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Efficacy and Safety of Raltitrexed Combinations with Uracil-Tegafur or Mitomycin C as Salvage Treatment in Advanced Colorectal Cancer Patients: A Multicenter Study of Anatolian Society of Medical Oncology (ASMO)

  • Bozkurt, Oktay;Karaca, Halit;Ciltas, Aydin;Kaplan, M. Ali;Benekli, Mustafa;Sevinc, Alper;Demirci, Umut;Eren, Tulay;Kodaz, Hilmi;Isikdogan, Abdurrahman;Ozkan, Metin;Buyukberber, Suleyman
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.4
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    • pp.1845-1849
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    • 2014
  • Background: There is no standard treatment for patients with colorectal cancer (CRC) progressing after irinotecan and oxaliplatin treatment. Here we aimed to retrospectively evaluate the efficacy and tolerability of raltitrexed in combination with oral 5-fluoropyrimidine (uracil tegafur-UFT) or mitomycin C as salvage therapy in mCRC patients. Materials and Methods: A total of 62 patients who had received raltitrexed combined with UFT or mitomycin C were identified between December 2008 and June 2013. They were given raltitrexed 2.6 $mg/m^2$ (max 5 mg) i.v. on day 1 in combination with either oral UFT 500 mg/day on days 1-14 every 3 weeks (group A) or mitomycin C 6 $mg/m^2$ i.v. on day every 3 weeks (group B). Results: Forty-two patients (67.7%) were in group A and 20 (32.2%) in group B. In 15 patients (24%) grade 3/4 toxicity was observed, resulting in dose reduction, and in 13 patients (20.9%) dose delay was necessary. The median progression free survival (PFS) was 3 months (95%CI 2.65-3.34) and median overall survival (OS) was 6 months (95%CI 2.09-9.90) in the whole group. Median PFS was 3 months (95%CI 2.60-3.39) in group A vs 3 months (95%CI 1.64-4.35) in group B (p=0.90). Median OS was 6 months (95%CI 2.47-9.53) in group A vs 12 months (95%CI 2.83-21.1) in group B (p=0.46). Conclusions: The combination of raltitrexed with UFT or mitomycin C seem to be a salvage therapy option due to safety profile and moderate clinical activity in heavily-pretreated mCRC patients.

Determination of an Effective Wedge Angle by Combination of Two Arbitrary Universal Wedge Fields in Radiation Therapy of Cancer Patients with Megavoltage Photon Beams

  • Shamsi, Azin;Birgani, Mohammad Javad Tahmasebi;Behrooz, Mohammad Ali;Arvandi, Sholeh;Fatahiasl, Jafar;Maskny, Reza;Abdalvand, Neda
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.1
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    • pp.197-200
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    • 2016
  • Background: Wedge filters are commonly used in radiation oncology for eliminating hot spots and creating a uniform dose distribution in optimizing isodose curves in the target volume for clinical aspects. These are some limited standard physical wedges ($15^{\circ}$, $30^{\circ}$, $45^{\circ}$, $60^{\circ}$),or creating an arbitrary wedge angle, like motorized wedge or dynamic wedge,${\ldots}$ The new formulation is presented by the combination of wedge fields for determining an arbitrary effective wedge angles. The isodose curves also are derived for these wedges. Materials and Methods: we performed the dosimetry of Varian Clinac 2100C/D with Scanditronix Wellhofer water blue phantom, CU500E, OmniPro - Accept software and 0.13cc ionization chamber for 6Mv photon beam in depth of 10cm (reference depth) for universal physical wedges ($15^{\circ}$, $30^{\circ}$, $45^{\circ}$, and $60^{\circ}$) and reference field $10.10cm^2$. By combining the isodose curve standard wedge fields with compatible weighting dose for each field, the effective isodose curve is calculated for any wedge angle. Results: The relation between a given effective wedge angle and the weighting of each combining wedge fields was derived. A good agreement was found between the measured and calculated wedge angles and the maximum deviation did not exceed $3^{\circ}$. The difference between the measured and calculated data decreased when the combined wedge angles were closer. The results are in agreement with the motorized single wedge appliance in the literature. Conclusions: This technique showed that the effective wedge angle that is obtained from this method is adequate for clinical applications and the motorized wedge formalism is a special case of this consideration.

