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Estrogen Receptor and Progesterone Receptor Status in Breast Cancer in Relation to Age, Histological Grade, Size of Lesion and Lymph Node Involvement

  • Sofi, Gulam Nabi;Sofi, Junaid Nabi;Nadeem, Raja;Shiekh, Rayees Yousuf;Khan, Faroze Ahmad;Sofi, Abid Ahmad;Bhat, Hillal Ahmad;Bhat, Rayees Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.5047-5052
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    • 2012
  • Introduction: Breast cancer is the most common malignancy of women in Kashmir. This study was conducted with the objective of assessing hormone receptor positivity and its correlation with age at diagnosis, tumor size, histological grade and lymph node metastasis. Materials and Methods: 132 newly diagnosed cases of invasive breast cancer diagnosed at the Department of Pathology, SKIMS, Srinagar, J&K, were included after excluding biopsies, in-situ lesions and recurrence cases. Results: Mean age of the patients was 48.2 years, 59.1% being ${\leq}50$ years of age. Mean duration of symptoms was 6.32 months. Most lesions (65.1%) were 2-5 cm and 16.7% were ${\geq}5.0$ cm in greatest dimension. The predominant (80.3%) morphology was IDC-NOS. The majority of the cases presented as grade II (52.1%) lesions and lymph node involvement was present in 65.2%. ER and PR were positive in 66.3% and 63.4% cases, respectively, increasing with rising age. High grade lesions and larger size tumors were more likely to be ER and PR negative. No correlation was found between ER/PR status and lymph node metastasis. Conclusions: ER and PR expression in breast cancers in the current study was found to be higher than studies done in India/Asia but lower than studies conducted in the West, even on Indian/Asian immigrants. Markedly lower receptor expression in Indian/Asian studies is likely due to preanalytic variables, thresholds for positivity, and interpretation criteria. American Society of Clinical Oncology/College of American Pathologists Guideline Recommendations for Immunohistochemical Testing of Estrogen and Progesterone Receptors in Breast Cancer are strongly advocated for standardization of receptor evaluation and for clinical management of breast cancer patients to provide best therapeutic options.

Comparison of Clinical Characteristics Between Benign Borderline and Malignant Phyllodes Tumors of the Breast

  • Wang, Hui;Wang, Xiang;Wang, Cheng-Feng
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.24
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    • pp.10791-10795
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    • 2015
  • Background: Phyllodes tumors of the breast are rare fibroepithelial lesions, so relatively little is known about this disease entity. The present study was designed to identify differences in clinical features between benign borderline and malignant phyllodes tumors. Materials and Methods: Data from 246 women with phyllodes tumors of the breast treated in Cancer Hospital Chinese Academy of Medical Sciences between 2002 and 2012 were collected and analyzed, including age at presentation, age at treatment, course, size of primary tumor, location, histological type, type of surgery and treatment, local recurrence, distant metastasis, fibroadenoma history, disease-free survival and number of mitosis per 10hpf. There are 125 (55%) benign, 55 (24%) borderline and 47 (21%) malignant tumors. Results: In univariate analysis, average age at presentation, average age at treatment, size of primary tumor, ulceration or not, type of primary surgery, distant metastasis and number of mitosis per 10 hpf turned out to be statistically different among the three PT types (p=0.014, 0.018, <0.000, 0.003, <0.000, 0.001 and <0.000, respectively), while recurrence and disease-free survival (DFS) demonstrated trends for statistical significance (P =0.055 and 0.060, respectively). Multivariate analysis revealed distant metastasis and excision were significantly different in benign, borderline and malignant phyllodes tumors of the breast (p=0.041 and 0.018, OR=0.061 and 0.051). At the same time, size of primary tumor with p=0.052 tended to be different between groups (OR=1.127). However, age at treatment, ulceration and DFS showed no statistically significant variation (p=0.400, 0.286 and 0.413, respectively). Conclusions: Benign borderline and malignant phyllode tumors have different distant metastasis risk, different primary tumor size and different surgical procedures, and malignant PTs are more likely to be bigger and to metastasize.

