• Journal of Gastric Cancer
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• v.14 no.1
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• pp.1-6
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• 2014

Aerobic glycolysis has been the most important hypothesis in cancer metabolism. It seems to be related to increased bioenergetic and biosynthetic needs in rapidly proliferating cancer cells. To this end, F-18 fluorodeoxyglucose (FDG), a glucose analog, became widely popular for the detection of malignancies combined with positron emission tomography/computed tomography (PET/CT). Although the potential roles of FDG PET/CT in primary tumor detection are not fully established, it seems to have a limited sensitivity in detecting early gastric cancer and mainly signet ring or non-solid types of advanced gastric cancer. In evaluating lymph node metastases, the location of lymph nodes and the degree of FDG uptake in primary tumors appear to be important factors affecting the diagnostic accuracy of PET/CT. In spite of the limited sensitivity, the high specificity of PET/CT for lymph node metastases may play an important role in changing the extent of lymphadenectomy or reducing futile laparotomies. For peritoneal metastases, PET/CT seems to have a poorer sensitivity but a better specificity than CT. The roles of PET/CT in the evaluation of other distant metastases are yet to be known. Studies including primary tumors with low FDG uptake or peritoneal recurrence seem suffer from poorer diagnostic performance for the detection of recurrent gastric cancer. There are only a few reports using FDG PET/CT to predict response to neoadjuvant or adjuvant chemotherapy. A complete metabolic response seems to be predictive of more favorable prognosis.

• Physical Therapy Rehabilitation Science
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• v.11 no.4
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• pp.430-435
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• 2022

Objective: This study was conducted to investigate the effect of active movement with skin mobilization on range of motion, pain, and rating of perceived exertion in patients diagnosed with axillary web syndrome after axillary lymph node dissection. Design: A Case report Methods: It was performed on 7 patients diagnosed with axillary web syndrome after lymph node dissection. The subjects experienced a decrease in the range of joint motion and pain in movement when raising their arms in their daily lives, and complained of discomfort. The active range of motion, numeric rating scale, and modified Borg scale of shoulder joint flexion were measured, and the differences after active movement with skin mobilization were compared. Results: All subjects increased by 24.9 degree on average in active range of motion after active movement with skin mobilization intervention. There was no pain in the maximum range of joint motion measured before intervention, and rating of perceived exertion was significantly reduced. Conclusions: Active movement with skin mobilization can be a very useful way to help improve and treat axillary web syndrome, and it is recommended for improving the function and quality of life of axillary web syndrome patients. and It is also believed that it can be used steadily at home through the education of patients and families.

• Korean Journal of Bronchoesophagology
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• v.6 no.1
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• pp.21-28
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• 2000

Background:Subacute necrotizing lymphadenitis or Kikuchi's disease is unknown ethiology and self-limiting process. This disease predominantly affects young women age but rarely affects pediatrics, and usually manifests as lymphadenopathy and fever. Even though this disease is self-limited, benign process, many cases are misidentified as malignant lymphoma. The purpose of this study is to report the clinicopathologic finding, radiological finding and many labolatory test and to compare with characteristics of adult patients in this disease. Meterial and Methods:We reviewed 27 pediarics patients with subacute necrotizing lymphadenitis by excision biopsy or fineneedle aspiration cytology.Result:The most common symptomes were palpation of cervical lymh node(88.9%) and fever(66.7%). The common site of the involvement was cervical lymph node. The multiple involvement was 93% and bilateral involvement was 59%. Leukopenia(52%) and elevated erythrocyte sedimentation rates(93%) appeared in abnormal laboratory data. Microscopically, the characteristic finding was the wide area of florid nuclear dusts engulfed by histiocytes and well-circumscrbed area with eosinophilic fibrinoid material. There was a striking degree ofkaryorrhexis and an absence of granulocyte with paucity of plasma cell. All patients recovered with the conservative treatment and there was no specific complication and recurrence. Conclusion : We reviewed pediatric patients with this disease. Characteristics of this disease inpediatric patients were similar to adult patients.