Connection of Hydrologic and Hydraulic Models for Flood Forecasting in a Large Urban Watershed (대규모 도시유역의 홍수예보를 위한 수리.수문 모형의 연계)

  • Yoon, Seong-Sim;Choi, Chul-Kwan;Bae, Deg-Hyo
    • Journal of Korea Water Resources Association
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    • v.41 no.9
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    • pp.929-941
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    • 2008
  • The objectives of this study are to propose a system for combined use of a hydrologic and a hydraulic model for urban flood forecast model and to evaluate the system on the $300km^2$ Jungrang urban watershed area, which is relatively large area as an urban watershed and consequently composed of very complex drainage pipes and streams with different land uses. In this study, SWMM for hydrologic model and HEC-RAS for hydraulic model are used and the study area is divided into 25 subbasins. The SWMM model is used for sewer drainage analysis within each subbasin, while HEC-RAS for unstready flow analysis in the channel streams. Also, this study develops a GUI system composed of mean areal precipitation input component, hydrologic runoff analysis component, stream channel routing component, and graphical representation of model output. The proposed system was calibrated for the model parameters and verified for the model applicability by using the observation data. The correlation coefficients between simulated and observed flows at the 2 important locations were ranged on 0.83-0.98, while the coefficients of model efficiency on 0.60-0.92 for the verification periods. This study also provided the possibilities of manhole overflows and channel bank inundation through the calculated water profile of longitudinal and channel sections, respectively. It can be concluded that the proposed system can be used as a surface runoff and channel routing models for urban flood forecast over the large watershed area.

Measures for Improvement of RAM Target Value Setting Methods for Submarine Weapon Systems (잠수함 무기체계 RAM 목표 값 설정 방식의 개선방안)

  • Jung, Sun-uk;Shim, Hang-geun;Choi, Myoung-jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.419-427
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    • 2020
  • In the case of large combined weapon systems, such as submarines, the application, and verification of methods of setting the reliability, availability, and maintainability (RAM) target values for conventional weapon systems are limited. Submarines are complex weapon systems with the characteristics of the diversity of operation mode summary and mission profiles (OMS/MP) as well as equipment complexity because they are composed of multiple weapon systems, such as sonar systems and armed systems. Therefore, this study analyzed the development cases of existing weapon systems, i.e., the RAM target value-setting cases, and derived the problems and limitations of the cases to present measures to improve the setting and verification of the ram target values of submarines. In addition, submarines operate around the world and have different operating and maintenance conditions. Therefore, a submarine's ram target values should be set and verified centering on the mission essential equipment and mission critical equipment, instead of all components that constitute weapon systems. This study examined a method to verify the required performance RAM target-value setting, considering the characteristics of submarines as well as the physical performance requirements for the systems and equipment of submarines that must be considered when implementing national defense acquisition projects for submarines.

Analytical trends in mass spectrometry based metabolomics approaches of neurochemicals for diagnosis of neurodegenerative disorders (퇴행성신경질환의 진단을 위한 신경전달물질 대사체의 질량 분석법 동향)

  • Lee, Na-Kyeong;Jeon, Won-Jei;Jeong, Seung-Woo;Byun, Jae-Sung;Lee, Wonwoong;Hong, Jongki
    • Analytical Science and Technology
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    • v.30 no.6
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    • pp.355-378
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    • 2017
  • Because neurochemicals are related to homeostasis and cognitive and behavioral functions in human body and because they enable the diagnosis of numerous neurodegenerative disorders, there has been increasing interest in the development of analytical platforms for neurochemical profiling in biological samples. In particular, mass spectrometry (MS)-based analytical methods combined with chromatographic separation have been widely used to profile neurochemicals in metabolic pathways. However, development of delicate sample preparation procedures and highly sensitive instrumental detection is necessary considering the trace levels and chemical instabilities of neurochemicals in biological samples. Therefore, in this review, analytical trends in MS-based metabolomics approaches to neurochemicals in multiple biological samples, such as urine, blood, CSF, and biological tissues, are discussed. This paper is expected to contribute to the development of an analytical platform to discover biomarkers that will aid diagnosis, prognosis, and treatment of neurodegenerative disorders.

Characteristics of Gentamicin Resistant Pseudomonas aeruginosa (녹농균의 항생제 내성의 특성)

