• 제목/요약/키워드: Large breast

검색결과 323건 처리시간 0.026초

유리 피판술을 실패한 환부 : 그 대책은? (The Wounds of Free Flap Failure : What's the Solution?)

  • 안희창;박봉권;김정철
    • Archives of Reconstructive Microsurgery
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    • 제8권1호
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    • pp.35-43
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    • 1999
  • 저자들은 1988년부터 1998년까지 시행한 252예의 유리피판술 중 9예에서 미세혈관 문합부의 혈전 등의 이유로 실패하였으며, 이들 중 두경부 및 하지의 7예에서는 첫 수술 4-16일 사이에 제 2의 유리피판술을 성공적으로 시행하여 환부를 치유시키고, 처음에 계획하였던 수술적 목표를 달성하였다. 수부의 2예는 환자 및 보호자와 충분한 상의하여 원거리 피판과 피부이식 등 고식적인 치료 방법을 선택하였다. 수부의 경우는 다른 부위보다 고식적 치료 방법이 덜 부담되었던 것으로 생각되었으며, 두경부와 하지는 환부의 특성상 제 2의 유리 피판술이 최선의 선택으로 생각되었다. 유리 피판술이 실패한 환부에서 계속된 제 2의 유리 피판술을 시행하는 것은, 처음의 수술보다 면밀한 술전 계획과 준비, 완벽한 수술, 수술후의 철저한 환자 관리가 요구되었으나, 이들 환부의 처치에 매우 효과적이고 환자의 기대에 부응할 수 있는 방법이라고 생각된다.

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Modeling Age-specific Cancer Incidences Using Logistic Growth Equations: Implications for Data Collection

  • Shen, Xing-Rong;Feng, Rui;Chai, Jing;Cheng, Jing;Wang, De-Bin
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권22호
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    • pp.9731-9737
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    • 2014
  • Large scale secular registry or surveillance systems have been accumulating vast data that allow mathematical modeling of cancer incidence and mortality rates. Most contemporary models in this regard use time series and APC (age-period-cohort) methods and focus primarily on predicting or analyzing cancer epidemiology with little attention being paid to implications for designing cancer registry, surveillance or evaluation initiatives. This research models age-specific cancer incidence rates using logistic growth equations and explores their performance under different scenarios of data completeness in the hope of deriving clues for reshaping relevant data collection. The study used China Cancer Registry Report 2012 as the data source. It employed 3-parameter logistic growth equations and modeled the age-specific incidence rates of all and the top 10 cancers presented in the registry report. The study performed 3 types of modeling, namely full age-span by fitting, multiple 5-year-segment fitting and single-segment fitting. Measurement of model performance adopted adjusted goodness of fit that combines sum of squred residuals and relative errors. Both model simulation and performance evalation utilized self-developed algorithms programed using C# languade and MS Visual Studio 2008. For models built upon full age-span data, predicted age-specific cancer incidence rates fitted very well with observed values for most (except cervical and breast) cancers with estimated goodness of fit (Rs) being over 0.96. When a given cancer is concerned, the R valuae of the logistic growth model derived using observed data from urban residents was greater than or at least equal to that of the same model built on data from rural people. For models based on multiple-5-year-segment data, the Rs remained fairly high (over 0.89) until 3-fourths of the data segments were excluded. For models using a fixed length single-segment of observed data, the older the age covered by the corresponding data segment, the higher the resulting Rs. Logistic growth models describe age-specific incidence rates perfectly for most cancers and may be used to inform data collection for purposes of monitoring and analyzing cancer epidemic. Helped by appropriate logistic growth equations, the work vomume of contemporary data collection, e.g., cancer registry and surveilance systems, may be reduced substantially.

