• Title/Summary/Keyword: 생존 분포

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Concurrent Chemoradiotherapy in Locally Advanced Carcinoma of The Uterine Cervix : A Phase I/II Prospective Study (국소적으로 진행된 자궁경부암의 방사선치료와 복합 항암화학요법의 동시치료 결과)

  • Kang One Chul;Choi Eun Kyung;Chung Weon Kuu;Kim Jong Hoon;Chang Hyesook;Kim Yong Man;Kim Young Tak;Nam Joo Hyun;Mok Jung-Eun;Lee Moo-Song
    • Radiation Oncology Journal
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    • v.16 no.3
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    • pp.311-323
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    • 1998
  • Purpose : Prospective, single arm, Phase I/II clinical trial was performed to assess the efficacy and toxicity of the concurrent chemotherapy and definitive radiotherapy (RT) in patients with previously untreated locally advanced carcinoma of the uterine cervix. Methods and Materials : From Mar 1992 to January 1997, a total of 73 patients with advanced cervical carcinoma were entered on the protocol but 5 patients were excluded in analysis because of patients' refusal of treatment. Their ages ranged from 31 to 77 years, median 58 years. The International Federation of Gynecology and Obstetrics (FIGO) stage distribution was as follows: IIB 46, IIIA 2, IIIB 15 and IVA 5. RT consisted of external beam irradiation to 4,140-5,040 cGy/23-28 fractions plus high dose rate intracavitary treatments to deliver a dose of 30-35 Gy to point A in 6-7 fractions. During the intracavitary treatments parametrial boost was delivered for point B dose of 60 Gy in stage IIB and 65 Gy in stage IIIB. Two cycles of concurrent 5-fluorouracil and cisplatin (FP) chemotherapy (5-fluorouracil 1,000 mg/$m^2$/day continuous infusion for 4 days, day 1-4, 29-32 and cisplatin 20 mg/$m^2$/day intravenous bolus for 3 days day 1-3, 29-31) administered starting on day 1 of RT. Results : The median follow-up was 24 months (range 4-68+). Sixty-four patients were evaluable for survival rate in this protocol: The 5-year actuarial and disease-free survival rate were 52$\%$ and 64$\%$, respectively. The 5-rear actuarial survival for stage IIB and III+IVA patients were 58$\%$ and 36$\%$, respectively The 5-year disease-free survival rate for stage IIB and III+IVA patients were 71$\%$ and 40$\%$, respectively. Of the 68 patients evaluated for patterns of failure, overall recurrence rate was 27.9$\%$ (19/68) : local failure in 5.9$\%$ (4/68), distant metastasis in 10.3$\%$ (7/68) and both in 11.8$\%$ (8/68). Of the 64 patients evaluated for response at one month after the completion of treatment the complete response rate was 78$\%$ (50/64). Concurrent chemoradiation appear to be a well-tolerated regimen but there were two treatment-related deaths. Conclusion : Concurrent chemotherapy of FP with high-dose definitive RT in locally advanced carcinoma of the uterine cervix is feasible and effective with acceptable toxicities. This chemoradiation regimen may offer a modest survival benefit for advanced stage. Further follow-up of these patients will evaluate the impact of this regimen on the long-term local control and their survival.

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Treatment Results of Esophageal Carcinoma Treated by Radiation Therapy (식도암의 방사선치료 성적)

  • Kim Mi Sook;Yoo Seoung Yul;Cho Chul Koo;Yoo Hyung Jun;Yang Kwang Mo;Kang Jin Oh;Ji Young Hoon;Lee Dong Han;Ryoo Baek Yeol
    • Radiation Oncology Journal
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    • v.18 no.3
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    • pp.182-186
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    • 2000
  • Purpose : To determine treatment or이ecol for inoperable esophageal cancer patients, 껜e evaluated survival rate and prognostic factors. Materials and Methods : We evaluated esophageal cancer treated by curative or palliative am in KCCH from 1992 to 1996, retrospectively. Recurrent or underdose case below 40 Gy were excluded. The number of male and female were 35 and 5, respectively. Thirty-eight patients were squamous carcinoma and 2 patients were not biopsy proven. Ten patients were treated with radiation therapy and chemotherapy Median dose of radiation therapy was 59.4 Gy and the range was $40\~60$ Gy. Results : The median survival is 6.5 months and 1-year survival rate was $28.3\%$. Age, location, radiation dose and chemotherapy were not significant prognostic factors. Median survivals of patients with below stage III and over stage IVA were 7.6 and 6.2 months respectively, but it is not significant. Conclusions : The survival for esophageal cancer is very poor. For patients with curative aim, chemotherapy must be considered. For patients with palliative aim, short-term external beam radiation therapy and/or brachytherapy must be considered.

