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Prevalence and Characteristics of Colorectal Polyps in Symptomatic and Asymptomatic Iranian Patients Undergoing Colonoscopy from 2009-2013

  • Iravani, Shahrokh;Kashfi, Seyed Mohammad Hossein;Azimzadeh, Pedram;Lashkari, Mohammad Hossein
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.22
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    • pp.9933-9937
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    • 2014
  • Background: Colorectal cancer is the third most common type of cancer in males and the second in females in Iran. Males are more likely to develop CRC than women and age is considered as a main risk factor for colorectal cancer. Prevalence of colorectal cancer has been increasing in Asian countries. Aim: The object of this study was to determine the clinical and pathology characteristics of colorectal polyps in Iranian patients and to investigate the variation between our populations with other populations. Materials and Methods: A total of 167 patients with colorectal polyps were included in our study. All underwent colonoscopy during 2009-2013 and specimens were taken through polypectomy and transferred to pathology. All data in patient files including pathology reports were collected and analyzed by SPSS 16 software. A two-tailed test was used and a P-value of < 0.05 was considered significant. Results: Mean age of participants was $57{\pm}15$. Some 84 were females (50.3%) and 83 males (49.7%). Total of 225 polyps were detected which 119 (52.9%) were in males and 106 (47.1%) were in females. Solitary polyps were observed in 124 patients (74%), 26 (15.6%) had two polyps and 17 (10.1%) with more than two polyps (three to five). Rectosigmoid was the site of most of the polyps (63.1%), followed by 19.6% in the descending colon, 7.6% in the transverse, 5.8% in the ascending, and 3.1% in the cecum, data being missing in two cases. Conclusions: Recto sigmoid was site of most of the polyps. The most prevalent type of lesion was adenomatous polyps detected in 78 (34.7%). Mixed hyperplastic adenomatous type observed in 70 (31.1%). This high prevalence of adenomatous polyps in Iranian patients implies the urgent need for screening plans to prevent further healthcare problems with colorectal cancer in the Iranian population.

High Rate of Advanced Colorectal Polyps in a 10-Year-Long Retrospective Study in Qazvin, Iran

  • Hajmanoochehri, Fatemeh;Mohammadi, Navid;Rasoli, Bashir;Ebtehaj, Mehdi
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.22
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    • pp.9649-9654
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    • 2014
  • Background: Polyps are common lesions in the gastrointestinal (GI) tract. Colon cancer is mostly a result of progression from polyps. The present study aimed to evaluate demographic, clinical, and histological characteristics of colorectal polyps in Iran, particularly neoplastic and advanced types. Materials and Methods: Over a period of 10 years, specimens of all colorectal polyps obtained from colonoscopy were studied. The variables subjected to statistical analysis were age, sex, and the chief clinical complaint of the patients who underwent colonoscopy, their motivation, and the site, size, and histological types of detected polyps. The level of significance was set at p value <0.05. Results: Data were obtained from a total of 352 patients. No difference was seen between male and female patients regarding histological types. Only in nine patients was screening the reason for colonoscopy. Almost two-thirds (66.2%) of the polyps were neoplastic. Familial polyposis syndrome and inflammatory bowel disease were seen in 4.3% and 3.0% of the patients with neoplastic polyps, respectively. Sites of polyps were the sigmoid, rectum, and descending colon in 40.1%, 34.5%, and 17% of the cases, respectively. The advanced type made up 58.8% of neoplastic polyps. Only 3.6% of the patients undergoing colonoscopy in the study period had biopsied polyps. Discussion: No difference was observed between male and female patients in terms of overall incidence of polyps, histological and anatomical profiles, and mean age distribution. Anatomical and histological profiles agreed with the studies performed in areas with a low risk of colon cancer. The findings show that colonoscopy was not performed when it was necessary. A meaningful increase in the number polyp biopsy cases and a corresponding decrease in polyp size in the last few years of the study can be associated with the presence of more GI specialist clinicians in hospital centers, and this holds out much hope for the further improvement of the situation in the future.

Nonlinear Analysis of Functionally Graded Materials Plates and Shells (점진기능재료(FGM) 판과 쉘의 비선형 해석)

  • Han, Sung-Cheon;Lee, Chang-Soo;Kim, Gi-Dong;Park, Weon-Tae
    • Journal of the Korean Society of Hazard Mitigation
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    • v.7 no.5
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    • pp.61-71
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    • 2007
  • Navier's and Finite element solutions based on the first-order shear deformation theory are presented for the analysis of through-thickness functionally graded plates and shells. The functionally graded materials are considered: a sigmoid function is utilized for the mechanical properties through the thickness of the isotropic structure which varies smoothly through the plate and shell thickness. The formulation of a nonlinear 9-node Element-based Lagrangian shell element is presented for the geometrically nonlinear analysis. Natural-coordinate-based strains are used in present shell element. Numerical results of the linear and nonlinear analysis are presented to show the effect of the different top/bottom elastic modulus, loading conditions, aspect ratios and side-to-thickness ratios on the mechanical behaviors. Besides, the result according to the variation of the power-law index of isotropic functionally graded structures is investigated.

