• Title/Summary/Keyword: world of difference

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Predictive Effect of Preoperative Anemia on Long-Term Survival Outcomes with Non-Muscle Invasive Bladder Cancer

  • Celik, Orcun;Akand, Murat;Keskin, Mehmet Zeynel;Ekin, Rahmi Gokhan;Yoldas, Mehmet;Ilbey, Yusuf Ozlem
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.1755-1758
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    • 2016
  • Background: Anemia is the most common hematologic abnormality in bladder cancer (BC) patients. We evaluated the impact of preoperative anemia on oncologic outcomes in BC undergoing transurethral resection of a bladder tumor (TURBT) for the first time diagnosis. Materials and Methods: We retrospectively evaluated the data collected from 639 patients who underwent TURBT between January 2006 and September 2014 in our department. Of these patients, 320 qualified for inclusion in the study. The primary efficacy endpoint was the effect of preoperative anemia status on cancer-specific and overall survival. Independent t-test and chi-square analyses were performed to assess the effects of anemia on oncologic outcomes. Survival was estimated by using the Kaplan-Meier test. Results: There were 118 (36.9%) and 202 (63.1%) patients in the anemia (Group-1) and non-anemia groups (Group-2), respectively. The median follow-up duration was 68 months. Anemia was associated with decreased overall survival (p<0.001). Comparison between cancer-specific survival of two groups did not show any statistically significant difference (p=0.17). Conclusions: Preoperative anemia status of BC patients according to World Health Organization classification is associated with decreased overall survival, but not with cancer-specific survival. We think that preoperative hemoglobin levels should be considered in patient counseling and decision-making for additional therapy.

A Study for Improvement of the Testing Methods for Quality Control of Recycled Aggregate (순환골재의 품질평가를 위한 시험방법 개선에 관한 실험적 연구)

  • Jaung, Jae-Dong;Lee, Do-Heun
    • Journal of the Korea Institute of Building Construction
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    • v.8 no.4
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    • pp.105-114
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    • 2008
  • This study investigates the saturation level of surface dryness, quantity of adhesive mortar, and the alien substance content of recycled aggregates for concrete to develop an adequate quality testing method for understanding the properties of recycled aggregates, which differ greatly from preexisting aggregates. For tests that measure the saturation level of surface dryness, where detail methods are applied differently according to the tester, various testing methods from across world were compared and analyzed. This study revealed that when measuring the saturation level of surface dryness of a certain sample, aggregates must be supplemented immediately whenever the height of the sample becomes lower than the measuring mold, and allowing the tamper to free fall on the sample will provide the most accurate results. When measuring the quantity of adhesive mortar of recycled aggregates for concrete, an acid solution was used, and since the quantity of adhesive mortar increases as the particle sizes gets smaller, the sample for testing should represent the entire granularity. Sulfuric acid solution is adequate for immersion, and the concentration should be 20% for best results. According to the alien substance content measurement, which was examined by the naked eye, the error range caused by the difference in particle size was neglectable, and therefore the sample should be $2.5{\sim}5.0mm$ in size concerning the accuracy and measuring time. Also, for coarse recycled aggregates, the sample should amount to 1kg for measuring alien substance content by the naked eye, which proves that assortment by the naked eye is the most adequate method for measuring the alien substance content of a recycled aggregate.

A Study on Recent Trends of Hospital Management Research in Korea (병원경영 관련 분야의 연구경향 분석)

  • Jung, Yumin;Lee, Sujung;Kim, Minji;Lee, Sunhee
    • Korea Journal of Hospital Management
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    • v.21 no.2
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    • pp.1-12
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    • 2016
  • This study examines academic research trends and the change of patterns by analyzing researches related to hospital management registered in Korea Citation Index(KCI) from 2010 to 2014 and offers basic information for interests and future research demands in the field of hospital management As research subjects, a total of 694 published articles were selected. It's to analyze them by dividing into research topics, methods and author's characteristics, and to present them by classifying the period into 2010-2011, 2012-2013, 3rd quarter of 2014 since there was no significant difference in the result between adjacent years. As a result, Korean Journal of Hospital Management has accounted for the highest published rate year after year. In the research topic analysis, it showed a decreasing trend in these research topics as medical marketing and patient satisfaction which became the biggest issue in 2010-2011 significantly were lower in 2014, but an increasing trend in job satisfaction, job stress, labor administration and workforce productivity. The most frequently cited keywords were hospital employees, job satisfaction, organizational commitment, job stress, turnover intention. According to the research method analysis, the survey was the most popular method for data collection. However, Interview and medical records as data sources showed a decline trend. As analysis methods, multivariate analysis of quantitative methods was most used. Finally, as a result of analyzing main author's characteristics, the ratio of the authors belonging to health administration and nursing departments of the academic world increased gradually. In the regional distribution, organizations in Seoul are most common, those in Daegu Gyeongbuk areas, foreign organizations showed a tendency to decrease. This is the first study to examine the annual trend on hospital management-related research issues among articles published in domestic journal and we found qualitative and quantitative advances in hospital management research filed.