  • Kim, Sang-Yoon;Lee, Yoo-Chul;Seol, Sung-Yong;Cho, Dong-Taek;Chun, Do-Ki
    • The Journal of the Korean Society for Microbiology
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    • v.21 no.1
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    • pp.1-16
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    • 1986
  • Fifty-one strains of Pseudomonas aeruginosa were isolated from various clinical specimens. Among them, 26 (51%) strains were gentamicin-resistant (Gm') and 25 (49%) were susceptible to gentamicin (Gm'). The frequencies of resistant strains to piperacillin (Pi), cefotaxime, moxalactam, cefoperazone (Cz), and amikacin (Ak) ranged from 21.6 to 31.4%, and $MIC_{50}$ of these drugs were lower than the critical concentrations of susceptibility and resistance. Thirty (58.8%) strains were multiply resistant to 12 or more drugs. All Gm' strains were multiply resistant to 12 or more drugs and one was resistant to all 18 drugs tested, while only four Gm' strains were multiply resistant to 12 drugs and the multiplicity of resistance of the other Gm' strains were less than 10 drugs. Resistance to Gm appeared to have a significant correlation with the resistance to tobramycin (Tb), Ak, Pi, and Cz. All Gm' strains were resistant to Tb and about 38.4 to 46.1% of them were resistant to Ak, Pi, and Cz. The incorporation of $Ca^{++}$ and $Mg^{++}$ ions in Mueller-Hinton agar (MHA) did not influence the MICs of Gm, Tb, carbenicillin (Cb), Pi, and Cz as compared with the results obtained in MHA without these ions. Gm strains were studied on the combined effect of beta-lactam antibiotics and aminoglycosides by the methods of checkerboard and modified paper strip diffusion. Most Gm' strains showed significant synergistic effects by the FIC index between Ak and three beta-lactam antibiotics; Cb, Pi, and Cz, but these results did not in agreement the results obtained through the method of modified paper strip diffusion test. In order to know the nature of the drug resistance of P. aernginosa, the plasmid profile analysis was studied. Agarose gel electrophoresis of lysates processed by the method of Kado and Liu showed one or more plasmids in 22 (43.1%) strains. A group of 19 strains showed at least one band of plasmid and three strains two bands. The range of the molecular weight of plasmids was 3.8 to 243 Mdal. All strains carrying large plasmids larger than 200 Mdal were isolated from wound specimens. Three Gm' strains also harboured the plasm ids of 13 to 203 Mdal.

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Comparison of the Phylogenetic Diversity of Humus Forest Soil Bacterial Populations via Different Direct DNA Extyaction Methods (DNA 직접추출법에 따른 산림토양 부식층 내 세균군집의 계통학적 다양성 비교)

  • Son, Hee-Seong;Han, Song-Ih;Whang, Kyung-Sook
    • Korean Journal of Microbiology
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    • v.43 no.3
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    • pp.210-216
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    • 2007
  • The principal objective of this study was to analyze 16S rDNA-ARDRA of the humus forest soil via an improved manual method and an ISOIL kit on the basis of the UPGMA clustering of the 16S rDNA combined profile, 44 ARDRA clusters of 76 clones via the ISOIL kit method and 45 ARDRA clusters of 136 clones via the improved manual method. On the basis of the 16S rDNA sequences, 44 clones from the ARDRA clusters by the ISOIL kit were classified into 3 phyla : ${\alpha}-,\;{\beta}-,\;{\gamma}-,\;{\delta}-Proteobacteria$, Acidobacteria and Actinobacteria. Using the improved manual method, the specimens were classified into 6 phyla : the ${\alpha}-,\;{\beta}-,\;{\gamma}-,\;{\delta}-Proteobacteria$, Acidobacteria, Bacteroides, Verrucomicrobia, Planctomycetes and Gemmatomonadetes. As a result, the modified manual method indicated greater phylogenetic diversity than was detected by the ISOIL kit. Approximately 40 percent of the total clones were identified as ${\alpha}-Proteobacteria$ and 30 percent of the total clones were ${\gamma}-Proteobacteria$ and assigned to dominant phylogenetic groups using the ISOIL kit. Using the modified manual method, 41 percent of the total clones were identified as Acidobacteria and 28 percent of total clones were identified as ${\alpha}-proteobacteria$ and assigned to dominant phylogenetic groups.

Reduced-dose whole-brain radiotherapy with tumor bed boost after upfront high-dose methotrexate for primary central nervous system lymphoma

