• 제목/요약/키워드: Radical operation

검색결과 208건 처리시간 0.031초

Prognostic Factors for Node-Negative Advanced Gastric Cancer after Curative Gastrectomy

  • Lee, Eun Woo;Lee, Woo Yong;Koo, Ho-Seok
    • Journal of Gastric Cancer
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    • 제16권3호
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    • pp.161-166
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    • 2016
  • Purpose: Lymph node (LN) metastasis is the best prognostic indicator in non-distant metastatic advanced gastric cancer. This study aimed to assess the prognostic value of various clinicopathologic factors in node-negative advanced gastric cancer. Materials and Methods: We retrospectively analyzed the clinical records of 254 patients with primary node-negative stage T2~4 gastric cancer. These patients were selected from a pool of 1,890 patients who underwent radical resection at Memorial Jin-Pok Kim Korea Gastric Cancer Center, Inje University Seoul Paik Hospital between 1998 and 2008. Results: Of the 254 patients, 128 patients (50.4%), 88 patients (34.6%), 37 patients (14.6%), and 1 patient (0.4%) had T2, T3, T4a, and T4b tumors, respectively. In a univariate analysis, operation type, T-stage, venous invasion, tumor size, and less than 15 LNs significantly correlated with tumor recurrence and cumulative overall survival. In a multivariate logistic regression analysis, tumor size, venous invasion, and less than 15 LNs significantly and independently correlated with recurrence. In a multivariate Cox proportional hazards analysis, tumor size (hazard ratio [HR]: 2.926; 95% confidence interval [CI]: 1.173~7.300; P=0.021), venous invasion (HR: 3.985; 95% CI: 1.401~11.338; P=0.010), and less than 15 LNs (HR: 0.092; 95% CI: 0.029~0.290; P<0.001) significantly correlated with overall survival. Conclusions: Node-negative gastric cancers recurred in 8.3% of the patients in our study. Tumor size, venous invasion, and less than 15 LNs reliably predicted recurrence as well as survival. Aggressive postoperative treatments and timely follow-ups should be considered in cases with these characteristics.

토지관리정보체계 개발전략과 구현사례 (Strategy and Implementation of Land Management Information Systems)

  • 최병남;김대종;홍성학
    • Spatial Information Research
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    • 제10권1호
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    • pp.165-183
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    • 2002
  • 토지관리정보체계 구축사업은 1997년에 기본계획을 수립하고 1998년에 대구광역시 남구를 대상으로 시범사업을 실시하였다. 2001년 현재가지 12개 지역에서 구축사업을 완료하고 실제 업무에 활용하거나 시험운영을 하고 있으며 88개 지역에서 수행 중에 있다. 향후 2004년까지 전축 16개 광역시도와 232개 시 군·구에 토지관리정보체계를 설치 완료할 계획이며, 아울러 토지관리정보체계를 유지 관리하는 토지정보센터를 설치할 계획이다. 토지관리행정업무를 수행하면서 발생하는 많은 문제를 해결하는 수단으로써 정보기술을 도입하는 것이 토지관리정보체계 구축이다. 이를 위해서는 현재 아나로그 환경 속에 존재하는 모든 것을 디지털 기술환경에 적합하도록 전환시켜야 한다. 그러나 이는 간단한 일이 아니며, 특히 아나로그 환경 속에 있는 주체를 기본적으로 디지털 세계로 끌어들이는 것이 가장 어렵고 중요하다 따라서 아나로그 토지행정을 디지털 기술환경으로 어떻게 합리적으로 전환시키느냐가 토지관리정보체계 구축사업에서 앞으로 추진해야할 가장 중요한 과제라고 할 수 있다.

