• Title/Summary/Keyword: Characteristic curve

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Clinical outcomes of adjuvant radiation therapy and prognostic factors in early stage uterine cervical cancer

  • Kim, Hyun Ju;Rhee, Woo Joong;Choi, Seo Hee;Nam, Eun Ji;Kim, Sang Wun;Kim, Sunghoon;Kim, Young Tae;Kim, Gwi Eon;Kim, Yong Bae
    • Radiation Oncology Journal
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    • v.33 no.2
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    • pp.126-133
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    • 2015
  • Purpose: To evaluate the outcomes of adjuvant radiotherapy (RT) and to analyze prognostic factors of survival in the International Federation of Gynecology and Obstetrics (FIGO) IB-IIA uterine cervical cancer. Materials and Methods: We retrospectively reviewed the medical records of 148 patients with FIGO IB-IIA uterine cervical cancer who underwent surgery followed by adjuvant RT at the Yonsei Cancer Center between June 1997 and December 2011. Adjuvant radiotherapy was delivered to the whole pelvis or an extended field with or without brachytherapy. Among all patients, 57 (38.5%) received adjuvant chemotherapy either concurrently or sequentially. To analyze prognostic factors, we assessed clinicopathologic variables and metabolic parameters measured on preoperative 18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT). To evaluate the predictive performance of metabolic parameters, receiver operating characteristic curve analysis was used. Overall survival (OS) and disease-free survival (DFS) were analyzed by the Kaplan-Meier method. Results: The median follow-up period was 63.2 months (range, 2.7 to 206.8 months). Locoregional recurrence alone occurred in 6 patients, while distant metastasis was present in 16 patients, including 2 patients with simultaneous regional failure. The 5-year and 10-year OSs were 87.0% and 85.4%, respectively. The 5-year and 10-year DFSs were 83.8% and 82.5%, respectively. In multivariate analysis, pathologic type and tumor size were shown to be significant prognostic factors associated with both DFS and OS. In subset analysis of 40 patients who underwent preoperative PET/CT, total lesion glycolysis was shown to be the most significant prognostic factor among the clinicopathologic variables and metabolic parameters for DFS. Conclusion: Our results demonstrated that adjuvant RT following hysterectomy effectively improves local control. From the subset analysis of preoperative PET/CT, we can consider that metabolic parameters may hold prognostic significance in early uterine cervical cancer patients. More effective systemic treatments might be needed to reduce distant metastasis in these patients.

Effect of leukocyte alteration on treatment outcomes following preoperative chemoradiotherapy in patients with rectal cancer

  • Kim, Tae Gyu;Park, Won;Choi, Doo Ho;Park, Hee Chul;Kim, Seok-Hyung;Cho, Yong Beom;Yun, Seong Hyen;Kim, Hee Cheol;Lee, Woo Yong;Lee, Jeeyun;Park, Joon Oh;Park, Young Suk
    • Radiation Oncology Journal
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    • v.35 no.3
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    • pp.217-226
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    • 2017
  • Purpose: Hematotoxicity following anti-cancer treatment is known to be related to treatment efficacy in several malignancies. The purpose of this study was to examine the hematologic parameters related to the tumor response and survival in patients treated with curative surgery following preoperative chemoradiotherapy (CRT) for rectal cancer. Materials and Methods: Four hundred eighteen patients with rectal cancer who underwent preoperative CRT and curative surgery were analyzed, retrospectively. The main clinical factors and blood cell counts before and after CRT were investigated with respect to their relationships with tumor downstaging and patient survival. Results: The post-CRT leukocyte count was significantly different between the tumor downstaging group and the non-downstaging group (median, 4740/uL vs. 5130/uL; p = 0.013). Multivariate analysis showed that histological grade, circumferential extent, and post-CRT leukocyte count were related to tumor downstaging. In addition, histological grade, post-CRT leukocyte count, and tumor downstaging were related to disease-free survival. The 5-year disease-free survival and overall survival in patients with post-CRT leukocyte count ${\leq}3730/uL$, which is the cut-off value derived from the receiver operation characteristic (ROC) curve analysis, were significantly higher than those with higher counts (88.0% vs. 71.6%, p = 0.001; 94.4% vs. 84.1%, p = 0.024). Conclusion: Post-CRT leukocyte count of ${\leq}3730/uL$ could be regarded as a good prognostic factor for tumor response and survival in rectal cancer patients treated with preoperative CRT.

