• Title/Summary/Keyword: Five-Factors Analysis

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C-reactive protein/albumin ratio as prognostic score in oral squamous cell carcinoma

  • Park, Heung-Chul;Kim, Moon-Young;Kim, Chul-Hwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.5
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    • pp.243-250
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    • 2016
  • Objectives: Many studies have examined histopathological factors and various prognostic scores related to inflammation to predict outcomes. Here, we examined the prognostic value of the C-reactive protein/albumin (CRP/alb) ratio in oral squamous cell carcinoma (OSCC). Materials and Methods: This retrospective study included 40 patients with OSCC. Using univariate and multivariate analyses, we focused on the correlation of the CRP/alb ratio with clinicopathological characteristics and with overall survival. We then compared five inflammation-based prognostic scores, CRP/alb ratio, modified Glasgow Prognostic Score (mGPS), neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), and prognostic nutritional index (PNI), based on receiver operating characteristic (ROC) curves. Results: The optimal cut-off value for the CRP/alb ratio was 0.085. The group with a high CRP/alb ratio had a high TNM clinical stage (P=0.002) and larger primary tumors (P=0.029), with statistically significant differences in lymph node metastasis and distant metastasis. In addition, when the CRP/alb ratio was high, multivariate analysis showed a lower survival rate (P=0.002; hazard ratio=6.078), and the ROC curve showed more outstanding discriminatory ability regarding overall survival compared to other inflammation-based prognostic scores. Conclusion: The CRP/alb ratio can be an independent prognostic factor when predicting prognosis in OSCC and has good prognostic ability.

Clinicopathological Characteristics of Alpha-Fetoprotein-Producing Gastric Cancer

  • Chun, Huan;Kwon, Sung-Joon
    • Journal of Gastric Cancer
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    • v.11 no.1
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    • pp.23-30
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    • 2011
  • Purpose: ${\alpha}$-fetoprotein (AFP)-producing gastric cancer is a rare tumor with high rates of liver metastasis and a poor prognosis. Many studies have been performed but there have been no comprehensive investigations of the clinicopathological and prognosis. Materials and Methods: Six hundred ninety four patients with gastric cancer who underwent a curative gastric resection in Hanyang University Hospital from February 2001 to December 2008 were evaluated retrospectively after excluding active or chronic hepatits, liver cirrhosis and preoperative distant metastasis. Among them, thirty five patients had an elevated serum level of AFP (>7 ng/ml) preoperatively. The clinicopathological features of AFP-producing gastric cancer were analyzed. Results: There was poorer differentiation, a higher incidence of lymph node metastasis, more marked lymphatic and vascular invasion in the AFP-positive group than in the AFP-negative group. The 5-year survival rate of the AFP-positive group was significantly poorer than that in the AFP-negative group (66% vs. 80%, P=0.002). A significantly higher incidence of liver metastasis was observed in the AFP-positive group than in the AFP-negative group (14.3% vs. 3.6%, P=0.002) with a shorter median time period from the operation to the metachronous liver metastasis (3.7 months vs. 14.1 months, P=0.043). Multivariate survival analysis revealed the depth of invasion, degree of lymph node metastasis and AFP-positivity to be the independent prognostic factors. Conclusions: AFP-producing gastric cancers have an aggressive behavior with a high metastatic potential to the liver. In addition, their clinicopathological features are quite different from the more common AFP-negative gastric cancer.

