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The Efficacy of Intra-Articular Hyaluronic Acid Injections in Ankle Osteoarthritis (족관절 골관절염에서의 관절 내 Hyaluronic Acid 주사의 유용성)

  • Park, Chul Hyun;Park, Jeong Jin;Seok, Hyun Gyu;Woo, In Ha
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.2
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    • pp.71-77
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    • 2022
  • Purpose: This study sought to investigate the appropriate indications for intra-articular injection of hyaluronic acid in ankle osteoarthritis, its efficacy at each stage of osteoarthritis and to compare the efficacy related differences at each stage. Materials and Methods: A retrospective study was conducted from January 2016 to September 2019 on 43 patients (50 cases) diagnosed with ankle arthritis and given intra-articular injection of hyaluronic acid. Patients were classified according to the modified Takakura ankle osteoarthritis stages. Stage 2 comprised 24 cases; stage 3A, 15 cases; stage 3B, 8 cases; and stage 4, 3 cases. The clinical evaluation was carried out using the visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) score, and the Foot and Ankle Outcome Score (FAOS). The patients' satisfaction with the injection was evaluated at 1 year after injection. A radiographic evaluation was performed to gauge the progression of osteoarthritis before and after the injection. Results: The VAS, AOFAS score, and FAOS at 3 months and 1 year after injection showed statistically significant improvements compared to those before the injection. There was a significant difference in the VAS for each stage over time; however, this was not the case with the AOFAS score and the FAOS. A significant improvement of the VAS after injection was seen only in stage 3A when compared with the other stages. The overall satisfaction rate with the injection was 90%. There were no ankle osteoarthritic stage changes in the serial follow-up radiograph. Conclusion: Intra-articular injection of hyaluronic acid resulted in a significant clinical improvement up to 1 year after the injection. Therefore, the intra-articular injection of hyaluronic acid could be a treatment option for ankle osteoarthritis.

Difference of Decisional Balance and Confidence in the Stage of Adoption for Breast Self Exam in Married Women (유방자가검진 행위단계에 따른 의사결정균형과 확신성 비교연구)

  • Hur, Hea Kung;Park, So Mi
    • Korean Journal of Adult Nursing
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    • v.16 no.3
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    • pp.493-501
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    • 2004
  • Purpose: The purpose of this study was 1) to classify the stage of adoption 2) to compare the decisional balance and confidence by stage of adoption 3) to identify factors influenced the stage of adoption for breast self exam. Method: A comparative study using a survey method with convenience sample of 143 women was used. Decisional balance and confidence was measured using the CHBMS-K. Stage of adoption for BSE was measured by a single item modified by the researchers based on the Rakowski et al (1992). Result: 1) The number of women in each stage of adoption for BSE was as follows; maintenance phase, 7.7% (n=11), action phase, 49.0% (n=70), contemplation phase, 35.0% (n=50) and pre- contemplation phase, 8.4%(n=12). 2) The mean difference in the decisional balance (F=4.32, p=.006) and confidence (F=13.85, p=.000) according to the stage of BSE adoption was statistically significant. 3) Prevention education and confidence accounted for 32% of variance in BSE. Conclusion: Assessment of decisional balance and stage of adoption for BSE can guide planning for cancer prevention education. We must educate women to have confidence in BSE. Further, it is important to urge women to continually practice BSE.

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Performance Evaluation of Initial Cell Search Scheme Using Time Tracker for W-CDMA (시간 동기 블록을 적용한 비동기 W-CDMA용 초기 셀 탐색 방법의 성능 분석)

  • Hwang, Sang-Yun;Kang, Bub-Ju;Choi, Woo-Young;Kim, Jae-Seok
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.27 no.1B
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    • pp.24-33
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    • 2002
  • The cell search scheme for W-CDMA consists of the following three stages: slot synchronization(1st stage), group identification and frame boundary detection(2nd stage), and long code identification(3rd stage). The performance of the cell search when a mobile station is switched on, which is referred to as initial cell search, is decreased by the initial frequency and timing error. In this paper, we propose the pipeline structured initial cell search scheme using time trackers to compensate for the impact of the initial timing error in the stage 2 and stage 3. The simulation results show that the performance of the proposed scheme is maximal 1.5dB better than that of the conventional one when the initial timing error is near ${\pm}T_c$/2.

