Ee Phua, Vincent Chee;Loo, Wei Hoong;Yusof, Mastura Md;Ishak, Wan Zamaniah Wan;Tho, Lye Mun;Ung, Ngie Min
Asian Pacific Journal of Cancer Prevention
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v.14
no.8
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pp.4567-4570
/
2013
Background: Nasopharyngeal carcinoma (NPC) is the commonest radiocurable cancer in Malaysia. This study aimed to determine the treatment outcomes and late effects of radiotherapy for NPC patients treated in University Malaya Medical Centre (UMMC). Materials and Methods: All newly diagnosed patients with NPC referred for treatment to the Oncology unit at UMMC from 2004-2008 were retrospectively analyzed. Treatment outcomes were 5 years overall survival (OS), disease free survival (DFS), cause-specific survival (CSS), locoregional control (LRC) and radiotherapy-related late effects. The Kaplan-Meier method was used for survival analysis and differences in survival according to AJCC stage was compared using the log-rank test. Results: A total of 176 patients with newly diagnosed NPC were treated in UMMC during this period. Late presentation was common, with 33.5% presenting with T3-4 disease, 84.7% with N1-3 disease and 75.6% with AJCC stage 3-4 disease. Radical RT was given to 162 patients with 22.7% having RT alone and 69.3% having CCRT. The stipulated OTT was 7 weeks and 72.2% managed to complete their RT within this time period. Neoadjuvant chemotherapy was given to 14.8% while adjuvant chemotherapy was administered to 16.5%. The 5 years OS was 51.6% with a median follow up of 58 months. The 5 years OS according to stage were 81.8% for stage I, 77.9% for stage II, 47.4% for stage III and 25.9% for stage IV. The 5 years overall CSS, DFS and LRC were 54.4%, 48.4% and 70.6%, respectively. RT related late effects were documented in 80.2%. The commonest was xerostomia (66.7%). Other documented late effects were hearing deficit (17.3%), visual deficit (3.1%), neck stiffness (3.1%), dysphagia (3.4%), cranial nerve palsy (2.5%), pneumonitis (0.6%) and hypothyroidism (1.2%). Conclusions: The 5 years OS and LRC in this study are low compared to the latest studies especially those utilizing IMRT. Implementation of IMRT for NPC treatment should be strongly encouraged.
This study outlines two viewpoints the classification of phone likely unit (PLU) which is the foundation of korean large vocabulary speech recognition, and the effectiveness of Chiljongseong (7 Final Consonants) and Paljogseong (8 Final Consonants) of the korean language. The phone likely classifies the phoneme phonetically according to the location of and method of articulation, and about 50 phone-likely units are utilized in korean speech recognition. In this study auditory phonetical knowledge was applied to the classification of phone likely unit to present 45 phone likely unit. The vowels 'ㅔ, ㅐ'were classified as phone-likely of (ee) ; 'ㅒ, ㅖ' as [ye] ; and 'ㅚ, ㅙ, ㅞ' as [we]. Secondly, the Chiljongseong System of the draft for unified spelling system which is currently in use and the Paljongseonggajokyong of Korean script haerye were illustrated. The question on whether the phonetic value on 'ㄷ' and 'ㅅ' among the phonemes used in the final consonant of the korean fan guage is the same has been argued in the academic world for a long time. In this study, the transition stages of Korean consonants were investigated, and Ciljonseeng and Paljongseonggajokyong were utilized in speech recognition, and its effectiveness was verified. The experiment was divided into isolated word recognition and speech recognition, and in order to conduct the experiment PBW452 was used to test the isolated word recognition. The experiment was conducted on about 50 men and women - divided into 5 groups - and they vocalized 50 words each. As for the continuous speech recognition experiment to be utilized in the materialized stock exchange system, the sentence corpus of 71 stock exchange sentences and speech corpus vocalizing the sentences were collected and used 5 men and women each vocalized a sentence twice. As the result of the experiment, when the Paljongseonggajokyong was used as the consonant, the recognition performance elevated by an average of about 1.45% : and when phone likely unit with Paljongseonggajokyong and auditory phonetic applied simultaneously, was applied, the rate of recognition increased by an average of 1.5% to 2.02%. In the continuous speech recognition experiment, the recognition performance elevated by an average of about 1% to 2% than when the existing 49 or 56 phone likely units were utilized.
