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Long-Term Nutritional Outcomes of Near-Total Gastrectomy in Gastric Cancer Treatment: a Comparison with Total Gastrectomy Using Propensity Score Matching Analysis

  • Seo, Ho Seok;Jung, Yoon Ju;Kim, Ji Hyun;Park, Cho Hyun;Kim, In Ho;Lee, Han Hong
    • Journal of Gastric Cancer
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    • v.18 no.2
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    • pp.189-199
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    • 2018
  • Purpose: This study sought to examine whether near total gastrectomy (nTG) confers a longterm nutritional benefit when compared with total gastrectomy (TG) for the treatment of gastric cancer. Materials and Methods: Patients who underwent nTG or TG for gastric cancer were included (n=570). Using the 1:2 matched propensity score, 25 patients from the nTG group and 50 patients from the TG group were compared retrospectively for oncologic outcomes, including long-term survival and nutritional status. Results: The length of the proximal resection margin, number of retrieved lymph nodes and tumor nodes, metastasis stage, short-term postoperative outcomes, and long-term survival were not significantly different between the groups. The body mass index values, and serum total protein and hemoglobin levels of the patients decreased significantly until postoperative 6 months, and then recovered slightly over time (P<0.05); however, there was no difference in the levels between the groups. The prognostic nutritional index values and serum albumin levels decreased significantly until postoperative 6 months and then recovered (P<0.05); the levels decreased more in the nTG group than in the TG group (P<0.05). The mean corpuscular volumes and serum transferrin levels increased significantly until postoperative 1 year and then recovered slightly over time (P<0.05); however, there was no difference between the groups. Serum vitamin $B_{12}$, iron, and ferritin levels of the patients did not change significantly over time, and no difference existed between the groups. Conclusions: A small remnant stomach after nTG conferred no significant nutritional benefits over TG.

A Study on the Construction of Pungcha Baji - Focusing on the Books Entitled "Hanbok Construction" - (풍차바지 제도에 관한 연구 - 한복구성학 책을 중심으로 -)

  • Kim, Chung-Ho
    • Journal of the Korean Society of Costume
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    • v.59 no.1
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    • pp.159-167
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    • 2009
  • Based on instructions in the textbook "How to Construct Korean Costumes" which I authored, my university students were required to make Pungcha-Baji(Korean traditional pants for children) for one-year-old boys. While examining the students' construction, I found that the side seams of the vest and pants did not line up but were improperly twisted. It was found that the pants did not cover the child's backside because the width of the back was smaller than the width of the front when one of the side panels and the large center panel in the front was half the size of the hip and one of the side panels and the small panel in the back was four fifths of half the size of the hip. Although there were differences between the waist size of the pants and the bottom hem of the vest, the textbooks instruct that the amount of material and the number of pleats(i.e. 4 pleats) on the pants and the vest should be the same. Finding this mistake led me to investigate Pungcha-Baji construction in related textbooks. Thus with the textbook instruction, the side seams of the pants and the vest do not match and are improperly twisted. Hence, as a solution, the pleats should be made and adjusted after matching the side seams of the pants and the vest. The purpose of this study is to examine currently available Pungcha-Baji related textbooks and determine the correctness of their instructions and to ultimately provide correct construction methods for Pungcha-Baji pattern for academic purposes.

Optimized KNN/IFCM Algorithm for Efficient Indoor Location (효율적인 실내 측위를 위한 최적화된 KNN/IFCM 알고리즘)

  • Lee, Jang-Jae;Song, Lick-Ho;Kim, Jong-Hwa;Lee, Seong-Ro
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.48 no.2
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    • pp.125-133
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    • 2011
  • For any pattern matching based algorithm in WLAN environment, the characteristics of signal to noise ratio(SNR) to multiple access points(APs) are utilized to establish database in the training phase, and in the estimation phase, the actual two dimensional coordinates of mobile unit(MU) are estimated based on the comparison between the new recorded SNR and fingerprints stored in database. As fingerprinting method, k-nearest neighbor(KNN) has been widely applied for indoor location in wireless location area networks(WLAN), but its performance is sensitive to number of neighbors k and positions of reference points(RPs). So intuitive fuzzy c-means(IFCM) clustering algorithm is applied to improve KNN, which is the KNN/IFCM hybrid algorithm presented in this paper. In the proposed algorithm, through KNN, k RPs are firstly chosen as the data samples of IFCM based on signal to noise ratio(SNR). Then, the k RPs are classified into different clusters through IFCM based on SNR. Experimental results indicate that the proposed KNN/IFCM hybrid algorithm generally outperforms KNN, KNN/FCM, KNN/PFCM algorithm when the locations error is less than 2m.

