Kim Mi Sook;Yoo Seoung Yul;Cho Chul Koo;Yoo Hyung Jun;Yang Kwang Mo;Kang Jin Oh;Ji Young Hoon;Lee Dong Han;Ryoo Baek Yeol
Radiation Oncology Journal
/
v.18
no.3
/
pp.182-186
/
2000
Purpose : To determine treatment or이ecol for inoperable esophageal cancer patients, 껜e evaluated survival rate and prognostic factors. Materials and Methods : We evaluated esophageal cancer treated by curative or palliative am in KCCH from 1992 to 1996, retrospectively. Recurrent or underdose case below 40 Gy were excluded. The number of male and female were 35 and 5, respectively. Thirty-eight patients were squamous carcinoma and 2 patients were not biopsy proven. Ten patients were treated with radiation therapy and chemotherapy Median dose of radiation therapy was 59.4 Gy and the range was $40\~60$ Gy. Results : The median survival is 6.5 months and 1-year survival rate was $28.3\%$. Age, location, radiation dose and chemotherapy were not significant prognostic factors. Median survivals of patients with below stage III and over stage IVA were 7.6 and 6.2 months respectively, but it is not significant. Conclusions : The survival for esophageal cancer is very poor. For patients with curative aim, chemotherapy must be considered. For patients with palliative aim, short-term external beam radiation therapy and/or brachytherapy must be considered.
Jang, Yoonah;Mun, Boheum;Jeong, Sun Jin;Choi, Jang-Jeon;Park, Dong Kum
Journal of Bio-Environment Control
/
v.24
no.4
/
pp.301-307
/
2015
High quality transplants are critical for success in crop production. Increasing numbers of growers purchase their transplants from specialized transplant producers instead of growing their own transplants. A drawback of purchasing transplants is the risk of deterioration to transplants during transportation from transplant producers to the growers. This study evaluates the influence of temperature on the quality of grafted tomatoes transplants (Solanum lycopersicum cv. Super Doterang), in order to propose optimum temperature condition for the transportation of grafted tomato transplants. Grafted tomato transplants with visible flower trusses were exposed to different air temperature ($10^{\circ}C$, $25^{\circ}C$, or $40^{\circ}C$) for 2, 4, or 6 hours. After treatment, the NDVI (Normalized Difference Vegetation Index) values of tomato transplants treated at 25 and $40^{\circ}C$ were lower than that at $10^{\circ}C$. The root fresh weight was lowest at $40^{\circ}C$. After transplanting, the transplants that were exposed to the air temperature of $40^{\circ}C$ exhibited chlorosis and blight on lower leaves. The degree of damage on leaves was severer as the high temperature exposure time was longer. The temperature conditions during the transportation also influenced the growth, flowering and fruit set of tomatoes after transplanting. The fruit number and weight of first truss was lowest at $40^{\circ}C$ for 6 hours. Accordingly, it is recommended that the temperature during the transportation should be controlled and kept at the range from 10 to $25^{\circ}C$ even though the period is short (within as six hours) in order to maintain the quality of transplants.
Park, Hyo-Bong;Kang, Kiryong;Lee, Guan-Hong;Shin, Hyun-Jung
The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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v.17
no.3
/
pp.139-148
/
2012
The short-term variation of salinity and temperature in a dyked estuarine environment is mainly controlled by the freshwater discharge from the dyke. We examined the distribution of salinity and temperature by the freshwater discharge in the Yeongsan River estuary using the CTD data obtained from 8 stations through three surveys in June (weak discharge) and August (intensive discharge), 2010. During the weak discharge in June, the surface salinity showed 30-32.5 psu and its horizontal gradient was relatively high around Goha-do (0.25~0.32 psu/km). On the other hand, the salinity of the bottom layer was almost constant in the range of 33 psu. Water temperature ranged $19{\sim}21^{\circ}C$ and displayed higher gradient in north-south direction than the gradient of east-west direction. During the intensive freshwater discharge on August 12, the salinity dropped to 9~26 psu. The maximum horizontal gradient of surface salinity reached 3.8 psu/km in the north of Goha-do where the strong salinity front was formed, and the horizontal salinity gradient of bottom layer was 0.28 psu/km. The horizontal gradient of water temperature was $-0.45^{\circ}C/km$ in the surface and $-0.12^{\circ}C/km$ in the bottom with high surface temperature near the dyke and decreasing gradually to the river mouth. After 3 days of the intensive discharge ($3^{rd}$ survey), the surface salinity increased to 22~26 psu. However, there still existed relatively high horizontal gradient around Goha-do. In the mean time, the bottom salinity decreased to 26.5~27.5 psu, but its gradient was not big as much as the surface gradient. According to time series of CTD profile near the dyke, the discharged fresh water jetted down temporarily and then recovered gradually with the recovering speed of 0.4 m/hour for the discharge case of $13{\times}10^6$ ton. Due to the combined effects of freshwater discharge and surface heating during the summer of 2010, the Yeongsan estuary, in general, underwent intensified vertical stratification, which in turn caused the inhibition of vertical mixing, especially inside area of estuary. Based on the spatial distribution of salinity and temperature, the Yeongsan estuary can be divided into three regions: the Goha-do area with strong horizontal gradient of salinity and temperature, inner estuary from Goha-do to the dyke with low salinity, and outer estuary from Goha-do to the coasts with relatively high salinity.