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두경부 신경성 종양의 진단과 치료 (Diagnosis and Treatment of Neurogenic Tumors in the Head and Neck)

  • 김성배;오상훈;김상효
    • 대한두경부종양학회지
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    • 제12권2호
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    • pp.161-168
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    • 1996
  • The neuorogenic tumor is known to be originated from neural crest, and the involved cells are Schwann cell, ganglion cell, and paraganglion cell. The Schwannoma, neurofibroma, and malignant schwannoma arise from the schwann cell, ganglioneuroma is from ganglion cell, and carotid body tumor and glomus tumor are originated from paraganglion cell. Authors reviewed thirty-eight patients of the neurogenic tumors in the head and neck, excluding intracranial tumor and Von-Recklinghausen disease, surgically treated at the Department of Surgery, Pusan Paik Hospital from January 1981 to May 1996. Of the 38 cases, 28 cases were schwannoma, 6 cases neurofibroma, 2 cases malignant schwannoma, and 2 cases paraganglioma. These tumors occurred at any age, but the majority of patients occurred in the fourth decade of life. There was female preponderance (M : F=1 : 1. 53) in sex ratio. The lateral cervical region was the most common distribution. 12 cases arose from the anterior triangle of neck, and 12 cases from the posterior triangle of neck. The major nerve origin of tumor could be identified in 30 cases (80%). 11 cases were treated by simple excision, and partial excision was 3 cases. Excision with parotidectomy 1 case, enucleation 11 cases, enucleation with parotidectomy 7 cases, radical neck dissection 1 cases, upper neck dissection 2 cases, suprahyoid dissection 1 case, Caldwell­Luc operation 1 case. The postoperative complications were hoarseness (2 cases), facial palsy (1 case), Homer syndrome (1 case), and hypoesthesia of tongue (1 case).

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아돌프 로스와 하라 히로시의 주거건축에 나타나는 피복의 조작을 통한 공간구성 기법에 관한 연구 (A Study on the Method of Spatial Composition by the Operation on the Cladding in the Housing Design of Adolf Loos and Hiroshi Hara)

  • 민건희;윤철재
    • 한국주거학회논문집
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    • 제25권3호
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    • pp.45-52
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    • 2014
  • Adolf Loos and Hiroshi Hara are very well known for their distinctive method of spatial composition. Adolf Loos showed white silent outer facades from his strong aversion to the ornament, whereas dynamic and rich inner space by the principle called 'Raumplan' in his housing design. Hiroshi Hara, one of the most influential architects in modern Japanese architectural history, designed a series of controversial houses with radical design by his 'Yukotai Theory' and the thought of 'Reflection House'. Even they have no common in regional background or the period of their works, both similarly have shown their own focus on cladding surface as an important design language. From this point of view, this paper investigates the design method of those two architects focused on the similar points and also the differences of their approaches to cladding in housing design. In conclusion, in case of Adolf Loos, the cladding is a tool to create completely safe and pure inner space by separating from the outside. On the other hand, the cladding of Hiroshi Hara has the meaning of social ideology that individuals must follow the principles of a dominant structure, which is the reason why the cladding should be removed. However there exists something in common also. They radically denied the outer circumstances and had a firm belief that the requests from the inside living space were the more influential factors.

The evaluation of a scoring system in airway management after oral cancer surgery

  • Lee, Ho-Jin;Kim, Jin-Wook;Choi, So-Young;Kim, Chin-Soo;Kwon, Tae-Geon;Paeng, Jun-Youg
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제37권
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    • pp.19.1-19.7
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    • 2015
  • Background: The purpose of this retrospective study was to investigate the usefulness of tracheostomy scoring system in the decision of postoperative airway management in oral cancer patients. Materials and methods: A total of 104 patients were reviewed in this retrospective study, who underwent radical resection with or without neck dissection and free flap reconstruction due to oral cancer. The patients were classified into three groups according to the timing of the extubation; extubated groups (n = 51), overnight intubation group (n = 45), and tracheostomy group (n = 8). Cameron's score was used to evaluate the relation between the state of the patient's airway and the type of the operation. Results: Tracheostomy was performed in eight patients (8/104, 7.7 %). A total of 22 patients (21.2 %) had more than 5 points of which 17 patients (77.3 %) did not have a tracheostomy and any postoperative emergency airway problems. The tracheostomy scores were significantly different among the three groups. Hospital stay showed a significant correlation with the tracheostomy score. Conclusions: The scoring system did not quite agree with the airway management of the authors' clinic; however, it can be one of the clinical factors predicting the degree of the postoperative airway obstruction and surgical aggressiveness for recovery. The further studies are needed for clinically more reliable scoring systems.

