• Journal of Gastric Cancer
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• 제4권3호
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• pp.137-142
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• 2004

Purpose: There have been some controversies over the therapeutic principles of advanced gastric cancer, and the results of treatment have been variable, especially for stage III disease. This study was conducted to define the prognostic factors of stage III gastric cancer. Materials and Methods: This retrospective study was based on the medical records of 179 patients with stage III disease who received a gastrectomy from January 1990 to December 1994. The 5-year survival rate was analyzed according to the age, sex, tumor location, tumor size, Borrmann's type, depth of invasion, lymph-node metastasis, ratio of metastatic lymph nodes, type of surgical resection, extent of lymphnode dissection, curability of resection, postoperative chemotherapy, and pathological stage. The statistical analysis was done by using the Kaplan-Meier method, the log-rank test, and the Cox proportional hazards model. Results: The overall 5-year survival rate was $61.6\%$ the 5-year survival rates according to subgroup were $69.7\%$ for stage IIIa ($100\%$ for $T_{2}N_{2}$, $70.0\%$ for $T_{3}N_{1}$, $68.6\%$ for $T_{4}N_{0}$), and $54.1\%$ for stage IIIb ($T_{3}N_{2}$) (P<0.05). Among various clinicopathologic factors of stage III gastric cancer, the age of the patient, the tumor location, the gross type of tumor, the type of gastric resection, the extent of lymph-node dissection, the curability of resection, and the subgroups of stage III were statistically significant in the univariate survival analysis. The multivariate analysis defined the curability of resection, the extent of lymph-node dissection, the type of operation, the stage of disease, and the age of the patient as independent prognostic factors. Conclusion: A curative surgical resection and an extended lymph-node dissection are thought to be most important for improving the survival rate in stage III gastric cancer patients.

• The Plant Pathology Journal
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• 제18권5호
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• pp.293-299
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• 2002

A survey of Fusarium wilt of perilla was conducted in 12 locations in Korea from 1999 to 2001. The disease occurred in 74 out of 187 fields in the 12 locations surveyed, and incidence of the disease reached up to 30% at its maximum in some perilla fields in Seosan and Dangjin. Incidence of the disease in the other locations ranged from 0.2 to 20%. A total of 327 isolates of Fusarium spp. were obtained from stems and roots of the diseased perilla plants. The isolates were identified based on their morphological characteristics. Out of the 327 isolates of Fusarium, 277 isolates from 12 locations were identified as F. oxysporum, 11 isolates from three locations as F. solani,17 isolates from two locations as F. equiseti, 4 isolates from one location as F. avenaceum and 6 isolates from one location as F. subglutinans. The other 12 isolates of Fusarium from four locations were unidentified. Twelve isolates of F. oxysporum and two isolates each of the other Fusarium spp. were tested for their pathogenicity to five cultivars of perilla. Seven isolates of F. oxysporum were strongly pathogenic to some perilla cultivars, but the other five isolates were weakly or not pathogenic. One isolate of F. solani was strongly pathogenic to all the perilla cultivars tested, but another isolate was not pathogenic. All the isolates of F. equiseti, F. avenaceum, and F. Subglutinans tested were not pathogenic to any of the perilla cultivars tested. Symptoms on the perilla plants induced by artificial inoculation with strongly pathogenic isolates of F. oxysporum and F. solani appeared as wilt, stem blight, and root yet, which were similar to those observed in the fields. The isolates which induced symptoms by artificial inoculation were re-isolated from the lesions of the perilla plants inoculated. All the isolates of F. oxysporum tested were not pathogenic to eight other crops inoculated. Results of this study reveal that F. oxysporum is the main pathogen of perilla wilt and that it is host specific to perilla. forma specialis of F. oxysporum causing wilt of perilla is proposed as perillae.

