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Efficacy of Postoperative Radiotherapy Using Modern Techniques in Patients with Retroperitoneal Soft Tissue Sarcoma

  • Kim, Hyun Ju;Koom, Woong Sub;Cho, Jaeho;Kim, Hyo Song;Suh, Chang-Ok
    • Yonsei Medical Journal
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    • v.59 no.9
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    • pp.1049-1056
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    • 2018
  • Purpose: Local recurrence is the most common cause of failure in retroperitoneal soft tissue sarcoma patients after surgical resection. Postoperative radiotherapy (PORT) is infrequently used due to its high complication risk. We investigated the efficacy of PORT using modern techniques in patients with retroperitoneal soft tissue sarcoma. Materials and Methods: Eighty patients, who underwent surgical resection for non-metastatic primary retroperitoneal soft tissue sarcoma at the Yonsei Cancer Center between 1994 and 2015, were retrospectively reviewed. Thirty-eight (47.5%) patients received PORT: three-dimensional conformal radiotherapy in 29 and intensity-modulated radiotherapy in nine patients. Local failure-free survival (LFFS), overall survival (OS), and RT-related toxicities were investigated. Results: Median follow-up was 37.1 months (range, 5.8-207.9). Treatment failure occurred in 47 (58.8%) patients including local recurrence in 33 (41.3%), distant metastasis in eight (10%), and both occurred in six (7.5%) patients. The 2-year and 5-year LFFS rates were 63.9% and 47.9%, respectively. The 2-year and 5-year OS rates were 87.5% and 71.1%. The 5-year LFFS rate was significantly higher in PORT group than in no-PORT group (74.2% vs. 24.3%, p<0.001). In multivariate analysis, PORT was the only independent prognostic factor for LFFS. However, there was no significant correlation between RT dose and LFFS. OS showed no significant difference between the two groups. Grade ${\leq}2$ acute toxicities were observed in 63% of patients, but no acute toxicity ${\geq}$ grade 3 was observed. Conclusion: PORT using modern technique markedly reduced local recurrence in retroperitoneal sarcoma patients, with low toxicity. The optimal RT technique, in terms of RT dose and target volume, should be further investigated.

Survival and Recurrence Rate after Treatment for Primary Spinal Sarcomas

  • Cho, Wonik;Chang, Ung-Kyu
    • Journal of Korean Neurosurgical Society
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    • v.53 no.4
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    • pp.228-234
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    • 2013
  • Objective : We have limited understanding on the presentation and survival of primary spinal sarcomas. The survival, recurrence rate, and related prognostic factors were investigated after treatment for primary sarcomas of the spine. Methods : Retrospective analysis of medical records and radiological data was done for 29 patients in whom treatment was performed due to primary sarcoma of the spine from 2000 to 2010. As for treatment method, non-radical operation, radiation therapy, and chemotherapy were simultaneously or sequentially combined. Overall survival (OS), progression free survival (PFS), ambulatory function, and pain status were analyzed. In addition, factors affecting survival and recurrence were analyzed : age (${\leq}42$ or ${\geq}43$), gender, tumor histologic type, lesion location (mobile spine or rigid spine), weakness at diagnosis, pain at diagnosis, ambulation at diagnosis, initial treatment, radiation therapy, kind of irradiation, surgery, chemotherapy and distant metastasis. Results : Median OS was 60 months, the recurrence rate was 79.3% and median PFS was 26 months. Patients with distant metastasis showed significantly shorter survival than those without metastasis. No factors were found to be significant relating to recurrence. Prognostic factor associated with walking ability was the presence of weakness at diagnosis. Conclusion : Primary spinal sarcomas are difficult to cure and show high recurrence rate. However, the development of new treatment methods is improving survival.

A Classification of Korean Ancient Coins by Neutron Activation Analysis (중성자 방사화분석에 의한 한국산 고전(古錢)의 분류)

  • Chun, Kwon Soo;Lee, Chul;Kang, Hyung Tae;Lee, Jong Du
    • Analytical Science and Technology
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    • v.7 no.3
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    • pp.293-299
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    • 1994
  • Fifty ancient Korean coins originated in Choson period have been determined for 11 elements such as Sn, Fe, As, Au, Co, Sb, Ir, Os, Ru and Ni by destructive and non-destructive neutron activation analysis as well as for 3 elements such as Cu, Pb and Zn by atomic absorption spectroscopy. The multivariate data have been analyzed by principal component mapping method. The spread of sample points in the eigenvector polt has been attributed to common origins of some elements.

