• 제목/요약/키워드: T1-201

검색결과 344건 처리시간 0.025초

Retrospective analysis of treatment outcomes after postoperative chemoradiotherapy in advanced gastric cancer

  • Kim, Sup;Kim, Jun-Sang;Jeong, Hyun-Yong;Noh, Seung-Moo;Kim, Ki-Whan;Cho, Moon-June
    • Radiation Oncology Journal
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    • 제29권4호
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    • pp.252-259
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    • 2011
  • Purpose: To evaluate retrospectively the survival outcome, patterns of failure, and complications in patients treated with postoperative chemoradiotherapy (CRT) in advanced gastric cancer. Materials and Methods: Between January 2000 and December 2006, 80 patients with advanced gastric cancer who received postoperative concurrent CRT were included. Pathological staging was IB-II in 9%, IIIA in 38%, IIIB in 33%, and IV in 21%. Radiotherapy consisted of 45 Gy of radiation. Concurrent chemotherapy consisted of a continuous intravenous infusion of 5-fluorouracil and leucovorin on the first 4 days and last 3 days of radiotherapy. Results: The median follow-up period was 48 months (range, 3 to 83 months). The 5-year overall survival, disease-free survival, and locoregional recurrence-free survivals were 62%, 59%, and 80%, respectively. In the multivariate analysis, significant factors for disease-free survival were T stage (hazard ratio [HR], 0.278; P = 0.038), lymph node dissection extent (HR, 0.201; P = 0.002). and maintenance oral chemotherapy (HR, 2.964; P = 0.004). Locoregional recurrence and distant metastasis occurred in 5 (6%) and 18 (23%) patients, respectively. Mixed failure occurred in 10 (16%) patients. Grade 3 leukopenia and thrombocytopenia were observed in 4 (5%) and one (1%) patient, respectively. Grade 3 nausea and vomiting developed in 8 (10%) patients. Intestinal obstruction developed in one (1%). Conclusion: The survival outcome of the postoperative CRT in advanced gastric cancer was similar to those reported previously. Our postoperative CRT regimen seems to be a safe and effective method, reducing locoregional failure without severe treatment toxicity in advanced gastric cancer patients.

철환원세균을 이용한 저품위 점토의 개량[I] : 전통적 수비법과 생물공학적 숙성법의 비교 (Refinement of Low-grade Clay using Iron-reducing Bacteria [I] : Comparison of Traditional Ripening and Biotechnological Ripening)

  • 류희욱;조경숙;김민주;강석영;최희락
    • KSBB Journal
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    • 제15권2호
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    • pp.201-207
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    • 2000
  • 전통적으로 사용되어 왔던 점토의 숙성과정을 과학적으로 규명하였고, 철환원세균의 농화배양액을 이용하는 생명공학기술을 이용한 개량된 점토 숙성방법을 연구하였다. 전통적으로 사용되어 왔던 수비법에 의한 점토의 숙성은 토착 미생물들이 점토에 함유된 유기물을 분해하는 과정에서 철불순물을 점토로부터 제거하여 색상을 향상시킬 뿐만 아니라 점토의 점성과 가소성 및 강도를 증진시키는 효과가 있음을 알 수 있었다. 점토숙성용 철환원세균 농화배양액을 얻는 방법을 제시하였고, 점토에 탄소원을 첨가한 후 혐기적 조건에서 농화배양액을 이용한 점토 숙성 방법을 제시하였다. 생물공학기술을 활용한 개량점토 숙성법은 전통적인 점토 숙성에서 소요되는 점토의 처리 시간을 약 1/6 수준이하로 단축시킬 수 있었고, 점토로부터 철불순물을 보다 효과적으로 제거할 수 있었을 뿐만 아니라 전통적인 방법보다도 물성이 우수한 점토로 고품위화가 가능하였다.

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서울과 경기도 일부지역의 소득수준별 미취학 아동의 식생활태도 및 영양상태에 관한 비교연구 - 1. 성장발육상태와 식생활태도 및 이에 영향을 주는 모계변수 요인을 중심으로 - (A Comparative Study on Dietary Attitudes and Nutritional Status of Preschoolers in Different Income Levels in Seoul and Kyunggido - 1. Focusing on Preschoolers' Amthropometry, Dietary Attitudes and Mother Factors -)

