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Stratifying Patients with Haematuria into High or Low Risk Groups for Bladder Cancer: a Novel Clinical Scoring System

  • Tan, Guan Hee;Shah, Shamsul Azhar;Ann, Ho Sue;Hemdan, Siti Nurhafizah;Shen, Lim Chun;Abdul Galib, Nurudin Al-Fahmi;Singam, Praveen;Kong, Ho Chee Christopher;Hong, Goh Eng;Bahadzor, Badrulhisham;Zainuddin, Zulkifli Md
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6327-6330
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    • 2013
  • Haematuria is a common presentation of bladder cancer and requires a full urologic evaluation. This study aimed to develop a scoring system capable of stratifying patients with haematuria into high or low risk groups for having bladder cancer to help clinicians decide which patients need more urgent assessment. This cross-sectional study included all adult patients referred for haematuria and subsequently undergoing full urological evaluation in the years 2001 to 2011. Risk factors with strong association with bladder cancer in the study population were used to design the scoring system. Accuracy was determined by the area under the receiver operating characteristic (ROC) curve. A total of 325 patients with haematuria were included, out of which 70 (21.5%) were diagnosed to have bladder cancer. Significant risk factors associated with bladder cancer were male gender, a history of cigarette smoking and the presence of gross haematuria. A scoring system using 4 clinical parameters as variables was created. The scores ranged between 6 to 14, and a score of 10 and above indicated high risk for having bladder cancer. It was found to have good accuracy with an area under the ROC curve of 80.4%, while the sensitivity and specificity were 90.0% and 55.7%, respectively. The scoring system designed in this study has the potential to help clinicians stratify patients who present with haematuria into high or low r isk for having bladder cancer. This will enable high-risk patients to undergo urologic assessment earlier.

The Effects of Topical Agent (Kelo-Cote or Contractubex) Massage on the Thickness of Post-Burn Scar Tissue Formed in Rats

  • Ko, Won Jin;Na, Young Cheon;Suh, Bum Sin;Kim, Hyeon A;Heo, Woo Hoe;Choi, Gum Ha;Lee, Seo Ul
    • Archives of Plastic Surgery
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    • v.40 no.6
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    • pp.697-704
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    • 2013
  • Background We conducted an experimental study to compare the effect of massage using topical agents (Kelo-cote or Contractubex) on scar formation by massaging the healed burn wound on the dorsal area of Sprague-Dawley (SD) rats. Methods Four areas of second degree contact burn were made on the dorsal area of each of 15 SD rats, using a soldering iron 15 mm in diameter. After gross epithelialization in the defect, 15 SD rats were randomly divided into four groups: the Kelo-cote group, Contractubex group, Vaseline group, and control group. Rats in three of the groups (all but the Control group) were massaged twice per day for 5 minutes each day, while those in the Control group were left unattended. For histologic analysis, we performed a biopsy and evaluated the thickness of scar tissue. Results In the Kelo-cote and Contractubex groups, scar tissue thicknesses showed a significant decrease, compared with the Vaseline and control groups. However, no significant differences were observed between the Kelo-cote and Contractubex groups. In the Vaseline group, scar tissue thicknesses showed a significant decrease, compared with the control groups. Conclusions The findings of this study suggest that massage using a topical agent is helpful in the prevention of scar formation and that massage only with lubricant (no use of a topical agent) also has a considerable effect, although not as much as the use of a topical agent. Thus, we recommend massage with a topical agent on the post-burn scar as an effective method for decreasing the scar thickness.

