to define subpopulations of motile sperm in Gyr falcon semen using kinematic parameters driven by Computer Assisted Semen Analysis (CASA) and to investigate the subject-related variations in these subpopulations. A total of 24 fresh ejaculates from 6 falcons were used to assign each of the 20473 sperms into 3 subpopulations by a multivariate cluster analysis. The proportion of sperms in different sub-populations were compared among subjects by a generalized linear model and repeatability of sperm frequency in different subpopulations was investigated by corelation analysis. The resulting 3 categories of sperm indicated significant differences in all kinematic parameters (p < 0.05). Subpopulation 1 (15.91%) contained sperms with the highest velocity and progressiveness of movement trajectory while subpopulation 3 (6.4%) included the least progressively motile sperms. Proportion of rapid and medium progressive sperm were consistently higher in the ejaculate of three falcons compared to the two other birds which also had the highest proportion of slow non-progressive sperms (p < 0.05). Respective proportion of sperms in each subpopulations indicated significant repeatability over multiple measurements (p < 0.05). In conclusion, subpopulations of motile sperm in Gyr falcon can be identified using kinematic parameters generated by CASA. Individual differences in the proportion of these subpopulations might have potential application for identifying the males with higher fertilizing capacity.

• Asian Pacific Journal of Cancer Prevention
• /
• 제14권3호
• /
• pp.1895-1903
• /
• 2013

Background: It is well established that a healthy lifestyle is of benefit in the prevention of diseases such as cancer and promotion of well-being. Therefore, the objective of this study was to determine lifestyle practice and associated factors among university students in Malaysia. Materials and Methods: A cross sectional study was conducted over six months from November 2011 until May 2012 among the students from the Management and Science University. This study was approved by its ethical committee, the students being explained the objective and invited to participate. A consent form was signed by all study participants. Questionnaire was distributed randomly to the students of the five faculties through their lecturers in different faculty. For univariate analysis t-test and ANOVA test were performed. Multiple linear regression used for multivariate analysis using SPSS 13.0. Results: A total number of 1100 students participated with a mean age of $22.1{\pm}2.21$ (SD) years. The majority were 22 years or younger (56.3%), female (54%), Malay (61.5%), single (92.3%), with family monthly income ${\geq}5000$ Ringgit Malaysia (41.2%). Regarding lifestyle, about were 31.6% smokers, 75.6% never drank alcohol and 53.7% never exercised. Multivariate analysis showed that age, sex, race, parent marital status, participant marital status, type of faculty, living status, smoking status, exercise, residency, brushing teeth, fiber intake and avoid fatty food significantly influenced the practice of drinking alcohol among university students (p=0.006, p=0.042, p<0.001, p=0.003, p=0.002, p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p=0.003, p<0.001; respectively). It similarly showed that sex, race, parent marital status, participant marital status, monthly family income, exercise, residency, brushing teeth and fiber intake significantly influenced the practice of sun protection (p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p=0.017, p<0.001, p<0.001, p<0.001; respectively) and that age, sex, parent marital status, participant marital status, type of faculty, living status, exercise, taking non-prescribed medication, brushing the teeth, coffee consumption and fiber intake were significantly influenced the practice of fruits consumption (p=0.008, p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p<0.001, p=0.002, p<0.001, P<0.001; respectively). Conclusions: This study showed a poor practice of healthy lifestyle among university students. Therefore universities should emphasize a healthy lifestyle in all faculties as a required subject. Socio-demographic characteristics significantly influenced practice and thus should be considered when planning preventive measures among university students. Frequent campaigns and educational seminars are to be encouraged.

• Tuberculosis and Respiratory Diseases
• /
• 제78권4호
• /
• pp.315-320
• /
• 2015

Background: The efficacy of epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) therapy can be measured based on the rate of treatment response, based on the Response Evaluation Criteria in Solid Tumors (RECIST) criteria or progression-free survival (PFS). However, there are some patients harboring sensitive EGFR mutations who responded poorly to EGFR-TKI therapy. In addition, there is variability in the PFS after EGFR-TKI treatment. Methods: We performed a retrospective analysis of the medical records of 85 patients with non-small cell lung cancer, who had achieved a stable disease or better response at the first evaluation of treatment response, after receiving a 2-month course of gefitinib. We calculated the tumor shrinkage rate (TSR) by measuring the longest and perpendicular diameter of the main mass on computed tomography before, and 2 months after, gefitinib therapy. Results: There was a significant positive correlation between the TSR and PFS (R=0.373, p=0.010). In addition, a simple linear regression analysis showed that the TSR might be an indicator for the PFS ($B{\pm}standard$ error, $244.54{\pm}66.79$; p=0.001). On univariate analysis, the sex, histologic type, smoking history and the number of prior chemotherapy regimens, were significant prognostic factors. On multivariate regression analysis, both the TSR (${\beta}$=0.257, p=0.029) and adenocarcinoma (${\beta}$=0.323, p=0.005) were independent prognostic factors for PFS. Conclusion: Our results showed that the TSR might be an early prognostic indicator for PFS in patients receiving EGFRTKI therapy.