Little Ice Age recorded in the YC-2 stalagmite of the Yongcheon Cave, Jeju Island (South Korea) (제주도 용천동굴 석순(YC-2)에 기록되어 있는 한반도의 소빙하기)

  • Ji, Hyo Seon;Woo, Kyung Sik;Yang, Dong Yoon
    • Atmosphere
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    • v.20 no.3
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    • pp.261-271
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    • 2010
  • Carbon isotopic compositions of the YC-2 stalagmite in Yongcheon Cave were analyzed to delineate paleoclimatic variations near Korean peninsula for the past historical period. The YC-2 stalagmite is about 68 mm long and annual growth laminae are distinctively identified. Because the number of growth laminae is at least 242, the stalagmite can be estimated to be at least 241 years old. At about 15 mm from the bottom, one thick brown growth lamina is observed, and this lamina was likely to have been formed when the stalagmite ceased to grow, making the hiatus. High resolution, carbon isotope data indicate past fluctuations of East Asia monsoonal intensity (intimately related to the amount of precipitation). Based on the carbon isotope trend, the stalagmite can be divided into three stages (Stages I, II and III). The highest carbon isotopic compositions of Stage I (${\delta}^{13}C$=-3.3~0.4‰, PDB) indicate that the stalagmite grew during the Little Ice Age when cold and dry climate prevailed with less vegetation. Stage II is characterized by a transitional period from cold and dry to warm and wet climate with a increasing trend of carbon isotopic compositions (${\delta}^{13}C$=-9.6~-0.6‰) and this period indicates the weakening of the Little Ice Age climate. This decreasing trend also suggests that Little Ice Age was terminated near middle 1870's around Korean peninsula. Relatively low carbon isotopic compositions during Stage III (${\delta}^{13}C$=-11.0~-8.0‰) indicates that the climate was changed to warm and wet conditions which are similar to the present.

Reactivated Timings of Yangsan Fault in the Sangcheon-ri Area, Korea (상천리 일대 양산단층의 재활동 연대)

  • Song, Yungoo;Park, Changyun;Sim, Ho;Choi, Woohyun;Son, Moon;Khulganakhuu, Chuluunbaatar
    • Economic and Environmental Geology
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    • v.49 no.2
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    • pp.97-104
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    • 2016
  • Here we firstly present that a timing of reactivated event of Yangsan fault, the major fault in the southeastern Korean Peninsula, by using combined approaches of the optimized illite-polytype quantification, the K-Ar age-dating, and the recently developed illite-age-analysis (IAA) approach for the fault clays from Sangcheon-ri area of Yangsan main fault line. Two chronological record of brittle fault-activation event at about 41.5~43.5 and 50.7 Ma were determined from 3 fault gouges suggesting a crucial reactivation time-scheme. Furthermore, the regional processes that drive tectonics to form and reactivate the Yangsan fault may be explained from the chronological analysis for additional sites along the Yangsan fault.

Dietary Habits and Nutrition Knowledge of the Teachers at Day-care Centers in Seoul (서울시내 어린이 집 교사의 식습관과 영양지식)

  • Chang, Nam-Soo;Woo, Yun-Jeong;Lee, Jong-Mee
    • Journal of the Korean Society of Food Culture
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    • v.13 no.2
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    • pp.107-118
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    • 1998
  • A nutrition education program for teachers and caregivers of the preschool children can be most effective when it is based on a comprehensive needs assessment dealing with sociodemographic factors, dietary habits, and nutrition. The purpose of the present study was to investigate current dietary habits and nutrition knowledge of the teachers and caregivers of the day-care centers. Two hundred forty two teachers and caregivers were administered a questionnaire which was designed to ascertain informations on sociodemographic data, dietary habits and nutrition knowledge. Dietary habits of the teachers were found to be significantly different by sociodemographic variables; breakfast skipping/meal irregularities (age, p=0.011); frequency of snacking (education level p=0.031); preference for salty taste(age, p = 0.000, marital status p=0.038); preference for sweet tarte (age p=0.009); preference for vegetables (income level p=0.050); frequency of eating out (age p=0.028, marital status p=0.001); frequency of coffee drinking (age p=0.019). Daycare center teachers' nutrition knowledge level was found to be less than adequate expecially on nutrients that are liable to be deficient in young growing children and their food sources. Proportions of the teachers who answered correctly to the questions on foods rich in vitamin A, iron content of milk, bioavailability of calcium in plant foods were as low as 20.2%-54.5%. The most frequently used sources of nutrition information were mass media such as TV, radio, newspaper and magazines. Only 2.9% of the subjects reported that they obtain nutrition information from health professionals such as nutritionists/dietitians, physicians, and nurses. These findings are applicable at the planning and implementation stages of various nutrition programs for the improvement of dietary habits and nutrition knowledge of the teachers and caregivers of the daycare centers. Further studies are needed to investigate the effects of teachers' dietary of habits and nutrition knowledge on food habits of young growing children.

