• Asian Pacific Journal of Cancer Prevention
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• 제16권14호
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• pp.5967-5970
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• 2015

Background: The prevalence of prostate cancer is considered high in many countries, and screening tests are very important in order to detect prostate cancer in its early stages; however false positivity with these screening tests means that a lot of patients undergo unnecessary biopsy, which is an invasive procedure, for the confirmatory test. The purpose of this study was to estimate the frequency of unnecessary biopsy cases in patients referred for prostate biopsy in one of the most important and overload cancer centers in Syria. Materials and Methods: Retrospective data for a period of four years between January 2009 and December 2012 were collected in Al-Bayrouni University Medical hospital in Damascus, Syria. The patients from whom data were collected were referred to our histopathological department because of elevated prostate specific antigen (PSA) serum or an abnormal digital rectal examination (DRE). All patients underwent prostatic TRUS-guided biopsies. Diagnosis of prostate cancer (PCa) or benign prostatic hyperplasia (BPH) was based on histopathological examination and prostate cancers cases were graded and scored according to the Gleason score system. Results: For the 406 patients referred to biopsy, the $mean{\pm}SD$ age was $58.4{\pm}23.3$ years. The $mean{\pm}SD$ PSA level was $49.2{\pm}21.5ng/ml$. Of the total we found 237 patients diagnosed with PCa (58. 4%), 166 patients with BPH (40.9%) and 3 cases were unable to be diagnosed (0.7%) because of biopsy collection errors. Conclusions: Our study shows that a high percentage of patients are undergoing unnecessary biopsy, which suggests that the performed screening tests had a high level of false positive and may need re-evaluation.

• Asian Pacific Journal of Cancer Prevention
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• 제13권11호
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• pp.5529-5533
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• 2012

Aim: To investigate the utility of prostate-specific antigen velocity (PSAV) and PSAV per initial volume (PSAVD) for early detection of prostate cancer (PCa) in Chinese men. Methods: Between January 2009 and June 2012, a total of 193 men (aged 49-84 years, median 67 years) with at least 2 transrectal ultrasonography (TRUS) procedures and concurrent serum PSA measurements underwent prostate biopsy because of suspicion of PCa. The total group were classified into PCa and non-PCa groups, and the variables of the two groups were compared. Univariate and multivariate analyses were used to investigate which variables were predictove. The diagnostic values of PSAV, PSAVD and prostate-specific antigen density (PSAD) were compared using receiver operating characteristic (ROC) analysis. Results: Prostate cancer was diagnosed in 44 (22.8%) of the 193 men. There were significant differences between the groups in last and initial prostate volumes determined by TRUS, initial age, last serum PSA levels, PSAV, PSAD and PSAVD. After adjusting for confounding factors, the odds ratios of PCa across the quartile of PSAVD were 1, 4.06, 10.6, and 18.9 (P for trend <0.001).The area under the ROC curves (AUCs) of PSAD (0.779) and PSAVD (0.776) were similar and both significantly greater than that of PSA (AUC 0.667). PSAVD was a significantly better indicator of PCa than PSAV (AUC 0.736). There was no statistical significant difference between the AUC of PSAV and that of last serum PSA level. The sensitivity and specificity of PSAVD at a cutoff of 0.023ng in participants with last serum PSA levels of 4.0ng/mL-10.0ng was 73.7% and 70.7%, respectively. Conclusions: The results of this study demonstrated PSAVD may be a useful tool in PCa detection, especially in those undergoing previous TRUS examination.

• 분석과학
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• 제29권2호
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• pp.65-72
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• 2016

액체섬광계수기(Liquid Scintillation Counter, LSC)를 이용한 토양 중 ²²⁶Ra 분석 방법에 대해 연구하였다. 용융법으로 토양에서 Ra을 추출하고, Ba(Ra)SO₄로 침전시켜 방해핵종과 Ra을 분리하였다. Ba(Ra)SO₄를 산에 녹을 수 있는 Ba(Ra)CO₃로 변환시키고, 라돈 가스를 포집할 수 있는 소수성 섬광용액과 혼합한 다음, LSC로 분석하였다. ²²⁶Ra과 ⁹⁰Sr 표준시료를 이용하여 최적의 PSA(Pulse shape analysis, 파형분석) 준위를 설정하였다. FOM(Figure of merit, 성능지수)이 최대이고 알파선 중첩정도가 최소로 나타나는 PSA 80을 최적값으로 결정하였다. Glass vial을 사용했을 때 계측 효율은 243±2% 이다. 본 연구에서 개발한 분석법은 IAEA-312, IAEA-314, IAEA-315를 이용하여 그 신뢰도를 평가를 하였다. 회수율은 60~82% 이며, 측정값과 참고값과의 상대편의가 10 % 이내였다. 최소검출농도는 토양 1 g, 바탕 계수율 0.02 cpm일 때, 회수율 70 %, 계측시간 30 분을 기준으로 2.1 Bq kg⁻¹ 이다.

• Journal of Gastric Cancer
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• 제14권2호
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• pp.135-137
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• 2014

Metastasis of gastric adenocarcinoma to the prostate gland is extremely rare. Herein, we report a case of gastric adenocarcinoma in a 56-year-old man with prostatic metastasis diagnosed through the analysis of biopsy specimens from representative lesions in the stomach and prostate gland. Immunohistochemistry of the prostatic tissue showed positive staining for cytokeratin 7 and negative staining for prostate-specific antigen (PSA), whereas the serum PSA level was normal, confirming the diagnosis of prostatic metastasis from carcinoma of the stomach.

