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Expression of Human Epidermal Growth Factor Receptor (Her 2/neu) and Proliferative Marker Ki-67: Association with Clinicopathological Parameters in Gallbladder Carcinoma

  • Pujani, Mukta;Makker, Isha;Makker, Annu;Goel, Madhu Mati;Jetley, Sujata
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.3903-3909
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    • 2016
  • Purpose: To evaluate the expression of Her2/neu and Ki-67 in benign and malignant gallbladder lesions, and to establish correlations with clinico-pathologic parameters. Materials and Methods: A retrospective analysis was conducted on formalin fixed paraffin embedded (FFPE) benign (n=25) and malignant gallbladder (n=25) tissue samples. Hematoxylin and eosin stained slides of each case were reviewed for: type of malignancy (whether adenocarcinoma, squamous cell carcinoma, or any other type), grade (well, moderate, and poor), depth of invasion, pre-neoplastic changes in adjacent mucosal epithelium like metaplasia and dysplasia. Immunohistochemistry for Her 2 neu and Ki-67 was performed and data analysis was conducted using SPSS 17 software. Chi-square test was used to compare categorical/dichotomous variables. P value of ${\leq}0.05$ was considered significant. Results: The difference of Her 2 neu expression and Ki67 index between benign and malignant groups was found to be statistically significant. Her2/neu positivity did not have any significant correlation with various clinicopathological parameters other than liver involvement. 5 cases of gallbladder cancer showed both Her2/neu and Ki67 positivity. Ten cases were Ki67 positive but Her2/neu negative while one case was Her2/neu positive but Ki67 negative. Conclusions: The present study demonstrated overexpression of Her2/neu and Ki67 in gallbladder cancer. A trend of decreasing Her2/neu expression with increasing grade of tumor was observed. Furthermore, greater Ki67 positivity was found in cases with lymph node metastasis and distant metastasis. Future studies with a larger number of patients will be required to precisely define the correlation of Her2/neu expression and Ki67 positivity with clinicopathological parameters. The results however are encouraging and suggest evaluation of Her2/neu as a candidate for targeted therapy.

A Study on the Dynamic p-y Curves in Soft Clay by 1 g Shaking Table Tests (1g 진동대 실험을 이용한 연약 점성토 지반에서의 동적 p-y 곡선 연구)

  • Han, Jin-Tae;Yoo, Min-Taek;Choi, Jung-In;Kim, Myoung-Mo
    • Journal of the Korean Geotechnical Society
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    • v.26 no.8
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    • pp.67-75
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    • 2010
  • In this study, a series of 1 g shaking table tests were carried out for a single pile in soft clay with various input acceleration amplitudes and frequencies. Based on the results, dynamic p-y curves were drawn and, in turn, the dynamic p-y backbone curve was formed by connecting the peak points, corresponding to the maximum soil resistance, of the dynamic p-y curves. In order to represent the p-y backbone curve numerically, Matlock's p-y formulations for clay was used to find the initial stiffness ($k_{ini}$) and the ultimate capacity ($p_u$) of the clay, both of which are required to formulate the p-y backbone curve as a hyperbolic function. The suggested p-y backbone curve was verified through comparisons with currently available p-y curves as well as other researchers' centrifuge test results and numerical analysis results.

PROGNOSTIC VALUE OF PROLIFERATION FACTORS IN ORAL SQUAMOUS CELL CARCINOMA (구강 편평세포암에서 예후 및 경부임파절 전이와 관련한 증식인자의 발현에 관한 연구)