KNN/ANN Hybrid Location Determination Algorithm for Indoor Location Base Service (실내 위치기반서비스를 위한 KNN/ANN Hybrid 측위 결정 알고리즘)

  • Lee, Jang-Jae;Jung, Min-A;Lee, Seong-Ro;Song, Iick-Ho
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.48 no.2
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    • pp.109-115
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    • 2011
  • As fingerprinting method, k-nearest neighbor(KNN) has been widely applied for indoor location in wireless location area networks(WLAN), but its performance is sensitive to number of neighbors k and positions of reference points(RPs). So artificial neural network(ANN) clustering algorithm is applied to improve KNN, which is the KNN/ANN hybrid algorithm presented in this paper. For any pattern matching based algorithm in WLAN environment, the characteristics of signal to noise ratio(SNR) to multiple access points(APs) are utilized to establish database in the training phase, and in the estimation phase, the actual two dimensional coordinates of mobile unit(MU) are estimated based on the comparison between the new recorded SNR and fingerprints stored in database. In the proposed algorithm, through KNN, k RPs are firstly chosen as the data samples of ANN based on SNR. Then, the k RPs are classified into different clusters through ANN based on SNR. Experimental results indicate that the proposed KNN/ANN hybrid algorithm generally outperforms KNN algorithm when the locations error is less than 2m.

A dominant hyperrectangle generation technique of classification using IG partitioning (정보이득 분할을 이용한 분류기법의 지배적 초월평면 생성기법)

  • Lee, Hyeong-Il
    • Journal of the Korea Society of Computer and Information
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    • v.19 no.1
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    • pp.149-156
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    • 2014
  • NGE(Nested Generalized Exemplar Method) can increase the performance of the noisy data at the same time, can reduce the size of the model. It is the optimal distance-based classification method using a matching rule. NGE cross or overlap hyperrectangles generated in the learning has been noted to inhibit the factors. In this paper, We propose the DHGen(Dominant Hyperrectangle Generation) algorithm which avoids the overlapping and the crossing between hyperrectangles, uses interval weights for mixed hyperrectangles to be splited based on the mutual information. The DHGen improves the classification performance and reduces the number of hyperrectangles by processing the training set in an incremental manner. The proposed DHGen has been successfully shown to exhibit comparable classification performance to k-NN and better result than EACH system which implements the NGE theory using benchmark data sets from UCI Machine Learning Repository.

Radiation Characteristics of Dielectric-Coated Conducting Cylinder Loaded with Periodic Corrugation (주기적인 구형격자로 로딩된 유전체 코팅된 도체 실린더의 복사 특성)

  • Kim, Joong-Pyo;Son, Hyon
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.11 no.3
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    • pp.388-402
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    • 2000
  • The radiation characteristics of leaky antenna from the dielectric-coated conducting cylinder with periodic corrugation are investigated theoretically for the infinite and finite periodic structures. For the infinite periodic structure, mode-matching method is applied. The integral equation is derived for the finite periodic structure by use of the Fourier transform and mode expansion and a simultaneous linear equation is obtained. The influences of the corrugation slot width, corrugation depth, dielectric thickness, cylinder radius, and finite corrugation number on the radiation characteristics (leakage constant, phase constant, and radiation pattern) are investigated. The results of the finite periodic corrugations are compared with those of the infinite extent structure and good agreement is found. To reduce high side lobe levels of the uniform finite periodic structure, tapering process on the beginning and end section of antenna and nonuniform quasi-period slot arrays are considered. Especially, for the corrugation period, width and depth used for a corrugated surface wave antenna, through the proper tapering process, end-fire radiation pattern with reduced side lobe levels is given.

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Neoadjuvant Chemoradiotherapy in Non-cardia Gastric Cancer Patients - Does it Improve Survival?

  • Saedi, Hamid Saeidi;Mansour-Ghanaei, Fariborz;Joukar, Farahnaz;Shafaghi, Afshin;Shahidsales, Soodabeh;Atrkar-Roushan, Zahra
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8667-8671
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    • 2014
  • Background: Survival rates after resection of advanced gastric cancer are extremely poor. An increasing number of patients with gastric carcinomas (GC) are therefore being treated with preoperative chemotherapy. We evaluated 36 month survival rate of GC patients that were treated by adding a neoadjuvant chemoradiotherapy before gastrostomy.Materials and Methods: Patients with stage II or III gastric adenocarcinomas were enrolled. The patients divided into two groups: (A) Neoadjuvant group that received concurrent chemoradiation before surgery (4500cGy of radiation at 180cGy per day plus chemotherapy with cisplatin and 5-fluorouracil, in the first and the end four days of radiotherapy). Resection was attempted 5 to 6 weeks after end of chemoradiotherapy. (B) Adjuvant group that received concurrent chemo-radiation after surgical resection. Results: Two (16.7%) patients out of 12 patients treated with neoadjuvant chemo-radiotherapy and 5 (38.5%) out of 13 in the surgery group survived after 36 months. These rates were not significantly different with per protocol and intention-to-treat analysis. The median survival time of patients in group A and B were 13.4 and 21.6 months, respectively, again not significantly different. Survival was significantly greater in patients with well differentiated adenocarcinoma in group B than in group A (p<0.004). Conclusions: According to this study we suggest surgery then chemoradiotherapy for patients with well differentiated gastric adenocarcinoma rather than other approaches. Additional studies with greater sample size and accurate matching relying on cancer molecular behavior are recommended.