Associations between single-nucleotide polymorphisms of the interleukin-18 gene and breast cancer in Iraqi women

  • Zakariya, Bilal Fadil;Almohaidi, Asmaa M. Salih;Simsek, Secil Akilli;Kamal, Areege Mustafa;Al-Dabbagh, Wijdan H.;Al-Waysi, Safaa A.
    • Genomics & Informatics
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    • v.20 no.2
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    • pp.18.1-18.7
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    • 2022
  • According to long-term projections, by 2030, the world's population is predicted to reach 7.5 billion individuals, and there will be roughly 27 million new cancer cases diagnosed. The global burden of breast cancer (BC) is expected to rise. According to the Ministry of Health-Iraqi Cancer Registry, cancer is the second largest cause of death after cardiovascular disease. This study investigated the interleukin-18 (IL18) single-nucleotide polymorphisms (SNPs) -607C/A rs1946518 and -137G/C rs187238 using the sequence-specific amplification-polymerase chain reaction approach. Regarding the position -607C/A, there was a highly significant difference between the observed and expected frequencies in patients and controls (χ2 = 3.16 and χ2 = 16.5), respectively. The AA and CA genotypes were associated with significantly increased BC risk (odds ratio [OR], 3.68; p = 0.004 and OR, 2.83; p = 0.04, respectively). Women with the A allele had a 5.03-fold increased susceptibility to BC. The C allele may be a protective allele against BC (OR, 0.19). Although position -137G/C showed no significant differences in the CC genotype distribution (p = 0.18), the frequency of the CC genotype was significantly higher in patients than in controls. In contrast, patients had a significantly higher frequency of GC genotypes than controls (p = 0.04), which was associated with an increased risk of developing BC (OR, 2.63). The G allele frequency was significantly lower in patients than in controls (55.0% vs. 76.2%, respectively). This SNP may be considered a common genotype in the Iraqi population, with the wild-type G allele having a protective function (OR, 0.19) and the mutant C allele having an environmental effect (OR, 2.63).

Prognostic and Safety Implications of Renin-Angiotensin-Aldosterone System Inhibitors in Hypertrophic Cardiomyopathy: A Real-World Observation Over 2,000 Patients

  • Chan Soon Park;Tae-Min Rhee;Hyun Jung Lee;Yeonyee E. Yoon;Jun-Bean Park;Seung-Pyo Lee;Yong-Jin Kim;Goo-Yeong Cho;In-Chang Hwang;Hyung-Kwan Kim
    • Korean Circulation Journal
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    • v.53 no.9
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    • pp.606-618
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    • 2023
  • Background and Objectives: The prognostic or safety implication of renin-angiotensin-aldosterone system inhibitors (RASi) in hypertrophic cardiomyopathy (HCM) are not well established, mainly due to concerns regarding left ventricular outflow tract (LVOT) obstruction aggravation. We investigated the implications of RASi in a sizable number of HCM patients. Methods: We enrolled 2,104 consecutive patients diagnosed with HCM in 2 tertiary university hospitals and followed up for five years. RASi use was defined as the administration of RASi after diagnostic confirmation of HCM. The primary and secondary outcomes were all-cause mortality and hospitalization for heart failure (HHF). Results: RASi were prescribed to 762 patients (36.2%). During a median follow-up of 48.1 months, 112 patients (5.3%) died, and 94 patients (4.5%) experienced HHF. Patients using RASi had less favorable baseline characteristics than those not using RASi, such as older age, more frequent history of comorbidities, and lower ejection fraction. Nonetheless, there was no difference in clinical outcomes between patients with and without RASi use (log-rank p=0.368 for all-cause mortality and log-rank p=0.443 for HHF). In multivariable analysis, patients taking RASi showed a comparable risk of all-cause mortality (hazard ratio [HR], 0.70, 95% confidence interval [CI], 0.43-1.14, p=0.150) and HHF (HR, 1.03, 95% CI, 0.63-1.70, p=0.900). In the subgroup analysis, there was no significant interaction of RASi use between subgroups stratified by LVOT obstruction, left ventricular (LV) ejection fraction, or maximal LV wall thickness. Conclusions: RASi use was not associated with worse clinical outcomes. It might be safely administered in patients with HCM if clinically indicated.