• Communications for Statistical Applications and Methods
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• 제8권2호
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• pp.453-464
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• 2001

A commercial nuclear power station contains at least tow emergency diesel generators(EDG) to control the risk of severe core damage during station blackout accidents. Therefore, the reliability of the EDG's to start and load-run on demand must be maintained at a sufficiently high level. Probabilistic safety assessments(PSA) are increasingly being used to quantify the public risk of operating potentially hazardous systems such as nuclear power reactors. In this paper, to perform PSA, we will introduce three different types of data and use Bayes procedure to estimate the error rate of nuclear power plant EDG, and using practical examples, illustrate which method is more reasonable in our situation.

• 한국지하수토양환경학회:학술대회논문집
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• 한국지하수토양환경학회 2006년도 총회 및 춘계학술발표회
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• pp.319-323
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• 2006

파형분석(PSA) 기능과 백그라운드 낮고 계측효율이 높은 장점을 가지고 있는 저준위 액체섬광계수기를 이용하여 지하수중의 $^{222}Rn$ 측정을 위한 최적 분석조건을 확립하였다. 라돈분석을 위해 섬광용액 HiSafe 3 12 ml를 사용하여 물시료 8 ml 내 $^{222}Rn$ 을 측정하였다. 라돈은 딸핵종과의 방사평형을 위해 3시간동안 방치한 후 계측하였다. 최적 파형분석 (PSA) 준위는 100 이었다. $^{222}Rn$의 계측효율은 $^{226}Ra$ 표준시료를 동일 조건으로 제조한 후 약 20일 이상 방치한 다음 측정하여 결정하였으며 측정효율은 약 $91.6{\pm}3.6%$ 이었다. 동일 시료의 라돈 추출실험 재현성은 2 % 이내이었다. 계측시간 10시간을 기준으로 바탕값은 0.035 cpm 이었고 300분 계측시 검출하한값은 0.11 Bq/L 이었다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권9호
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• pp.3969-3972
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• 2015

Background: This analysis was conducted to evaluate the efficacy and safety of lenalidomide based regimen in treating patients with castration-resistant prostate cancer. Materials and Methods: Clinical studies evaluating the efficacy and safety of lenalidomide based regimens on response and safety for patients with castration-resistant prostate cancer were identified using a predefined search strategy. A pooled response rate (rate of PSA level decline of ${\geq}50%$) to treatment was calculated. Results: In lenalidomide based regimen, 3 clinical studies which including 98 patients with castration-resistant prostate cancer were considered eligible for inclusion. These lenalidomide based regimens included cisplatin, doxorubicin, or GM-CSF. Pooled analysis suggested that, in all patients, the pooled PSA level decline of ${\geq}50%$ was 13.3% (13/98) in lenalidomide based regimens. Fatigue, nausea and vomitting were the main side effects. No grade III or IV renal or liver toxicity were observed. No treatment related death occurred in patients with lenalidomide based regimens. Conclusions: This evidence based analysis suggests that lenalidomide based regimens are associated with mild response rate and acceptable toxicities for treating patients with castration-resistant prostate cancer.

• 한국안전학회지
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• 제26권5호
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• pp.105-109
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• 2011

Since a severe accident, which happens in low frequency, can cause serious damages, the interests in off-site consequence analysis for a nuclear power plant have been increased after Chernobyl, TMI and Fukushima accidents. Consequences, which are the effects on health and environment caused by released radioisotopes, are evaluated using MACCS II code based on the method of Level 3 PSA. To perform a consequence analysis for the reference plants, the input data of the code were generated such as meteorological data, population distribution, release fractions, and so on. Using these input data, acute and lifetime dose as an organ, CCDF for early fatalities and latent cancer fatalities, and average individual risk were analyzed by using MACCS II code in this study. These results might contribute to establishing accident management plan and quantitative health object.

• Nuclear Engineering and Technology
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• 제53권10호
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• pp.3298-3313
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• 2021

The objective of this study is to estimate the occurrence probabilities of severe accident phenomena based on a fuzzy elicitation technique. Normally, it is difficult to determine these probabilities due to the lack of information on severe accident progression and the highly uncertain values currently in use. In this case, fuzzy set theory (FST) can be best exploited. First, questions were devised for expert elicitation on technical issues of severe accident phenomena. To deal with ambiguities and the imprecision of previously developed (reference) probabilities, fuzzy aggregation methods based on FST were employed to derive the occurrence probabilities of severe accidents via four phases: 1) choosing experts, 2) quantifying weighting factors for the experts, 3) aggregating the experts' opinions, and 4) defuzzifying the fuzzy numbers. In this way, this study obtained expert elicitation results in the form of updated occurrence probabilities of severe accident phenomena in the OPR-1000 plant, after which the differences between the reference probabilities and the newly acquired probabilities using fuzzy aggregation were compared, with the advantages of the fuzzy technique over other approaches explained. Lastly, the impact of applying the updated severe accident probabilities on containment integrity was quantitatively investigated in a Level 2 PSA model.

• 한국압력기기공학회 논문집
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• 제14권2호
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• pp.49-58
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• 2018

The regulatory periodic inspection program (PSI) conducted at every overhaul period is the most important process for confirming the safety of nuclear power plants. The PSI for operating nuclear power plants in Korea mainly consist of component level performance check that had been developed based on deterministic approach putting the same degree of importance to all the inspection items. This inspection methodology is likely to be effective for preoperational inspection. However, once the plant is put into service, the PSI must be focused on whether to minimize the risk of accident using defense-in-depth concept and risk insight. The incorporation of defense-in-depth concept and risk insight into the deterministic based safety inspection has not been well studied so far. In this study, two track approaches are proposed to make sure that core damage be avoided: one is to secure success path and the other to block the failure path in a specific event tree of PSA. The investigation shows how to select safety important components and how to set up inspection group to ensure that core damage would not occur for a given initiating event, which results in strengthening defense-in-depth level 3.