• 제목/요약/키워드: NED

검색결과 141건 처리시간 0.026초

골육종의 예후인자 (Prognostic factors in Osteosarcoma)

  • 전대근;이종석;김석준;양현석;이수용
    • 대한골관절종양학회지
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    • 제3권1호
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    • pp.1-8
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    • 1997
  • Osteosarcoma is the most common primary bony malignancy and its survivorship has been progressed markedly through refined chemotherapy and surgery. But still there are many non-responders and analysis of prognostic factors may be helpful for them. Two hundred and sixty-six patients were enlisted between Mar, 1985 and Sep. 1994. Among them our inclusion criteria were: 1)primary, nonmetastatic classical osteosarcoma 2)extremity in location 3)no prior treatment at other institute and completed neoadjuvant chemotherapy and surgery according to our protocol. One hundred and eleven cases were eligible. Analyzed factors were:age, sex, location, tumor size, and pathologic response. Statistical methods were log-rank test for univariate and Cox's test for multivariate analysis. Male to female ratio was 69:42 with an average age of 17.2 years. Locations of tumor were distal femur 59, proximal tibia 29, and proximal humerus 8. Tumor size were measured by its maximal diameter and 48 cases were above 10cm and 47 cases were below 10cm. For pathologic response, 57 cases showed more than 90% and 54 cases were less than that. Limb salvage procedure was 101 cases and amputation was 10 cases and their local recurrence rate were 3.6%. Average follow-up period was 24(9-78.2) months and their final status was CDF 86, AWD 8, NED 5, and DOD 12 cases. In univariate study: type of operation(p=0.005), tumor size(p=0.005), and pathologic response(p=0.02) were significant variables. Pathologic response(p=0.03) and type of operation(p=0.01) were meaningful prognostic factors on multivariate analysis. But the latter result was interpreted as a bias, so pathologic response remained as a sole meaningful prognostic factor. More aggressive chemotherapy will be needed to improve the survival.

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Evaluation of Enterotoxigenic Bacteroides fragilis from Colonic Washings from Patients Undergoing Colonoscopy

  • Van, Ni;Ahlberg, Ned;Jung, Byung Chul;Lee, Min Ho;Ahn, Seung Ju;Lee, In-Soo;Kim, Yoon Suk;Rhee, Ki-Jong
    • 대한의생명과학회지
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    • 제18권4호
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    • pp.362-368
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    • 2012
  • Enterotoxigenic Bacteroides fragilis (ETBF) is an intestinal commensal bacterium implicated as a risk factor for colon cancer. The key virulence factor is a secreted toxin called B. fragilis toxin (BFT). In this study we used an in vitro bioassay to examine the prevalence of ETBF in colonic washings from patients with colorectal polyps and normal control patients. We found that 9.3% of polyp patients and 10.9% of non-polyp patients harbored ETBF, respectively. A total of nine ETBF clinical isolates were isolated and confirmed to be positive for the BFT gene by PCR analysis and the ability to induce IL-8 secretion in the colonic epithelial cell line HT29/c1. Two of the ETBF clinical strains were characterized further in vitro and in vivo. We found that the two ETBF clinical isolates induced E-cadherin cleavage in HT29/c1 cells and promoted colonic inflammation in C57BL/6 mice. Our results indicate that the prevalence of ETBF in polyp patients were similar in non-polyp patients suggesting that ETBF carriage does not positively correlate to polyp incidence.

TIMBER AGE ESTIMATION OF COMMERCIAL TIMBERLAND IN TENNESSEE, USA USING REMOTELY SENSED DATA

  • Lee, Jung-Bin;Kim, Sung-Hoon;Jayakumar, S.;Heo, Joon
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2007년도 Proceedings of ISRS 2007
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    • pp.449-451
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    • 2007
  • In the commercially managed timber lands, the information such as height, age, stand density, canopy closure and leaf area index need to be collected periodically. Stand volume is the most fundamental information in the valuation of timber, however, stand age information is the primary element of forest inventory and these two are highly correlated. Conventional method of collecting stand age information by field surveys such as ring count method is accurate; however, it is expensive, labor-intensive and time consuming. In the present study it was aimed to collect stand age information using modem techniques in a commercially managed timberland situated in Tennessee, USA. The Landsat Thematic Mapper (TM), Enhanced Thematic Mapper (ETM+) of three different periods, Shuttle Radar Topography Mission (SRTM), National elevation dataset (NED) and field inventory data were used. Normalized difference vegetation index (NDVI) and Tasselled Cap (TC) transformation techniques were applied on the TM and ETM+ data. The regression analysis was carried out to identify the correlation between stand age and NDVI, TC. In the present study about 2,469 datasets were analyzed. The $R^{2}$ value for stand age estimation was 0.713. The NDVI, TC2 and TC3 were found to produce accurate timber age information.

