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Result of Complete Resection of T3 Non-Small Cell Lung Cancer Invading the Chest Wall (흉벽침습이 있던 T3 비소세포암환자의 완전절제후의 결과)

  • 최창휴;임수빈;김재현;조재일;백희종;박종호
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.924-929
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    • 2001
  • Backgroun : The long-term survival after operation of patients with lung cancer invading the chest wall is known to be related to regional nodal involvement, completeness of resection and depth of chest wall involvement. In this study results of complete resection are reviewed to determine survival charateristics. Material and Method: Of 680 consecutive patients who were operated on for primary non-small cell carcinoma between 1988 and 1998, we retrospectively reviewed 55 patients(8.0%) who had complete resection for lung cancer invading the chest wall or parietal pleura. Result: Resection of the chest wall was on bloc in 29 patients(47.3%), and extrapleural in 26(52.7%). In the patients undergoing extrapleural resection, the depth of chest wall invasion was confined to the parietal pleura in all patients(100%). In the patients underging en bloc resection, the pathologic depth of invasion was into the parietal pleura alone in 9(31.0%) and into the chest wall in 20(69.0%). The follow-up rate of these patients was 100%. Hospital mortality was 5.4%(n=3). The actuarial 5-year survival rate was 26% for all hospital survivors(n=52). The actuarial 5-year survival rate of patients with T3N0M0 disease(29%) was better than that of T3N2M0 disease(18%), however, there was no significant(p=0.30) difference. The depth of chest wall invasion had no statistically significant effect on survival in our series, neither for patients with involved lymphatic metastasis nor for those without(p=0.99). Conclusion: These observations indicate that the good five year survival in patients with T3 NSCLC invading the chest wall resulted from complete resection. Survival of patients with lung cancer invading the chest wall after complete resection is dependent on the extent of nodal involvement and much less so on the depth of chest wall invasion.

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Surgical Resection of Solitary Fibrous Tumors of the Pleura (고립성 섬유성 흉막 종양의 수술적 절제)

  • 장지원;김관민;심영목;한정호;이경수;김진국
    • Journal of Chest Surgery
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    • v.37 no.5
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    • pp.432-437
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    • 2004
  • Background : Solitary fibrous tumors of the pleura (SFTP) is one of rare neoplasms that originated from submesothelial mesenchyme. Clinical course or extent of surgical resection is not well known. Material and Method: We retrospectively reviewed all the clinical records of the patients who had undergone surgical resection of benign and malignant SFTP, Result: Twenty two (male female 14 : 8) patients were enrolled and mean age was 50.2(range 25∼83). Number of symptomatic patients at the time of diagnosis was 13 (59%) and the most common symptom was dyspnea. Operative approach was carried out through thoracotomy (n=14) or video-assisted thoracic surgery (n=8). Mass excision was performed in 12 cases and en bloc resection including adjacent structure in 10 cases. In all cases complete resection was performed. There was no operative mortality. Malignant SFTP were 11 cases and benign SFTP 11 cases. Local recurrences (n=2) or distant metastasis (n=6) occurred only in malignant SFTP. Conclusion: Number of symptomatic patients, on bloc resection, and recurrence was more in malignant SFTP. Although complete surgical resection is known as treatment of choice for SFTP, further study should be performed about systemic therapeutic modalities pre- or postoperatively to control recurrence and metastasis.

Dose- Response Curves of Mouse Jejunal Crypt Cells by Multifractionated Irradiation (다분할조사에 의한 마우스공장소낭선 세포의 선량반응곡선)

  • Hong, Seong-Eon;Ahn, Chi-Yul
    • Radiation Oncology Journal
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    • v.4 no.2
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    • pp.89-97
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    • 1986
  • Using as assay for jejunal crypt stem cell survival, dose-response curves for the reproductive capacity of crypt stem cells of mouse jejunum exposed to multifractionated gamma-ray irradiation (single, 2, 3, 4, 5, 8, 10, 12, and 16 fractions) were analyzed and single-dose survival curve of these cells was constructed. The following conclusion were drawn: 1) Survival curves for higher numbers of dose fractions were displaced to higher dose, and characterized by increasingly shallower slopes. 2) The single-dose survival curve had broad shoulder, Dq=460 cGy, remaining near-exponential over initial dose range 0 to 300 cGy, with initial slope 1Do=474 cGy. 3) At fractionated dose En the range of 180 to 450 cGy, the average recovered dose per fraction interval was approximately $50\%$ of the dose per fraction. 4) The value of $\alpha/\beta$ ratio by using of linear regression analysis for the reciprocal dose plots was 8.3 Gy which lied in the range of 6-14 Gy for early-reacting tissues. 5) The linear-quadratic model for dose-response formula offers valid approximations for at 1 doses to be used in radiotherapy, only two parameters to be determined, and considerable convenience in practical applications.

