• Asian Pacific Journal of Cancer Prevention
• /
• 제16권9호
• /
• pp.3729-3734
• /
• 2015

Background: Although cervical cancer is preventable and early screening might decrease the associated mortality, challenges faced by the women and health care providers can postpone early detection. This qualitative study aimed to establish patient and provider perceptions about personal and socio-cultural barriers for cervical cancer screening in Mashhad, Iran. Materials and Methods: In the present study, which was conducted in 2012, eighteen participants, who were selected purposefully, participated in individual in-depth, semi-structured interviews, which were recorded, transcribed verbatim, and analyzed using conventional content analysis and Atlas-Ti software. Results: One theme and two categories were derived from data including: cognitive/behavioral factors (lack of a community-based approach to cervical cancer, lack of awareness, wrong attitude and lack of health seeking behaviors) and socio/cultural issues (socio-cultural invasion, mismatch between tradition, modernity and religious, extra marital relationships and cultural taboos). Conclusions: Providing community based approach education programs and employing social policy are needed for preventing of cervical cancer in Iran.

• ALGAE
• /
• 제21권1호
• /
• pp.133-139
• /
• 2006

Outdoor cultivation of cyanobacterium Spirulina platensis was carried out for 40 days in a batch mode. A half concentration of the SOT based on the underground water was used as culture medium. Working volume was 5.7 tons with 0.2 m depth. During cultivation, mean water temperature, DO and light intensity were all in proper conditions for the S. platensis growth. The adjustment of pH to over 10 with Na2CO3 and addition of the 1.5% natural salt were very effective to delete contaminant organisms, Chlamydomonas moewusii and Chlorella minutissima occurred one after the other in the culture. The mean productivity of the biomass based on the dry cell weight from 14 to 25 days, after the contaminants were deleted, was 7.8 g ·m–2· d–1, which was relatively high productivity in that a half concentration of the SOT was used for the culture. Underground water used in the culture minimized contaminants invasion and addition of the 1.5% natural salt was effective to delete contaminants as well as acted as mineral supplement in outdoor cultivation of S. platensis. Harvesting using the floating activity of S. platensis was effective from mass floating in day time after overnight without agitation and illumination.

• Journal of Gastric Cancer
• /
• 제1권2호
• /
• pp.100-105
• /
• 2001

Purpose: In the UICC staging system, stage IV contains not only those patients with distant metastasis but also patients with far advanced T and N status but without distant metastasis. We investigated the prognostic factors of stage IV gastric carcinoma patients without distant metastasis after curative resection. Materials and Methods: 190 stage IV gastric carcinoma patients without distant metastasis were reviewed after curative resection. Results: Male sex, distal third location, Borrmann type III, IV and histologically undifferentiated type were common. 5 year survival rate of the 190 patients was $22.2\%$. Depth of invasion and lymph node metastasis did not influence survival. The lymph node ratio (positive lymph node / retrieved lymph node) and combined resection affected survival by univariate and multivariate analysis. Conclusion: Combined resection and positive lymph node ratio were the independent prognostic factors in the patients with stage IV gastric carcinoma who underwent curative resection.

• Journal of Gastric Cancer
• /
• 제21권1호
• /
• pp.4-15
• /
• 2021

Recently, endoscopic screening systems have enabled the diagnosis of gastric cancer in the early stages. Early gastric cancer (EGC) is typically characterized by a shallow invasion depth and small size, which can hinder localization of EGC tumors during laparoscopic surgery. Here, we review nine recently reported tumor localization methods for the laparoscopic resection of EGCs. Preoperative dye or blood tattooing has the disadvantage of spreading. Preoperative 3-dimensional computed tomography reconstruction is not performed in real time during laparoscopic gastrectomy. Thus, they are considered to have a low accuracy. Intraoperative portable abdominal radiography and intraoperative laparoscopic ultrasonography methods can provide real-time feedback, but these methods require expertise, and it can be difficult to define the clips in some gastric regions. Despite a few limitations, intraoperative gastrofibroscopy provides real-time feedback with high accuracy. The detection system using an endoscopic magnetic marking clip, fluorescent clip, and radio-frequency identification detection system clip is considered highly accurate and provides real-time feedback; we expect a commercial version of this setup to be available in the near future. However, there is not yet an easy method for accurate real-time detection. We hope that improved devices will soon be developed and used in clinical settings.

