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검색결과 57건 처리시간 0.032초

Associations between income and survival in cholangiocarcinoma: A comprehensive subtype-based analysis

  • Calvin X. Geng;Anuragh R. Gudur;Jagannath Kadiyala;Daniel S. Strand;Vanessa M. Shami;Andrew Y. Wang;Alexander Podboy;Tri M. Le;Matthew Reilley;Victor Zaydfudim;Ross C. D. Buerlein
    • 한국간담췌외과학회지
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    • 제28권2호
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    • pp.144-154
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    • 2024
  • Backgrounds/Aims: Socioeconomic determinants of health are incompletely characterized in cholangiocarcinoma (CCA). We assessed how socioeconomic status influences initial treatment decisions and survival outcomes in patients with CCA, additionally performing multiple sub-analyses based on anatomic location of the primary tumor. Methods: Observational study using the 2018 submission of the Surveillance, Epidemiology, and End Results (SEER)-18 Database. In total, 5,476 patients from 2004-2015 with a CCA were separated based on median household income (MHI) into low income (< 25th percentile of MHI) and high income (> 25th percentile of MHI) groups. Seventy-three percent of patients had complete follow up data, and were included in survival analyses. Survival and treatment outcomes were calculated using R-studio. Results: When all cases of CCA were included, the high-income group was more likely than the low-income to receive surgery, chemotherapy, and local tumor destruction modalities. Initial treatment modality based on income differed significantly between tumor locations. Patients of lower income had higher overall and cancer-specific mortality at 2 and 5 years. Non-cancer mortality was similar between the groups. Survival differences identified in the overall cohort were maintained in the intrahepatic CCA subgroup. No differences between income groups were noted in cancer-specific or overall mortality for perihilar tumors, with variable differences in the distal cohort. Conclusions: Lower income was associated with higher rates of cancer-specific mortality and lower rates of surgical resection in CCA. There were significant differences in treatment selection and outcomes between intrahepatic, perihilar, and distal tumors. Population-based strategies aimed at identifying possible etiologies for these disparities are paramount to improving patient outcomes.

Analysis of Surface Plasmon Resonance on Periodic Metal Hole Array by Diffraction Orders

  • 황정우;윤수진;강상우;노삼규;이상준
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2013년도 제44회 동계 정기학술대회 초록집
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    • pp.176-177
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    • 2013
  • Surface plasmon polaritons (SPPs) have attracted the attention of scientists and engineers involved in a wide area of research, microscopy, diagnostics and sensing. SPPs are waves that propagate along the surface of a conductor, usually metals. These are essentially light waves that are trapped on the surface because of their interaction with the free electrons of conductor. In this interaction, the free electrons respond collectively by oscillating in resonance with the light wave. The resonant interaction between the surface charge oscillation and the electromagnetic field of the light constitutes the SPPs and gives rise to its unique properties. In this papers, we studied theoretical and experimental extraordinary transmittance (T) and reflectance (R) of 2 dimensional metal hole array (2D-MHA) on GaAs in consideration of the diffraction orders. The 2d-MHAs was fabricated using ultra-violet photolithography, electron-beam evaporation and standard lift-off process with pitches ranging from 1.8 to $3.2{\mu}m$ and diameter of half of pitch, and was deposited 5-nm thick layer of titanium (Ti) as an adhesion layer and 50-nm thick layer of gold (Au) on the semiinsulating GaAs substrate. We employed both the commercial software (CST Microwave Studio: Computer Simulation Technology GmbH, Darmstadt, Germany) based on a finite integration technique (FIT) and a rigorous coupled wave analysis (RCWA) to calculate transmittance and reflectance. The transmittance was measured at a normal incident, and the reflectance was measured at variable incident angle of range between $30^{\circ}{\sim}80^{\circ}$ with a Nicolet Fourier transmission infrared (FTIR) spectrometer with a KBr beam splitter and a MCT detector. For MHAs of pitch (P), the peaks ${\lambda}$ max in the normal incidence transmittance spectra can be indentified approximately from SP dispersion relation, that is frequency-dependent SP wave vector (ksp). Shown in Fig. 1 is the transmission of P=2.2 um sample at normal incidence. We attribute the observation to be a result of FTIR system may be able to collect the transmitted light with higher diffraction order than 0th order. This is confirmed by calculations: for the MHAs, diffraction efficiency in (0, 0) diffracted orders is lower than in the (${\pm}x$, ${\pm}y$) diffracted orders. To further investigate the result, we calculated the angular dependent transmission of P=2.2 um sample (Fig. 2). The incident angle varies from 30o to 70o with a 10o increment. We also found the splitting character on reflectance measurement. The splitting effect is considered a results of SPPs assisted diffraction process by oblique incidence.

