• 한국간담췌외과학회지
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• 제27권2호
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• pp.151-157
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• 2023

Backgrounds/Aims: Cholangiocarcinoma (CCA) can be classified as intrahepatic CCA or extrahepatic CCA (eCCA). We intended to analyze and reports the survival outcomes for eCCA. Methods: Surveillance, epidemiology, and end results (SEER) registry, site recode C24.0, was used to select cases of eCCA from 2000 to 2018. Patients with incomplete data or ages <18 years were excluded. Results: Male (52.69%) and White race (77.99%) predominated. Compared with 2000-2006, survival increased in 2013 (adjusted hazard ratio [HRadj]: 0.68, 95% confidence interval [CI] 0.58-0.70; p < 0.01). Surgery with chemoradiotherapy (HRadj: 0.69, 95% CI 0.60-0.7; p < 0.01) and surgery with chemotherapy (HRadj: 0.72, 95% CI 0.62-0.83; p < 0.01) improved survival over surgery alone. Compared with surgery without lymph node (LN) removal, surgery of four or more regional LN reduced the risk of death by 58% (HRadj: 0.42, 95% CI 0.36-0.51; p < 0.01). Compared with patients without surgery, patients who underwent bile duct excision (HRadj: 0.82, 95% CI 0.72-0.94; p < 0.01), simple or extended lobectomy (HRadj: 0.85, 95% CI 0.75-0.95; p = 0.009), and hepatectomy (HRadj: 0.80, 95% CI 0.72-0.88; p < 0.01) significantly improved survival. Patients with distal CCA had a 17% higher survival than perihilar CCA (HRadj: 0.83, 95% CI 0.74-0.92; p < 0.01) and LN dissection was equally beneficial for both subgroups (p < 0.01). Conclusions: Surgery with chemoradiotherapy has a proven increase in the 5-year survival of the eCCA. LN resection, bile duct excision, lobectomy, and hepatectomy have better outcomes.

• 대한핵의학회지
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• 제27권1호
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• pp.112-117
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• 1993

연구배경 :핵사고시 가장 중요한 유출방사성핵종의 하나이며, 갑상선암 및 갑상선 기능항진증 치료에 없어서는 안되는 치료제인 방사성옥소($^{131}I$)는 과량 투여시 백혈병 또는 유전이상을 나타낼 것으로 추측되고 있으나, 이에 대해서는 아직 논란의 여지가 있다. 방법 : 실험군은 방사성옥소를 투여하지 않고 위장수술만을 시행한 대조군과, 갑상선 기능항진증의 치료용량인 10mCi/60Kg(0.17mCi/Kg)을 투여하는 군, 갑상선암의 치료용량인 100 mCi/60 Kg (1.67 mCi/Kg)을 투여하는군, 그리고 골수억제 등의 부작용 때문에 치료를 중단하게 되는 1000 mCi/60 Kg(16.67 mCi/Kg)를 투여하는 군으로 나누어 실험을 시행하였다. 각 군은 생후 6주(30g)전후의 생쥐 10마리로 구성되었으며, 방사성옥소는 복강에 투여하였다. 투여 1일 및 3일 후 생쥐를 희생시켜 골수를 채취하고, 이를 대상으로 미소핵검사를 시행하였다. 미소핵은 골수세포 중핵이 없는 정염성 및 다염성적헐구에서 관찰하며, 1000개의 세포 중 미소핵이 나타난 세포수를 %로 표시하였다. 결과 : 다염성 적혈구 (괄호안은 정염성 적혈구)에서의 미소핵 발현은 대조군의 경우 1일째 $0.25{\pm}0.07$ ($0.23{\pm}0.07$)%, 3일째 $0.24{\pm}0.07$ ($0.21{\pm}0.07$)%, 치료용량의 방사성옥소를 투여한 군 중 0.17 mCi/Kg을 투여한 군에서는 1일째 $0.27{\pm}0.1$ ($0.23{\pm}0.09$)%, 3일째 $0.28{\pm}0.07$ ($0.25{\pm}0.06$)%, 1.67 mCi/Kg을 투여한 군에서는 1일째 $0.29{\pm}0.08$ ($0.26{\pm}0.09$)%, 3일째 $0.31{\pm}0.05$ ($0.29{\pm}0.06$)%, 16.67mCi/Kg를 투여하는 군에서는 1일째 $0.32{\pm}0.06$ ($0.25{\pm}0.09$)%, 3일째 $0.33{\pm}0.08$ ($0.3{\pm}0.06$)%를 보였다. 투여한 방사성옥소의 양이 많을수록 미소핵 빈도수가 증가하는 경향을 보였으나, 각 군간에 통계학적으로 유의한 차이는 없었다(p>0.05). 결론 : 임상적으로 치료를 중단하게 되는 1000mCi/60 Kg(16.67 mCi/Kg)를 투여한 군에서도 생쥐 골수내 미소핵이 발현되지 않는 것으로 보아, 방사성옥소는 비교적 안심하고 치료에 사용할 수 있는 제제로 사료되었다.