  • Paeng, Jun-Young;Ok, Yong-Ju;Yun, Pil-Young;Myoung, Hoon;Hwang, Soon-Jung;Seo, Byoung-Moo;Choi, Jin-Young;Lee, Jong-Ho;Choung, Pill-Hoon;Kim, Myung-Jin
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.2
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    • pp.101-106
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    • 2006
  • Purpose: The purpose of this study is to evaluate the value of proliferation factors, Ki67 and PCNA, as prognostic markers predicting the survival and neck metastasis in patients with oral cancer. Methods: 101 patients with HNSCCs, were followed retrospectively for a median period of 60 months(from 16 to 82 months). All tumors were resected surgically and examined by conventional light microscopy, immunohistochemistry. The age, sex, tumor location, clinical stage(size), metastasis, proliferative activity index(assessed by proliferating cell nuclear antigen(PCNA) and Ki67 immunoreactivity) were considered as potential prognostic factors and were correlated with patient survival. Results: Ki67 staining results ranged from 5% to 80% of tumor cell nuclei, with a median of 25%. PCNA staining results ranged from 1% to 90% with a median of 50%. With a cut-off point of 25%, patients with lower Ki67 scores showed survival advantages over those with higher Ki67 scores (p=0.0089). With cut-off point of 50%, patients with lower PCNA scores showed survival advantages over those with higher PCNA scores (p=0.0104). Pathologically neck node positive patients(n=27) showed higher PCNA expression(p=0.02) than pathologically negative neck node patients(n=39). Conclusions: The lower expressions of Ki67 and PCNA were associated with favorable prognosis such as higher survival rate and lower neck node metastasis.

Treatability Study of Phenanthrene Contaminated Soil using Heme and Hydrogen Peroxide (Heme과 과산화수소를 이용한 Phenanthrene 오염토양 처리에 관한 연구)

  • 염혜정;강구영;박갑성;임남웅
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 1997.05a
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    • pp.92-96
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    • 1997
  • 고농도로 오염된 난분해성 유해오염물질은 토양계에 존재하고 있는 미생물에 대한 독성과 낮은 활성도로 인하여 복원기술 발전에 제한되어진다. 본 연구에서는 pH 4.8과 pH 7.7인 토양에 Phenanthrene을 인위적으로 오염시킨후 heme 촉매와 과산화수소를 이용하여 오염토양을 복원하는 기술에 대한l 기초적 연구를 수행하였다. Heme과 과산화수소를 오염토양에 첨가한 뒤 30일 반응후 토양내 존재하고 있는 Phenanthrene 초기농도 약 400 mg/kg soil에 대한 분해율은 pH 4.8과 7.7 오염토양내 각각 50%와 67%이었다. Heme과 과산화수소를 이용한 오염토양의 복원기술은 중성 오염토양에서 약 3일후 67% 빠르게 분해되는 결과를 보여주고 있다.

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Analysis of Power Generation Characteristics according to the MPPT Algorithm Period (MPPT 알고리즘의 주기에 따른 발전 영향 분석)

  • Min, Joonki;Choi, Wonseok
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.67 no.4
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    • pp.233-237
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    • 2018
  • In this paper, we compared power generation characteristics of two MPPT algorithms, P & O and InC, applied to grid-connected solar inverters. The MPPT detects the voltage and current of the solar module string and transfers the power to the DC link. Since the grid is connected by the power conversion circuit, the grid connection control and the MPPT control influence each other. The power generation characteristics were analyzed by Psim simulation according to the MPPT cycle in the weak grid conditions.

Musculoskeletal Diseases' of the 119 Rescue party's (119 구급대원의 근골격계 질환)

  • Shin, Sang-Yol;Jung, Ji-Yun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.12
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    • pp.6461-6468
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    • 2013
  • This research is conducted to investigate musculoskeletal diseases' that can be developed in paramedics body whose are in charge of emergency situations before they arrive at the hospital. The data were collected from 216 of paramedics from July 2, 2012 to July 31, 2012. As a result, 57.9% of participants have already felt the subjective symptoms of the muscular skeletal diseases, and 47.2% of them felt the pain on their waists and hips. These pains are highly related to their working situations. In the aspects of the muscuoskeletal diseases' symptoms, general characteristics, gender (t=16.579, p=.000), age (t=102.344, p=.000), education (t=5.363, p=.027), drinking (t=6.999, p=.030), and smoking (t=6.266, p=.009), have significance differences. Professional characteristics, career (t=67.684, p=.000), passengers of the ambulance (t=7.717, p=.004), qualification or license (t=25.480, p=.000), and position (t=74.615, p=.000), have also significance differences.

