• Journal of Gastric Cancer
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• 제9권4호
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• pp.177-185
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• 2009

목적: 위암의 수술 전 병기 설정은 환자의 예후를 결정하고 치료 방침을 결정하기 위해 매우 중요하다. 이에 저자들은 위암의 TN병기 설정을 위해 주요한 진단 도구인 전산화단층촬영과 초음파 내시경의 진단력에 대해 분석하였다. 대상 및 방법: 2003년 5월부터 2007년 12월까지 분당서울대병원에서 위암으로 위절제술을 시행 받은 1,206명의 환자 중, 본원에서 시행한 검사가 아니거나, 내시경적 점막절제술 후 위절제술을 시행한 환자의 경우를 제외한 1,174명을 대상으로 후향적인 연구를 시행하였다. 두 검사의 수술 전 병기와 술 후 조직병리학적 병기가 일치하는 정도를 보기 위해서 코헨의 카파값(kappa value)과 ROC곡선하면적(Area under the ROC curve, AUC)을 이용하였다. 결과: 1,174명의 환자의 평균 나이는 $59.31{\pm}11.98$세였고, 조기위암이 638예, 진행 위암이 536예였다. 1,117명의 환자에서 전산화단층촬영이 시행되었으며, 초음파 내시경은 839예에서 시행되었다. T병기를 진단하는데 있어 전산화단층촬영이나 초음파 내시경의 카파값은 각각 0.4039 (P=0.021), 0.4201 (P=0.026)로 중등도의 일치도(moderate agreement)를 보였으나, 전체 T병기를 진단하는데 있어서 통계적으로 유의한 차이는 없었다. 이외에도 조기위암에서의 점막 병변과 점막하 병변을 구분하는 초음파 내시경의 진단력은 정확도 58.92%, 카파값 0.206으로 fair agreement를 보여 예상보다 진단력이 낮음을 알 수 있었다. 이외에도 T2 이상의 병변과 T2 이하의 병변을 감별하기 위해 두 검사를 동시에 시행한 환자군에서 두 검사 중 높은 병기를 진단한 검사를 채택하였을 때 AUC가 0.84로 한 개의 검사를 시행했을 때보다 진단력이 증가하였다. N병기를 진단하는 데 있어서는 전산화단층촬영의 진단력이 초음파 내시경보다 더 높음을 알 수 있었다. 결론: 위암의 T병기를 진단하기 위해 전산화단층촬영과 초음파 내시경 중 어느 한 검사가 우월하다고 할 수 없었으나, T2 이상의 병변과 T2 이하의 병변을 구별하기 위해서는 두 검사를 모두 시행하여 높은 병기를 채택한 경우 진단력이 높았다. 또한, 림프절 전이 여부를 알기 위해서는 전산화단층촬영이 우월하였다. 점막 병변과 점막하 병변을 구별하기 위한 초음파 내시경의 진단력은 낮았다.

• 대한간호학회지
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• 제35권8호
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• pp.1443-1450
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• 2005

Purpose. The study was conducted to identify predictors of mammography screening for rural Korean women according to 'Stage of Change' from the Transtheoretical Model which, along with the Health Belief Model, formed the theoretical basis for this study. Methods. A cross-sectional descriptive design was utilized. Through convenience sampling 432 women were selected from 2 rural areas. Data were collected by survey. Health beliefs constructs were measured with Champion's HBM Scale-Korea version. Mammography participation was measured using the Stage of Mammography Adoption Scale developed. by Rakowski, et al.(1992). Results. The most frequent stage of mammography adoption was 'contemplation' ($40.5\%$). Predictors of stage of mammography adoption included 'mammogram recommended by health professional' (beta==0.59, t=16.12, p=.000), 'perceived benefits' (beta=0.09, t=2.21, p=.050), 'perceived susceptibility' (beta=0.09, t=1.98, p=.050), and 'perceived barriers' (beta=-0.07, t=-2.05, p=.041). 'Mammogram recommended by health professional' demonstrated the greatest association with having a mammogram. Conclusion. Health professionals play key roles in improving mammography participation and should recognize the importance of their role in cancer prevention and be more actively involved in education and counseling on prevention of breast cancer.

