Hepatocellular carcinoma is one of the most common cancers worldwide. Extrahepatic metastasis commonly occur in the lung, lymph, nodes, bone, and adrenal glands. On the other hand, a metastasis of hepatocellular carcinoma to the skeletal muscle is rare. A 42-year-old woman presented for evaluation of a palpable mass with tenderness in her right thigh area. She has been diagnosed with hepatocellular carcinoma and pulmonary metastasis seven years ago and has received treatment. We performed incisional biopsy with suspicion of hepatocellular carcinoma metastasis from imaging studies and blood test results. The patient was finally diagnosed with metastasis of hepatocellular carcinoma in the semimembranosus muscle and treated by extensive resection. We report this case with a review of the relevant literature.
By analyzing 1998~2008 Korean Labor and Income Panel Study(KLIPS), this study examines socio-economic characteristics of people who become poor. The study also explores the reason why they are in the state of poverty. To find determinants affecting poverty entrance, discrete-time hazard models are applied. Major findings are as follows. The socio-economic characteristics driving people into poverty are in the middle way of the long-term poor and the non-poor, combining the characteristics of both groups. This implies that many cases of the newly poor tend to enter and exit from poverty repeatedly. Poverty entry rate was at a high level right after the economic crises, then was a downturn and remained fairly stable since 2000. However, the young, the high-educated, and even the professional are on the rise as a new poverty group. The major reason people become poor is temporary job loss. This factor is confirmed again by multi-variate analyses. In building anti-poverty policies, it is important to distinguish the long-term poor from the short-term poor. For the long-term poor, virtually the only affective policy will be income support. On the other hand, a labor-market strategy for jos security will be more effective for the short-term poor. The characteristics and determinants of poverty entry may affect poverty duration and exit in the future. Future research will be needed to investigate the relationship among these factors.
Mule Bone (1931), Zora Neale Hurston's collaboration with Langston Hughes, has been credited as the 'first' attempted by African Americans to create black folk comedy. The proposed research is driven from a question to the recent scholarship's tacit consent on such historic importance imposed on the play. This paper suggests a possibility that De Turkey and De Law (1930), Hurston's edition of the collaboration work, could be the truly first attempt in the tradition of American black folk comedy. By illuminating a series of historical moments in which Hurston first expressed her dream for writing a real black folk comedy that would be a really new departure in the African American drama, then collaborated with Hughes on the dream play project, and eventually quit the collaborationship due to artistic dispute with Hughes, this paper explains why Hughes edition Mule Bone came to remain 'unfinished' and, more importantly, fall short of Hurston's original goal and expectation from the collaboration. On the other hand, this paper sheds light on the significance of often-ignored Hurston's edition De Turkey and De Law by demonstrating how this play, compared to Mule Bone, fulfills her original idea of black folk comedy in terms of contents and themes compared with Mule Bone. Adding to the knowledge about little known behind story related to the Mule Bone controversy and the subsequent birth of the two different editions of the Hurston-Hushes collaboration project, supplementing the dearth of the related research with a critical comparison of the two editions, and discussing the validity of Hurston's edition as the real sense of black folk comedy, this paper argues for the necessity of reconsidering the origin of the mentioned genre. This paper finally concludes that De Turkey and De Law, replacing Mule Bone, deserves a right to be truly the first American black folk comedy genre in the sense that it was completed and copyrighted three months earlier than Mule Bone and that, more importantly, it cherished the original aim and artistic vision of black folk comedy Hurston first planned and expected through the collaboration with Hughes.
This study sought to examine the effects of current single-parent family policies on the psychological adaptation of family members in single-parent homes, while also confirming that visitation and child support are indeed in the best interests of children in such cases. An online survey was conducted in 2021 for divorced single mothers and their children (aged 11 to 19) living in metropolitan regions (Seoul, Kyunggi, and Incheon). A total of 171 dyads, comprised of single mothers and their adolescent children, participated in this study. Using the collected data, descriptive statistical analysis and structural equation modeling were performed. The major results of this study are as follows. First, visitation with fathers was not significantly associated with self-esteem, aggression, or life satisfaction among the participating adolescent children. On the other hand, when child support was paid, aggression among adolescents was lower than when child support was not paid. Second, neither visitation nor child support was significantly associated with single mothers' levels of depression and life satisfaction. The enforcement of child support guarantees the welfare of children and conforms to the principle of promoting the best interests of minor children. Therefore, child support should be continuously encouraged and supported by agencies in accordance with current law. In order for the implementation of visitation to be in the best interest of the child, the amount and quality of visitation should be secured so that the child can still recognize their non-custodial parents as "caregivers."