  • 남혜원;엄영숙;정은정
    • 한국식생활문화학회지
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    • 제13권5호
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    • pp.405-414
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    • 1998
  • This study was to evaluate the anthropometry, dietary attitudes and the other factors of 201 children in day-care centers according to their parents' income levels. The evaluation was conducted using anthropometric measurements such as height, weight, skinfold thickness, blood pressure, and questionnaire survey which was completed by the children's mothers. The results are summarized as follows: Overall growth of children was normal according to Korean standard. There were no significant differences in anthropometry according to the income levels. The scores of eating habits of children were different significantly according to income levels. That is, the score was the lowest in the low-income group. Children generally prefer one-dish meal or snacks, while the preference levels of kimchi, seasoned vegetable and beans broiled in soysauce were lower than those cf other foods. In the questions to know mothers' nutrition knowledge, we could see that they didn't know well about protein, breast-feeding, weaning and balance in nutrients. Nutrition knowledge score of mothers was significantly lower in the low income group, which shows close relationship with low-score eating habits of their children. The score of nutrition knowledge was affected by the mother's education level. The higher the mother's nutrition knowledge and education level, the better children's eating habits. These findings emphasize the planning and application of nutrition education programs for mothers especially in the low income group.

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인터넷 매장과 오프라인 매장에서의 소비자 의복 쇼핑 성향 차이에 관한 연구 (The Difference of Clothing Shopping Orientation in Internet and Offline Stores)

  • 김세희
    • 한국의류학회지
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    • 제33권1호
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    • pp.92-103
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    • 2009
  • The study is interested in the consumer's mixed choice of the internet and the offline stores. Therefore the purpose of study is to investigate if the clothing shopping orientation of consumers varies when they shop internet and offline, instead of classifying consumers into internet shoppers and offline shoppers. For the purpose, quantitative survey was carried out using 201 questionnaires from men and women in their twenties. The data were analyzed using factor analysis, Pearson's correlation analysis, Spearman's rank order correlation coefficient, t-test, and frequency analysis. The results are as following. First, the clothing shopping orientation structures of offline and internet stores were different each other. As the result of factor analysis, positive, brand oriented, economic, convenient conformity, convenient impulsive factors were extracted from offline store and rational, enjoying, goal oriented, conformity, brand oriented, convenient impulsive purchase factors were extracted from internet store respectively. Second, as the results of investigating the relationship between the clothing shopping orientation structures of offline and internet stores, positive(off)-enjoying(on), brand oriented(off)-brand oriented(on), convenient conformity(off)-conformity(on) had strong correlation s and the rest were peculiar to the each store type. Specifically, the goal oriented factor peculiar to the internet store was noticeable. Third, as the results of investigating the differences between clothing shopping orientation of offline and internet stores, the ranks of strong orientation dimension were different between two channels. As well, the mean differences were significant in goal oriented, conformity, brand oriented, and convenient impulsive purchase dimensions. This study has the significance that it investigated the variance of clothing shopping orientation according to the mixed selection trend of internet/offline.

두 차례의 출산 직후 골밀도 측정을 통한 임신 및 출산이 골밀도에 미치는 영향 고찰 (The effect of pregnancy and parity on bone marrow density using Dual Energy X-ray Absorptiometry (DXA) after childbirth)

  • 이은희;김태희
    • 대한한방부인과학회지
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    • 제19권1호
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    • pp.188-201
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    • 2006
  • Purpose : This study was conducted to investigate the effect of pregnancy and parity on bone marrow density using Dual Energy X-ray Absorptiometry (DXA) after parturition Methods : The observation cases who was over 20 and under 35 years old just after childbirth were admitted twice to woosuk university hospital from Aug 2000 to July 2005. During the first admission period, we measured the bone marrow density(BMD) using DXA in 13th day, and when the patient came to the hospital just after childbirth again, we followed up the BMD in 13th day. The evaluation index of this report was comparison of the T-score which was about the lumbar spine(L1-L4) BMD and femur neck BMD. Results : The continuous parturition was increased the lumbar spine BMD(P<<0.05), and decreased the femur neck BMD but it had no meaning. In the cases of the parturition interval under 24 months regarded as siblings born within a year of each other, the analysis results of BMD showed increase in lumbar spine BMD. In the cases of the parturition interval over 24 months, there was increased in lumbar BMD, and decreased in femur neck BMD. To the analysis of the weight variation, the increased BMI group has a significant increase in lumbar spine BMD, and the decreased BMI group also increase in lumbar spine BMD but there was no meaning about that. Conclusion : The continuous parturition was increased the lumbar spine BMD.

