• 제목/요약/키워드: completion rate

검색결과 489건 처리시간 0.021초

Simultaneous Modulated Accelerated Radiation Therapy and Concurrent Weekly Paclitaxel in the Treatment of Locally Advanced Nasopharyngeal Carcinoma

  • Xie, Cong-Ying;Jin, Xian-Ce;Deng, Xia;Xue, Sheng-Liu;Jing, Zhao;Su, Hua-Fang;Wu, Shi-Xiu
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권12호
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    • pp.6129-6132
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    • 2012
  • Objectives: To evaluate the feasibility and efficacy of simultaneous accelerated radiation therapy (SMART) and concurrent weekly paclitaxel in the treatment of locally advanced nasopharyngeal carcinoma. Methods: Forty-one patients with pathologically confirmed nasopharyngeal carcinoma were treated by SMART with concurrent weekly paclitaxel. Daily fraction doses of 2.5 Gy and 2.0 Gy were prescribed to the gross tumor volume (GTV) and clinical target volume (CTV) to a total dose of 70 Gy and 56 Gy, respectively. Paclitaxel of $45mg/m^2$ was administered concurrently with radiation therapy every week. Adjuvant chemotherapy was given four weeks after the completion of the radiotherapy (RT) if the tumor demonstrated only a partial response (PR). Results: All patients completed the radiotherapy (RT) course. Adjuvant chemotherapy was administered to 12 patients due to PR. The CR (complete remission) rate was 82.9% three months after RT. Thirty-nine (95.1%) patients completed the concurrent weekly chemotherapy with paclitaxel, and two patients skipped their sixth course. Seven patients had a 15% dosage reduction at the fifth and sixth course due to grade 3 mucositis. The median follow-up was 30 (range, 14-42) months. The three-year overall survival (OS), metastases-free survival (MFS), and local control rates were 77.0%, 64.4%, and 97.6%, respectively. No correlation between survival rate and T or N stage was observed. Grade 3 acute mucositis and xerostomia were present in 17.1% and 7.1%, respectively. Conclusion: SMART with concurrent weekly paclitaxel is a potentially effective and toxicity tolerable approach in the treatment of locally advanced NPC.

한국인의 표준체중치와 정상적응체중치에 관한 연구 (Studies on the Physical Growth and Development, Standard Body Weight and Normal Adapted Body Weight in Korea)

  • 김대봉;윤태영;최중명;박순영
    • 보건교육건강증진학회지
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    • 제13권1호
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    • pp.128-162
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    • 1996
  • Using Random Sampling, the authors measured the body heights and weights of 31,151 persons - 17,102 in males and 14,049 in females from metropolitan, urban and rural areas between 6 to over 80 year old - for the purpose of investigating the type and the actual condition of the Korean's growth and development. At first, on the basis of the results, the authors measured the growth and development, various kinds of physiques, nutritional index of the 6 to 20s age group. Second, the authors presented the standard body weight of males and females by their body height, who were in the end of their growth (20-29 age group). Third, the authors calculated and presented the normal adapted body weight of the age group who were over 30 age after the growth had been completed. Forth, the author presented the obesity rate of the adults over 20 years old by body mass index. Finally, the authors compared chronological change of the Koreans' body heights and body weights with the results of other researchers. 1. Body Measurement Rapid growth, in terms of body height, which is described by a straight line on a growth curve has been observed among males in the ages 6-13 and among females 6-14. That growth curve turned out to be slower among the people of higher ages by both sexes. The cross-over occurred in both sexes at 11-14. The highest growth rate for a year is at 13-16 for males and 11-13 for females. This indicates that females enter a rapidly growing stage 2 years earlier than males. 2. Various Physiques and Nutritional Index Rapid growth, in terms of Relative Body Weight Index, which is described by a straight line, has been observed among males in the ages 6-16 and females in the ages 6-14. The cross-over occurred in both sexes 12.5-14.5 age in the adolescencent period. Whereupon females outgrow males. The Roher Index displayed more good value in case of females than male and in the adolescent period, the level of fullness is lower than after the completion of development. The Kaup Indices of both sexes increase with age. The index is less than 2.0 for males in 6-14 age group and for females in 6-13 age group and with this, it appeared that development of horizontal axis to long axis is poor. The index is more than 2.0 after 15 age group in males and 14 age group in females and developmental state4 age group and for females in 6-13 age group and with this, it appeared that development of horizontal axis to long axis is poor. The index is more than 2.0 after 15 age group in males and 14 age group in females and developmental state Body Mass Index is less than 20 for males 6-14 age group and for females in 6-13 age group. In the case of the higher age group, that index maintains a normal state.

