• 제목/요약/키워드: level VII

검색결과 82건 처리시간 0.039초

Prophylactic Level VII Nodal Dissection as a Prognostic Factor in Papillary Thyroid Carcinoma: a Pilot Study of 27 Patients

  • Fayek, Ihab Samy
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권10호
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    • pp.4211-4214
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    • 2015
  • Background: Prognostic value of prophylactic level VII nodal dissection in papillary thyroid carcinoma has been highlighted. Materials and Methods: A total of 27 patients with papillary thyroid carcinoma with N0 neck underwent total thyroidectomy with level VI and VII nodal dissection through same collar neck incision. Multicentricity, bilaterality, extrathyroidal extension, level VI and VII lymph nodes were studied as separate and independent prognostic factors for DFS at 24 months. Results: 21 females and 6 males with a mean age of 34.6 years old, tumor size was 5-24 mm. (mean 12.4 mm.), multicentricity in 11 patients 2-4 foci (mean 2.7), bilaterality in 8 patients and extrathyroidal extension in 8 patients. Dissected level VI LNs 2-8 (mean 5 LNs) and level VII LNs 1-4 (mean 1.9). Metastatic level VI LNs 0-3 (mean 1) and level VII LNs 0-2 (mean 0.5). Follow-up from 6-51 months (mean 25.6) with 7 patients showed recurrence (3 local and 4 distant). Cumulative DFS at 24 months was 87.8% and was significantly affected in relation to bilaterality (p-value <0.001), extrathyroidal extension (p-value <0.001), level VI positive ((p-value <0.001) and level VII positive ((p-value <0.001) LNs. No recurrences were detected during the follow-up period in the absence of level VI and level VII nodal involvement. Conclusions: Level VII prophylactic nodal dissection is an important and integral prognostic factor in papillary thyroid carcinoma. A larger multicenter study is crucial to reach a satisfactory conclusion about the necessity and safety of this approach.

Safety and Prognostic Impact of Prophylactic Level VII Lymph Node Dissection for Papillary Thyroid Carcinoma

  • Fayek, Ihab Samy;Kamel, Ahmed Ahmed;Sidhom, Nevine FH
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8425-8430
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    • 2016
  • Purpose: To study the safety of prophylactic level VII nodal dissection regarding hypoparathyroidism (temporary and permanent) and vocal cord dysfunction (temporary and permanent) and its impact on disease free survival. Materials and Methods: This prospective study concerned 63 patients with papillary thyroid carcinoma with N0 neck node involvement (clinically and radiologically) in the period from December 2009 to May 2013. All patients underwent total thyroidectomy and prophylactic central neck dissection including levels VI and VII lymph nodes in group A (31 patients) and level VI only in group B (32 patients). The thyroid gland, level VI and level VII lymph nodes were each examined histopathologically separately for tumor size, multicentricity, bilaterality, extrathyroidal extension, number of dissected LNs and metastatic LNs. Follow-up of both groups, regarding hypoparathyroidism, vocal cord dysfunction and DFS, ranged from 6-61 months. Results: The mean age was 34.8 and 34.3, female predominance in both groups with F: M 24:7 and 27:5 in groups A and B, respectively. Mean tumor size was 12.6 and 14.7mm. No statistical differences were found between both groups regarding age, sex, bilaterality, multicentricity or extrathyroidal extension. The mean no. of dissected level VI LNs was 5.06 and 4.72 and mean no. of metastatic level VI was 1 and 0.84 in groups A and B, respectively. The mean no. of dissected level VII LNs was 2.16 and mean no. of metastatic LNs was 0.48. Postoperatively temporary hypoparathyroidism was detected in 10 and 7 patients and permanent hypoparathyroidism in 2 and 3 patients; temporary vocal cord dysfunction was detected in 4 patients and one patient, and permanent vocal cord dysfunction in one and 2 patients in groups A and B, respectively. No significant statistical differences were noted between the 2 groups regarding hypoparathyroidism (P=0.535) or vocal cord dysfunction (P=0.956). The number of dissected LNs at level VI only significantly affected the occurrence of hypoparathyroidism (<0.001) and vocal cord dysfunction (<0.001).The DFS was significantly affected by bilaterality, multicentricity and extrathyroidal extension. Conclusions: Level VII nodal dissection is a safe procedure complementary to level VI nodal dissection with prophylactic central neck dissection for papillary thyroid carcinoma.

