• Title/Summary/Keyword: 생존 분포

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Radiation Therapy for Operable Breast Cancer after Conservative Surgery (유방암환자의 유방보존수술 후 방사선 치료 성적)

  • Lee, Myung-Za;Chun, Ha-Chung
    • Radiation Oncology Journal
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    • v.20 no.4
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    • pp.309-315
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    • 2002
  • Purpose : To evaluate the result of conservative management on recurrence, survival and prognostic factors of patient with operable breast cancer. Materials and Methods : Fifty three patients, treated for localized breast cancer by lumpectomy or quadrantectomy followed by radiotherapy between January 1985 and December 1996, were retrospectively studied. All patients followed up for at least five years. Their median age was 43 years $(range\;24\~72)$. The tumor stages were as follows : T1 in 30 patients, T2 in 21, Tis in 2. Thirty-eight patients had negative and 15 had positive axillary nodes. The histological types were 42 infiltrating ductal, 2 infiltrating lobular, and 2 intraductal carcinomas with 7 other histologies. The tumor locations were the outer quadrant in 38 breasts, the inner quadrant in 13 and central in 2. Radiation doses of $46\~50\;Gy$ were given to the entire breast areas with additional doses of 14-18 Gy delivered to the tumor bed areas. Results : The overall five and 10 yea actuarial and disease free survivals were $94.3\%\;and\;92.4\%,\;91.2\%\;and\;81\%$, respectively. The overall five year survivals were $100\%$ in stage I and IIa, and $66.7\%$ in stage IIb and IIIa tumors. Seven patients failed either locally or distantly. Incidence of local failure and distant metastasis for the first failure were $7.5\%\;and\;5.7\%$, respectively. Local recurrence appeared within 2 years of treatment at the primary site and after more than 8 years outside of primary lesion, whereas distant metastasis appeared between 2 and 6 years following treatment. The overall recurrences were high at a young age (< or = 35 years), with 5 out of 12 (2 local, 3 distant), and in T2 lesions with 5 out of 21 (1 local, 3 distant, and 1 in both). Distant metastasis was high in the positive axillary lymph node group with 4 out of 15 $(26.6\%)$. A high incidence in the axillary node was noted at a young age with 7 out of 12 $(58.3\%)$ and in T2 lesions with 8 out of 21 $(38.4\%)$. A young age, positive axillary node and large tumor size were all related with poor survival. Conclusion : Based on this study, lumpectomy or quadrantectomy, followed by radiation appears to be an adequate therapeutic method in operable breast cancer. A long term follow-up is necessary because a recurrence of breast can occur long time after treatment. The poor prognostic group, especially young patients with an aggressive biological behavior needs more effective treatment modalities to improve their survival.

The Role of Radiation Therapy in the Treatment of Intracranial Glioma : Retrospective Analysis of 96 Cases (뇌 교종 96예에 대한 방사선치료 성적의 후향적 분석)

  • Kim Yeon Sil;Kang Ki Mun;Choi Byung Ock;Yoon Sei Chul;Shinn Kyung Sub;Kang Jun Gi
    • Radiation Oncology Journal
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    • v.11 no.2
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    • pp.249-258
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    • 1993
  • Between March 1983 and December 1989, ninety-six patients with intracranial glioma were treated in the Department of Therapeutic Radiology, Kangnam St. Mary's Hospital, Catholic University Medical College. We retrospectively reviewed each case to evaluate variable factors influencing the treatment results and to develop an optimal therapy Policy. Median follow-up is 57 months (range: 31~133 months). Of the 96 patients, 60 $(63\%)$ were males and 36 $(37\%)$ were females. Ages ranged from 3 to 69 years (median 42 years). The most common presenting symtoms were headeche $(67\%)$ followed by cerebral motor and sensory discrepancy $(54\%),$ nausea and vomiting $(34\%),$ seizure $(19\%),$ mental change $(10\%)$ and memory and calculation impairment $(8\%).$ Eighty five $(88.5\%)$ patients all, except 11 $(11.5\%)$ brain stem lesions, were biopsy proven intracranial glioma. The distribution by histologic type was 64 astrocytomas $(75\%),$ 4 mixed oligoastrocytomas $(5\%),$ and 17 oligodendrogliomas $(20\%).$ Fourty nine patients $(58\%$ were grade I, II histology and 36 $(42\%)$ patients were grade III, IV histology. Of the 96 patients, 64 $(67\%)$ recieved postoperative RT and 32 $(33\%)$ were treated with primary radiotherapy. Gross total resection was peformed in 14 $(16\%)$ patients, subtotal resection En 29 $(34\%),$ partial resection in 21 $(25\%),$ and biopsy only in 21 $(25\%).$ Median survival time was 53 months (range 2~ 133 months), and 2- and, 5-year survival rate were $69\%,49\%$ respectively. 5-year survival rate by histologic grade was grade I, $70\%,$ grade II, $58\%,$ grade III, $28\%,$ and grade IV, $15\%.$ Multivariated analysis demonstrate that age at diagnosis (p=0.0121), Karnofsky performance Status (KPS) (p=0.0002), histologic grade (p=0.0001), postoperative radiation therapy (p=0.0278), surgical extent (p =0.024), cerebellar location of tumor (p=0.0095) were significant prognostic factors influencing on survival.

