• Title/Summary/Keyword: Poor grade

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Prognosis of Recurrence after Complete Resection in Early-Stage Non-Small Cell Lung Cancer

  • Choi, Pil Jo;Jeong, Sang Seok;Yoon, Sung Sil
    • Journal of Chest Surgery
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    • v.46 no.6
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    • pp.449-456
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    • 2013
  • Background: Tumor recurrence is the most common cause of treatment failure, even after complete resection of early-stage non-small cell lung cancer (NSCLC). In this study, we investigated the prognosis of patients with early recurrence in order to identify independent risk factors related to early recurrence. Methods: Between February 1995 and December 2012, 242 patients who underwent surgical resection for stage I NSCLC at Dong-A University Hospital were reviewed. The factors predicting overall survival (OS) and early recurrence were investigated. We also investigated the relationship between the patterns and period of recurrence and clinicopathological factors. Results: For patients with stage IA and IB NSCLC, the 5-year OS rate was 75.7% and 57.3% (p=0.006), respectively. A multivariate Cox proportional hazards model demonstrated that gender (p=0.004), comorbidity number (p=0.038), resection type (p=0.002), and tumor size (p=0.022) were the statistically significant predictors of OS. Moreover, the multivariate analysis revealed that smoking history (p=0.023) and histologic grade (p=0.012) were the independent predictors of early recurrence. Additionally, only histologic grade (poor differentiation) was found to be significantly associated with a higher frequency of distant metastasis; there was no relationship between the patterns and period of recurrence and clinicopathological factors. Conclusion: The present study demonstrated that smoking history and histologic grade were independent prognostic factors for early recurrence within two years in patients with early-stage NSCLC. Patients with these predictive factors may be good candidates for adjuvant therapy.

Performance of Melamine-Urea-Formaldehyde Resin Adhesives at Various Melamine Contents for Bonding Glued Laminated Timber Under High Frequency Heating

  • Hong, Min-Kug;Park, Byung-Dae;Kim, Keon-Ho;Shim, Kugbo
    • Journal of the Korean Wood Science and Technology
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    • v.45 no.4
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    • pp.409-418
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    • 2017
  • This work attempted to manufacture glued-laminated timber (Glulam) bonded with melamine-urea-formaldehyde (MUF) resin adhesives at various melamine contents from 20% to 50% under high frequency (HF) heating for a very short time. Two preparation methods were employed to prepare MUF resin adhesives with different melamine contents: one-batch method of synthesizing MUF resins in a single batch, and two-batch method of mixing urea-formaldehyde (UF) resin with melamine-formaldehyde (MF) resin that had been synthesized separately. As the melamine content increased, the gelation time and peak temperature of MUF resins decreased. The adhesion performance of plywood showed that the one-batch MUF resin adhesive with 50% melamine content only satisfied the standard requirement of water resistance. Thus, the one-batch MUF resin adhesive with 50% melamine content was applied for bonding wood lamina from four softwood species such as Japanese larch, Korean red pine, Korean pine and Japanese cedar to manufacture Glulam under HF heating. All Glulam samples bonded with the one-batch MUF resin adhesives with 50% melamine content except those from Korean Red Pine satisfied the requirement in water soaking or boiling water delamination test as an exterior grade Glulam. The presence of rosin in Korean Red Pine was believed to be responsible for its poor adhesion. These results showed that the one-batch MUF resin adhesives with 50% melamine content provided acceptable water resistance with exterior grade Glulam manufactured under HF heating.

