• Asian Pacific Journal of Cancer Prevention
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• 제15권23호
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• pp.10263-10266
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• 2015

Background: The risk of febrile neutropaenia (FN) and treatment related death (TRD) with first line palliative chemotherapy for de novo metastatic breast cancer (MBC) remains unknown outside of a clinical trial setting despite its widespread usage. This study aimed to determine rates in a large cohort of patients treated in the University of Malaya Medical Centre (UMMC). Materials and Methods: Patients who were treated with first line palliative chemotherapy for de novo MBC from 2002-2011 in UMMC were identified from the UMMC Breast Cancer Registry. Information collected included patient demographics, histopathological features, treatment received, including the different chemotherapy regimens, and presence of FN and TRD. FN was defined as an oral temperature > $38.5^{\circ}C$ or two consecutive readings of > $38.0^{\circ}C$ for 2 hours and an absolute neutrophil count < $0.5{\times}10^9/L$, or expected to fall below $0.5{\times}10^9/L$ (de Naurois et al, 2010). TRD was defined as death occurring during or within 30 days of the last chemotherapy treatment, as a consequence of the chemotherapy treatment. Statistical analysis was performed using the SPSS version 18.0 software. Survival probabilities were estimated using the Kaplan-Meier method and differences in survival compared using log-rank test. Results: Between $1^{st}$ January 2002 and $31^{st}$ December 2011, 424 patients with MBC were treated in UMMC. A total of 186 out of 221 patients with de novo MBC who received first line palliative chemotherapy were analyzed. The mean age of patients in this study was 49.5 years (range 24 to 74 years). Biologically, ER status was negative in 54.4% of patients and Her-2 status was positive in 31.1%. A 5-flourouracil, epirubicin and cyclophosphamide (FEC) chemotherapy regimen was chosen for 86.6% of the cases. Most patients had multiple metastatic sites (58.6%). The main result of this study showed a FN rate of 5.9% and TRD rate of 3.2%. The median survival (MS) for the entire cohort was 19 months. For those with multiple metastatic sites, liver only, lung only, bone only and brain only metastatic sites, the MS was 18, 24, 19, 24 and 8 months respectively (p-value= 0.319). Conclusions: In conclusion, we surmise that FEC is a safe regimen with acceptable FN and TRD rates for de novo MBC.

• The Korean Journal of Pain
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• 제30권3호
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• pp.176-182
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• 2017

Background: Current evidence suggests that intravenous magnesium sulfate might be effective for reducing migraine pain. In a recent pilot study, we showed that intravenous caffeine citrate could reduce the severity of migraine headache. The objective of this study is to investigate the efficacy of intravenous caffeine citrate vs. magnesium sulfate for management of acute migraine headache. Methods: We conducted a prospective quasi-experimental study from January until May 2016 in two educational medical centers of Shahid Beheshti University of Medical Sciences (Shoahadaye Tajrish Hospital and Imam Hossein Hospital), Tehran, Iran. The study included patients who were referred to the emergency department and met the migraine diagnosis criteria of the International Headache Society. Patients were allocated into 2 groups receiving either 60 mg intravenous caffeine or 2 g intravenous magnesium sulfate. The pain scores, based on the visual analog scale, were recorded on admission, as well as one and two hours after receiving the drug. A Chi-Square test and student t-test were used for analysis of baseline characteristics. A Mann-Whitney U test and Wilcoxon singed rank test were used to analyze differences in the visual analogue scale (VAS) score between and within the groups respectively. Results: In total, 70 patients (35 patients in each group) with the mean age of $33.1{\pm}11.3years$ were included (64.3% female). For the Caffeine citrate group, the median pain score decreased from 9.0 (2.0) to 5.0 (4.0) after one hour and to 3.0 (4.0) after two hours. For the magnesium sulfate group, the pain score decreased from 8.0 (2.0) to 2.0 (2.0) after one hour and to 0.0 (1.0) after two hours. Both intravenous caffeine citrate and intravenous magnesium sulfate reduced pain scores significantly but the magnesium sulfate group showed more improvement than the Caffeine citrate group after one hour (P < 0.001) and after two hours (P < 0.001). Conclusions: It is likely that both intravenous caffeine and intravenous magnesium sulfate can reduce the severity of migraine headache. Moreover, intravenous magnesium sulfate at a dose of 2 g might be superior to intravenous caffeine citrate 60 mg for the short term management of migraine headache in emergency departments.