응고인자 VII 부족 환자에서의 악교정 수술: 증례보고 (Orthognathic surgery in a patient with Factor VII deficiency: A Case Report)

  • 백롱민;오명준;이상우
    • Archives of Plastic Surgery
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    • 제36권1호
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    • pp.93-95
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    • 2009
  • Purpose: Congenital factor VII (FVII) deficiency is a rare bleeding disorder and surgery can cause excessive bleeding due to an extrinsic pathway problem. It can be diagnosed by increased PT and decreased FVII level in coagulation test. Symptom varies according to the level of FVII, but it is essential to prevent intraoperative excessive bleeding. Methods: In this report, we described the orthognatic surgery experience in a mandibular prognathism patient with congenital FVII deficiency, in which recombinant activated factor VII (rFVIIa) was used to manage the bleeding. Rsults: We could get a successful result without any complication and there was minimal intraoperative bleeding. Conclusion: The orthognathic surgery could therefore be safely performed in patients with congenital factor VII deficiency using rFVIIa.

A Case of Congenital Factor VII Deficiency Presented with Subacute Subdural Hematoma

  • Kim, Min-Kyoung;Shin, Sang-Jun;Kim, Kyung-Ok;Lee, Kyung-Hee;Hyun, Myung-Soo;Cho, Hee-Soon
    • Journal of Yeungnam Medical Science
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    • 제21권2호
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    • pp.231-236
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    • 2004
  • 제 VII 혈액응고인자는 외인계 혈액응고기전에 매우 중요한 역할을 한다. 선천성 제 VII 혈액응고인자 결핍증은 구미에서는 인구 500,000명당 한명의 발생률을 보이는 드문 질환으로 상염색체 열성으로 유전되는 것으로 알려져 있으며 국내에서의 보고는 드물다. 이에 저자들은 경막하 출혈로 입원한 환자에서 발견된 선천성 제 VII 혈액응고인자 결핍증을 경험하고 보고하는 바이다.

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폐색전증 환자에서 발견된 Factor VII 유전자의 프로모터 -401G/A 다형성 1예 (A Case of Pulmonary Embolism in a Patient with a Factor VII Gene Promoter -401G/A Polymorphism)

  • 민보람;김신;박지혜;채진녕;최원일
    • Tuberculosis and Respiratory Diseases
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    • 제64권6호
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    • pp.466-470
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    • 2008
  • 저자들은 저자들은 폐색전증이 발생한 환자에서 기저질환을 조사하던 중 Factor VII 활성도 저하를 관찰하였고, 이 환자에게서 Factor VII 유전자의 프로모터 -401의 단염기 치환($G{\rightarrow}A$)을 발견하여 보고하며, 국내에도 Factor VII 유전자 다형성이 존재함을 밝히며, Factor VII 활성도 감소와 폐색전증이 동반된 환자를 보고하는 바이다.

Fuji VII 글래스 아이오노머 시멘트의 재광화 효과 (REMINERALIZATION EFFECT OF FUJI VII GLASS IONOMER CEMENT)

  • 김영진;이주현;서현우;박호원
    • 대한소아치과학회지
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    • 제33권4호
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    • pp.653-660
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    • 2006
  • Fuji VII은 제 1, 2대구치의 조기보호를 목적으로 소개되었으며 기존의 글래스 아이오노머 시멘트보다 많은 양의 불소를 유리하면서도 점도가 낮아 흐름성이 우수하고 부가적인 산부식 과정이 필요 없는 특징 때문에 치은판개가 일부 덮인 제 1, 2대구치의 교합면이나 일부만 노출된 대구치 협면구의 우식 예방과 재광화에 유용하다고 하였다. 본 연구의 목적은 Fuji VII의 재광화 효과를 알아보고 기존의 글래스 아이오노머 시멘트, 레진 강화형 글래스 아이오노머 시멘트, 콤포머와 복합레진의 재광화 효과를 비교하고자 하였다. 이에 인공적으로 형성한 우식을 가진 42개의 치아에 Fuji VII, Fuji II, Fuji II LC improved F2000, $Filtek^{TM}$ Z250의 재료를 충전하고 편광현미경 상에서 충전 직후와 4주 후 탈회 면적을 측정하였으며 두 면적의 차이를 비교하여 다음의 결과를 얻었다. 1. 재광화 정도는 Fuji VII, Fuji II, Fuji II LC improved, F2000, 대조군, $Filtek^{TM}$ Z250 순으로 크게 나타났으며, 글래스 아이오노머 계통의 Fuji VII, Fuji II, Fuji II LC improved에서 F2000, $Filtek^{TM}$ Z250, 대조군에 비해 유의한 재광화가 나타났다(p<0.05). 2. Fuji VII과 Fuji II Fuji II LC improved 간에는 유의한 재광화 정도의 차이는 관찰되지 않았다(p>0.05).