Power Estimation of The Embedded 3D Graphics Renderer (내장형 3차원 그래픽 렌더링 처리기의 전력소모)

  • Jang, Tae-Hong;Lee, Moon-Key
    • Journal of Korea Game Society
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    • v.4 no.3
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    • pp.65-70
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    • 2004
  • The conventional 3D graphic accelerator is mainly focused on high performance in the application area of computer graphic and 3D video game How ever the existing 3D architecture is not suitable for portable devices because of its huge power. So, we analyze the embedded 3D graphics renderer. After the analyzing, to reduce the power, triangle set-up stage and edge walking stage are executed sequentially while scan-line processing stage and span processing stage which control performance of 3D graphic accelerator are executed parallel.

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Locoregional Spread and Survival of Stage IIA1 versus Stage IIA2 Cervical Cancer

  • Hongladaromp, Waroonsiri;Tantipalakorn, Charuwan;Charoenkwan, Kittipat;Srisomboon, Jatupol
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.887-890
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    • 2014
  • This study was undertaken to compare surgical outcomes and survival rates of patients with the 2009 International Federation of Gynecology and Obstetrics (FIGO) stage IIA1 versus IIA2 cervical cancer treated with radical hysterectomy and pelvic lymphadenectomy (RHPL). Patients with stage IIA cervical cancer undergoing primary RHPL between January 2003 and December 2012 at Chiang Mai University Hospital were retrospectively reviewed. The analysis included clinicopathologic variables, i.e. nodal metastasis, parametrial involvement, positive surgical margins, deep stromal invasion (DSI)), lymph-vascular space invasion (LVSI), adjuvant treatment, and 5-year survival. The chi square test, Kaplan-Meier method and log-rank test were used for statistical analysis. During the study period, 133 women with stage IIA cervical cancer, 101 (75.9 %) stage IIA1, and 32 (24.1 %) stage IIA2 underwent RHPL. The clinicopathologic variables of stage IIA1 compared with stage IIA2 were as follows: nodal metastasis (38.6% vs 40.6%, p=0.84), parametrial involvement (10.9% vs 15.6%, p=0.47), positive surgical margins (31.7% vs 31.3%, p=1.0), DSI (39.6% vs 53.1%, p=0.18), LVSI (52.5% vs 71.9%, p=0.05) and adjuvant radiation (72.3% vs 84.4%, p=0.33). With a median follow-up of 60 months, the 5-year disease-free survival (84.6% vs 88.7%, p=0.67) and the 5-year overall survival (83.4% vs 90.0%, P=0.49) did not significantly differ between stage IIA1 and stage IIA2 cervical cancer. In conclusion, patients with stage IIA1 and stage IIA2 cervical cancer have comparable rates of locoregional spread and survival. The need for receiving adjuvant radiation was very high in both substages. The revised 2009 FIGO system did not demonstrate significant survival differences in stage IIA cervical cancer treated with radical hysterectomy. Concurrent chemoradiation should be considered a more suitable treatment for patients with stage IIA cervical cancer.