• 자원ㆍ환경경제연구
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• 제21권3호
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• pp.743-776
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• 2012

본 연구는 메타분석을 기반으로 한 편익이전 방법과 자료 수집을 위하여 지리정보시스템(GIS: geographic information system)을 활용하여 쓰레기 매립지 선택을 위한 7개 후보지들의 사회적 비용을 추정하였다. 그리고 MA-1, MA-2, 직접편익전달 방법을 타당성(validity), 신뢰성(reliability) 관점에서 검토해 보았다. 타당성(validity)은 메타분석을 기반으로 한 편익이전에 의한 추정치와 원래의 값의 차이의 여부를 통계적으로 검정하는 것이고 신뢰성(reliability)은 추정치와 원래의 값의 % 차이의 절대값을 이용해서 유사성을 검토하는 것이다. 연구 결과는 쓰레기 매립지 선택을 위한 후보지들의 사회적 비용이 직접 비용에 비해서 상당히 크고 주변지역의 경제적 특성에 의해 큰 영향을 받을 수 있음을 보여준다. 그리고 타당성과 신뢰성의 기준으로 메타모형들은 직접적 편익이전에 비해서 선호된다는 것을 보여준다. 메타분석을 기본으로 한 편익이전 방법은 시간, 비용, 혹은 자료부족 때문에 직접적인 방법을 활용하기 어려운 경우 하나의 대안이 될 수 있다. GIS는 각 후보지의 특정 지역 내 자료를 수집하는 데 도움을 줄 수 있다.

• 한국농공학회지
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• 제17권4호
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• pp.3897-3920
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• 1975

Since the most of Korean dairy and cattle raising farms are too small to introduce western mechanized farming, it is necessary to develope small size equipments. This study has been carried to develop a rotary mower as on attachment of 8 to 10 horse powertiller which is widely spread in rural area. It will not ony be helpfull for the farmers to harvesting hay grass but also desirable to increase the power tiller utility. The protto type rotary mower designed through the fundamental investigations, has been modified and improved through the field trials, and a series of field tests has been carried to investigate its performance and economic feasibility comparing with existing vailable harvesting equipments. The results are as follows; 1. To increase the stability, two guide wheels are attached to both side of the protto type rotary mower. 2. To prevent the clinging of tall grasses, the vertical driving shafts are covered with cylindrical protectors. 3. The cutting height is adjustable in 8 steps from 2.5 to 20 centimeters by changing the length of guide wheel legs. 4. The practical Critical cutting speed were always higher than theoretical value in both case of single cutting blade and three when the cutting depth was 25 millimeter. 5. The peripheral speed of cutting blade was varied in response to the change of engine speed, mean while the peripheral speed was adequate as it was changhed from 25 to 35 meter per second when the power tiller is operated in proper working ground speed. 6. The time requirement to harvest 10 a were 88.7, 54.6 and 41.4 minutes for the first, second and third stage of ground speed respectively, and because of the difficulty of delivery, it was observed that operating with fourth stage of ground speed was not recomanendable when the grass height is taller than 90 centimeters. 7. The performance of rotary mower were 1.1-1.7, 1.4-4.0, 3.8-11.8 and 7.4-22.0 times of reciprocating mower, portable disc type cutter, hay scythe and ordinary sickle respectively. 8. When the slope exceeds, 20 degree the downward harvesting operation was impossible because of the excessive front end weight, while less than 5 degree of land slope did not effect in field operation. 9. Increased traveling spee caused higher cutting height and slight cutting failure, but seems not to effect to the gross yield, and the efficiency of cutting width were from 83 to 94 precent. 10. Tn rank of economy were rotary mower (3,2 stage operation), reciprocating mower, hay scythe, portable disc type cutter and sickle in order when the annul operation exdeeds 100 hours. From the above results, it is convinced that the protto type rotary mower is good enough to the livestock farmers as a hay harvesting equipment because of its economy, hardiness in operating and its out standing performance and hopefully it will contribute to the extension of Korean livestock farming.