Comparison of elective inguinal node irradiation techniques in anal cancer

  • Cha, Ji-Hye;Seong, Jin-Sil;Keum, Ki-Chang;Lee, Chang-Geol;Koom, Woong-Sub
    • Radiation Oncology Journal
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    • v.29 no.4
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    • pp.236-242
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    • 2011
  • Purpose: To compare photon thunderbird with deep match (technique 1) with 3-field technique with electron inguinal boost (technique 2) in acute skin toxicity, toxicity-related treatment breaks and patterns of failure in elective inguinal radiation therapy (RT) for curative chemoradiation in anal cancer. Materials and Methods: Seventeen patients treated between January 2008 and September 2010 without evidence of inguinal and distant metastasis were retrospectively reviewed. In 9 patients with technique 1, dose to inguinal and whole pelvis area was 41.4 to 45 Gy and total dose was 59.4 Gy. In 8 patients with technique 2, doses to inguinal, whole pelvis, gross tumor were 36 to 41.4 Gy, 36 to 41.4 Gy, and 45 to 54 Gy, respectively. The median follow-up period was 27.6 and 14.8 months in group technique 1 and 2, respectively. Results: The incidences of grade 3 radiation dermatitis were 56% (5 patients) and 50% (4 patients), dose ranges grade 3 dermatitis appeared were 41.4 to 50.4 Gy and 45 to 54 Gy in group technique 1 and 2, respectively (p = 0.819). The areas affected by grade 3 dermatitis in 2 groups were as follow: perianal and perineal areas in 40% and 25%, perianal and inguinal areas in 0% and 50%, and perianal area only in 60% and 25%, respectively (p = 0.196). No inguinal failure has been observed. Conclusion: Photon thunderbird with deep match technique and 3-field technique with electron inguinal boost showed similar incidence of radiation dermatitis. However, photon thunderbird with deep match seems to increase the possibility of severe perineal dermatitis.

Mycological Findings of Trichophyton tonsurans Isolated in New Orleans Area (Trichophyton tonsurans의 진균학적 소견)

  • Kim, Ki-Hong
    • Journal of Yeungnam Medical Science
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    • v.8 no.2
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    • pp.45-51
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    • 1991
  • There had been no reports of Trichophyton tonsurans infection in Korea yet. We have much chances to import the organism through international travels and exchanges. But we, Korean, have no experiences to observe T. tonsurans. Author tried mycological studies with T. tonsurans isolated in New Orleans, USA. The results are as follows : Gross findings of T. tonsurans showed that fine granular surface with light yellow hue or white color and groving in the central area on the front side and mahogany brown color on the reverse side. On the urease test, various reddish discoloration was noted. Microscopic findings showed that septated hyphae, macroconidia, chlamydoconidia and microcondia. Macroconidia were 3-5 septated, smooth-surfaced, and were found more frequently in the whitish colony. Microconidia were characteristic in their arrangement and shape ; round or oval shaped microconidia laterally to hyphae, some were match-head like terminal swelling. Hair perforation test showed positive results in 16 strains among 19 tested strains. All these findings are similar to T. rubrum and T. menatgrophytes, the most frequent isolates of dermatophytes in Korea. And we have to pay an attention to diffentiate carefully.

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Pathological observation on the piglets experimentally infected with Aujeszky′s disease virus isolated in Korea (국내 분리 오제스키병 바이러스 접종자돈의 병리학적 관찰)

  • Park, Nam-Yong;Chung, Chi-Young;Kim, JIn-Ho;Yoon, Jin-Gyu;Park, Young-Seok
    • Korean Journal of Veterinary Pathology
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    • v.2 no.2
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    • pp.117-125
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    • 1998
  • Pathological studies were performed on the five piglets experimentally infected with Aujeszky's disease virus(pseudorabies), NYJ isolate, isolated from the naturally infected pigs in Korea: two piglets were inoculated intramuscularly, two piglets intranasally, and one piglet subcutaneously at the dose of 1$m\ell$ per animal with the 105.5 $TCID_50$/0.1ml titer. Clinical signs included dyspnea, high fever(>$41^{\circ}C$), anorexia, vomiting, diarrhea or constipation, ataxia, circling movement, posterior paralysis, intermittent convulsion, and coma followed by death although some variations by age and inoculated routes were observed. Gross features included multiple necrotic foci in the liver, congestion and hemorrhage in the lymph nodes and spleen, petechial hemorrhage in the kidney, hemorrhagic pneumonia, marked meningeal congestion, severe sub meningeal hemorrhage in the spinal cord, excessive cerebrospinal fluid retention, and muscular necrosis at the inoculated area. Microscopically, non suppurative meningoencephalitis with gliosis and perivascular cuffing in CNS, ganglioneuritis, necrohemorrhagic splenitis, necrotic hepatitis, tonsillitis and rhinitis, hemorrhagic or interstitial pneumonia, and non-suppurative myositis in the injected area were observed. Eosinophilic intranuclear inclusion bodies were found in a variety of tissues the including the liver, kidney, adrenal gland, spleen, lymph nodes, tonsil, and lung. Ultrastructurally, virus particles were confirmed in nucleus and cytoplasms of pneumocytes around the necrotic areas.

