• Asian Pacific Journal of Cancer Prevention
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• 제17권2호
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• pp.799-805
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• 2016

Background: There is no standard treatment for patients with platinum-resistant or refractory epithelial ovarian cancer. Single agent chemotherapies have evidence of more efficacy and less toxicity than combination therapy. Most are very expensive, with appreciable toxicity and minimal survival. Since it is difficult to make comparison between outcomes, economic analysis of single-agent chemotherapy regimens and best supportive care may help to make decisions about an appropriate management for the affected patients. Objective: To evaluate the cost effectiveness of second-line chemotherapy compared with best supportive care for patients with platinum-resistant or refractory epithelial ovarian cancer. Materials and Methods: A Markov model was used to estimate the effectiveness and total costs associated with treatments. The hypothetical patient population comprised women aged 55 with platinum-resistant or refractory epithelial ovarian cancer. Four types of alternative treatment options were evaluated: 1) gemcitabine followed by BSC; 2) pegylated liposomal doxorubicin (PLD) followed by BSC; 3) gemcitabine followed by topotecan; and 4) PLD followed by topotecan. Baseline comparator of alternative treatments was BSC. Time horizon of the analysis was 2 years. Health care provider perspective and 3% discount rate were used to determine the costs of medical treatment in this study. Quality-adjusted life-years (QALY) were used to measure the treatment effectiveness. Treatment effectiveness data were derived from the literature. Costs were calculated from unit cost treatment of epithelial ovarian cancer patients at various stages of disease in King Chulalongkorn Memorial Hospital (KCMH) in the year 2011. Parameter uncertainty was tested in probabilistic sensitivity analysis by using Monte Carlo simulation. One-way sensitivity analysis was used to explore each variable's impact on the uncertainty of the results. Results: Approximated life expectancy of best supportive care was 0.182 years and its total cost was 26,862 Baht. All four alternative treatments increased life expectancy. Life expectancy of gemcitabine followed by BSC, PLD followed by BSC, gemcitabine followed by topotecan and PLD followed by topotecan was 0.510, 0.513, 0.566, and 0.570 years, respectively. The total cost of gemcitabine followed by BSC, PLD followed by BSC, gemcitabine followed by topotecan and PLD followed by topotecan was 113,000, 124,302, 139,788 and 151,135 Baht, respectively. PLD followed by topotecan had the highest expected quality-adjusted life-years but was the most expensive of all the above strategies. The incremental cost-effectiveness ratios (ICER) of gemcitabine followed by BSC, PLD followed by BSC, gemcitabine followed by topotecan and PLD followed by topotecan was 344,643, 385,322, 385,856, and 420,299 Baht, respectively. Conclusions: All of the second-line chemotherapy strategies showed certain benefits due to an increased life-year gained compared with best supportive care. Moreover, gemcitabine as second-line chemotherapy followed by best supportive care in progressive disease case was likely to be more effective strategy with less cost from health care provider perspective. Gemcitabine was the most cost-effective treatment among all four alternative treatments. ICER is only an economic factor. Treatment decisions should be based on the patient benefit.

• Clinical and Experimental Pediatrics
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• 제52권3호
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• pp.370-375
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• 2009

목 적 : 터너증후군 환자에서 대사증후군과 심혈관 질환의 위험성이 높다. 성인 연령의 터너증후군 환자들에서 대사증후군 관련요인을 분석하고, 인슐린 저항성의 대사위험성을 알아보기 위한 연구를 시행하였다. 방 법 : 43명의 성인 터너증후군 환자에서 대사증후군의 빈도와 관련 요인 값들을 분석하였다. HOMA-IR을 이용하여 인슐린 저항성군과 비저항성군으로 분류한 후 각 집단을 분석하고, HOMA- IR과 대사 증후군 관련요인의 상관관계를 알아보았다. 결 과 : 대사증후군은 터너증후군 환자의 7%에서 보였고 각 항목에 대해서 인슐린 저항성은 16.3%, 복부 비만이 15.4%, 고중성지방이 2.3%, 저HDL 콜레스테롤이 9.3%였고, 고혈압이 36.8 %였다. 체질량지수, 허리둘레, 공복 혈당, HOMA-IR, 수축기 혈압은 인슐린 저항성군에서 의미 있게 높게 나왔으며, HOMA-IR은 체질량지수, 허리둘레, 공복 혈당, 수축기 혈압과 양의 상관관계를 보였다(P<0.05). 결 론 : 터너증후군 성인 환자들에서 대사증후군의 위험성이 있으며, 인슐린 저항성과 대사증후군 관련요인 간에 상관관계를 보인다. 터너증후군 환자들에게서 대사관련 요인을 일정기간 마다 검사하여 대사증후군 또는 인슐린 저항성으로의 진행여부를 감시하고 심혈관 합병증을 예방하는 것이 필요하다.