Kim, Wan-Ki;Lee, Jeong-Young;Lee, Chae-Sung;An, Chul-Min;Kim, Hyoung-Soo;Choi, Choel-Young;Kim, Jae-Won;Chung, Ee-Yung;Kim, Bong-Seok
The Korean Journal of Malacology
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v.19
no.2
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pp.117-124
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2003
Reproductive cycle and sex ratio of the marsh clam Corbicula japonica, a oviparous clam, were investigated monthly by histological observation. Samples were collected in brackish water of Namdae stream on the east coast of Korea from November 2000 to October 2001. It was able to devide the reproductive cycle of this species into five successive stages; early active (April to June), late active (May to June), ripe (June to August), partially spawned (June to September), spent (September to January) and resting stage (February to April). The spawning period was from July to September, and the main spawning occurred between August and September when seawater temperatures reached above 26$^{\circ}C$. Mature eggs of Corbicula japonica were 60-70 ${\mu}m$ in diameter. The sex ratio of individuals over 10.1 mm in shell length was about 1:1 (x$^2$ = 1.22, p > 0.05).
The magnetoresistance characteristics of FeN/Co/Cu/Co and FeN/Co/Cu/Co/Cu/Co/FeN multilayers using ferromagnetic iron-nitrides (FeN) has been studied. The microstructure of FeN film is the mixed ${\alpha}$-Fe and $\varepsilon$-Fe$_3$N phase on the condition that the flow rate of N$_2$ gas is over 0.4 sccm. The magnetoresistance effect is observed because of shape magnetic anisotropy induced by needle-shaped $\varepsilon$-Fe$_3$N phase. This magnetoresistance effect changes, because the degree that the shape magnetic anisotropy adheres to the adjacent Co pinned layer is varied according to the flow rate of N$_2$ gas and the thickness of FeN film. The best magnetoresistance effect is obtained on the condition that the thickness of Co free layer is 70 ${\AA}$ and the maximum MR ratio(%) value of 3.2% shows in the FeN(250 ${\AA}$)/Co(70 ${\AA}$)/Cu(25 ${\AA}$)/Co(70 ${\AA}$)/Cu(25 ${\AA}$)/Co(70 ${\AA}$)/FeN(250 ${\AA}$) mutilayer film which is fabricated at the N, gas flow rate of 0.5 sccm and the FeN film thickness of 250 ${\AA}$. Four steps are observed in the magnetoresistance curve owing to this difference of coercive force, because respective magnetic layers in the multilayer possess different coercive forces. These effects observed in these mutilayer films can be expected to application to the memory device the same MRAM as can carry out simultaneously four signals.
This paper deals with experimental research to increase thermal storage efficiency of hot water stored in an actual storage tank for solar application. The effect of increased energy input rate due to stratification has been discussed and illustrated through experimental data, which was taken by changing dynamic and geometric parameters. Ranges of the parameters were defined for flow rate, the ratio of diameter to height of the tank and inlet-exit water temperature difference. During the heat storage, when the flow was lower, the temperature difference was larger and the ratio of diameter to height of the tank was higher, the momentum exchange decreased. As for this experiment, when the flow rate was 8 liter/min, the temperature difference was $30^{\circ}C$ and the ratio of diameter to height of the tank was 3, the momentum exchange was minimized resulting in a good thermocline and a stable stratification. In the case of using inlet ports, if the modified Richardson number was less than 0.004, full mixing occured and so unstable stratification occured, which mean that this could not be recommended as storage through thermal stratification. Using a distributor was better than using inlet ports to form a sharp thermocline and to enhance the stratification. It was possible to get storage efficiency of 95% by using the distributor, which was higher than a storage efficiency of 85% obtained by using inlet ports in same operation condition. Furthermore, if the distributor was manufactured so that the mainpipe decreases in diameter toward the dead end to maintain constant static pressure, it might be predicted that further stable stratification and higher storage efficiency are obtainable(ie:more than 95%).
