• Annals of Hepato-Biliary-Pancreatic Surgery
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• v.26 no.1
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• pp.17-30
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• 2022

Oncological scoring systems in surgery are used as evidence-based decision aids to best support management through assessing prognosis, effectiveness and recurrence. Currently, the use of scoring systems in the hepato-pancreato-biliary (HPB) field is limited as concerns over precision and applicability prevent their widespread clinical implementation. The aim of this review was to discuss clinically useful oncological scoring systems for surgical management of HPB patients. A narrative review was conducted to appraise oncological HPB scoring systems. Original research articles of established and novel scoring systems were searched using Google Scholar, PubMed, Cochrane, and Ovid Medline. Selected models were determined by authors. This review discusses nine scoring systems in cancers of the liver (CLIP, BCLC, ALBI Grade, RETREAT, Fong's score), pancreas (Genç's score, mGPS), and biliary tract (TMHSS, MEGNA). Eight models used exclusively objective measurements to compute their scores while one used a mixture of both subjective and objective inputs. Seven models evaluated their scoring performance in external populations, with reported discriminatory c-statistic ranging from 0.58 to 0.82. Selection of model variables was most frequently determined using a combination of univariate and multivariate analysis. Calibration, another determinant of model accuracy, was poorly reported amongst nine scoring systems. A diverse range of HPB surgical scoring systems may facilitate evidence-based decisions on patient management and treatment. Future scoring systems need to be developed using heterogenous patient cohorts with improved stratification, with future trends integrating machine learning and genetics to improve outcome prediction.

• Journal of Gastric Cancer
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• v.24 no.4
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• pp.391-405
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• 2024

Purpose: Trop family proteins, including epithelial cell adhesion molecule (EpCAM) and Trop-2, have garnered attention as potential therapeutic and diagnostic targets for various malignancies. This study aimed to elucidate the clinicopathological significance of these proteins in gastric carcinoma (GC) and to reinforce their potential as biomarkers for patient stratification in targeted therapies. Materials and Methods: Immunohistochemical (IHC) analyses of EpCAM and Trop-2 were performed on GC and precancerous lesions, following rigorous orthogonal validation of the antibodies to ensure specificity and sensitivity. Results: Strong membranous staining (3+) for Trop-2 was observed in 49.3% of the GC cases, whereas EpCAM was strongly expressed in almost all cases (93.2%), indicating its widespread expression in GC. A high Trop-2 expression level, characterized by an elevated H-score, was significantly associated with intestinal type by Lauren classification, gastric mucin type, presence of lymph node metastasis, human epidermal growth factor receptor 2-positivity, and Epstein-Barr virus (EBV)-positivity. Patients with a high Trop-2 expression level exhibited poorer survival outcomes on univariate and multivariate analyses. High EpCAM expression levels were prevalent in differentiated histologic type, microsatellite instability-high, and EBV-negative cancer, and were correlated with high densities of CD3 and CD8 T cells and elevated combined positive score for programmed death-ligand 1. Conclusions: These results highlight the differential expression of Trop-2 and EpCAM and their prognostic implications in GC. The use of meticulously validated antibodies ensured the reliability of our IHC data, thereby offering a robust foundation for future therapeutic strategies targeting Trop family members in GC.

• Korean Journal of Fisheries and Aquatic Sciences
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• v.57 no.4
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• pp.397-409
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• 2024

To evaluate the recent trophic state of Jinhae Bay, field campaigns were conducted in June and August during 2020-2023, measuring environmental factors in both the surface and bottom layers. Temperature differences between layers were greater in August than in June. Surface salinity was decreased in August, probably due to runoff, while bottom salinity remained stable. Dissolved oxygen levels showed a more pronounced stratification in August, leading to hypoxic conditions in the bottom layer. Chemical oxygen demand (COD) was higher at the surface, with rainfall contributing to elevated levels. The eutrophication index (EI) was consistently higher at the bottom across all stations, driven by dissolved inorganic nitrogen (DIN) and phosphate (DIP), with a notable increase in August due to organic matter decomposition. The trophic index (TRIX) was also higher in the bottom layer, with surface TRIX influenced by DIN and salinity, and bottom TRIX by salinity, rainfall, COD, and DIN. The average TRIX for Jinhae Bay was 4.21±1.30, classified as "poor", but comparable to values from other regions. Continuous monitoring of the trophic state is essential for the sustainable management of Jinhae Bay's fisheries.