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택지개발사업의 계획특성이 사업지구 지가변동에 미치는 영향 (The Impact of Plan Characteristics of Residential Land Development Project on Inner Land Price Change)

  • 장인수
    • 한국산학기술학회논문지
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    • 제17권8호
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    • pp.698-705
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    • 2016
  • 본 연구의 목적은 택지개발사업의 계획특성이 사업지구의 지가변동에 미치는 영향을 분석하여 택지개발사업의 효율적인 추진을 위한 정책적 시사점을 도출하는 것이다. 이를 위해 우선 청주시 택지개발사업 추진단계별 지가변동 규모와 양상을 분석하였다. 그리고 이론적 고찰 및 선행연구 검토를 통해 지가변동에 영향을 주는 택지개발사업의 계획특성 요소 16개((1)지가변동률, (2)사업구역 면적, (3)주거용지 비율, (4)상업용지 비율, (5)준주거용지 비율, (6)근린생활시설용지 비율, (7)공동주택 비율, (8)도로율, (9)공원 녹지율, (10)학교 비율, (11)$1m^2$당 조성비, (12)일반주거지역 비율, (13)준주거지역 비율, (14)상업지역 비율, (15)준공업지역 비율, (16)자연녹지지역 비율)를 선정하였다. 선정된 계획특성 요소 16개 중 지가변동에 영향을 미치는 요인을 분석하기 위하여 SPSS 20.0 Version을 이용하여 상관관계를 분석하였다. 지가변동의 양상을 분석한 결과, 지구가 지정되기 2년 전부터 지가가 상승되기 시작하였고 준공이후 지가상승이 안정화되는 것으로 분석되었다. 그리고 지가변동에 영향을 주는 계획특성 요소를 분석한 결과 (2)사업구역 면적, (4)상업용지 비율, (6)근린생활시설용지 비율, (8)도로율, (11)$1m^2$당 조성비, (12)일반주거지역 비율이 지가변동에 영향을 미치는 것으로 분석되었다.

임플란트 환자의 일반적 특성 및 구강관심도에 따른 기능별 만족도 연구 (Study for general characters of dental implant patients and satisfaction level of function by dental interest level)

  • 유은미;황윤숙
    • 한국치위생학회지
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    • 제9권3호
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    • pp.456-467
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    • 2009
  • For this study, self-completion survey for 149 implant patients of dental clinics and hospitals in Seoul and Kyunggi areahas been executed in order to provide basic data for increasing patient satisfaction level by effective consultation and various information for the patients who want dental implantation. The conclusion of the study is like below. 1. In terms of demographics of the study, sample size of female patients(n=85) was more than that of male patients(n=64) and patients in their 50s were major age group. When it comes to the educational level, university graduates were 85 and high school graduates were 44. And 132 were married and 6 were single. In the income level, monthly income between KRW 2~4 million was major group(n=59). 2. In the study, patients' most concern was complication or adverse events(n=41), and price(n=39) & annual dental check-up(n=49) were following it. And 80 patients responded that dental health is the most valuable(n=80) and whole body health was following(n=37). In terms of knowledge on dental implant, 100 patients responded 'know just a little', 31 and 13 answered 'generally know' and 'well know' each. 3. As a result of analyzing implant patients' satisfaction level by segment, general satisfaction rate was highest as 4.20, social satisfaction rate was 4.20, psychological function was 4.06 and masticatory function was 3.90. 4. Based on the result of comparing patient satisfaction level by general characters of dental implant patient, chewing function was the highest in the age group of 60s with score of 4.21 and in terms of social function, the group with over KRW 8 million of monthly income showed highest score with 4.54. When it comes to the psychological function, patients in their 70s showed highest satisfaction level with 4.52. In the end, patients in their 70s showed highest score with 4.81 in the overall satisfaction and it was also statistically significant. 5. In the overall satisfaction level by interest in dental health, appearance showed highest score with 4.57 and it was also significantly higher than that of whole body. In the variance by dental knowledge, 'well know' group showed highest score with 4.58, and that of 'just a little' group was 4.33. That means there are correlations between dental knowledge and satisfaction level. 6. As a result of analyzing correlations amongst variances of the study, there were strong positive correlations among them. And there were very significantly positive correlations especially between social and psychological function and between psychological and overall satisfaction level. In conclusion, higher psychological function has strong relations with both social function and overall satisfaction level(p<.001).

