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Surgery for symptomatic hepatic hemangioma: Resection vs. enucleation, an experience over two decades

  • Nalini Kanta Ghosh;Rahul R;Ashish Singh;Somanath Malage;Supriya Sharma;Ashok Kumar;Rajneesh Kumar Singh;Anu Behari;Ashok Kumar;Rajan Saxena
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.27 no.3
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    • pp.258-263
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    • 2023
  • Backgrounds/Aims: Hemangiomas are the most common benign liver lesions; however, they are usually asymptomatic and seldom require surgery. Enucleation and resection are the most commonly performed surgical procedures for symptomatic lesions. This study aims to compare the outcomes of these two surgical techniques. Methods: A retrospective analysis of symptomatic hepatic hemangiomas (HH) operated upon between 2000 and 2021. Patients were categorized into the enucleation and resection groups. Demographic profile, intraoperative bleeding, and morbidity (Clavien-Dindo Grade) were compared. Independent t-test and chi-square tests were used for continuous and categorical variables respectively. p-value of < 0.05 was considered significant. Results: Sixteen symptomatic HH patients aged 30 to 66 years underwent surgery (enucleation = 8, resection = 8) and majority were females (n = 10 [62.5%]). Fifteen patients presented with abdominal pain, and one patient had an interval increase in the size of the lesion from 9 to 12 cm. The size of hemangiomas varied from 6 to 23 cm. The median blood loss (enucleation: 350 vs. resection: 600 mL), operative time (enucleation: 5.8 vs. resection: 7.5 hours), and postoperative hospital stay (enucleation: 6.5 vs. resection: 11 days) were greater in the resection group (statistically insignificant). In the resection group, morbidity was significantly higher (62.6% vs. 12.5%, p = 0.05), including one mortality. All patients remained asymptomatic during the follow-up. Conclusions: Enucleation was simpler with less morbidity as compared to resection in our series. However, considering the small number of patients, further studies are needed with comparable groups to confirm the superiority of enucleation over resection.

Comparison of Lambertian Model on Multi-Channel Algorithm for Estimating Land Surface Temperature Based on Remote Sensing Imagery

  • A Sediyo Adi Nugraha;Muhammad Kamal;Sigit Heru Murti;Wirastuti Widyatmanti
    • Korean Journal of Remote Sensing
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    • v.40 no.4
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    • pp.397-418
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    • 2024
  • The Land Surface Temperature (LST) is a crucial parameter in identifying drought. It is essential to identify how LST can increase its accuracy, particularly in mountainous and hill areas. Increasing the LST accuracy can be achieved by applying early data processing in the correction phase, specifically in the context of topographic correction on the Lambertian model. Empirical evidence has demonstrated that this particular stage effectively enhances the process of identifying objects, especially within areas that lack direct illumination. Therefore, this research aims to examine the application of the Lambertian model in estimating LST using the Multi-Channel Method (MCM) across various physiographic regions. Lambertian model is a method that utilizes Lambertian reflectance and specifically addresses the radiance value obtained from Sun-Canopy-Sensor(SCS) and Cosine Correction measurements. Applying topographical adjustment to the LST outcome results in a notable augmentation in the dispersion of LST values. Nevertheless, the area physiography is also significant as the plains terrain tends to have an extreme LST value of ≥ 350 K. In mountainous and hilly terrains, the LST value often falls within the range of 310-325 K. The absence of topographic correction in LST results in varying values: 22 K for the plains area, 12-21 K for hilly and mountainous terrain, and 7-9 K for both plains and mountainous terrains. Furthermore, validation results indicate that employing the Lambertian model with SCS and Cosine Correction methods yields superior outcomes compared to processing without the Lambertian model, particularly in hilly and mountainous terrain. Conversely, in plain areas, the Lambertian model's application proves suboptimal. Additionally, the relationship between physiography and LST derived using the Lambertian model shows a high average R2 value of 0.99. The lowest errors(K) and root mean square error values, approximately ±2 K and 0.54, respectively, were achieved using the Lambertian model with the SCS method. Based on the findings, this research concluded that the Lambertian model could increase LST values. These corrected values are often higher than the LST values obtained without the Lambertian model.