A Study on Ego-resilience, Disaster Experience and Core Competencies among Emergency Room Nurses (응급실 간호사의 자아탄력성, 재난에 대한 경험 및 재난간호 핵심수행능력과의 관계)

  • Park, Yu Jin;Lee, Eun Ja
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.1
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    • pp.67-79
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    • 2015
  • Purpose: The study was aimed to describe the relationships between ego-resilience, disaster experience, and core competencies among emergency room (ER) nurses. Methods: Data were collected from ER nurses in Incheon and Kyunggi province from May to June 2014. Data were analyzed with descriptive study, t-test, ANOVA, and Pearson's correlation coefficient using SPSS/WIN 18.0 version. Results: Male respondents showed significantly higher ego-resilience than female respondents (t=-2.04, p=.043), and education (F=4.96, p=.002) and position (F=7.70, p=.001) were statistically significant. The differences in disaster experience was found in gender (t=-2.29, p=.023), age (F=4.25, p=.006), marital status (t=-2.02, p=.045), education (F=6.34, p<.001), religion (F=3.69, p=.015), and position (F=3.55, p=.031). Regarding core competencies for disaster nursing, age (F=7.80, p<.001), marital status (t=-3.00, p=.001), education (F=16.53, p<.001), career (F=5.40, p<.001), position (F=12.52, p<.001) were significantly different. Positive associations were found between core competencies for disaster nursing and ego-resilience (r=.66, p<.001), disaster experience and core competencies for disaster nursing (r=.52, p<.001), and disaster experience and ego-resilience (r=.33, p<.001). Conclusion: Core competencies were higher among ER nurses when they have higher ego-resilience, and more disaster experience. This finding suggests the need for improving ego-resilience among ER nurses. In addition, disaster education needs to be considered as a part of core nursing curriculum in college and clinical settings.

Usefulness of $^{18}F$-FDG PET/CT in Locoregional Recurrence of Differentiated Thyroid Cancer: Comparison PET/CT to PET and Neck Ultrasonography for Biopsy-proven Lesions (갑상선유두암 재발 진단에서 $^{18}F$-FDG PET/CT와 경부초음파검사 병용의 유용성: PET, 경부초음파검사 그리고 혈청 티로글로불린 (thyroglobulin)의 비교)

  • Kim, Kun-Ho;Shong, Min-Ho;Seo, Young-Duk;Kim, Seong-Min
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.5
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    • pp.411-420
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    • 2009
  • Purpose: The aim of this study was to investigate the usefulness of $^{18}F$-FDG PET/CT with neck ultrasonography (neck US) in patients with recurrent, papillary thyroid cancer. Material and methods: This retrospective study (December 2006 to April 2008) enrolled sixty-one patients (ninety-one lesions) who underwent high-dose $^{131}I$-ablation therapy after total thyroidectomy, and evaluated recurred papillary thyroid cancer. All lesions were confirmed by histopathology and compared histopathologic findings to PET, PET/CT, and neck US findings. Results: In sixty-one patients (57 women, 4 men; age range, 24-81 years, mean 49 years; 61 papillary carcinomas), the sensitivity, specificity, accuracy of $^{18}F$-FDG PET/CT was 87.2%, 64.0%, 78.1% on a patient basis and 92.3%, 66.7%, 80.9% on a lesion basis, respectively. The sensitivity, specificity, accuracy of $^{18}F$-FDG PET was 71.8% (p=0.03), 59.0% (p=1.00), 67.2% (p=0.03) on a patient basis and 78.8% (p<0.01), 64.1% (p=1.00), 72.5% (p=0.02) on a lesion basis, respectively. The sensitivity, specificity, accuracy of neck US was 71.1% (p=0.07), 52.2% (p=0.75), 63.9% (p=0.05) on a patient basis and 71.2% (p<0.01), 61.5% (p=1.00), 67.0% (p=0.06) on a lesion basis, respectively. Combined $^{18}F$-FDG PET/CT with neck US improved the sensitivity, specificity, accuracy to 94.7% (p=0.50), 82.6% (p=0.13), 90.2% (p=0.03) on a patient basis and 96.2% (p=0.50), 89.7% (p<0.01), 93.4% (p<0.01) on a lesion basis, respectively. Conclusion: $^{18}F$-FDG PET/CT demonstrated significantly higher sensitivity than neck US for the detection of recurred papillary thyroid cancer lesions. Furthermore, combined $^{18}F$-FDG PET/CT with neck US showed more improved sensitivity, specificity, accuracy for diagnosis of recurrent papillary thyroid cancer.