Association of the TREML2 and HTR1E Genetic Polymorphisms with Osteoporosis

  • Jung, Dongju;Jin, Hyun-Seok
    • Biomedical Science Letters
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    • v.21 no.4
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    • pp.181-187
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    • 2015
  • Osteoporosis is one of the diseases caused by accumulation of effects from complex interactions between genetic and environmental factors. Aging is the major cause for osteoporosis, which normally increases skeletal fragility and bone fracture especially among the elder. "Omics" refers to a specialized research field dealing with high-throughput biological data, such as genomics, transcriptomics, proteomics or metabolomics. Integration of data from multi-omics has been approved to be a powerful strategy to colligate biological phenomenon with multiple aspects. Actually, integrative analyses of "omics" datasets were used to present pathogenesis of specific diseases or casual biomarkers including susceptible genes. In this study, we evaluated the proposed relationship of novel susceptible genes (TREML2, HTR1E, and GLO1) with osteoporosis, which genes were obtained using multi-omics integration analyses. To this end, SNPs of the susceptible genes in the Korean female cohort were analyzed. As a result, one SNP of HTR1E and five SNPs of TREML2 were identified to associate with osteoporosis. The highest significant SNP was $rs6938076^*$ of TREML2 (OR=0.63, CI: 0.45~0.89, recessive P=0.009). Consequently, the susceptible genes identified through the multi-omics analyses were confirmed to have association with osteoporosis. Therefore, multi-omics analysis might be a powerful tool to find new genes associated with a disease. We further identified that TREML2 has more associated with osteoporosis in females than did HTR1E.

A Study on the Solidarity between Aged Parent & Their Adult Children, and Self-Esteem of Aged Parents (노부모-성인자녀 간의 결속도 및 노부모의 자아존중감에 관한 연구)

  • 박옥임;신효식;김은주
    • Korean Journal of Rural Living Science
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    • v.5 no.2
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    • pp.185-197
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    • 1994
  • This study is to investigate the factors which affect self- esteem of the aged parents. In this study questionaires were used to measure solidarity between aged parents and adults children, self- esteem of aged parents. Subjects were 234 male and 235 female parents who were aged over 60. The data were analyzed by using frequency, percentage, mean, standard deviation, ANOVA, and stepwise regression analysis. The results are as follows : 1) The solidarity between the aged parents and their adult children is average 65.5(Conversion value by 100 : 51.9) and shows the average level. The relations between solidarity and background variables are variables affected by education, pocket money, health, social activity and religion. 2) The degree of self- esteem in the aged parents is presented to average 26.1(Conversion value by 100 : 56.5) and shows the average level and it according to the background variables has a significant difference depending on education, pocket money, family living together, health, social activity, religion and the number of children. 3) To investigate the degree of self- esteem according to the degree of solidarity, the sub-areas of solidarity are subdivided into five groups. higher solodarity the group has, higher self- esteem it has. 4) The degree of effects of the variables which affect self- esteem in the aged parents is in such order as affectional solidarity($\beta$=0.32), helping($\beta$=0.14), education($\beta$=0.10), solidarity by contact($\beta$=0.09) and solidarity by argument($\beta$=0.09) and $R^2$ of such variables are 30%.

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Strain Rate Dependent Poroelastic Behavior of Bovine Vertebral Trabecular Bone

  • Hong, Jung-Hwa;Mum, Mu-Seong;Lim, Tae-Hong
    • Journal of Mechanical Science and Technology
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    • v.15 no.7
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    • pp.1032-1040
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    • 2001
  • It is widely accepted that the pressure variation of interstitial fluid is one of the most important factors in bone physiology. In order to understand the role of interstitial fluid on porous bony structure, a consideration for the biomechanical interactions between fluid and solid constituents within bone is required. In this study, a poroelastic theory was applied to investigate the elastic behavior of calf vertebral trabecular bone composed of the porous solid trabeculae and the viscous bone marrow. The poroelastic behavior of trabecular bone in a uniaxial stress condition was simulated using a commercial finite difference analysis software (FLAC, Itasca Consulting Group, USA), and tested for 5 different strain rates, i.e., 0.001, 0.01, 0.1, and 10 per second. The material properties of the calf vertebral trabecular bone were utilized from the previous experimental study. Two asymptotic poroelastic responses, the drained and undrained deformations, were predicted. From the predicted results for the simulated five strain rates, it was found that the pore pressure generation has a linearly increasing behavior when the strain rate is the highest at 10 per second, otherwise it showed a nonlinear behavior. The pore pressure generation with respect to the strain was found to be increased as the strain rate increased. The elastic moduli predicted at each strain were 208.3, 212.2, 337.6, 593.1, and 602.2 MPa, respectively. Based on the results of the present study, it was suggested that the calf vertebral trabecular bone could be modeled as a poroelastic material and its strain rate dependent material behavior could be predicted.

