• Title/Summary/Keyword: 복합암전체

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Induction Chemotherapy with S-1 and Cisplatin in Patients with Locally Advanced Squamous Cell Carcinoma of the Head and Neck : A Single Center Experience (국소진행성 두경부편평상피암 환자를 대상으로 한 S1과 시스플라틴 병용 유도항암화학요법에 관한 연구)

  • Yoon, Dok-Hyun;Cho, Yoo-Jin;Kim, Ji-Youn;Kim, Sang-Yoon;Nam, Soon-Yuhl;Choi, Seung-Ho;Roh, Jong-Lyel;Lee, Sang-Wook;Lee, Jeong-Hyun;Kim, Jae-Seung;Cho, Kyung-Ja;Kim, Sung-Bae
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.2
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    • pp.183-189
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    • 2011
  • 서 론: 5-FU와 cisplatin 병용항암화학요법은 국소진행성 두경부편평상피암의 유도화학요법으로 널리 사용되고 있는 요법이다. 저자들은 5-FU 대신 경구제재인 S-1을 cisplatin과 병용하는 복합항암요법의 효과와 안전성에 대해 연구하였다. 대상 및 방법: 저자들은 2007년 2월부터 2008년 12월까지 S1과 cisplatin의 복합유도화학요법을 시행받은 3/4기 구인두, 하인두, 후두, 구강 편평상피세포암 환자 52명의 치료결과를 후향적으로 분석하였다. 유도항암화학요법은 제 1일에 cisplatin(75 또는 60mg/$m^2$), 제1일부터 14일까지 S-1(40mg/$m^2$)을 1일 2회, 21일 간격으로 투여하였고 가능한 경우에는 항암방사선동시요법 또는 수술을 뒤이어 시행하였다. 결 과: 전체 52명 중 37명(71.2%)에서 부분반응을 보였으나 완전반응은 관찰되지 않았다. 2년 무진행생존율은 56.9%, 2년 전체생존율은 68.2%였다. 유도항암요법과 관련된 유해반응으로는 호중구감소증(71.2%) 및 빈혈(63.5%) 등과 같은 혈액학적 부작용이 가장 흔했다. 결 론: S-1과 cisplatin의 복합항암화학요법은 국소진행성 두경부편평상피암 환자를 대상으로 한 유도화학요법으로 적용이 가능한 것으로 판단된다.

Pulse-echo response of 1-3 type piezoelectric composite transducers for distance measurement (거리 측정용 1-3형 복합압전체 트랜스듀서의 펄스에코 응답 특성)

  • 최헌일;박정학;이수호;사공건
    • Electrical & Electronic Materials
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    • v.8 no.2
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    • pp.211-216
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    • 1995
  • In this study, the piezoelectric ceramics/polymer composite transducers with 1-3 connectivity have been studied. A piezoelectric ceramics PZT prepared by Wet-Dry Combination method was used as a filler in polymer matrix Eccogel. We've got the pulse-echo response for 1-3 type piezc-electric composite transducers in water. It was shown that the transmitting and receiving sensitivity of 1-3 type piezoelectric composite transducers could be improved in comparison with that- of solid PZT transducers. The reason is for that 1-3 type Piezoelectric composites have low dielectric constant and density. There was in a good agreement between the resonant frequencies calculated from one period and observed results on the Ultrasonic Transducer Analyzer. According to these results we could be figured out the distance in water by virture of the pulse-echo response.

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Measurement of Quality of Life related to Health by demographic characteristics of adult patients with cancer using EQ-5D Index -Focused on the Korea Health & Nutrition Examination Survey- (EQ-5D Index 이용 성인 암 환자의 인구사회학적 특성별 건강관련 삶의 질 측정 -국민건강영양조사를 중심으로-)

  • Kim, Jong-Geu;Kwon, Lee-Seung
    • Journal of Digital Convergence
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    • v.11 no.8
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    • pp.281-291
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    • 2013
  • This study is the secondary statistical analysis calculating the quality of life of patients with cancer by giving the integrative weight based on National Health and Nutrition Examination Survey data of the Centers for Disease Control for five years from 2007 to 2011 for the first time in Korea. The results of measurement showed that the number of cancer patients was 201, which accounted for about 0.8 % of 26,260 subjects. The quality of life of cancer patients was higher when they had lower age(p<0.0001), more professional occupations(p<0.0001), and higher educational history(p=0.0002). When they lived in apartment(p<0.0001), got unmarried(p<0.0001), the quality of life was higher. In particular, the measurement of quality of life of cancer patients based on type of health insurance was the result of new study for the first time in Korea.