Improvement of Learning Capability with Combination of the Generalized Cascade Correlation and Generalized Recurrent Cascade Correlation Algorithms (일반화된 캐스케이드 코릴레이션 알고리즘과 일반화된 순환 캐스케이드 코릴레이션 알고리즘의 결합을 통한 학습 능력 향상)

  • Lee, Sang-Wha;Song, Hae-Sang
    • The Journal of the Korea Contents Association
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    • v.9 no.2
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    • pp.97-105
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    • 2009
  • This paper presents a combination of the generalized Cascade Correlation and generalized Recurrent Cascade Correlation learning algorithms. The new network will be able to grow with vertical or horizontal direction and with recurrent or without recurrent units for the quick solution of the pattern classification problem. The proposed algorithm was tested learning capability with the sigmoidal activation function and hyperbolic tangent activation function on the contact lens and balance scale standard benchmark problems. And results are compared with those obtained with Cascade Correlation and Recurrent Cascade Correlation algorithms. By the learning the new network was composed with the minimal number of the created hidden units and shows quick learning speed. Consequently it will be able to improve a learning capability.

Data Volume based Trust Metric for Blockchain Networks (블록체인 망을 위한 데이터 볼륨 기반 신뢰 메트릭)

  • Jeon, Seung Hyun
    • Journal of Convergence for Information Technology
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    • v.10 no.10
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    • pp.65-70
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    • 2020
  • With the appearance of Bitcoin that builds peer-to-peer networks for transaction of digital content and issuance of cryptocurrency, lots of blockchain networks have been developed to improve transaction performance. Recently, Joseph Lubin discussed Decentralization Transaction per Second (DTPS) against alleviating the value of biased TPS. However, this Lubin's trust model did not enough consider a security issue in scalability trilemma. Accordingly, we proposed a trust metric based on blockchain size, stale block rate, and average block size, using a sigmoid function and convex optimization. Via numerical analysis, we presented the optimal blockchain size of popular blockchain networks and then compared the proposed trust metric with the Lubin's trust model. Besides, Bitcoin based blockchain networks such as Litecoin were superior to Ethereum for trust satisfaction and data volume.

Optimal Levels of Additional N Fertigation for Greenhouse Watermelon Based on Cropping Pattern and Growth Stage

  • Sung, Jwakyung;Jung, Kangho;Yun, Hejin;Cho, Minji;Lim, Jungeun;Lee, Yejin;Lee, Seulbi;Lee, Deogbae
    • Korean Journal of Soil Science and Fertilizer
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    • v.49 no.6
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    • pp.699-704
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    • 2016
  • An estimation of optimal requirement of additional N by cropping pattern and growth stage is very important for greenhouse watermelon. The objectives of this study were to estimate an amount of optimal additional N based on growth, N uptake and yield of watermelon. In order to achieve these goals, we performed the study at farmer's greenhouse with a fertigation system and watermelon was cultivated three times (spring, summer and autumn) in 2015. The levels of additional N were set up with x0.5, x0.75, x1.0 and x1.5 of the $NO_3$-N-based soil-testing N supply for watermelon cultivation. The trends of growth and N uptake of watermelon markedly differed from cropping pattern; spring (sigmoid), summer and autumn (linear). The yield of watermelon was the highest at summer season and followed by autumn and spring. Also, the x1.5N showed a significantly higher yield compared to other N treatments. On the basis of growth, N uptake and yield of watermelon, we estimated an optimal level of additional N by cropping pattern and growth stage as follows; 1) spring (transplanting ~ 6 WAT : 6 ~ 14 WAT : 14 ~ harvest = 5 : 90 : 5%), summer (transplanting ~ 4 WAT : 4 ~ 8 WAT : 8 ~ harvest = 25 : 50 : 25%) and autumn (transplanting ~ 4 WAT : 4 ~ harvesting : 50 : 50%). In conclusion, nutrient management, especially N, based on cropping pattern and growth stage was effective for favorable growth and yield of watermelon.

Blunt Transection of the Entire Anterolateral Abdominal Wall Musculature Following Seatbelt-Related Injury

  • Kim, Hohyun;Kim, Jae Hun;Kim, Gil Hwan;Sun, Hyun-Woo;Park, Chan Ik;Park, Sung Jin;Lee, Chan Kyu;Kim, Suk
    • Journal of Trauma and Injury
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    • v.33 no.2
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    • pp.128-133
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    • 2020
  • Traumatic abdominal wall hernias (TAWHs) are uncommon and the incidence of this, which is rarely encountered in clinical practice, has been estimated at 1%. Furthermore, blunt transection of the entire abdominal wall musculature caused by seatbelt is a very rare complication. We report a case of adult with a complete disruption of the entire anterolateral abdominal wall muscle following the seatbelt injury. A 32-year-old male was wearing a seat belt in a high speed motor vehicle collision. Abdominal computed tomography (CT) scan revealed the complete disruption of bilateral abdominal wall musculatures including TAWH without visceral injury. However, injuries of small bowel and sigmoid colon were observed in the intra-operative field. The patient underwent the repair by primary closure of the defect with absorbable monofilament sutures. This case suggests that especially in TAWH patients, even if a CT scan is normal, clinicians should keep the possibility of bowel injury in mind, and choose a treatment based on the clinical findings.