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소아의 원발성 악성 간종양에 대한 임상적 고찰 (The Clinical Analysis of Primary Malignant Hepatic Tumor in Childhood)

  • 임기윤;정연준;정성후;김재천
    • Advances in pediatric surgery
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    • 제9권1호
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    • pp.12-18
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    • 2003
  • The purpose of this study is to evaluate children who underwent hepatic resection for primary malignant hepatic tumor in the period from January 1994 to December 2001. A total of 8 patients, seven with hepatoblastoma (HB) and one with hepatocellular carcinoma (HCC), were studied. One HCC was resectable at the initial diagnosis, but five cases of unresectable HB received two cycles of transarterial chemoembolization (TACE) before operation. One patient with an unresectable HB with bone marrow metastasis was operated after one cycle of TACE and one cycle of systemic chemotherapy based on CCG-823F protocol. Another unresectable HB patient received systemic chemotherapy instead of TACE before operation. Postoperative chemotherapy was administered to all of the patients after complete surgical resection on CCG-823F protocol. All 6 patients who underwent TACE and neoadjuvant chemotherapy showed marked reduction in tumor volume and a clear outline of the lesion. Major complication was not noticed. Mean alpha-fetoprotein (${\alpha}$-FP) level at diagnosis, after neoadjuvant chemotherapy and after postoperative chemotherapy was 9,818 (42-35,350), 664, and 10.1 ng/mL, respectively. Half life of the ${\alpha}$-FP after complete resection was 5.1 days (3.0-8.7 days). Median follow up period was 57.1 months (10-97 months) and all the patients are alive with NED. In conclusion, preoperative chemotherapy, especially TACE, is effective, safe, and useful to treat initially unresectable hepatoblastoma, and serial level of the serum ${\alpha}$-FP is a useful tumor marker for diagnosis and monitoring therapeutic responses.

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Bond strength prediction of steel bars in low strength concrete by using ANN

  • Ahmad, Sohaib;Pilakoutas, Kypros;Rafi, Muhammad M.;Zaman, Qaiser U.
    • Computers and Concrete
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    • 제22권2호
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    • pp.249-259
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    • 2018
  • This paper presents Artificial Neural Network (ANN) models for evaluating bond strength of deformed, plain and cold formed bars in low strength concrete. The ANN models were implemented using the experimental database developed by conducting experiments in three different universities on total of 138 pullout and 108 splitting specimens under monotonic loading. The key parameters examined in the experiments are low strength concrete, bar development length, concrete cover, rebar type (deformed, cold-formed, plain) and diameter. These deficient parameters are typically found in non-engineered reinforced concrete structures of developing countries. To develop ANN bond model for each bar type, four inputs (the low strength concrete, development length, concrete cover and bar diameter) are used for training the neurons in the network. Multi-Layer-Perceptron was trained according to a back-propagation algorithm. The ANN bond model for deformed bar consists of a single hidden layer and the 9 neurons. For Tor bar and plain bars the ANN models consist of 5 and 6 neurons and a single hidden layer, respectively. The developed ANN models are capable of predicting bond strength for both pull and splitting bond failure modes. The developed ANN models have higher coefficient of determination in training, validation and testing with good prediction and generalization capacity. The comparison of experimental bond strength values with the outcomes of ANN models showed good agreement. Moreover, the ANN model predictions by varying different parameters are also presented for all bar types.