• 한국콘텐츠학회논문지
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• 제21권4호
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• pp.487-497
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• 2021

본 연구의 목적은 2008년부터 2017년까지의 결핵환자의 결핵 종류, 환자 특성, 입원 및 질병관련 특성, 의료기관 특성에 따른 재원기간과 사망에 영향을 미치는 요인을 파악하고자 한다. 질병관리청에서 제공하는 퇴원손상심층조사자료를 활용하였고, 제6차 한국표준질병사인분류(KCD)의 퇴원시 진단 코드가 결핵(A15, A16, A17, A18, A19, U88.0, U88.1, U84.30, U84.31)인 환자를 추출하여 총 10,634건을 최종 분석에 사용하였다. 수집된 자료는 통계 프로그램 STATA 13.0 프로그램을 이용하여 빈도분석, 교차분석(chi-square test), Fisher's exact test와 로지스틱 회귀분석을 실시하였다. 연구결과로 재원기간에 영향을 미치는 요인으로 폐결핵을 기준으로 폐외결핵, 복합결핵, 내성결핵일 때, 남자보다는 여자일 때, 연령이 높을수록, CCI(Charlson Comorbidity Index) 점수가 높을수록, 병원소재지 서울을 기준으로 광역시일 때 14일 이상 재원환자가 많았지만 외래경유, 병상규모가 작을수록 14일 이상 재원환자가 적었다. 그리고 사망에 영향을 미치는 요인은 폐결핵을 기준으로 폐외결핵, 내성결핵 일 때, 남자보다는 여자일 때, 연령이 높을수록, CCI 점수가 높을수록, 병원소재지가 서울을 기준으로 광역시, 도지역일 때 사망이 높았으나 거주지가 특별시일때 보다는 농촌, 외래경유 입원인 경우 사망이 낮았다. 결론으로 기존의 결핵관리가 조기발견에 따른 신속한 진단과 치료의 환자 관리였다면 앞으로는 장기재원과 치료결과 사망률이 높은 고위험군을 파악하고 이를 지원하는 제도를 위한 연구들이 추가적으로 진행되어야 할 것이다.

• The Korean Journal of Pain
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• 제18권2호
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• pp.146-150
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• 2005

Background: Recently, the number of patients visiting pain clinics has been increasing with the augmented concerns of those patients about the management of their pain. We conducted this study in order to elucidate the characteristics of patients visiting pain clinics and to determine a method to further raise their awareness about pain treatment. Methods: We reviewed 1,424 new patients who visited our pain clinic from March 2003 to December 2004. We analyzed these patients according to their age and sex, treatment method before visiting the pain clinic, coexisting disease, chief complaint and pain location, resident district, route of visiting pain clinic, and degree of impairment due to pain by use of questionnaire. Results: In age distribution, the largest proportion (23.5%) was in their 50's. Most patients (64.0%) had received treatment in an oriental medicine clinic before visiting the pain clinic. The most common coexisting disease was hypertension (20.3%) and low back pain was the most common chief complaint (68.3%). Most of the patients lived in Gyeonggido (87%) and most visited our pain clinic on the recommendation of other patients who had visited our pain clinic before. Conclusions: We need to guide pain patients to undergo proper treatment much earlier using patient education or a referral system. Moreover, we should be more careful in patients with diabetes mellitus, and should have greater concern in the treatment of low back pain.

• Journal of Korean Neurosurgical Society
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• 제29권9호
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• pp.1184-1187
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• 2000

Spontaneous spinal epidural hematoma is rare disease and usually presents with a progressive neurological syndrome for which surgical decompression is usually indicated. The cause of bleeding in epidural hematoma remains unknown in most of the cases. The most frequently identified risk factor is coagulopathy or treatment with anticoagulants. Recently, authors experienced a case of spontaneous spinal epidural hematoma with intraoperative profuse bleeding at the cervicothoracic location. Laboratory examination showed no evidence of coagulopathy or hepatic disease. On neurologic examination, left hemiparesis(Grade : II) and left side sensory change were noted. On MRI scan, there was a mass of high signal intensity in T2WI and isosignal intensity in T1WI compressing the cord to left side. The patients had good surgical outcome after decompressive laminectomy and hematoma removal.