• Journal of Forest and Environmental Science
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• v.40 no.3
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• pp.210-226
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• 2024

Old-growth mixed-conifer forests in Bhutan are characterized by remarkable tree species compositional heterogeneity. However, our knowledge of tree species assemblages and their structural attributes in these forests has been limited. Therefore, forest classification has been reliant on a single dominant species. This study aimed to distinguish tree species assemblages in an old-growth mixed conifer forest in Western Bhutan and to describe their natural compositional and stand structural characteristics. Furthermore, the regeneration status of species was investigated and the quantity and quality of accumulated coarse woody debris were assessed. Ninety simple random sampling plots were surveyed in the study site between 3,000 and 3,600 meters above sea level. Tree, standing deadwood, regeneration, and coarse woody debris data were collected. Seven tree species assemblages were distinguished by Hierarchical Cluster Analysis and Indicator Species Analysis, representing five previously undescribed tree species associations with unique set of consistent species. Principal Component Analysis revealed two transitional pathways of species dominance along an altitudinal gradient, highly determined by relative topographic position. The level of stand stratification varied within a very wide range, corresponding to physiognomic composition. Rotated-sigmoid and negative exponential diameter distributions were formed by overstorey species with modal, and understorey species with negative exponential distribution. Overstorey dominant species showed extreme nurse log dependence during regeneration, which supports the formation of their modal distribution by an early natural selection process. This allows the coexistence of overstorey and understorey dominant species, increasing the sensitivity of these primary ecosystems to forest management.

• Nuclear Engineering and Technology
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• v.56 no.10
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• pp.4018-4030
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• 2024

The in-vessel retention through external reactor vessel cooling (IVR-ERVC) strategy is a key management strategy for early termination of a nuclear severe accident that can threaten the integrity of the reactor vessel. To simulate the physical phenomena of the molten corium, the smoothed particle hydrodynamic (SPH) method is utilized in this study. The SPH method is a Lagrangian computational fluid dynamic (CFD) method that can simulate multi-fluid stratification, turbulence, natural circulation, radiative heat transfer, thermal ablation, and crust formation. To address the external vessel cooling, it is coupled with a conventional 1-D nuclear system analysis method. The 1-D system analysis code can calculate the two-phase natural circulation of cooling water and the convective heat transfer on the external reactor vessel wall. These two simulation codes exchange the temperature and heat flux of the reactor vessel outer wall. This study numerically simulated the IVR-ERVC strategy for a Korean high-power reactor and compared it with the traditional lumped parameter method (LPM). Unlike LPM, this study provides localized detailed data about the thermal hydraulic behavior of molten corium and visualization of phenomena in the IVR-ERVC strategy. This enhances our understanding of the phenomena in IVR-ERVC strategy and introduces new perspectives.

• Journal of Korean Society of Forest Science
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• v.103 no.3
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• pp.359-367
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• 2014

This study was carried out to determine the effects of seed storage methods and pre-treatments on seed germination, soil types and shading conditions on potted seedlings growth of S. sieboldiana var. pendula and S. sieboldiana for. xanthocarpa, endemic species in Korea. The seed germination rate of S. sieboldiana var. pendula was the highest at 48.6% when seeds were treated with stratification for 60 days and then soaked in 100 ppm $GA_3$. And seed germination rate of S. sieboldiana for. xanthocarpa was the highest at 51.4% when seeds were pre-chilled for 30 days and then soaked in 100 ppm $GA_3$. And potted seedlings of S. sieboldiana var. pendula showed the best quality under 50% shading in bedsoil with the growth characteristics of plant height (41 cm), number of leaves(8), leaf width (16 cm), leaf length (18 cm), root length (22 cm), fresh weight(aerial part/root part; 20/6.9 g) and dry weight(aerial part/root part; 4.5/2.0 g). And potted seedlings of S. sieboldiana for. xanthocarpa showed the best quality under non-shading in bedsoil with the growth characteristics of plant height (39 cm), number of leaves(10), leaf width (12 cm), leaf length (15 cm), root length (22 cm), fresh weight (aerial part/root part; 21/13 g) and dry weight (aerial part/root part; 4.2/2.2 g). Therefore, seeds treated with stratification or prechilling and then soaked in $GA_3$ were effective in germination of S. sieboldiana var. pendula and S. sieboldiana for. xanthocarpa, and potted seedlings should be cultivated in bedsoil under non or 50% shading condition.