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해외건축동향: 미국 - 파라메트릭 디자인VII (Overseas News Review - Parametric DesignVII)

  • 성우제
    • 건축사
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    • 통권564호
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    • pp.98-103
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    • 2016
  • 지난 회에서는 고층 주거 빌딩의 외피를 높이라는 주요 변수 및 이 변수의 함수를 통해 발생하는 파생적인 변수들을 통해 파라메트릭 모델로 구성해 나가는 과정을 살펴보았습니다. 이번 회에도 지난회와 같은 연장선상에서 디자인에 영향을 미치는 하나의 변수를 설정하고 이 변수를 통해 전체적인 디자인을 구성해 나가는 과정에 대하여 살펴볼까 합니다. 지난 회의 예와는 조금 다르게 이번 회의 예는 "변수화 된 모듈러"라는 비교적 친근한 컨셉에 더 가깝다고 할 수 있습니다. 저번 회의 고층 주거의 스킨은 다수의 레이어로 구성이 되었었고 각 레이어들이 해당 레이어 전역에 걸쳐 변수와 상관관계를 가지게 되며 이러한 상관관계가 각 레이어들별로 서로 다르게 정의 되므로 conceptual level에서의 변수와 물리적 형태의 상관관계가 눈에 쉽게 보이는 물리적인 모듈러로 구현된다기 보다는 그러한 conceptual level에서의 관계가 물리적 모듈러의 생성단계를 뛰어넘으며 결과적으로 눈에 보이는 모듈러의 생성을 하지 않았습니다. 이에 더해 개별의 레이어의 적층으로 인해 변수가 어떻게 디자인에 영향을 주는지 직관적으로 이해하기 힘들었을 수도 있을 것 같습니다. 그에 반해 이번 회에서 살펴볼 예는 파라메트릭 디자인이라고 사람들이 흔히 이야기 할 때의 전형에 조금 더 가깝다고 볼 수 있을 것 같습니다.

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섭취지방(攝取脂肪)의 종류(種類) 및 그 양(量)이 저단백식(低蛋白食)으로 사육(詞育)하는 백서(白鼠)의 성장(成長) 및 대사(代謝)에 미치는 영향(影響) (Effect of Source and Level of Dietary Fats on Growth and Metabolism of Rats fed on Low Protein Diet)

  • 유정열
    • Journal of Nutrition and Health
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    • 제1권1호
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    • pp.19-25
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    • 1968
  • In order to study the effect of source and level of the commonly used dietary fats on growth and metabolism of rats fed on low protein diet (rice diet) the weaning white rats were fed on various different experimental diets (see tables 1 and 2) during 11 weeks. The observations were made as follows : 1. Growth: (see table 3 and figures 1-9) In all dietary fats, among the 3 levels, 5% fat level is the best. Especially, the perilla oil group was remarkably good. 10% and 20% fat levels impaired the growth, consequently the growth rates of both 10% and 20% fat level groups were worse than those of Basal group (no fat added). However, 10% and 20% fat levels did not impaired the growth of VII group (10% soy flour added) In 5% fat level, the growth was good in sequence of perilla oil, tallow, sesame oil, soy oil and lard. 2. Feed consumption: (see table 3) In 20% fat level, the feed consumption was lowered. Generally, the feed consumption rate was proportional to the growth rate. In feed efficiency, 5% fat level was the best. 3. Liver weight: (see table 4) In liver weight per 100 G body weight, 20% fat level was the largest. This may be due to the poor body growth and liver fat accumulation. 4. Liver nitrogen: (see table 4) Generally, lower fat level groups showed liver nitrogen. Liver nitrogen is low in the groups of 20% fat level. 5. Liver fat: (see table 4) Generally, higher fat level groups showed higher liver fat. 6. Serum cholesterol: (see table 5) Generally, higher fat level groups showed higher serum cholesterol. Lard, sesame oil, and tallow groups showed higher level and soy oil and perilla oil groups showed lower level. Especially, perilla oil group showed remarkably lower level and VII group (10% soy flour added) showed lower level than VI group (same fat but no soy flour added).