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Retrospective study of the $Implantium^{(R)}$ implant with a SLA surface and internal connection with microthreads (SLA 표면 처리와 미세나사선을 가진 내측 연결형의 국산 임플란트에 대한 후향적 연구)

  • Doh, Re-Mee;Moon, Hong-Suk;Shim, Jun-Sung;Lee, Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.2
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    • pp.136-147
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    • 2009
  • Statement of problem: Since the introduction of the concept of osseointegration in dental implants, high long-term success rates have been achieved. Though the use of dental implants have increased dramatically, there are few studies on domestic implants with clinical and objective long-term data. Purpose: The aim of this retrospective study was to provide long-term data on the $Implantium^{(R)}$ implant, which features a sandblasted and acid-etched surface and internal connection with microthreads. Material and methods: 106 $Implantium^{(R)}$ implants placed in 38 patients at Yonsei University Hospital were examined to determine the effect of various factors on implant success and marginal bone loss, through clinical and radiographic results during a 6 to 30 month period. Results: 1. Out of a total of 106 implants placed in 38 patients, one fixture was lost, resulting in a 99.1% cumulative survival rate. 2. Among the 96 implants which were observed throughout the study period, the survival rates were 97.0% in the maxilla and 100% in the mandible. The survival rate in the posterior regions was 98.9% and 100% in the anterior regions. 3. The mean bone loss during the first year after prosthesis placement was 0.17 mm, while the mean annual bone loss after the first year was 0.04 mm, which was statistically less than during the first year(P<.05). 4. There was no significant difference in marginal bone loss according to age during the first year(P>.05), but after the first year, the mean annual bone loss in patients above 50 years was significantly greater(P<.05) compared with patients under 50 years. 5. No significant difference in marginal bone loss was found according to the following factors: gender, jaw, location in the arch, type of implant(submerged or non-submerged), presence of bone grafts, type of prostheses, and type of opposing dentition(P<.05). Conclusion: Based on these results, the sole factor influencing marginal bone loss was age, while factors such as gender, jaw, location in the arch, type of implant, presence of bone grafts, type of prostheses and type of opposing dentition had no significant effect on bone loss. In the present study, the success rate of the $Implantium^{(R)}$ implant with a SLA surface and internal connection with microthreads was satisfactory up to a maximum 30 month period, and the marginal bone loss was in accord with the success criteria of dental implants.

Survival and Complication Rate of Radiation Therapy in Stage I and II Carcinoma of Uterine Cervix (병기 I, II 자궁 경부암에서 방사선치료 후 생존율 및 합병증 분석)

