• Korean Journal of Radiology
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• 제21권7호
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• pp.812-828
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• 2020

Objective: To provide an evidence-based guide for the MRI interpretation of complete tumor response after neoadjuvant chemoradiation therapy (CRT) for rectal cancer using visual assessment on T2-weighted imaging (T2) and diffusion-weighted imaging (DWI). Materials and Methods: PubMed MEDLINE, EMBASE, and Cochrane Library were searched on November 28, 2019 to identify articles on the following issues: 1) sensitivity and specificity of T2 or DWI for diagnosing pathologic complete response (pCR) and the criteria for MRI diagnosis; 2) MRI alone vs. MRI combined with other test(s) in sensitivity and specificity for pCR; and 3) tests to select patients for the watch-and-wait management. Eligible articles were selected according to meticulous criteria and were synthesized. Results: Of 1615 article candidates, 55 eligible articles (for all three issues combined) were identified. Combined T2 and DWI performed better than T2 alone, with a meta-analytic summary sensitivity of 0.62 (95% confidence interval [CI], 0.43-0.77; I² = 80.60) and summary specificity of 0.89 (95% CI, 0.80-0.94; I² = 92.61) for diagnosing pCR. The criteria for the complete response on T2 in most studies had the commonality of remarkable tumor decrease to the absence of mass-like or nodular intermediate signal, although somewhat varied, as follows: (near) normalization of the wall; regular, thin, hypointense scar in the luminal side with (near) normal-appearance or homogeneous intermediate signal in the underlying wall; and hypointense thickening of the wall. The criteria on DWI were the absence of a hyperintense signal at high b-value (≥ 800 sec/mm²) in most studies. The specific algorithm to combine T2 and DWI was obscure in half of the studies. MRI combined with endoscopy was the most utilized means to select patients for the watch-and-wait management despite a lack of strong evidence to guide and support a multi-test approach. Conclusion: This systematic review and meta-analysis provide an evidence-based practical guide for MRI assessment of complete tumor response after CRT for rectal cancer.

• Asian Pacific Journal of Cancer Prevention
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• 제17권1호
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• pp.215-217
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• 2016

Background: Chronic lymphocytic leukemia (CLL) is the most frequent form of leukemia in Europe and North America, and it mainly affects older individuals. Many approaches are implemented in the management of CLL from a watch and wait (W&W) strategy to chemotherapeutic regimens. We here reviewed our clinical practice for the relevance of the W&W strategy in Lebanese CLL patients. Materials and Methods: A total of 95 patients with CLL diagnosed in four institutions in Lebanon, between 1992 and 2013, were selected and their files were reviewed. Characteristics of these patients were noted including age, sex, RAI and Binet scores, CBC values, presence of hepatomegaly or splenomegaly, performance of bone marrow biopsy or peripheral blood flux cytometry for diagnosis, adoption of W&W strategy, different chemotherapeutic regimens and the indications for treatment. Results: Some 38 patients (40%) diagnosed with CLL were women and 57 (60%) were men with a mean age of 65.1 years [36-89]. Of the total, 50.5%, 17.2%, 14%, 7.5% and 10.8% had an RAI score at diagnosis of 0, 1, 2, 3 and 4, respectively, while 65.6%, 17.2% and 17.2% had Binet scores of I, II and III. The mean lymphocyte count at diagnosis was $39885/mm^3$ [1596-290000], the mean hemoglobin level was 12.7 g/dl [6.2-17] and the mean platelet count was $191255/mm^3$ [14000-458000]. While 26.3% of patients with CLL had splenomegaly, only 7.4% had hepatomegaly. Some 33.7% had undergone a bone marrow biopsy, 66.3% flow cytometry of circulating blood and 5.3% a lymph node biopsy. Overall, the W&W was adopted in 62.4% (58) of patients with a mean duration of 37.7 months [3-216]. The W&W was used in 82.6%, 73.3%, 46.2%, 14.3% and 0% of patients having RAI scores of 0, 1, 2, 3 and 4, respectively, and, it was used in 80%, 46.7% and 6.25% with Binet scores of I, II and III. The most frequent indication for treatment was anemia and thrombocytopenia, accounting for 32.7% of cases. The most frequently used chemotherapeutical regimens were chlorambucil until the end of the last century and flufarabine-cyclophosphamide-rituximab during the last decade. Conclusions: This retrospective review of CLL clinical practice showed an important implementation of the W&W strategy with a long duration, especially in early stage cases with low RAI or Binet scores.