Tang, Weng Heng;Alip, Adlinda;Saad, Marniza;Phua, Vincent Chee Ee;Chandran, Hari;Tan, Yi Hang;Tan, Yan Yin;Kua, Voon Fong;Wahid, Mohamed Ibrahim;Tho, Lye Mun
Asian Pacific Journal of Cancer Prevention
/
v.16
no.5
/
pp.1901-1906
/
2015
Background: Brain metastases occur in about 20-40% of patients with non-small-cell lung carcinoma (NSCLC), and are usually associated with a poor outcome. Whole brain radiotherapy (WBRT) is widely used but increasingly, more aggressive local treatments such as surgery or stereotactic radiosurgery (SRS) or stereotactic radiotherapy (SRT) are being employed. In our study we aimed to describe the various factors affecting outcomes in NSCLC patients receiving local therapy for brain metastases. Materials and Methods: The case records of 125 patients with NSCLC and brain metastases consecutively treated with radiotherapy at two tertiary centres from January 2006 to June 2012 were analysed for patient, tumour and treatment-related prognostic factors. Patients receiving SRS/SRT were treated using Cyberknife. Variables were examined in univariate and multivariate testing. Results: Overall median survival was 3.4 months (95%CI: 1.7-5.1). Median survival for patients with multiple metastases receiving WBRT was 1.5 months, 1-3 metastases receiving WBRT was 3.6 months and 1-3 metastases receiving surgery or SRS/SRT was 8.9 months. ECOG score (${\leq}2$ vs >2, p=0.001), presence of seizure (yes versus no, p=0.031), treatment modality according to number of brain metastases (1-3 metastases+surgery or $SRS/SRT{\pm}WBRT$ vs 1-3 metastases+WBRT only vs multiple metastases+WBRT only, p=0.007) and the use of post-therapy systemic treatment (yes versus no, p=0.001) emerged as significant on univariate analysis. All four factors remained statistically significant on multivariate analysis. Conclusions: ECOG ${\leq}2$, presence of seizures, oligometastatic disease treated with aggressive local therapy (surgery or SRS/SRT) and the use of post-therapy systemic treatment are favourable prognostic factors in NSCLC patients with brain metastases.
Geep-Jang, a kind of soybean paste, was made from vegetables such as egg-plant, green cucumber and green red pepper besides grains, which was fermented at $55{\sim}60^{\circ}C$ incubator or room temperature for a week. In order to determine the effect of cellulolytic enzymes addition on the Geep-Jang processing, samples were taken by 0, 24, 48, 72, 96, 120, and 144 hours interval after first stage, chemical composition were measured and its results obtained as follows: 1. Reducing sugar was rapidly increased from twenty to forty hours after first stage. 2. Large contents of reducing sugar at G-5 group might originated from the much quantity of carbohydrate sources and speed up the decomposition of raw materials by cellulolytic enzymes. 3. The different content of reducing sugars between G-1 and G-3 group should stemed from the addition of enzymes solution and it's differences were very remarkable id the case of classic soybean koji power 4. The contents of amino-nitrogen was generally more increased than the classic one(G-2, G-4). 5. Fermentation period of Geep-Jang may reduce by addition of cellulolytic enzymes.
Germ cell development during oogenesis, ovarian maturation and first sexual maturity in female Ruditapes philippinarum were investigated by cytological and histological observations. R. philippinarum is dioecious. During vitellogenesis, the Golgi complex, glycogen particles, and mitochondria were involved in the formation of lipid droplets and lipid granules in the cytoplasm of the early vitellogenic oocyte. In the late vitellogenic oocyte, cortical granules, the endoplasmic reticulum, and mitochondria were involved in the formation of proteid yolk granules in the cytoplasm. At this time, exogenous lipid granular substance and glycogen particles in the germinal epithelium passed into the oocyte through the microvilli of the vitelline envelope. The spawning period was once a year between early June and early October, and the main spawning occurred between July and August when seawater temperature was approximately $20^{\circ}C$. The reproductive cycle of this species can be categorized into five successive stages: early active stage(January to March), late active stage(Februaryto May), ripe stage(April to August), partially spawned stage(May to October), and spent/inactive stage (August to February). Percentages of female clams at first sexual maturity of $15.1{\sim}20.0mm$ in shell length were 52.6%(50% of the rate of group maturity was 17.83mm in length), and 100% for the clams >25.1mm.