Growth and Predictive Model of Wild-type Salmonella spp. on Temperature and Time during Cut and Package Processing in Cold Pork Meats (냉장돈육 가공공정 온도와 시간에서의 Wild-type Salmonella spp.의 성장특성 및 예측모델)

  • Song, Ju Yeon;Kim, Yong Soo;Hong, Chong Hae;Bahk, Gyung Jin
    • Journal of Food Hygiene and Safety
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    • v.28 no.1
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    • pp.7-12
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    • 2013
  • This study presents the influence on growth properties determined using a novel predictive growth model of wild-type Salmonella spp. KSC 101 by variations in the temperature and time during cut packaging in cold, uncooked pork meat. The experiment performed for model development included an arrangement of different temperatures ($0^{\circ}C$, $5^{\circ}C$, $10^{\circ}C$, $15^{\circ}C$, and $20^{\circ}C$) and time durations (0, 1, 2, and 3 hours) that reflect actual pork-cut and packaging processes. No growth was observed at $0^{\circ}C$ and $5^{\circ}C$, whereas some growth was observed at $10^{\circ}C$, $15^{\circ}C$, and $20^{\circ}C$, with a mean increase of only 0.34 log CFU/g. The growth observed at $20^{\circ}C$ was more robust than that observed at $15^{\circ}C$, but the difference was not statistically significant (p > 0.05). However, compared with PMP (Pathogen Modeling Program), the wild-type Salmonella spp. KSC 101 showed a more rapid growth. We used the Gompertz 4 parameter equation as the primary model, and the exponential decay formula as the secondary model. The estimated $R^2$ values were 0.99 or higher. The developed model was evaluated by comparison of the experimental and predictive values, and the values were in agreement with the ${\pm}0.5$ log CFU/g, although the RMSE (Root mean square error) value was 0.103, which indicates a slight overestimation. Therefore, we suggest that the developed predictive growth model would be useful as a tool for evaluating sanitation criteria in pork cut-packaging processes.

Effect of Dietary Concentrate:forage Ratios and Undegraded Dietary Protein on Nitrogen Balance and Urinary Excretion of Purine Derivatives in Dorper×thin-tailed Han Crossbred Lambs

  • Ma, Tao;Deng, Kai-Dong;Tu, Yan;Jiang, Cheng-Gang;Zhang, Nai-Feng;Li, Yan-Ling;Si, Bing-Wen;Lou, Can;Diao, Qi-Yu
    • Asian-Australasian Journal of Animal Sciences
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    • v.27 no.2
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    • pp.161-168
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    • 2014
  • This study aimed to investigate dietary concentrate:forage ratios (C:F) and undegraded dietary protein (UDP) on nitrogen balance and urinary excretion of purine derivatives (PD) in lambs. Four Dorper${\times}$thin-tailed Han crossbred castrated lambs with $62.3{\pm}1.9$ kg body weight at 10 months of age were randomly assigned to four dietary treatments in a $2{\times}2$ factorial arrangement of two levels of C:F (40:60 and 60:40) and two levels of UDP (35% and 50% of CP), according to a complete $4{\times}4$ Latin-square design. Each experimental period lasted for 19 d. After a 7-d adaptation period, lambs were moved into individual metabolism crates for 12 d including 7 d of adaption and 5 d of metabolism trial. During the metabolism trial, total urine was collected for 24 h and spot urine samples were also collected at different times. Urinary PD was measured using a colorimetric method and creatinine was measured using an automated analyzer. Intake of dry matter (DM) (p<0.01) and organic matter (OM) (p<0.01) increased as the level of UDP decreased. Fecal N was not affected by dietary treatment (p>0.05) while urinary N increased as the level of UDP decreased (p<0.05), but decreased as dietary C:F increased (p<0.05). Nitrogen retention increased as dietary C:F increased (p<0.05). As dietary C:F increased, urinary excretion of PD increased (p<0.05), but was not affected by dietary UDP (p>0.05) or interaction between dietary treatments (p>0.05). Daily excretion of creatinine was not affected by dietary treatments (p<0.05), with an average value of $0.334{\times}0.005$ mmol/kg $BW^{0.75}$. A linear correlation was found between total PD excretion and PDC index ($R^2$ = 0.93). Concentrations of creatinine and PDC index in spot urine were unaffected by sampling time (p>0.05) and a good correlation was found between the PDC index (average value of three times) of spot urine and daily excretion of PD ($R^2$ = 0.88). These results suggest that for animals fed ad libitum, the PDC index in spot urine is effective to predict daily excretion of PD. In order to improve the accuracy of the spot sampling technique, an appropriate lag phase between the time of feeding and sampling should be determined so that the sampling time can coincide with the peak concentration of PD in the urine.