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Postoperative Radiotherapy for Low Grade Glioma of the Brain (뇌 신경교종의 수술 후 방사선치료)

  • Chun, Ha-Chung;Lee, Myung-Za
    • Radiation Oncology Journal
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    • v.18 no.2
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    • pp.79-84
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    • 2000
  • Purpose : To evaluate the effectiveness and tolerance of postoperative e지ernai beam radiotherapy for patients with low grade glioma of the brain and define the optimal radiotherapeutic regimen. Materials and Methods : Between June, 1985 and May, 1998, 72 patients with low grade gliomas were treated with postoperative radiotherapy immediately following surgery. Median age was 37 years with range of 11 to 76 years. Forty one patients were male and 31 patients were female with male to female ratio of 1.3:1. Of those patients, 15 underwent biopsy alone and remaining 57 did subtotal resection. The distribution of the patients according to histologic type was as follows: astrocytomas-42 patients (58$\%$), mixed oligodendrogliomas-19 patients (27$\%$), oiigodendrogliomas-11 patients (15$\%$). Two patients were treated with whole brain irradiation followed by cone down boost and remaining 70 patients were treated with localized field with appropriate margin. Ail of the patients were treated with conventional once a day fractionation. Most of patients received total tumor dose of 5000 $\~$ 5500 cGy. Results : The overall 5 and 7 year survival rates for entire group of 72 patients were 61$\~$ and 50$\~$. Corresponding disease free survival rates for entire patients were 53$\~$ and 45$\~$, respectively. The 5 and 7 year overall survival rates for astrocytomas, mixed oligodendrogiiomas, and oligodendrogiiorras were 48$\%$ and 45$\%$, 76$\%$ and 56$\%$, and 80$\%$ and 52$\%$, respectively. Patients who underwent subtotal resection showed better survival rates than those who did biopsy alone. The overall 5 year survival rates for sub total resection patients and biopsy alone patients were 57$\%$ and 43$\%$, respectively. Forty six patients who were 40 years or younger survived batter than 26 patients who were 41 years or older (overall survival rate at 5 years, 69$\%$ vs 45$\%$). Although one patient was not able to complete the treatment because of neurological deterioration, there was no significant treatment related acute toxicities. Conclusion : Postoperative radiotherapy was safe and effective treatment for patients with low grade gliomas. However, we probably need prospective randomized trial to define optimal treatment timing and schedule for low grade gliomas and select patient group for different treatment philosophies.

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Hyperfractionation Radiation Therapy in Advanced Head and Neck Cancer (진행된 두경부암에서 다분할 방사선치료)

  • Kim, Jin-Hee;Ye, Ji-Won
    • Radiation Oncology Journal
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    • v.21 no.2
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    • pp.112-117
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    • 2003
  • Purpose: The effects of hypefractionation radiation therapy, such as the failure pattern and survival, on the treatment results in advanced stage head and neck cancer were studied. Materials and Methods: Between September 1990 and October 1998, 24 patients with advanced stage (III, IV) head and neck cancers, were treated using hyperfractionation radiation therapy in the Department of Radiation Oncology at the Keimyung University Dongsan Medical Center. The male to female ratio was 7 : 1, and the age range from 38 to 71 years with the median of 56 years. With regard to the TNM stage, 11 patients were stage III and 13 were stage IV. The sites of primary cancer were the nasopharynx in six, the hypopharynx in 6, the larynx in five, the oropharynx in three, the maxillary sinus in three, and the oral cavity in one patient. The radiotherapy was delivered by 6 MV X-ray, with a fraction size of 1.2 Gy at two fractions a day, with at least 6 hours inter-fractional interval. The mean total radiation doses was 72 Gy, (ranging from 64.4 to 75.8 Gy). Follow-up periods ranged between 3 and 136 months, with the median of 52 months. Results: The overall survival rates at 3 and 5 years in all patients were 66.7$\%$, and 52.4$\%$. The disease-free survival rates at 3 and S years (3YDFS, 5YDFS) in all patients were 66.7$\%$ and 47.6$\%$. The 3YDFS and 5YDFS in stage III patients were 81.8$\%$ and 63.6$\%$, and those in stage IV patients were 53.8$\%$ and 32.3$\%$. Ten patients were alive with no local nor distant failures at the time of analyses. Six patients (25$\%$) died due to distant metastasis and 12.5$\%$ died due to local failure. Distant metastasis was the major cause of failure, but 2 patients died due to unknown failures and 3 of other diseases. The distant metastasis sites were the lung (3 patients), the bone (1 patient), and the liver (2 patients). One patient died of second esophageal cancer. There were no severe late complications, with the exception of 1 osteo-radionecrosis of the mandible 58 months after treatment. Conclusion: Although this study was peformed on small patients group, we considered hypefractionated radiation therapy for the treatment of advanced stage head and neck cancer might improve the disease free survival and decrease the local failure with no increase in late complications despite of the slight Increase in acute complications.