• 한국대기환경학회지
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• 제33권5호
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• pp.445-457
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• 2017

In this study, we developed an approach to better account for uncertainties in estimated contributions from fine particulate matter ($PM_{2.5}$) modeling. Our approach computes a Concentration Correction Factor (CCF) which is a ratio of observed concentrations to baseline model concentrations. We multiply modeled direct contribution estimates with CCF to obtain revised contributions. Overall, the modeling system showed reasonably good performance, correlation coefficient R of 0.82 and normalized mean bias of 2%, although the model underestimated some PM species concentrations. We also noticed that model biases vary seasonally. We compared contribution estimates of major source sectors before and after applying CCFs. We observed that different source sectors showed variable magnitudes of sensitivities to the CCF application. For example, the total primary $PM_{2.5}$ contribution was increased $2.4{\mu}g/m^3$ or 63% after the CCF application. Out of a $2.4{\mu}g/m^3$ increment, line sources and area source made up $1.3{\mu}g/m^3$ and $0.9{\mu}g/m^3$ which is 92% of the total contribution changes. We postulated two major reasons for variations in estimated contributions after the CCF application: (1) monthly variability of unadjusted contributions due to emission source characteristics and (2) physico-chemical differences in environmental conditions that emitted precursors undergo. Since emissions-to-$PM_{2.5}$ concentration conversion rate is an important piece of information to prioritize control strategy, we examined the effects of CCF application on the estimated conversion rates. We found that the application of CCFs can alter the rank of conversion efficiencies of source sectors. Finally, we discussed caveats of our current approach such as no consideration of ion neutralization which warrants further studies.

• 대한약침학회지
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• 제11권1호
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• pp.21-29
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• 2008

Objectives : To investigate the therapeutic effects of SBVP in the treatment of patients with cancer-related pain. Design : A prospective randomized, double-blind, placebo-controlled study of SBVP. Setting : The study was conducted at the East West Cancer Center of Daejeon University Dunsan Oriental Hospital from March 1, 2007 to June 20, 2007. Patients : 11 patients diagnosed with cancer-related pain of over 3rd degree on the Numeric Rating Scale(NRS)(0, no pain at all, 10, worst pain imaginable) were entered into a double-blind, placebo-controlled trial of SBVP. They were randomized into Groups A and B(SBVP and control group, respectively) using the table of random sampling numbers and never informed of their affiliation by the coordinator. 5 of 6 patients in Group A and 4 of 5 patients in Group B completed the clinical trial. Intervention : SBVP(1ml/day) for group A and Normal Saline Placebo(1ml/day) for group B was injected into the abdomen acupoint, Zhong Wan(CV 12). The treatment was administered daily for five days. Outcome Measures : Degree of cancer-related pain was measured using the Numeric Rating Scale(NRS) before and after each treatment for "Pain right now" and "Average pain in last 24 hours". Statistical Analysis : Analysis regarding variations in NRS was carried out by applying t-tests(independent sample t-test and paired sample t-test) and Wilcoxon signed rank test with level of significance at 5%. Results : Differences in NRS of "Pain right now" for the two groups were statistically significant. The mean improvement point of SBVP was significantly higher than the control group($2.48^{\circ}{\pm}1.52$ vs $0.97^{\circ}{\pm}1.88$, p<0.05). Differences in average pain score before and after treatment in SBVP group were also significant($5.13^{\circ}{\pm}1.77$ vs $2.65^{\circ}{\pm}0.67$, p<0.05) compared with control group. The two groups showed no significant differences for long term effects in "Average pain in last 24 hours." Conclusion : Although further study will be needed on the large scale, SBVP shows potential as an effective treatment for immediate relief of cancer-related pain.