• 한국콘텐츠학회논문지
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• 제10권5호
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• pp.107-114
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• 2010

인터랙티브 스토리텔링 시스템(Interactive Storytelling System) 상에서 다양한 이야기의 진행과 결말을 표현할 수 있는 비선형적인 이야기(nonlinear story)는 사용자와의 상호작용으로 생성된다. 또한 연극이나 영화에서 관객은 하나의 장면에서 진행되고 있는 이야기만을 볼 수 있고 다른 장면의 이야기를 보기 위해서는 현재 장면이 끝난 후 다른 장면의 이야기를 볼 수 있다. 그러나 현실에서는 여러 가지 사건들이 여러 장소에서 동시에 발생하고 게다가 특정 사건들은 다른 사건들에 영향을 미치기 때문에 전체적인 이야기의 흐름에 큰 영향을 줄 수 있다. 본 연구에서는 비선형 스토리의 생성을 위한 제약 조건 기반의 서술구조(Constraint Based Narrative Structure)를 소개하고 동시 진행 이야기(Simultaneous Story Arcs)의 제어를 위한 멀티뷰포인트(multi viewpoint)를 제안한다.

• Nuclear Engineering and Technology
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• 제40권1호
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• pp.9-20
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• 2008

Since plutonium accounts for 40-50% of the power produced by uranium fuels, spent fuel contains only residual plutonium. Management of this plutonium is one of the aspects influencing the choice of a fuel cycle back-end option: reprocessing, direct disposal or wait-and-see. Different grades and qualities of plutonium exist depending from their specific generation conditions; all are valuable fissile material. Safeguard authorities watch the inventories of civil plutonium, but access to those data is restricted. Independent evaluations have led to an estimated current inventory of 220t plutonium in total (spent fuel, separated civil plutonium and military plutonium). If used as MOX fuel, it would be sufficient to feed all the PWRs and BWRs worldwide during 7 years or to deploy a FBR park corresponding to 150% of today' s installed nuclear capacity worldwide, which could then be exploited for centuries with the current stockpile of depleted and spent uranium. The energy potential of plutonium deteriorates with storage time of spent fuel and of separated plutonium, due to the decay of $^{241}Pu$, the best fissile isotope, into americium, a neutron absorber. The loss of fissile value of plutonium is more pronounced for usage in LWRs than in FBR. However, keeping the current plutonium inventory for an expected future deployment of FBRs is counterproductive. Recycling plutonium reduce the required volume for final disposal in an underground repository and the cost of final disposal. However, the benefits of utilizing an energy resource and of reducing final disposal liabilities are not the only aspects that determine the choice of a back-end policy.

• Journal of the Korean Institute of Landscape Architecture International Edition
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• 제2호
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• pp.114-119
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• 2004

By Article two of a Japanese urban park low, it prescribes park facilities strictly, and one of the classifications includes 'path and plaza'. In addition, it is assumed that we divide several kinds different paths of width by size of the park in a path design of a park with a textbook of park design in a trunk line path, the main path, a vice-path or a branch path and design it. From such a thing, in the path of an urban park, a line consists straight of fixed width, and it is most that one pattern is considered to be. Therefore, in modem urban park, a path and division of a plaza are lucid explanation. It is rare that the historical parks which generally former daimyo gardens are shown later, and is used as a kind of an urban park width of the path where was particularly posted in a strolling garden in that is fixed, and width waits straight for even a line and waits, and, for this, there is. As a result, it is a path and the situation that are hard to be distinguished of a plaza. Although there are a difference of design and a difference of pavement materials in modem landscape space when We watch road surface constitution of the path that We did that will let you wait, in gross We are uniform, and it is it with a result to be poor in change nature. From such an observation, this consideration compared traditional landscape space and modem landscape space with path width about two points of road surface constitution through the trial that a graph analyzed the actual place data which measured into and lectured on an ideal method of a park path from this.