• Tuberculosis and Respiratory Diseases
• /
• 제67권5호
• /
• pp.402-408
• /
• 2009

Background: Pre-B-cell colony enhancing factor (PBEF) has been suggested as a novel biomarker in sepsis and acute lung injury. We measured the PBEF in bronchoalveolar lavage (BAL) fluid of acute critically ill patients with lung infiltrates in order to evaluate the clinical utility of measuring PBEF in BAL fluid. Methods: BAL fluid was collected by bronchoscope from 185 adult patients with lung infiltrates. An enzyme-linked immunosorbent assay was then performed on the collected fluids to measure the PBEF. Results: Mean patient age was 59.9 ${\pm}$14.5 years and 63.8% of patients were males. The mean concentration of PBEF in BAL fluid was 17.5 ${\pm}$88.3 ng/mL, and patients with more than 9 ng/mL of PBEF concentration (n=26, 14.1%) had higher Acute Physiology and Chronic Health Evaluation (APACHE) II and Sequential Organ Failure Assessment (SOFA) scores on the BAL exam day. However, there were no significant differences in clinical characteristics between survivors and non-survivors. In patients with leukocytosis (n=93) seen on the BAL exam day, the linear regression analysis revealed a significant, positive relationship between PBEF and APACHE II ($r^2$=0.06), SOFA score ($r^2$=0.08), Clinical Pulmonary Infection Score ($r^2$=0.05), and plateau pressure in patients on ventilators ($r^2$=0.07) (p<0.05, respectively). In addition, multivariate regression analysis with PBEF as a dependent variable showed that the plateau pressure ($r^2$=0.177, p<0.05) was correlated positively with PBEF. Conclusion: The PBEF level in the BAL fluid may be a useful, new biomarker for predicting the severity of illness and ventilator-induced lung injury in critically ill patients with lung infiltates and leukocytosis.

• 대한교통학회지
• /
• 제29권2호
• /
• pp.101-109
• /
• 2011

대다수의 현대 도시들은 집적의 이익을 극대화하기 위해 군집을 형성하고 각 지역 간에 다양한 공간적 영향을 주고받는다. 그러나 전통적 4단계 수요예측방법의 첫 단계인 통행발생단계에서 주로 적용되는 선형회귀분석모형은 공간적 영향을 반영할 수 없다는 단점이 있다. 이러한 문제를 해결하기 위해서 공간적 상관성을 반영할 수 있는 통행 발생모형을 구축하는 것이 필요하다. 본 연구에서는 공간적 상관성을 고려할 수 있는 통행발생모형으로 공간가중회귀모형(Geographically Weighted Regression)을 제안한다. 공간가중회귀모형은 공간적 상관성을 고려할 수 있는 가중치 행렬을 추정하고 이를 이용하여 회귀식의 계수를 각 존별로 추정하는 것이다. 본 연구에서는 대구광역권 통행자료를 이용하여 공간가중회귀모형을 적용하였다. 공간가중회귀모형의 우수성을 평가하기 위하여 일반적인 회귀모형과 적합도, RMSE 등을 비교분석하였다. 또한 국지적 공간상관성을 측정하는 척도인 LISA(Local Indicator of Spatial Association) 지표를 각 모형별로 산출하였다. LISA 지표를 통하여 현재 분석대상지역은 국지적 공간상관성이 존재함을 확인할 수 있으며 공간가중회귀모형을 적용함으로써 공간상관성으로 인한 오차가 크게 개선됨을 확인할 수 있다.

• 지능정보연구
• /
• 제23권3호
• /
• pp.139-153
• /
• 2017

기업의 부도는 이해관계자들뿐 아니라 사회에도 경제적으로 큰 손실을 야기한다. 따라서 기업부도예측은 경영학 연구에 있어 중요한 연구주제 중 하나로 다뤄져 왔다. 기존의 연구에서는 부도 예측을 위해 다변량판별분석, 로짓분석, 신경망분석 등 다양한 방법론을 이용하여 모형의 부도 예측력을 높이고 과적합의 문제를 해결하고자 시도하였다. 하지만 기존의 연구들이 시간적 요소를 고려하지 않아 발생할 수 있는 문제점들을 갖고 있음에도 불구하고 부도 예측에 있어서 동적 모형을 이용한 연구는 활발히 진행되고 있지 않으며 따라서 동적 모형을 이용하여 부도예측모형이 더욱 개선될 여지가 있다는 점을 확인할 수 있었다. 이에 본 연구에서는 RNN(Recurrent Neural Network)을 이용하여 시계열 재무 데이터의 동적 변화를 반영한 모형을 만들었으며 기존의 부도예측모형들과의 비교분석을 통해 부도 예측력의 향상에 도움이 된다는 것을 확인할 수 있었다. 모형의 유용성을 검증하기 위해 KIS Value의 재무 데이터를 이용하여 실험을 수행하였고 비교모형으로는 다변량판별분석, 로짓분석, SVM, 인공신경망을 선정하였다. 실험 결과 제안된 모형이 비교 모형에 비해 우수한 예측력을 보이는 것으로 나타났다. 따라서 본 연구는 변수들의 변화를 포착하는 동적 모형을 부도예측에 새롭게 제안하여 부도예측 연구의 발전에 기여할 수 있을 것으로 기대된다.