• Radiation Oncology Journal
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• 제11권2호
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• pp.285-294
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• 1993

A total of forty patients with resected N2 stage non-small cell lung cancer treated with postoperative adjuvant radiation therapy between Jan. 1975 and Dec. 1990 at the Department of Radiation Oncology, Yonsei University College of Medicine, Yonsei Cancer Center were retrospectively analysed to evaluate whether postoperative radiation therapy improves survival. Patterns of failure and prognostic factors affecting survival were also analysed. The 5 year overall and disease free survival rate were $26.3\%,\;27.3\%$ and median survival 23.5 months. The 5 year survival rates by T-stage were $T1\;66.7\%,\;T2\;25.6\%\;and\;T3\;12.5\%.$ Loco-regional failure rate was $14.3\%$ and distant metastasis rate was $42.9\%$ and both $2.9\%.$ Statistically significant factor affecting distant failure rate was number of postitive lymph nodes(>=4). This retrospective study suggests that postoperative radiation therapy in resected N2 stage non-small cell lung cancer can reduce loco-regional recurrence and may improve survival rate as compared with other studies which were treated by surgery alone. Further study of systemic control is also needed due to high rate of distant metastasis.

• 한국유기농업학회지
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• 제12권4호
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• pp.437-450
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• 2004

This study was conducted with two objectives ; one was to select the suitable soybean cultivars for cultivation in paddy field and the other was to establish the environment-friendly rotational cropping system of soybean instead of rice in paddy field. In order to evaluate growth adaptation and yields, Eve soybean cultivars were cultivated in Yeoncheon, Keonggi province, with two cultivation methods such as level row and high ridge. Growth of the top plants, such as stem length, number of branches, diameter of stem, were higher in high ridge than in level row, however, the differences among the cultivars were bigger than those between the cultivation methods. Dry weight of top plant was significantly different among the cultivars during whole growth stages, however, it was higher in level row than in high ridge at V5 stage while it became higher in high ridge as growth progressed. Roots were more developed in high ridge than in level row during whole growth stages. T/R ratio in level row was higher than that in high ridge. During whole growth stages, significant differences were observed among the cultivars in growth and yields in each cultivation method and yields of Eunhakong was the highest. In results, number of nodules and T/R ratio at V5 stage, number of pods at R2 stage, and number of seeds and T/R ratio at R5 stage had highly correlated with yields, respectively.

• 한국균학회지
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• 제13권4호
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• pp.221-224
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• 1985

ATCC로 부터 구입한 11종(種)과 우리나라의 토양에서 분리 동정한 6종(種)의 Trichoderma를 실험(實驗) 재료(材料)로 하였다. 2% malt extract agar 배지(培地)에서 배양(培養)하면서 균사의 영양핵에서의 핵분열을 관찰하였다. 염색(染色)은 Giemsa staining solution으로 염색(染色)하였고 그들의 염색체(染色體) 수(數)를 세었다. 염색체의 형태(形態)는 다른 균류와 마찬가지로 점(點) 모양(dot-like)의 것이 대부분(大部分)이었다. 염색체(染色體)의 크기는 매우 작아서 $0.2{\sim}0.3\;{\mu}$정도이다. 염색체(染色體)의 수는 $5{\sim}10$개로서 n=5인 종(種)이 2종(種)(Trichoderma pseudokoningil, T. saturnisporum)이고, n=6인 종(種)은 8종(種)(T. koningil, T. viride, T. hamatum, T. longibranchiatum, T. sp. No.40, T. sp. No.58 T. sp. No.237, T. sp. No.241)으로 가장 많았다. n=7인 종(種)은 2종(種)(T. reesei, T. harzianum, T. polysporium, T. virigatum, T. sp. No.196)으로 관찰되었다. 이상의 17종(種)을 비교 검토하여 보면 Trichoderma속의 기본(基本) 염색체(染色體) 수(數)는 $4{\sim}10$개 사이에 있을 것으로 생각되며 그 중에서 가장 많은 수(數)를 나타탠 n=6을 기본(基本) 염색체수(染色體數)로 추론하였다.