• Journal of Communications and Networks
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• v.8 no.2
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• pp.241-252
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• 2006

Traditional service-level agreements (SLAs), defined by average delay or packet loss, often camouflage the instantaneous performance perceived by end-users. We define a set of metrics for service availability to quantify the performance of Internet protocol (IP) backbone networks and capture the impact of routing dynamics on packet forwarding. Given a network topology and its link weights, we propose a novel technique to compute the associated service availability by taking into account transient routing dynamics and operational conditions, such as border gateway protocol (BGP) table size and traffic distributions. Even though there are numerous models for characterizing topologies, none of them provide insights on the expected performance perceived by end customers. Our simulations show that the amount of service disruption experienced by similar networks (i.e., with similar intrinsic properties such as average out-degree or network diameter) could be significantly different, making it imperative to use new metrics for characterizing networks. In the second part of the paper, we derive goodness factors based on service availability viewed from three perspectives: Ingress node (from one node to many destinations), link (traffic traversing a link), and network-wide (across all source-destination pairs). We show how goodness factors can be used in various applications and describe our numerical results.

• Journal of Information Processing Systems
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• v.16 no.1
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• pp.201-209
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• 2020

The graph data structure is popular because it can intuitively represent real-world knowledge. Graph databases have attracted attention in academia and industry because they can be used to maintain graph data and allow users to mine knowledge. Mining reachability relationships between two nodes in a graph, termed reachability query processing, is an important functionality of graph databases. Online traversals, such as the breadth-first and depth-first search, are inefficient in processing reachability queries when dealing with large-scale graphs. Labeling schemes have been proposed to overcome these disadvantages. The state-of-the-art is the 2-hop labeling scheme: each node has in and out labels containing reachable node IDs as integers. Unfortunately, existing 2-hop labeling schemes generate huge 2-hop label sizes because they only consider local features, such as degrees. In this paper, we propose a more efficient 2-hop label size reduction approach. We consider the topological sort index, which is a global feature. A linear combination is suggested for utilizing both local and global features. We conduct experiments over real-world and synthetic directed acyclic graph datasets and show that the proposed approach generates smaller labels than existing approaches.

• Journal of the Korean Society for information Management
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• v.30 no.4
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• pp.241-264
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• 2013

This study compared and analyzed weighted network centrality measures supported by Opsahl's tnet and Lee's WNET, which are free softwares for weighted network analysis. Three node centrality measures including weighted degree, weighted closeness, and weighted betweenness are supported by tnet, and four node centrality measures including nearest neighbor centrality, mean association, mean profile association, triangle betweenness centrality are supported by WNET. An experimental analysis carried out on artificial network data showed tnet's high sensitiveness on linear transformations of link weights, however, WNET's centrality measures were insensitive to linear transformations. Seven centrality measures from both tools, tnet and WNET, were calculated on six real network datasets. The results showed the characteristics of weighted network centrality measures of tnet and WNET, and the relationships between them were also discussed.

• Proceedings of the Korea Contents Association Conference
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• 2009.05a
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• pp.851-855
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• 2009

Constructing CDS in wireless ad-hoc network, it is necessary to make more efficient algorithm that is fast, simple and has low power consumption. It is worried about losing data which brought a bottleneck state from confliction and delay when the nodes are concentrated or CDS is reconstructed. So, after constructing most efficient CDS, It is better not to reconstruct CDS in moveless wireless ad-hoc network. In this paper, we compared and estimated the performance in each situation of a CDS construction algorithm based on Node degree and Energy level.