• The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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• v.4 no.4
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• pp.255-265
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• 1999

CTD castings and current observations are taken in June, July and October, 1997 and May and July, 1998 to investigate the effect of the Keum River dyke on the structure of physical properties and the type of the Keum River estuary. Tide and tidal current relation shows that the ebbing is longer than the flooding by 1.5 hours with the early current reversing before high tide. In the rainy season (May to July), frequent large fresh water discharge during the ebbing from the dyke changes vertical salinity difference and time variation of salinity greatly near the head of the estuary, where salinity becomes lower than 2‰ in summer fresh water flooding. Halocline developed by the fresh water discharge makes two-layer structure, of which strength and depth increase in the low tide. The relationship between tide phase and surface salinity variation shows the phase lag of 2.5 hours near the head of the estuary but the standing wave relation down the estuary. This phase lag implies that a low salinity water diluted by the fresh water discharge for 2-3 hours in the ebb period moves with tidal excursion. In the dry season, vertical salinity difference reduces significantly. We calculate stratification and circulation parameters using the observed salinity structure, surface current and fresh water discharge. The Keum River estuary shows a partially mixed type, changing the stratification parameter from the rainy to the dry season. Mean flows of observed tidal current at lower and upper layer are landward and seaward, which are consistent with the circulation of a partially mixed estuary. Based upon the estuary type and circulation we suggest that the suspended materials will move toward the upstream due to low-layer mean flow and then the Keum River estuary will be a deposit environment.

• Journal of the Korean Society of Marine Environment & Safety
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• v.22 no.6
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• pp.708-722
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• 2016

Land-Ocean Interactions in the Coastal Zone (LOICZ) models for nutrient budgets were used to estimate the seasonal capacity of the Youngsan Estuary and Youngam-Geumho Estuary to sink and/or supply nutrients such as dissolved inorganic phosphorus (DIP) and nitrogen (DIN) to provide an understanding of the behavior of the coupled biogeochemical cycles of phosphorus and nitrogen in the estuaries (Youngsan Estuary, Youngam-Geumho Estuary) near Mokpo Harbor. During non-stratified periods (May, September, and November, 2008), simple three-box models were applied in each sub-region of the system, while a two-layer box model was applied during on-site observation of stratification development (July, 2008). The resulting mass-balance calculation indicated that even after large discharges from artificial lakes (in May and July), DIP influxes due to a mixing exchange ($V_{X-3}$, or $V_{deep}$) were more than terrigenous loads, indicating the backward transportation of nutrients from a marine source. The model results also indicated that for nutrient loads (DIP and DIN fluxes) in September, an extreme congestion of nutrients occurred around the mouths (sub-region III of the model) of the estuaries, possibly due to an imbalance in physical circulations between the estuaries and offshore locations. In November, the Youngam-Geumho Estuary, into which freshwater was discharged from artificial lakes (Youngam and Geumho Lake), showed nutrient enrichment in the water column, but the Youngsan Estuary showed nutrient depletion. In conclusion, to efficiently control water quality in the estuaries near Mokpo Harbor, integrated environmental management programs should be implemented. I.e., the reduction of nutrient loads from land basins as well as the deposit of nutrient loads into adjacent coastal lines.