• Tuberculosis and Respiratory Diseases
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• 제51권4호
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• pp.373-378
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• 2001

저자들은 애성을 주소로 내원한 60세 남자 환자에서 prednisolone과 tranilast의 투여로 호전된 특발성 종격동 섬유화증 1예를 경험하였기에 문현고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제25권11호
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• pp.1292-1298
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• 1992

This investigation is designed to illustrate the clinical features '||'&'||' preoperative diagnosis, surgical role in the management of pulmonary aspergilloma, '||'&'||' compare with the previous study. We reviewed 42 cases of surgically treated pulmonary aspergillosis from Jan. 1984 to July 1992. The peak age incidence laid in the 2nd '||'&'||' 3rd decade of 25 cases[59.5%]. The 41 cases[97.6%] had a history of treatment with anti-tuberculous drugs under impression of pulmonary tuberculosis. The most common complaint was hemoptysis in 28 cases[66.7%]. The 21 cases showed so called "Air-meniscus sign" on the preoperative chest X-ray. As a preoperative diagnostic modality, the positivity was 30.0%, 57.8%, 88.5% on the fungus culture of sputum for Aspergillus, Chest CT, serum immunodiffusion test for A. fumigatus, respectively. The 37 cases[88.1%] can be diagnosed as pulmonary aspergillosis pre-operatively by any diagnostic method. The anatomical location of aspergilloma was mainly upper lobe in 17 cases[40.5%] '||'&'||' the majority of cases were managed by lobectomy. The postoperative pathologic findings showed that 18 cases[41.0%] were combined with tuberculosis '||'&'||' 15 cases[34.1%] were not combined with any other disease[Pr imary Aspergillosis]. The 6 cases showed postoperative empyema including 4 cases of bronchopleural fistula, 3 cases showed postoperative bleeding. One case was died postoperatively due to respiratory failure. In conclusion, when the patient who has longstanding history fo pulmonary tuberculosis '||'&'||' hemoptysis, must be suspected fungal super infection. The resectional surgery is the treatment of choice for symptomatic localized disease. And compare with the previous study, preop. chest CT '||'&'||' immunodiffusion test were more commonly available '||'&'||' showed high positivity.

• Journal of Chest Surgery
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• 제43권3호
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• pp.324-327
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• 2010

Killian-Jamieson 게실은 경부 식도에 발생하는 드문 질환이며 Zenker 게실과는 발생 기전과 부위가 다른 것으로 알려져 있다. Killian-Jamieson 게실의 치료원칙에 대해서는 정립된 바가 없다. Killian- Jamieson 게실 환자에서 경부 절개 하에 수술적 치료를 시행하여 이를 보고하고자 한다.

• 대한두개안면성형외과학회지
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• 제18권2호
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• pp.122-127
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• 2017

Castleman's disease (CD) is an uncommon benign lymphoproliferative disorder of unknown etiology. Histopathologically, it is divided into three types: hyaline-vascular, plasma cellular, and multicentric CD. The mass usually presents asymptomatically; however, it can cause non-specific symptoms such as fever and fatigue. Although CD can be found wherever lymph nodes are present, 75% of cases are reported in the mediastinum, and occurrence in the head and neck is rare. Herein, we report a rare case of CD presenting as a superficial mass in the temporal region. To the best of our knowledge, this is the first report of temporal CD in Korea involving a young patient.

• 한국농공학회논문집
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• 제62권1호
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• pp.71-81
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• 2020

Enclosed pig house are creating an environment with high concentrations of gas and dust. Poor conditions in pig farms reduce pig weight and increase disease and accidents for livestock workers. In the pig house, the high concentration of harmful gas may cause asphyxiation accidents to workers and chronic respiratory disease by long-term exposure. As pig farm workers have been aging and feminized, the damage to the health of the harsh environment is getting serious, and real-time monitoring is needed to prevent the damage. However, most of the measuring devices related to humidity, harmful gas, and fine dust except temperature sensors are exposed to high concentrations of gas and dust inside pig house and are difficult to withstand for a long time. The purpose of this study is to develop an wearable based device to monitor the hazardous environment exposed to workers working in pig farms. Based on the field monitoring and previous researches, the measurement range and basic specifications of the equipment were selected, and wearable based device was designed in terms of utilization, economic efficiency, size and communication performance. Selected H₂S and NH₃ sensors showed the average error of 5.3% comparing to standard gas concentrations. The measured data can be used to manage the working environment according to the worker's location and to obtain basic data for work safety warning.