천축산 일대 금강소나무림의 군집구조 및 종조성 (Community Structure and Species Composition of Pinus densiflora for. erecta Forest in Mt. Cheonchuk)

  • 변준기;박병주;주성현;천광일
    • 한국자원식물학회지
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    • 제33권1호
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    • pp.1-14
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    • 2020
  • 경상북도 울진군에 위치한 천축산 일대 금강소나무림을 중심으로 한 군집구조와 종조성에 대한 분석을 실시하였다. 그 결과 조사지 내 관속식물상은 총 66과 165속 211종 2아종 29변종 6품종으로 248분류군으로 조사되었으며 금강소나무림을 중심으로 신갈나무 군집, 굴참나무 군집, 갈참나무-국수나무 군집으로 3가지 군집으로 분류되었다. 군집 간 토양의 이화학적 성질의 차이는 유기물층 깊이, 연년생장량, 해발고도, 양이온치환용량, 전질소, pH 등의 유의한 차이가 나타났다. 하층식생을 중심으로 한 DCA 분석 결과 P-1, P-2의 조사구가 광범위한 환경에 분포하는 것에 반해 P-3 군집은 두 군집과 비교하여 이질적인 종조성인 것으로 분석되었다. 종다양도와 지표종 분석결과 P-3군집에서 목본층과 하층식생의 종풍부도 및 종다양도 지수가 높은 것으로 분석되었는데, 이는 숲틈에 의한 임내 광량이 다량 유입되어 선구종(pioneer species) 및 여러 식물종이 생육하기 용이한 공간을 마련한 결과로 나타났다(Schnitzer and Carson, 2001). 이에 따른 만경류와 같은 수관열림에 의한 수종 유입에 따른 금강소나무의 피해를 방지하기 위한 장기적인 모니터링을 실시하여 임내 환경과 하층식생의 변화상을 관찰하여야 한다. 특정지역에 대한 생태적 데이터베이스의 구축은 생태계 보전을 위한 기초자료로 활용되며 이는 곧 서식처로 삼고있는 동물들의 보전으로 이어져 생물다양성과 종간 상호작용이 원활하게 이루어져 건전한 생태계를 유지한다. 이를 위한 효율적인 보전방안의 하나는 GIS (Geographic Information System) 데이터를구축하는 것으로 대면적 생태경관보전지역의 경우 공간적 범위가 넓어 인간이 수동적으로 인지하기에 한계가 있기 때문에 효과적인 관리 방법이 될 것이다. 또한 연구대상지 내 수집한 데이터를 정량화 시키고 유기적인 경관보전을 위해 장기적인 모니터링이 요구되며, 이는 왕피천 유역의 시계열적인 생태계를 이해하는 방법이다.

Meta-Analysis of the Association between H63D and C282Y Polymorphisms in HFE and Cancer Risk

  • Zhang, Meng;Xiong, Hu;Fang, Lu;Lu, Wei;Wu, Xun;Wang, Yong-Qiang;Cai, Zhi-Ming;Wu, Song
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권11호
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    • pp.4633-4639
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    • 2015
  • Background: Previous studies suggested that the H63D and C282Y polymorphisms in the HFE genes were susceptible to many cancer types, nevertheless, the present results were inconclusive. Thus, the present study was aimed to evaluate the association between the HFE polymorphisms (H63D and C282Y) and cancer risk via meta-analysis. Materials and Methods: We retrieved PubMed, Google Scholar, Embase and Web of Science databases for all eligible studies up to April 1, 2015. All the statistical analysis was conducted by STATA 12.0. Results: Finally, a total of 20 publications including 24 case-control studies, comprising 6,524 cases and 31,080 controls for HFE-C282Y polymorphism and 19 publications including 21 case control studies, comprising 5,648 cases and 14,257 controls for HFE-H63D polymorphism were enrolled in our analysis. An increased risk for overall cancer risk was identified in HFE-H63D polymorphism under allele contrast (D vs H: OR=1.153; 95%CI=1.031-1.289, Pheterogeneity=0.002), homozygotes vs wide type (DD vs HH: OR=1.449; 95%CI=1.182-1.777, Pheterogeneity=0.391), dominant model (DD+HD vs HH: OR=1.145; 95%CI=1.007-1.301, Pheterogeneity=0.002) and recessive model (DD vs HD+HH: OR=1.416 ; 95%CI=1.156-1.735, Pheterogeneity=0.549), as well as HFE-C282Y under homozygotes vs wide type (YY vs CC: OR=1.428, 95%CI=1.017-2.006, Pheterogeneity=0.220). In addition, in the stratified analysis by cancer type, an increased risk was identified in hepatocellular carcinoma and breast cancer in C282Y polymorphism, as well as pancreatic cancer in H63D polymorphism, whereas a decreased risk of colorectal cancer was identified in C282Y polymorphism. Conclusions: Present study suggested that H63D and C282Y polymorphisms associated with an increased risk of overall cancer. Nevertheless, well-designed study with large sample size will be continued on this issue of interest.

