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Surgical Outcomes Associated with Operable Gastric Cancer in a Tertiary Care Indian Hospital

  • Franklyn, Joshua;George, Sam V.;Yacob, Myla;Abraham, Vijay;Chandran, Sudhakar;Sebastian, Tunny;Samarasam, Inian
    • Journal of Gastric Cancer
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    • v.17 no.1
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    • pp.63-73
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    • 2017
  • Purpose: Data on operable gastric cancer from India is sparse. The purpose of this study was to investigate the clinical details, histopathological demographics, and 5-year overall survival (OS) and disease free survival (DFS) associated with operable, non-metastatic gastric cancer in a dedicated upper gastrointestinal (GI) surgical unit in India. Materials and Methods: Data for patients diagnosed with operable gastric cancer between January 2006 and December 2014 were retrospectively analyzed. Data were collected from electronic hospital records in addition to mail and telephonic interviews when possible. Results: A total of 427 patients were included. The tumor was located in the pyloro-antral region in 263 patients (61.7%). Subtotal gastrectomy was performed in 291 patients and total gastrectomy in 136 patients. Tumor stage classification revealed 43 patients (10.0%) with stage I, 40 patients (9.4%) with stage IIA, 59 patients (13.9%) with stage IIB, 76 patients (17.8%) with stage IIIA, 96 patients (22.5%) with stage IIIB, and 113 patients (26.4%) with stage IIIC disease. Follow-up data were available for 71.6% of the patients with a mean duration of 32.4 months. Five-year DFS and OS were 39% and 59%, respectively. Conclusions: Despite presenting at an advanced stage, the 5-year DFS and OS of patients with operable gastric cancer treated at a dedicated upper GI unit of a tertiary care center in India was good.

Late Quaternary Stratigraphy and Unconformity of the Banweol Tidal-Flat Deposits(upper tidal flat) and Unconformity, Kyunggi Bay, West Coast of Korea (한국 서해 경기만 반월 조간대(상부조간대) 퇴적층의 제4기 후기 층서와 부정합)

  • 박용안;임동일;김수정
    • The Korean Journal of Quaternary Research
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    • v.14 no.2
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    • pp.125-135
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    • 2000
  • The late Quaternary stratigraphy and basal unconformity (nonconformity) of the intertidal deposits (upper tidal flat) in the Banweol tidal basin in the Kyunggi Bay, west coast of Korea has been investigated and established. The Unit I (middle to late Holocene upper intertidal deposit) and Unit II (pre-Holocene fluvial to alluvial deposit) in descending order are classified and interpreted. The basement rocks of the Banweol tidal basin is dominantly preCambrian metamorphic rocks on which Unit II is overlying unconformably. In short, the late Quaternary stratigraphy and unconformity of the Banweol tidal flat deposits are established and interpreted in terms of sedimentology and sea-level fluctuation history during late Quaternary.

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Characteristic Nature of the Unconformity between Holocene and Late Pleistocene in the Tidal Deposits along the Western Coast of Korea

  • Park, Yong-Ahn
    • The Korean Journal of Quaternary Research
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    • v.17 no.2
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    • pp.13-14
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    • 2003
  • It is generally well known that Quaternary is characteristic geologically in terms of glacial and interglacial repeats and their associated unconformity formation. This paper deals with the first finding of the characteristic and significant meaningful unconformity between Holocene and late Pleistocene, which implies submergence and emergence of the tidal sedimentary basin along the western coastal zone of Korea during interglacial stage(IOS-5e) and glacial time(IOS-2). The stratigraphy of intertidal deposits in the Haenam Bay, western coast of Korea shows two depositional sequence units (Unit I of Holocene and Unit II of late Pleistocene) bounded by an erosional surface of disconformity. The disconformity is related to the latest Pleistocene sea-level lowstands (probably during the LGM). The Unit II is interpreted as intertidal deposit showing tidal sedimentary structures and crab burrow ichnology and has two parts (the upper part and the lower part) showing different lithology and character. The upper part of Unit II shows characteristic subaerial exposure features (emergence) and its related lithology. Such subaerially exposed upper part (more or less 4m to 5m in thickness) is characterized by yellow-brownish sediment color, cryoturbat-ed structure, crab burrow ichnofacies and high value of shear strength. Geochemical and clay mineral analyses of the upper part sediments also indicate subaerial exposure and weathering. In particular, very high value of magnetic susceptibility of the upper part in comparison to that of the lower part is interpreted as pedogenetic weathering during the subaerial exposure period.

