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Concurrent Weekly Cisplatin Versus Triweekly Cisplatin with Radiotherapy in the Treatment of Cervical Cancer: A Meta-analysis Result

  • Hu, Yan;Cai, Zhi-Qiang;Su, Xiao-Yan
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4301-4304
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    • 2012
  • Aims: To evaluate the adverse effect and survival outcome of weekly and triweekly cisplatin with radiotherapy in treatment of cervical cancer. Methods: After an extensive literature search between 1995-2011, we analyzed 7 studies to compare weekly cisplatin and triweekly cisplatin combined radiotherapy. Results: Our analysis established that weekly cisplatin has a lower risk of hematologic toxicity than triweekly cisplatin with concurrent radiotherapy in the treatment of cervical cancer. However, there were no differences in progression free survival and overall survival between weekly cisplatin and triweekly cisplatin (p>0.05). Conclusions: Weekly cisplatin combined with concurrent radiation has lower risk in hematologic toxicity than triweekly cisplatin, but does not improve survival. Triweekly cisplatin treatment has longer intervals and is therefore more convenient. Clinicians and patients can choose either weekly cisplatin or triweekly cisplatin combined radiotherapy for cervical cancer.

Weekly versus 3-weekly paclitaxel in combination with carboplatin in advanced ovarian cancer: which is the optimal adjuvant chemotherapy regimen?

  • Lee, Matilda X.;Tan, David SP
    • Journal of Gynecologic Oncology
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    • v.29 no.6
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    • pp.96.1-96.12
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    • 2018
  • The 3-weekly regimen of carboplatin and paclitaxel is the backbone of first line adjuvant chemotherapy for advanced ovarian cancer. The landmark Japanese Gynaecologic Oncology Group (JGOG) 3016 study demonstrated significant improvements in progression-free survival and overall survival with dose dense weekly administration of paclitaxel in combination with 3-weekly carboplatin. However, efforts to replicate these benefits have failed in subsequent phase III trials. Weekly paclitaxel is purported to have enhanced antitumor activity, with stronger anti-angiogenic effects, and yet is better tolerated. In this review, we explore the rationale for dose dense weekly paclitaxel, and compare the relevant trials as well as quality of life considerations. Possible reasons for the difference in outcomes between the JGOG 3016 and other studies are reviewed, with a focus on how the addition of bevacizumab, the variations between histological and molecular subtypes of epithelial ovarian cancers, and ethnic pharmacogenetic differences may potentially affect the efficacy of dose dense paclitaxel.

The Effect of Weekly Iron Supplementation on Iron and Zine Nutritional Status in Pregnant Women (주단위 철분보충 방식이 임신부의 철분과 아연 영양상태에 미치는 효과)

  • 유경희
    • Journal of Nutrition and Health
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    • v.31 no.8
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    • pp.1270-1282
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    • 1998
  • The purpose of this research is to compare the effdct of the new weekly iron supplementation on maternal iron and zinc nutritional status with the effect of the present daily iron supplementation. To assess the iron ad zinc status of rpegant women visiting public health center in Ulsan, interview for dietary survey and general aspect of each subject was given and biochemical analysis of blood and urine was performed. The study subjects were divided to two groups randomly, but the subjects whose Hgb level was very low were allocated in daily group ethically because theeffect of weekly supplementation was not yet established as safety. Daily group received 80mg elemental Fe(250mg Fe as ferrous sulfate) per day for 100days, while weekly group received 160mg elemental Fe once a week for 15 weeks. After treatement, Hgb(p<0.01), Hct(p<0.01) , serum iron(p<0.05) and serum ferritin(p<0.001) in weekly group but RBC, Hgb , Hct , serum iron and serum iron and serum ferritin increased slightly. After correction for the initial Hgb by including it in the MANIVA, the difference in treatment effects of Hgb and TIBC between groups was statistically significant. The effect of weekly vs, daily iron supplementation program on zinc status was also studied. The difference in treatment effect between two groups was, however, not sifnificant. It is concluded that once weekly rion supplementation program in pregnant women was less effectgive to improve the iron status than daily iron supplementation program. However, because the weekly dose prevented a decline in Hgb as well as in ferritin, itw effect was positive , given the fact that non-supplemented women almost always exhibit a sifnificant drop in Hgb values. It seems that it will improve the iron status well if the amount or frequency of supplements is to be adjusted . Biweekly supplementation of a different dose or antother type of iron supplement, such as through a gastric delivery system, might be better.