• Journal of Gastric Cancer
• /
• 제6권2호
• /
• pp.109-113
• /
• 2006

목적: 위내시경의 보급으로 조기위암의 빈도가 증가하고 축소치료가 활성화되고 있다. 이러한 치료는 장점도 있으나 림프절 곽청의 측면에서 제한점이 있다. 림프절 전이를 동반하는 조기위암의 대부분은 UICC-TNM 분류의 N1 또는 N2이지만 드물게 N3의 보고도 있다. pT1N3 위암은 증례보고는 있지만 review논문은 없어서 특성을 이해하거나 치료방침을 세우기가 어렵고 UICC-TNM에서 4기로 예후가 나쁜 위암으로 분류되어 있으나 객관적인 증거는 없다. 저자들은 국내 6개 대학에서 9예의 pT1N3 위암 치험예를 모아서 문헌 고찰과 함께 분석하였다. 대상 및 방법: 분당차병원,한양의대,충북의대,고려의대 구로병원, 아주의대, 가톨릭의대 성가병원의 6개 병원에서 기간은 서로 다르지만 의무기록 분석이 가능하였던 기간동안 수술을 받았던 2,772예의 조기위암 중에서 UICC-TNM의 pT1N3 위암 9예를 분석하였다. 비교 대조군은 분당 차병원에서 수술을 받은 210예의 조기위암 환자이다. 결과: 9예는 전체 조기 위암 2,772예의 0.32%이며 남자는 3명, 여자는 6명이었고 평균연령은 57세였다. 점막암이 2예, 점막하층암이 7예이고 전이된 림프절의 수는 18에서 52개로 평균 27개였다. 5예는 표층 팽창형으로 대조군에 비해서 많았고 종양의 크기도 N3군이 N0, N1, N2군보다 컸다. 7예에서 림프관 침윤이 있었으며 대조군에 비하여 높았다. 1예는 대동맥주위 림프절 전이가 있어서 비치유 절제가 되었고 2예에서 조기재발이 있는 등 예후가 불량하였다. 결론: pT1N3 위암의 위험 인자로는 여성, 점막하층암, 종양의 크기, 림프관 침윤을 들 수 있다. pT1N3 위암의 존재는 조기위암의 축소 치료 시 주의를 요하며 예후가 불량하기 때문에 적극적인 항암 보조 요법이 필요할 것으로 생각된다.

• 지질공학
• /
• 제34권2호
• /
• pp.217-228
• /
• 2024

피압대수층은 이를 통과하는 대심도 시추에서 암편 배출 불능, 지하수의 급격한 공내 유입, 이수 손실 등의 문제를 야기한다. 특히 자분 조건일 경우 과압 공극압이 발생하여 적절한 이수 밀도의 적용이 필수적이다. 이 논문에서는 이수창 분석을 이용하여 피압대수층을 통과하는 시추 중 적정이수밀도(SMD)의 결정방법을 제시하고 이를 사례에 적용하여 적용성을 검토하였다. 심도별 이수창의 하한인 최소이수밀도는 해당 심도의 등가이수밀도 공극압 구배 또는 이에 이송 마진을 더하여 산정되며, 피압대수층의 공극압 구배는 피압지하수위 또는 정두압의 측정으로 구할 수 있다. 시추공이 피압대수층에 도달하면 공극압 구배가 급격히 증가하고, 심도가 증가할 수 록 점차 감소한다. 킥 발생을 방지하기 위한 SMD는 굴진 중인 공저 심도와 그 상부 나공 구간의 최소이수밀도 중 최대값으로 결정할 수 있으며, 피압대수층 진입 이후 SMD는 피압대수층 최상부의 최소이수밀도로서 나공 구간 시추 중 이를 유지하여야 한다. 또한 적절한 케이싱의 설치는 SMD를 낮출 수 있어 고투수성 대수층에 대한 이수 침입 또는 이수 손실의 위험을 감소시킬 수 있다.

• 한국농림기상학회지
• /
• 제16권3호
• /
• pp.227-232
• /
• 2014

서양등골나물(Ageratina altissima)은 우리나라의 육상생태계를 교란시키는 외래종으로 알려져 있다. 교란 지역으로부터 그늘이 지는 숲 속으로 침입하는 것으로 알려져있으나, 한국에서 나타나는 서양등골나물의 분포 특성에 대해서는 양지와 음지에 대한 다양한 보고가 있다. 본 연구는 서울 우면산을 대상으로 광도 및 토양 특성과 서양등골나물의 분포의 관계, 등산로 주변 서양등골나물 분포 양상을 살펴보았다. 서양등골나물의 분포는 상대광도가 증가함에 따라 증가하고, 낙엽층이 깊어지면 감소하는 것으로 나타났다(p < 0.001). 서양등골나물은 우면산에서 주로 등산로 주변에서 분포하고 있었으며, 특히 등산로로부터 숲으로 10m 이내에 대부분이 분포하고 있었는데(p < 0.01), 이 지역은 빛과 임상 상태가 서양등골나물에게 유리한 지역이었다. 서양등골나물은 계곡보다는 능선에서 더 많이 분포하였으며, 지형에 따른 차이는 등산로로부터의 거리 10m를 전후로 한 9m, 12m 위치에서 가장 컸다(p < 0.05). 토양의 수분함량, 석력함량, pH 등은 서양등골나물의 분포와 뚜렷한 상관관계를 보이지 않는 것으로 나타났으며, 이는 서양등골나물이 다양한 토양 환경에 대한 적응성을 가지고 있다는 것을 알려주었다. 본 연구는 등산로가 외래종의 침입에 취약한 지역임을 보여주었으며, 향후 등산로 관리에서 외래종의 침입에 대한 대책의 필요성을 알려주었다.