Journal of The Korean Society of Inherited Metabolic disease
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v.16
no.1
/
pp.24-33
/
2016
Mucopolysaccharidosis type VI (MPS VI) is a rare disease caused by the mutation of ARSB with prevalence range from 1/5,000 in northeast Brazil to 1/2,057,529 births in Czech Republic. In Asia, there is only one published figure in Taiwan of about 1/833,000 births. The exact prevalence in the Korean population is unknown, but we estimated the incidence of MPS VI is about 0.03/100,000 live births. Enzyme replacement therapy (ERT) with recombinant human Arylsulfatase B (rhASB) is a modality for the treatment of MPS VI that reduces the excretion of urine glycosaminoglycan (GAG) and improves joint motion, pulmonary function, and endurance. We presented the clinical features, molecular analysis and outcome of ERT in three Korean MPS VI patients. All patients had the typical characteristic clinical features of MPS IV. Short stature, dysostosis multiplex, corneal opacity and valvular heart disease were found at first presentation, while restrictive lung disease and carpal tunnel syndrome developed later in all patients. Molecular analysis demonstrated novel missense and nonsense mutation in the patients, including p.Ile 67Ser, p.Gly328Arg, $p.Arg191^*$, p.Asp352Asn, and p.Gly17Asp. After ERT, urine GAG was decreased in all patients. Skeletal involvement, corneal opacity, heart valve abnormalities and pulmonary function were not improved with ERT, but it had a better outcome on regarding joint motion and endurance. One patient underwent allogeneic bone marrow transplantation (BMT) prior to ERT, but their clinical response was not improved much after BMT. This study demonstrates clinical phenotypes and molecular analysis of the severe form of MPS VI in Korean patients.
For electrochemical treatment of industrial wastewater, the effects of voltage, distance between electrodes, initial pH and NaCl concentrations on removal of pollutants were investigated in a batch electrolysis system. Temperature and pH in electrochemical reactor increased with increase in supplied voltage, but no significant change in EC was found. Removal of COD, turbidity, T-N and T-P were also enhanced with increase in the voltage. On the conditions of short distances between electrodes and long electrochemical reaction times, it was found that COD and T-N were very effectively removed in the system. Regardless of the distances, more than 80% of turbidity and T-P were removed at the beginning of reaction. When initial pH of the wastewater was about 7, the highest efficiency of COD removal was found in the system. On the other hand, removal efficiency of turbidity was unlikely affected by initial pH of the wastewater. T-N removal was increased with increase in initial pH. T-P was successfully removed in the pH range of 5 to 9 with varying removal efficiency of 79 to 96% after 2 minutes of electrochemical reaction time. Addition of NaCl into the electrochemical reactor increased removal efficiency of electrochemical treatment. The highest removal efficiency of COD and T-P, turbidity and T-N was obtained at NaCl concentrations of 500mg/L, 1,000 mg/L and 500mg/L, respectively.