• Asian-Australasian Journal of Animal Sciences
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• 제29권8호
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• pp.1083-1094
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• 2016

Carcass and price traits of 72,969 Hanwoo cows, bulls and steers aged 16 to 80 months at slaughter collected from 2002 to 2013 at 75 beef packing plants in Korea were analyzed to determine heritability, correlation and breeding value using the Multi-Trait restricted maximum likelihood (REML) animal model procedure. The traits included carcass measurements, scores and grades at 24 h postmortem and bid prices at auction. Relatively high heritability was found for maturity ($0.41{\pm}0.031$), while moderate heritability estimates were obtained for backfat thickness ($0.20{\pm}0.018$), longissimus muscle (LM) area ($0.23{\pm}0.020$), carcass weight ($0.28{\pm}0.019$), yield index ($0.20{\pm}0.018$), yield grade ($0.16{\pm}0.017$), marbling ($0.28{\pm}0.021$), texture ($0.14{\pm}0.016$), quality grade ($0.26{\pm}0.016$) and price/kg ($0.24{\pm}0.025$). Relatively low heritability estimates were observed for meat color ($0.06{\pm}0.013$) and fat color ($0.06{\pm}0.012$). Heritability estimates for most traits were lower than those in the literature. Genetic correlations of carcass measurements with characteristic scores or quality grade of carcass ranged from -0.27 to +0.21. Genetic correlations of yield grade with backfat thickness, LM area and carcass weight were 0.91, -0.43, and -0.09, respectively. Genetic correlations of quality grade with scores of marbling, meat color, fat color and texture were -0.99, 0.48, 0.47, and 0.98, respectively. Genetic correlations of price/kg with LM area, carcass weight, marbling, meat color, texture and maturity were 0.57, 0.64, 0.76, -0.41, -0.79, and -0.42, respectively. Genetic correlations of carcass price with LM area, carcass weight, marbling and texture were 0.61, 0.57, 0.64, and -0.73, respectively, with standard errors ranging from ${\pm}0.047$ to ${\pm}0.058$. The mean carcass weight breeding values increased by more than 8 kg, whereas the mean marbling scores decreased by approximately 0.2 from 2000 through 2009. Overall, the results suggest that genetic improvement of productivity and carcass quality could be obtained under the national scale breeding scheme of Korea for Hanwoo and that continuous efforts to improve the breeding scheme should be made to increase genetic progress.

• 한국결정성장학회지
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• 제7권4호
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• pp.589-598
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• 1997

본 연구에서는 modified PZT계에서 PT/PZ비 변화에 따른 결정 구조 및 전기적 특성을 조사하였다. 0.05Pb$(Sn_{0.5}Sb_{0.5})O_3＋xPbTiO_3＋yPbZrO_3$＋0.4Wt% $MnO_2$(x＋y= 0.95)계에서 PT/PZ비를 0.50/0.45에서 0.l1/0.84로 변화시킨 조성을 $1250^{\circ}C$에서 2시간 소결하여 이의 미세구조 및 결정구조를 분석하였고, 유전, 압전, 초전 특성 그리고 적외선 센서로의 응용을 위해 적외선에 대한 감도를 조사하였다. PT/PZ비가 0.50/0.45에서 0.l1/0.84로 PT에 비해 PZ량이 상대적으로 증가됨에 따라 전체적으로 소결밀도가 7.52g/$\textrm {cm}^3$에서 7.82g/$\textrm {cm}^3$의 값으로 증가되는 경향을 나타내었으나 분극처리 후의 유전상수는 1147에서 193으로 감소되었고, 전 조성범위에서 1 % 이하의 낮은 유전손실값을 나타내었다. PT/PZ비가 1에 근접할수록 $K_{p}$ 값이 증가되었으며, PT/PZ가 0.45/0.50인 경우 48.2 %로 가장 큰 $K_p$값을 나타내었으나, 초전계수는 PT/PZ비가 0.l1/0.84에서 0.0541 C/$m^2$K로 가장 큰 값을 나타내었다. 동 시편를 두께 100 um로 박판 가공하여 TO-5 package에 적용시켜 적외선에 대한 감도 특성을 측정한 결과 1.5 V의 높은 값을 나타내어 초전형 적외선 센서 소자로서 적합하였다.