Allegory in Lady Gaga's Fashion Style (Part 1) (Lady Gaga 패션스타일에 나타난 알레고리 연구(제1보))

  • Kim, Hyang-Ja;Kwon, Mi-Jeong
    • Fashion & Textile Research Journal
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    • v.14 no.4
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    • pp.519-531
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    • 2012
  • This study comprehends the various expressions of Lady Gaga's fashion style based on Craig Owens's Allegory theory. This study analyzed four application elements of Borrow, Site Specificity, Accumulate of Strategy, and Hybridization in addition, it studied all aspects of the aesthetic value of Lady GaGa (an influential popular culture icon). It was classified in the external representation of the fashion style for the aesthetic value. The results are summarized as follows: First, 'Borrow' of the singers of the 80's music and fashion style present from her elders and visual homage to shock artists. It influenced her fans with a difference in viewpoint for a star's fashion that subsequently resulted in a deformation of form, playful kitsch style, and mixed gender. Second, 'Site specificity' presents an extreme make over through an intentional and grotesques fashion style to extend physical territory and defenseless. The results remove stereotypes and reveal deconstructive performances. Third, 'Accumulate of strategy' simultaneously presents voluptuous beauty, futurism, and avant-garde style. This shows the countercultural tendency through the random repetition of fashion images and layerd coordination. Finally, 'Hybridization' presents multiful fashion style through a collaboration with world-famous designers and cosmetic brands. She expressed a diverse and complex fashion style composed of an art form that combines a high-tech cyborg image. The aesthetic values of Lady Gaga' fashion style are 'ambivalence virtuality', 'Transcendental mixed gender', 'plural textuality', and 'unexpected play culture'.

Prognostic Factors and Survival in Acute Myeloid Leukemia Cases: a Report from the Northeast of Iran

  • Allahyari, Abolghasem;Tajeri, Tarane;Sadeghi, Masoud
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1547-1551
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    • 2016
  • Background: Acute myeloid leukemia (AML) is a clonal hematopoietic disorder resulting from genetic alterations in normal hematopoietic stem cells. The aim of this study was to evaluate prognostic factors and survival of AML patients in the Northeast of Iran. Materials and Methods: This retrospective study covered 96 patients with AML referred to Emam Reza Hospital, Mashhad city, Iran, from 2009 to 2015. Age, sex, blood group, type of AML, fever, consumption of amphotericin B, cytogenetic forms and survival were analyzed. Also, WBC, hemoglobin and platelet levels were checked. Mean follow-up was 30.5 months (60.4% mortality). Survival was plotted by GraphPad Prism 5 with Log-rank test. Results: The mean age for all AML patients at diagnosis was 40.4 years (range, 17-77 years). Some 42.7% patients were aged <35 years and 40.6% were male. In all patients, 76% had fever and 50% consumed amphotericin. T(15;17)(q22;q21) had the most prevalence (37.7%) compared to other forms. Out of 92 patients, O+(30.4%) was the most common blood group and AML-M5 (28.3%) the most common subtype. There was a significant difference in survival based on WBC and consumption of amphotericin B (P<0.05). Conclusions: WBC level, fever and consumption of amphotericin B proved to be factors for survival of AML patients. The mean age for patients in Iran is lower than other areas in the World and also survival in this study was higher than in other studies.