• 디지털융복합연구
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• 제15권10호
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• pp.399-404
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• 2017

게임 이미지가 연령에 적합하지 않은 색채를 사용할 경우 게임의 특성이 사라지고 이미지표출의 효율성이 떨어진다. 유저는 게임에서 선호하는 색을 먼저 지각하여 게임을 선택하고 호기심 또한 유발시킬 수 있으므로 색채연구는 매우 중요하다. 그럼에도 불구하고 이와 관련된 연구가 미흡하다. 이에 본 연구에서는 게임 이미지의 색이 이용자에 따라 어떤 차이가 있는지 분석 연구하였다. 이용자 구분은 전체 이용자와 18세이상 이용자로 구분하며, 게임인기순위에서 전체이용가와 청소년이용불가 등급의 각 10개 게임의 게임플레이영상을 스냅샷으로 각각100장의 이미지, 총 2000장을 추출하여 각 게임의 RGB와 HSB의 평균값을 구하고 독립표본 t검정을 실시하였다. 그 결과는 두 이용자 간의 RGB색채 값이 확실하게 유의한 것으로 나타났다. 향후 색채 심리를 이용한 심리치료 게임이나 감성 게임 등을 개발 시 색채 선택에 도움이 될 것으로 기대되며, 나아가 색 이미지 스케일 등을 이용하여 색을 형용사로 표현하고 더 다양한 방법으로 색채특성을 분석하고자 하며, 나라별 게임 이미지의 색채의 차이가 있는지 연구하고자 한다.

• 대한골관절종양학회지
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• 제18권2호
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• pp.66-71
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• 2012

목적: 천골에 발생한 척색종의 치료결과 분석을 통해 생존율 및 종양의 국소조절과 연관된 예후인자에 대하여 알아보고자 하였다. 대상 및 방법: 1990년 1월부터 2010년 2월까지 본원에서 치료받은 19예를 대상으로 하였다. 평균연령은 56세였으며 남자9예, 여자 10예였다. 15명의 환자에서 후방접근법을 이용한 절제술을 시행하였으며 4명의 환자는 방사선 치료만을 시행하였다. 종양의 위치가 S3 보다 근위부를 침범한 경우가 6예였으며 이중 4예에서 방사선 치료만을 시행하였다. 광범위 절제 6예, 변연부 절제 8예, 병소내 절제 1예였다. 평균 추시 기간은 63개월(25-144개월)이었다. 결과: 5년 무병 생존율 및 전체 생존율은 각각 34.7%, 79.7%였다. 재발은 9예, 원격전이는 7예에서 발생하였다. 생존율에 관계된 예후 인자는 종양의 제3천추 상방 침범유무(p=0.033), 종양의 크기(p=0.032)였다. 수술 후 합병증으로 배뇨 및 배변 장애가 발생한 경우가 9예였으며 이중 2예에서는 자가도뇨 시행이 필요하거나 중증의 요실금이 발생하였다. 결론: 종양의 절제 가능성 여부와 더불어 전반적인 환자상태와 수술 후 발생 가능한 합병증을 고려한 치료방법의 선택이 생존율과 함께 삶의 질을 높일 수 있는 방법으로 생각된다.

• 대한치과보철학회지
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• 제36권6호
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• pp.789-805
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• 1998