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Lethal Effects of Radiation and Platinum Analogues on Multicellular Spheroids of HeLa Cells (HeLa 세포의 Spheroid에 대한 방사선과 Platinum 유사체의 치사 효과)

  • Hong, Seong-Eon
    • Radiation Oncology Journal
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    • v.7 no.2
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    • pp.149-156
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    • 1989
  • Multicellular tumor spheroids of HeLa cells have been grown in a static culture system. Samples of spheroids were exposed for 2 h to graded concentration of cis-platinum and its analogue, carboplatin, and then response assayed by survival of clonogenic cells. The purpose of present experiment is to clarify the effectiveness of these platinum compounds and to evaluate intrinsic radiosensitivity of cells using spheroids of HeLa cells as an experimental in vitro model. Variations of the drug sensitivity of monolayers as well as spheroids were also evaluated in cell-survival curves. In cis-platinum concentration-survival curve, there was a large shoulder extending as far as $Cq=3.4{\mu}M$, after which there was exponential decrease in survival curve having a Co Value of $1.2{\mu}M$ in spheroids. While the Co for the spheroids was essentially no significant change, but Cq value was larger than that of monolayers. This suggest that the effect of cis-platinum is greater En the monolayer with actively proliferaing cells than hypoxic one. In the carboplatin concentration-survival curves, the Co value of spheroids was $15.0{\mu}M$ and the ratio with the Co from monolayer cell $(32.5{\mu}M)$ was 0.40, thus indicating that the spheroids had a greater sensitivity to carboplatin than monolayers. Therefore, the effect of carboplatin is mainly on the deeper layers of spheroids acting as hypoxic cell sensitizer. The enhanced effect was obtained for monolayer cells using combined X-ray and carboplatin treatment 2 hours before irradiation. The result shown in isobologram analysis for the level of surviving fraction at 0.01 indicated that the effect of two agents was trusty supra-additive. From this experimental data, carboplatin has excited much recent interest as one of the most promising, since it is almost without nephrotoxicity and causes less gastrointestinal toxicity than cis-platinum. Interaction between carboplatin and radiation might play an important role for more effective local tumor control.

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Gamijiya-tang Decreases the Dimethylnitrosamine-Induced Hepatic Fibrosis in the Rats

  • Ma, Jin-Yeul;Yang, Jai-Man;Nam, Jeong-Seok;Che, Jeong-Hwan;Cheon, Won-Kyung;kim, Nam-Joo;Ko, Byoung-Seob;Park, Kap-Joo;Lee, Yong-Soon;Kyu, Yong-Jung
    • Korean Journal of Pharmacognosy
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    • v.28 no.4
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    • pp.215-224
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    • 1997
  • Gamijiyu-tang (GJT) described originally in the Dong Eui Bo Gam, a traditional reference for oriental medicine in the Korea, has been clinically used for treatment of chronic liver disease. In order to evaluate scientifcally a hepatoprotective effect of GJT in the liver fibrotic disease, the present study investigated how GJT improves a hepatic function in the dimethylnitrosamine (DMN)-treated rat. DMN treatment caused a significant increase of relative liver weight to the body at 28 days after DMN induction. Administration of with a clinical dose decreased significantly the sAST level $(158.8{\pm}7.76\;IU/L)$ elevated by DMN in jection (p<0.01). A similar phenomenon was also observed at change of both Salt and Salt level in the GJT and/or DMN-treated animal (p<0.01, p<0.05, respectively). A remarkable increase of hydroxyproline was observed by treatment of DMN with comparing to the normal rat $(361.9{\pm}7.35\;vs.\;1278.1{\pm}52.9\;{\mu}g/g\;tissue,\;p<0.01)$. This was significantly reduced by a simultaneous treatment of GJT with DMN for 21 days (p<0.05), but not recovered completely to its normal value. In addition. GJT administration ameliorated conspicuously the DMN-induces histopathological changes of liver such as hemorrhage. Cell necrosis and fibrosis. Tak'en together, results described here demonstrated scientifically in first the medicinal efficacy of GJT by using in vivo animal model, indicating that GJT improves the DMN-induced hepatic injury through reducing an excessive accumulation of collagen and histopathological changes. The decreased collagen content may be a pivotal process for GJT to improve hepatic function in the DMN-induced liver fibrosis. The present study suggests that GJT may be useful for and applicable to the treatment of hepatic fibrosis in chronic liver disease.