Analysis on Relevant Factors in Practice of Prevention for Infections in Dental Clinics - (Focusing on Dental Hygienists) (치과 진료실 감염예방 실천도의 관련요인 분석 (치과위생사를 중심으로))

  • Nam, Young-Shin
    • Journal of dental hygiene science
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    • v.8 no.3
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    • pp.189-198
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    • 2008
  • Objective: The study aimed to provide basic data for enhancing dental hygienists' practice of prevention for infections of dental hygienists by examining what factors there were in their preventing the infections in dental clinics. Method: The subjects of study were 168 dental hygienists who participated in continuing medical education of Incheon & Gyeonggi-do association and Seoul city association in October and November 2005. For the data analysis, an SPSS WIN 13.0 program was used and its significance level was 0.05. In terms of analysis methods, frequency analysis and technical statistics analysis were performed for general characteristics, ANOVA was performed for general traits, practice, medical environments for knowledge and practice analysis, correlation analysis was performed for the relation between knowledge & organization-related factors and practice, Chi-Square Tests were performed for the relation between general traits and educational experiences, T-test was performed for practice and knowledge according to the educational experiences for preventing infections and multiple regression analysis was performed for the factors that affect the practice for preventing infections. Result: knowledge showed statistically significant differences by age (F=4.895, p=0.003) and those with the education experiences in preventing infections had higher scores in practice of prevention for infections than those without them (t=3.315, p=0.001). The correlation between knowledge and practice was significant statistically (p<0.05), the factors related to organization showed significant correlation (p<0.01) and the higher the factors related to organizations, knowledge, education experiences, service career, the higher the practice for prevention of infections was ($R^2=0.32$). Conclusions: In order to enhance the dental hygienists' practice for the prevention of infections, it would be necessary to treat the contents of the infection prevention in educational curriculum at schools and enhance dental hygiene students' knowledge on the prevention of infection and to develop the programs, with which continuous education and PRS could be conducted through in-house education and continuing medical education of the hospital after school graduation and it has been believed that it would be the most important for dental hygienists to make efforts and interest in organizations actively so as to build up safe working environments.

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A Simple Method Using a Topography Correction Coefficient for Estimating Daily Distribution of Solar Irradiance in Complex Terrain (지형보정계수를 이용한 복잡지형의 일 적산일사량 분포 추정)

  • Yun, Jin-I.
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.11 no.1
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    • pp.13-18
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    • 2009
  • Accurate solar radiation data are critical to evaluate major physiological responses of plants. For most upland crops and orchard plants growing in complex terrain, however, it is not easy for farmers or agronomists to access solar irradiance data. Here we suggest a simple method using a sun-slope geometry based topographical coefficient to estimate daily solar irradiance on any sloping surfaces from global solar radiation measured at a nearby weather station. An hourly solar irradiance ratio ($W_i$) between sloping and horizontal surface is defined as multiplication of the relative solar intensity($k_i$) and the slope irradiance ratio($r_i$) at an hourly interval. The $k_i$ is the ratio of hourly solar radiation to the 24 hour cumulative radiation on a horizontal surface under clear sky conditions. The $r_i$ is the ratio of clear sky radiation on a given slope to that on a horizontal reference. Daily coefficient for slope correction is simply the sum of $W_i$ on each date. We calculated daily solar irradiance at 8 side slope locations circumventing a cone-shaped parasitic volcano(c.a., 570m diameter for the bottom circle and 90m bottom-to-top height) by multiplying these coefficients to the global solar radiation measured horizontally. Comparison with the measured slope irradiance from April 2007 to March 2008 resulted in the root mean square error(RMSE) of $1.61MJ\;m^{-2}$ for the whole period but the RMSE for April to October(i.e., major cropping season in Korea) was much lower and satisfied the 5% error tolerance for radiation measurement. The RMSE was smallest in October regardless of slope aspect, and the aspect dependent variation of RMSE was greatest in November. Annual variation in RMSE was greatest on north and south facing slopes, followed by southwest, southeast, and northwest slopes in decreasing order. Once the coefficients are prepared, global solar radiation data from nearby stations can be easily converted to the solar irradiance map at landscape scales with the operational reliability in cropping season.