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TISSUE REACTION FOLLOWING BY COMBINATION OF DISTRACTION AND COMPRESSION FORCE ON DISTRACTION OSTEOGENESIS OF THE MANDIBLE IN THE RAT (백서 하악골에서 신연골형성술시 신장력과 수축력 복합적용후의 조직반응)

  • Kim, Uk-Kyu;Shin, Sang-Hun;Chung, In-Kyo;Lee, Kwang-Ho;Park, Bong-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.2
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    • pp.103-113
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    • 2002
  • Distraction osteogenesis is a biologic process of new bone formation between the surfaces of bone segments that are gradually separated by incremental traction. Distraction osteogenesis is clinically applied as a new treatment modality of mandibular hypoplasia or bony defect area in maxillofacial area by many studies of distraction devices and method. But, disadvantages of distraction osteogenesis shows unfavorably long consolidation period and relapse tendency. Therefore, this experiment was designed to investigate the effectiveness of combined application of distraction and compression force for improving of bone quality and shortening of treatment period during distraction osteogenesis. Twenty-five Sprague-Dawley rats with $300{\sim}350gm$ were used. These were divided into two group as distraction group and combination group. The distraction group was added with conventional method during distraction osteogenesis, but the combination group was applied with compression force in the consolidation period. The rats were sacrificed for gross finding, radiographic and histologic findings at 3, 6 weeks after distraction. The results were as follow: 1. On radiographic finding, all combination of distraction and compression force group appeared more radiopacity than distraction group both at 3 weeks and 6 weeks after distraction group. 2. On histologic finding, the formation of mature lamellar bone were showed increasingly in combined group at 6weeks after distraction group. From this study, we may suggest that compression force application in consolidation period during distraction osteogenesis can be useful method to improve bone quality and to shorten the treatment period. But more experimental and clinical studies is necessitated on ideal application timing and method of compression force application during distraction osteogenesis.

A System Dynamics Model to Analyze the Effects of Investments for Improvement of Environmental Conditions in Nak-Dong River Basin (낙동강 유역 환경개선 투자 효과 분석을 위한 시스템다이내믹스 모델)

  • Park, Suwan;Kim, Kimin
    • Journal of Korean Society of Water and Wastewater
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    • v.30 no.5
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    • pp.561-569
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    • 2016
  • In this paper a concept of the paradigm shift in the operations of Water and Wastewater systems regarding the production and usage of water was introduced. Based on this concept the interrelationships between the water quality in the upper basin of NakDong River relative to Busan and the degree of satisfaction of the customers on the water supply service in Busan were modeled using the System Dynamics modeling methodology. SamRangJin basin area was determined as the upper basin of Busan after analyzing the relationships between the water quality of MoolGeum water intake point and water quality data of various mid- and upper water intake points along NakDong River. The amount of contaminants generated in SamRangJin basin was modeled using the Gross Regional Domestic Product in the area and the treated amount was calculated using the efficiency of wastewater treatment and the degree of improvement of environmental condition per investment. The water quality at MoolGeum water intake point was modeled to take the effects of the remaining amount of contaminants after treatment and the non-point source contaminants in SamRangJin basin. Using the developed System Dynamics model the effects of the investment for the improvement of environmental condition in SamRangJin basin were compared to the case of alternate water source development for Busan in terms of the degree of satisfaction of the customers on the water supply service in Busan.