• 한국가금학회지
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• 제27권1호
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• pp.51-61
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• 2000

This study was conducted to estimate the general production performance, heritabilities, and genetic phenotypic correlations on several economic traits by multiple trait animal model in Korean native chicken. The data were collected from the records of 5,192 pullets produced from 2,029 dams and 250 sires in Daejon Branch, National Livestock Research Institute from April 10. 1994 to February 10. 1997. Body weights of Red Brown (RB), Yellow Brown (YB), Grey Brown (GB) and Black (B) strains were 1,649.9, 1,439.6, 1,455.6 and 1,575.3g at age of 150 days and 1,923.5, 1,689.6, 1,812.4 and 1,924.0g at age of 270 days, respectively. The ranges of coefficient of variation for body weight were 11.52 to 14.02 at age of 150 days and 12.82 to 14.59% at age of 270 days, respectively. The first eggs of RB, YB, GB and B strains were produced at 147.4, 146.5, 151.1 and 152.1 days, respectively and the coefficients of variation were 7.80 to 8.41%. Egg weight at 270 days were 49.7, 47.6, 48.8 and 48.7 g for RB, YB, GB nd B strains, and coefficients of variation were 6.99 to 7.94% . The number of eggs at age of 270days were 75.8, 78.0, 76.7 and 68.8 for RB, YB, GB and B strains, respectively, and coefficient of variations were 23.87 to 29.89%. On heritability estimates in RB, YB, GB and strains body weight were 0.40, 0.10, 0.09 and 0.57 for RB, YB, GB and B strains at age of 150 days, and 0.23, 0.09, 0.38 and 0.24 at age of 270 days were 0.39, 0.47, 0.60 and 0.62, and egg weights at 270 days and age at 1st egg were 0.36, 0.12, 0.38 and 0.26, number of egg production at 270 days were 0.44, 0.36, 0.58 and 0.49, respectively. The genetic correlation coefficients of body weight with the age of first egg, egg weight and number of egg production at 270days were -0.07∼0.67, -0.24∼0.70 and 0.12∼0.41, respectively ; age of first egg with number of egg production at 270days and egg weight were -0.75∼0.91 and 0.34∼0.97 ; and egg weight with number of egg production at 270days were 0.18∼0.68. The phenotypic correlation coefficients of body weight with at age of first egg, egg weight and number of egg production at 270days were -0.01∼0.74, -0.04∼0.72 and 0.25∼0.57 ; age of first egg with number of egg production at 270days and egg weight were 0.26∼0.52 and 0.52∼0.92, respectively ; and egg weight with number of egg production at 270days were 0.34∼0.91.

• Asian Pacific Journal of Cancer Prevention
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• 제13권6호
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• pp.2597-2604
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• 2012

Methylenetetrahydrofolate reductase (MTHFR) is an essential enzyme involved in folate metabolism; a single nucleotide polymorphism (SNP) C677T has been reported to be linked with altered incidences of several diseases. We here conducted a meta-analysis of 15 published epidemiological studies with a total of 7306 cases and 8062 controls to evaluate its association with prostate cancer risk with overall and subgroup analyses. No statistical relationship was found overall with any genetic model (TT vs. CC: OR = 0.80, 95%CI = [0.62, 1.04], P = 0.094; CT vs. CC: OR = 0.97, 95%CI = [0.84; 1.12], P = 0.667; Dominant: OR = 0.94, 95%CI = [0.82; 1.07], P = 0.343; Recessive: OR = 0.81, 95%CI = [0.64; 1.04], P = 0.104), but after the exclusion of several studies, we could observe the homozygote TT to confer less susceptibility to prostate cancer in carriers; moreover, different effects of the polymorphism on prostate cancer risk was detected from subgroup analysis stratified by participants' residential region: significant reduced prostate cancer risk was found to be associated with the polymorphism from Asian studies (TT vs. CC: OR = 0.47, 95%CI = [0.33; 0.67], P < 0.001; CT vs. CC: OR = 0.73, 95%CI = [0.60; 0.90], P = 0.002; Dominant: OR = 0.67, 95%CI = [0.56; 0.82], P < 0.001; Recessive: OR = 0.55, 95%CI = [0.40; 0.76], P < 0.001) while studies from Europe indicated a slight increased risk under dominant model with marginal significance (OR = 1.14, 95%CI = [0.99; 1.30], P = 0.064). Moreover, the protective effect of the polymorphism against prostate cancer was also shown by studies performed in yellow Asians (TT vs. CC: OR = 0.48, 95%CI = [0.31; 0.75], P = 0.001; CT vs. CC: OR = 0.68, 95%CI = [0.51; 0.90], P = 0.006; Dominant: OR = 0.63, 95%CI = [0.48; 0.82], P < 0.001; Recessive: OR = 0.57, 95%CI = [0.39; 0.84], P = 0.004). We propose that these phenomena should be viewed with the consideration of folate metabolism profile and different gene background as well as living habits of different populations, and more relevant studies should be conducted to confirm our hypothesis and provide a comprehensive and clear picture concerning this topic.