• 대한상부위장관⦁헬리코박터학회지
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• 제18권4호
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• pp.258-263
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• 2018

Follicular lymphoma is the most common form of low-grade B cell lymphoma. Follicular lymphoma occurs predominantly at lymph node sites and rarely in the gastrointestinal tract. Rare gastrointestinal follicular lymphoma is most commonly found in the small intestine, especially in the duodenum, and appears as multiple granules. However, gastric follicular lymphoma mostly appears as a subepithelial tumor. We observed two primary gastric follicular lymphomas that resembled subepithelial tumors located in the body of the stomach. Endoscopic ultrasound revealed hypoechoic lesions located in the submucosa layer. Since endoscopic forceps biopsies were inconclusive, we performed endoscopic submucosal dissection, which resulted in a final pathologic diagnosis of follicular lymphoma. Because of the indolent nature of gastrointestinal follicular lymphoma, the "watch and wait" strategy can be applied in the early phase. The identification of endoscopic characteristics of gastric follicular lymphoma can be helpful for differential diagnosis and decision of treatment strategy. Therefore, we report two cases of primary gastrointestinal follicular lymphoma diagnosed following endoscopic submucosal dissection.

• 전자공학회논문지C
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• 제35C권11호
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• pp.21-30
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• 1998

본 논문에서는 FPGA를 이용하여 산업용 구동장치로 널리 사용되고 있는 유도 전동기의 디지털 전류 제어시스템을 구현하였다. 이를 위해 VHDL을 이용하여 FPGA를 설계하였으며 이 FPGA는 PWM 발생부, PWM 보호부, 회전속도 검출부, 프로그램 폭주 방지부, 인터럽트 발생부, 디코더 로직부, 신호 지연 발생부 및 디지털 입·출력부로 각각 구성되어있다. 본 FPGA의 설계시 고속처리의 문제점을 해결하기 위해 클럭전용핀을 활용하였으며 또한 40 MHz에서도 동작할 수 있는 삼각파를 만들기 위해 업다운 카운터와 래치부를 병렬 처리함으로써 고속화하였다. 특히 삼각파와 각종 레지스터를 비교 연산할 때 많은 팬아웃 문제에 따른 게이트 지연(gate delay) 요소를 줄이기 위해 병렬 카운터를 두어 고속화를 실현하였다. 아울러 삼각파의 진폭과 주파수 및 PWM 파형의 데드 타임 등을 소프트웨어적으로 가변 하도록 하였다. 이와 같은 기능들을 FPGA로 구현하기 위하여 퀵로직(Quick Logic)사의 pASIC 2 SpDE와 Synplify-Lite 합성툴을 이용하여 로직을 합성하였다. 또한 Verilog HDL 환경에서 최악의 상황들(worst cases)에 대한 최종 시뮬레이션이 성공적으로 수행되었다. 아울러 구현된 FPGA를 84핀 PLCC 형태의 FPGA로 프로그래밍 한 후 3상 유도전동기의 디지털 전류 제어 시스템에 적용하였다. 이를 위해 DSP(TMS320C31-40 MHz)와 FPGA, A/D 변환기 및 전류 변환기(Hall CT) 등을 이용하여 3상 유도 전동기의 디지털 전류 제어 시스템을 구성하였으며, 디지털 전류 제어의 효용성을 실험을 통해 확인하였다.