Development of a Rotating Biological Contactor(RBC) Process for the Advanced Wastewater Treatment (회전원판(回轉圓板) 생물막(生物膜) 공법(工法)을 이용한 하(下)·폐수(廢水)의 고도처리(高度處理) 공정(工程) 개발(開發))

  • Kim, Eung Ho;Park, Jae Lo;Yoon, Jung Ro
    • Journal of Korean Society of Water and Wastewater
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    • v.8 no.2
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    • pp.1-11
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    • 1994
  • This study was conducted to develop a new RBC process available for the effective removal of organic matters and nitrogen in sewage. The RBC process for the oxidation organic compounds and nitrification was designed to occur at the 1st-stage and next-stage RBC respectively. Then nitrified water was recycled to the denitrifying RBC located at the lower part of the 1st-stage RBC. Some results were summarized as follows. 1. The loading limitation was represented as $60g{\cdot}COD/gm^2/day$ in experiment of simultaneous removal of organic matter and nitrogen. The maxmum COD % removal was 85% at the load $35g{\cdot}COD/m^2/day$. 2. The $NO_3-N$ % removal was approximately 80% at the load $60g{\cdot}COD/m^2/day$ and the maximum $NO_3-N$ remaval rate was $3.9g{\cdot}COD/m^2/day$ and the overall C/N ratio of 11.0 as required to achive 80% of $NO_3-N$% removal. 3.$NO_3-N$ removal rate was rapidly decreased above the load $7g{\cdot}NH_4{^+}-N/m^2/day$ and the maximum $NO_3-N$ removal rate was $3.7g{\cdot}NO_3-N/m^2/day$. 4. Irrespective of the recycle ratio, the COD % removal at the system of 2-stage RBC unit was nearly constant as 89% while the maximum one in the 1st-stage unit was 77% in the case of 50% recycle. 5. The maximum COD % removal in the 3-stage RBC system was 93% while 1st-stage one being 80%, under the $NH_4{^+}-N$ load of $7.4g/m^2{\cdot}d$. Also maximum percentage of nitrification and denitrification was 69% and 41% respectively, under the same $NH_4{^+}-N$ load.

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Performance Evaluation of R&D Commercialization : A DEA-Based Three-Stage Model of R&BD Performance (연구개발 사업화 성과 평가 : DEA 기반 3단계 R&BD 성과 모형)

  • Jeon, Ikjin;Lee, Hakyeon
    • Journal of Korean Institute of Industrial Engineers
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    • v.41 no.5
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    • pp.425-438
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    • 2015
  • This study proposes a three-stage model of R&BD performance which captures commercialization outcomes as well as conventional R&D performance. The model is composed of three factors : inputs (R&D budgets and researchers), outputs (patents and papers), and outcomes (technical fees, products sales, and cost savings). Three stages are defined for each transformation process between the three factors : efficiency stage from input to output (stage 1), effectiveness stage from output to outcome (stage 2), and productivity stage from input to outcome (stage 3). The performance of each stage is measured by data envelopment analysis (DEA). DEA is a non-parametric efficiency measurement technique that has widely been used in R&D performance measurement. We measure the performance of 171 projects of 6 public R&BD programs managed by Seoul Business Agency using the proposed three-stage model. In order to provide a balanced and holistic view of R&BD performance, the R&BD performance map is also constructed based on performance of efficiency and productivity stages.

Development of Central Nervous System in Scuttle Fly (Scuttle Fly에서 중추신경계 발달 연구)

  • Park, Ho-Hyun;Park, Mi-Suk;Na, Kil-Ju
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.3
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    • pp.284-288
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    • 2018
  • The scuttle fly central nervous system (CNS) is unobservable during egg and larvae instar stage 1. During days 2~3 of larvae instar stage 2, the left and right hemisphere of the brain can be observed. Below the brain, the subesophageal ganglion (SOG) connects to the ventral nerve cord (VNC). During days 3~5 of larvae instar stage 3, the CNS enlarged slightly with no other changes. During days 1~3 of the pupal stage the CNS moved to the head with no distinguishable changes from the previous stage. During days 4~6 of the pupal stage, the left and right hemisphere of the brain had fused into one mass and the optic lobe (OL) located on the side of the brain completed its development. During days 7~9 of the pupal stage, the OL began to show eyeball pigment. The SOG was connected to the brain and the VNC began to separate, which was accompanied by an increase in nerve fibers. During days 10~12 of the pupal stage, the brain of the CNS and VNC was clearly distinguished and the brown pigmentation of OL became darker. During days 13~15 days of the pupal stage, the separated brain and VNC became connected by thin nerve fiber. The VNC began to separate into two with a greater increase in nerve fibers. The adult fly showed similar features to the previous stage, but the brain was located in the head and the VNC in the chest.