• Journal of Korean Society of Environmental Engineers
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• v.27 no.9
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• pp.978-988
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• 2005

A three-dimensional dynamic model was applied to Lake Paldang, Han River in this study. The model was calibrated and verified using the data measured under different ambient conditions. The model results were in reasonable agreements with the field measurements in both calibration and verification. Utilizing the validated model, we analyzed the spatial and temporal distributions of temperature, current, residence time, and spreading pattern of incoming flows within the lake. Relatively low velocity and high temperature were computed at the surface layer in the southern region of the Sonae island. The longest residence time within the lake was predicted in the southern region of the Sonae island and the downstream region of the South Branch. This can be attributed to the fact that the back currents caused by the dam blocking occur mainly in these regions. Vertical thermal profiles indicated that the thermal stratifications would be occurred feebly in early summer and winter. During early spring and fall, it appeared that there would be no discernible differences at the vertical temperature profiles in the entire lake. The vertical overturns, however, do not occur during these periods due to an influence of high discharge flows from the dam. During midsummer monsoon season with high precipitation, the thermal stratification was disrupted by high incoming flow rates and discharges from the dam and very short residence time was resulted in the entire lake. In this circulation patterns, the plume of the Kyoungan stream with smallest flow rate and higher water temperature tends to travel downstream horizontally along the eastern shore of the south island and vertically at the top surface layer. The model results suggest that the Paldang lake should be a highly hydrodynamic water body with large spatial and temporal variations.

• Ocean and Polar Research
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• v.26 no.3
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• pp.385-400
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• 2004

The Lago Sofia Conglomerate encased in the 2km thick hemipelagic mudstones and thinbedded turbidites of the Cretaceous Cerro Toro Formation, southern Chile, is a deposit of a gigantic submarine channel developed along a foredeep trough. It is hundreds of meters thick kilometers wide, and extends for more than 120km from north to south, representing one of the largest ancient submarine channels in the world. The channel deposits consist of four major facies, including stratified conglomerates (Facies A), massive or graded conglomerates (Facies B), normally graded conglomerates with intraformational megaclasts (Facies C), and thick-bedded massive sandstones (Facies D). Conglomerates of Facies A and B show laterally inclined stratification, foreset stratification, and hollow-fill structures, reminiscent of terrestrial fluvial deposits and are suggestive of highly competent gravelly turbidity currents. Facies C conglomerates are interpreted as deposits of composite or multiphase debris flows associated with preceding hyperconcentrated flows. Facies D sandstones indicate rapidly dissipating, sand-rich turbidity currents. The Lago Sofia Conglomerate occurs as isolated channel-fill bodies in the northern part of the study area, generally less than 100m thick, composed mainly of Facies C conglomerates and intercalated between much thicker fine-grained deposits. Paleocurrent data indicate sediment transport to the east and southeast. They are interpreted to represent tributaries of a larger submarine channel system, which joined to form a trunk channel to the south. The conglomerate in the southern part is more than 300 m thick, composed of subequal proportions of Facies A, B, and C conglomerates, and overlain by hundreds of m-thick turbidite sandstones (Facies D) with scarce intervening fine-grained deposits. It is interpreted as vertically stacked and interconnected channel bodies formed by a trunk channel confined along the axis of the foredeep trough. The channel bodies in the southern part are classified into 5 architectural elements on the basis of large-scale bed geometry and sedimentary facies: (1) stacked sheets, indicative of bedload deposition by turbidity currents and typical of broad gravel bars in terrestrial gravelly braided rivers, (2) laterally-inclined strata, suggestive of lateral accretion with respect to paleocurrent direction and related to spiral flows in curved channel segments around bars, (3) foreset strata, interpreted as the deposits of targe gravel dunes that have migrated downstream under quasi-steady turbidity currents, (4) hollow fills, which are filling thalwegs, minor channels, and local scours, and (5) mass-flow deposits of Facies C. The stacked sheets, laterally inclined strata, and hollow fills are laterally transitional to one another, reflecting juxtaposed geomorphic units of deep-sea channel systems. It is noticeable that the channel bodies in the southern part are of feet stacked toward the east, indicating eastward migration of the channel thalwegs. The laterally inclined strata also dip dominantly to the east. These features suggest that the trunk channel of the Lago Sofia submarine channel system gradually migrated eastward. The eastward channel migration is Interpreted to be due to tectonic forcing imposed by the subduction of an oceanic plate beneath the Andean Cordillera just to the west of the Lago Sofia submarine channel.