Characteristics of Nonthermal Plasma Source in Various Liquids

  • Lim, Seung-Ju;Min, Boo-Ki;Taylor, Nathan;Kim, Tae-Gyu;Kim, Hyeong-Seok;Yang, Seon-Pil;Jung, Jin-Yong;Han, Jin-Hyun;Lee, Jong-Yong;Kang, Seung-Oun;Choi, Eun Ha
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2014년도 제46회 동계 정기학술대회 초록집
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    • pp.259.1-259.1
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    • 2014
  • Recently non-thermal plasma has been frequently applied to various research fields. The liquid plasma have received much attention lately because of interests in surgical and nanomaterial synthesis applications. Especially, intensive researches have been carried out for non-thermal plasma in liquid by using various electrode configurations and power supplies. We have developed a bioplasma source which could be used in a liquid, in which outer insulator has been covered onto the outer electrode. Also we have also put an insulator between the inner and outer electrode. Based on the surface discharge mode, the nonthermal bioplasma has been generated inside a liquid by using an alternating current voltage generator with peak voltage of 12 kV under driving frequency of 22 KHz. Here the discharge voltage and current have been measured for electrical characteristics. Especially, We have measured discharge and optical characteristics under various liquids of deionized (DI) water, tap water, and saline by using monochromator. We have also observed nitric oxide (NO), hydrogen peroxide (H2O2), and hydroxyl (OH) radical species by optical emission spectroscopy during the operation of bioplasma discharge inside various kinds of DI water, tap water, and saline. Here the temperature has been kept to be $40^{\circ}C$ or less when discharge in liquid has been operated in this experiment. Also we have measured plasma temperature by high speed camera image and density by using either H-alpha or H-beta Stark broadening method.

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고분자 전해질 연료전지 구동 조건에 따른 MEA 열화 및 배출수 특성 (Degradation of MEA and Characteristics of Outlet Water According to Operation Condition in PEMFC)

  • 황병찬;이세훈;나일채;박권필
    • Korean Chemical Engineering Research
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    • 제55권4호
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    • pp.478-482
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    • 2017
  • 고분자 전해질 연료전지의 구동과정 중 습도제어는 매우 중요한 제어 조건이다. 물 관리 측면에서는 저가습 조건이 유리하고, 배출수 활용 및 에너지 효율면에서는 고가습이 유리하다. 본 연구에서는 배출수 활용면에서 저가습과 고가습 구동 과정에서 배출수의 특성에 대해서 연구하였다. 배출수의 불순물은 막과 전극의 열화 과정에서 발생하는 것이므로 저가습과 고가습 조건에서 막전극합체(MEA)열화에 대해서도 연구하였다. 연료극 0% RH의 저가습 조건에서 라디칼 발생속도가 커 고분자 막 열화의 주요 원인임을 보였다. 양쪽 극 모두 고가습(RH 100%) 0.6 V에서 불소 이온 농도 약 20 ppb로 낮은 농도를 나타내서, 수전해 원료수로 사용하기에 충분하였다. 고가습 조건에서 배출한 응축수에서 0.2 ppb 이하의 매우 낮은 농도의 백금이 검출되었다.

그룹리듬연주활동에 따른 발달지체유아의 모방능력에 관한 사례연구 (A Case Study on the Imitation Ability of Young Children with Developmental Disabilities through Rhythmic Play Activity)