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불포화 지방의 필요량과 안전성에 관한 연구 -들깨유의 fat level차이에 따른 rat의 혈액과 간에 미치는 영향- (Studies on the Required Amount and Safe Level of Polyunsaturated Fat -1. Effects of different levels of perilla seed oil on Blood and Liver of Rats-)

  • 이양자;강승현;송일;김혜경;이기열
    • Journal of Nutrition and Health
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    • 제12권2호
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    • pp.99-105
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    • 1979
  • This study was carried out using rats weighing $40{\sim}50\;g$ which were devided into seven groups with various diet compositions emphasizing fat levels of perilla seed oil for the period of 41/2 weeks. The levels of fat in the diet were 5%, 10%, 15% and animals were fed ad libitum. The results are as follows : 1) Yellow pjgmentation of both neck and tail was clearly observed in groups fed 10% and 15% level perilla seed oil without vitamin I supplementation (IV and VII). 2) The growth rate in groups fed 15% level perilla seed oil was reduced as compared to that in groups fed 5% or 10% level perilla seed oil. 3) The mean hematocrit values of 15% level perilla seed oil groups tended to be lower than those of control group, tut the differences were not significant. 4) The serum vitamin I concentration showed different value in various groups, the values of control group were significantly higher than those of perilla seed oil groups-15% level with or without vitamin E supplementation (VI and VII) and 10% level without vitamin E supplementation (IV). According to the results, 10% level-perilla seed oil in the diet can be considered safe if vitamin E is not omitted from the vitamin mixture ana the group fed 15% fat with P/S ratio of 1 appeared to be safe during the experimental period. Finally the long-term studios have to be persued in many aspects by using perilla seed oil in the experimental diet. Because rats are known t4 be quite resistant to the experimental diets, comparative studies using various animal species have to he conducted.

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Criticality benchmarking of ENDF/B-VIII.0 and JEFF-3.3 neutron data libraries with RMC code

  • Zheng, Lei;Huang, Shanfang;Wang, Kan
    • Nuclear Engineering and Technology
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    • 제52권9호
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    • pp.1917-1925
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    • 2020
  • New versions of ENDF/B and JEFF data libraries have been released during the past two years with significant updates in the neutron reaction sublibrary and the thermal neutron scattering sublibrary. In order to get a more comprehensive impression of the criticality quality of these two latest neutron data libraries, and to provide reference for the selection of the evaluated nuclear data libraries for the science and engineering applications of the Reactor Monte Carlo code RMC, the criticality benchmarking of the two latest neutron data libraries has been performed. RMC was employed as the computational tools, whose processing capability for the continuous representation ENDF/B-VIII.0 thermal neutron scattering laws was developed. The RMC criticality validation suite consisting of 116 benchmarks was established for the benchmarking work. The latest ACE format data libraries of the neutron reaction and the thermal neutron scattering laws for ENDF/B-VIII.0, ENDF/B-VII.1, and JEFF-3.3 were downloaded from the corresponding official sites. The ENDF/B-VII.0 data library was also employed to provide code-to-code validation for RMC. All the calculations for the four different data libraries were performed by using a parallel version of RMC, and all the calculated standard deviations are lower than 30pcm. Comprehensive analyses including the C/E values with uncertainties, the δk/σ values, and the metrics of χ2 and < |Δ| >, were conducted and presented. The calculated keff eigenvalues based on the four data libraries generally agree well with the benchmark evaluations for most cases. Among the 116 criticality benchmarks, the numbers of the calculated keff eigenvalues which agree with the benchmark evaluations within 3σ interval (with a confidence level of 99.6%) are 107, 109, 112, and 113 for ENDF/B-VII.0, ENDF/B-VII.1, ENDF/B-VIII.0 and JEFF-3.3, respectively. The present results indicate that the ENDF/B-VIII.0 neutron data library has a better performance on average.