Ibrahim Alrashide;Hussain Alkhalifah;Abdul-Aziz Al-Momen;Ibrahim Alali;Ghazy Alshaikh;Atta-ur Rahman;Ashraf Saadeldeen;Khalid Aloup
International Journal of Computer Science & Network Security
/
v.23
no.12
/
pp.225-234
/
2023
In this era of information and communication technology (ICT), tremendous improvements have been witnessed in our daily lives. The impact of these technologies is subjective and negative or positive. For instance, ICT has brought a lot of ease and versatility in our lifestyles, on the other hand, its excessive use brings around issues related to physical and mental health etc. In this study, we are bridging these both aspects by proposing the idea of AI based mental healthcare (AIMS). In this regard, we aim to provide a platform where the patient can register to the system and take consultancy by providing their assessment by means of a chatbot. The chatbot will send the gathered information to the machine learning block. The machine learning model is already trained and predicts whether the patient needs a treatment by classifying him/her based on the assessment. This information is provided to the mental health practitioner (doctor, psychologist, psychiatrist, or therapist) as clinical decision support. Eventually, the practitioner will provide his/her suggestions to the patient via the proposed system. Additionally, the proposed system prioritizes care, support, privacy, and patient autonomy, all while using a friendly chatbot interface. By using technology like natural language processing and machine learning, the system can predict a patient's condition and recommend the right professional for further help, including in-person appointments if necessary. This not only raises awareness about mental health but also makes it easier for patients to start therapy.
The fractional anisotropy value of the brain white matter region was analyzed by Tract-Based Spatial Statics(TBSS) method after acquiring the diffusion tensor image to identify the presence or absence of brain white matter damage to smoking in male. As a result, smokers showed lower fractional anisotropy than non-smokers in all areas but fractional anisotropy values were not statistically significant. the fractional anisotropy value, on the other hand, was statistically significant only for the right choroid plexus. In other words smoking, although, does not significantly affect the micro structural changes of brain white matter, it affects the choroid plexus area.
The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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v.25
no.3
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pp.55-66
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2020
Near-inertial waves (NIW) which are primarily generated by wind can contribute to vertical mixing in the ocean. The energetic NIW can be generated by typhoon due to its strong wind and preferable wind direction changes especially on the right-hand side of the typhoon. Here we investigate the generation and distribution of NIW using the output of a real-time ocean forecasting system. Five-year model outputs during 2013-2017 are analyzed with a focus on cases of energetic NIW generation by the passage of three typhoons (Halong, Goni, and Chaba) over the East Sea. Calculations of wind energy input (${\bar{W}}_I$), and horizontal kinetic energy in the mixed layer (${\bar{HKE}}_{MLD}$) reveal that the spatial distribution of ${\bar{HKE}}_{MLD}$, which is strengthened at the right-hand side of typhoon tracks, is closely related with ${\bar{W}}_I$. Horizontal kinetic energy in the deep layer (${\bar{HKE}}_{DEEP}$) shows patch-shaped distribution mainly located at the southern side of the East Sea. Spatial distribution of ${\bar{HKE}}_{DEEP}$ shows a close relationship with negative relative vorticity regions caused by warm eddies in the upper layer. Monthly-mean ${\bar{HKE}}_{MLD}$ and ${\bar{HKE}}_{DEEP}$ during a typhoon passing over the East Sea shows about 2.5-5.7 times and 1.2-1.6 times larger values than those during summer with no typhoons, respectively. In addition, their magnitudes are respectively about 0.4-1.0 and 0.8-1.0 times from those during winter, suggesting that the typhoon-induced NIW can provide a significant energy to enhance vertical mixing at both the mixed and deep layers during summer.
The arteriovenous fistula (AVF), which maintains satisfactory blood flow, is necessary to the patients of end-stage renal disease for the long term hemodialysis. We performed the snuffbox fistula as the first operation for hemodialysis vascular access. This study was performed to investigate the patency rates, complications, risk factors for occlusion of the AVF, and the types of reoperations. Material and Method: We performed 146 snuffbox fistulas from Jun. 1994 to Dec. 2001 The records of the patients except six patients who were lost from follow up were analyzed retrospectively, Mean age and male:female ratio were 52$\pm$15 years (range, 17∼79 years) and 80 : 60 respectively. Diabetes mellitus and hypertension were combined in 47 patients and 101 respectively. Preoperative levels of creatinine and potassium were 9.09$\pm$3.68 mg/dL (range, 2.55∼20.09 mg/dL) and 4.7$\pm$0.9 mmol/L (range, 2.3∼8.1 mmol/L). One hundred thirteen cases of the snuffbox fistulas were done at left side hand and the others at right hand. Result: Mean follow up period of the patients was 41.8$\pm$31.0 months (range, 0.2∼108,8 months). During the follow up period, 35 occlusions of AVF occurred and these AVFs were patent for 9.8$\pm$10.1 months (range, 0.1∼40.4 months). The patency rates of f month, and 1, 2, 3, 5 years were known as 92.8, 80.2, 73.8, 71.3, 69.6% respectively. Right sided snuffbox fistulas (p-value=0.045) and old age (p-value=0.048) were revealed as significant risk factors for occlusion of AVF. The postoperative complications consisted of occlusions of AVF caused by intimal hyperplasia of vein in 24, thrombosis in nine, stenosis of anastomosis site in three, and venous hypertensions in two. After the first operation 37 patients underwent 86 reoperations. Conclusion: The snuffbox fistulas showed acceptable patency rates and low complication rates. The snuffbox fistulas as the first operation for AVF formation can be a good option for the patients with end-stage renal disease.