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Three Weekly Versus Weekly Cisplatin as Radiosensitizer in Head and Neck Cancer: a Decision Dilemma

  • Negi, Preety;Kingsley, Pamela Alice;Srivastava, Himanshu;Sharma, Surender Kumar
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.1617-1623
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    • 2016
  • Cisplatin-based concurrent chemoradiation plays an undisputed key role as definitive treatment in unresectable patients with locally advanced squamous cell carcinoma head and neck or as an organ preservation strategy. Treatment with 100 mg/m2 3-weekly cisplatin is considered the standard of care but is often associated with several adverse events. The optimum drug schedule of administration remains to be defined and presently, there is insufficient data limiting conclusions about the relative tolerability of one regimen over the other. This review addresses regarding the optimal dose schedule of cisplatin focusing mainly on three-weekly and weekly dose of cisplatin based concurrent chemoradiotherapy in locally advanced head and neck cancer with an emphasis on mucositis, dermatitis, systemic toxicity, compliance, and treatment interruptions. To derive a definitive conclusion, large prospective randomized trials are needed directly comparing standard 3-weekly cisplatin ($100mg/m^2$) with weekly schedule ($30-40mg/m^2$) of concurrent cisplatin based chemoradiotherapy in locally advanced squamous cell carcinoma head and neck.

Weekly Variation in Ischemic Stroke Incidence According to the Age and Sex (성별과 연령에 따른 허혈성 뇌졸중 발생의 요일 변화)

  • Kim, So-Yeon;Lee, Sang-Kwan
    • The Journal of Internal Korean Medicine
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    • v.31 no.2
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    • pp.308-313
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    • 2010
  • Objectives : The weekly variation of ischemic stroke incidence according to the age and sex. Methods : 977 consecutively admitted patients (521 males and 456 females) in a single stroke center from 2006 to 2008. All cases were confirmed with standardized criteria. We used the independent t-test and $x^2$ test in statistical methods. Results : The results demonstrated significant weekly variations of ischemic stroke incidence showing higher incidence on Saturday, Monday and Tuesday and lower incidence on the other days. Difference of ischemic stroke incidence was also shown between transit days, which included the transit days from the weekend to the week and vice versa, and non-transit days. Those aged older than 60 years and females showed more significant differences of weekly variation on transit days than on non-transit days. Conclusions : Ischemic stroke incidence has significant weekly variation, and transit days have higher incidence than non-transit days. Further study is required to identify the general weekly variation by multi-center trial.

Weekly Maximum Electric Load Forecasting Method for 104 Weeks Using Multiple Regression Models (다중회귀모형을 이용한 104주 주 최대 전력수요예측)

  • Jung, Hyun-Woo;Kim, Si-Yeon;Song, Kyung-Bin
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.63 no.9
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    • pp.1186-1191
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    • 2014
  • Weekly and monthly electric load forecasting are essential for the generator maintenance plan and the systematic operation of the electric power reserve. This paper proposes the weekly maximum electric load forecasting model for 104 weeks with the multiple regression model. Input variables of the multiple regression model are temperatures and GDP that are highly correlated with electric loads. The weekly variable is added as input variable to improve the accuracy of electric load forecasting. Test results show that the proposed algorithm improves the accuracy of electric load forecasting over the seasonal autoregressive integrated moving average model. We expect that the proposed algorithm can contribute to the systematic operation of the power system by improving the accuracy of the electric load forecasting.