Investigation on the Students' Abilities of Reading Scales and Conceptions Related with Measuring Instruments and Units (초.중학생의 눈금 읽기 능력 및 측정 도구와 단위에 관련된 개념 조사)

  • Soh, Jong-Ah;Jong, Hee-Kyong;Jung, Yong-Jae
    • Journal of The Korean Association For Science Education
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    • v.20 no.1
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    • pp.1-11
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    • 2000
  • This study investigated both elementary and middle school students' abilities of reading scales and students' conceptions of measuring instruments and units. Seventy two students with 5th grade, sixty nine students with 7th grade, and eighty students with 9th grade were participated. Performance tests and written questionnaires were used. To assess their scale reading abilities, individual performance test was used. Every student should measure length of an envelope, temperature of water, volume of water, etc. And to find out students' conceptions related with measuring instruments and units, written questionnaires with pictures and photographs were used. Some of the students' abilities of reading scales were considerably poor. The results of a two-plate-balance and measuring-cylinder were worse than those of a ruler, a spring-balance, and a thermometer. Many of the students had misconceptions related with measuring instruments. Some of them did not know exactly the meaning of volume, or mass, or force. So they did not know what to measure with the measuring instruments. Also students were confused with several units of volume, force, weight and mass.

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An Analysis of the Characteristics of the Below-Basic Students in the Grade 3 National Diagnostic Assessment of Basic Competency (초등학교 3학년 수학 기초학력 미도달 학생의 특징 분석)

  • Ko, Jung-Hwa
    • Journal of Educational Research in Mathematics
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    • v.18 no.3
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    • pp.283-308
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    • 2008
  • A poor achievement of basic competency leads to obstacles of the same subject and other subjects from a series of accumulative losses and social life. The Grade 3 National Diagnostic Assessment of Basic Competency (NDAHC) dated from 2002, Teaching Plan Responsible to Basic Competency and compensational education materials for students of the below-basic level has marked a line in the chain of policy to realize educational welfare. The goal of NDABC is to collect information of the reason with regard to learning deficiency and individual student's information, and ultimately teach them on the basis of those informations. This study analyzed the characteristics of below-basic students in the basic mathematics with data from NDABC from 2003 to 2007. Students of the below-basic level were affected in achievement by numerical distinction, regrouping, arrangement and descriptive form of item, information-providing way, typical example, familiarity, frequency in use in daily life etc. This study provides a basic important information with regard to teaching below-basic students and suggestions with compensational education materials for them.

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Management Outcomes of Basilar Bifurcation Aneurysms (기저동맥 분지부 동맥류의 치료결과)

  • Ahn, Jae Sung;Kim, Jung Hoon;Kwon, Yang;Kwun, Byung Duk
    • Journal of Korean Neurosurgical Society
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    • v.29 no.7
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    • pp.918-922
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    • 2000
  • Objective : The authors analyzed the results of management outcomes for basilar bifurcation aneurysms treated with transcranial surgery and endovascular surgery. Methods : At the authors' institution between May 1989 and December 1998, 47 aneurysms with 45 patients were treated with transcranial surgery including surgical clipping/wrapping and endovascular surgery for basilar bifurcation aneurysms. The medical records and neuroimaging studies of the patients were reviewed retrospectively. Results : Of the 45 patients, 87 percent of the aneurysms were ruptured and 13% unruptured. Forty six percent of the patients had multiple aneurysms including basilar bifurcation aneurysm. Of the 39 patients with subarachnoid hemorrahge, 77% were in good neurological status(Hunt Hess grade I-III), 23% were in poor grade(H-H grade IV-V). Thirty two patients were treated with transcranial surgery and 15 patients were treated with endovascular surgery. Two patients who had treated with wrapping surgery later bled during follow-up period and treated with endovascular surgery. The management outcome of the transcranial surgery was : Glasgow outcome scale(GOS) I 66%, GOS II 12.5%, GOS III 6.3%, GOS IV 6.3% and GOS V(death) 9.4%. The major causes of morbidity related to transcranial surgery were perforator occlusion, vasospasm and retraction injury. The management outcome of the endovascular surgery was : GOS I 66.7%, GOS II 6.7%, and GOS V 26.7%. The major causes of mortality related to endovascular surgery were related to intraoperative aneurysmal bleeding. Conclusion : This report documents that more than 75% of patients undergoing treatment either transcranial or endovascular surgery can expect good clinical outcomes. Treatment modality in management of basilar bifurcation aneurysm must be carefully selected based on various considering factors.