Analysis of On-line Personal Image Consulting Program Contents (온라인 퍼스널 이미지 컨설팅 프로그램의 컨텐츠 현황 분석)

  • Kim, Ri-Ra;Chung, Su-In;Kim, Yoo-Jung;Kim, Young-In
    • Journal of the Korean Society of Costume
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    • v.62 no.4
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    • pp.58-68
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    • 2012
  • Personal image concerns a person's talent, expertise, as well as the internal and external image. It is a core value that differentiates one individual from another. As personal branding via personal image management has become more important, there is a fast-growing number of online systems that provide self-test programs to analyze one's style and habits and also provide expert advice for not only styles but lifestyles as well. This study develops a systematic and objective personal image consulting system and offers basic information for the research of personal image making. For that purpose, the study attempts to examine the present state of global companies that use online image consulting programs and analyze their digital content. The results are as follows: 1) two domestic companies, Colorz and Atzine, and seven foreign companies, notably Covet and Boutique, were brisk in business; 2) two types of personal image-diagnosis programs - Visual search and Virtual matching - are now in operation; and 3) mobile applications exist as an evolved personal image-diagnosis program. With an increased interest in such programs, various companies at home and abroad are establishing systematic and scientific analysis systems, which are needed for personal image-making online. Under these circumstances, domestic companies are also urged to enhance levels of image-diagnosis content and actual commercialization and utilization, to develop programs that enable objectified, systematic personal image-making. To this end, the results of this study may serve as a helpful tool to consider future directions.

Relationships between Malignant Melanoma and Chromosome Damage in Human Peripheral Blood Lymphocytes

  • Narin, Abdullah;Tuncay, Orta
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.5229-5232
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    • 2012
  • The incidence of malignant melanoma increases with age. One significiant effect of aging processes is an accumulation of oxidative damage in the genetical material. In this study, the relationship between malignant melanoma and damage in chromosomes and proliferative effectiveness of human peripheral lymphocytes were investigated by the micronucleus (MN) technique. A total of 15 malignant melanoma patients and appropriately matching 15 healthy controls were involved in the study. MN frequencies and proliferative indexes (PI) after non toxic levels of hydrogen peroxide treatment were also measured to determine damaging effect of oxidative stress in genome in addition to measuring the spontenous levels of micronuclei and PI. The patient group had a significantly higher rate of spontaneous MN than the control group (p<0.01). After treatment with $H_2O_2$, MN frequencies in the patient group was significantly decreased (p<0.01) although there was no difference between the treated and untreated results of control group (p=0.29). There was also difference (p<0.01) between the MN frequencies of the patient and the control group either in the spontaneous levels or in the $H_2O_2$ treated groups. The same significant difference persisted when the PI values were compared between patient and control groups. Increase in the MN frequency in patients could mean the alterations in the chromosomal structure which may lead to the chromosome instability and therefore genetic susceptibility to cancer. This increased number of micronuclei can also be used for cytological marker in identifying high risk cases for malignant melanoma.

Respiration Rate Measurement based on Motion Compensation using Infrared Camera (열화상 카메라를 이용한 움직임 보정 기반 호흡 수 계산)

  • Kwon, Jun Hwan;Shin, Cheung Soo;Kim, Jeongmin;Oh, Kyeong Taek;Yoo, Sun Kook
    • Journal of Korea Multimedia Society
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    • v.21 no.9
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    • pp.1076-1089
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    • 2018
  • Respiration is the process of moving air into and out of the lung. Respiration changes the temperature in the chamber while exchanging energy. Especially the temperature of the face. Respiration monitoring using an infrared camera measures the temperature change caused by breathing. The conventional method assumes that motion is not considered and measures respiration. These assumptions can not accurately measure the respiration rate when breathing moves. In addition, the respiration rate measurement is performed by counting the number of peaks of the breathing waveform by displaying the position of the peak in a specific window, and there is a disadvantage that the breathing rate can not be measured accurately. In this paper, we use KLT tracking and block matching to calibrate limited weak movements during breathing and extract respiration waveform. In order to increase the accuracy of the respiration rate, the position of the peak used in the breath calculation is calculated by converting from a single point to a high resolution. Through this process, the respiration signal could be extracted even in weak motion, and the respiration rate could be measured robustly even in various time windows.