The Role of Radiotherapy in Stage I , II Intermediate Grade Non-Hodgkin's Lymphoma (I, II기 Intermediate Grade 임파종에서 방사선 치료의 역할)

  • Yun Hyong Geun;Kim Il Han;Kim Heung Tae;Ahn Yong Chan;Kim Jae Sung;Ha Sung Whan;Park Charn Il
    • Radiation Oncology Journal
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    • v.9 no.1
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    • pp.103-109
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    • 1991
  • Radiotherapy result of 162 patients with stage I, II intermediate grade non-Hodgkin's Iymphoma was analyzed to clarify the role and limit of radiotherapy. Of 68 initial failures, 38.2% occurred in field and 61.8% occurred out of field. Proportion of in-field and out-of-field failures in stage I was 30.0% and 70.0%, respectively with involved field treatment and was 43.8% and 56.2% with extended field treatment, respectively; in stage ll , was 16.7% and 83.3%, 41.7% and 58.3%, respectively. The disease free suwival rate at S years was 48.1% for all patients and was 50.3% and 40.4% for patients with stage I and II, respectively. The survival was significantly different by stage. Bulky tumors (${\geq}10$ cm) and B symptoms didn't influence prognosis significantly. The 5 year disease free suwival with extended or wide field was better than that with involved field especially in stage I. Overall survival rates for all patients, patients with stage 1, and ll disease were 57.7%, 65.3% and 52.2% , respectively, after survival gain of the salvage chemotherapy was combined. But the overall survival of stage I disease was not better than that of stage II disease. Thus, extended field was required to achieve better disease free survival and relapsed cases might gain with chemotherapy.

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Advantages of ypTNM Staging in Post-surgical Prognosis for Initially Unresectable or Stage IV Gastric Cancers

  • Jeong, Gyu-Seong;Lee, In-Seob;Park, Young-Soo;Kim, Beom-Su;Yoo, Moon-Won;Yook, Jeong-Hwan;Kim, Byung-Sik
    • Journal of Gastric Cancer
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    • v.20 no.3
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    • pp.233-244
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    • 2020
  • Purpose: For unresectable or initially metastatic gastric cancer, conversion surgery (CVS), after systemic chemotherapy, has received attention as a treatment strategy. This study evaluated the prognostic value of ypTNM stage and the oncologic outcomes in patients receiving CVS. Materials and Methods: A retrospective review of clinicopathologic findings and oncologic outcomes of 116 patients who underwent CVS with curative intent, after combination chemotherapy, between January 2000 and December 2015, has been reported here. Results: Twenty-six patients (22.4%) underwent combined resection of another organ and 12 patients received para-aortic lymphadenectomy (10.3%). Pathologic complete remission (CR) was confirmed in 11 cases (9.5%). The median overall survival (OS) and disease-free survival (DFS) times were 35.0 and 21.3 months, respectively. In multivariate analysis, ypTNM stage was the sole independent prognostic factor for DFS (P=0.042). Tumors invading an adjacent organ or involving distant lymph nodes showed better survival than those with peritoneal seeding or solid organ metastasis (P=0.084). Kaplan-Meier curves showed that the 3-year OS rate of patients with pathologic CR and those with CR of the primary tumor but residual node metastasis was 81.8% and 80.0%, respectively. OS was 65.8% for stage 1 patients, 49.8% for those at stage 2, and 36.3% for those at stage 3. Conclusions: The ypTNM staging is a significant prognostic factor in patients who underwent CVS for localized unresectable or stage IV gastric cancers. Patients with locally advanced but unresectable lesions or with tumors with distant nodal metastasis may be good candidates for CVS.