• Title/Summary/Keyword: Local Acceptance

Search Result 147, Processing Time 0.025 seconds

Long-term Survival Outcomes of Laparoscopic Gastrectomy for Advanced Gastric Cancer: Five-year Results of a Phase II Prospective Clinical Trial

  • Ahn, Sang-Hoon;Kang, So Hyun;Lee, Yoontaek;Min, Sa-Hong;Park, Young Suk;Park, Do Joong;Kim, Hyung-Ho
    • Journal of Gastric Cancer
    • /
    • v.19 no.1
    • /
    • pp.102-110
    • /
    • 2019
  • Purpose: Despite an increased acceptance of laparoscopic gastrectomy (LG) in early gastric cancer (EGC), there is insufficient evidence for its oncological safety in advanced gastric cancer (AGC). This is a prospective phase II clinical trial to evaluate the feasibility of LG with D2 lymph node dissection (LND) in AGC. Materials and Methods: The primary endpoint was set as 3-year disease-free survival (DFS). The eligibility criteria were as follows: 20-80 years of age, cT2N0-cT4aN3, American Society of Anesthesiologists score of 3 or less, and no other malignancy. Patients were enrolled in this single-arm study between November 2008 and May 2012. Exclusion criteria included cT4b or M1, or having final pathologic results as EGC. All patients underwent D2 lymphadenectomy. Three-year DFS rates were estimated by the Kaplan-Meier method. Results: A total of 157 patients were enrolled. The overall local complication rate was 10.2%. Conversion to open surgery occurred in 11 patients (7.0%). The mean follow-up period was $55.0{\pm}20.4months$ (1-81 months). The cumulative 3-year DFS rates were 76.3% for all stages, and 100%, 89.3%, 100%, 88.0%, 71.4%, and 35.3% for stage IB, IIA, IIB, IIIA, IIIB, and IIIC, respectively. Recurrence was observed in 37 patients (23.6%), including hematogenous (n=6), peritoneal (n=13), locoregional (n=1), distant node (n=8), and mixed recurrence (n=9). Conclusions: In addition to being technically feasible for treatment of AGC in terms of morbidity, LG with D2 LND for locally advanced gastric cancer showed acceptable 3-year DFS outcomes.

Development of non-dairy creamer analogs/mimics for an alternative of infant formula using egg white, yolk, and soy proteins

  • Huang, Xi;Lee, Eun Joo;Ahn, Dong U.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • v.32 no.6
    • /
    • pp.881-890
    • /
    • 2019
  • Objective: A study was conducted to develop non-dairy creamer analogs/mimics using egg white, egg yolk, soy protein and their combinations, and their nutrient content, shelf-life and flavor acceptability were compared. Methods: Spray dried egg white, egg yolk, and soy protein isolate were purchased from manufacturers and used for the formulae. Results: The protein contents of the non-dairy creamer analogs/mimics were about 8.5% as calculated. The amounts of oleic and linoleic acid content increased as the amount of yolk increased in the formula, but the increases of polyunsaturated fatty acids were <0.5% of total fat. Addition of egg yolk to the formula increased choline and lutein content in the products, but the amounts were <0.4 mg/g for choline and $4{\mu}g/g$ for lutein. The lutein in the products continued to decrease over the storage time, and only about 15% to 20% of the 0-month amounts were left after 3 months of storage. Although the thiobarbituric acid reactive substances values of the spray-dried non-dairy creamer analogs/mimics increased as storage time increased, the values were still low. Yellowness, darkness, and egg flavor/odor of the non-dairy creamer analogs/mimics increased as the amount of egg yolk in the formula increased. The overall acceptability of the non-dairy creamer analogs/mimics was closely related to the intensity of egg flavor/odor, but storage improved their overall acceptance because most of the off-odor volatiles disappeared during the storage. Water temperature was the most important parameter in dissolving spray-dried non-dairy creamer analogs/mimics, and $55^{\circ}C$ to $75^{\circ}C$ was the optimal water temperature conditions to dissolve them. Conclusion: Higher amounts of yolk and soy protein combinations in place of egg white reduced the cost of the products significantly and those products contained better and balanced nutrients than the commercial coffee creamers. However, off-flavor and solubility were two important issues in the products.

A Study on the Building of Tuna Farming in Floating Offshore Wind Power Generation Field at East Sea (동해 부유식 해상풍력발전단지 내 참다랑어 양식장 조성에 관한 연구)

  • Choi, Gun Hwan;Kim, Mi Jeong;Jang, Ki Ho;Kim, Hyo Seon
    • Journal of Korean Society of Coastal and Ocean Engineers
    • /
    • v.33 no.5
    • /
    • pp.179-186
    • /
    • 2021
  • We need measures that can come up with alternative about fishery living zone and enhance local acceptance for responding to the increase in the proportion of renewable energy production and construction of 12GW Offshore wind power according to Korea's Renewable Energy 3020 initiative and Korean-version New Deal. In this study, We suggest that differentiation plans of co-location model in connection with offshore wind power generation suitable for the East Sea. The East Sea is an optimal site for building of a floating offshore wind power generation(FOWPG) field. It is expected that economic effects like energy production, aquatic resource development and tourism industrialization by farming bluefin tuna which is high valued fish and suitable for offshore aquaculture on public waters in FOWPG field. And we can confirm that budget reduction, smart management by sharing operation management technology and increase in fishermen income.