A Study on Flood Discharge Capacity and Hydraulic Characteristic of Labyrinth Weir as a Side-Channel Spillway (래버린스 웨어를 적용한 측수로형 여수로의 홍수배제능력 및 수리학적 특성 연구)

  • Park, Sae-Hoon;Moon, Young-Il
    • Journal of Korea Water Resources Association
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    • v.41 no.1
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    • pp.65-74
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    • 2008
  • The small and medium sized dams have the fill dam type of a lot of occasions, which are often weak in cases of major floods. For this reason, although a countermeasure is in great need, due to the importance of the facilities and financial situations, no direct safety measures have been taken. In this study, in order to minimize construction expenditure for practical safety measures in cases of major floods, the overflow section of spillway has been analyzed focusing on how the overflow capacity will increase in the case of partially rebuilding a part of the overflow section of spillway favorable for hydraulic conditions. The Labyrinth weir and movable weir was chosen for reconstruction models of the overflow section. Moreover, for analyzing the after-effects of the reconstruction, a small scale dam was temporarily chosen for various experiments such as the hydraulic model testing and the three dimension numerical evaluation through the use of Flow-3D.

Analysis of Short-Term and Long-Term Characteristics of GPS Satellite Clock Offsets (GPS 위성시계오차의 장단기 특성 분석)

  • Son, Eun-Seong;Park, Kwan-Dong;Kim, Kyeong-Hui
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.28 no.6
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    • pp.563-571
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    • 2010
  • The GPS satellite has three or four atomic clocks that consist of cesiums and rubidiums and the NANU messages can be used to identify the kind of the onboard atomic clock because they classify the clock type on a daily basis. In this study, for long-term analysis of the GPS satellite clock behavior, we extracted satellite clock errors for every PRN from years 2001 through 2009 using the SP3 files that are provided by the IGS. As a result, the cesium clock offsets usually have a linear trend of drifting. On the other hand, rubidium offsets show curvilinear variations in general, even though they cannot be represented as anyone specific polynomial function. For short-term analysis, we extracted satellite clock errors for each PRN for a week-long period using the CLK files that are also provided by the IGS and curve-fitted them with first-order and second-order polynomial functions. In cases of cesium clock errors, they were well-represented by first-order polynomial functions and rubidium clock errors were similar with second-order polynomials. However, some of rubidium clock errors could not be represented as any polynomial fitting function. To analyze the characteristic of GPS satellite by each block and atomic clock, we applied Modified Allan Deviation criterion to the dataset from years 2007 and 2010. We found that the Modified Allan Deviation characteristics changed significantly according the block and atomic clock type.

Study on the Moisture Sorption Characteristics of Seasoned Dried Laver (조미 건조김의 흡습특성에 관한 연구)

  • 임종환
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.22 no.4
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    • pp.476-483
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    • 1993
  • The moisture sorption characteristics of commercially produced seasoned dried layer (Porphyra yezoensis) was investigated by measuring sorption isotherms. The laver and two kinds of desiccant (silica gel and zeolite based desiccant) were used at temperatures of 30, 40 and 5$0^{\circ}C$ respectively using the method of saturated salt solution. Time to reach the equilibrium moisture content at each temperature and relative humidity varied from 4~6hr for the laver to 20~25hr for the silica gel and 43~46hr for the zeolite. The isotherms of the layer and the desiccants showed the characteristic sigmoidal curve. Monomolecular layer moisture content calculated using the BET equation at each temperature (30, 40, 5$0^{\circ}C$) were 5.26, 4.46 and 3.49% (d.b.) for the laver, 17.32, 15.24 and 12.89% (d.b.) for the silica gel, 16.89, 14.92 and 14.44% (d.b.) for the zeolite, respectively, Both desiccants showed higher values of the monomolecular layer moisture content than the laver. In all cases, the monomolerular layer moisture contents were decreased linearly as the temperature was increased in the experimental ranges. Water vapor transmission rate of the packaged material was also influenced by the temperature, which could be explained by the Arrhenius equation.