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Aberrant Expression of Connexin Isoforms in the Corpus Epididymis of the Adult Rat by Exposure to Estradiol Benzoate or Flutamide at the Weaning Age

  • Lee, Seong-Kyu;Lee, Ki-Ho
    • Development and Reproduction
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    • v.19 no.4
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    • pp.217-226
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    • 2015
  • A proper development of the epididymis during the early postnatal development is required for successful fertility in the adult male. Direct cell-cell communication via connexin (Cx) molecules is a common way of cellular interactions to achieve normal development of a given tissue consisting of different cell types. The present research was attempted to determine the effect of exogenous exposure to estrogenic agonist or antiandrogen at the weaning age on expression of Cx isoforms in the adult corpus epididymis. Male rats were subcutaneously administrated with estradiol benzoate (EB) or flutamide (Flu) at the weaning age. The tissue was collected at 4 months of age. Expressional levels of Cx isoforms were determined by a quantitative real-time PCR. Statistical comparison showed significant increases of Cxs31, 32, 37, 40, and 43 transcript amounts by a treatment of $0.015{\mu}g$ of EB /kg body weight (BW). A treatment of $1.5{\mu}g$ of EB /kg BW caused a significant decrease of Cx43 gene expression but increases of Cxs26, 31, 32, 37, and 40 transcript levels. Exposure to $500{\mu}g$ of Flu/kg BW induced an increase of Cx37 expression but significant decreases of Cxs43 and 45 mRNA levels. Expression of Cx37 was increased by a treatment of 5 mg of Flu/kg BW, while transcript levels of Cxs26, 30.3, 31, 31.1, 32, and 43 were significantly decreased by same treatment. These results demonstrate that exposure to steroidal compounds at the early developmental age alters expression of Cx isoforms in the adult corpus epididymis.

Effect of Cold Stress on Myocardium of Aging Rat (Cold Stress가 노화(老化) 흰쥐 심근(心筋)에 미치는 영향(影響))

  • Kim, Jeong-Ki;Chung, Hyeung-Jae;Lee, Yong-Deok;Park, Won-Hark
    • Applied Microscopy
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    • v.28 no.1
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    • pp.21-38
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    • 1998
  • The present study was performed to determine the effect of cold stress on myocardium of aging rat. Control groups, which aged 6, 12 and 24 months, were compared with age-matched experimental groups that were exposed to moderate cold stress for a hours daily in a week at laboratory cold room $(4{\pm}1^{\circ}C)$. The histological, histochemical and ultrastructural changes of myocardium were observed. The results were summarized as follow: 1. Age-dependent histological change of control groups was observed the formation of contraction band in 24months aged group. The experimental groups submitted to cold stress showed a similar change pattern as seen in control groups. However, the degree of change in the experimental groups was significantly larger than that of control groups. In the 34 months aged group the formation of hypercontraction band was observed. 2. Regarding age-dependent histochemical changes of control groups, we observed the increase activities of PAS and Masson's trichrome. In experimental groups the activities of PAS and Masson's trichrome were also increased with age. Compare with control group, the activities of PAS was increased but the activities of Masson's trichrome was decreased. 3. Age-dependent ultrastructural changes on vacuolization, lysosome were observed. In control groups the structural changes occur at 12 months. The accumulation of lipofuscin, contraction band, hypercontraction band and a component of connective tissue were observed in 24 months. However, the degree of change in the experimental groups was significantly larger than that of control groups. In contract, the myelin body in intercalated discs was observed in 24 months of experimental groups.