Reproducibility of Gated Myocardial Perfusion SPECT for the Assessment of Myocardial Function: Comparison with Thallium-201 and Technetium-99m-MIBI (심근 기능 측정에 사용된 게이트 심근 관류 SPECT 방법의 재현성 평가: $^{201}Tl$$^{99m}Tc$-MIBI 게이트 SPECT의 비교)

  • Hyun, In-Young;Seo, Jeong-Kee;Hong, Eui-Soo;Kim, Dae-Hyuk;Kim, Sung-Eun;Kwan, Jun;Park, Keum-Soo;Choe, Won-Sick;Lee, Woo-Hyung
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.5
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    • pp.381-392
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    • 2000
  • Purpose: We compared the reproducibility of $^{201}Tl\;and\;^{99m}Tc$-sestamibi (MIBI) gated SPECT measurement of myocardial function using the Germano algorithm Materials and Methods: Gated SPECT acquisition was repeated in the same position in 30 patients who received $^{201}Tl$ and in 26 who received $^{99m}Tc$-MIBI. The quantification of end-diastolic volume (EDV), end-systolic volume (ESV), and ejection fraction (EF) on $^{201}Tl\;and\;^{99m}Tc$-MIBI gated SPECT was processed independently using Cedars quantitative gated SPECT software. The reproducibility of the assessment of myocardial function on $^{201}Tl$ gated SPECT was compared with that of $^{99m}Tc$-MIBI gated SPECT Results: Correlation between the two measurements for volumes and EF was excellent by the repeated gated SPECT studies of $^{201}Tl$ (r=0.928 to 0.986; p<0.05) and $^{99m}Tc$-MIBI (r=0.979 to 0.997; p<0.05). However, Bland Altman analysis revealed the 95% limits of agreement (2 SD) for volumes and EF were tighter by repeated $^{99m}Tc$-MIBI gated SPECT (EDV: 14.1 ml, ESV: 9.4 ml and EF: 5.5%) than by repeated $^{201}Tl$ gated SPECT (EDV: 24.1 ml, ESV: 18.6 ml and EF: 10.3%). The root mean square (RMS) values of the coefficient of variation (CV) for volumes und EFs were smaller by repeated $^{99m}Tc$-MIBI gated SPECT (EDV: 2.1 ml, ESV 2.7 ml and EF: 2.3%) than by repeated $^{201}Tl$ gated SPECT (EDV: 3.2 ml, ESV: 3.5 ml and EF: 5.2%). Conclusion: $^{99m}Tc$-MIBI provides more reproducible volumes and EF than $^{201}Tl$ on repeated acquisition gated SPECT. $^{99m}Tc$-MIBI gated SPECT is the preferable method for the clinical monitoring of myocardial function.

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The Acceptance Testing of 5 Mega Pixels Primary Electronic Display Devices and the Study of Quality Control Guideline Suitable for Domestic Circumstance (5 Mega 화소 진단용 전자표시장치 인수검사 및 국내 실정에 적합한 정도관리 가이드라인 연구)

  • Jung, Hai-Jo;Kim, Hee-Joung;Kim, Sung-Kyu
    • Progress in Medical Physics
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    • v.18 no.2
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    • pp.98-106
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    • 2007
  • In June 2005, Yonsei University Medical Center, Severance Hospital upgraded a full-PACS system by adding twenty (5 mega pixels) Totoku ME511L flat panel LCD display devices for diagnostic interpretation purposes. Here we report upon the quantitative (or visual) acceptance testing of the twenty Totoku ME511L display devices for reflection, luminance response, luminance spatial dependency, resolution, noise, veiling glare, and display chromaticity based on AAPM TG 18 report. The tools used in the tests included a telescopic photometer, which was used as a colorimeter, illuminance meter, light sources for reflection assessment, light-blocking devices, and digital TG18 test patterns. For selected 8 flat panel displays, mean diffuse reflection coefficient ($R_d$) was $0.019{\pm}0.02sr^{-1}$. In the luminance response test, luminance ratio (LR), maximum luminance difference ($L_{max}$), and deviation of contrast response were $550{\pm}100,\;2.0{\pm}1.9%\;and\;5.8{\pm}1.8%$, respectively. In the luminance uniformity test, maximum luminance deviation was $14.3{\pm}5.5%$ for the 10% luminance of the TG18-UNL10 test pattern. In the resolution test with luminance measurement method, percent luminance (${\Dalta}L$) at the center was $0.94{\pm}0.64%$. In all cases of noise testing, rectangular target In every square in the three quadrants was visible and all 15 targets except the smallest one in the every corner pattern and the center pattern. The glare ratio (GR) was $12,346{\pm}1,995$. The color uniformity, (u',v'), was $0.0025{\pm}0.0008$. Also, the research results of qualify control guideline of primary disply devices suitable for domestic circumstance are presented All test results are in-line with the criteria recommended by AAPM TG18 report and are thus fully acceptable for diagnostic image interpretation. As a result, the acceptance testing schedule described provides not only an acceptance standard but also guidelines for quality control, optimized viewing conditions, and a means for determining the upgrading time of LCD display devices for diagnostic interpretation.