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INTERPRETING A SINGLE ANTISTREPTOLYSIN O TEST: A COMPARISON OF THE 'UPPER LIMIT OF NORMAL' AND LIKELIHOOD RATIO METHODS

  • Gray Gregory C.;Struewing Jeffery P.;Hyams Kenneth C.;Escamilla Joel;Tupponce Alan K.;Kaplan Edward L.
    • 대한예방의학회:학술대회논문집
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    • 1994.02b
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    • pp.164-168
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    • 1994
  • Single serologic tests may occasionally influence clinicians in making diagnoses. The antistreptolysin O (ASO) test is a frequently used tool for detecting recent Streptococcus pyogenes infection and is helpful in the diagnosis of diseases like rheumatic fever. Using data from a 1989 prospective study of 600 healthy male military recruits, in which 43% experienced S. pyogenes upper respiratory tract infection (2-dilution rise in ASO), this report compared two methods of interpreting a single ASO titer. Using the 'upper limit of normal' (80 percentile) method, recruits with an ASO titer of greater than 400 showed evidence of recent S. pyogenes infection. This method had a sensitivity and specificity of only 65.9 and 81.9% respectively. In contrast to the 'yes-no'. dichotomy of the 'upper limit of normal' method. the likelihood ratio method statistics were ASO value specific, more consistent with clinical judgment, and better emphasized the caution clinicians must use in interpreting a single ASO test.

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A Study on the Design of Upward and Downward Traverse Units in an Automatic Object Changer Unit to Establish a Flexible Production System (Part 1) (유연생산 시스템 구축을 위한 공작물 자동교환 유닛의 상하 이송 기구 설계에 관한 연구(파트 1))

  • Park, Hoo-Myung;Kang, Jin-Kab;Lee, Yong-Joong;Ha, Man-Kyung
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.7 no.2
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    • pp.45-51
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    • 2008
  • The objective of this study is to develop an automatic object changer unit to improve processing problems existed in the conventional horizontal machining center. In order to perform this objective, a upward and downward traverse unit in which a unit that consists of a motor and reducer, chain and sprocket wheel, and upper and lower base employed in an automatic object changer unit performs sliding contact motion in a frame was designed. To achieve this design, constraint conditions for the upward and downward traverse unit first designed. Then, an operation mechanism was designed and that was introduced as a sum of kinetic energy for the sprocket wheel and upper and lower base based on the moment of inertia, which is the kinetic energy of the converted upward and downward traverse unit in the side of the reducer. In addition, The work required to rotate the converted upward and downward traverse unit in the side of the reducer by one revolution can be calculated using the sum of work that is required in the sprocket wheel and upper and lower base that is a part of the upward and downward traverse unit. Furthermore, the converted equation of motion in the side of the motor can be introduced using the equation of motion using the converted upward and downward traverse unit in the side of the motor. Then, Then, a proper motor can be determined using predetermined specifications employed in the motor and several parameters in the upward and downward traverse unit in order to verify such predetermined specifications. Also, a design of a horizontal traverse unit that performs sliding motion on a upward and downward traverse unit and simulation that verifies the results of this design are required as a future study.

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Difference of Clay Mineral Compositions between Holocene and Late Pleistocene Tidal Deposits in the Haenam Bay, Korea: Evidence of Subaerial Exposure and Weathering

  • Park, Yong-Ahn;Choi, Jin-Yong;Lim, Dhong-Il
    • Journal of the korean society of oceanography
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    • v.32 no.3
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    • pp.138-144
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    • 1997
  • The tidal deposits in the Haenam Bay, southwest coast of Korea, are stratigraphically divided at least into two units (Unit I of Holocene and Unit II of late Pleistocene) based on the obtained vibracoring sediments. In Unit I, clay minerals of illite, chlorite, kaolinite and smectite are observed as similar to those of the other modern tidal deposits. Of note, however, is the absence of smectite and chlorite in the upper part of Unit II compared with the clay mineral compositions of Unit I. It is concluded that the subaerial weathering and diagenetic effects rather than depositional processes are responsible for the positive and characteristic differences in clay mineral compositions between two units, that is, the upper part of Unit II was exposed subaerially and weathered diagenetically prior to the late Holocene transgression. Therefore, the bounding relationship between Unit I and Unit II is unconformable.