• Asian Pacific Journal of Cancer Prevention
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• 제15권22호
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• pp.9679-9685
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• 2014

Background: When evaluating health-economics for cervical cancer prevention policies in Japan, it is important to use Japanese value settings. This study aimed to obtain preference-based measures (preference measures) for hypothesized health states among healthy Japanese women, and to examine differences between the EuroQol-5D (EQ-5D) and standard gamble (SG) instruments. Materials and Methods: The investigation was performed among female students at a nursing university. We used written hypothetical scenarios describing three grades of cervical intraepithelial neoplasia (CIN) and eight stages of cervical cancer, both at diagnosis and after medical intervention. Preference measures were evaluated using both EQ-5D and SG. Results: We received responses from 136 women. The mean number of respondents per stage was 24.6 (SD: 2.7). At diagnosis, average EQ-5D scores for CIN1, CIN2, CIN3, IA1, IA2, IB1, IB2, IIA, IIB, III, and IV stages were 0.84 (0.14), 0.78 (0.12), 0.73 (0.10), 0.78 (0.12), 0.72 (0.12), 0.63 (0.13), 0.64 (0.12), 0.68 (0.08), 0.62 (0.13), 0.55 (0.21), and 0.18 (0.24), respectively. Using one-way analysis of variance with the Tukey-Kramer method for multiple comparisons (each stage vs. CIN1), we found significant differences for IB1 and more advanced stages (p<0.05). After medical intervention, corresponding EQ-5D scores were 0.84 (0.12), 0.81 (0.12), 0.84 (0.12), 0.80 (0.15), 0.78 (0.11), 0.64 (0.15), 0.63 (0.15), 0.71 (0.15), 0.50 (0.17), 0.52 (0.17), 0.21 (0.28). The multiple comparisons identified significant differences for IB1 and more advanced stages, excepting IIA (p<0.05). SG evaluations were more variable and relatively higher than EQ-5D evaluations. Conclusions: We obtained preference measures for three grades of CIN1-3 and eight stages of cervical cancer. In combination with appropriate sensitivity analyses, these preference measures will provide a basis for an economic evaluation of cervical cancer prevention in Japan. We suggest that EQ-5D is appropriate for cost-utility analysis of this topic.

• 한국수소및신에너지학회논문집
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• 제13권3호
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• pp.181-189
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• 2002

A series of multicomponent $Zr_{0.8}Ti_{0.2}Mn_{0.4}V_{0.6}Ni_{1-x}Fe_{x}$ (x=0.00, 0.08, 0.15, 0.22, and 0.30) alloys are prepared and their oystal structure and P-C-T curves are examined. The electrochemical properties of these allqys such as activation conditions, discharge capacity, cycling performance are also investigated. $Zr_{0.8}Ti_{0.2}Mn_{0.4}V_{0.6}Ni_{1-x}Fe_{x}$ (x=0.00, 0.08, 0.15, 0.22 and 0.30) have the C14 Laves phase hexagonal structure. The electrode was activated by the hot-charging treatment. The best activation conditions were the current density 120 mA/g and the hot-charging time 12h at $80^{\circ}C$ in the case of the alloy with x=0.00. The discharge capacity increased rapidly until the fourth cycle and then decreased. The discharge capacity increased again from the 13th cycle, arriving at 234 mAh/g at the 50th cycle. The discharge capacily just after activation decreases with the increase in the amount of the substituted Fe but the cycling performance is improved. The discharge capacity after activation of the alloy with x=0.00 is 157 mAh/g at the current density 120 mA/g. $Zr_{0.8}Ti_{0.2}Mn_{0.4}V_{0.6}Ni_{0.85}Fe_{0.15}$ is a good composition with a medium quantity of discharge capacities and a good cycling performance. The ICP analysis of the electrolyte for these electrodes after 50 charge-discharge cycles shows that the concentrations of V and Zr are relatively high. Another series of multicomponent $Zr_{0.8}Ti_{0.2}Mn_{0.4}V_{0.6}Ni_{0.85}M_{0.15}$ (M = Fe, Co, Cu, Mo and Al) alloys are prepared. They also have the C14 Laves phase hexagonal structure. The alloys with M = Co and Fe have relatively larger hydrogen storage capacities. The discharge capacities just after activation are relatively large in the case of the alloys with M = Al and Cu. They are 212 and 170 mAh/g, respectivety, at the current density 120mA/g. The $Zr_{0.8}Ti_{0.2}Mn_{0.4}V_{0.6}Ni_{0.85}Co_{0.15}$ alloy is the best one with a relatively large discharge capacity and a good cycling performance.