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Research on Images of Hair up-styles and Wedding Dress Styles of Prospective Brides (예비신부의 업스타일과 웨딩드레스 스타일에 대한 이미지평가 연구)

  • Shin, Yang-Hee;Sung, Kwang-Sook
    • Fashion & Textile Research Journal
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    • v.10 no.4
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    • pp.489-498
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    • 2008
  • This study is on the image evaluation of the hair up-style and the wedding dress styles of prospective brides. Based on some prior theoretical studies, and information obtained from wedding magazines and interviews conducted at the beauty business places, four kinds of the hair up-style were selected, namely, top-point, golden-point, back-point, and nape point. Three styles of necklines were selected: boat necklines, V-necklines, and off-shoulder necklines. The surveyor herself did the hair styling for models, and dressed up the models, to produce the stimuli. And the stimuli were presented to percipients along with questionnaires for measuring the image evaluations. Prepared were total 12 different kinds of stimuli, in which four hair up-styles and three dress styles were combined into 12 combinations ($3^*4$), and, with respect to these 12 stimuli, 26 itemized questions were included in the questionnaire. From the factor analysis on the image evaluation of the hair up- style and wedding dresses, five factors were derived as fallowing: attractiveness, boldness, purity, cuteness, feminity. This study revealed that wedding dress styles are more sensitive to the contemporary trend, compared to the hair styles; and the selection in the wedding style is quite influenced by the dress style, but not by the hair up-style. Also, prospective brides evaluated the hair up-styles and the wedding dress styles separately without recognizing their mutual relationship, and thus did not recognize the two as the mutually coordinated relationship, but rather recognize the two as two separate elements.

Changes in the Gait Pattern of Hemiparetic Patients with Subacute Basal Ganglia Stroke: a Retrospective Study (아급성 기저핵 뇌졸중 후 편마비 환자의 보행양상의 변화 : 후향적 연구)

  • Hong, Hae-jin;Kim, Cheol-hyun;Sung, Kang-kyung;Lee, Sang-kwan
    • The Journal of Internal Korean Medicine
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    • v.37 no.6
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    • pp.990-997
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    • 2016
  • Objectives: This study observed changes in gait pattern according to the motor grade of the paretic lower limb in patients with basal ganglia stroke who are in the subacute phase. Methods: We used the Manual Muscle Test (MMT) to evaluate the motor grade of the paretic lower limb of 21 patients with subacute basal ganglia stroke and then divided them into two groups based on the MMT results. Stroke patients with a motor grade above Gr. III were put in group I (15 people) and those with a grade less than Gr. III in group II (6 people). We also estimated spatiotemporal factors using treadmill gait analysis equipment. The values were gait velocity, step length, step time, double support phase, and cadence. The first measure was conducted during the early period of admission and the second was between four and five weeks after admission. Results: In Group I, the gait velocity and step length of both legs significantly increased. In Group II, the step length and step time of the paretic side and the gait velocity tended to decrease, but not significantly. The step length of the paretic side in Group II was significantly longer than that in Group I at the first measure. The step time of the paretic side in Group I was significantly shorter than that in Group II and gait velocity and cadence in Group I were significantly higher than in Group II at the second measure. Conclusions: The gait parameters of all stroke patients improved in terms of time. In addition, the changes in gait pattern were different depending on the motor grade of the paretic lower limb.

Professional Socialization of Medical Students (의대생의 전문직 사회화 과정에 대한 고찰)