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CLASSIFICATION OF MUSCARINIC RECEPTOR SUBTYPES BY OXOMEMAZINE

  • Lee, Shin-Woong-;Woo, Chang-Woo;Kim, Jeung-Gu-
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1994.04a
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    • pp.290-290
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    • 1994
  • The binding characteristic of oxomemazine to muscarinic receptor in the cerebrum, heart, and ileum were compared to those of pirenzepine to investigate whether oxomemazine could classify the muscarinic receptor subtypes. 〔$^3$H〕Quinucl idinyl benzilate(QNB) identified a single class of muscarinic receptors with apparent K$\sub$D/ value of about 60 pM in three tissues. Analysis of the pirenzepine inhibition curve of 〔$^3$H〕QNB binding to cerebral microsome indicated the presence of two receptor subtypes with high (Ki=16 nM, M$_1$-receptor) and low (Ki=400 nM, M$_2$-receptor) affinity for pirenzepine. Oxomemazine also identified two receptor subtypes with high (Ki=84 nM, On-receptor) and low (Ki=1 4 ${\mu}$M, O$\sub$L/-receptor) affinity in rat cerebral microsome, The percentage population of the M$_1$-and M$_2$-receptors to the total receptors were 61 : 39, and those of the O$\^$H/- and O$\sub$L/-receptors 39 : 61, respectively, However, the Hill coefficients of these two drugs for the inhibition of 〔$^3$H〕QNB binding to the heart and ileum were close to unity which indicated that these drugs bound to a uniform population of receptors in these two tissues. The Ki values for the low affinity sites of pirenzepine and oxomemazine in the cerebrum were similar to those of these drugs in the heart ileum. Both pirenzepine and oxomemazine increased K$\sub$D/ value for 〔$^3$H〕QNB without affecting the binding sites concentration and Hill coefficient for the 〔$^3$H〕QNB binding. Oxomemazine had a 10-fold lower affinity at Ma-receptors than at M$_1$-receptors, and pirenzepine a 8-fold lower affinity at O$\sub$L/-receptors than OH-receptors. Analysis of the shal low competition curves of oxomemazine for the H$_1$ receptors and pirenzepine for the O$\sub$L/-receptors yielded that 69% of the M$_1$-receptors were of the O$\sub$H/-receptors and the remaining 31% of the O$\sub$L/-receptors, and that 29% of the O$\sub$L/-receptors were of the M$_1$-receptors and 71% of the M$_2$-receptors. However, M$_2$ for oxomemazine and O$\sub$H/ for pirenzepine were composed of a uniform population. These results suggest that oxomemazine could discriminatethe muscarnic receptor subtypes and may subclassify the M$_1$-receptors into two subtypes.

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Results of Minimal Incision Distal Metatarsal Osteotomy for Moderate to Severe Hallux Valgus (중등도 이상의 무지 외반증에서 최소 절개를 이용한 원위 중족골 절골술의 결과)

  • Huh, Jung-Wook;Eun, Il-Soo;Ko, Young-Chul;Park, Man-Jun;Park, Sook-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.2
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    • pp.51-57
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    • 2015
  • Purpose: Minimal incision distal metatarsal osteotomy (MIDMO) is known to be an effective surgical procedure for mild to moderate hallux valgus. However, the result of MIDMO on moderate to severe hallux valgus is controversial; therefore, we investigated the radiological and clinical results of MIDMO on moderate to severe hallux valgus. Materials and Methods: We reviewed 51 feet (48 patients) with moderate to severe hallux valgus. The mean age was 67.0 years and the mean follow-up period was 32.2 months. Radiological data of hallux valgus angle, first intermetatarsal angle, and distal metatarsal articular angle on plain radiographs were analyzed. Recurrence, union, lateral translation of distal fragment and angulation were also analyzed. The clinical data were obtained using American Orthopaedic Foot and Ankle Society (AOFAS) score of preoperation and last follow-up. Receiver operating characteristic (ROC) curve was used to determine a cut-off value. Results: The mean hallux valgus angle measured at preoperation was $37.7^{\circ}$ and $15.9^{\circ}$ at last follow-up. The mean first intermetatarsal angle of preoperation and last follow-up were $15.2^{\circ}$ and $8.3^{\circ}$. The mean distal metatarsal articular angle changed from $12.6^{\circ}$ at preoperation to $7.8^{\circ}$ at last follow-up. Preoperative hallux valgus angle (p=0.0051) and distal metatarsal articular angle (p=0.0078) were statistically significant factors affecting postoperative AOFAS score. Cut-off value of each was $37^{\circ}$ and 13o, respectively. Lateral translation of distal fragment in 5 recurrent cases was 23.0% compared to 45.3% of 46 non-recurrent cases. The result was statistically significant and the cut-off value was 38%. Conclusion: Sufficient lateral translation over 38% in MIDMO on moderate to severe hallux valgus patients with preoperative hallux valgus angle under $37^{\circ}$ and distal metatarsal articular angle under $13^{\circ}$ can lead to good clinical results without recurrence.

Usefulness of Fracture Risk Assessment Tool Using Lumbar Bone Mineral Density in Prediction of Osteoporotic Vertebral Fracture