  • Lee, Tae Hoon;Lee, Joo Ho;Chang, Ji Hyun;Ye, Sung-Joon;Kim, Tae Min;Park, Chul-Kee;Kim, Il Han;Kim, Byoung Hyuck;Wee, Chan Woo
    • Radiation Oncology Journal
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    • v.38 no.1
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    • pp.35-43
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    • 2020
  • Purpose: This retrospective study compares higher-dose whole-brain radiotherapy (hdWBRT) with reduced-dose WBRT (rdWBRT) in terms of clinical efficacy and toxicity profile in patients treated for primary central nervous system lymphoma (PCNSL). Materials and Methods: Radiotherapy followed by high-dose methotrexate (HD-MTX)-based chemotherapy was administered to immunocompetent patients with histologically confirmed PCNSL between 2000 and 2016. Response to chemotherapy was taken into account when prescribing the radiation dose to the whole brain and primary tumor bed. The whole brain dose was ≤23.4 Gy for rdWBRT (n = 20) and >23.4 Gy for hdWBRT (n = 68). Patients manifesting cognitive disturbance, memory impairment and dysarthria were considered to have neurotoxicity. A median follow-up was 3.62 years. Results: The 3-year overall survival (OS) and progression-free survival (PFS) were 70.0% and 48.9% with rdWBRT, and 63.2% and 43.2% with hdWBRT. The 3-year OS and PFS among patients with partial response (n = 45) after chemotherapy were 77.8% and 53.3% with rdWBRT, and 58.3% and 45.8% with hdWBRT (p > 0.05). Among patients with complete response achieved during follow-up, the 3-year freedom from neurotoxicity (FFNT) rate was 94.1% with rdWBRT and 62.4% with hdWBRT. Among patients aged ≥60 years, the 3-year FFNT rate was 87.5% with rdWBRT and 39.1% with hdWBRT (p = 0.49). Neurotoxicity was not observed after rdWBRT in patients aged below 60 years. Conclusion: rdWBRT with tumor bed boost combined with upfront HD-MTX is less neurotoxic and results in effective survival as higher-dose radiotherapy even in partial response after chemotherapy.

Changes in the Functionality of Cheonggukjang During Fermentation Supplemented with Angelica gigas, Rehmanniae Radix, and Red ginseng (당귀.지황.홍삼 첨가에 따른 발효 청국장의 기능성 변화 연구)

  • Choi, Eun-Ji;Lee, Jung-Sook;Chang, Hung-Bae;Lee, Mee-Sook;Jang, Hae-Dong;Kwon, Young-In
    • Microbiology and Biotechnology Letters
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    • v.38 no.4
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    • pp.467-474
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    • 2010
  • Cheonggukjang is one of the traditional fermented soy-based foods in Korean diets. Studies in cell cultures, humans have revealed anti-hypertension, anti-stress, anticancer, antioxidant, immune enhancing effects. Angelica gigas, Rehmanniae radix, and Red ginseng are popular medicinal plants and widely used for oriental medicine. In this study a strategy had been developed to mobilize beneficial phenolics from Angelica gigas, Rehmanniae radix, and Red ginseng combined with fermented soy by Cheonggukjang fermentation for antioxidant and Type II diabetes management. The quality and functional characteristics of Chenggukjang fermented with Angelica gigas, Rehmanniae radix and Red ginseng. Cheonggukjang (CKJ), Angelica gigas Cheonggukjang (CKJ-DD), Rehmanniae radix Cheonggukjang (CKJ-RG), Angelica gigas and Rehmanniae radix Cheonggukjang (CKJ-DD+RG) and Red ginseng Cheonggukjang (CKJ-RED) were evaluated. The mobilized phenolic profile was evaluated for antioxidant activity and the potential to inhibit ${\alpha}$-amylase linked to hyperglycaemia. This research has important implications for the development of functional soy-based-fermented foods enriched with Angelica gigas, Rehmanniae radix and Red ginseng phenolics for oxidative stress - induced diabetic complications. Furthermore, Hunter's color values of 5 types cheonggukjang, lightness (L-values), redness (a-values) and yellowness (b-values) were evaluated. Free amino acid content of CKJ-RED (0.993 mg/gd. w.) showed higher than that of CKJ (0.205 mg/g-d.w.).

Geostatistical Interpretation of Sparsely Obtained Seismic Data Combined with Satellite Gravity Data (탄성파 자료의 해양분지 구조 해석 결과 향상을 위한 인공위성 중력자료의 지구통계학적 해석)

  • Park, Gye-Soon;Oh, Seok-Hoon;Lee, Heui-Soon;Kwon, Byung-Doo;Yoo, Hai-Soo
    • Geophysics and Geophysical Exploration
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    • v.10 no.4
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    • pp.252-258
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    • 2007
  • We have studied the feasibility of geostatistics approach to enhancing analysis of sparsely obtained seismic data by combining with satellite gravity data. The shallow depth and numerous fishing nets in The Yellow Sea, west of Korea, makes it difficult to do seismic surveys in this area. Therefore, we have attempted to use geostatistics to integrate the seismic data along with gravity data. To evaluate the feasibility of this approach, we have extracted only a few seismic profile data from previous surveys in the Yellow Sea and performed integrated analysis combining with the results from gravity data under the assumption that seismic velocity and density have a high physical correlation. First, we analyzed the correlation between extracted seismic profiles and depths obtained from gravity inversion. Next, we transferred the gravity depth to travel time using non-linear indicator transform and analyze residual values by kriging with varying local means. Finally, the reconstructed time structure map was compared with the original seismic section given in the previous study. Our geostatistical approach demonstrates relatively satisfactory results and especially, in the boundary area where seismic lines are sparse, gives us more in-depth information than previously available.