• 원예과학기술지
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• 제34권6호
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• pp.912-923
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• 2016

Watermelon production is often limited by powdery mildew in areas with a large daily temperature range. Development of resistant watermelon cultivars can protect against powdery mildew; however, little is known about the characteristics of its causal agents. Here, we identified the genus and race of a causal pathogen of powdery mildew in Ansung province of South Korea, and developed molecular markers for the generation of resistant watermelon cultivars. The causal pathogen was determined to be Podosphaera xanthii based on multiple sequence alignments of internal transcribed spacers (ITS) of rDNA. The physiological race was identified as 1W, and the Ansung isolate was named P. xanthii 1W-AN. Following inoculation with the identified P. xanthii 1W-AN, we found inheritance of the resistant gene fitting a single dominant Mendelian model in a segregated population ('SBA' ${\times}$ PI 254744). To develop molecular markers linked to fungus-resistant loci, random amplified polymorphic DNA (RAPD) was accomplished between DNA pooled from eight near-isogenic lines (NILs; $BC_4F_6$), originated from PI 254744 and susceptible 'SBB' watermelon. After sequencing bands from RAPD were identified in all eight NILs and PI254744, 42 sequence-characterized amplifiedregion (SCAR) markers were developed. Overall, 107 $F_2$ plants derived from $BC_4F_6$ NIL-1 ${\times}$ 'SBB' were tested, and one SCAR marker was selected. Sequence comparison between the SCAR marker and the reference watermelon genome identified three Nco I restriction enzyme sites harboring a single nucleotide polymorphism, and codominant cleavage-amplified polymorphic site markers were subsequently developed. A CAPS marker was converted to a high-resolution melt (HRM) marker, which can discriminate C/T SNP (254PMR-HRM3). The 254PMR-HRM3 marker was evaluated in 138 $F_{2:3}$ plants of a segregating population ('SBA' ${\times}$ PI254744) and was presumed to be 4.3 cM from the resistance locus. These results could ensure P. xanthii 1W-AN resistance in watermelon germplasm and aid watermelon cultivar development in marker-assist breeding programs.

• 한국추진공학회지
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• 제15권5호
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• pp.82-88
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• 2011

본 논문에서는 유한요소해석을 통해 연소시험 과정 중 발생한 내열 구조품의 파단현상이 분석되었다. 구조 불안정성은 소성변형으로 인한 것으로 이는 급격한 열하중의 변화에서 비롯된 것이다. 한편 소성변형 국부화 현상을 이해하기 위해 구성방정식에 연속체 파손변수가 포함되었으며 또한 Armstrong-Frederick과 Phillips 경화식을 이용, 이중후방응력 구성방정식이 제안되었다. 따라서 본 모델은 광범위한 소성변형거동을 해석할 수 있는 토대를 마련하였다. 수치해석을 통해 소성변형 집중 현상은 지배적인 후방응력의 전개에 의존하는 것으로 나타났다. 또한 물체 내에서의 파손 현상은 소성변형 집중을 가속화하는 것으로 밝혀졌다.

• 콘크리트학회논문집
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• 제19권3호
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• pp.385-389
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• 2007

In this study, it was investigated the resistance of OPC, 60% GGBS, 20% PFA and 10% SF mortar specimens against sulfuric acid corrosion. As an index for degree of acid corrosion, the corrosion depth was evaluated. Then, it was found that an increase in the duration of immersion and a decrease in the pH, as expected, resulted in a more severe corrosion irrespective of binders; 60% GGBS mortar specimen was the most resistant to sulfuric acid corrosion. From the laboratory testing of sulfuric acid corrosion, an empirical prediction model was suggested as a power function of time and the pH of sulfuric acid, and was applied to an assessment of concrete structures exposed to an acidic environment. It was found that the empirical model gave a more precise prediction of sulfuric acid deterioration of concrete rather than a conventional model, mostly used for predicting carbonation of concrete.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2011년도 제36회 춘계학술대회논문집
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• pp.272-278
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• 2011