Optimisation of Rolling Stock Wheelset Life through Better Understanding of Wheel Tyre Degradation

  • Vermeij, I.;Bontekoe, T.;Liefting, G.;Peen, J.
    • International Journal of Railway
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    • 제1권3호
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    • pp.83-88
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    • 2008
  • Since the 1990's the fleet of the Dutch Railways showed a dramatic decrease in wheel tyre life. This lifetime reduction led to an unacceptable increase in life cycle costs. Therefore Lloyd's Register Rail has proposed to NedTrain to investigate the possibilities of improving the wheel tyre life. Three improvements were determined as most promising and relatively easy to achieve: - Profile optimisation for Rolling Contact Fatigue (RCF) reduction - a new wheel profile has been developed with a better resistance against rolling contact fatigue of the wheel tread. The profile has been implemented on single deck intercity trains and shows an increase in wheel tyre life of 30%. - Selection of improved wheel tyre materials - combining information from literature and experiences of manufacturers five alternative wheel tyre materials have been selected and are now being tested in practice. - Optimisation of the maintenance strategy - an alternative, preventative maintenance regime has been developed. With this Scraping regime, during short term maintenance every wheel is reprofiled. Higher mileages are reached and savings on life cycle costs up to 50% and more have been achieved. Unplanned maintenance goes down with $30{\sim}60%$. The results from field tests, using a reference group for comparison, and preliminary results after implementation show that the increase in wheel tyre life that is achieved with this project is significant. The results will continue to be monitored using the asset management tool 'Wheel Watch', that was specially developed for this project and is also described in this paper.

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SSR 마커를 이용한 산양삼의 유전적 다양성 분석 (Genetic Diversity Analysis of Wood-cultivated Ginseng using Simple Sequence Repeat Markers)

  • 길진수;엄유리;변재경;정종욱;이이;정찬문
    • 한국약용작물학회지
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    • 제25권6호
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    • pp.389-396
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    • 2017
  • Background: Panax ginseng C. A. Meyer is wood-cultivated ginseng (WCG) in Korea which depends on an artificial forest growth method. To produce this type of ginseng, various P. ginseng cultivars can be used. To obtain a WCG similar to wild ginseng (WG), this method is usually performed in a mountain using seeds or seedlings of cultivated ginseng (CG) and WG. Recently, the WCG industry is suffering a problem in that Panax notoginseng (Burk.) F. H. Chen or Panax quinquefolium L. are being sold as WCG Korean market; These morphological similarities have created confusion among customers. Methods and Results: WCG samples were collected from five areas in Korea. After polymerase chain reaction (PCR) amplification using the primer pair labeled with fluorescence dye (FAM, NED, PET, or VIC), fragment analysis were performed. PCR products were separated by capillary electrophoresis with an ABI 3730 DNA analyzer. From the results, WCG cultivated in Korea showed very diverse genetic background. Conclusions: In this study, we tried to develop a method to discriminate between WCG, P. notoginseng or P. quinquefolium using simple sequence repeat (SSR) markers. Furthermore, we analyzed the genetic diversity of WCG collected from five cultivation areas in Korea.

쉬파리 유래 항균텝티드 Defensin의 생산 증진을 위한 재조합 Saccharomyces cerevisiae의 배양학적 특성 (Cultural Characteristics of a Recombinant Saccharomyces cerevisiae for the Improved Production of a Antibacterial Peptide Defensin of Fleshfly)

  • 안종석;강대욱;이준원;김민수;김보연;오원근;민태익
    • 미생물학회지
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    • 제36권3호
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    • pp.236-241
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    • 2000
  • 효모 Saccharomyces cerevisiae를 숙주 세포로 이용하여 활성형의 항균펩티드를 생산하기 위한 model system으로서 쉬파리 유래 defensin의 합성 유전자를 GAP promoter, mating factor $\alpha$1 (MF$\alpha$1)의 preprosequence 및 GAL7 transcription terminator의 조절하에 있는 재조합 plasmid pGMD18을 제작한 후 Saccharomyces cerevisiae에 형질전환하여 growth inhibtion zone assay를 통해 항균활성을 보유한 재조합 효모를 선별하였다. 재조합 효모의 성장 속도와 defensin의 분비능을 증가시키기 위하여 최적의 배지 조성과 배양조건을 결정하였다. 재조합 효모의 defensin 생산을 위한 최적 배양조건을 조사한 결과 0.4% yeast extract, 유기질소원 2% corn steep liquor, 탄소원 2.5% glucose, 0.05% $C_2CO_3$를 포함한 배지에서 초기 pH3 그리고 배양온도 $28^{\circ}C$의 경우가 세포성장과 defensin 의 항균활성이 가장 우수하였다. 이 조건으로 배양을 수행한 결과 YPD 배지에서 배양한 조건보다 약 2배의 세포 성장과 약 4배의 defenzin 생산을 확인하였다.