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Anatomical Considerations in Gamma Knife Radiosurgery for Idiopathic Trigeminal Neuralgia

  • Kim, Young-Hoon;Park, Chul-Kee;Chung, Hyun-Tai;Paek, Sun-Ha;Kim, Dong-Gyu
    • Journal of Korean Neurosurgical Society
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    • v.40 no.3
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    • pp.148-153
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    • 2006
  • Objective : The authors conducted this study to present the long-term treatment outcomes [minimum 2 years] of Gamma knife radiosurgery[GKS] for trigeminal neuralgia[TN] and to demonstrate the correlation of treatment outcomes and the anatomical characteristics of TN. Methods : From 1997 to 2003, 44 consecutive patients suffering from medically intractable pain underwent GKS for TN. A single 4mm collimator was used with a median maximum dose of 80Gy [range $75{\sim}80Gy$] prescribed to the root entry zone of the trigeminal nerve. Median follow up duration was 30 months [range $24{\sim}78\;months$]. Anatomical measurements of trigeminal nerve in magnetic resonance images during GKS planning were correlated with clinical outcome. Results : Twenty-two patients [50%] achieved an excellent outcome [BNI grade I & II], 20 patients [45.5%] a good outcome [grade IIIa & IIIb], and only 2 patients [4.5%] a poor outcome [grade IV & V]. Eleven patients [25.0%] experienced pain recurrence after initial pain relief. Smaller volume of trigeminal nerve area irradiated more than 40Gy was significantly correlated with excellent outcome in both univariate and multivariate analyses respectively [P=0.033 and 0.040]. Conclusion : Anatomical considerations during the planning of GKS would be helpful for predicting clinical outcome in TN.

Meal skipping relates to food choice, understanding of nutrition labeling, and prevalence of obesity in Korean fifth grade children

  • Kim, Hye-Young;Lee, Na-Rae;Lee, Jung-Sug;Choi, Young-Sun;Kwak, Tong-Kyung;Chung, Hae-Rang;Kwon, Se-Hyug;Choi, Youn-Ju;Lee, Soon-Kyu;Kang, Myung-Hee
    • Nutrition Research and Practice
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    • v.6 no.4
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    • pp.328-333
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    • 2012
  • This study was performed to investigate the differences in food choice, nutrition labeling perceptions, and prevalence of obesity due to meal skipping in Korean elementary school children. A national survey was performed in 2010 to collect data on food intake frequency, understanding of nutrition labeling, and body mass index from 2,335 fifth grade students in 118 elementary schools selected from 16 metropolitan local governments by stratified cluster sampling. The data were analyzed using the SAS 9.1 and SUDAAN 10.0 packages. Students who consumed three meals for 6-7 days during the past week were classified into the regular meal eating (RM) group (n = 1,476) and those who did not were placed into the meal skipping (MS) group (n = 859). The daily intake frequency of fruits, vegetables, kimchi, and milk was significantly lower in the MS group compared to that in the RM group (P < 0.001), whereas the daily intake frequency of soft drinks and instant noodles (ramyeon) was significantly higher in the MS group than that in the RM group (P < 0.05). The MS group demonstrated a significantly lower degree of understanding with regard to nutrition labeling and high calorie foods containing low nutritional value than that in the RM group. The distribution of obesity based on the percentile criteria using the Korean growth chart was different between the MS and RM groups. The MS group (8.97%) had a higher percentage of obese subjects than that in the RM group (5.38%). In conclusion, meal skipping was related to poor food choice, low perception of nutrition labeling, and a high prevalence of obesity in Korean fifth grade children.

Evaluation of Un-fasted Pig Stomach Spent Feed as a Substitute in Finishing Pigs Diet

