• Title/Summary/Keyword: 장기 생존

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특집_양계산업 경쟁력 향상 방안 - 국제곡물가 흐름과 사료비 절감 방안

  • Lee, Yong-Hui
    • KOREAN POULTRY JOURNAL
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    • v.42 no.5
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    • pp.120-124
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    • 2010
  • 전세계에 걸쳐 우리 인간이 직 간접적으로 섭취하고 있는 곡물은 약 20억톤에 달하고 있다. 이 곡물문제가 인간의 생존권의 문제와 직결되는 관계로 세계 각국은 안정적인 곡물확보를 도모하고자 여러 가지 자구책을 강구해오고 있다. 그러나 기사이변과 생산증가를 앞지르는 소비증가로 말미암아 곡물의 수급상황은 항상 불안정해 왔고, 세계 곡물시장은 일부국가에 의해 독과점 되고 있는 실정이다. '07년 말부터 이어진 세계사료곡물의 생산량 및 재고량 감소, 식물성 박류의 수요증가, 해상운임의 급상승으로 이어진 곡물가격의 상승은 국내 배합사료업계는 물론이거니와 양축농가의 극심한 경영악화를 초래하게 만들었다. 다행히 지난 '09년 하반기 이후국제곡물가격 시세가 기상 호전에 따른 작황의 호조, 해상운임(Ocean Freight)의 하락, 생산량 및 재고량 증가전망 등의 여러요인과 맞물려 꾸준히 안정세를 유지하고 있어 사상 유례없던 고가의 수입곡물과 맞서 싸우던 배합사료 시장 및 축산농가들의 마음을 한시름 놓게 만들었다. 이에 불안정한 국제곡물가격 흐름의 이해를 돕고자, 사료용 원료로 가장 많이 사용하고 있는 옥수수, 소맥, 대두 및 대두박의 품목별 최근 시장동향과 향후 가격전망 등을 살펴보고, 더불어 향후 국내 사료 시장의 중 장기적 과제인 사료비 절감을 통한 축산물 생산비 절감 방안을 살펴보기로 한다.

하인두 및 경부식도의 재건술;인두위문합술, 전박유리피판술 및 유리공장이식술의 비교

  • 김영호;최은창;홍원표;김은서
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1995.04a
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    • pp.92.2-92
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    • 1995
  • 후두암 및 하인두암의 광역절제후 결손된 하인두 및 경부식도의 재건방법에는 여러 근피판, 인두위 문합이나 유리공장이식술과 같은 소화장기의 이용 및 전박유리피판술 등이 있다. 저자들은 1985년부터 1994년까지 10년간 세브란스병원에서 후두 및 하인두암으로 수술적 치료를 받은 예중 인두위문합술로 재건한 7례, 유리공장이식술로 재건한 9례, 전박유리피판술로 재건한 7례의 치료성적을 후향적으로 고찰하여 하인두 및 경부식도의 재건에 사용할 수 있는 술식들의 치료결과 및 장단점을 알아보고자 하였다. 피판의 생존은 세가지 술식 모두에서 양호하였으며 구강을 통한 식이섭취가 전례에서 가능하였다. 발생한 합병증으로는 인두피부누공, 문합부위의 협착 등이 있었으며 보존적인 방법으로 치유가 가능하였다.

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공리적 설계를 이용한 프로젝트 포트폴리오 선정 프레임워크의 설계

  • Jo, Gyu-Gap;Mun, Byeong-Geun
    • Proceedings of the Technology Innovation Conference
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    • 2005.02a
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    • pp.3-21
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    • 2005
  • 기업은 경쟁력 강화를 위해 지속적으로 프로젝트에 자원을 투자해야 하지만 기업의 물리적, 재정적 제약으로 인해 제안된 모든 프로젝트에 자원을 투자할 수가 없다. 따라서 기업의 장기적인 생존을 위해서는 프로젝트 포트폴리오의 최적선정이 필수적 과제이다. 이러한 중요성에 대한 인식으로 현재까지 많은 프로젝트포트폴리오 선정 방법들이 개발되었으나, 프로젝트 포트폴리오 선정을 지원하는 통합화된 프레임워크의 설계에 대한 연구는 미약한 실정이다. 본 연구는 최적 프로젝트 포트폴리오를 선정하기 위한 프레임워크를 설계하는 것으로서 프로젝트 포트폴리오 선정을 위한 설계방법론, 기존 프로젝트 포트폴리오 선정 프레임워크에 대한 분석 및 새로운 프로젝트 포트폴리오 선정 프레임워크의 설계에 대해 서술한다.