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한방 단독치료로 전이 대장암의 반복적인 재발을 억제한 장기 생존 치험 1례 (A Case of Long-term Survival with Traditional Korean Medicine Alone for Recurrent Metastases of Colorectal Cancer)

  • 김은혜;윤성수;이지영;윤성우
    • 대한한방내과학회지
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    • 제40권4호
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    • pp.723-729
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    • 2019
  • Objective: This study was aimed at reporting on a patient with repeated recurrence of metastatic colorectal cancer treated with traditional Korean medicine (TKM) alone after operation and chemotherapy. Method: The patient with metastatic colorectal cancer received tumor resections four times and perioperative chemotherapy for repeated recurrence from February 2013 until March 2015. TKM, which included Gunchil-dan and Haeam-dan, was administered until June 2019 to prevent additional relapses. Results: After 49 months of TKM treatment, there was no tumor recurrence. A no evidence of disease (NED) state was maintained from March 2015 to June 2019. Recurrence-free survival (RFS) was shown for 49 months and overall survival (OS) for 78 months. Serious adverse events evaluated according to the Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 were not identified. This study suggested that TKM with herbal medicine including aRVS might prolong survival and inhibit recurrence of tumors in patients with metastatic colorectal cancer.

골반부 전이성 종양의 수술적 치료 (Surgical Treatment of Metastatic Tumor in Pelvis)

  • 김재도;박웅;조명래;손정환;이영구
    • 대한골관절종양학회지
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    • 제10권2호
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    • pp.61-70
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    • 2004
  • 목적: 골반부 전이성 종양의 수술적 치료 후 종양학적 결과, 기능 및 합병증의 발생을 통해 수술적 치료의 적응 가능성을 연구하고자 한다. 대상 및 방법: 1994년 5월부터 2003년 5월까지 골반부 전이성 종양 환자 중 고식적/수술적 치료를 받았던 9례/10례를 대상으로 하였으며 환자의 평균 연령은 57.6/48.0세, 남녀 비는 5:4/7:3이였다. 원발 병소로는 신장암과 자궁 경부암이 각 3례, 폐암, 골수종, 비호지킨 림프종이 각 2례, 유방암, 방광암, 고환암, 전립선암, 위암, 간암, 후복막 평활근육종이 각각 1례 이었다. 고식적 치료로는 방사선 단독 치료가 5례, 항암 화학 단독 치료가 1례, 방사선 치료와 항암 화학 요법의 병합 치료가 2례, 경피적 뼈시멘트 삽입술이 1례에서 행하여 졌으며, 수술적 치료로는 소파술 후 뼈시멘트 삽입술이 1례, 내골반 반절제술 후 Girdlestone 술식이 2례, 재건술이 7례에서 시행되었고, 재건술로는 뼈시멘트 삽입술이 1례, 방사선 조사 또는 저온 멸균 후 자가골 이식술 및 고관절 전치환술이 5례, saddle prosthesis를 이용한 관절 성형술이 1례에서 시행되었다. 치료 후 종양학적 결과 및 Eastern Cooperative Oncologic Group (ECOG) 운동 평가 지수, 술 후 합병증을 조사하였다. 결과: 고식적/수술적 치료군에서 종양학적 결과로는 NED 0/1례, AWD 2/6례, DOC 1/2례, DOD 6/1례였고, ECOG 운동 평가 지수는 고식적 치료군에서 치료 전 1.5에서 치료 후 4.3으로 악화되었으나 수술적 치료군에서는 2.6에서 2.2로 관찰되었다. 합병증으로는 금속 대치물 부전이 3례, 감염이 2례에서 관찰되었다. 결론: 골반부 전이성 종양의 수술 여부 및 수술의 방법은 환자의 상태, 원발 종양의 악성도 및 기대 생존 기간에 따라 결정되어야 될 것으로 사료되었다.

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