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The Study on the Prediction of Algae Occurrence by the Multiple Regression Analysis After Weir Construction at Namhan River (다중회귀분석을 이용한 남한강 내 보 건설 후 조류 발생량 예측)

  • Oh, Seung-Eun;Ahn, Hong-Kyu;Chae, Soo-Kwon
    • Journal of Environmental Impact Assessment
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    • v.26 no.6
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    • pp.470-478
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    • 2017
  • This study was classified into two groups, normal season group and drought season group, by the cluster analysis using the weather and water quality data from 2012 to 2015, using SPSS 18 version. Also each cluster was classified into three spaces, Gangcheon, Yeoju and Ipoh weir. We performed the multiple regression analysis with each monthly data that concentration of Chl-a was more than algae warming level. 6 groups classified in time and space were analyzed by the correlation analysis between concentration of Chl-a and 3 weather, 11 water quality and discharge factors. We developed Chl-a prediction equations of each group with independent variables of the multiple regression analysis applying to the correlation result. The result of cluster analysis was that the period was divided into two groups, normal group(2012-2013) that total annual precipitation rate was normal and drought group(2014-2015) that total annual precipitation rate was less than 1,000 mm/hr, in time. The months that concentration of Chl-a was more than algae warming level in each group classified by cluster analysis were that the normal group was 3~8 and drought group was 3 and 6~10. The correlation result between Chl-a and weather, water quality and discharge factors for each 6 group was that relationships between Chl-a and water, discharge factors were high in the drought group more than in normal group at all weirs. This was influenced by velocity reduction and increasing HRT according to the intense drought. Weather, water quality and discharge factors that were high correlation with Chl-a were applied to independent variables of Chl-a prediction equations and each equations were developed. Among them, Each adjusted R square of Prediction equations for Chl-a in each group at Ipoh weir where is located in Namhan river downstream and is directly connected to Paldang dam were normal group = 0.920 and drought group = 0.818. It's showed the high linear.

Improvement of GPS positioning accuracy by static post-processing method (정적 후처리방식에 의한 GPS의 측위정도 개선)

  • 김민선;신현옥
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.39 no.4
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    • pp.251-261
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    • 2003
  • To measure the GPS position accuracy and its distribution according to the length of the baseline, 30 minutes to 24 hours observations at the fixed location were conducted with two GPS receivers (Ll, 12 channels) on May 29 to June 2, 2002. The GPS data received at the reference station, the rover station and the ordinary times GPS observation station operated by the National Geography Institute in Korea were processed in kinematic and static post-processing methods with a post -processing software. The results obtained are summarized as follows: 1. The number of the satellite that could be observed continuously more than six hours was 16 and most of these satellites were positioned at east-west direction on May 31, 2002. The number of the satellite observed and the geometric dilution of precision (GDOP) determined by the average of every 10 minute for the day were 8 and 3.89, respectively. 2. Both the average GPS positions before and after post-processing were shifted (standalone: 1.17 m, post -processing: 0.43m) to the south and west. The twice distance root mean square (2drms) measured with standalone was 6.65m. The 2drms could be reduced to 33.8% (standard deviation 0=17.2) and 5.3% (0=2.2) of standalone by the kinematic and the static post-processing methods, respectively. 3. The relationship between the length of the baseline x (km) and the 2drms y (m) obtained by the static post-processing method was y=0.00l6x+0.006 $(R^2=0.87)$. In the case of the positioning with the static post-processing method using the GPS receiver, it was found that a positioning within 20cm 2drms was possible when the length of the baseline was less than 100km and the receiving time of the GPS is more than 30 minutes.