• Asian Pacific Journal of Cancer Prevention
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• 제16권13호
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• pp.5433-5438
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• 2015

Background: Systemic chemotherapy for patients with metastatic gastric cancer (MGC) is generally palliative, although some patients experience long-term survival after treatment. Thus, we identified clinical characteristics that are associated with long-term survival of patients with MGC after palliative chemotherapy. Materials and Methods: We retrospectively reviewed 514 MGC patients who received systemic chemotherapy at our institution from 2001 to 2008. To identify clinical predictors of survival beyond 2 years, multivariate logistic regression analyses were performed, and 5-year survival rates were estimated among MGC patients following chemotherapy. Results: Among 514 patients, 96 (19%) and 16 (3%) survived beyond 2 and 5 years, respectively, and performance status of 0 or 1 (odds ratio [OR]=3.39; p=0.01), previous gastrectomy (OR=1.86; p=0.01), single metastatic site (OR=1.80; p=0.03), and normal alkaline phosphatase levels (OR=2.81; p<0.01) were identified as independent predictors of long-term survival. Of the 16 5-year survivors, six were alive at the end of the study and showed no evidence of disease despite cessation of chemotherapy. Conclusions: The present data demonstrate distinct clinical characteristics that are associated with long-term survival of MGC patients, and indicated that palliative chemotherapy can be curative in highly selected patients.

• 한국압력기기공학회 논문집
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• 제15권2호
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• pp.64-70
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• 2019

In recent years, attention has been paid to the integrity of steam generator (SG) tubes due to severe accident and beyond design basis accident conditions. In these transient conditions, steam generator tubes may be damaged by high temperature and pressure, which might result in a risk of fission products being released to the environment due to the failure. Alloy 690 which has increased the Cr content has been replaced for the SG tube due to its high corrosion resistance against stress corrosion cracking (SCC). However, there is lack of research on the high temperature creep rupture and life prediction model of Alloy 690. In this study, creep test was performed to estimate the high temperature creep rupture life of Alloy 690 using tube specimens. Based on manufacturer's creep data and creep test results performed in this study, creep life prediction was carried out using the Larson-Miller (LM) Parameter, Orr-Sherby-Dorn (OSD) parameter, Manson-Haford (MH) parameter, and Wilshire's approach. And a hyperbolic sine (sinh) function to determine master curves in LM, OSD and MH parameter methods was used for improving the creep life estimation of Alloy 690 material.

• 대한치과보철학회지
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• 제8권1호
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• pp.85-89
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• 1968

The author has carried out the statistical standards on liner and angular measurements of sells turcica in 244 normal Korean of various age group by means of lateral cephalometric radiography. The results were as follows; 1. The linear measurements between Ant-Post distance and distance from the tip of tuberculum of sellae to posterior clinoid process were obtained 14.81mm, 9.85mm in the age of 5 years old male and 14.44mm, 9.52mm in female, respectively. There was no outstanding difference with age, but more predominant in female than male. 2. The linear measurements of inferior depth show somewhat increases but no changes in superior depth. 3. It has been showed that the greatest width revealed significant increment beyond 15 years old of both sexes in Korean. 4. None of the significant difference in angular measurement was found with age, but angulation for dorsum sellae decreased after 15 years of male. 5. Generally speaking, increment rates of female in each items were greater than male.

• 대한기관식도과학회지
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• 제1권1호
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• pp.151-158
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• 1995

Anaplastic carcinoma of thyroid gland account for no more than 10% of thyroid cancer, but it shows extremely poor prognosis. The purpose of this study is to review the outcome of patients with anaplastic carcinoma over the span of 5 years and to determine the patterns of clinical presentation, age, sex and other possible prognostic variables. We analyzed 30 cases of anaplastic carcinoma retrospectively from 1991 to 1995. There were 14 men and 16 women. There age ranged 33 to 75 years with a mean of 61.0 years. Sixteen patients presented with transformationqr of well differentiated carcinoma to anaplastic carcinoma, 1 with rapid in-crease in the size of long standing goiter, 8 with rapidly growing neck mass and 4 with meta static disease. Twenty-eight patients(93.3%) showed cervical lymphnode metastasis at presentation and twenty three patients(76.6%) showed laryngotracheal invasion. Nine patients (30.3%) showed distant metastasis. Treatment modalities included surgical resection, external irradiation, radioactive iodine and systemic chemotherapy. At decision making of treatment plan, we considered completeness of initial surgery, uptake rate of whole body radioactive io-dine scan, locoregional progression and distant metastasis. The median survival was 6.8 months and three cases survived beyond 12 months.

• Archives of Plastic Surgery
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• 제47권2호
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• pp.178-181
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• 2020

In this report, we present a case in which good results were achieved by treatment using a free jejunal patch graft with virtual endoscopy (VE) assistance in a patient whose swallowing had failed to improve for 40 years after he mistakenly swallowed sulfuric acid, despite pectoralis major myocutaneous flap grafting and frequent balloon dilatation surgery. During the last 20 years, virtual computed tomography imaging has improved remarkably and continues to be used to address new challenges. For reconstructive surgeons, the greatest advantage of VE is that it is a noninvasive modality capable of visualizing areas inaccessible to a flexible endoscope. Using VE findings, we were able to visualize the 3-dimensional shape beyond the stenosis. VE can also help predict the area of the defect after contracture release.