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Distant Metastases of Nasopharyngeal Carcinoma after Definite Irradiation (근치적 방사선 치료를 받은 비인강암 환자의 원격전이 빈도 및 양상에 관한 고찰)

  • Chung Eun Ji;Lee Hyung Sik;Moon Sun Rock;Kim Gwi Eon;Loh John Juhn-Kyu
    • Radiation Oncology Journal
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    • v.9 no.1
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    • pp.65-72
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    • 1991
  • One hundred and thirty five patients with carcinoma of the nasopharyx were treated by radiation therapy in the Department of Radiation Oncology, Yonsei Cancer Center, Yonsei University between August 1977 and July 1987. Of the 30 patients omitted: 8 had distant metastases at initial diagnosis or during radiotherapy; 18 Patients refused or did not receive a full course of radiation therapy, and four had not been confirmed histologically. The remaining 105 patients were analysed to determine the incidence and pattern of distant metastases. Diagnosis of distant metastases was made based on clinical signs and radiography, even though histologic confirmation was not made. Twenty-six patients developed distant metastases after definite irradiation of nasopharyx and neck, an incidence rate of $24.8\%$ . The common sites of distant metastases were, in descending order, bone, lung, liver, and brain. There was a strong correlation between Ho's N stage and distant metastases rate. But sex, age, histologic subtype (squamous cell and undifferentiated cell), AJC T and N stage, treatment modalities (radiotherapy alone and radiotherapy combined with chemotherapy) were not significant. Of those patients who developed distant metastases, $80.8\%$ were discovered within 2 years of their radical radiotherapy. The prognosis for nasopharyngeal carcinoma patients developing distant metastases was poor: median survival was nine months and $80\%$ of those patients died within two years of the initial diagnosis of distant metastasis.

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Optimum Temperatures for a Long-term Storage of Fruit Nursery Plants (과수묘목의 장기저장에 있어 최적 저장온도 구명)

  • Lee, Chang-Hoo;Kim, Chong-Chon;Park, Soo-Bok;Kim, Sung-Bok;Park, Beyoung-Jun;Choi, In-Myung;Han, Dong-Hyeon
    • Horticultural Science & Technology
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    • v.17 no.4
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    • pp.476-480
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    • 1999
  • This study was carried out to determine the optimum storage temperatures of six fruit nurseries ('Fuji' apple, 'Niitaka' pear, 'Sheridan' grape, 'Yumyoung' peach, 'Fuyu' persimmon, and 'Hayward' kiwifruit) from 1995 to 1997. Nursery plants were planted in field after storage at -5, 0, and $5^{\circ}C$ for one year. Nurseries stored at $0^{\circ}C$ showed highest survival rate and growth after planting. The survival rate of 'Sheridan' grape and 'Hayward' kiwifruit nursery plants stored at $-5^{\circ}C$ was 0%. Cold resistance of the two fruit nursery plants appeared weaker than others. Also, 'Niitaka' pear nursery plants stored at $5^{\circ}C$ showed significantly high survival rate and growth after planting. The higher storage temperature, the lower mineral and carbohydrate contents of nursery plants. Therefore, $0{\sim}5^{\circ}C$ in 'Niitaka' pear and near $0^{\circ}C$ in other five fruit nursery stocks were found to be the optimum storage temperatures.