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A genome-wide association study of the association between single nucleotide polymorphisms and brachial-ankle pulse wave velocity in healthy Koreans

  • Xu, EnShi;Shin, Jinho;Lim, Ji Eun;Kim, Mi Kyung;Choi, Bo Youl;Shin, Min-Ho;Shin, Dong Hoon;Lee, Young-Hoon;Chun, Byung-Yeol;Hong, Kyung-Won;Hwang, Joo-Yeon
    • Journal of Genetic Medicine
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    • v.14 no.1
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    • pp.8-17
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    • 2017
  • Purpose: Pulse wave velocity (PWV) is an indicator of arterial stiffness, and is considered a marker of vascular damage. However, a genome-wide association study analyzing single nucleotide polymorphisms (SNPs) associated with brachial-ankle PWV (baPWV) has not been conducted in healthy populations. We performed this study to identify SNPs associated with baPWV in healthy populations in Korea. Materials and Methods: Genomic SNPs data for 2,407 individuals from three sites were analyzed as part of the Korean Genomic Epidemiologic Study. Without replication samples, we performed multivariable analysis as a post hoc analysis to verify the findings in site adjusted analysis. Healthy subjects aged between 40 and 70 years without self-reported history or diagnosis of hypertension, diabetes, hyperlipidemia, heart disease, cerebrovascular disease and cancer were included. We excluded subjects with a creatinine level >1.4 mg/dL (men) and 1.2 mg/dL (women). Results: In the site-adjusted association analysis, significant associations (P<$5{\times}10^{-8}$) with baPWV were detected for only 5 SNPs with low minor allele frequency. In multivariable analysis adjusted by age, sex, height, body mass index, mean arterial pressure, site, smoking, alcohol, and exercise, 11 SNPs were found to be associated (P<$5{\times}10^{-8}$) with baPWV. The 5 SNPs (P<$5{\times}10^{-8}$) linked to three genes (OPCML, PRR35 and RAB40C) were common between site-adjusted analysis and multivariable analysis. However, meta-analysis of the result from three sites for the 11 SNPs showed no significant associations. Conclusion: Using the recent standard for genome-wide association study, we did not find any evidence of significant association signals with baPWV.

Analysis on Correlation between AE Parameters and Stress Intensity Factor using Principal Component Regression and Artificial Neural Network (주성분 회귀분석 및 인공신경망을 이용한 AE변수와 응력확대계수와의 상관관계 해석)

  • Kim, Ki-Bok;Yoon, Dong-Jin;Jeong, Jung-Chae;Park, Phi-Iip;Lee, Seung-Seok
    • Journal of the Korean Society for Nondestructive Testing
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    • v.21 no.1
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    • pp.80-90
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    • 2001
  • The aim of this study is to develop the methodology which enables to identify the mechanical properties of element such as stress intensity factor by using the AE parameters. Considering the multivariate and nonlinear properties of AE parameters such as ringdown count, rise time, energy, event duration and peak amplitude from fatigue cracks of machine element the principal component regression(PCR) and artificial neural network(ANN) models for the estimation of stress intensity factor were developed and validated. The AE parameters were found to be very significant to estimate the stress intensity factor. Since the statistical values including correlation coefficients, standard mr of calibration, standard error of prediction and bias were stable, the PCR and ANN models for stress intensity factor were very robust. The performance of ANN model for unknown data of stress intensity factor was better than that of PCR model.

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Effects of Mild Heat Treatment on Microorganisms, Respiratory Characteristics and Firmness of Fuji Apple (중온 열수 처리가 사과의 표면 미생물, 호흡특성 및 경도에 미치는 영향)