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The effect of Cultivated Environments on the Antioxidant Enzyme Activities of Codonopsis lanceolata (생육환경이 더덕(Codonopsis lanceolata)의 향산화효소 활성에 미치는 영향)

  • 정형진
    • Korean Journal of Plant Resources
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    • v.9 no.3
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    • pp.203-210
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    • 1996
  • The activities of the antioxidative enzymes in the roots of Codonopsis lanceolata have been compared depending on the cultivated environments - wildness, cultivate paddy fields and cultivate dry fields - and the parts of the root. In the Codonopsis lanceolata raised in cultivate paddy fields, the activity of SOD was higher in 2 yrs old than 1 yr old, but the activity in 1 yr old was higher than in 2 yrs old for the plants raised in the cultivate dry fields. The specific activity of SOD in wildness plants 86.069unit/mg protein was the highest among plants studied. The tissue distribution of the SOD activity showed differences depending on the enviroment. The highest activity of SOD was shown in the upper part of the root for the cultivate paddy fields, the loewr parts for the cultivate dry fields and middle parts for the wildness. The specific activity of POD was increased with ages of the plants, and that in the wildness was the highest 68 unit/mg protein among the plants studied. The activity of POD in the parts of the roots was shown as middle>lower>upper. The activity of POD in the middle part of the root, rasied in Soebick province was 85 unit/mg protein. The specific activity of CAT was decreased with ages of the plants. The activities of wildness and cultivate paddy fields was similar, but that in cultivate dry fields was lower than others. The tissue distribution in the parts of the roots was upper>lower>middle. The activity of CAT middle part of rasied in the Sebuck area was 5.359 unit/mg protein. The activities antioxidative in the cells cultured in MSID(Murashige and Skoog +2.4-D 1mg/$\iota$) was followings: 1564 for CAT. 30 for POD and 22200 unit/mg protein for SOD. These figures were lower than that in in vivo.

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Development of Sedimentary Sequence in the Masan Bay, South Sea of Korea (마산만 퇴적층서 발달 특성)

  • Choi, Dong-Lim;Lee, Tae-Hee
    • Ocean and Polar Research
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    • v.29 no.4
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    • pp.411-418
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    • 2007
  • We studied the bottom morphology and sedimentary environments of the Masan Bay using high-resolution Chirp seismic profiles and sediments data. According to deep-drilled core samples (up to 20 m thick) penetrated into the weathered rock basement, the sediments consist largely of three sediment types: the lower sandy gravel facies (Unit I) of 1-4 m in thickness, the middle sandy mud and/or muddy sand facies(Unit II) of 1-2 m thick and the upper mudfacies (Unit III) of over 10 m in thickness. The sedimentary column above the acoustic basement can be divided into two major sequences by a relatively strong mid-reflector, which show the lower sedimentary sequenc e(T) with parallel to subparallel internal reflectors and the upper sedimentary sequence(H) with free acoustic patterns. Acoustic basement, the lower sedimentary sequence (T), and the upper sequence (H) are well correlated with poorly sorted massive sandy gravels (Unit I), the sand/mud-mixed sediment (Unit II), and the muddy facies(Unit III), respectively. The acoustic facies and sediment data suggest that the Masan bay is one of the most typical semi-enclosed coastal embayments developed during the Holocene sea-level changes. The area of the Masan Bay reduced from about $19\;km^2$ in 1964 to about $13\;km^2$ in 2005 by reclamation, and its bottom morphology changed as a result of dredging of about $2{\times}10^7\;m^3$.

LIPSCHITZ TYPE CHARACTERIZATIONS OF HARMONIC BERGMAN SPACES

  • Nam, Kyesook
    • Bulletin of the Korean Mathematical Society
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    • v.50 no.4
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    • pp.1277-1288
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    • 2013
  • Wulan and Zhu [16] have characterized the weighted Bergman space in the setting of the unit ball of $C^n$ in terms of Lipschitz type conditions in three different metrics. In this paper, we study characterizations of the harmonic Bergman space on the upper half-space in $R^n$. Furthermore, we extend harmonic analogues in the setting of the unit ball to the full range 0 < p < ${\infty}$. In addition, we provide the application of characterizations to showing the boundedness of a mapping defined by a difference quotient of harmonic function.