  • Han, Dal-Sun;Cho, Byung-Hee;Bae, Sang-Soo;Kim, Chang-Yup;Lee, Sang-Il;Lee, Young-Jo
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.2 s.53
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    • pp.265-278
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    • 1996
  • This paper concerns professional socialization of medical students. Professional socialization, in the context of this paper, means the process through which a layperson becomes a doctor equipped with professional identity and values. While medical education does not include such process in the curriculum, medical students obtain certain values and identity informally. The dependent variables were professional values and professionalism. The former means the desirable attributes required to conducting professional works such as humane attitudes, science-oriented mind, capability for organizational management. The latter means socio-political reasoning with which doctors can rationalize their privileges such as autonomy. A specially designed questionnaire was developed. The data were collected from five medical schools for 1,318 students in 1994. A total of 1,070 cases were finally included in the statistical analysis. The students emphasized the human factor in the professional values. Their attitude did not change with the grade. Other independent variables such as motives for entering a medical school, socioeconomic status, satisfaction with medical education, etc. also did not influence professinal values. It implies that professional values were not consolidated among the students. However, the factors of professionalism change significantly with the grade. It implies that the students paid more attention to socio-political issues related to doctor's interests as the grade went up. And the factor scores for professionalism were higher for those students who had more positive attitude towards doing medical practice for profit, expected higher income, and were more conservative about social reform. Other independent variables did not influence professionalism. It seems that the students also give emphasis on professionalism, like current medical doctors, mainly because of their concern with recent unfavorable changes in economic conditions of medical care providers.

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Statistical Analysis for Silver Nanoparticle Synthesis Using Ionic Liquid (이온성액체 기반 은 나노입자 합성을 위한 통계적 실험 분석)

  • Lee, Kil Woo;Yoo, Kye Sang
    • Applied Chemistry for Engineering
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    • v.29 no.1
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    • pp.77-80
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    • 2018
  • Silver nanoparticles with various sizes were synthesized using ionic liquids. In order to conduct more efficient research, experimental methods and results were analyzed statistically. First, effects of five different parameters including the reaction time, temperature, NaOH concentration, reducing agent and ionic liquid amount on the size of silver particles were investigated. As a result, the effects of time and temperature were negligible. The experimental conditions for the other three factors were then statistically constructed. From XRD analyses, the particles synthesized under all conditions had a pure silver crystal structure. Sizes of the synthesized silver particles were also analyzed by HR-SEM. In the three synthetic conditions, NaOH concentration had the greatest influence on determining the size of silver particles and the reducing agent concentration was relatively minute. Synthesis conditions of silver particles with various sizes were presented by using statistical methods with respect to NaOH and ionic liquids. In addition, the sizes of silver particles according to three experimental conditions were derived by the mixture method.

Structural behavior of arch dams considering experimentally validated prototype model using similitude and scaling laws

  • Altunisik, Ahmet Can;Kalkan, Ebru;Basaga, Hasan B.
    • Computers and Concrete
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    • v.22 no.1
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    • pp.101-116
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    • 2018
  • As one of the most important engineering structures, arch dams are huge constructions built with human hands and have strategical importance. Because of the fact that long construction duration, water supply, financial reasons, major loss of life and material since failure etc., the design of arch dams is very important problem and should be done by expert engineers to determine the structural behavior more accurately. Finite element analyses and non-destructive experimental measurements can be used to investigate the structural response, but there are some difficulties such as spending a long time while modelling, analysis and in-situ testing. Therefore, it is more useful to conduct the research on the laboratory conditions and to transform the obtained results into real constructions. Within the scope of this study, it is aimed to determine the structural behavior of arch dams considering experimentally validated prototype laboratory model using similitude and scaling laws. Type-1 arch dam, which is one of five arch dam types suggested at the "Arch Dams" Symposium in England in 1968 is selected as reference prototype model. The dam is built considering dam-reservoir-foundation interaction and ambient vibration tests are performed to validate the finite element results such as dynamic characteristics, displacements, principal stresses and strains. These results are considered as reference parameters and used to determine the real arch dam response with different scales factors such as 335, 400, 416.67 and 450. These values are selected by considering previously examined dam projects. Arch heights are calculated as 201 m, 240 m, 250 m and 270 m, respectively. The structural response is investigated between the model and prototype by using similarity requirements, field equations, scaling laws etc. To validate these results, finite element models are enlarged in the same scales and analyses are repeated to obtain the dynamic characteristics, displacements, principal stresses and strains. At the end of the study, it is seen that there is a good agreement between all results obtained by similarity requirements with scaling laws and enlarged finite element models.