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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.

동반관계와 도구관계의 표현양식에 대한 언어유형학적 연구 - 독일어와 한국어를 중심으로 - (Eine typologische Studio zur sprachlichen $Repr\"{a}sentation$ der komitativen und instrumentalen Relationen am Beispiel des Deutschen und Koreanischen)

  • 신용민
    • 한국독어학회지:독어학
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    • 제10집
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    • pp.201-229
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    • 2004
  • In der vorliegenden Albeit wird die funktionale $Dom\"{a}ne$ der Konkomitanz unter funktional-typologischen Gesichtpunkten untersucht. Dabei wird ein funktionales Rahmenwerk fur die Untersuchungen $\"{u}ber$ die verschiedenen komitativen und intrumentalen Relationen entwickelt. Es gibt eine Reihe von Partizipantenrelationen in der funktionalen $Dom\"{a}ne$ der Konkomitanz, $\n\"{a}mlich$ 'Partner', 'Companion', 'Vehicle', 'Tool', 'Material' und 'Manner'. Diese Partizipanten $k\"{o}nnen$ als Konkomitant bezichnet werden. Sie bilden ein Kontinuum $bez\"{u}glich$ der Empathiehierarchie sowie der Kontrollhierarchie. Konkomitanten $k\"{o}nnen$ bei ihrer syntaktischen Kodierung $gem\"{\a}{\ss}$ den spezifischen Typen der konkomitanten Relationen und ihren absoluten Eigenschaften variieren. Es werden sieben verschiedene Typen der Kodierungsstrategien vorgestellt, d.h. konkomitante $Pr\'{a}dikation$, adpositionale Markierung, Kasusmarkierung, Verbderivation, inkorporation, Konversion und lexikale Fusion. In einer gegebenen Sprache kann es $nat\"{u}rlich$ feinere Variation, die z.B. mit den Graden der Grammatikalisierung und Lexikakisierung dieser Kodierungsstrategien zu tun hat, geben. Die Distribution der strukturellen Apparaturen auf der funktionalen $Dom\"{a}ne$ der Konkomitanz ist innerhalb einer Sprache nicht einheitlich. Dies gilt auch $f\"{u}r$ den Sprachen (z.B. Deutsch und Englisch), die gewohnlich als ein typisches Beispiel fur den Synkretismus zwischen Komitativ und Instrumental angesehen werden. Die $Pr\"{a}position$ mit im Deutschen $dr\"{u}ckt$ nur eine Teilmenge der verschiedenen konkomitanten Relationen aus. Tlansportrnittei' und Material' werden also nicht durch die $Pr\"{a}position$ mit $ausgedr\"{u}ckt$. Beim Ausdruck der konkomitanten Relationen verwendet Deutsch konsistent die Strategie der adpositionalen Markierung. Andere $m\"{o}gliche$ Strategien $k\"{o}nnen$ als ein minimaler Sonderfall angesehen werden. Koreanisch $verf\"{u}gt$ hingegen auf zwei Ausdrucksstrategien, $n\"{a}mlich$ konkomitante $Pr\"{a}dikation$ und Kasusmarkieriing. Die Auswahl zwischen den beiden Strategien ist meistens von den Empathieeigenschaften der Konkomitanten $abh\"{a}ngig$. Auch innerhalb einer Ausdrucksstrategie spielt die Empathie der Konkomitanten eine wichtige Rolle bei der Auswahl der Strukturmittel. Einen Synkretismus weisen im Koreanischen 'Partner' & 'Companion' einerseits und 'Vehicle' & 'Tool' & 'Material' andererseits auf, Die Ersteren werden durch die auditive Kasusmarkierung und die Letzteren durch die instrumentale Kasusmarkierung ausgedruckt. Ein Synkretimus beim Ausdruck der verschiedenen konkomitanten Relationen ist in den Sprachen, die nur konkomitante $Pr\"{a}dikation$ aufweisen, nicht zu erwarten, denn ein konkomitantes $Pr\"{a}dikat$ gibt die Art der Beteiligung der Konkomitanten an der Situation lexikalisch mehr oder weniger explizit wieder