Air service agreements between EU Member States and third countries concluded by Sweden, Finland, Belgium, Luxembourg, Austria, the Netherlands, Denmark and the United Kingdom after the Second World War infringe EU law. They authorize the third countries to withdraw, suspend or limit the traffic rights of air carriers designated by the signatory States. According to the Court of Justice of the European Communities (CJEC), these agreements infringe EU law in two respects. On the one hand, the presence of nationality clauses infringes the right of European airlines to non-discriminatory market access to routes between all Member States and third countries. On the other hand, only the EU has the authority to sign up to this type of commitment where agreements affect the exercise of EU competence, i.e. involve an area covered by EU legislation. The Court held that since the third countries have the right to refuse a carrier, these agreements therefore constitute an obstacle to the freedom of establishment and freedom to provide services, as the opening of European skies to third countries' companies is not reciprocal for all EU airlines. In the conclusion, in order to reconstruct these public international air law, The new negotiations between EU member states and third countries, especially the US, must be designed to ensure an adequate set of principles, so that Member States, in their bilateral relations with third countries in the area of air service, should consider following three models. The 1st, to develop a new model of public international air law such as a new Bermuda III. The 2nd, to reconstruct new freedoms of the air, for example, the 7th, 8th, and 9th freedoms. The 3rd, to explore new approaching models, such as complex system theory explored in the recent social sciences, to make access world-wide global problems instead of bilateral problems between EU member states and United States. The example will show any lessons to air talks between European Union and ROK.
The purpose of the study is to examine righteous army activity and combat in Hapcheon during the Imjin invasion period. The resulting conclusions are as follows. First, Chung In-hong raised a righteous army in Hapcheon and Kim Myeon raised an army in Goryeong. Chung In-hong commanded the army and fought against Japanese army with a leadership of knowing the enemy and himself, and Kim Myeon commanded the army and fought against Japanese military with a leadership of harmony. Second, battles of Chung In-hong's righteous army are the first Mugye battle, the ambush battle in Sawon-dong, the Chogye Majin battle, the Aneon battle, and the third Seongju Castle battle. Battles of Kim Myeon's righteous army are the Yeongang battle, the Gaesanpo battle, the second Mugye battle, the Ucheok-hyeon battle, the Jirye battle, and the Sarangam battle. Battles that Chung In-hong and Kim Myeon united and fought are the first and second Seongju Castle battles. In Jeongyu Jaeran, Chung In-hong played a role of Jodosa who takes charge of provisions in the right area of Gyeongsang. In addition, Hapcheon was the access road and transport route where Japanese army entered Jeolla-do. Third, participation and role of Ming troops are part of restraint device against Japanese army with military tactics of ii chei(using foreigners to control foreigners) to remove Japanese army from Joseon and defend Yodong. After a victory of Li Rusong in Pyeongyang Castle in January, 1593(the 26th year of Seongjo), Ming troops pursued practical interest through peace talks rather than active battles. When there was practically Siege of Jinju, Yujeong troops of Ming entered with hand-to-hand martial arts of Sacheon soldiers in late June, 1593, but did not participate because they should wait for orders of Gyeongnyak Song Eung-chang and Admiral Li Rusong. Fourth, in the Imjin invasion period, Joseon suffered terrible damage such as ruin of the whole country by invasion of Japanese army and in need of aid of military rice from Ming troops, but righteous armies and the royal forces in each area cooperated so defeated Japanese army. It is understood through a case of Hapcheon in the right area of Gyeongsang. Especially, Joseon did not succumb to pressure of Ming troops that used full powers to two aspects such as settlement and battle with Japan during the war, and did not lose national confidence and pride by showing a fighting will to fight against Japanese army to the end with independence. Such a spiritual culture originated from homeland protection and loyalty to the king, and is national spirit of resistance that sublimates the united mind and spirit of community to protect a country against foreign invasion.
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