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임상간호사의 자기효능감, 영적안녕 및 직무스트레스와의 관계 (The Relationships among Self-Efficacy, Spiritual Well-Being, and Job Stress in Clinical Nurses)

  • 한미영;손수경;권수혜;최정화;최금희
    • 동서간호학연구지
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    • 제20권1호
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    • pp.21-28
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    • 2014
  • Purpose: This study was to identify the extent of and the relationships among self-efficacy, spiritual well-being, and job stress in clinical nurses. Methods: The subjects were 201 clinical nurses from three different general hospitals in B city. Data were collected from May 26 to August 9, 2012 and analyzed by using descriptive statistics, independent t-test, One-way ANOVA, Sheff$\acute{e}$ test, and Partial correlation coefficients. Results: The mean scores of self-efficacy, spiritual well-being, and job stress were moderate, 3.50, 3.58, and 3.44 respectively. There were statistically significant relationships between marital status, influence of religion, the number of night shifts per month, motives for choosing nursing as a career, job satisfaction and self-efficacy. Spiritual well-being was found to be significantly related to all participants' general characteristics, and job stress was significantly related to marital status and type of religion. There was a significantly weak positive correlation between self-efficacy and spiritual well-being, and a weak negative correlation between self-efficacy and job stress. There was no significant correlation between job stress and spiritual well-being. Conclusion: This study suggests that effective strategies to foster spiritual well-being is needed to enhance clinical nurses' self-efficacy, which should equip clinical nurses to better deal with job stress in their work places.

심근 관류스캔 중 정상 부하영상 소견을 보인 환자에서 휴식기 영상의 필요성에 대한 평가 (The Role of Rest Image in Patients Showing Normal Stress Image on Tc-99m Myocardial Perfusion Scan)

  • 범희승;송호천;민정준;김지열
    • 대한핵의학회지
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    • 제30권4호
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    • pp.502-506
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    • 1996
  • 연구 목적 : 디피리다몰 부하-휴식 Tc-99m MIBI 일일 심근영상법에서 부하기 영상이 정상인 환자에서 휴식기 영상이 필요한지 알아보고자 하였다. 대상 및 방법 : 흉통을 주소로 전남대학교병원을 내원하여 핵의학과에서 디피리다몰 부하/휴식 MIBI 심근관류 SPECT를 시행한 환자 중 부하시 스캔 소견상 관류결손이 없었고, 심근관류검사 전후 1개월 이내에 관동맥조영술로 관동맥병변 유무가 확진된 43명의 환자(남:여=24:19, 평균연령 $52{\pm}11세$)를 대상으로 하였다. 촬영방법은 디피리다몰 부하-휴식 Tc-99m MIBI 일일 심근영상법을 사용하였다. 결과 및 결론 : 부하기 영상이 정상인 환자 중 관동맥질환이 없는 경우 휴식기에도 정상으로 나올 확률은 79% (23/29)였고, 새로운 관류결손이 나올 확률은 21%였다. 부하기 영상이 정상이면서 관동맥질환이 있는 환자에서 휴식기 영상으로 새로운 결손을 찾아낼 확률은 22%였다. 따라서, 흉통을 호소하는 환자에서 부하기 영상이 정상일때 휴식기 영상은 대체로 추가적인 정보를 주지 못한다는 것을 알 수 있었다. 그러나, 관동맥경련이 있는 환자는 5명 중 4명(80%)에서 휴식기 영상에 새로운 관류결손이 보일 수 있으므로, 관동맥경련이 의심되는 환자에서는 휴식기 영상을 촬영할 필요가 있을 것으로 사료되었다.

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(2D)2PCA 알고리즘을 이용한 pRBFNNs 패턴분류기 기반 얼굴인식 시스템 설계 (Design of pRBFNNs Pattern Classifier-based Face Recognition System Using 2-Directional 2-Dimensional PCA Algorithm)

  • 오성권;진용탁
    • 전자공학회논문지
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    • 제51권1호
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    • pp.195-201
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    • 2014
  • 본 연구에서는 $(2D)^2PCA$ 알고리즘을 이용한 pRBFNNs 패턴분류기 기반 얼굴인식 시스템을 설계하였다. 기존의 1차원 PCA는 행과 열의 곱으로 표현한 이미지의 차원을 축소한다. 하지만 $(2D)^2PCA$(2-Directional 2-Dimensional Principal Components Analysis)는 이미지의 행과 열에서 각각 차원축소를 수행한다. 그 다음 제안된 지능형 패턴분류기로 축소된 이미지를 사용하여 성능을 평가한다. (pRBFNNs)로 성능 평가를 한다. 제안된 다항식 기반 RBFNNs은 조건부, 결론부, 추론부 세가지의 기능적 모듈로 구성되어 있고 조건는 퍼지 클러스터링을 사용하여 입력 공간을 분할하고, 결론부는 RBFNNs의 연결가중치로 일차 선형식으로 표현한다. 또한 차분진화 알고리즘을 이용하여 제안된 분류기의 파라미터, 즉 입력의 수, 퍼지 클러스터링의 퍼지화 계수를 최적화 한다. 얼굴인식에 많이 사용되는 Yale과 AT&T를 사용하여 인식률을 평가하였다. 실험 평가를 위해 IC&CI 연구실 데이터를 추가하여 실험하였다.