• Journal of Chest Surgery
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• 제25권5호
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• pp.494-503
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• 1992

The durability of the xenograft cardiac substitute valves is of a great concern on the clinical grounds. Four groups of tc tal and consecutive patients to the end of study operated on between 1976 and 1984 were Group ISM, 291 patients of MVR, ISA, 65 patients of AVR, and ISMA, 107 patients of MVR+AVR with the standard Ionescu-Shiley bovine pericardial valve, and H, 163 patients of valve replacement with the Hancock porcine aortic vlave. Operative mortality was 5.2%[ISM], 10.8%[ISA], 7.5%[ISMA] and 6.1%[H]. Early survivors were followed up for a total of 1148.3 patient-years[pt-yrs] [ISM], 271.2 pt-yrs [ISA], 488.1 pt-yrs[ISMA] and 822.9 pt-yrs[H]. Linearized late mortality was 2.1% /pt-yr [ISM], 1.l%/pt-yr[ISA], 1.8%/pt-yr[ISMA] and 1.8% /pt-yr[H]. Thromboembolic complication was experienced at the linearized rate of 1.045% /pt-yr [ISM], 1.475%/pt-yr[ISA], 0.615%/pt-yr[ISMA] and 1.822%/pt-yr[H], and bleeding complication at the rate of 0.871% /pt-yr[ISM], 0.63% /pt-yr[ISA], 0.205% /pt-yr [ISMA] and 0.729%a /pt-yr[H], respectively. Prosthetic valve endocarditis occurred at the rate of 0.610% /pt-yr[ISM], 1.475% /pt-yr[ISA], 1.639% /pt-yr[ISMA] and 0.972% /pt-yr[H]. The linearized annual incidence of primary tissue failure was 1.655%/pt-yr[ISM], l. 475%/pt-yr[ISA], 1.639% /pt-yr[ISMA], 2.187% /pt-yr[H] and 1.785% /pt-yr[Group HM : MVR with Hancock valve]. The incidence of tissue failure was significantly high in the patients younger than 30 years of age compared with the older patients. The actuarial survival was 87.7$\pm$2.5% at 10 years[ISM], 94.3$\pm$3.2% at 11 years[ISA], 89.6$\pm$3.4% at 10 years[ISMA] and 81.3$\pm$6.6% at 12 years[HM], The freedom from thromboembolism was 93.2$\pm$2.0% at 10 years[ISM], 90.6$\pm$4.6% at 11 years[ISA], 95.8$\pm$2.6% at 10 years[ISMA] and 80.9$\pm$11.1% at 12 years[HM], And, the freedom from primary tissue failure was 84.2$\pm$3.8% and 28.1$\pm$23.0% at 9 and 10 years[ISM], 60.4$\pm$16.9% at 11 years[ISA], 62.3$\pm$12.7 at 10 years[ISMA] and 65.6$\pm$9.8% at 12 years[HM]. In conclusion, the standard Ionescu-Shiley and the Hancock bioprosthetic valves are excellent in their antithrombogenicity and long-term survival. However, the features of the structural failure with the prolonged follow-up beyond 10 years appear to be guarding, and the clinical indications of these bioprostheses seem to be quite limited.

• Asian Pacific Journal of Cancer Prevention
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• 제15권14호
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• pp.5681-5684
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• 2014

Objective: Prevalence is a statistic of primary interest in public health. In the absence of good follow-up facilities, it is often difficult to assess the complete prevalence of cancer for a given registry area. An attempt is made to arrive at the complete prevalence including limited duration prevalence with respect of selected sites of cancer for India by fitting appropriate models to 1, 3 and 5 year cancer survival data available for selected registries of India. Methodology: Cancer survival data, available for the registries of Bhopal, Chennai, Karunagappally, and Mumbai was pooled to generate survival for the selected cancer sites. With the available data on survival for 1, 3 and 5 years, a model was fitted and the survival curve was extended beyond 5 years (up to 30 years) for each of the selected sites. This helped in generation of survival proportions by single year and thereby survival of cancer cases. With the help of estimated survived cases available year wise and the incidence, the prevalence figures were arrived for selected cancer sites and for selected periods. In our previous paper, we have dealt with the cancer sites of breast, cervix, ovary, lung, stomach and mouth (Takiar and Jayant, 2013). Results: The prevalence to incidence ratio (PI ratio) was calculated for 30 years duration for all the selected cancer sites using the model approach showing that from the knowledge of incidence and P/I ratio, the prevalence can be calculated. The validity of the approach was shown in our previous paper (Takiar and Jayant, 2013). The P/I ratios for the cancer sites of lip, tongue, oral cavity, hypopharynx, oesophagus, larynx, nhl, colon, prostate, lymphoid leukemia, myeloid leukemia were observed to be 10.26, 4.15, 5.89, 2.81, 1.87, 5.43, 5.48, 5.24, 4.61, 3.42 and 2.65, respectively. Conclusion: Cancer prevalence can be readily estimated with use of survival and incidence data.