• Journal of Yeungnam Medical Science
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• v.16 no.1
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• pp.43-51
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• 1999

The aim of present study was to elucidate whether the expression of nm23 protein might be of clinical value as a prognostic factor in gastric cancer. The expression of nm23 protein was analyzed using an immunohistochemical method with formalin-fixed and paraffin embedded tissue samples from 76 gastric carcinoma patients. The cytoplasmic immunoreactivity of nm23 protein were detected in 53.9% of the sample tissues(41/76). When the immunoreactivity of nm23 protein with TNM status and other histopathologic findings were compared by using Chi-Square test, nm23 was found to have correlations with lymph node metastasis(p=0.04), a number of metastatic lymph node, and the invasion of lymphatic vessels(p=0.007); however, it had no correlation with TNM status. The conventional prognostic factors such as the depth of invasion, the degree of lymph node metastasis and the presence of distant metastasis, a Borrmann type, size of tumor, and the curability with operation were found to have a strong correlation with the survival time(p<0.003). However, the expression of nm23 protein was not significantly correlated with survival time in survival analysis. These results showed that the expression of nm23 protein is not a useful prognostic indicator in gastric cancer.

• Journal of Gastric Cancer
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• v.3 no.2
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• pp.104-111
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• 2003

Purpose: The prognostic significance of peri-operative serum carcinoembryonic antigen (CEA) and carbohydrate antigen (CA)19-9 determination in patients with gastric cancer has been controversial. This study was performed to evaluate the significance of CEA and CA19-9 as clinical predictors of prognosis. Materials and Methods: The correlations between peri-operative serum CEA/CA19-9 levels and clinicopathologic factors were evaluated retrospectively in gastric cancer patients who had undergone curative surgery during the period from January 1995 to December 1998 at the Department of Surgery, Yonsei University College of Medicine. Results: The positive rates for CEA and CA19-9 were $17.9\%$ and $18.4\%$, respectively. The CEA positivity was related to the depth of invasion (P=0.040), lymph-node metastasis (P=0.000), and stage (P=0.001). The CA19-9 positivity was significantly related to the depth of invasion (P=0.000), lymph-node status (P=0.000), and stage (P=0.000). The positive rate of combined assay of pre-operative CEA and CA19-9 was $30.0\%$ There were statistically significant correlations with stage, depth of invasion, or degree of lymphnode metastasis in the combined assay. The survival rates according to the positivity of CEA and to the positivity of CA19-9 were clearly different (P=0.000). Conclusion: It should be stressed that even a simple blood test prior to surgery could be useful in establishing the depth of invasion, the status of lymph-node involvement, and the prognosis. For improved survival, an aggressive lymphadenectomy and adjuvant chemotherapy should be considered for patients with positive levels of pre-operative CA19- 9.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.1
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• pp.201-205
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• 2016

Cholangiocarcinoma (CCA) is generally a rare primary liver tumor of the bile duct with extremely poor clinical outcomes due to late diagnosis. Osteopontin (OPN) is the most abundant expressed gene in intrahepatic CCA and its involvement in tumor aggressiveness suggests it could be a useful prognostic biomarker. However, the prognostic significance of OPN expression in CCA is still controversial. We therefore immunohistochemically studied OPN expression in 354 resected CCAs and correlated the results with patient clinicopathological parameters. OPN expression was separately scored according to the percentage of cancer cells or degree of stromal tissue staining and classified as low (score 0-1) and high (score 2-3). OPN expression in CCA cells was found in 177 out of 354 patients (56.5%), whereas stroma was positive in 185 out of 354 patients (52.3%). Univariate analysis with several of the aforementioned parameters revealed that stromal but not cancer cell OPN expression was significantly associated with tumor size, tumor direct invasion into normal liver parenchyma, regional lymph node metastasis and higher staging. The combination of cancer cell and stromal OPN expression demonstrated a positive trend for linkage with lymph node metastasis. Multivariate analysis identified gender, the presence of lymphatic permeation and lymph node metastasis, but not OPN expression, as independent prognostic factors. This study confirms the presence of stromal OPN expression in tumor aggressiveness but not survival in CCA patients.