Long-Term Result of Surgical Treatment for Esophageal Cancer -500 cases- (식도암에서 외과적 요법의 장기성적에 대한 임상적 고찰 -500예 보고-)

  • 임수빈;박종호;백희종;심영목;조재일
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.148-155
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    • 2001
  • 배경: 본 연구는 1987년부터 1997년까지 원자력병원에서 수술을 시행한 500명의 식도암환자를 대상으로 하여 휴향적 방법을 통해 조기 및 장기성적, 재발양상, 예후인자 등을 보고하고자 한다. 대상 및 방법: 대상환자 중에서 발병암이 있는 경우, 인두식도 경계부위나 위식도 경계부위 암, 고식적 우회술 또는 인공식도 삽입예 그리고 시험적 개흉술이나 개복술 만을 시행한 경우는 제외 시켰다. 식도 절제는 대부분 우측 개흉술을 이용한 Ivor Lewis 술식을 사용하였고 대부분의 문합은 stapler를 사용하였다. Extended lymph node dissection은 1994년 8월부터 시행하였고 그 이전에는 standard lymph node dissection을 하였다. 96.8%에서 위를 식도 대체장기로 사용하였고 경부에서 절제 및 재건술을 시행한 경우를 제외한 모든 식도재건은 후종격동을 통해 시행하였다. 결과: 474예(94.8%)가 편평상피 세포암이었고 대부분(58.2%)은 중부식도에 위치하였다. 술후병기는 47.4%가 stage III이었고 25%가 stage IIA이었다. 392예에서 근치적 절제가 가능하였고 74예는 고식적 절제를 시행하였으며, 식도열공을 통한 식도절제술과 경부에서의 유리공장 이식술을 시행한 34예는 위분류에서 제외하였다. 술후 유병율은 38.4%이었고 수술 사망률은 5.8%로 호흡기 감염, 문합부 유출이 주요 원인이었다. 대상환자의 99.8%에서 추적은 가능하였고 수술사망 예를 포함한 전체환자의 1, 2, 5년 생존율은 각각 63.5%, 38.9%, 19.4% 이었다. Standard lymph node dissection 그룹에서의 1, 2, 5년 생존율이 60.7%, 35.9%, 16.9%이었으나 extended lymph node dissection그룹에서는 1, 2, 4년 생존율이 70.2%, 46.5%, 30.9%이었다. 근치적 절제의 경우는 1, 2, 5년 생존률이 69.4%, 43.9%, 21.9%이었고, 고식적 절제의 경우는 37.8%, 17.6%, 7.3%이었다. 수술사망을 제외한 근치적 절제술과 extended lymph node dissection을 함께 시행한 경우의 4년 생존율은 35.6%이었다. 수술후 재발은 226예에서 발견되었고 주로 국소임파절(69%; 경부, 종격동, 복부)이었으며, 전신재발은 간, 폐, 뼈, 뇌 등의 순이었다. 결론: 저자들은 적절한 술후 환자관리가 선행되어야 하지만 근치적 절제와 광범위한 임파절 절제가 장기성적의 향상에 필수적 요소이고, 진행된 식도암에 있어서는 보다 효과적인 보강적 복합치료가 연구되어야 할 것으로 생각된다.

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A Study of One-to-One Custom Application for Breast Cancer Patient -Focusing on Service Design Methods- (유방암 환자를 위한 1:1 맞춤형 애플리케이션 연구 -서비스 디자인 방법을 중심으로-)

  • Chae, Min-Young;Kim, Seung-In
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.367-373
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    • 2017
  • The study aims to suggests mobile application service that helps to reduce physical and mental suffering after surgery for breast cancer patients constantly increasing. At first, I analyze literature research to understand the breast cancer and similar services for achieving study purposes. After I finally design a mobile application that offers to customed one-to-one specialist coaching service focused on post-treatment management by using a double diamond design process model. In detail, first, I analyze the current program and comprehend user needs through interviews with the person such as breast patient, protector, nurse, salesperson in cancer center. Second, I specify the entire scenario, concept and keyword based on the persona and the customer journey map representing user. Third, I propose the mobile application for the ultimate goal by producing prototype to effectively communicate with specific functional descriptions. I hope this service will improve the quality of their lives.