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벤조산염을 전자공여체로 이용한 PCE의 환원성 탈염소화 특성 (Characteristics of PCE Reductive Dechlorination using Benzoate as an Electron Donor)

  • 이일수;배재호
    • 대한환경공학회지
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    • 제28권3호
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    • pp.292-299
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    • 2006
  • 전자공여체로 벤조산염을 이용한 perchloroethene(PCE)의 환원성 탈염소화 과정에서 전자공여체의 첨가량 및 초기 미생물 식종량이 탈염소화에 미치는 영향을 평가하기 위하여 회분식 실험을 수행하였다. 벤조산염이 탈염소화를 위한 양론비 이하(전자공여체/수용체 비=0.5와 1)로 첨가된 경우 탈염소화 효율은 벤조산염 첨가량이 증가함에 따라 71%에서 94.3%로 증가하였으나, 탈염소화에 이용된 전자공여체의 분율은 92.7%에서 79.6%로 감소하였다. 메탄생성은 PCE와 trichloroethene(TCE)가 모두 cis-1,2-dichloroethene(cDCE)으로 전환된 후 문턱농도(threshold value, 10 nM) 이상으로 수소농도가 유지되는 동안 진행되었다. 벤조산염이 양론비 이상으로 첨가된 경우 탈염소화 완료 후 잔존하는 수소는 메탄생성량을 증가시켰다. 식종 미생물량의 증가는 지체기를 감소시켰지만 최대 탈염소화 속도는 벤조산염 분해 속도에 의해 결정되어 식종 미생물량에 큰 영향을 받지 않았다. 식종 미생물 농도가 높은 경우 초기 활발한 탈염소화로 인하여 메탄생성량은 감소하고, 탈염소화 효율은 증가하였다.

제한병기 소세포폐암에서 흉부 방사선 치료의 도입 시기에 따른 치료 효과의 비교 분석 (The effects according to the timing of thoracic radiotherapy in limited stage small cell lung cancer)

  • 박상기;김근화;정성수;신경상;김애경;조해정;서지원;김재성;조문준;김주옥;김선영
    • Tuberculosis and Respiratory Diseases
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    • 제43권6호
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    • pp.903-915
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    • 1996
  • Background: Combination chemotherapy is now considered to be the cornerstone of small cell lung cancer (SCLC). management but the optimal management of limited SCLC is not well defined. The role of thoracic radiotherapy (TRT) is less well established. Recent meta-analyses reports revealed that TRT combined with chemotherapy produce "good" local control and prolonged survival. But other reports that survival was not changed. The liming, dose, volume and fractionation for TRT with the combined chemotherapy of SCLC remains unsettled. In this study, we analyzed the effects according to the timing of thoracic radiotherapy in limited SCLC. Method: All fifty one patients received cytoxan, adriamycin and vincristine(CAV) alternating with etoposide and cisplatin(VPP) every 3 weeks for 6 cycles were randomized prospectively into two groups: concurrent and sequential. 27 patients received 4500cGy in 30 fractions(twice daily 150cGy fractional dose) over 3 weeks 10 the primary site concurrent with the first cycle of VPP(concurrent gorup). 24 patients received 4000 to 5000cGy over 5 or 6 weeks after completion of sixth cycles of chemotherapy(sequential group). Results: 1. Response rates and response duration : Response rates were not significantly different between two groups(p=0.13). But response duration was superior in the concurrent group(p=0.03). 2. Survival duration was nor different between two groups(p=0.33). 3. Local control rate was superior in the concurrent group(p=0.00). 4. Side effects and toxicities: Hematologic toxicities, especially leukopenia, infection and frequency of radiation esophagitis were higher in the concurrent group (p=0.00, 0.03, 0.03). Conclusion: The concurrent use of TRT with chemotherapy failed to improve the survival of limited stage SCLC patients compared with the sequential use of TRT but response duration and local control rate were superior in the concurrent group. Frequency of radiation esophagitis, life threatening hematologic toxicities and infection were more frequent in the concurrent group than sequential group. So, the selection of an optimal schedule of chemotherapy combined with TRT that would lead to a major increase in survival with minimal toxicity is remained to be validated in large scale study in the future.