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Results of a Ivor-Lewis Operation for Esophageal Squamous Cell Carcinoma (식도 편평세포암에시 Ivor-Lewis수술 성적)

  • Cho, Seong-Ho;Kim, Jong-In;Cho, Sung-Rae
    • Journal of Chest Surgery
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    • v.40 no.12
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    • pp.843-850
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    • 2007
  • Background: The Ivor-Lewis operation has been widely applied for treating thoracic esophageal cancer, but more acceptable results from three-field lymph node dissection have recently been reported. In this study the efficacy of the Ivor-Lewis operation was evaluated. Material and Method: Among the 273 patients, who underwent operation for esophageal cancer between September 1994 and August 2004, we retrospectively studied 172 patients with esophageal squamous cell carcinoma and who had no other primary cancer and who underwent complete resection with an Ivor-Lewis operation. The postoperative complications, the short and long-term survival and the recurrence patterns were analyzed. Result: The postoperative staging was as follows: stage I in 40 cases, IIA in 48 cases, IIB in 18 cases, III in 55 cases, IVA in 5 cases and IVB in 6 cases. The operative mortality rate was 4% (7 of 172 pts). Postoperative complication occurred in 32 patients (18%) and tumor recurred in 55 patients (32%). The overall 5-year survival rate was 48%; it was 85.6% in stage I patients, 47.6% in IIA patients, 65% in IIB patients, 22.8% in III patients and 0% for those in IV (p<0.05). The 5-year survival rate according to the location of esophageal cancer was 26.5% for patients with tumor in the upper 1/3 of the esophagus and 52.4% for patients with tumor in the mid and lower 1/3 (p>0.05). Conclusion: The Ivor-Lewis operation is an acceptable surgical procedure for thoracic esophageal squamous cell carcinoma. Yet it is necessary to consider other surgical procedures, and especially three-field lymph node dissection for treating upper 1/3 esophageal cancer.

Characteristics of Lung Cancer in the Elderly (노령환자 폐암의 임상적 특징)

  • Jung, Kyung-Hae
    • Tuberculosis and Respiratory Diseases
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    • v.47 no.5
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    • pp.660-668
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    • 1999
  • Background: Lung cancer continues to increase and one half of all cases of lung cancer occur in patients age 65 years and older. However, it seems that lung cancer is less treatable in elderly patients because of co-morbid illness or poor tolerance of surgery and chemotherapy. The intention of this study is to seek an adequate treatment approach for lung cancer in the elderly through an understanding of its characteristics. Method: The clinical data of 207 patients who were diagnosed with histologically proven lung cancer at the department of internal medicine in Seoul Municipal Boramae Hospital between September 1994 and August 1998 were retrospectively analyzed according to their age groups; group I$\geq$65 years(n=122) and group II<65 years(n=85). Results: The peak incidence of age was 7th decade(36.2%) and male age 65 years and older were 42% of all patients. Although dyspnea was more common in group I(26%) than in group II(11%)(p=.0l), there were no significant difference in other symptoms, stage, and histologic type between two groups. Group I significantly had more patients with poor performance(ECOG 3&4) than group II(35.2% vs.12.9%, p=.000). The percentage of patients with non-small cell carcinoma received supportive care only was significantly higher in group I than in group I(74% vs. 35%, p=.000). However, survival of patients who had curative intent treatment was similar between two groups(median survival 11.3 mos vs. 23 mos, p>.05). The histologic subtype, stage and performance status were significant prognostic factors affecting survival, but age itself was not. Conclusion : Lung cancer is prevalent in the elderly and aggressive diagnosis and treatment should be considered in elderly patients with good performance status.

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Surgical Management and Long-Term Outcome of Bronchial Carcinoids (기관지 유암종의 수술 치료와 장기 성적)