• 대한두경부종양학회지
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• 제16권1호
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• pp.33-36
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• 2000

Objectives: Angiocentric T-cell lymphoma of the head and neck is an angiocentric and angiodestructive lymphoreticular proliferative disorder. It has been treated with various treatment modalities, but its prognosis is poor and the treatment modality is controversial. We performed this study to suggest a treatment modality with improved results. Materials and Methods: We studied 40 cases of pathologically confirmed angiocentric T-cell lymphoma from July 1984 to December 1996, 35 cases of which showed complete response after initial treatment. All the patients were divided into two groups according to treatment modality. 15 cases received radiotherapy alone (Group I) and 20 cases received radiotherapy after five cycles of CHOP-Bleo chemotherapy(Group II). We analyzed the subsites of tumor, stage, treatment modality and treatment outcome and causes of failure for each group, and compared the three-year no evidence of disease(NED) between the two groups. Results: The three-year NED of a combined chemoradiotherapy was higher than that of a radiotherapy alone (p=0.0478). The three-year NED according to groups and stage were as follows: Group I=6/15(40.0%), stage IE=5/10(50.0%), stage IIE=1/5(20%), Group II=13/20(65.0%), stage IE=9/13(69.2%), stage IIE=4/7(57.1%). Radiotherapy alone is not well effective for the nasal cavity lymphoma extended to paranasal sinus and the palate. Conclusion: We are unable to provide clear guidelines for treatment, but recommend the initial treatment with oral alkylating agents and steroids followed by radiotherapy for Ann Arbor stage II tumors and stage I of the palate lymphoma and the nasal cavity lymphoma extended to paranasal sinus.

• 디지털융복합연구
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• 제19권1호
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• pp.187-198
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• 2021

본 연구는 소비자 관점에서 리테일 분야의 사물인터넷 기반 제품 및 서비스 활용 현황을 파악하고 각각 서비스의 역할과 소비가치에 대해 분석하고자 한다. 이를 위해 의사결정과정을 구매이전, 구매, 구매이후 단계로 나누고 사물인터넷 제품 및 서비스 사례를 단계별로 분류한 후, 각 재품 및 서비스의 특징 및 소비가치를 분석하였다. 연구결과에 따르면 의사결정과정에 이용되는 사물인터넷 제품 및 서비스는 구매 이전 단계에서 정보제공, 대안비교 기능을 수행하며 구매단계에서는 상호작용, 자동결제시스템에 활용되고 있다. 구매 이후 단계에서는 반복 구매를 유도하고 사후서비스를 제공한다. 의사결정 전반에서 스마트 리테일은 인식 가치, 기능적 가치를 제공하고 구매 이전 단계에서는 상황적 가치 및 사회적 가치를, 구매 이후 단계에서는 상황적 가치를 추가적으로 제공한다. 본 연구는 기존의 기술·산업중심으로 이루어졌던 사물인터넷 연구에서 나아가 소비자중심에서 소비가치를 고찰함으로써 소비자의 만족도 향상과 스마트 리테일의 발전을 위한 조언을 제공함에 있다.

• Reproductive and Developmental Biology
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• 제32권2호
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• pp.89-95
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• 2008

The present study was undertaken to identify changes of plasminogen activators (PAs) in porcine oviductal epithelial cells (POECs) during the estrous cycle classified with post-ovulatory stages (Post-Ov), early to mid-luteal stages (Early-mid L) and pre-ovulatory (Pre-Ov) stages. The urokinase-type plasminogen activator (uPA) was only observed on day 5 and day 7 of culture in the POECs on all the estrous cycles and gradually increased according to increasing culture times, but not Early-mid L. In POECs-conditioned medium, uPA, tissue-type (tPA) and tPA-PA inhibitor (tPA-PAI) activity were observed at all culture times during estrous cycles. The uPA activity of POECs-conditioned medium on Post-Ov stage were significantly (p<0.05) decreased during prolonged cultures. On the other hand, the tPA activity of POECs-conditioned medium at Post-Ov stage was significantly (p<0.05) higher on day 5 than compared to the other days. Although was higher on day 1 at Post-Ov stage, the tPA-PAI activity of POECs-conditioned medium was significantly (p<0.05) higher on day 7 at all stage than that of day 5 of the culture. Taken together, these results suggest that uPA, tPA and tPA-PAI are produced by POECs, and the variations of the PAs activity are regulated in the different stages of the estrous cycle.