Postoperative Adjuvant Chemoradiotherapy in Rectal Cancer (직장암의 근치적 수술 후 보조 화학방사선요법)

  • Chang, Sei-Kyung;Kim, Jong-Woo;Oh, Do-Yeun;Chong, So-Young;Shin, Hyun-Soo
    • Radiation Oncology Journal
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    • v.24 no.3
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    • pp.157-163
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    • 2006
  • [ $\underline{Purpose}$ ]: To evaluate the role of postoperative adjuvant chemoradiotherapy in rectal cancer, we retrospectively analyzed the treatment outcome of patients with rectal cancer taken curative surgical resection and postoperative adjuvant chemoradiotherapy. $\underline{Materials\;and\;Methods}$: A total 46 patients with AJCC stage II and III carcinoma of rectum were treated with curative surgical resection and postoperative adjuvant chemoradiotherapy. T3 and T4 stage were 38 and 8 patients, respectively. N0, N1, and N2 stage were 12, 16, 18 patients, respectively. Forty patients received bolus infusions of 5-fluorouracil ($500\;mg/m^2/day$) with leucovorin ($20\;mg/m^2/day$), every 4 weeks interval for 6 cycles. Oral Uracil/Tegafur on a daily basis for $6{\sim}12$ months was given in 6 patients. Radiotherapy with 45 Gy was delivered to the surgical bed and regional pelvic lymph node area, followed by $5.4{\sim}9\;Gy$ boost to the surgical bed. The follow up period ranged from 8 to 75 months with a median 35 months. $\underline{Results}$: Treatment failure occurred in 17 patients (37%). Locoregional failure occurred in 4 patients (8.7%) and distant failure in 16 patients (34.8%). There was no local failure only. Five year actuarial overall survival (OS) was 51.5% and relapse free survival (RFS) was 58.7%. The OS and RFS were 100%, 100% in stage N0 patients, 53.7%, 47.6% in N1 patients, and 0%, 41.2% in N2 patients (p=0.012, p=0.009). The RFS was 55%, 78.5%, and 31.2% in upper, middle, and lower rectal cancer patients, respectively (p=0.006). Multivariate analysis showed that N stage (p=0.012) was significant prognostic factor for OS and that N stage (p=0.001) and location of tumor (p=0.006) were for RFS. Bowel complications requiring surgery occurred in 3 patients. $\underline{Conclusion}$: Postoperative adjuvant chemoradiotherapy was an effective modality for locoregional control of rectal cancer. But further investigations for reducing the distant failure rate are necessary because distant failure rate is still high.