Stewartia pseudocamellia and Torilis japonica Extracts Inhibit RANKL-induced Osteoclastogenesis in RAW 264.7 Cells

  • Anh-Thu Nguyen;Chun Soo Na;Ki-Young Kim
    • Journal of the Korean Chemical Society
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    • v.67 no.2
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    • pp.120-128
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    • 2023
  • Osteoporosis is a disease that causes the weakening of bone by increasing porosity, which often results in fractures. Osteoporosis treatment measures include the use of Bisphosphonates and estrogen. However, these treatments cannot be used in the long term as these treatments have adverse side effects. Therefore, there is a need to identify better and safer treatment options. For this, 63 plant extracts were screened and among them, six extracts showed high anti-osteoclastic activity with low cytotoxicity. Of these six extracts, three extracts, Cudrania tricuspidata (P371), Ulmus davidiana var. japonica (P401), and Torilis japonica (P411), showed more than 50 percent osteoclast inhibition. While the remaining, Stewartia pseudocamellia extracts I and II (P370, P397) and Cuscuta chinensis (P418), showed moderate or between 40-50 percent osteoclast inhibition. Among all the extracts, Torilis japonica (P411) showed the highest inhibitory action against osteoclast development. Torilis japonica (P411) primary components include Kaempferol, Quercetin, and Luteolin, all proven to inhibit osteoclastogenesis. Stewartia pseudocamellia extracts I and II (P370 and P397) showed moderate or 44% osteoclast inhibition. Stewartia pseudocamellia extract II (P397) enhanced the growth of RAW 264.7 cells by 19%. Torilis japonica (P411) and Stewartia pseudocamellia extract II (P397) suppressed the expression of osteoclast-specific genes in RANKL-induced osteoclastogenesis in RAW 246.7 cells. Torilis japonica (P411) extracts even increased osteoblast-specific RUNX2 gene expression. This results provide that six extracts could be used as a potential treatment option for osteoporosis disease with the extracts of Torilis japonica (P411) and Stewartia pseudocamellia (P397) as an ideal candidates. However, the combination of the extract with higher osteoclastic inhibition and less toxic effects with further analysis should be recommended.

The Significance of c-Met and Ki-67 Expression in the Head and Neck Squamous Cell Carcinoma (두경부 편평세포암에서 c-Met 단백과 Ki-67 발현의 의의)

  • Kim, Jun;Do, Nam-Yong;Park, Jun-Hee;Choi, Ji-Yun;Lim, Sung-Chul
    • Korean Journal of Bronchoesophagology
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    • v.16 no.1
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    • pp.39-46
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    • 2010
  • Background and Objectives Various tumor markers have been studied in an attempt to evaluate and decide the optimal treatment of the patients with head and neek squamous cell carcinoma (HNSCC). A nuclear antigen Ki-67 is a proliferative marker of tumor cells in all phases of cell cycle except G0. c-met gene, the tyrosine kinase receptor for hepatocyte growth tactor, may play various roles in malignant transformation. The authors evaluated the prognostic significance of Ki-67 and c-Met in surgical specimens of HNSCC to determine the relationship with the various clinicopathological characteristics. Materials and Methods Formatin-fixed paraffin-embedded surgical specimens were obtained from 54 patients with HNSCC. Ki-67 and c-Met expressions were analyzed by immunohistochemical staning and were compared with the clinicopathological characteristics such as, pathologic differentiation, tumor stage, clinical stage and lymph node metastasis. Results Ki-67 and c-Met over-expression was detected in 66.7% and 90.7% in HNSCC. There was positive correlation of increased expression of Ki-67 with tumor stage. and clinical stage, increased expression of e-Met with tumor stage, clinical stage, and nodal status. The expression of c-Met had a significant positive relationship with Ki-67 index (p<0.05). Conclusion Therefore, Ki-67 and c-Met are useful markers of tumor progression, aggressiveness and prognosis in HNSCC.

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