• Radiation Oncology Journal
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• 제23권2호
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• pp.71-77
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• 2005

목적:. 비인강암 환자들을 대상으로 방사선치료 성적을 후향적으로 분석하여 방사선치료의 효과 및 생존에 영향을 주는 요인들을 알아보고자 이 연구를 시행하였다. 대상 및 방법: 1987년부터 2002년까지 계명대학교 동산의료원 방사선종양학과에서 비인강암으로 확진되어 근치적 방사선치료를 받은 43명을 대상으로 하였다. 대상 환자는 AJCC 병기 제 II기, III기, IV기가 각각 12명 ($27.9\%$), 13명($30.2\%$), 18명($41.9\%$)이었고, 조직병리학적으로는 편평세포암이 15명($34.9\%$), 비케라틴형성암이 8명($18.6\%$), 미분화암이 17명($39.5\%$), 림프상피종이 3명($7.0\%$)이었다. 치료방법은 방사선단독요법 31명($72.1\%$), 동시 항암화학방사선요법 5명($11.5\%$), 전보조항암화학요법 7명($16.3\%$)이었다. 항암화학요법을 받은 12명 중 11명 은 Cisplatin과 5-Fluorouracil을 4회, 1명 은 Cisplatin과 Taxotere를 6회 치료받았다. 총조사선량은 $61.2\~84Gy$였고 중앙값은 70.4 Gy였다. 생존 환자의 추적기간은 $2\~197$개월이었고 중앙값은 84개월이었다. 결과: 방사선치료 6개월 후 39명($90.7\%$)은 완전관해를, 4명($9.3\%$)은 부분관해를 보였다. 전체 환자의 5년 생존율 및 무병생존율은 각각, $50.7\%$, $48.9\%$였으며 중앙생존기간은 73개월, 57개월이었고, 단변량분석에서 연령, T-병기, 전체병기 및 치료방법에 따라서 유의한 차이를 보였다(p<0.05). 다변량분석 결과, 5년 생존율 및 5년 무병생존율에 영향을 주는 변수로는 연령, N-병기 및 전체병기가 통계적으로 유의하였으며(p<0.05), $T_{1-3}$병기와 $T_4$병기 간에 유의한 차이를 보였다(p<0.01). 방사선치료 후 재발은 국소재발 단독 3명($7.0\%$), 원격전이 단독 11명($25.6\%$), 국소 및 원격전이 동시재발 1명($2.3\%$)이었다. 결론: 비인강암의 생존에 영향을 주는 예후 인자는 연령, T-병기($T_{1-3}$과 $T_4$), N-병기 및 전체병기임을 알 수 있었고 원격전이가 주된 실패 양상으로 분석되어 원격전이를 감소시키기 위해 적극적인 전신 항암화학요법이 필요하며 보다 효과적인 항암제와 투여방법에 관한 연구가 필요할 것으로 생각된다.

• 대한두경부종양학회지
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• 제21권2호
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• pp.132-138
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• 2005

Purpose: The purpose of this study was to establish general guidelines for the treatment of patients with early glottic cancer(T1-2N0M0), by assessing the role of primary radiation therapy and by analyzing the tumor-related and treatment-related factors that influence treatment results. We also studied the results of hypofractionated radiation therapy for early glottic cancer. Material and Methods: This retrospective study comprised 48 patients who suffered from early glottic cancer and were treated by primary radiotherapy at Inha University Hospital, between May 1997 and October 2004. T-stage distribution showed 38 patients as T1 and 10 patients as stage T2. Thirty-eight patients underwent hypofractionated radiotherapy using a 6 MY photon beam, a total tumor dose of 63Gy, in 5 weekly fractions of 2.25Gy, with an overall radiation treatment time of 38 days. Ten patients in the T2 stage tolerated a total dose of 63-72 Gy(median 68.4Gy) in 5 weekly fractions of 1.8-2.0Gy, with an overall radiation treatment time of 40-87 days(median 51 days). All patients were followed up for at least 3 years. Univariate and multivariate analyses were performed to identify the prognostic factors affecting the treatment results. Result: The 5-year survival rate was 92% for all patients, 94% for T1 patients and 91% for T2 patients. The local control rate was 93.5% for all patients, 95% for T1 and 92.2% for T2 patients. Three patients suffered a relapse following radiotherapy, and underwent subsequent salvage surgery. We included T-stage, tumor location, total radiation dose, field size and overall radiation treatment time as potential prognostic factors. Only T-stage was found to be statistically significant in the univariate analysis, but in the multivariate analysis, it was not found to be significant. Conclusion: High curative and voice preservation rates were obtained with hypofractionated radiotherapy. Further study with a larger number of patients is needed to determine the prognostic factors affecting treatment results.