소세포 폐암에서의 위 전이 2예 (Two Cases of Gastric Metastasis from Small Cell Lung Cancer)

  • 유광하;김형중;안철민;이세준;김성규;이원영
    • Tuberculosis and Respiratory Diseases
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    • 제46권2호
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    • pp.273-280
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    • 1999
  • 저자들은 소세포 폐암으로 확진된 환자에서 오심 구토 혈변등 위장관 증상을 호소하여 상부 위 내시경 검사 및 조직 생검을 시행하여 위장으로의 전이를 확인한 2 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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중국 및 몽고제국의 포제와 민족복에 나타난 ' 깃 (옷깃)'에 대한 연구 -13세기를 중심으로- (A Study on form of 'collar' in the China and Mongolian Traditional OverCoat & National Costume -Focusing on 13th Century's-)

  • 김은주
    • 복식
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    • 제19권
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    • pp.209-240
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    • 1992
  • The costume of any nation is an attribute of a culture. This study concerns chinese and Mongolian costume's 'collar' form according to the observation of some reports about import folk materials and the pictures of the genuine objects, the author has investigated and rearranged them focusing on 13th Century's. 1. Traditional OverCoat or National costume on the poing of won dynasty in china such as Jacket, Coat, Mantle for making classical matching color, lacing, pearl pieces, and all costume shall be properly decorated and disigned. The example, Chinese Women's Gown and Double Jacket, on top of alignment of plaid, focus shall be placed on chinese classical form and color-matching, such as flowers and bireds, butterflies, made wishing ornaments, which shall be either hand painted or embroidered on collars, fronts, sleeves openings, and lower portion of gown. 2. Mongolian Costume, the stone status of a person, are seen at the territory of the Republic of Mongolia was a powerful country of Asia. So during the Mongolian Empire a lot of Missions from many countries came to kharakorom for establishing official relations between Mongolia and a country represented by mission. In particularly, the costume of mongols on the point of Chinggis khan Empire which the upper clothes in cluded ; a several kinds of the Caftan as compared with in Korea as to material (Silk caftan, Cotton Caftan, Fur Caftan) with closing to the right due to overlapping and Stand-up-Shawl Collars will pancho style & Round or V Neckline. 3. As compared with in Korea it is said that this a sort of Simui was brought in prior to the middle of Koryeo dynasty. Korean Simui system was complied with chinese system through confucian domestic behaviour. This was respected for court dress of confucian scholars, as it was, Chumri can ordinary dress of schloars) and Hakchangui ( a uniform of confucian student). Generally its form or shape of the outer lapels of Korean jacket were used together Squar-Tray-Collar. In late Yi-dynasty the inside collar length was longer than the outside collar length and the width of the collar was gradually narrow. And so the Traditional costume's outer collar of Jacket and OverCoat became small while the width and length of breast-tie became large. The same thing as the form of the collar on these days had been appeared by the design method or adjust one's dress. Therefore the form of collar in the china and Mongolian Traditional OverCoat & National Costume is fix arranged according to Stand up Collar, Without Collar, Clothing to the Right, Central opening, Horizontal Row of Button with Round or V Neckline and so on.

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완도군 당인리 전통마을숲의 구조적 특성 및 경관관리 개선방안 연구 (A Study on the Structural Characteristics and Improvement Scheme of Landscape Management for the Traditional Village Forest in Dangin-ri, Wando-gun)