Advancement plan into economic soft power for multifaceted trade in Morocco, North Africa (북아프리카 모로코의 다각적 교역을 위한 경제적 소프트 파워 진출 방안)

  • Seo, DaeSung;Seo, ByeongMin
    • The Journal of the Convergence on Culture Technology
    • /
    • v.8 no.5
    • /
    • pp.103-110
    • /
    • 2022
  • This paper attempted to systematize the settlement problem of Moroccan immigrants and the plan for Moroccan cooperation for various purposes by understanding Morocco's religious background and historical and cultural characteristics. Morocco is open to trade and typical in the social and cultural distance. It has been exchanging Western European culture, including Spain and France, but maintains a typical Muslim. In particular, Morocco was once a center of triangular trade, a diaspora and logistics hub, and advanced to North America. It will continue to serve as a bridgehead for the cultural spread of global square-traded. Now, Moroccan trade is formed around France and other European regions. This is encountered in Korea and other countries around the world due to the progress of opening and industrialization in the African region. Since COVID-19, soft power has been increasing women's accessibility. As a global triangular strategic location for business or service financing and regional access to Morocco, we demonstrate the local acceptance of cultural industries and services, the soft power of Korea.

Critical Approach and Progressive Perspective on Sports Event Hosting (스포츠이벤트 개최의 비판적 접근과 미래적 응시)

  • Kim, Young-Kab
    • 한국체육학회지인문사회과학편
    • /
    • v.51 no.5
    • /
    • pp.51-61
    • /
    • 2012
  • The purpose of this study is to survey fundamental limitations and problems of sports event hosting from the critical point of view and to set future-oriented perspective. The reason and legitimacy for hosting sports event have come from pragmatism based on ideological logic behind politics. Thus, the flow of advanced studies was mostly limited to the category of efficiency. However, there is fundamental limitation in sports even hosting in terms of its financial expectation and efficiency. Critical approach will contribute to minimizing side effects caused from blind acceptance through awakening dispassionate and realistic judgment. In addition, rational selection of sports even hosting can be achieved through interconnection of sports culturism's directivity as an advanced sense of sports culture, integrated perspective that penetrates problems of growth and distribution and local governance as apolitical philosophy, and of course, through concentration of energy.

A Novel Idle Mode Operation in IEEE 802.11 WLANs: Prototype Implementation and Performance Evaluation (IEEE 802.11 WLAN을 위한 Idle Mode Operation: Prototype 구현 및 성능 측정)

  • Jin, Sung-Geun;Han, Kwang-Hun;Choi, Sung-Hyun
    • The Journal of Korean Institute of Communications and Information Sciences
    • /
    • v.32 no.2A
    • /
    • pp.152-161
    • /
    • 2007
  • IEEE 802.11 Wireless Local Area Network (WLAN) became a prevailing technology for the broadband wireless Internet access, and new applications such as Voice over WLAM (VoWLAN) are fast emerging today. For the battery-powered VoWLAN devices, the standby time extension is a key concern for the market acceptance while today's 802.11 is not optimized for such an operation. In this paper, we propose a novel Idle Mode operation, which comprises paging, idle handoff, and delayed handoff. Under the idle mode operation, a Mobile Host (MH) does not need to perform a handoff within a predefined Paging Area (PA). Only when the MH enters a new PA, an idle handoff is performed with a minimum level of signaling. Due to the absence of such an idle mode operation, both IP paging and Power Saving Mode (PSM) have been considered the alternatives so far even though they are not efficient approaches. We implement our proposed scheme in order to prove the feasibility. The implemented prototype demonstrates that the proposed scheme outperforms the legacy alternatives with respect to energy consumption, thus extending the standby time.

Results in the Treatment of Nasopharyngeal Carcinoma Using Combined Radiotherapy (비인강 종양에 있어서 방사선 치료와 유도화학 요법)