• 중소기업융합학회논문지
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• 제6권3호
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• pp.65-69
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• 2016

백내장이 있는 45~85세 총 119명의 백내장 수술 전후의 굴절이상 변화도를 알아보기 위하여 굴절이상과 각막굴절력을 power vector에 의하여 M, $J_0$, $J_{45}$ 3가지 성분으로 분석하였다. 등가구면 굴절력인 M 성분은 백내장 수술 전 $-0.29{\pm}2.38D$에서 수술 후 $-0.18{\pm}0.69D$로, $J_0$성분은 $-0.34{\pm}0.68D$에서 $-0.05{\pm}0.42D$로, $J_{45}$성분은 $0.11{\pm}0.45$에서 수술 후 $0.02{\pm}0.17$로 변화하였다. 각막평균 굴절력은 백내장 수술 전 $44.11{\pm}1.61D$에서, 백내장 수술 후 $44.20{\pm}1.58D$로, $J_0$성분은 $0.01{\pm}0.50D$에서, $0.08{\pm}0.49D$로 $J_{45}$성분은 $0.02{\pm}0.29$에서, $0.08{\pm}0.49$로 변화하였다. 굴절이상에 대한 수술 전후 상관관계는 $J_0$성분이 가장 높은 상관성이 있는 것으로 나타났고, 각막굴절 성분에 대한 상관관계는 평균 각막굴절력이 가장 높은 상관성이 있는 것으로 나타났으며, 각막굴절력 성분이 굴절이상 성분보다 더 높은 상관관계를 나타냈다.

• 한국방사선학회논문지
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• 제15권6호
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• pp.861-867
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• 2021

SBRT는 1회나 또는 3~5회에 걸쳐 치료 Fraction이 30분에서 최대 1시간 걸리므로 치료 중 자세오차가 발생할 가능성이 있다. 이러한 set-up의 오차를 줄이고 정확한 선량을 주기위해 SBRT 환자 치료 시 치료 전 CBCT를 사용하여 보정 후 좌표 값들을 적용하여 치료한 값과 치료 후 긴 치료시간으로 인해 자세 움직임 여부를 확인하기 위해 다시 CBCT를 촬영하여 치료 전.,후 오차 값들의 유용성을 평가하고자 한다. 계통오차 범위는 평균적으로 X, Y, Z축에서 0.032~0.17 cm으로 나타나 치료 후에도 움직임의 변화가 매우 적음을 확인하였다. 호흡동조에 의한 종양 중심체 변화 (±SD)는 X, Y 및 Z 방향에서 0.11(±0.12) cm, 0.27(±0.15) cm, 0.21cm(±0.31cm)였다. 종양 에지 (±SD)은 각각 X, Y및 Z 방향에서 0.21(±0.18) cm, 0.30(±0.23) cm, 0.19cm(±0.26) cm이었다. 종양 교정된 변위의 (±SD)은 각각 RL, AP 및 SI 방향에서 0.03(±0.16) cm, 0.05(±0.26) cm, 0.02(±0.23) cm이었다. 3차원 벡터 값의 범위는 치료 전과 CBCT를 비교했을 때 평균적으로 0.11~0-.18 cm 교정된 셋업 오차는 0.3 cm 이내에 있음을 확인하였다. 따라서, 일부 나이가 많은 환자, 치료 당일 컨디션, 체형에 따라 다소 값들의 변화가 있었지만 유의 범위 내에 있음을 확인하였다.