Diagnostic Mutational Analysis of MECP2 in Korean patients with Rett syndrome

  • Kim, In-Joo;Kim, Yeon-Joo;Son, Byeong-Hee;Nam, Sang-Ook;Kang, Hoon-Chul;Kim, Heung-Dong;Choi, Ook-Hwan;Yoo, Mi-Ae;Kim, Cheol-Min
    • 대한유전성대사질환학회지
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    • 제5권1호
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    • pp.48-56
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    • 2005
  • Purpose: Rett syndrome (RTT) is an X-linked dominant neurodevelopmental disorder affecting 1 per 10,000~15,000 female births worldwide. The disease-causing gene has been identified as MECP2 (methyl-CpG-binding protein). In this study, we carried out diagnostic mutational analysis of MECP2 gene in RTT patients. Methods: We analyzed four exons and putative promoter of MECP2 gene from the peripheral blood of 43 Korean patients with RTT by PCR-RFLP and direct sequencing. Results: Mutations were detected in MECP2 gene about 60.5% of patients. The mutations consisted of 14 different types including 9 missense mutations, 4 nonsense mutations and 1 frameshift mutation. Of these, three mutations (G161E, T311M, P385fsX409) were newly identified and these were determined as disease-causing mutations by PCR-RFLP and direct sequencing analysis. Most of the mutations were located within MBD (42.3%) and TRD (50%). T158M, R270X, and R306C mutations were identified with high frequency. An intronic SNP (IVS3+23C>G) was newly identified in only three of the patients. It may be a disease-related and Korea-specific SNP with RTT. The L100V and A201V have been reported to be unclassified variant and SNP. However, these mutations were not found in more than 100 normal Korean control samples. These base substitutions seem to be the disease-causing mutations in Korean RTT contrary to previous studies. Conclusion: Disease-causing mutations and polymorphisms would be very important for diagnosing of RTT in Korean. The experimental procedure used in this study might be considered for molecular biologic diagnosis used in clinical field.

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류마티스 관절염환자의 우울에 대한 사회적 지지기능 (Function of Social Support on Depression of Patients with Rheumatoid Arthritis)

  • 최순희
    • 근관절건강학회지
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    • 제3권1호
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    • pp.63-89
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    • 1996
  • This study has been done for the purpose of determining whether the positive association between social support and depression is attributable to an overall beneficial effect of support(direct effect) or to a process of support protecting persons from adverse effects of stressors such as life events, pain or physical disability (buffering effect). The sample consisted of 214 patients who were identified as the rheumatoid arthritis. The instruments used in this study were Depression Scale(CES-D), Perceived Social Support Scale, Life Events Questionnaire, AIMS Pain Scale, and Physical Disability Scale. The data were analysed by the use of t-test, ANOVA, Pearson Correlation Coefficient and Stepwise Multiple Regression. The results of this study are summerized as follows : 1. The 1st hypothesis, "The higher the life events degree, the higher the depression degree" was supported(r=.49, P=.0001). 2. The 2nd hypothesis, "The higher the pain degree, the higher the depression degree" was supported(r=.44, P=.0001). 3. The 3rd hypothesis, "The higher the physical disability degree, the higher the depression degree" was supported (r=.46, P=.0001). 4. The 4th hypothesis, "The higher the social support degree, the lower the depression degree" was supported(F=84.52, P=.0001). 5. The 5th hypothesis, "There will be different in the relationship between the degrees of life events and depression according to social support degree" was rejected (F=.29, P=.5928). 6. The 6th hypothesis, "There will be different in the relationship between the degrees of pain and depression according to social support degree" was supported (F=3.19, P=.0755). 7. The 7th hypothesis, "There will be different in the relationship between the degrees of physical disability and depression according to social support degree" was supported(F=5.69, P=.018). 8. The predictive variables for depression were the degrees for social support, life events, pain, and physical disability. 9. The depression degree showed a inverse correlation with social support degree (r=-.56, p=.0001). The social support degree showed a inverse correlation with the degrees of life events(r=-.22, p=.0007), pain(r=-.18, p=.0069) and physical disability(r=-.15, p=.0293). 10. The depression degree showed significant differences in the variables of sex (t=2.26, p=.025), educational level(r=.189, P=.006) and the number of treatment method (r=.201, P=.003). In conclusion, it was found that social support had the direct effect on depression and the buffering effect in each relationship between degrees of pain or physical disability and depression in patients with rheumatoid arthritis. So the researcher thinks that it is effective that nurses should provide these patients with social support to reduce depression in cases of having severe pain or physical disability.

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