Epidemioclinical Feature of Early-Onset Colorectal Cancer at-Risk for Lynch Syndrome in Central Iran

  • Zeinalian, Mehrdad;Hashemzadeh-Chaleshtori, Morteza;Akbarpour, Mohammad Javad;Emami, Mohammad Hassan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.11
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    • pp.4647-4652
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    • 2015
  • Background: Colorectal cancer (CRC) is becoming one of the most complicated challenges of human health, particularly in developing countries like Iran. In this paper, we try to characterize CRC cases diagnosed < age 50 at-risk for Lynch syndrome within central Iran. Materials and Methods: We designed a descriptive retrospective study to screen all registered CRC patients within 2000-2013 in Poursina Hakim Research Center (PHRC), a referral gastroenterology clinic in central Iran, based on being early-onset (age at diagnosis ${\leq}50years$) and Amsterdam II criteria. We calculated frequencies and percentages by SPSS 19 software to describe clinical and family history characteristics of patients with early-onset CRC. Results: Overall 1,659 CRC patients were included in our study of which 413 (24.9%) were ${\leq}50years$ at diagnosis. Of 219/413 successful calls 67 persons (30.6%) were reported deceased. Family history was positive for 72/219 probands (32.9%) and 53 families (24.2%) were identified as familial colorectal cancer (FCC), with a history of at-least three affected members with any type of cancer in the family, of which 85% fulfilled the Amsterdam II Criteria as hereditary non-polyposis colorectal cancer (HNPCC) families (45/219 or 20.5%). Finally, 14 families were excluded due to proband tumor tissues being unavailable or unwillingness for incorporation. The most common HNPCC-associated extracolonic-cancer among both males and females of the families was stomach, at respectively 31.8 and 32.7 percent. The most common tumor locations among the 31 probands were rectum (32.3%), sigmoid (29.0%), and ascending colon (12.9%). Conclusions: Given the high prevalence of FCC (~1/4 of early-onset Iranian CRC patients), it is necessary to establish a comprehensive cancer genetic counseling and systematic screening program for early detection and to improve cancer prognosis among high risk families.

Radiation Dose Calculation in the Surrounding Organs during Brachytherapy of Prostate Cancer (전립선암 근접시료시 주변 장기 선량 평가)

  • Kim, Jung-Hoon;Lim, Chang-Seon;Whang, Joo-Ho
    • Progress in Medical Physics
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    • v.19 no.3
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    • pp.172-177
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    • 2008
  • As a part of estimating quantitative radiation treatment doses, we produced a mathematical phantom based on the standard Korean male. Then, with the prostate as the source organ, we calculated the absorbed dose in the prostate and surrounding organs forecasted to occur during brachytherapy for prostate cancer. To simulate the procedure, we selected $^{25}I$ and $^{103}Pd$ useful in brachytherapy of the prostate as the radionucleids and made an assumption that 1 Ci of initial radioactivity is administered. As a result, we found that the prostate, as the source organ, indicated 101 Gy/Ci and 7.24 Gy/Ci, respectively, in case of $^{125}I$ and $^{103}Pd$. With the exception of the prostate, organs with high absorbed doses were found to be in the order of the penis and scrotum, sigmoid colon, testicles and the urinary bladder, which are relatively close to the prostate.

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Family of Cascade-correlation Learning Algorithm (캐스케이드-상관 학습 알고리즘의 패밀리)

  • Choi Myeong-Bok;Lee Sang-Un
    • Journal of the Korean Institute of Intelligent Systems
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    • v.15 no.1
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    • pp.87-91
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    • 2005
  • The cascade-correlation (CC) learning algorithm of Fahlman and Lebiere is one of the most influential constructive algorithm in a neural network. Cascading the hidden neurons results in a network that can represent very strong nonlinearities. Although this power is in principle useful, it can be a disadvantage if such strong nonlinearity is not required to solve the problem. 3 models are presented and compared empirically. All of them are based on valiants of the cascade architecture and output neurons weights training of the CC algorithm. Empirical results indicate the followings: (1) In the pattern classification, the model that train only new hidden neuron to output layer connection weights shows the best predictive ability; (2) In the function approximation, the model that removed input-output connection and used sigmoid-linear activation function is better predictability than CasCor algorithm.