• 한국응용곤충학회지
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• 제31권4호
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• pp.386-395
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• 1992

솔껍질깍지벌레의 발생 상황은 피해만연지대(남서해안 및 도서지역), 피해확대지역(해안지역에서 내륙지대로, 해안에 연하여 북상)으로 구분되었다. 남부해안지대에 곰솔을 집중적으로 가해하는 솔껍질깍지벌레는 Matsucoccus thunbergianae로 조사되었으며 연 1회 발생하며 발생시기는 3월 초순~5월 초순에 걸쳐 소나무껍질밑으로부터 교미산란하기 위하여 외부로 출현하였으며 그 peak는 3월 하순~4월 중순이었다. 기주식물의 기주범위조사에서 곰솔(Pinus thunbergii)외에 스트로브잣나무(Pinus strobus), 테어데소나무(Pinus taeda), 방크스소나무(Pinus banksiana), 맛소니아소나무(Pinus massoniana), 타이완네시스소나무(Pinus taiwannesis), 소나무(Pinus densiflora)등 7종이 구명되었다. 피해목의 수령별 피해율은 1~3년생 0.8%, 4~6년생 3.7%, 7~9년생 5.2%, 10~12년생 9.3%, 13~15년생 8.1%, 16~18년생 7.8%, 19~21년생 6.7%, 22~24년생 3.3%, 25~27년생 1.9%, 28년생이상 1.1%로 7년생에서 20년생까지의 수령에서 피해율이 가장 높았고 피해목 가지의 수령별 피해율은 6~7년생가지에서 가장 높았으며 수간에서는 중간부위의 가지가 생존하는 하단부로부터 상위부로 피해가 진전되었다. 조사지대에서의 단순림/혼효림의 혼효도에 의해 피해율은 지역별 각각 고흥 : 81.3%/52.5%, 해남 : 80.3%/58.1%, 무안 : 76.3%/48.5%로 단순림에서 피해가 많았다. 입목밀도에 따른 피해율은 100$m^2$당 20주이상의 밀도가 높아짐에 따라 피해율이 높았다.

• 한국압력기기공학회 논문집
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• 제7권3호
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• pp.23-29
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• 2011

The renewed global interest in nuclear power has arisen from the need to reduce greenhouse gas emissions and to provide sufficient electricity for a growing global population before the accident at Fukushima Dai-ichi nuclear power plant in Japan. In spite of the safety issues of nuclear power plants raised by the ongoing Japanese nuclear crisis, many countries with nuclear power plants (NPPs) are still implementing license extensions of 10~20 years, and even consideration is being given to the concept of life-beyond-60, a further period of license extension from 60 to 80 years. To solving the materials aging problem is integral to its success. To evaluate the plant aging phenomena, a lot of background information such as materials and environment of the parts of the reactor and plant systems is needed by the experts. Information on degradation mechanisms is also used. In this paper, a materials degradation evaluation program called OnMDE-SYS (On-line Materials Degradation Evaluation System) is introduced. The developed program provides a variety of information on the materials and stressors as well as operational experience to the experts. It is also anticipated that the experts can perform materials degradation assessment on the web directly by referring to domestic and international information about the degradation of a nuclear power plants through OnMDE-SYS.

• Clinical and Experimental Pediatrics
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• 제58권4호
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• pp.129-135
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• 2015

Purpose: This study investigated the long-term clinical outcomes of patients with $p22^{phox}$-deficient chronic granulomatous disease (CGD) on Jeju Island and retrospectively evaluated the effects of interferon-gamma (IFN-${\gamma}$) prophylaxis. Methods: The medical records of 15 patients with CGD were retrospectively reviewed. The efficacy of IFN-${\gamma}$ prophylaxis was evaluated by comparing the frequency of severe infections before and after starting continuous prophylaxis with IFN-${\gamma}$. Results: At the time of the analysis, 14 patients were alive, with a median age of 14.3 years. The diagnosis of CGD was made at a median age of 2.4 years, and the median age at onset of severe infection was 0.3 years. Thirteen of the 15 patients had their first severe infection within the first year of life. The overall incidence of severe infection was 1.36 infections per patient-year; pneumonia, suppurative lymphadenitis, and skin and subcutaneous abscesses were the most common infections. Aspergillus species were the most frequently isolated microorganisms, present in 15.8% of isolates. IFN-${\gamma}$ did not significantly change the rate of severe infection. The survival rate for patients after 2 years of age was 93%; there was a prolonged survival plateau beyond the age of 2. Conclusion: Compared with cases of X-linked CGD reported in other studies, patients with CGD on Jeju Island did not show obviously different clinical manifestations, but they had a significantly higher survival rate. Further studies with a substantially longer period of observation, and with more patients under intensive surveillance are necessary to elucidate the prophylactic efficiency of IFN-${\gamma}$.