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Age and Growth of the Elongate Ilisha Ilisha elongata

  • Kim, Jin-Koo;Choi, Ok-In;Kim, Joo-Il;Chang, Dae-Soo;Park, Kyeong-Dong
    • Fisheries and Aquatic Sciences
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    • v.10 no.1
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    • pp.30-36
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    • 2007
  • We present age and growth data for Ilisha elongata, based on 363 specimens caught in 1999 and 2000 around Jeju Island and the southwest coast of Korea. Scale and ring radii of each ring group showed a direct one-to-one relationship, with ring radius increasing as scale radius increased. The relationship between fork length and scale radius was FL=39.553SR+60.935 for females, FL=39.474SR+54.026 for males, and FL=39.608SR+57.547 for both sexes. Monthly changes in the marginal index indicated that a new ring appears once each year (in July). Maximum age, mean age and mean fork length of fish were 10 years, 5.0 years, and 349mm, respectively. Von Bertalanffy's growth equations were $FL_t=495.4{\times}[1-\exp(-0.2586(t+0.6487))]$ for fork length (mm) and $W_t=1,112.5{\times}[1-\exp(-0.2586(t+0.6487))]^{2.874}$ for body weight (g) for both sexes. Monthly changes in the gonadosomatic index (GSI) indicated that the spawning period was in June and July, which corresponded closely with ring formation time. Differences in monthly GSI changes in 1999 and 2000 may be related to water temperature variation. Fecundity ranged from 5,664 to 176,290 eggs per individual (n=43, fork length 264-470mm). The relationship between fecundity(F) and fork length was $F=7.7{\times}10^{-7}{\times}FL^{4.9269}$.

Two Cases of Pulmonary Thromboembolism in Young Patients with Hyperhomocysteinemia (MTHFR의 점돌연변이로 인한 과호모시스테인혈증 환자에서 발생한 폐색전증 2예)

  • Lee, Wook-hyun;Park, Cheol-hong;Ko, Hoon-yung;An, Ho-jung;Kwon, Soon Seog;Kim, Yong Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.6
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    • pp.460-465
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    • 2008
  • Incidences of pulmonary thromboembolism markedly increase with age. Risk factors of pulmonary thromboembolism are surgery, trauma, acute medical illness, immobilization, pregnancy, usage of hormone, and advanced age. In the cases of thrombomembolism occurred in young age, the possibility of thrombophilc state is needed to be investigated. Among many diseases or state associated thrombophilic state, homocyteinemia should be considered a cause of thromboembolism before fifth decade. Homocyteinemia is caused by deficiency of N-5-methyltetrahydrofolate, cystathionie ${\beta}$-synthase and vitamin B12. The presence of the mutation of 5,10-methyleneterahydrofolate lead to homocyteinemia by deficiency of N-5-methyltetrahydrofolate. Homocysteine is acknowledged the risk factor of cardiovascular event, and storke. Homocysteinemia can be the cause of thromboemboism via damaging endotheial cell. We present two cases of pulmonary thromboembolism in young age which seem to be associated with homocysteinemia precipitated by mutation of 5,10-methyleneterahydrofolate.

Dietary Attitudes and Concerns Regarding Local Foods among Married Women in Jeollabuk-do (전라북도 기혼 여성의 향토 음식에 대한 식행동과 의식에 관한 연구)

  • Choo, Jong-Jae
    • Journal of the East Asian Society of Dietary Life
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    • v.19 no.3
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    • pp.316-326
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    • 2009
  • Recently, local foods have drawn significant attention due to their intrinsic merits. Such foods not only have commercial potential, but also cultural value. Therefore, local foods must be well-maintained and fostered, and a comprehensive plan to develop them must be devised. In this aspect, various factors such as dietary attitudes, perceptions and concerns affecting their development should be considered. The present study was designed to investigate via survey the dietary attitudes, perceptions and concerns towards local foods among married women in Jeollabuk-do. The number of subjects was 434. According to the results, the highest frequency for consuming local foods was '1~3 times/month' for all ages. For the number of local foods subjects had ever tried, '7~8' was the highest overall with 36.8%, followed by '5~6', '3~4', '9~10', and '0~2' with 27.4%, 17.9%, 10.3% and 7.6%, respectively. However, there was a statistically significant difference according to age. The higher the person’s age, the higher the number of local foods they had tried. A similar pattern was shown in the number of local foods subjects had ever cooked. For those in their 20s and 30s, the highest number was '0~2', with 70.8% and 53.0%, respectively, while for those in their 40s the highest number was '3~4' with 38.5%, and for those above 50s it was '5~6' with 31.4%. Most of the subjects realized the need to advance the development of local foods. There were differences among the subjects for certain aspects concerning progression and development, opinions on the major drawbacks of local food development items served more often at home, and different views by age on taste modifications according to modern concepts. From this study, it can be concluded that the utilization of local foods increases with age, and the view that local food development should be based on the recovery and/or maintenance of original tastes becomes more prevalent with age.

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