  • Ma, Sun-Young;Cho, Heung-Lea;Sohn, Seung-Chang
    • Radiation Oncology Journal
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    • v.13 no.4
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    • pp.349-357
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    • 1995
  • Purpose : To analyze survival rate and late rectal and bladder complication for patients with stage I and II carcinoma of uterine cervix treated by radiation alone or combined with chemotherapy Materials and Methods : Between November 1984 and December 1993, 127 patients with stage I and II carcinoma of uterine cervix treated by radiation alone or combined therapy of radiation and chemotherapy. Retrospective analysis for survival rate was carried out on eligible 107 patients and review for complication was possible in 91 patients. The median follow-up was 47 months (range 3-118) and the median age of patiens was 56 years (range 31-76). 26 patients were stage IB by FIGO classification, 40 were stage IIA and 41 were stage IIB. 86 cases were treated by radiation alone and 21 were treated by radiation and chemotherapy. 101 patients were treated with intracavitary radiation therapy (ICRT), of these, 80 were received low dose rate (LDR) ICRT and 21 were received high dose rate (HDR) ICRT. Of the patients who received LDR ICRT, 63 were treated by 1 intracavitary insertion and 17 were underwent 2 insertions And we evaluated the external radiation dose and midline shield. Results : Actuarial survival rate at 5 years was $92{\%}$ for stage IB, $75{\%}$ for stage IIA, $53{\%}$ for stage IIB and $69{\%}$ in all patients Grade 1 rectal complications were developed in 20 cases ($22{\%}$), grade 2 were in 22 cases ($24{\%}$). 22 cases ($24{\%}$) of grade 1 urinary complications and 17 cases ($19{\%}$) of grade 2 urinary complications were observed But no patient had severe complications that needed surgical management or admission care. Maximum bladder dose for the group of patients with urinary complications was higher than that for the patients without urinary complications (7608 cGy v 6960cGy. p<0.01) Maximum rectal dose for the group of patients with rectal complications was higher than that for the patients without rectal complications (7041cGy v 6269cGy, p<0.01). While there was no significant difference for survival rate or bladder complication incidence as a function of dose to whole pelvis, Grade 2 rectal complication incidence was significantly lower for the patients receiving less than 4500cGy ($6.3{\%}$ v $25.5{\%}$, p<0.05). There was no significant differance between HDR ICRT group and LDR ICRT group for survival rate according to stage, on the other hand complication incidence was higher in the HDR group than LDR group, This was maybe due to different prescription doses between HDR group and LDR group. Midline shield neither improved survival rate nor decreased complication rate. The number of insertion in LDR ICRT group did not affect on survival and compication rate. Conclusion : In stage I and II carcinoma of uterine cervix there was no significant differance for 5 year survival rate by radiation therapy technique. Rectal complication incidence was as a function of dose to whole pelvis and there were positive correlations of maximum dose of rectum and bladder and each complication incidence. So we recommand whole pelvis dose less than 4500cGy and maximum dose of rectum and bladder as low as possible.

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Reliability Analysis of cooler in Thermal Observation Device (열상감시장비의 냉각기 신뢰도 분석)

  • Hong, Seok-Jin;Jung, Yun-Sik;Kim, Jin-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.432-436
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    • 2016
  • The cooler, which is the main part in a Thermal Observation Device (TOD), makes the TOD function by reducing the temperature. As the cooler is imported, overseas enterprises presented 20,000 hours as the operation time and the military have used the cooler as presented. However, failures have occurred occasionally after mass production stage. Therefore, we need to analyze the MTBF of the TOD cooler. So, military and defense industry companies collected the failure data of the TOD cooler. We analyze the MTBF of the TOD cooler using survival probability function and failure data. We find the optimal distribution by applying parametric method and estimate parameters. We determine that the Log-logistic distribution is the most appropriate for this data. Also, we analyze the reliability per hour of the TOD cooler. The result of MTBF of the TOD cooler was higher than that of presented by oversee enterprises.

An Application of the Genetic Algorithm on Population Estimation Using Urban Environmental Factors (도시환경변수를 이용한 격자 인구추정에 있어서의 유전적 알고리즘기법 활용 연구)

  • Choei, Nae-Young
    • Journal of the Korean Association of Geographic Information Studies
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    • v.13 no.3
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    • pp.119-130
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    • 2010
  • The Genetic Algorithm has been frequently applied by many researchers as one of the population surface modelling tool in estimating the regional population based on the gridded spatial system. Taking the East-Hwasung area as the case, this study first builds a gridded population data based on the KLIS and eAIS databases as well as municipal population survey data, and then constructs the attribute values of the explanatory variables by way of GIS tools. The GA model is run to maximize its fitness function measuring the correlation coefficient between the observed and predicted values of the 70 population cells. It is shown that the GA output predicted reasonably consistent and meaningful coefficient estimates for the explanatory variables of the model.