• Journal of Gastric Cancer
• /
• 제2권3호
• /
• pp.151-156
• /
• 2002

Purpose: The prognosis of gastric cancer depends on the depth of invasion, lymph-node metastasis, invasion to adjacent tissues, and distant metastasis. Recently, it is known that tumor-associated proteases and adhesion molecules have been shown to play a relevant role in the process of progression and metastasis. The purpose of our study was to demonstrate the value of MMP-2 (matrix metalloproteinase), cathepsin D and E-cadherin as prognostic factors. Materials and Methods: In this study, formalin-fixed, paraffin-embedded tissue blocks from 69 patients with gastric cancer were immunohistochemically studied using antibodies to MMP-2, cathepsin D, and E-cadherin, and their expressions were analyzed according to the pathologic stage, lymph-node metastasis, histological differentiation, and patient survival. The medical records of these patients were retrospectively reviewed. Results: Increased expression of MMP-2 significantly correlated with advanced pathologic stage (P=0.026). Patients with lymph-node metastasis also had increased expression of MMP-2. Those patients with increased expression of MMP-2 showed a poorer survival; nevertheless, it was not statistically significant. Increased expression of cathepsin D significantly correlated with advanced pathologic stage (p=0.029). However, no correlation was observed between advanced pathologic stage and either lymph-node status or histological differentiation. Patients with increased expression of cathepsin D had a poorer survival, but that result was not statistically significant. No association was found between reduced expression of E-cadherin and pathologic stage, lymph-node status, or histological differentiation. Also, no correlation was found between the expression of E-cadherin and survival. In addition, when a combination of MMP-2 and cathepsin D expressions was analyzed, if both were negative, the survival seems to be longer, but it was not statistically significant. Conclusions: In patients with gastric cancer, expressions of MMP-2 and cathepsin D correlated with tumor stage; therefore, they may be considered as prognostic factors.

• Journal of Gastric Cancer
• /
• 제23권2호
• /
• pp.355-364
• /
• 2023

Background: There are no clear guidelines to determine whether to perform D1 or D1+ lymph node dissection in early gastric cancer (EGC). This study aimed to develop a nomogram for estimating the risk of extraperigastric lymph node metastasis (LNM). Materials and Methods: Between 2009 and 2019, a total of 4,482 patients with pathologically confirmed T1 disease at 6 affiliated hospitals were included in this study. The basic clinicopathological characteristics of the positive and negative extraperigastric LNM groups were compared. The possible risk factors were evaluated using univariate and multivariate analyses. Based on these results, a risk prediction model was developed. A nomogram predicting extraperigastric LNM was used for internal validation. Results: Multivariate analyses showed that tumor size (cut-off value 3.0 cm, odds ratio [OR]=1.886, P=0.030), tumor depth (OR=1.853 for tumors with sm2 and sm3 invasion, P=0.010), cross-sectional location (OR=0.490 for tumors located on the greater curvature, P=0.0303), differentiation (OR=0.584 for differentiated tumors, P=0.0070), and lymphovascular invasion (OR=11.125, P<0.001) are possible risk factors for extraperigastric LNM. An equation for estimating the risk of extraperigastric LNM was derived from these risk factors. The equation was internally validated by comparing the actual metastatic rate with the predicted rate, which showed good agreement. Conclusions: A nomogram for estimating the risk of extraperigastric LNM in EGC was successfully developed. Although there are some limitations to applying this model because it was developed based on pathological data, it can be optimally adapted for patients who require curative gastrectomy after endoscopic submucosal dissection.

• Journal of Gastric Cancer
• /
• 제2권1호
• /
• pp.5-11
• /
• 2002

Purpose: The purpose of this study is to identify immunohistochemical evidence of lymph-node micrometastasis in histologic node-negative gastric cancer patients and to evaluate the prognostic significance of lymph-node micrometastasis.Materials and Methods: A retrospective study of 50 gastric cancer patients who underwent curative resections from October 1990 to November 1994 was performed. Two consecutive sections were prepared: one for ordinary hematoxylin and eosin staining, and the other for immunohistochemical staining with Pan cytokeratin antibody (Novocastra, UK). In the univariate analysis, the survival rate was calculated using the Life Table Method, and the multivariate analysis was determined using a Cox Proportional HazardsModel. The statistical analyses of the relationships between the clinicopathologic factors and micrometastases were performed by using a Chi-square test. Results: Of 2522 harvested lymph nodes, 81 ($4.1\%$) nodes and 19 ($38\%$) of 50 patients were identified as having lymphnode micrometastases by using immunohistochemical staining for cytokeratin. The incidence of lymph-node micrometastases was significantly higher in diffuse type carcinomas ($54\%$, P=0.024) and in patients with serosal invasion ($52.2\%$, P=0.05). For patients with lymph-node micrometastases (n=19), the 5-year survival rate was significantly decreased ($73.7\%$, P=0.015). The Lauren's classirication (P=0.021) and the depth of invasion (P=0.035) were shown by multivariate analysis to have a significant relationship with the presence of micrometastases. Multivariate analysis revealed that lymph-node micrometastasis was independently correlated with survival in histologic node-negative gastic cancer patients. Conclusion: The presence of cytokeratin detected lymphnode micrometastases correlates with the worse prognosis for patients with histologic node-negative gastric cancer.