본 논문에서는 유한요소해석을 통해 연소시험 과정 중 발생한 내열 구조품의 파단현상이 분석되었다. 구조 불안정성은 소성변형으로 인한 것으로 이는 급격한 열하중의 변화에서 비롯된 것이다. 한편 소성변형 국부화 현상을 이해하기 위해 Armstrong-Frederick과 Phillips 경화식을 이용, 이중후방응력 구성방정식이 제안되었으며, 또한 본 모델은 연속체 파손역학과 조합되었으며 광범위한 소성변형거동을 보일 수 있다. 수치해석을 통해 소성변형 집중 현상은 지배적인 후방응력의 전개에 의존하는 것으로 나타났다. 또한 물체 내에서의 파손 현상은 소성변형 집중을 가속화하는 것으로 밝혀졌다.

• Wind and Structures
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• 제4권6호
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• pp.505-518
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• 2001

Shantou Bay Bridge is the first long-span suspension bridge in China. Because of its location near the Shantou Seaport and its exposure to high typhoon winds, wind-resistant studies are necessary to be made. In this paper, critical flutter wind speeds and buffeting responses of this bridge at its operation and main construction stages are investigated. The Buffeting Response Spectrum method is first briefly presented. Then the sectional model test is carried out to directly obtain the critical flutter wind speed and to identify the flutter derivatives, which are adopted for the later analysis of the buffeting responses using the Buffeting Response Spectrum method. Finally the aeroelastic full bridge model is tested to further investigate the dynamic effects of the bridge. The results from the tests and the computations indicate that the flutter and buffeting behaviors of the Shantou Bay Bridge are satisfied.

• Anatomy and Cell Biology
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• 제57권2호
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• pp.305-315
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• 2024

Vitronectin (VN) is an extracellular matrix protein with a crucial role in regulating bone remodeling. In this study, we aimed to investigate the effect of VN deficiency in a mouse model of osteoporosis induced by ovariectomy (OVX). The findings revealed that the absence of VN led to an increase in the activity of tartrate-resistant acid phosphatase (TRAP), a marker for osteoclasts, in the plasma of OVX-operated mice. TRAP staining further demonstrated that VN deficiency resulted in a higher number of osteoclasts within the femurs of OVX-operated mice. X-ray micro-computed tomography analysis of the femurs in OVX-operated mice indicated that VN deficiency significantly suppressed the OVX-induced increase of marrow area and total volume of bone. Additionally, we assessed structural model index (SMI) and degree of anisotropy (DA) as indices of osteoporosis. The results showed that VN deficiency effectively attenuated the OVX-induced increase in SMI and DA among OVX-operated mice. In summary, our study demonstrates the vital role of VN in regulating osteoclastogenesis and bone remodeling in the mouse model of osteoporosis.

• 한국전산구조공학회논문집
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• 제19권2호
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• pp.187-194
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• 2006

일반적으로 구조물이 지진하중에 저항하기 위해서는 충분한 강성과 연성을 확보하여야 한다. 본 연구에서는 대공간 구조시스템의 지붕 구조와 하부 구조 사이에 면진 장치를 도입하는 방법을 사용하여 동적 거동 특성을 규명한다. 하부 구조의 강성과 질량의 크기에 대한 영향을 고려한 대공간 구조 시스템의 동적 거동 특성 규명 및 해석 과정 단순화를 위해 병렬 다질점계 등가모델을 도입한 본 논문은 향후 대공간 구조물의 성능 설계를 위한 기초적인 연구가 될 것이다.

• Structural Engineering and Mechanics
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• 제32권2호
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• pp.337-350
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• 2009

Finite element simulations are increasingly used in structural analysis and design, especially in cases where complex structural and loading conditions are involved. Due to considerable progresses in computer technology as well as nonlinear finite-element analysis techniques in past years, it has become possible to pursue an accurate analysis of the complex blast-induced structural effects by means of numerical simulations. This paper aims to develop a better understanding of the behavior of steel-concrete composite beams (SCCB) under localized blast loading through a numerical parametric study. A finite element model is set up to simulate the blast-resistant features of SCCB using the transient dynamic analysis software LS-DYNA. It is demonstrated that there are three dominant failure modes for SCCB subjected to localized blast loading. The effect of loading position on the behavior of SCCB is also investigated. Finally, a simplified model is proposed for assessing the overall response of SCCB subjected to localized blast loading.