Variations and Trends in Concentrations of Polycyclic Aromatic Hydrocarbons (PAHs) in Air (대기 중 다환방향족 탄화수소류의 오염도 변화 특성)

  • Chung, Yong;Park, Seong-Eun;Hwang, Man-Sik;Hong, Ji-Yeon
    • Environmental Analysis Health and Toxicology
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    • v.13 no.1_2
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    • pp.43-53
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    • 1998
  • Ambient air levels of polycyclic aromatic hydrocarbons(PAHs) are of concern because of their potential for adverse health effects including transformation of some of these substances to mutagens and carcinogens by mammalian microsomal enzyme system. Airbone particulate samples were collected by a conventional high-volume sampler and by an Anderson cascade impactor on 2 to 3 days in each month over a period of 1 year at a representative site of the heavy traffic area of Seoul from beptember 1994 to August 1995. Ten individual PAHs in sizable air particulates of each stage of two months were separated and analyzed by gas chromatography/mass spectrometry. As a results of analysis, the gross concentrations of PAHs in the fine and coarse particles were higher in the winter month than in the spring, followed in descending order by in the fall and summer. In a study of dependency of 10 PAHs compounds on size distribution of particles at heavy traffic area found that about 85% of the total PAHs content was associated with particles less than 2.0um (fine particles) in diameter of winter sampling period. while 79% were associated with this size fraction during summer period. In according to the mean concentrations of the 10 PAHs in 7 size classification from < 0.38 to> 10.1, the 'size was the smaller, PAHs concentration was the higher. Thus it was found that PAHs concentration was greatly affected by air particle size. Annual mean benzo(a)pyrene equivalents was 5.88ng/m$^3$ and obtained by applying, toxic equivalency factor developed by Nisbet and Lagoy.

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MORPHOMETRIC STUDY OF SCAPULAR LATERAL BORDER FOR INSTALLATION OF DENTAL IMPLANT. (치과용 임프란트 매식을 위한 견갑골외연의 형태학적 연구)

  • Lee, Jong-Ho;Jung, Soong-Ryong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.3
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    • pp.231-238
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    • 1995
  • The scapular flap, described by dos Santos in 1986, has been used successfully for the reconstruction of a variety of defects of oro-mandible. Some have defined the gross and vascular anatomy of the lateral border of the scapula, yet useful anatomical information and a complete description of area and contour of each cut surface of lateral border of scapula, which is very important for esthetic and functional reconstruction using dental implants, are missing. These prompted us to clarify the cross-sectional area of lateral border of scapula. Twenty three scapulas of 15 fixed adult Caucasian cadavers were sectioned in every 1cm interval along the lateral border of scapular, and the metric relations and the shape of cut surface were assessed. The lateral border of the scapula, consisting of cortico-cancellous bone measuring $7.86{\pm}0.97mm$ in width, $19.6{\pm}2.86mm$ in height and $12{\pm}1.78cm$ in length, could be harvested as an osteocutaneous scapular flap or as a single vascularized bone flap. The mean thickness of cortical bone of lateral, medial, dorsal and costal surface was $0.46{\pm}1.48mm$, $1.78{\pm}1.34mm$, $1.54{\pm}1.11mm\;and\;1.35{\pm}0.87mm$, respectively. So we have thought that all scapular transplants could be supported osseointegrated implants for fixation of dental prosthesis.

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Filling Analysis for Missing Turbidity Data in Han River Estuary (한강 하구부에서 결측된 탁도 자료의 보완)

  • Baek, Kyong-Oh;Cho, Hong-Yeon;Lee, Sam-Hee
    • Journal of Korea Water Resources Association
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    • v.39 no.4 s.165
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    • pp.289-298
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    • 2006
  • Turbidity had been measured during five months In Han River estuary at three sites. In this process, missing data occurred due to gauge imitation of the turbidity sensor. A filling method for the missing turbidity data was newly developed in this study. Under the assumption of the time series data with unique period and different amplitudes, the new method can fill the missing data based on the area ratio of each cycle. And the new method was verified through the data set having no missing data. There were little differences between gross area of the original data and that of the revised data by the new method though values of peak were underestimated. As a result, missing turbidity data observed at Han River estuary could be appropriately filled using the new filling method.