Phua, Chee Ee;Tang, Weng Heng;Yusof, Mastura Md.;Saad, Marniza;Alip, Adlinda;See, Mee Hoong;Taib, Nur Aishah
Asian Pacific Journal of Cancer Prevention
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v.15
no.23
/
pp.10263-10266
/
2015
Background: The risk of febrile neutropaenia (FN) and treatment related death (TRD) with first line palliative chemotherapy for de novo metastatic breast cancer (MBC) remains unknown outside of a clinical trial setting despite its widespread usage. This study aimed to determine rates in a large cohort of patients treated in the University of Malaya Medical Centre (UMMC). Materials and Methods: Patients who were treated with first line palliative chemotherapy for de novo MBC from 2002-2011 in UMMC were identified from the UMMC Breast Cancer Registry. Information collected included patient demographics, histopathological features, treatment received, including the different chemotherapy regimens, and presence of FN and TRD. FN was defined as an oral temperature > $38.5^{\circ}C$ or two consecutive readings of > $38.0^{\circ}C$ for 2 hours and an absolute neutrophil count < $0.5{\times}10^9/L$, or expected to fall below $0.5{\times}10^9/L$ (de Naurois et al, 2010). TRD was defined as death occurring during or within 30 days of the last chemotherapy treatment, as a consequence of the chemotherapy treatment. Statistical analysis was performed using the SPSS version 18.0 software. Survival probabilities were estimated using the Kaplan-Meier method and differences in survival compared using log-rank test. Results: Between $1^{st}$ January 2002 and $31^{st}$ December 2011, 424 patients with MBC were treated in UMMC. A total of 186 out of 221 patients with de novo MBC who received first line palliative chemotherapy were analyzed. The mean age of patients in this study was 49.5 years (range 24 to 74 years). Biologically, ER status was negative in 54.4% of patients and Her-2 status was positive in 31.1%. A 5-flourouracil, epirubicin and cyclophosphamide (FEC) chemotherapy regimen was chosen for 86.6% of the cases. Most patients had multiple metastatic sites (58.6%). The main result of this study showed a FN rate of 5.9% and TRD rate of 3.2%. The median survival (MS) for the entire cohort was 19 months. For those with multiple metastatic sites, liver only, lung only, bone only and brain only metastatic sites, the MS was 18, 24, 19, 24 and 8 months respectively (p-value= 0.319). Conclusions: In conclusion, we surmise that FEC is a safe regimen with acceptable FN and TRD rates for de novo MBC.
Direct Absorption Receiver and Thermal Storage System is a complex problem. This paper describes only characteristic of fluid flow on the receiver. The fluid thicknesses of Molten Salts (Melting Point : $397^{\circ}C$) flowing on the receiver of modified protopype ($10m{\times}10m$) were calculated theorectically, changing the receiver slope from 60 degree to 85 degree (5 steps). The receiver temperatures were $430^{\circ}C$ at the top part and $950^{\circ}C$ at the low part. The flow thickness of the Molten Salts at the top part of the receiver are around 1.9mm in the case of maximum insolution ($50{\times}10^6$juoule/sec; 58.898kg/sec of flow rate) and 2.0mm at the low part. In the case of 3/10 of maximum insolation (flow rate = 17.669kg/sec) the flow thickness at the top part are around 0.9mm and 0.4mm at the low part, and in the case of 1/10 of maximum insolation (flow rate = 5.889 kg/see) the flow thickness at the top part are around 0.6mm and 0.3mm at the low part. From experimental measurements of a normal fresh water thickness flowing on the model plate ($12.7cm{\times}111.76cm$), around 0.8mm at the top part of the plate and around 0.7mm at the low part were obtained in the case of maximum insolation (flow rate = 0.12496 kg/see). In the case of 3/10 (flow rate = 0.03748 kg/see) and 1/10 (flow rate = 0.012496 kg/see) of maximum insolation, around 0.5mm and 0.4mm at the top part, and around 0.3mm and 0.2mm at the low part were obtained respectively. The reason why the thickness of the Molten Salts increase at the low part of the receiver only in case of maximum insolation is that decreasing rate of the viscosity of the Molten Salts is larger than decreasing rate of the density of the Molten Salts during temperature increase from the top to the low receiver plate and decrease of the fluid velocity in accordance with continuity principle. In all cases without the above maximum insolation, the thickness of the Molten Salts and the fresh water decreased at the low part of the plate because of gravity force effects rather than friction effects and of continuity principle. All simillar flow patterns were obtained through all cases of the insolation making an exception of only maximum insolation.
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