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Intrinsic Motivation Factors Based on the Self-Determinant Theory for Regular Breast Cancer Screening

  • Jung, Su Mi;Jo, Heui-Sug
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.23
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    • pp.10101-10106
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    • 2015
  • The purpose of this study was to identify factors of intrinsic motivation that affect regular breast cancer screening and contribute to development of a program for strategies to improve effective breast cancer screening. Subjects were residing in South Korea Gangwon-Province and were female over 40 and under 69 years of age. For the investigation, the Intrinsic Motivation Inventory (IMI) was modified to the situation of cancer screening and was used to survey 905 inhabitants. Multinominal logistic regression analyses were conducted for regular breast cancer screening (RS), one-time breast cancer screening (OS) and non-breast cancer screening (NS). For statistical analysis, IBM SPSS 20.0 was utilized. The determinant factors between RS and NS were "perceived effort and choice" and "stress and strain" - internal motivations related to regular breast cancer screening. Also, determinant factors between RS and OS are "age" and "perceived effort and choice" for internal motivation related to cancer screening. To increase regular screening, strategies that address individual perceived effort and choice are recommended.

Real-Time Sink Node Architecture for a Service Robot Based on Active Healthcare/Living-support USN (능동 건강/생활지원 USN 기반 서비스 로봇 시스템의 실시간 싱크 노드 구조)

  • Shin, Dong-Gwan;Yi, Soo-Yeong;Choi, Byoung-Wook
    • Journal of Institute of Control, Robotics and Systems
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    • v.14 no.7
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    • pp.720-725
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    • 2008
  • This paper proposes a system architecture for USN with a service robot to provide more active assisted living services for elderly persons by monitoring their mental and physical well-being with USN environments at home, hospital, or silver town. Sensors embedded in USN are used to detect preventive measures for chronic disease. Logged data are transferred to main controller of a service robot via wireless channel in which the analysis of data is performed. For the purpose of handling emergency situations, it needs real-time processing on gathering variety sensor data, routing algorithms for sensor nodes to a moving sink node and processing of logged data. This paper realized multi-hop sensor network to detect user movements with biometric data transmission and performed algorithms on Xenomai, a real-time embedded Linux. To leverage active sensing, a mobile robot is used of which task was implemented with a priority to process urgent data came from the sink-node. This software architecture is anticipated to integrate sensing, communication and computing with real-time manner. In order to verify the usefulness of a proposed system, the performance of data transferring and processing on a real-time OS with non real-time OS is also evaluated.

Hypoxia-inducible Factor 1 Alpha (HIF-1α) as a Prognostic Indicator in Patients with Gastric Tumors: A Meta-analysis

  • Zhang, Zhi-Gang;Zhang, Qiu-Ning;Wang, Xiao-Hu;Tian, Jin-Hui
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4195-4198
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    • 2013
  • Background and Objective: Though researched for years, the prognostic role of hypoxia-inducible factor 1 alpha (HIF-$1{\alpha}$) in gastric cancer is still controversial. We thus undertook a systematic review to assess the relationship. Method: A systematically literature search of Pubmed, Embase, Web of Science, China Biological Medicine Disc and Cochrane Library was undertaken in February 2013, and the reference lists of articles were retrieved. Results: 12 trials (1,555 participants) were included to assess the association between HIF-$1{\alpha}$ expression and survival. Summary hazard ratios (HRs) were calculated. HIF-$1{\alpha}$ expression was significantly correlated with poor overall survival of gastric cancer patients (HR=1.34, 95%CI: 1.13-1.58; P=0.0009), but not with poor disease free survival of gastric cancer patients (HR=1.67, 95%CI: 0.99-2.82; P=0.06). Conclusion: HIF-$1{\alpha}$ was associated with poor OS, but not DFS, especially for Asian patients. But studies evaluating relationships of HIF-$1{\alpha}$ with OS and DFS in non-Asian gastric cancer patients appear needed.