Distribution pattern according to altitude and habitat type of the Red-tongue viper snake (Gloydius ussuriensis) in the Cheon-ma mountain (천마산에 서식하는 쇠살모사(Gloydius ussuriensis)의 고도와 서식지 타입에 따른 분포 패턴)

  • Do, Min-Seock;Yoo, Jeong-Chil
    • Journal of Wetlands Research
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    • v.16 no.2
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    • pp.193-204
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    • 2014
  • The distribution of animals is affected by habitat selection, and habitat type and prey resource are important factors affecting their survival. This study was conducted to investigate the distribution pattern of the Red-tongue viper snake (Gloydius ussuriensis) with respect to altitude, habitat type and distribution of potential prey resource in Cheon-ma mountain, Korea. The study area of Cheon-ma mountain was separated into three altitude categories (low, middle, and high altitude) and the habitat types were categorized according to presence or absence of aquatic ecosystem and the preferred habitat in relation to altitude was determined. The distribution pattern of Red-tongue viper snakes was significantly different according to altitude and habitat type: they were mainly distributed at low altitude and in the water valleys. The distribution pattern of the Red-tongue viper snake correlated with that of amphibians. The analyses of microhabitat use of the Red-tongue viper snake and amphibians showed that their microhabitat types were not different significantly in water valleys. In conclusion, Red-tongue viper snakes were mainly distributed in the water valleys at low altitude and this is because amphibians are important as potential prey of the Red-tongue viper snake in Cheon-ma mountain.

Reliability Analysis for Decoy using Maintenance Data (정비 데이터를 이용한 기만체계 신뢰도 분석)

  • Gwak, Hye-Rim;Hong, Seok-Jin;Jang, Min-Ki
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.82-88
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    • 2018
  • The decoy defensive weapon system is a one-shot system. Reliability is maintained through periodic inspection and high reliability is required to confirm whether or not the functioning is normal after launch. The maintenance cycle of a decoy was set up without target reliability and reliability prediction during the development period. However, the number of operations in the military has been increasing, necessitating the optimization of the maintenance cycle. Reliability is analyzed using the maintenance data of a decoy operated for several decades and the optimal maintenance cycle is suggested. In chapter 2, data collection and classification methods are presented and analysis methodology is briefly introduced. In chapter 3, the data distribution analysis and fitness verification confirmed that applying the Weibull distribution is the most suitable for the maintenance data of the decoy. In chapter 4, we present the analysis result of percentile, survival probability and MTBF and the optimal maintenance cycle was derived from the reliability analysis. Finally, we suggest the application methods for this paper in the future.

The Distribution of Dicotyledons in Time and Space in the Korean Peninsula (한반도 쌍자옆식물의 시.공간적 분포역 복원)

  • 공우석
    • The Korean Journal of Quaternary Research
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    • v.10 no.1
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    • pp.1-18
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    • 1996
  • 한반도 쌍자엽식물의 시·공간적 분포역을 식물화석자료를 바탕으로 분석한결과에 따르면 우리나라에서 발견된 가장오래된 쌍자엽식물은 중생대 백악기의 Platanus, Viburnum, Populophyllum등이다. 당시에 남한에서는 17속의 쌍자엽식물이 보고되었으며 그 중 9속(버즘나무 Platanus, 분꽃나무 Viburnum, 버드나무 Salix, 사시나무 Populus, 녹나무 Cinnamomum 감탕나무 Ilex, 장구밤나무 Grewia, 두릅나무 Aralia, 생강나무 Lindera)은 현 재에도 자연적으로 분포한다, 우리나라의 신생대 제3기 팔레오세와 에오세에 대한 화석정보 는 불분명하다. 올리고세의 쌍자엽식물은 황해 봉산에서 12속이 발견되며 그중 11속은 아직 도 자라고 있다. 마이오세에는 북한의 gkarud도와 강원도의 7곳과 남한의 경북과 강원의 4 곳에서 72속의 쌍자엽식물이 출현했으며 16속(Engelhardtia, planera, Hamamelis, Porana, Sassafras, Parrotia, Comptonia, Hemitrapa, Nothofagus, Erica, Pasania, Cryptocary, Phoebe, Entada, Carpites, Trochodendron)을 제외한 나머지 56속은 현생한다. 신생대 제4기 플라이스토세 동안 복한 전역의 7곳과 남한 전역의 10곳에서 53속의 쌍자엽식물이 산출되었 으며 그 중 Engelhardtia, raphidephis, Sapium등 3속을 제외한 모든속이 아직도 자연적으로 분포한다. 홀로세에는 남한의 14곳에서 29속의 쌍자엽식물이 출토되었는데 Lespidobalanus 를 제외한 나머지는 지금도 잘 자라고 있다. 요약하면 한반도에 중생대 백악기에 쌍자엽식 물이 출현한 이래 신생대 제3기 올리고세와 마이오세 그리고 신생대 제4기 플라이스토세와 홀로세까지 큰 변화없이 식물상과 식생이 지속적으로 명맥이 유지되고 번성하였다, 이는 한 반도가 여러 차례가 기후 변화에 따라 식생대의 이동은 있었으나 식물상의 멸종을 가져올 정도의 환경적 격변을 겪지 않고 비교적 안정적인 환경이 장기간 지속되었음을 의미한다. 아울러 기후가 변화할 때마다 식물들리 서식, 생존할수 있는 다양한 피난처가 한반도의 도 처에 산재되어 있었음을 뜻한다,.