  • Seo, Ja-Young;Kim, En-Jeong;Hong, Seok-In;Yu, Sung-Hun;Kim, Dong-Man
    • Korean Journal of Food Science and Technology
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    • v.38 no.1
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    • pp.47-51
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    • 2006
  • Microorganisms involved in decaying Fuji apples during storage were investigated. Seven pathogens were isolated from the rotted fruits. Penicillium spp. was derived from 65-75% of decayed apples with P. expansum being dominant species. Effects of mild heat treatment on microbial reduction, respiration, and texture characteristics in Fuji apples were examined through hot water dipping at $40-65^{\circ}C$ for varied timε periods. Initial counts of total microorganisms and moulds in fresh fruits s showed 4.75 and 4.66 log CFU/g in a stem, as well as 5.35 and 4.32 log CFU/g in a calyx, respectively. The heat treatment at $40^{\circ}C$ for 180 min significantly reduced the population of total microorganisms and moulds in the fruits. Respiration rate of the apple fruits increased immediately after heat treatment and then returned to the normal level during storage. The rates of ethylene production in the fruits treated at $40-50^{\circ}C$ were maintained lower than that of the untreated control. The fruits treated at $40^{\circ}C$ showed slightly greater flesh firmness than the other apple samples during storage.

Modeling and analysis of dynamic heat transfer in the cable penetration fire stop system by using a new hybrid algorithm (새로운 혼합알고리즘을 이용한 CPFS 내에서의 일어나는 동적 열전달의 수식화 및 해석)

  • Yoon En Sup;Yun Jongpil;Kwon Seong-Pil
    • Journal of the Korean Institute of Gas
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    • v.7 no.4 s.21
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    • pp.44-52
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    • 2003
  • In this work dynamic heat transfer in a CPFS (cable penetration fire stop) system built in the firewall of nuclear power plants is three-dimensionally investigated to develop a test-simulator that can be used to verify effectiveness of the sealant. Dynamic heat transfer in the fire stop system is formulated in a parabolic PDE (partial differential equation) subjected to a set of initial and boundary conditions. First, the PDE model is divided into two parts; one corresponding to heat transfer in the axial direction and the other corresponding to heat transfer on the vertical planes. The first PDE is converted to a series of ODEs (ordinary differential equations) at finite discrete axial points for applying the numerical method of SOR (successive over-relaxation) to the problem. The ODEs are solved by using an ODE solver In such manner, the axial heat flux can be calculated at least at the finite discrete points. After that, all the planes are separated into finite elements, where the time and spatial functions are assumed to be of orthogonal collocation state at each element. The initial condition of each finite element can be obtained from the above solution. The heat fluxes on the vertical planes are calculated by the Galerkin FEM (finite element method). The CPFS system was modeled, simulated, and analyzed here. The simulation results were illustrated in three-dimensional graphics. Through simulation, it was shown clearly that the temperature distribution was influenced very much by the number, position, and temperature of the cable stream, and that dynamic heat transfer through the cable stream was one of the most dominant factors, and that the feature of heat conduction could be understood as an unsteady-state process.

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Basin modelling with a MATLAB-based program, BasinVis 2.0: A case study on the southern Vienna Basin, Austria (MATLAB 기반의 프로그램 BasinVis 2.0을 이용한 분지 모델링: 오스트리아 비엔나 분지의 남부 지역에 대한 사례 연구)

  • Lee, Eun Young;Wagreich, Michael
    • Journal of the Geological Society of Korea
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    • v.54 no.6
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    • pp.615-630
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    • 2018
  • Basin analysis is a research field to understand the formation and evolution of sedimentary basins. This task requires various geoscientific datasets as well as numerical and graphical modelling techniques to synthesize results dimensionally in time and space. For basin analysis and modelling in a comprehensive workflow, BasinVis 1.0 was released as a MATLAB-based program in 2016, and recently the software has been extended to BasinVis 2.0, with new functions and revised user-interface. As a case study, this work analyses the southern Vienna Basin and visualizes the sedimentation setting and subsidence evolution to introduce the basin modelling functions of BasinVis 2.0. This is a preliminary study for a basin-scale modelling of the Vienna Basin, together with our previous studies using BasinVis 1.0. In the study area, during the late Early Miocene, sedimentation and subsidence are significant along strike-slip and en-echelon listric normal faults. From the Middle Miocene onwards, however, subsidence decreases abruptly over the area and this situation continues until the Late Miocene. This is related to the development of the pull-apart system and corresponds to the episodic tectonic subsidence in strike-slip basins. The subsidence of the Middle Miocene is confined mainly to areas along the strike-slip faults, while, from the late Middle Miocene, the depocenter shifts to a depression along the N-S trending listric normal faults. This corresponds to the regional paleostress regime transitioning from NE-SW trending transtension to E-W trending extension. This study applies various functions and techniques to this case study, and the modelled results demonstrate that BasinVis 2.0 is effective and applicable to the basin modelling.