A Study of Internal Ultrastructure on the RGP Contact Lens (RGP 콘택트 렌즈의 내부 미세구조에 대한 연구)

  • Kim, Douk Hoon
    • Journal of Korean Ophthalmic Optics Society
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    • v.6 no.1
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    • pp.55-58
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    • 2001
  • The rigid gas permeable(RGP) contact lens has nearly side effect on the cornea. So that, this lens has used the clinical reflective correction of the eye. This study have used several methods for research the fine internal structure on the RGP contact lens by scanning electron microscopy. The results have indicated that the postfixation of 1% $OsO_4$ and tannic acid is responsible for a fine structure in the internal plane of RGP contact lens. These internal surface of contact lens appeared the several shape of the hole of the stereo shape form with arrangement of round form. But, on the contact lens with non-postfixation, the stereo shape have not present and the boundary of the vesicle have not clear. Maybe, these results suggest that the fixation methods have effect on the morphological characters of materials on the RGP contact lens.

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Site-directed Mutagenesis of Cysteine Residues in Phi-class Glutathione S-transferase F3 from Oryza sativa

  • Jo, Hyun-Joo;Lee, Ju-Won;Noh, Jin-Seok;Kong, Kwang-Hoon
    • Bulletin of the Korean Chemical Society
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    • v.33 no.12
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    • pp.4169-4172
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    • 2012
  • To elucidate the roles of cysteine residues in rice Phi-class GST F3, in this study, all three cysteine residues were replaced with alanine by site-directed mutagenesis in order to obtain mutants C22A, C73A and C77A. Three mutant enzymes were expressed in Escherichia coli and purified to electrophoretic homogeneity by affinity chromatography on immobilized GSH. The substitutions of Cys73 and Cys77 residues in OsGSTF3 with alanine did not affect the glutathione conjugation activities, showing non-essentiality of these residues. On the other hand, the substitution of Cys22 residue with alanine resulted in approximately a 60% loss of specific activity toward ethacrynic acid. Moreover, the ${K_m}^{CDNB}$ value of the mutant C22A was approximately 2.2 fold larger than that of the wild type. From these results, the evolutionally conserved cysteine 22 residue seems to participate rather in the structural stability of the active site in OsGSTF3 by stabilizing the electrophilic substrates-binding site's conformation than in the substrate binding directly.

Design and Implementation of File Access Control Module Based on Multi-Operating System (멀티 운영체제 기반의 파일 접근 제어 모듈 설계 및 구현)

  • Soh, Woo-Young
    • Convergence Security Journal
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    • v.7 no.4
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    • pp.123-131
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    • 2007
  • Recently, various threat and security incident are occurred for unspecified individuals, and this problem increases as the rapid of information sharing through Internet. The using of Information Security System such as IDS, Firewall, VPN etc. makes this problem minimal. However, professional knowledge or skill is needed in that case, normal user can't operate the Information Security System. This paper designs and implements File Access Control Module(FACM) to use easily for normal user against malicious threats and attacks. The FACM can exclude from malicious threats and attacks based on operation system rather than detection of threats and attacks. The FACM is working not only Windows System but also Linux System, and the FACM has effect on access control, integrity and non-repudiation for a file with an access control over files on the each OS that are used by multi-user.

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Design MetaModel for MCF (Mobile Cross Framework) Based MDA (MDA기반 모바일 크로스 프레임워크를 위한 메타모델 설계)

  • Song, Yujin;Han, Deoksoo;Lee, Eunjoo
    • Journal of Korea Multimedia Society
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    • v.22 no.2
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    • pp.292-298
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    • 2019
  • Mobile-based software development methodology has been vigorously researched from using object-oriented development methodology and component-based development methodology previous structural developing methodology. There are two types of OS in mobile platform which are android and iOS. There is a problem that the application to be developed is developed depending on the device type. To resolve this problem, first, the system structure and design method should be managed effectively. Second, a basic design guide that can be commonly adapted to the each project is required. In this paper, we define a mobile cross platform meta model based on MDA-development methodology, focusing on reusability, portability and interoperability about non - dependent part of the mobile platform. If the proposed meta-model is applied to manage the related information and all the types of Mobile-Apps become available through independent mobile app development process, henceforward, it will be much of help establishing formulaic mobile-app developmental methodology.