• Journal of Gastric Cancer
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• v.8 no.1
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• pp.9-19
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• 2008

Purpose: Gastric cancer is the most common malignant tumor in Korea. We reviewed the cases at our institution to identify the survival rates and clarify the prognostic factors of patients with gastric cancer. Materials and Methods: We conducted a retrospective study of 6,918 patients who had received a diagnosis of gastric cancer, and they underwent surgery at Korea Cancer Center Hospital during a 15-year period from 1991 to 2005. Results: The overall 5-year survival rate was 66.8%. The univariate analysis revealed that age, location of tumor, gross type of tumor, the histology according to the WHO classification, the Lauren classification, depth of invasion (T stage), lymph node metastasis (N stage), distant metastasis (M stage), the type of surgery, the UICC TNM stage, postoperative complications, adjuvant chemotherapy, lymphatic invasion, venous invasion and perineural invasion were the significantly different factors of the survival rates. The multivariate analysis revealed that age, Borrmann type 4, the histology according to the WHO classification, depth of invasion (T stage), lymph node metastasis (N stage), distant metastasis (M stage), the type of surgery, UICC TNM stage, postoperative complications, adjuvant chemotherapy and lymphatic invasion were the independent prognostic factors. Conclusion: We have shown a statistically significant association between the survival rates after operation for gastric cancer and the clinicopathologic factors. Early diagnosis of gastric cancer, appropriate surgeryand adjuvant therapy might improve the quality of life and the survival rates of gastric cancer patients.

• Korean Journal of Child Studies
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• v.12 no.1
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• pp.113-128
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• 1991

The purpose of this study was to analyze the environment of poverty children as reported by the children on a questionnaire. The conception of the environment was divided into the physical environment and the sociopsychological environment. The dimensions of the physical environment included household, cultural, and play conditions. The sociopsychological environment included structural (family values, family relationships, and the reinforcement system) and process variables(affect, care, and communication). For the purpose of this survey was administered to 122 children living in a poverty area and 102 children living in a middle-high income area. Statistics used for data analysis were frequency, distribution, percentile, mean and one-way ANOVA. Major findings showed that (1) The physical environment as reported by the poverty children was meager compared with that of children in the middle-high income area: the households were more overcrowded, and cultural conditions, play materials, and space was more limited. (2) The Structural conditions of the sociopsychological environment as perceived by poverty children were more material and physical than that of children in the middle-high income area: family values were oriented more toward materialism: family relationships were more negative and distant: and the reinforcement system was based more on material reward and physical punishment. (3) Process variables were perceived by poverty children as more laissez-faire and rigid; the parents neglected their children and communicated unilaterally more than the middle-high income parents. (4) Poverty children's perception of the causes of poverty and wealth were perceived as personal and social factors.

• Journal of Chest Surgery
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• v.21 no.5
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• pp.856-862
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• 1988

The survival rate after resectional operation for carcinoma of the esophagus is still very low and many factors contribute to these poor results. We analyze the clinical results of 56 operated patients among 62 esophageal cancer patients between March, 1974 and July, 1988. Among the 62 patients, 52 patients were squamous cell carcinoma and 8 were adenocarcinoma, one was leiomyosarcoma and one was adenosquamous cell carcinoma. The classification of esophageal cancer was based on TNM classification of American Joint Committee on cancer". Among the operated patients, stage I was 5[9.6%], stage II was 13[25%], stage III was 26[50%], stage IV was 8[15.4%]. And its one year survival rate was 80%, 69%, 11.5%, 0% for each stages. The rate of resectability was 30.3% and resection of esophagus with esophagogastrostomy and extended lymph node dissection was performed on 17 patients without distant metastasis or adjacent organ invasion. Substernal esophago-colono-gastrostomy, Celestine tube insertion and feeding gastrostomy was performed on remained 39 patients. The analysis of postoperative survival duration revealed the superiority of esophagectomy with extended lymph node dissection over other palliative operation. [1 year survival rate: 79% versus 21%] We concluded that the survival rate of esophageal resection with lymph node dissection group was superior to nonresective palliative operation group. And transthoracic approach was superior to extrathoracic approach in involved lymph node dissection and esophageal resection in locally invaded cases.ases.

• The Journal of the Acoustical Society of Korea
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• v.19 no.2
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• pp.54-60
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• 2000

Acoustic source localization using MUSIC etc. utilizes the propagation model in the medium. A plane wave model is a well-known source model for the identification of distant sources in the SONAR and a monopole source model becomes the one for the identification of rather near range sources. This paper introduces a dipole source model and a tripole source model consisting of one monopole and one dipole source. The simplifying procedures provide the simplified factors rather than the superposition of the relating monopole sources. The simulations show that the tripole model is useful in the general case including pure monopole, pure dipole, or pure quadrupole source identification.

• Environmental Engineering Research
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• v.20 no.1
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• pp.1-18
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• 2015

The biosorption process has been established as characteristics of dead biomasses of both cellulosic and microbial origin to bind metal ion pollutants from aqueous suspension. The high effectiveness of this process even at low metal concentration, similarity to ion exchange treatment process, but cheaper and greener alternative to conventional techniques have resulted in a mature biosorption technology. Yet its adoption to large scale industrial wastewaters treatment has still been a distant reality. The purpose of this review is to make in-depth analyses of the various aspects of the biosorption technology, staring from the various biosorbents used till date and the various factors affecting the process. The design of better biosorbents for improving their physico-chemical features as well as enhancing their biosorption characteristics has been discussed. Better economic value of the biosorption technology is related to the repeated reuse of the biosorbent with minimum loss of efficiency. In this context desorption of the metal pollutants as well as regeneration of the biosorbent has been discussed in detail. Various inhibitions including the multi mechanistic role of the biosorption technology has been identified which have played a contributory role to its non-commercialization.