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Effect on Flow Distortion of S-Duct by Boundary Layer Suction (경계층 흡입이 S-Duct의 유동 왜곡에 미치는 영향성 연구)

  • Baeg, Seungyong;Lee, Jihyeong;Cho, Jinsoo
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.47 no.1
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    • pp.17-25
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    • 2019
  • An intake of Aircraft becomes S-shaped geometry due to spatial limitation or procuring survivability. But curvature of the S-shaped geometry makes secondary flow or flow separation which is the cause of non-uniform pressure distribution. In this study, boundary layer suction is applied to RAE M 2129 S-Duct by attaching sub duct. Design variable is suction location and angle. A mass flow rate drawn out by suction at the sub duct outlet is constant over every model. A grid dependency test was conducted to verify validity of computation. The comparison among the CFD (Computation Fluid Dynamics), ARA experimental result, and ARA computation result of non-dimensional pressure distribution on the Port side and Starboard Side confirmed the validity of CFD. In this study, Distortion Coefficient was used for evaluating aerodynamic performance of S-Duct. The analysis, which was about flow separation, vortex, mass flow rate distribution, and pressure distribution were also investigated. Maximum 26.14% reduction in Distortion Coefficient was verified.

Characteristics and Survival of Genus Vibrio Isolated in the Intertidal Zone of the Yellow Sea near Kunsan (군산인근해역에서 분리동정된 Vibrio 속의 특성과 해수에서의 생존)

  • 왕혜영;이건형
    • Korean Journal of Environmental Biology
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    • v.17 no.4
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    • pp.439-448
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    • 1999
  • To investigate the population dynamics and survival of Genus Vibrio, population densities of aerobic saprophytic bacteria and Vibrio groups were measured 4 times in the intertidal waters of the Yellow Sea near Kunsan from November, 1997 to June, 1998. The distribution of heterotrophic bacteria during the survey periods by plate count and direct count method ranged from 1.2$\pm$0.6$\times$10$^3$~2.0$\pm$1.5$\times$10$^4$CFU ml­$^1$and from 6.0$\pm$4.0$\times$10$^{5}$ ~1.9$\pm$1.5$\times$10$^{7}$ cells ml­$^1$, respectively. Vibrio groups were distributed in the range of 1$\times$10 and 6$\pm$2.2$\times$10$^2$CFU ml­$^1$. The proportion of Vibrio groups to total heterotrophic bacteria was between 0.1 and 6% during the survey periods. A total of 51 isolates was obtained from TCBS agar plates and identified to species level by Biolog Identification System$^{TM}$. As a result, dominant genera were V, mediterranei, V aitguillarum, tr metschnikovii, and V. parahaemolyticus, and isolates were clustered into 26 groups based on the relatedness of average linkage clustering method at 70% level. As for the susceptibility of 51 isolates to 7 kinds of antibacterial agents (gentamicin, ampicillin, chlorarnphenicol, streptomycin, kanamycin, tetracycline, carbenicillin), 96% of isolates showed high resistance to more than one antibiotics and 65% of isolates contained a plasmid, of which size was observed greater than 12 kb, The number of cells of 3 tested strains (V. anguillarum, V. vulnificus, and V. metschnikovii) in filtered aged seawater decreased by approximately 1 to 5 orders of magnitude during 30-d incubation. In most cases, the numbers of cells decreased rapidly until day 3, then decreased slowly by day 30. The number of cells incubated at 15$^{\circ}C$ showed higher survival than those at 4$^{\circ}C$ and $25^{\circ}C$. These results may be considered for the basic supporting data in the risk assessment of vibriosis in summer.r.

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