Once-weekly Subcutaneous Administration of Bortezomib in Patients with Multiple Myeloma

  • Wang, Liang;Wang, Ke-Feng;Chang, Bo-Yang;Chen, Xiao-Qin;Xia, Zhong-Jun
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.5
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    • pp.2093-2098
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    • 2015
  • In patients with multiple myeloma (MM), once-weekly intravenous injection or twice-weekly subcutaneous injection (SC) of bortezomib has been proven to offer non-inferior efficacy to standard twice-weekly intravenous administration, with an improved safety profile. However, whether once-weekly SC bortezomib can further reduce the incidence rate of peripheral neuropathy (PN) and not compromise the efficacy remains to be investigated. 25 patients of MM treated with once-weekly SC bortezomib were reviewed in this study. The median treatment cycles were 4 (range, 2-9 cycles). Complete response (CR) rate was 52%, ${\geq}$very good partial response (VGPR) rate was 72%, and ${\geq}$partial response (PR) rate was 84%. 1-year and 2-year PFS rate was 63.0% and 34.3%, respectively, and 2-year OS rate was 100%. Any grade of PN was reported in 9 patients (36.0%), with 7 patients (28.0%) had grade 1 PN, and 2 patients (8.0%) had grade 2 PN. No patients reported grade 3/4 PN in this cohort. In conclusion, once-weekly subcutaneous administration of bortezomib offers excellent efficacy with a further improved safety profile, especially with regard to PN. It needs to be validated in future prospective randomized trials.

The Effects of Feedback on Customer Service Behaviors in a Gas Station (피드백이 주유소 직원의 고객 서비스 행동에 미치는 효과에 대한 검증)

  • So, Yong-Joon;Lee, Kye-Hoon;Oah, She-Zeen
    • Journal of the Korea Safety Management & Science
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    • v.12 no.4
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    • pp.265-272
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    • 2010
  • This study examined the relative effects of weekly and daily group feedback on the customer service behaviors in a gas station. Participants were four employees providing full services to the customers. Four target service behaviors, which were identified from the job description for the employees, served as the dependent variables. The data were collected by a supervisor. The independent variable was the frequency of group feedback on the four service behaviors: weekly and daily group feedback. An ABC within group design was adopted. After baseline (A), the weekly group feedback condition (B) was introduced. In the next phase, the daily group feedback condition (C) was introduced. Both weekly and daily group feedback were presented in a graph form and posted at a conspicuous location. Results showed that both weekly feedback and daily feedback conditions were effective in increasing the target behaviors. And, there was difference in the effects between the two conditions.

Annual Yearly Load Forecasting by Using Seasonal Load Characteristics With Considering Weekly Normalization (주단위 정규화를 통하여 계절별 부하특성을 고려한 연간 전력수요예측)

  • Cha, Jun-Min;Yoon, Kyoung-Ha;Ku, Bon-Hui
    • Proceedings of the KIEE Conference
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    • 2011.07a
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    • pp.199-200
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    • 2011
  • Load forecasting is very important for power system analysis and planning. This paper suggests yearly load forecasting of considering weekly normalization and seasonal load characteristics. Each weekly peak load is normalized and the average value is calculated. The new hourly peak load is seasonally collected. This method was used for yearly load forecasting. The results of the actual data and forecast data were calculated error rate by comparing.

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An empirical study on yard inventory change according to containers' dwell times. This study was supported by grant of Sunchon National University, Korea

  • Kim, Chang-gon;Youn, Myoung-Kil
    • Journal of Distribution Science
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    • v.11 no.5
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    • pp.33-41
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    • 2013
  • Purpose - Yard inventories increase when export containers are carried into the terminal and decrease when import containers are delivered to the consigners. The purpose of this study is to analyze container inventories according to the weekly ship arrival pattern at container terminals. Research design, data, and methodology - As container ships operate according to weekly schedules based on shipping companies and their routes, specific terminals provide a fixed-day service in a week. Thus, yard inventories can change with weekly fluctuations. The data used in this study were the actualdata at specific container terminals. Result - The dwell times of each container at a terminal represent an important variable that affectsyard inventories. Even cargo flows are steady in a given period, if dwell times are prolonged, yard inventories increase. Conclusion - Dwell time is another factor causing yard inventory change. Therefore, the calculation for yard inventories should consider the weekly ship arrival patterns and dwell times of each container. Further, at the planning stage, dwell time should be more carefully considered to calculate yard capacity.

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