• Journal of Korea Port Economic Association
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• v.22 no.4
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• pp.59-79
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• 2006

In this paper, we analyse the comparative competitiveness of the 10 major logistic hub cities in China. First, using the input distance function, we calculated the technical efficiencies and the opportunity costs of the transport infra structure investments. Then, based on not only these supply side factors but also demand side, the overall comparative competitiveness by cities are analyzed. Our main findings are as follows: early developed, larger cities such as Shanghai, Guangzhou, Shenzhen are technically efficient but their opportunity costs of the additional transport investments are higher than the other cities. We also found that overall competitiveness of these larger and leading logistic hub cities are dominant over the small and newly developed logistic cities.

• Korean Journal of Logic
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• v.18 no.2
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• pp.265-289
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• 2015

The idea that an effect counterfactually depends on its cause is simple and intuitive. However, this simple idea runs into various difficulties. The active route account, in order to avoid the difficulties, analyzes causation in terms of counterfactual dependence under certain control. In her recent article, Seahwa Kim criticizes Sungsu Kim's earlier attempt to defend the active route account from its counterexamples. Her criticisms are convincing, and defenders of the active route account or counterfactual analysis of causation in general need another defense. In response, a two-step defense is proposed. First, the scope of the active route account is restricted to 'proximate' causal relation. Second, a control over factors that are in proximate causal relation is offered to figure out 'distant' causal relation. The result is that with proper control, an effect indeed counterfactually depends on its cause.

• Journal of Ecology and Environment
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• v.30 no.1
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• pp.69-73
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• 2007

The sources and the frequency of disturbances and the responses of shorebirds to disturbances were studied at four roosting sites on Ganghwa Island and Yeongjong Island. The mean frequency of disturbance to roosting shorebirds was 2.7 per hour. Human activities contributed to the disturbance in 65% of all cases. Disturbance frequencies in saltpans were higher than those in the upper tidal zone, fishponds and salt marshes. Response patterns of shorebirds to disturbances were associated with the source of the disturbance. Disturbance caused shorebirds to change their behavior and to reduce roosting time at their roosting sites. Four patterns of responses by roosting shorebirds to disturbance were found, including: (1) leaving the roosts, (2) changing their location within the site, (3) leaving and returning, and (4) remaining in place. In the latter three response patterns, the birds tended to remain in their initial roosting sites, in contrast with the leaving pattern, which involved departing from the roosting area. Factors affecting these response patterns were time from high tide and time of day. When the time from high tide was greater, and the time of day was later, more birds stayed at the roost. The absence of sufficient alternative roosts in the study areas forced the birds to choose between tolerating the current disturbance, or moving to distant roosts.

• Archives of Craniofacial Surgery
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• v.21 no.1
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• pp.58-63
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• 2020

Spindle cell squamous cell carcinoma (SpSCC) is a biphasic tumor composed of squamous cell epithelial and spindle cell mesenchymal components, both of which are malignant. Cutaneous SpSCC can cause diagnostic and therapeutic difficulties because of its rarity, heterogeneity, morphological similarity to other cutaneous spindle cell neoplasms, and uncertain pathogenesis and prognosis, particularly when the squamous cell carcinoma component is minimal or missing. Intransit metastasis and satellite lesion (satellitosis) constitute a spectrum of non-nodal regional metastases. Here the author reports the first known case of cutaneous SpSCC presenting with intransit metastases and a satellite lesion, which were exceptionally aggressive. A 77-year-old female patient presented with a 3×3×0.5 cm mass on her right cheek. Despite wide excision and postoperative radiation, the patient resulted in local recurrence and multiple distant metastases within 3 months. If many high-risk factors-particularly satellitosis and in-transit metastases are observed in a tumor with epithelial to mesenchymal transition, then further wide excision and adjuvant chemoradiation should be considered early in the treatment process. A multidisciplinary approach could be the key to cure the most aggressive malignancies of the skin, as in other organs.

• Women's Health Nursing
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• v.12 no.4
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• pp.308-315
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• 2006

Purpose: This study was conducted to identify sexual functioning in women with gynecologic cancer. Method: Sexually active women with gynecologic cancer without evidence of distant metastasis were recruited in Seoul, Korea from a university medical center. Subjects were asked to complete an anonymous mail-back survey on their sexual functioning. Result: One hundred eighty four women completed questionnaires. Their mean age was 51.0 years and 96.2% lived with their husbands. Subjects were diagnosed with cervical cancer(53.8%), ovarian cancer (27.7%), or endometrial cancer(18.5%). Sexual functioning for women with gynecologic cancer was relatively low, 15.4, in comparison to Rosen's cutoff scores of 26.6. Univariate analyses indicated that age, employment status, and their monthly income were significantly associated with sexual functioning. Tumor staging, treatment modality, and hormone replacement therapy were also significantly associated factors with women's sexual functioning. Sexual arousal, orgasm, and pain were affected by time since last treatment. Conclusion: Sexual counselling or education for women with gynecologic cancer should be considered by medical professionals in order to improve their quality of life including sexual functioning.