  • Chung Su Mi;Yoon Sei Chul;Shinn Kyung Sub;Bahk Yong Whee;Kim Hoon Kyo;Lee Kyung Shik;Cho Seung Ho
    • Radiation Oncology Journal
    • /
    • v.9 no.1
    • /
    • pp.59-63
    • /
    • 1991
  • Thirty-one patients with previously untreated and locally advanced nasopharyngeal cancer were retrospectively reviewed for comparing the effects of radical radiotherapy alone with that of combining chemotherapy and radiotherapy from 1983 to 1989 at Kangnam 51. Mavy's hospital.23/31 were evaluable for recurrence and suwival. There were 8 patients for stage III, and 15 patients for stage IV. Eleven patients were treated with radical radiation therapy done (arm I). Twelve patients were given 1~3 courses of cisplatin-5FU or cisplatin-bleomycin-vincristine prior to radiation therapy (arm II). The two arms were comparable in patient characteristics Of 11 radiotherapy Patients, complete response was 55%(6/11) and Partial response 45%(5/11). Among 12 patients after induction chemotherapy, complete response was 25%(3/12) and partial response 75%(9/12). After subsequent radiotherapy, complete response was increased to 83%(10/12) and partial response was 17%(2/12). Treatment failure was 30%(local recurrence; 3/11, and regional recurrence; 1/11) in arm 1 and 33% (local recurrence; 1/12, regional recurrence; 2/12 and distant metastasis; 1/12) in arm ll . There was no significant difference in survival between arm I and arm II (p> 0.05). The toxicities of treatment were acceptable. More controlled clinical trials must be completed before acceptance of chemotherapy as part of a standard radical treatment for locally advanced nasopharyngeal cancer.

  • PDF

Fast Fingerprint Alignment Method and Weighted Feature Vector Extraction Method in Filterbank-Based Fingerprint Matching (필터뱅크 기반 지문정합에서 빠른 지문 정렬 방법 및 가중치를 부여한 특징 벡터 추출 방법)

  • 정석재;김동윤
    • Journal of KIISE:Software and Applications
    • /
    • v.31 no.1
    • /
    • pp.71-81
    • /
    • 2004
  • Minutiae-based fingerprint identification systems use minutiae points, which cannot completely characterize local ridge structures. Further, this method requires many methods for matching two fingerprint images containing different number of minutiae points. Therefore, to represent the fired length information for one fingerprint image, the filterbank-based method was proposed as an alternative to minutiae-based fingerprint representation. However, it has two shortcomings. One shortcoming is that similar feature vectors are extracted from the different fingerprints which have the same fingerprint type. Another shortcoming is that this method has overload to reduce the rotation error in the fingerprint image acquisition. In this paper, we propose the minutia-weighted feature vector extraction method that gives more weight in extracting feature value, if the region has minutiae points. Also, we Propose new fingerprint alignment method that uses the average local orientations around the reference point. These methods improve the fingerprint system's Performance and speed, respectively. Experimental results indicate that the proposed methods can reduce the FRR of the filterbank-based fingerprint matcher by approximately 0.524% at a FAR of 0.967%, and improve the matching performance by 5% in ERR. The system speed is over 1.28 times faster.

Public Officials' Perceptions on Improving Quality of Community Health Care Service (공무원 인식유형에 따른 보건서비스 개선 방안)

  • Yang, Chang Hoon;Lee, Jei Young
    • The Journal of the Korea Contents Association
    • /
    • v.14 no.1
    • /
    • pp.223-237
    • /
    • 2014
  • The purpose of this study is to understand the perceptions of public officials in improving primary health care service for local communities by applying Q methodology that draw upon schematic model in subjectivity study. A survey was carried out among public officials at Gangneung Community Health Center, South Korea, to classify the 49 selected Q-statements into a normal distribution using a 11 point scale. The collected data was analyzed using QUANL program, and principal component factor analysis using varimax rotation was used to identify public officials' perceptions of improving quality of health care for local communities as a meaningful service provider. Type I can be categorized by a strong concern for the service acceptance, Type II can be categorized by advocating for service usability, Type III can be categorized by the pursuit of service specialization, Type IV can be categorized by roles for service accessibility, and Type V can be categorized by the suggestions for operation and management. The results provide information used to further improve quality of community health care service with the aim to promote the effectiveness of health care delivery and to increase health service utilization.

Intersection Sight Distance Based on Critical Gap at Unsignalized Intersections (임계간격을 이용한 비신호 교차로의 시거 산정에 관한 연구)

  • 이슬기;이용재;김석근
    • Journal of Korean Society of Transportation
    • /
    • v.21 no.5
    • /
    • pp.97-110
    • /
    • 2003
  • The sight distance at unsignalized intersections is the one of the fundamental geometric design elements, and can ensure safety and efficient operations. Despite its importance, little research attention has been directed in Korea compared to developed countries such as European countries, the United States, and Japan. AASHTO ISD policies have been applied to the intersection design in Korea without any revise, which can produce unrealistic and unadoptable design values. Those values are emerged from several reasons because the AASHTO ISD has been calibrated based on the local data. Therefore the ISD hardly takes into account the local characteristics of Korea such as driving behavior. vehicular movement and roadway conditions. The objective of this study is to calculate the appropriate ISD values for unsignalized intersections in the urban area in Korea. In this study, we employed the ISD model of AASHTO(2001), which is based on gap acceptance theory and can account for and take the driving and roadway conditions in Korea into consideration. The approach can also consider the complex driving maneuvers at the intersections in a proper and simple manner. The results in this study show that the ISD design criteria currently used in Korea are more conservative(safer) than those of the USA. In other words, the ISD using field data collected in this study has generally smaller values than those in USA.