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항만관련문제의 시스템적 고찰 부산항 물류시스템의 실태분석 (A Systematic Approach to Port related Problems An Analysis on the Actual Condition of physical Distribution System of Pusan port)

  • 이철영;문성혁
    • 한국항만학회지
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    • 제2권1호
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    • pp.7-28
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    • 1988
  • From the viewpoint of physical distribution, the port transport process can be regarded as a system which consists of various subsystems such as navigational aids, quay handling, transfer, storage, information If management, and co-ordination with inland transport. The handling productivity of this system is determined by the production level of the least productive subsystem. So, a productivity analysis on the flow of cargoes through each subsystem should be made in order to achieve efficient port operation. The purpose of this paper is to analyze the productivity of each subsystem in Pusan port, and to bring forward problems and finally to draw up plans for their betterment. Analyzed results on the productivity of each subsystem are as follows, i) It is known that the number of tugs with low HP should be increased by a few, the number of tugs with medium HP is appropriate, and the number of tugs with high HP is in excess of that necessary. ii ) In the case of container cargoes, it is found that the transfer and storage systems in BCTOC have the lowest handling capability, with a rate of $115\%$, leading to bottle-necks in the port transport system, while the handling rate of the storage and quay handling systems in general piers is in excess of the inherent capability. iii) In the case of the principal seaborne cargoes passing through general piers, there is found to be a remarkable bottle-neck in the storage system. In the light of these findings, both the extension of storage capability and the extension of handling productivity are urgently required to meet the needs of port users. Therefore, iv) As a short-term plan, it is proposed that many measures such as the reduction of free time, the efficient application of ODCY, etc must be brought in and v) In the long-trun, even though the handling capability will accommodate an additional 960,000 TEU in 1991, the scheduled completion date of the third development plan of Pusan port, insufficiency of handling facilities in the container terminal is still expected and concrete countermeasures will ultimately have to be taken for the port's harmonious operation. In particular, the problem of co-ordination with inland transport and urban traffic should be seriously examined together in the establishment of the Pusan port development. As a method of solving this, vi) It is suggested that Pusan port (North port) should be converted into an exclusive container ternimal and overall distribution systems to the other ports for treating general cargoes must be established. vii) And finally, it is also proposed that the arrival time (cut-off time) of influx cargoes for exports such as general merchandise and steel product should be limited, with a view to securing cargoes suitable for the operational capability of BCTOC.

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사례기반 SBAR 의사소통 교육프로그램이 간호대학생의 비판적 사고성향, 의사소통 자기효능감, 의사소통능력에 미치는 효과 (The Effect of Case-Based SBAR Communication Training Program on Critical Thinking Disposition, Communication Self-Efficacy and Communication Competence of Nursing Students)

  • 박수진;최효신
    • 한국산학기술학회논문지
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    • 제19권11호
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    • pp.426-434
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    • 2018
  • 본 연구의 목적은 사례기반 SBAR 의사소통 교육프로그램이 간호대학생의 비판적 사고성향, 의사소통 자기효능감, 의사소통능력에 미치는 효과를 파악하기 위함으로 수행되었다. 연구대상은 D시 소재 일개 간호학과 2학년에 재학 중인 학생 112명을 대상으로 2017년 12월 18일부터 2018년 1월 4일까지 구조화된 설문지를 통해 자료를 수집하였다. SBAR 의사소통 교육프로그램은 사전 교육프로그램 개발, 사전조사, 3회기 의사소통 교육프로그램, 사후조사의 단계로 이루어졌다. 수집된 자료는 SPSS 21.0 program을 이용하여 빈도, paired t-test로 분석하였다. 연구결과, 일반적 특성에서 대인관계 정도는 만족함이 75.0%, 전공만족도는 만족 54.4%로 나타났으며, 사례기반 SBAR 의사소통 교육프로그램은 비판적 사고성향(t=-2.734, p=.007), 의사소통능력(t=-4.237, p<.001)이 교육 전보다 교육 후에 상승하였으며, 통계적으로 유의한 차이가 있었다. 의사소통 자기효능감은 점수는 향상되었으나 통계적으로 유의한 차이는 없었다. 따라서 사례기반 SBAR 의사소통 교육프로그램은 간호대학생의 비판적 사고성향과 의사소통능력을 향상시킬 수 있는 효과적인 중재임을 확인 할 수 있었다.