  • 이아련
    • 인간행동과 음악연구
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    • 제6권2호
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    • pp.25-41
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    • 2009
  • 본 연구는 30~50개월 사이의 발달지체 유아 3명을 대상으로 그룹리듬연주활동을 실시하여 모방 능력의 변화를 살펴 본 실험연구로 회당 20~25분씩 주3회, 총 20회기 동안 실시하였다. 프로그램은 총 네 단계로 나누어 사회적 음악 놀이(1-3회기), 유아의 악기 연주를 치료사가 모방하기(4-7회기), 치료사의 악기 연주를 유아가 모방하기(8-18회기), 활동의 복습 및 그룹원이 함께 연주하기(19-20)로 진행되었고 각 회기는 비디오로 녹화돼 연구의 조작적 정의에 따라 연구자 외 두 명의 음악치료사가 검토하였다. 그 결과 첫째, 그룹리듬연주에 따라 유아의 모방능력이 점차 향상되었고, 둘째, 그룹리듬연주의 난이도에 따라 유아들은 1박 모방에서 가장 많은 변화를 보였으며, 셋째, 치료사가 유아의 동작과 연주를 모방했던 3-7회기에 대부분의 유아들은 모방능력에 급진적인 변화가 나타나 타인인지능력의 향상과 더불어 모방 능력이 증진하였음을 알 수 있었다. 이러한 결과로 볼 때 그룹리듬연주활동은 유아의 모방능력을 향상시키며, 차후 복잡한 모방능력의 발달 가능성을 시사하고 있다.

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요골 전완부 감각신경 유리건피판술 후 생긴 근육탈출증의 증례보고 (A Case of Forearm Muscle Herniation after Radial Forearm Sensory Tendocutaneous Free Flap)

  • 이백권;김민철;전영준;오득영;이종원;안상태
    • Archives of Plastic Surgery
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    • 제35권2호
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    • pp.205-207
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    • 2008
  • Purpose: Although muscle hernia has been well described in the lower-extremity, muscle hernias in the upper extremity are extremely rare. As with lower extremity muscle hernias, the forearm muscle hernia may result from forced exertion of strenuous activity or following blunt trauma. The objective of this paper is to report an extraordinary case of forearm muscle hernia after radial forearm sensory tendocutaneous free flap with references. Methods: A 58-year-old male patient received wide excision and radical neck dissection and lower lip reconstruction with radial forearm sensory tendocutaneous free flap for squamous cell cancer on the lower lip. 16 weeks after the operation, he complained of protruding mass on the forearm and the size was increasing. In postoperative 18 weeks, MRI showed herniation of flexor digitorum superficialis. For unaesthetic cause and preventing progress, the authors performed direct fascial closure and Mesh graft. Results: In 12 months after the surgery there was no recurrence and the patient remained symptom-free. Conclusion: Pain on extremity exertion and unaesthetic buldge of forearm due to forearm muscle hernia were the primary indications for surgery which consist of direct closure, fasciotomy, fascia lata onlay graft, fascia lata inlay graft, etc. The authors experienced uncommon forearm muscle hernia after radial forearm free flap and satisfying result of treatment.

동전기-펜턴 공정을 이용한 phenanthrene 오염토양의 정화 (Electrokinetic-Fenton Process for Removal of Phenanthrene)

  • 양지원;박지연;김상준;이유진;기대정
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제9권1호
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    • pp.47-53
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    • 2004
  • 본 연구에서는 동전기-펜턴 공정을 이용한 phenanthrene 오염토양 정화의 타당성을 확인하기 위해서, 토양 시스템 내에서 전기삼투흐름에 의한 과산화수소의 이동과 펜턴유사 반응에 의한 phenanthrene의 산화분해 양상을 살펴보았다. 10 mA와 5 mA의 두 가지 전류 조건 중에서, 10 mA일 때 더 높은 전압경사와 전기삼투유량이 관찰되었다. 높은 전기삼투유량은 토양 내로 많은 양의 과산화수소가 이동한 것을 의미하므로, phenanthrene 제거효율이 전기삼투유량이 증가함에 따라 증가한 것으로 판단된다. 동전기 정화기술만을 이용한 토양 세척에 의해 7일간의 가동기간 동안 8.5%의 phenanthrene이 제거되었다. Phenanthrene을 직접 산화분해하기 위하여 양극 전극조를 통하여 과산화수소 용액을 토양에 공급한 경우에는 14일 동안 최고 95.6%의 제거효율을 얻을 수 있었다. 실험 종료 후 95.6%의 제거효율을 나타낸 토양시료를 분석한 결과 phenanthrene의 중간산물이 거의 관찰되지 않음으로써, 과산화수소의 연속적인 주입을 통하여 가동기간 중간에 생성된 중간산물들이 저분자 물질로 산화분해 되었거나 물과 이산화탄소로 분해된 것으로 추정된다.