Nho Young Ju;Chang Hyesook;Choi Eun Kyung;Kim Jong Hoon
Radiation Oncology Journal
/
v.15
no.3
/
pp.207-213
/
1997
Purpose : Intracranial germinoma is the most radiocurable tumor of theprimary intracranial neoplasm. But, the optimum radiation dose and target volume remain controversial In this retrospective study, we analysed the spreading pattern at presentation and the pattern of the failure and survival of intracranial germinoma, Materials and Methods : From 1989 to 1996, 23 Patients were treated for intracranial germinoma at Department of Radiation Oncology, Twenty-one Patients were treated at their initial Presentation and 2 Patients were treated for recurrent disease. Six patients had multiple tumor masses on MRI and 7patients had ventricular seeding on MRI. The examination of cerebrospinal fluid cytology was done in 15 patients and 3 out of 15 patients had positive cerebrospinal cytology. In tumor marker study of $\alpha-FP\;and\;\beta-hCG$, 6 patients had mildly elevated $\beta-hCG$ in serum or cerebrospinal fluid. Twentyone Patients were treated with whole craniospinal axis irradiation and 2 Patients were given whole ventricular radiation therapy. The total dose was ranged between 4500cGy and 5600cGy to primary tumor site (median 5580cGy) Dose to the entire ventricular system ranged from 1980cGy to 3960 cGy (median 2700cGy) and dose to the spinal axis ranged from 2160cGy to 3900cGy (median 2700cGy) Results : Of 23 patients, 21 Patients are alive without evidence of diseasefor median 4 years follow-up. One Patient who had markedly elevated $\alpha-FP\;and\;\beta-hCG$, suffered from Persistent disease after radiation therapy and received 2 cycles of chemotherapy. She died 9 months after chemotherapy One patient who developed ventricular seeding after gamma-knife was treated with whole craniospinal irradiation, he died after 1 year due to probably brain necrosis. The hematologic toxicity of 3 or 4 grade were seen in 7 patients and patient's endocrinologic dysfunction was not deteriorated after radiation therapy. One patient had been treated with growth hormone replacement due to short stature. Conclusions : This retrospective study has confirmed the excellent result of radiation therapy in intracranial germinoma. The complication rate during or after radiation therapy is considered within acceptable range. ft is necessary to further investigate the optimal dose and treatment volume of radiation therapy. The role of chemotherapy in the treatment of intracranial germinoma should be further investigated.
Data analysis of groundwater monitoring wells and geostatistical methods are used to identify the local characteristics of sea water intrusion and the range of sea water intrusion at the southeastern coastal area of Busan, Korea. Rainfall and groundwater level of two monitoring wells show a linear correlation because of the direct groundwater recharge by the precipitation. However, rainfall and electric conductivity have the inverse relationship because of the increase of groundwater. Electric conductivity rapidly increased at 24m depth and exceeded 20,000$\mu\textrm{s}$/cm near 26m depth in the monitoring wells. The variations of groundwater level and electric conductivity show that the interface between sea water and fresh water tends to move upward when groundwater level goes down. In the cross correlation analysis, groundwater level versus rainfall represents the largest cross correlation coefficient in 0 time lag but the cross correlation coefficient of electric conductivity versus rainfall is the largest when the time lag is 9 days. This suggests that the fluctuations of groundwater level respond to rainfall in a short time, but the interface between sea water and fresh water respond very slow to rainfall. Horizontal extents of sea water intrusion are estimated to 14 m from the east of Line 1, and 25 m from the southeast end of Line 2 in the inversion of dipole-dipole profiling data of two survey lines. The data of VES by the Schulumberger array in May and July show lognormal distributions. In the kriged apparent resistivity and earth resistivity distributions, the resistivities of July are increased comparing to those of May. This reflects that the concentration of sea water in aquifer is reduced due to the increased groundwater recharge from the rainfall in June and July. In analyzing the vertical and horizontal apparent resistivities and earth resistivity distributions, the geostatistical methods are very useful to identify the variations of earth resistivity distributions at the coastal area.