집속형 초음파 자극 시스템의 사용적합성 형성평가에 대한 연구 및 고찰 (Research and consideration on the evaluation of usability formation of focused ultrasonic stimulation systems)

  • 김준태;김주희;주규태;김경아;류옥수;조재현;정진형
    • 한국정보전자통신기술학회논문지
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    • 제15권2호
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    • pp.164-177
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    • 2022
  • 의료기기 사용적합성 평가란 최종 시제품 제작 완료이전 실제 사용자를 통한 의료기기의 평가를 말한다. 국제전자의료기기 안전규격 중 하나인 IEC 62366은 유럽 및 미국 등 주요 선진국의 의료기기 인허가 획득을 위해 반드시 적용해야 하는 규격이다. 국내의 경우 식약처 고시를 통하여 2021년 1월부터 등급별로 순차적 적용을 시행하고 있다. 본 연구에서는 (주)이끌레오에서 개발 중인 집중형초음파자극시스템의 사용자 적합성 평가 중 형성평가를 인천 G 대학 병원 의료기기융합 센터를 통하여 참가자 전문의 15인을 모집하였고, 공동 시나리오 개발을 통하여 시험을 진행하였다. 작업 수행 여부 결과에서는 90.67%의 수행율을 보였으며, 수행 완료 후 참가자 설문 조사결과 문항별 결과 분석에서 '사용자 인터페이스의 용이성' 86.67%, '정보의 식별성/가독성/이해도' 문항에서 94%의 보통 이상의 응답 비율을 보였다.

유해화학물질 운반차량 관리제도 실효성 연구 (A Study on the Effectiveness of the Hazardous Chemical Transport Vehicle Management System)

  • 김성범;이현승;정성경
    • 한국재난정보학회 논문집
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    • 제17권4호
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    • pp.794-801
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    • 2021
  • 연구목적: 화관법의 운반차량 관리제도 실효성을 연구하여 제도 개선방안을 위한 기초자료로 활용하고자 한다. 연구방법: 화관법('15.1.1) 시행 이후 운반차량관리 제도인 운반계획서, 지도점검 현황, 안전교육 이수 관리 등과 화학사고 감소 비율을 비교하여 실효성을 연구하였다. 연구결과: 화관법 시행 초반('15~'17년) 운반차량에 의한 화학사고 평균 건수는 20건에서 13건('18~'20년)으로 평균 7건이 줄었다. 화학사고 감소원인으로는 첫째 지도·점검률이 해마다 높아지면서 사업장에서 화관법에 대한 관심이 높아지고, 화학물질 운반차량에 대한 검사가 주기적으로 이루어지는 등 차량 시설결합에 의한 화학사고가 줄었다. 둘째, 운반계획서 제출량이 매년 증가하면서 운반계획서 검토 및 확인 등을 통해 운반자가 운반하는 물질에 대한 정보를 직·간접적으로 확인하였고, 이로 인해 화학물질 이송 시 유의하여 운행하는 등의 간접적인 영향을 끼친 것으로 판단된다. 마지막으로 안전교육을 통해 운반물질의 위험성 인지, 개인보호장구 구비, 화학사고 발생 시 책임소재 인식 변화로 운반차량에 의한 화학사고는 감소하는 것으로 판단된다. 결론: 현재 시행되고 있는 화관법의 운반차량 관리제도는 실효성을 보이고 있지만, '18년 이후 사고가 소폭 증가하는 경향을 보여서 추후 실용적이며 효율적인 운반차량 관리제도 개선을 위한 추가적인 연구가 필요하다.