제주 자원식물의 잠재적 가치

  • Jeong, Yong-Hwan
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2010.10a
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    • pp.4-4
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    • 2010
  • 식물자원은 예로부터 인류의 생활과 긴밀한 관계를 유지하면서 인류에게 삶의 터전을 제공하였으며 쾌적한 환경을 유지시켜 주는 기반이 되었음은 물론 인류의 생존을 위한 많은 재화를 공급하여 왔다. 이러한 식물자원의 가치는 인간생활의 기초적 의 식 주 뿐 만 아니라 질병치료를 위한 재료로도 활용되고 있다. 제주도는 지리적으로 아열대권 생물자원의 확보 및 관리가 용이한 위치에 있어 아열대 자원 및 동북아섬 자원의 보존과 활용을 위한 전진기지로서 최적지이며, 난대, 온대, 한대 및 아고산대에 걸쳐 2,100여종의 식물자원이 분포하는 생태계 보고로 알려져 있다. 특히, 진시황이 불로초를 찾아 신하를 보낸 곳이 제주도라고 전해지고 있는 만큼 이는 제주가 많은 자원식물이 분포하고 있음이 그 옛날에도 알려져 있었다는 증거라 할 수 있다. 제주에 분포하거나 재배되는 식물 중 약용 및 식용 식물자원으로 잠재적 가치를 갖고 있는 식물은 550여 분류군으로서, 양치식물 43종류, 나자식물 6종류, 단자엽식물 31종류, 쌍자엽식물 370종류 등이다. 이러한 자원식물 중 상록성 목본 31종류, 낙엽수 105종류, 만경류가 51종류, 초본류(1년초 또는 다년초)가 358종류이며, 뱀톱, 천남성, 박새 등 독성을 가지는 식물도 43종류가 포함되어 있다. 비록 기존 알려진 약용 및 식용 식물자원이 산업적 중요성을 가지고 있다고는 하나 그 약효나 효능의 검정이 제대로 이루어지고 있지 않은 나머지 자생식물까지 포함하면 상당수의 제주 자생식물이 자원식물로 사용될 수 있는 잠재적 가치를 가지고 있다고 할 수 있다. 최근 생활수준의 향상으로 삶의 질과 건강에 대한 관심이 집중하고 있으며, 자원식물 유래 천연물을 소재로 한 향장품 및 건강기능성 식 의약품을 포함한 기능성 상품은 안전성이 보장되며 우수한 생리활성이 있는 것으로 밝혀지면서, 자원식물을 소재로 한 기능성 상품의 개발에 대한 수요가 증가하고 있는 실정이다. 제주지역도 청정지역 제주에 자생하고 있는 자원식물의 잠재적 가치를 활용하여 미래 제주 창출을 위한 신산업육성을 위한 노력을 기울이고 있다. 특히, 제주 자원식물들의 잠재적 가치를 활용하여 부가가치를 높이기 위해 건강 뷰티 생물산업을 지역전략산업으로 추진하면서 제주 자원식물들의 새로운 잠재적 가치를 조명하고 있어 이에 대한 지역내 추진노력 및 관련 산업현황 등을 정리하여 몇가지 견해를 제기하고자 한다.

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The Flora of Naturalized Plants in Jeju Island (제주도의 귀화식물상)

  • 양영환;박수현;김문홍
    • Korean Journal of Plant Resources
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    • v.14 no.3
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    • pp.277-285
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    • 2001
  • This study was conducted to know about the distribution of naturalized plants growing in Jeiu Island. A field survey and flora lists of relevant literatures were also investigated. The results obtained from this study were as follows: Definition of naturalized plants was determined in this study as “non-native species in Korea which have been introduced anthropologically or naturally and can reproduce and survive in wild habitats by themselves.” It was suggested that the number of naturalized plants in Jeju Island were 31 families, 111 genera, 188 taxa including 178 species, 10 varieties. Family Compositae and Gramineae covered 23% and 14% of naturalized plants, respectively. The number of naturalized plants in Jeju Island were 188 taxa ; 97 taxa in the whole south Korea,39 taxa in the southern part of Korea,15 taxa in the central part of Korea, and 37 taxa only in Jeju.

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Estimation of Mean Life and Reliability of Highway Pavement Based on Reliability Theory (신뢰성 개념을 이용한 포장의 평균수명 및 신뢰도 예측)

  • Do, Myung-Sik
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.5D
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    • pp.497-504
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    • 2010
  • In this paper, the author presents a reliability estimation technique to analyze the effects of traffic loads on pavement mean life based on the national highway database of Suwon and Uijeongbu region from 1999 to 2008. The estimation of the mean life, its standard deviation and reliability for pavement sections are calculated by using an appropriate distribution, Lognormal distribution, based on reliability theory. Furthermore, the probability paper method and Maximum likelihood estimation are both used to estimate parameters. The author found that mean life of newly constructed sections and over-layed sections is about 6.5 to 7.9 years and 7.3 to 9.1 years, respectively. The author also ascertained that the results of cumulative failure probability for pavement life between the proposed methods and observed data are similar. Such an assessment methodology and measures based on reliability theory can provide useful information for maintenance plans in pavement management systems as long as additional life data on pavement sections are accumulated.

Group sequential testing methods for comparing cure rates (임상시험에서 치료율 비교를 위한 집단축차검정법에 관한 고찰)

  • 박경미;이재원
    • The Korean Journal of Applied Statistics
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    • v.9 no.2
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    • pp.95-108
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    • 1996
  • There are many clinical trials where a large portion of the patients are cured of disease. In such a case, one might be more interested in testing the differences in cure rates rather than other types of differences in failure distribution. For ethical and economic reasons, clinical trials must be repeatedly monitored for evidence of treatment benefit or harm. In this article, we examined by simulation the properties of nonparametric group sequential methods for comparing the cure rates between two treatment groups during the trial in a wide range of alternatives, censoring rates and cure rates.

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