  • 정경영;강정한;김길동;최성실;신동환;김세훈
    • Journal of Chest Surgery
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    • v.35 no.5
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    • pp.381-386
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    • 2002
  • Background: Bronchial carcinoids account for approximately 2% of all pulmonary tumor and consist of typical carcinoids and atypical carcinoids. An atypical carcinoids is considered to be an intermediate form of tumor between a low-grade malignant typical carcinoid and a high-grade malignant small cell lung carcinoma. There is still controversy with regard to the extent of resection and the value of systemic adjuvant therapy in atypical carcinoids. We performed a retrospective review of our experiences at Severance Hospital. Material and Method: Between 1990 and 2000, 15 patients with bronchial carcioids were operated, and 5 of these had atypical carcinoids. Histologic diagnosis was established un the criteria of WHO/IASLC(1999). Result: There were 3 pneumonectomies, 11 lobectomies, and 1 segmentectomy. In typical carcinoids, one patient had regional lymph node metastasis, and 3 patients in atypical carcinoids had mediastinal lymph node metastases. Distant metastases developed in one patient of typical carcinoid, but developed in 4 patients of atypical carcinoids(p=0.0017). The 5-year survival rate in patients with atypical carcinoids was 20%, versus the 100% 5-year survival rate observed in patients with topical carcinoids(p=0.0039). Conclusion: In atypical carcincids, because of many lymph node metastases on diagnosis and a low long-term survival rate, lobectomy constitutes a mininal procedure. Adjuvant systemic therapy is recommended fur patients with lymph node and distant metastasis.

Superior Vena Cava Resection and Reconstruction in Thoracic Malignancy (상대정맥을 침범한 흉부종양의 수술적 치료)

  • Han, Kook-Nam;Kang, Chang-Hyun;Kim, Young-Tae;Jheon, Sang-Hoon;Sung, Sook-Whan;Kim, Joo-Hyun
    • Journal of Chest Surgery
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    • v.43 no.3
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    • pp.273-279
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    • 2010
  • Background: The benefit of superior vena cava (SVC) resection in thoracic malignancies remains controversial. We analyzed the results of extended resection in patients with thoracic malignancy involving the SVC. Material and Method: From March 2000 to March 2009, we performed surgical resection and reconstruction in 18 thoracic malignancies involving the SVC. Ten male and 8 female enrolled and their mean age was 56 years. Result: SVC reconstruction was performed in 9 patients with polytetrafluoroethylene (PTFE) graft. Primary closure was possible in 6 patients by partially clamping the SVC. Patch angioplasty was performed in 3 patients with PTFE or autologous pericardial patch. Three-year survival was 58.0% and median survival time was 24.5 months. Disease specific survival and recurrence free survival were not significantly different between lung cancer and mediastinal malignancy. Obstruction of graft was detected in 4 patients during follow-up; SVC graft obstruction in 1 patient, and accessory graft between the innominate vein and right atrium in 3 patients. Conclusion: Extended resection of thoracic malignancies involving the SVC was a feasible method in selected patients. Although the morbidity rate was relatively high, mid-term survival was acceptable when complete resection was possible.

Improvement of Field Installation Method for Asphalt Concrete Pavement Strain Gauge (아스팔트 콘크리트 포장 변형률계 매설 방법 개선에 관한 연구)

  • Lee, Jae-Hoon;Kim, Ji-Won;Kim, Do-Hyung;Lee, Kwang-Ho
    • International Journal of Highway Engineering
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    • v.5 no.3 s.17
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    • pp.31-42
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    • 2003
  • The KHC Test Road project was initiated on 1991 to develop Korean Pavement Design Guide. It was constructed along the Joongbu Inland Expressway line between Yeoju and Gamgok. It is two-lane wide expressway containing fifteen asphalt and twenty-five Portland cement concrete test pavement sections. Various sensors were installed in the Test Road to evaluate the behavior of test pavement sections under the influence of traffic load and environmental change. The most important issues in the sensor installation are the accurate location and long-term survivability. They are directly influenced by the sensor installation methodology. The methodology for asphalt strain gages is mainly discussed in this paper because it is the second important sensors in the KHC Test Road project. In order to find the best methodology, we evaluated existing methodology from prior experience and several conducted test installations. We have tried mound, block out, and trench cuts since 2000. Among three methods, block out was the most effective one in terms of accurate location, long-term survivability, and material homogeneity. However, this method cannot be applied to the wearing coarse so that the mound method was used as an alternative. The block out method was applied to base and intermediate layers while the mound method was used to the wearing coarse. Three hundred seventy-four asphalt strain gauges were installed on asphalt pavement sections from September 3rd to November 18th in 2002. According to the sensor measurement evaluation, 6.3% of sensor demonstrated over ranged readings for mound method installation and 2.5% did for block out method installation. We lost only two sensors during the installation. It is 99.5% survival and it is excellent survival rate according to other experience.

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