Pulse-echo response of ultrasonic transducer fabricated with PZT-polymer 3-3 type composite (PZT-고분자 3-3형 복합압전체 소자로 제작된 초음파 트랜스듀서의 펄스에코 응답특성)

  • 박정학;최헌일;손무현;사공건
    • Electrical & Electronic Materials
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    • v.9 no.10
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    • pp.1053-1059
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    • 1996
  • The pulse-echo response of the piezoceramics PZT-polymer 3-3 type composite transducers with various PVA additions were investigated. The PZT powder was prepared by the molten salt synthesis method. The porous PZT specimens will be used as a filler to make 3-3 type comosite were prepared from a mixture of PZT and polyvinylalcohol(PVA) sphere by utilizing BURPS(Bumout Plastic Sphere) technique. It was shown that the transmitting and receiving sensitivity of 3-3 type piezoelectric composite transducers could be improved than that of solid PZT transducers. The reason is that 3-3 type piezoelectric composite have low dielectric constant, density and acoustic impedance. The distance between transducer and reflector was in good agreement with the distance calculated from the longitudinal velocity of the specimens and receiving time observed pulse-echo responses on the ultrasonic transducer analyzer.

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Dielectric and piezoelectric properties of PZT-polymer 3-3 type composite for ultrasonic transducer applications (초음파 트랜스듀서용 PZT-고분자 3-3형 복합압전체의 유전 및 압전특성)

  • 박정학;이수호;최헌일;사공건;배진호
    • Electrical & Electronic Materials
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    • v.9 no.2
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    • pp.146-151
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    • 1996
  • PZT powders were prepared by the molten salt synthesis method. The porous PZT ceramics were made from a mixture of PZT and polyvinylalcohol(PVA) by BURPS(Bumout Plastic Sphere) technique. The 3-3 type composites were fabricated by impregnating an sintered porous PZT ceramics with various polymer matrices. The relative permittivity of 3-3 type composite specimens was shown 860-1,100 smaller than that of solid PZT ceramics(2,100), and the dissipation factors of composite specimens were about 0.02 to 0.03. The piezoelectric coefficient d$_{33}$ of composite specimens(285-328*10$^{12}$ C/N) was comparable with that of single phase PZT specimens(364*10$^{-12}$ C/N). The thickness mode coupling factor k$_{t}$(O.5-0.6) of composite specimens was comparable with that of single phase PZT specimens(k$_{t}$-0.7), and the mechanical quality factor of composite specimens was smaller than 10, and thus these 3-3 type composite specimens would be believed as a good candidates for broad band transducer applications.ons.

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Effect of Supplementation of Complex Probiotics on Performances, Physio-chemical Properties of Meat and Intestinal Microflora in Broiler (복합생균제의 급여가 육계의 생산성, 육의 이화학적 특성 및 장내 미생물에 미치는 영향)

  • Yu, D.J.;Na, J.C.;Kim, T.H.;Kim, S.H.;Lee, S.J.
    • Journal of Animal Science and Technology
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    • v.46 no.4
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    • pp.593-602
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    • 2004
  • A feeding trial was carried out to investigate the effect of supplemental complex probiotics on performances, physio-chemica1 properties of meat and inetestinal microflora in broiler chicks. Four hundred eighty broiler chickens, one days old with mixed sexes were fed one of four diets containing 0, 0.1, 0.2 and 0.4% complex probiotics for 7 weeks. There were four replicates with thirty chicks per pen. Diet contained ME 3,100, 3,l00kcal/kg, and CP 22.0, 20.0% for starting and finishing period, respectively. Body Weight gain of chicks fed the complex probiotics tended to increase from the frist week and all complex probiotics higher than control from the 4th week. Chickens fed the diets containing 0.2% probiotics had higher(P<0.05) than those fed the other levels from the 4th week to 5th week. Feed conversion also improved significantly(P<0.05) in the supplemental 0.2% probiotics from the 4th week to 5th week. In physio-chemica1 properties of meat, carcass rate increased significantly(P<0.05) in the supplemental 0.4% probiotics compared to that of control at 7 weeks overall means and abdominal fat pad rate increased significantly(P< 0.05) in the supplemental 0.2% probiotics compared to that of control. Cooking loss decreased significantly(P<0.05) in the supplemental all probiotics. But shear force increased significantly(P<0.05) in the supplemental 0.4% probiotics. The number of ileum and cecum Lactobacillus spp. tended to increase in the supplemental complex probiotics at 7 week of age, but was not significantly different. As the result, supplemental complex probiotics increased performance and physio-chemica1 properties of meat and the number of intestinal Lactobacillus of broiler chicks.