  • 최재웅;김동엽;김미희;안옥선
    • 한국환경복원기술학회지
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    • 제16권4호
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    • pp.83-97
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    • 2013
  • The traditional village forests in Korea such as Dangsan forests and Bibo forests form unique cultural landscape and they are national cultural assets with histories of more than several hundred years. It is important to have sustainable right to enjoy cultural heritage as well as maintaining its authenticity. Cultural assets are meaningful only when they are managed to succeed to next generations. Dangsan forests and Bibo forests need to be named properly and recognized by society as a precious cultural heritage for many generations to come in order to claim the value as traditional cultural landscapes in Korea. The traditional village forest in Dangin-ri, Wando-gun was composed of a Dangsan forest and five Bibo forests. Although this traditional village forest is large in size, it was not on the report of Cultural Heritage Administration(2005) investigated for 'Village forest of island region in Jeollanam-do'. The objective of this study was to investigate the characteristics of the traditional village forest in Dangin-ri to grant correct name and to enhance its value. In this study the characteristics of a Dangsan forest and five Bibo forests were investigated from 2006 to 2013 for physical features such as size, shape, location, tree species composition, and diameter at breast height(DBH), as well as cultural aspects and tradition. Currently the naming and designation of natural monuments by the cultural heritage administration(CHA) is based on the rule enacted in 1934. Many Dangsan forests were named as evergreen forests. This type of names does not represent the meaning of traditional village forest. It was suggested that this traditional village forest is to be named as 'Dangsan Forest and Bibo Forests at Dangin-ri, Wando-gun'. This traditional village forest needs to reclaim authenticity and rebuild its original appearance by restoration of the disturbed areas, especially in Bibo forest I.

한라산 구상나무림의 식생구조와 분포 특성 (Vegetation Structure and Distributional Characteristics of Abies koreana Forests in Mt. Halla)

  • 송국만;김찬수;고정군;강창훈;김문홍
    • 한국환경과학회지
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    • 제19권4호
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    • pp.415-425
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    • 2010
  • The purpose of the present study was to analyze the vegetation structure and distributional characteristics of Abies koreana forests in Mt. Halla, and to provide basicdata for an ecological study on Abies koreana in Mt. Halla. The results of the analysis showed that the mean importance percentage(M.I.P,) of Abies koreana in the Youngsil and Bangaeoreum and the Azalea field were 28.3%, 23.6%, and 46.4%, respectively. The ratios of DBH (diameter at breast height) to height were similar in all region, except in the Azalea field, where Abies koreana of various ages, both young and old, were found. The species diversity (H) of the upper and lower layers in the Youngsil and Bangaeoreum and in the Azalea field were 0.625 and 0.810, 0.731 and 0.848, and 0.342 and 0.757, respectively. A total of 52 community were distributed at locations higher than 1,300m above sea level. The proportions of each community in the whole Abies koreana forest were 56.5%(Azalea field), 11.0% (Youngsil trail at 1,550-1,650 m above sea level), and 8.1%(Janggumok and Kundurewat region). The total area of the Abies koreana forest was calculated to be 795.3ha by combining all the areas of each community. An Abies koreana forest with the largest area was found at locations 1,500-1,600 m above sea level, taking up 38.8% of the total Abies koreana forest area. For the slopes of the distributional area of Abies koreana, 46.1%(highest proportion) of the total area was $10\sim25^{\circ}$, and for the azimuth of the distributional area, 17.4%(the highest proportion) of the total area was $0-45^{\circ}$. The vegetation structure showed large differences between areas. It was found, however, that the distribution was mostly in the areas with a relatively gentle slope. It is suggested that research be done to forecast the possible changes in the differences in the vegetation structures between different areas caused by climate changes. In addition, there is a need to monitor the Abies koreana and alpine plants in the subalpine zones of Mt. Halla, which are sensitive to climate change, to obtain the basic data that are necessary for the protection and maintenance of the ecosystem.

Response of Muscle Protein Synthesis to the Infusion of Insulin-like Growth Factor-I and Fasting in Young Chickens