The purpose of this study was to compare the microleakage of the IPS Empress ceramic crown according to 1) margin types such as rounded shoulder and bevel, 2) margin locations such as enamel and dentine, 3) resin cement types such as Variolink and Bistite. For this study, 80 extracted premolar teeth were used. After 10 experimental dies were prepared for each group, the IPS Empress ceramic crowns were fabricated on the dies and cemented with one of two types of resin cement. After 1,000 cycles of thermal changes were given with the thermocycling unit, each specimen was sectioned with a low speed diamond saw in both the buccolingual and the mesiodistal direction. The microleakage was then measured with a stereo microscope. The obtained results were as follows : 1. Every experimental group showed microleakage. The microleakage of the crowns which had a rounded shoulder on enamel cemented with Variolink was the lowest of all. The resulting rank of the mean microleakage was rounded shoulder on enamel using Variolink(0.601mm), rounded shoulder on enamel using Bistite (0.794mm), bevel on enamel using Variolink (0.826mm), rounded shoulder on dentine using Variolink(1.054mm), bevel on enamel using Bistite(1.087mm), rounded shoulder on dentine using Bistite(1.176mm), bevel on dentine using Variolink(1.258mm), and bevel on dentine using Bistite(1.467mm). 2. The statistically significant differences in the microleakage were found in 4 cases: rounded shoulder on enamel using Variolink and bevel on dentine using Variolink, rounded shoulder on enamel using Variolink and bevel on dentine using Bistite, rounded shoulder on enamel using Bistite and bevel on dentine using Bistite, bevel on enamel using Variolink and bevel on dentine using Bistite. 3. The microleakage of rounded shoulder finish line was lower than that of bevel finish line. The statistically significant differences were found with respect to the type of finish lines. 4. The microleakage of the finish line on enamel was lower than that of finish line on dentine. The statistically significant differences were found with respect to the location of the finish lines. 5. The microleakage of the Variolink cement was lower than that of the Bistite cement. The statistically significant differences were found with respect to the resin cements.

• 대한간호학회지
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• 제30권1호
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• pp.18-28
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• 2000

The Purpose of this study is to extend the understanding and knowledge of menopause by comparing menopausal symptoms of married women and nuns in order to improve health and the quality of life for women. In this study a questionnaires were distributed to 116 nuns and 121 married women, from forty to fifty nine years old in Daegu metropolitan city. This study used the measurement of menopausal symptoms (Cronbach's Alpha=0.96) corrected and complemented by this student with consideration of various literature centered around menopausal symptoms, suggested by Janette M. Perz as 51 questions including 4 realms; [mental psychological factors], [physical physiological factors], [eyesight factors], and [urinary generative factors] in order to measure the degree of menopausal symptoms. The results are as follows : 1. There was a significant difference between educational background, religion, occupation, leisure time, satisfaction of marriage or ascetic life, existence of hormonal treatment, name of medical operation, and existence of counselling about menstruation as general and physiological characteristics of the nuns' group and the married women's group. 2. The menopausal symptoms of the nuns' group and the married women's group according to order in which they were presented were; 'feeling tired and lacking in energy(1.71 points)' 'vision not clear or clouded(1.69 points)', and 'be forgetful (1.57 points)' in nuns' group. 'be forgetful (1.87 points)', 'vision not clear or clouded(1.83 points)' and 'feeling tired and lacking in energy(1.76 points)' in the married women's group. The symptoms which showed the highest rank of menopausal symptoms had a maximum score of 4 points. 3. There was a statistical a significance (t=-3.9807, p<.0001) between the two groups which showed, on an average, 57.92 points in the married women's group and 43.03 points in the nuns' group from 0 to 196 of the possible points of menopausal symptoms. In difference of menopausal symptoms by menstrual aspect of the nuns' group and the married women's group, there was statistically significant difference between the two groups, showing 44.81±26.07 score in the nuns' group and 72.33±35.29 score in the married women's group as the mean score of the groups with no menstruation(t=-4.1132, p=0.0001). 4. The differences in menopausal symptoms with respect to the general and physiological characteristics of the nuns' group and the married women's group were that the nuns' group showed less menopausal symptoms on all the items than that of the married women's group. Finally, in these results, the married women's group showed higher menopausal symptoms than that of the nuns' group. Especially as the score of menopausal symptoms since the climacteric was very high it is confirmed to be a new phenomenon. Accordingly, it is considered to be necessary to carry out an indepth study of the factors related to establishing a strategy for nursing service.