Characteristics of Asbestos Occurrence in the Vicinity of Serpentine Mines in the Western Part of Chungnam: A Study Based on the Hongseong and Bibong Mine Areas (충남 서부 사문석 광산 인근에서의 석면 산출 특성: 홍성 및 비봉광산을 중심으로)

  • Seokhwan Song
    • Korean Journal of Mineralogy and Petrology
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    • v.36 no.4
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    • pp.233-257
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    • 2023
  • Asbestos minerals are found at rocks and soils of the Hongseong and Bibong serpentine mines, western part of Chungnam. The area consists of and metasediment, and Mesozoic igneous intrusives with minor age-known gneiss complexes and Mesozoic sediments. With detailed geological investigations, rock samples for the serpentinite and amphibolite areas are collected at sites containing asbestos. Representative asbestos and rock samples are analysed by PLM, XRD, SEM and EPMA. Serpentinites are found as steeply dipping faults with adjacent gneiss complex to the NNE direction. Repeated alteration, including serpenitization and talcification, is found at the emplacement direction for the serpentinite body. Amphibollites occur as intrusives and stratiforms within the Precambrian gneiss complex. Serpentinite and amphibolite (or amphibole schist) contain amphiboles either as asbestiform or non-asbestiform. Varying amounts of asbestos minerals, including chrysotile, tremolite asbestos and actinolite asbestos, are found within the serpentinites. The asbestos minerals are found near the cracks or fractures and along the bedding plane. They occur as cross fiber, slip fiber and mass fiber types. Varying amounts of amphibole asbestos minerals, such as tremolite and actinolite asbestos, are found within amphibolites and as a mass fiber type. Overall results suggest that rocks of the serpentine mines contain serpentine and amphibole type asbestos minerals originated from the hydrothermal alteration. Considering construction nearby the mines and environmental risks by the asbestos, additional land management plans are required.

Result of Neoadjuvant Chemotherapy, Surgery and Radiation Therapy in Locally Advanced Breast Cancer (국소 진행성 유방암 환자에서 선행 항암화학요법의 치료결과)

  • Bae, Sun-Hyun;Park, Won;Huh, Seung-Jae;Choi, Doo-Ho;Nam, Hee-Rim;Yang, Jung-Hyun;Nam, Seok-Jin;Lee, Jeong-Eon;Im,, Young-Hyuck;Ahn, Jin-Seok;Park, Yeon-Hee
    • Radiation Oncology Journal
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    • v.28 no.2
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    • pp.71-78
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    • 2010
  • Purpose: To evaluate the result of neoadjuvant chemotherapy, surgery, and radiation therapy in locally advanced breast cancer as well as analyze the prognostic factors affecting survival. Materials and Methods: One hundred fifty-nine patients with breast cancer were treated by neoadjuvant chemotherapy between April 1995 and November 2006 at the Samsung Medical Center. Among these patients, we retrospectively reviewed 105 patients treated with neoadjuvant chemotherapy followed by surgery and radiation therapy for a cure with an initial tumor size >5 cm or clinically positive lymph nodes. All patients received anthracycline based chemotherapy except for 2 patients. According to clinical tumor stage, 3 patients (3%) were cT1, 26 (25%) were cT2, 39 (37%) were T3 and 37 (35%) were T4. Initially, 98 patients (93%) showed axillary lymph node metastasis. The follow-up periods ranged from 7~142 months (median, 41 months) after the beginning of neoadjuvant chemotherapy. Results: Locoregional failure free survival rate and distant metastasis free survival rate at 5 years were 82.1% and 69.9%, respectively. Disease free survival rate and overall survival rate at 5 years were 66.1% and 77.1%, respectively. The results of a univariate analysis indicate that clinical tumor stage, pathologic tumor stage, pathologic nodal stage and pathologic TNM stage were statistically significant factors for disease free survival rate and overall survival rate. Whereas, a multivariate analysis indicated that only hormone therapy was a statistically significant factor for survival. Conclusion: The current study results were comparable to other published studies for neoadjuvant chemotherapy for breast cancer. Hormone therapy was a statistically significant prognostic factor. The patients with early clinical or pathologic stage had a tendency to improve their survival rate.