  • Lee, Heui Seung;Lee, Sang Hyung;Chung, Young Seob;Yang, Hee-Jin;Son, Young-Je;Park, Sung Bae
    • Journal of Korean Neurosurgical Society
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    • v.58 no.4
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    • pp.346-349
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    • 2015
  • Objective : To investigate the value of lumbar bone mineral density (BMD) in fracture risk assessment (FRAX) tool. Methods : One hundred and ten patients aged over 60 years were enrolled and divided into 2 groups as non-osteoporotic vertebral fracture (OVF) and OVF groups. The 10-year-risk of major osteoporotic vertebral fracture of each group was calculated by FRAX tool with femoral and lumbar spine BMDs to compare the usefulness of lumbar spine BMD in prediction of OVF. The blood level of osteocalcin and C-terminal telopeptide (CTX) as markers of activities of osteoblast and osteoclast, respectively were analyzed using the institutional database. Results : In the OVF group, the ratio of patients with previous fracture history or use of glucocorticoid was higher than those in non-OVF group (p=0.000 and 0.030, respectively). The levels of T-score of femur neck and lumbar spine in OVF group were significantly lower than those in non-OVF group (p=0.001 and 0.000, respectively). The risk of OVF in FRAX using femur BMD in non-OVF and OVF groups was $6.7{\pm}6.13$ and $11.4{\pm}10.06$, respectively (p=0.007). The risk of using lumbar BMD in the 2 groups was $6.9{\pm}8.91$ and $15.1{\pm}15.08$, respectively (p=0.002). The areas under the receiver operator characteristic curve in the FRAX risk with lumbar and femur neck BMD were 0.726 and 0.684, respectively. The comparison of osteocalcin and CTX was not significant (p=0.162 and 0.369, respectively). Conclusion : In our study, the 10-year risk of major osteoporotic fracture in the OVF group of our study was lower than the recommended threshold of intervention for osteoporosis. Hence, a lower threshold for the treatment of osteoporosis may be set for the Korean population to prevent OVF. In the prediction of symptomatic OVF, FRAX tool using lumbar spine BMD may be more useful than that using femur neck BMD.

Network Anomaly Detection Technologies Using Unsupervised Learning AutoEncoders (비지도학습 오토 엔코더를 활용한 네트워크 이상 검출 기술)

  • Kang, Koohong
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.30 no.4
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    • pp.617-629
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    • 2020
  • In order to overcome the limitations of the rule-based intrusion detection system due to changes in Internet computing environments, the emergence of new services, and creativity of attackers, network anomaly detection (NAD) using machine learning and deep learning technologies has received much attention. Most of these existing machine learning and deep learning technologies for NAD use supervised learning methods to learn a set of training data set labeled 'normal' and 'attack'. This paper presents the feasibility of the unsupervised learning AutoEncoder(AE) to NAD from data sets collecting of secured network traffic without labeled responses. To verify the performance of the proposed AE mode, we present the experimental results in terms of accuracy, precision, recall, f1-score, and ROC AUC value on the NSL-KDD training and test data sets. In particular, we model a reference AE through the deep analysis of diverse AEs varying hyper-parameters such as the number of layers as well as considering the regularization and denoising effects. The reference model shows the f1-scores 90.4% and 89% of binary classification on the KDDTest+ and KDDTest-21 test data sets based on the threshold of the 82-th percentile of the AE reconstruction error of the training data set.

Effects of Water Temperature, Salinity and Irradiance on the Growth of the Toxic Dinoflagellate, Gymnodinium catenatum (Graham) Isolated from Yeosuhae Bay, Korea (여수해만에서 분리한 유독 와편모조류, Gymnodinium catenatum (Graham)의 성장에 미치는 수온, 염분과 광 조건)

  • Oh, Seok-Jin;Yoon, Yang-Ho
    • ALGAE
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    • v.19 no.4
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    • pp.293-301
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    • 2004
  • A chain-forming toxic din flagellate, Gymnodinium catenatum (Graham) was known as a paralytic toxin-producer among Gymnodinoid group. In the study, the effects of water temperature, salinity and irradiance on the growth of G. catenatum isolated from Yeosuhae Bay, Korea were investigated. Water temperature range in which G. catenatum showed specific growth rate higher than 0.3 day$^{-1}$ were above about 18${^{\circ}C}$. However, salinity did not have such an effect on growth of G. catenatum. The maximum growth rate (0.5 day$^{-1}$) was obtained at 25${^{\circ}C}$ and 30 psu. The specific growth rate (u) expressed as a polynomial equation as functions of temperature (T; ${^{\circ}C}$) and salinity (S; psu) was $\mu$ = 0.005·T$^2$ - 0.0001164 T$^3$ - 0.063-S + 0.005-S$^2$ - 0.00007608-S$^3$ - 0.003-T-S + 0.00005308-T$^2$-S. Thus, in aspects of water temperature and salinity, the species may be expected to survive in most Korean coastal waters from early summer to autumn. The irradiance-growth curve was described as = 0.16 (I - 10.4)/(1 + 21.8) at 18${^{\circ}C}$ and 30 psu, indicating a half-saturation (Ks) photon flux density (PFD) of 42.6$\mu$mol m$^{-2}s^{-1}$ and compensation PFD (I$_0$) of 10.4$\mu$mol m$^{-2}s^{-1}$. These characteristic responses to irradiance suggest that G. catenatum can reside at the sub-surface.