  • Kita, K.;Shibata, T.;Aman Yaman, M.;Nagao, K.;Okumura, J.
    • Asian-Australasian Journal of Animal Sciences
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    • 제15권12호
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    • pp.1760-1764
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    • 2002
  • In order to elucidate the physiological function of circulating IGF-I on muscle protein synthesis in the chicken under malnutritional conditions, we administrated recombinant chicken IGF-I using a osmotic mini pump to fasted young chickens and measured the rate of muscle protein synthesis and plasma metabolite. The pumps delivered IGF-I at the rate of $22{\mu}g/d\{300{\mu}g{\cdot}(kg\;body\;weight{\cdot}d)^{-1}\}$. Fractional rate of protein synthesis in the muscle was measured using a large dose injection of L-[$2,6-^3H$]phenylalanine. Constant infusion of chicken IGF-I did not affect plasma glucose level. Significant interaction between dietary treatment and IGF-I infusion was observed in plasma NEFA and total cholesterol concentrations. When chicks were fasted, IGF-I infusion decreased plasma NEFA and total cholesterol concentrations. On the other hand, IGF-I administration did not affect plasma levels of both metabolites. Fasting reduced plasma triglyceride concentration significantly. IGF-I infusion also decreased the level of plasma triglyceride. Plasma IGF-I concentration of young chickens was halved by fasting for 1 d. IGF-I infusion using an osmotic minipump for 1 d increased plasma IGF-I concentration in fasted chicks to the level of fed chicks. Fasting decreased body weight and the loss of body weight was significantly ameliorated by IGF-I infusion. There was a significant interaction between dietary treatment and IGF-I infusion in the fractional rate of breast muscle protein synthesis. There was no effect of IGF-I infusion on muscle protein synthesis in fed chicks. Muscle protein synthesis reduced by fasting was ameliorated by IGF-I infusion, but did not reach to the level of fed control. Muscle weight of fasted chicks infused with IGF-I was similar to fasted birds without IGF-I infusion, which suggests that muscle protein degradation would be increased by IGF-I infusion as well as protein synthesis in fasted chicks.

Capecitabine Pattern of Usage, Rate of Febrile Neutropaenia and Treatment Related Death in Asian Cancer Patients in Clinical Practice

  • Phua, Vincent Chee Ee;Wong, Wei Quan;Tan, Pei Lin;Bustam, Anita Zarina;Saad, Marniza;Alip, Adlinda;Ishak, Wan Zamaniah Wan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권4호
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    • pp.1449-1453
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    • 2015
  • Background: Oral capecitabine is increasingly replacing intravenous 5-fluorouracil in many chemotherapy regimens. However, data on the risk of febrile neutropaenia (FN) and treatment related death (TRD) with the drug remain sparse outside of clinical trial settings despite its widespread usage. This study aimed to determine these rates in a large cohort of patients treated in the University of Malaya Medical Centre (UMMC). Materials and Methods: We reviewed the clinical notes of all patients prescribed with oral capecitabine chemotherapy for any tumour sites in University Malaya Medical Centre (UMMC) from $1^{st}$ January 2009 till $31^{st}$ June 2010. Information collected included patient demographics, histopathological features, treatment received including the different chemotherapy regimens and intent of treatment whether the chemotherapy was given for neoadjuvant, concurrent with radiation, adjuvant or palliative intent. The aim of this study is to establish the pattern of usage, FN and TRD rates with capecitabine in clinical practice outside of clinical trial setting. FN is defined as an oral temperature > $38.5^{\circ}C$ or two consecutive readings of > $38.0^{\circ}C$ for 2 hours and an absolute neutrophil count < $0.5{\times}10^9/L$, or expected to fall below $0.5{\times}10^9/L$ (de Naurois et al., 2010). Treatment related death was defined as death occurring during or within 30 days of last chemotherapy treatment. Results: Between $1^{st}$ January 2009 and $30^{th}$ June 2010, 274 patients were treated with capecitabine chemotherapy in UMMC. The mean age was 58 years (range 22 to 82 years). Capecitabine was used in 14 different tumour sites with the colorectal site predominating with a total of 128 cases (46.7%), followed by breast cancer (35.8%). Capecitabine was most commonly used in the palliative setting accounting for 63.9% of the cases, followed by the adjuvant setting (19.7%). The most common regimen was single agent capecitabine with 129 cases (47.1%). The other common regimens were XELOX (21.5%) and ECX (10.2%). The main result of this study showed an overall FN rate of 2.2% (6/274). The overall TRD rate was 5.1% (14/274). The FN rate for the single agent capecitabine regimen was 1.6% (2/129) and the TRD rate was 5.4% (7/129). All the TRDs were with single agent capecitabine regimen were used for palliative intent. Conclusions: Oral capecitabine is used widely in clinical practice in a myriad of tumour sites and bears a low risk of febrile neutropaenia. However, capecitabine like any other intravenous chemotherapeutic agent carries a significant risk of treatment related death.