Although there is a controversy on the optimal timing for active infective endocarditis(IE), recently good results of early surgical intervention have been published. Herein, we analyzed the results of surgery for active IE according to the duration of preoperative antibiotic treatment. Material and Method : Retrospectively, we analyzed 51 patients who underwent operation for active IE at the department of thoracic and cardiovascular surgery of Samsung medical center from Mar. 1995 to Oct. 2001. Male to female ratio was 39:12, mean age of the patients was 44.5$\pm$17.8 years(range : 13~74). Infected valves were mitral valve in 17(33.3%), aortic valve in 15(29.4%), mitral and aortic valve in 12(23.5), and tricuspid valve in 5(9.8%) cases. Among them, prosthetic valve endocarditis was present in 10(19.6%) cases. Infecting organism was Staphylococcus in 19(37.3%), Streptococcus in 17(33.3%), Enterococcus in 3(5.9%), fungus in 3(5.9%), and other bacteria in 5(9.8%) cases. Organism was not isolated in 6(11.8%) cases, and two organisms were isolated in 4(7.8%) cases. Dividing these patients into two groups according to the duration of preoperative antibiotic treatment(A: less than 7 days, B: more than 8 days), we compared the surgical results between the two groups. Result : There were 16 cases in group A and 35 in group B. Annular reconstruction was performed in 10(62.5%) cases in group A and 10(28.6%) cases in group B, which has statistically significance(p<0.05). There was one early death in group B. Forty nine patients(96.1%) except two were followed up with mean follow-up duration of 28.7 $\pm$ 23.6 months. Endocarditis was recurred in one in group A, and two in group B. Three late deaths occurred in group B. Recurrence rate and survival were not statistically different between the two groups. Conclusion : Early surgery for active IE showed good results as the result of that which was performed after prolonged antibiotic treatment; therefore, we believe that early surgery for active If could effectively eradicate the infection.
Background: Surgical correction of partial anomalous pulmonary venous connection to the superior vena cava has been associated with postoperative venous obstruction and sinus node dysfunction. In this paper we describe our current approach and its short-term results. Material and Method: Between April 1999 and January 2000, 5 consecutive patients, ranging from 2 months to 66 years old, underwent corrective operation for partial anomalous pulmonary venous connection to the superior vena cava at Sejong General Hospital and Daegu Catholic University Medical Center. Surgical correction involved diversion of the pulmonary venous drainage to the left atrium using a right atrial flap(2 patients) or prosthetic patch(3 patients) with division of the superior vena cava superior to the restore site of the pulmonary veins and reimplantation on the right atrial appendage to restore systemic venous drainage. Result: All patients were discharged between postoperative day 9 and 15 without complications. One Russian boy returned to his country, therefore, he was lost to follow-up after discharge. Remaining 4 patients were asymptomatic and in normal regular sinus rhythm at a mean follow-up of 17.75$\pm$4.27 months. Follow-up echocardiographic study (range, 12 to 24 months) revealed no incidence of narrowing of the venous pathways or of residual shunt. Conclusion: Our current approach is relatively simple and reproducible in achieving unobstructive pulmonay venous and SVC pathways. By avoiding incision across the cavoatrial junction, surgical injury to the sinus node and its artery may be minimized. The presented surgical technique can be safely and effectively applied to the selected patients.
In the prediction of response of a pile in soil, numerical approaches such as a finite element method are generally applied due to complicate nonlinear behaviors of soils. However, the numerical methods based on the finite elements require heavy efforts in pile and soil modelling and also take long computing time. So their usage is limited especially in the early design stage in which principal dimensions and properties are not specified and tend to vary. On the contrary, theoretical approaches adopting linear approximations for soils are relatively simple and easy to model and take short computing time. Therefore, if they are validated to be reliable, they would be applicable in predicting responses of a pile in soil, particularly in early design stage. In case of wind turbines regarded in this study, it is required to assess their natural frequencies in early stages, and in this simulation the supporting pile inserted in soil could be replaced with a simplified elastic boundary condition at the bottom end of the wind turbine tower. To do this, analysis for a pile in soil is performed in this study to extract the spring constants at the top end of the pile. The pile in soil can be modelled as a beam on elastic spring by assuming that the soils deform within an elastic range. In this study, it is attempted to predict pile deformations and influence factors for lateral loads by means of the beam-on-spring model. As two example supporting structures for wind turbines, mono pile and suction pile models with different diameters are examined by evaluating their influence factors and validated by comparing them with those reported in literature. In addition, the deflection profiles along the depth and spring constants at the top end of the piles are compared to assess their supporting features.
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