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충남지역 다중이용시설의 환경수계에서 분리한 레지오넬라균의 특성 분석 (Characterization of Legionella Isolated from the Water System at Public Facilities in Chungcheongnam-do Province)

  • 천영희;이현아;남해성;최지혜;이다연;고영은;박종진;이미영;박준혁
    • 한국환경보건학회지
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    • 제47권5호
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    • pp.472-478
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    • 2021
  • Background: The Legionella case detection and notification rate have increased in public artificial water environments where people visit, including large buildings, public baths, and hospitals. Objectives: In this study, the distribution of Legionella and its epidemiologic characteristics were analyzed in the water systems of public facilities in Chungcheongnam-do Province in South Korea. Methods: Culture and PCR analysis were performed on 2,991 environmental water system samples collected from 2017 to 2019, and associations with year, facilities, seasons, and temperature of water system were statistically analyzed by using R-Studio for Windows. Descriptive data was compared using chi-square tests and independent t-tests. Results: The detection rate of Legionella increased from 3.1% in 2017 to 10.3% in 2019, appearing most frequently in the order of public baths, large-scale buildings, hospitals, and apartments. It was detected mainly in summer from June to August, over 1.0×103 CFU/L on average in 133 cases (66.5%). Lots of germs were detected in bathtub water, cooling tower water, and warm water (p<0.001), and it was detected at higher rates in the cities where multipurpose facilities were concentrated than in rural areas (p=0.018). Conclusions: This study suggests that continuous monitoring and control are required for Legionella in the water system environment of high risk facilities. Moreover, these results will be helpful to prepare efficient management plans to prevent the Legionellosis that occurs in Chungcheongnam-do Province.

광조사 방식이 복합레진 수복물의 변연누출에 미치는 영향 (EFFECT OF LIGHT IRRADIATION MODES ON THE MARGINAL LEAKAGE OF COMPOSITE RESIN RESTORATION)

  • 박은숙;김기옥;김성교
    • Restorative Dentistry and Endodontics
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    • 제26권4호
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    • pp.263-272
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    • 2001
  • 저광도 중합법, 펄스 지연 중합법, 초고광도 중합법 등의 광조사 방식이 광중합형 복합레진 수복물에서의 중합수축 응력에 미치는 영향을 알아보기 위해 in vitro에서 미세 누출 실험을 하였다. 80개의 발거된 소구치의 협측면에 5급 와동을 형성하고, 600mW/$cm^2$로 30초간 광조사하는 보통 광도 중합군, 300mW/$cm^2$로 60초간 광조사하는 저광도 중합군, 400mW/$cm^2$로 2초간 광조사하고 5분간 기다린 후 800mW/$cm^2$로 10초간 최종 중합시키는 펄스-지연 중합군, 그리고 1930mW/$cm^2$의 광도로 3초간 광조사하는 초고광도 중합군 등의 4개의 군으로 나누어 hybrid 형의 광중합복합레진을 충전하고 각 군의 방법대로 중합한 후, 변연의 0.5mm 외부에 nail varnish를 도포하고 37$^{\circ}C$, 2% metylene blue 용액에 24시간 동안 침적시켰다. 시편을 아크릴릭 레진에 매몰한 후 수복물의 중앙에서 종절단하여 입체현미경하에서 그 단면을 관찰한 후 법랑질과 상아질 변연으로 나누어 색소의 침투도를 측정하여 다음과 같은 결과를 얻었다. 1. 펄스 지연 중합군의 색소 침투도는 법랑질과 상아질 변연 모두에서 보통광도, 저광도 및 초고광도 중합군과 유의한 차이를 보이지 않았다(p>0.05). 2. 상아질 변연에서 초고광도 중합군은 보통광도 중합군과 저광도 중합군에 비해 유의하게 높은 색소 침투도를 보였다(p<0.05). 3. 법랑질 변연에서의 4개 군의 색소 침투도는 서로 유의한 차이를 보이지 않았다(p>0.05). 4. 모든 군에서 상아질 변연에서의 색소 침투도는 법랑질군에서의 색소 침투도에 비해 유의하게 높았다(p<0.05).