A Study on Assimilation and Transplantation of Public Housing at the Tiong Bahru Estate in Singapore from the 1930s to the 1950s (1930년대에서 1950년대까지 싱가포르 티옹 바루 단지에서 공공주택의 동화와 이식에 관한 연구)

  • Woo, Don-Son;Tak, Chung Seok
    • Journal of architectural history
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    • v.23 no.6
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    • pp.27-37
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    • 2014
  • Early 20th century Singapore was faced with the problem of overcrowding. The attendant problems of a rapid increase in population density, namely the lack of proper housing and sanitation, resulted in the issue of an appropriate residential environment emerging as an important task in urban planning. It was necessary to construct housing estates in order to solve this issue. At that time, the British colonial government attempted to transplant modern technology into the construction process of a residential complex system. However, Singapore's climate and traditional lifestyle made it impossible to apply the British modern system in a straightforward manner, and in the process, a number of transformations emerged. With a specific focus on the Tiong Bahru estate, one of Singapore's representative public housing projects, from the 1930s through the 1950s, this study intends to look at the way in which such residential estates were assimilated into local surroundings, and the effect of the transplantation of British concepts of modern housing theory. Therefore, the study is divided into an examination of the estate both before and after the turning point of World War II. This study confirms that the difference between the pre-war and post-war planning strategies for the Tiong Bahru estate were made according to the concept of 'open space.'

Applications of Cryogenic Method to Water Vapor Sampling from Ambient Air for Isotopes Analysis (수증기 동위원소 측정을 위한 저온채집법에 대한 연구)

  • Kim, Songyi;Han, Yeongcheol;Hur, Soon-Do;Lee, Jeonghoon
    • Ocean and Polar Research
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    • v.38 no.4
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    • pp.339-345
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    • 2016
  • Stable water vapor isotopes have been utilized as a tracer for studying atmospheric global circulations, climate change and paleoclimate with ice cores. Recently, since laser spectroscopy has been available, water vapor isotopes can be measured more precisely and continuously. Studies of water vapor isotopes have been conducted over the world, but it is the early stage in south Korea. For vapor isotopes study, a cryogenic sampling device for water vapor isotopes has been developed. The cryogenic sampling device consists of the dewar bottle, filled with extremely low temperature material and impinger connected with a vacuum pump. Impinger stays put in the dewar bottle to change the water vapor which passes through the inside of impinger into the solid phase as ice. The fact that water vapor has not sampled completely leads to isotopic fractionation in the impinger. To minimize the isotopic fractionation during sampling water vapor, we have tested the method using a serial connection with two sets of impinger device in the laboratory. We trapped 98.02% of water vapor in the first trap and the isotopic difference of the trapped water vapor between two impinger were about 20‰ and 6‰ for hydrogen and oxygen, respectively. Considering the amount of water vapor trapped in each impinger, the isotopic differences for hydrogen and oxygen were 0.33‰ and 0.06‰, respectively, which is significantly smaller than the precision of isotopic measurements. This work can conclude that there is no significant fractionation during water vapor trapping.

A Comparison of the Resting Energy Expenditure of Korean Adults Using Indirect Calorimetry (Indirect Calorimetry를 이용한 한국 성인의 휴식대사량 비교 연구)

  • 박정아;김기진;김정희;박영숙;구재옥;윤진숙
    • Korean Journal of Community Nutrition
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    • v.8 no.6
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    • pp.993-1000
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    • 2003
  • The purpose of this study was to provide baseline data for revising the recommended energy intake for Korean adults. We recruited 290 adults so as to determine their resting energy expenditure (REE) and energy intake. The REE was measured by indirect calorimetry. We also calculated the REE from prediction equations formulated by World Health Organization (WHO), The energy intake for two consecutive days was assessed using the 24 hour recall method. The body weight, lean body mass (LBM) and percentage body fat were measured using the INBODY 3.0 system. We compared the results of three age groups ; 20 to 29 years,30 to 49 years and 50 years or more. The average energy intake of each age group was below the 7th Korean Recommended Dietary Allowances (RDA). The average energy intake was lower in the older age groups. However, no difference was observed among the age groups when the energy intake as a percentage of the Korean RDA was compared. Our measurement of the REE was higher than the REE calculated by the WHO's method. Correlation coefficients between the measured and the calculated values of REE for all age groups showed significant correlations (r=0.475-0.672). As the ages of all the subjects increased, the REE/kg of body weight decreased. There were no significant differences in the REE / kg of the LBM between the different age groups; however, the REE/kg of the LBM was higher in the female group than in the male group. Negative correlations of the REE with the age (r=-0.242) and body fat ratio (r=-0.313) were observed; positive correlations of the REE with the BMI (r=0.265), height (r=0.570), weight (r=0.562) and LBM (r=0.586) were also found (p<0.01).