  • Kaingmean, Kai;Lee, Jun-Yeob;Lee, Myeong-Ho;Ji, Sang-Yun;Moon, Hong-Gil;Ohh, Sang-Jip
    • Journal of Animal Science and Technology
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    • v.53 no.6
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    • pp.525-532
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    • 2011
  • Insufficient pre-slaughter fasting leaves serious amount of feed-like contents (designated here as un-fasted stomach spent feed, USSF) in the eviscerated pig stomach. This study was intended to evoke economical and environmental seriousness of USSF discharge by estimating its value as pig feed. For finishing pigs feeding trial, three levels (0, 5, and 10%) of USSF were blended with pig feed to prepare control and two treatment diets, respectively. A total of 42 (21 males, 21 females) crossbred (Landrace ${\times}$ Yorkshire ${\times}$ Duroc) finishing pigs weighing $81.5{\pm}8.0$ kg were employed to 28d feeding trial and in vivo digestibility trial by $Cr_2O_3$ indicator method with 7 males and 7 female pigs per treatment. In vitro total tract digestion of USSF showed 70.5% and 57.6% of DM and OM digestibilities, respectively which were poorer (p<0.05) than those of pig diet. There were no differences in body weight gain, daily feed intake and feed conversion ratio among treatments although 10% USSF substitution exerted relatively poor performance. In vivo apparent digestibilities of diets containing USSF 5% and 10% were lower (p<0.05) than that of 100% pig feed. There were no differences (p>0.05) in dressing percentage and carcass grade among treatments. Results of this study showed that 5% USSF substitution in finishing pigs diet did not exert any disadvantage in terms of production performance and carcass grade. This study implied that un-fasted slaughter causing excessive excretion of USSF should be avoided. If not avoidable, the USSF should not be wasted in abattoir but could be recycled as pig feed.

A Study about the Medical Communication Proficiency of Korean Traditional Medical Students Using Standardized Patients with Hwa-Byoung (표준화 화병환자를 활용한 한의대생의 진료 및 의사소통 수준연구)

  • Kim, Kyeong-Ok;Kim, Hee-Kyung;An, Hyo-Ja;Shin, Heon-Tae
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.1
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    • pp.163-179
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    • 2013
  • Objectives : After analyzing the proficiency of medical communication of the students in College of Korean Traditional Medicine using standardized patients, we suggests ways to improve clinical practice in the future class and medical communication curriculum development. Methods : 20 students before clinical practice class (3rd grade) and 20 students after 1 year clinical practice class (4th grade) participated and did their medical interview on Standardized patient. They were evaluated on patient-physician communication skills by standardized patients and professor evaluator. In addition to be evaluated on patient-physician relationship, medical interview skills by professor evaluator. Results : As follows in the evaluation of clinical practice with standardized patients 1. More than half of the participated students regardless of their grade received poor score in their medical communication evaluated by SP(Standardized patient) and PE(Professor evaluator). 2. Greeting, History taking parts were higher in the 4th students who received 1 year clinical practice class, but verbal-nonverbal response, voice tone parts were higher in the 3rd students who do not received clinical practice lesson. 3. Pronunciation&Voice tone parts were higher in the male students but, gathering information part was higher in the female students. Conclusions : We think that the current clinical practice lessons are insufficient as a way to learn and improve medical knowledge and medical communication skills, and it is necessary a new form of clinical practice class. Participatory lesson using standardized patient could be a good alternative of that in the future class.

Phytosociological Studies for Vegetation Conservation of Pine Forest (식생보전을 위한 소나무림의 식물사회학적 연구)

  • 배병호;이호준
    • The Korean Journal of Ecology
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    • v.22 no.1
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    • pp.21-29
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    • 1999
  • This study was carried out to clarify the syntaxonomy of the pine forest in Youngdong region by the phytosociological methods. As a result of the investigation of 62 quadrats, Pinus densiflora forest was classified into four subassociations: Typical subassociation, Quercus mongolica subassociation, Rhododendron mucronulatum subassociation, Rhus chinensis subassociation. Many differences in ecological characteristics such as species composition, stratum structure, vegetation coverage and of diameter at breast height(DBH) of class distribution were found among the communities. Soil properties of the pine forest on the study area was relatively poor compared with other pine forests, especially, soil pH was strongly acidic with 4.87. Soil conditions among the subassociations appeared different. Future succession of pine forest by the similarity index of communities was proposed. Estimated degree of green naturality for Typical subassociation and Q. mongolica subassociation correspond to 7th grade, and R. mucronulatum subassociation, 8-1st grade, and R. chinensis subassociation, 8-2nd grade.

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