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2020년 코로나-19 관련 한국 주요 신문에서 방역관련 주요 주제어 분석 (Analysis on the Key Words related to Healthcare Issues of the Prevention and Control of COVID-19 in Major Korean Newspapers, 2020)

  • 김민영;구보경;윤보라;백진원;이무식
    • 농촌의학ㆍ지역보건
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    • 제46권3호
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    • pp.153-161
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    • 2021
  • 이 연구는 2020년 코로나-19 관련 신문기사를 유행기간에 따른 방역조치 범주별 주요 주제어 중심으로 분석하여, 한국 사회에서 코로나-19관련 방역에 대한 보도의 전체적인 내용과 경향을 분석하는데 목적이 있다. 연구목적을 달성하기 위해 2020년 2월 17일부터 12월 31일까지 보수, 중도, 진보 성향의 세가지 신문의 코로나-19 관련 기사를 이용하여 분석하였으며, 이 중 월요일과 목요일의 1면기사를 대상으로 하였다. 수집된 자료는 R studio를 이용하여 코로나-19 유행기간에 따른 각 범주별 주제어 언급빈도의 관련성을 카이제곱검정 등을 통하여 확인하였다. 연구의 결과는 다음과 같다. 첫째, 2020년 코로나-19 유행기간별로 한국의 3대 신문의 1면 기사에서 방역조치 범주별 주요 주제어를 분석한 결과, 비약물적 조치가 54.3%로 가장 많았으며, 3Ts(검사, 추적, 치료 및 백신) 31.9% 순이었다. 둘째, 유행기간별 기사의 건수는 제1차 휴지기가 28.5%로 가장 많았고, 비약물적 조치 기사는 제1차 휴지기 30.6%, 3Ts 제1차 유행기 28.6%로 가장 많아 유행기간별로 방역조치 범주별 주요 주제어 보도가 통계학적으로 유의한 차이가 있었다(p<0.05) 셋째, 비약물적 조치 범주에서 주요 주제어를 분석한 결과, 전체적으로 사회적 거리두리가 33.9%로 가장 많았으며, 공공시설 제한운영이 17%, 영업제한 14.2%, 마스크와 손씻기 12.3% 등 순이었다. 유행기간별로 비약물적 조치는 통계학적으로 유의한 차이가 있었다(p<0.01). 넷째, 3Ts(검사, 추적, 치료) 및 백신 등 범주에서 주요 주제어을 분석해 보면, 전체적으로 진단검사가 41.8%, 역학조사 및 병상관련이 각각 20.9%였으며, 치료제 및 백신이 16.5% 등 순이었으며, 유행기별로 3Ts(검사, 추적, 치료) 및 백신 등 주제어가 통계학적으로 유의한 차이가 있었다(p<0.01). 2020년 코로나-19 관련 신문기사를 유행기간에 따른 방역조치 범주별 주요 주제어을 분석한 결과, 비약물적 조치가 가장 많았고, 유행기간별로 방역조치 범주별 주요 주제어 보도가 통계학적으로 유의한 차이가 있었음을 확인하였다.