• Journal of Gastric Cancer
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• 제5권2호
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• pp.113-119
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• 2005

목적: 표준화된 술식으로 위절제술을 시행한 위암 환자를 대상으로 임상병리학적 특성, 특히 암세포의 림프관, 정맥 및 신경 침범 유무가 환자의 예후에 미치는 영향을 확인 하고자 하였다. 대상 및 방법: 1995년 1월부터 1999년 12월까진 만 5년간 영남대학교 의과대학 부속병원 외과에서 위암으로 진단되어 위절제를 시행받은 1,018명의 의무기록을 토대로 후향적 연구를 시행하였다. 통계는 chi-dquare test를 이용하고 예후 인자들은 Cox proportional hazards regression model을 사용한 다변량 분석을 통해 분석하였다. 생존율은 Kaplan-Meier 방법으로 5년 생존율을 구하고 log-rank test로 검정하였다. 유의 수준은 P < 0.05를 기준으로 하였다. 통계처리는 SPSS for Windows (Version 10.0, SPSS lnc, USA) 프로그램을 이용하였다. 결과: 각 임상병리학적 특성에 대한 단변량 분석 결과, 환자의 연령, 종양의 크기 및 위치, Borrmann형, 조직 분화도, 위절제술의 범위, 암의 위벽 침윤도, 림프절 전이 정도, 병기, 원격 전이 유무, 수술의 근치도 등이 유의하였으며, 이상의 유의한 인다들을 다변량 분석한 결과 암의 위벽 침윤도, 림프절 전이, 림프관 침범, 신경 침범 및 수술의 근치도가 독립적 예후 인자로서 유의하였다. 결론: 기존의 TNM 병기 분류법이 병의 진행 상태를 객관적으로 표현할 수 있고 기본적인 예후 인자로서 역할을 하지만, 병리조직학적 검사 소견에서 림프관 및 신경 침범 유무를 확인하는 것은 위암의 예후 판정에 추가적인 정보를 제공할 수 있을 것으로 기대한다.

• 지식경영연구
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• 제21권3호
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• pp.67-87
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• 2020

사용자가 컨텐츠의 소비자에 그치는 것이 아니라 생산자 역할까지 담당하는 웹 2.0 시대에는 사용자의 지속적 컨텐츠 생산이 온라인 사이트의 성공에 핵심 요소가 된다. 온라인 Q&A 사이트는 웹 2.0 트렌드의 대표적 사례로, 고품질의 지식을 반복적으로 공유하는 핵심 사용자들이 지속적으로 지식을 공유하도록 하는 것이 사이트의 성패를 결정짓는다. 본 연구는 핵심 사용자의 지식공유 지속행위를 유발하는 두가지 경로, 즉 지속의도로 대표되는 정교한 의사결정 과정(elaborate decision process)와 과거행위로 대표되는 자동화된 인지적 과정(automated cognitive process)을 제안하였다. 네이버 지식인의 핵심 사용자 337인의 주관적 의도 데이터와 객관적 온라인 행동 데이터를 수집한 뒤, 지속의도와 과거행위의 직접효과 및 둘 간의 조절효과를 검증해 보았다. 종속변수로 이전 연구에서 주로 사용되었던 지식공유 빈도를 측정하는 것과 더불어, 특정 기간 이상 답변활동이 없을 경우 지식공유를 중단한 것으로 판단하는 지식공유 지속여부를 측정하였다. 콕스비례위험 회귀분석과 음이항 회귀분석을 사용하여 지속의도와 과거행위가 지속행위의 두가지 유형에 미치는 효과를 살펴본 결과, 지식공유 지속여부에는 과거행위만 유의한 영향력을 보였으며, 지식공유 빈도에는 지속의도와 과거행위 모두 유의한 영향력을 보였다. 또한, 과거행위가 지속의도의 지식공유 빈도에 대한 영향력을 부정적으로 조절하는 것까지 확인할 수 있었다. 온라인 Q&A 사이트에서 핵심 사용자들의 지식공유 행위를 지속시키기 위해서는 꾸준한 지식공유를 통해 습관화 과정을 거치는 것이 중요하며, 지식공유 빈도를 높이고자 할 경우에는 습관화와 더불어 지식공유 지속의도를 높일 수 있는 적절한 혜택의 마련이 필요하다.

• Fisheries and Aquatic Sciences
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• 제1권2호
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• pp.192-200
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• 1998

This study was carried out to evaluate the effect of feeding higher protein feeds with lesser amount, but feeding the constant total protein input for all treatments, on water quality and nitrite toxicity in channel catfish ponds. There was no significant difference in survival rate among treatments $(P>0.05)$. Specific growth rate (SGR) for Treatment 1$(28\%\;protein\;and\;100\%\;of\;satiation)$ was significantly higher $(P>0.05)$ than for Treatment 3$(36\%\;protein\;and\;87.5\%\;of\;satiation)$, but not significantly higher than for Treatment 2 $(32\%\;protein\;and\;77.8\%\;of\;satiation)$ at constant digestible energy (DE), 3.08kcal/g (treatments 1, 2 and 3). At constant DE/P (treatments 4, 2 and 5), no significant difference in SGR was observed among treatments. Feed conversion ratio (FCR) slightly improved or improved as dietary protein level increased from $28\%$ to $32\%$ and feed allowance decreased by $12.5\%$, but did not improve as dietary protein level increased from $32\%$ to $36\%$ and feed allowance decreased by $22.2\%$, at constant DE and constant DE/P. There was no significant difference in water quality variables, such as total ammonia nitrogen (TAN), nitrite, chlorophyll a, soluble phosphorous concentrations among treatments, but significant difference in water quality variables over time as amount of feed fed increased $(P<0.0001)$. There was a trend toward increase in TAN and nitrite over time. A strong linear regression was observed between mean total ammonia nitrogen and nitrite for all treatments Y (Nitrite) =$0.04\times (TAN)+0.01$, $R_2=0.89$. Methemoglobin percent in the blood of catifish was not significantly different among treatments. And its mean value was $7.5\%$, which was relatively low, so that it was not serious problem in catfish production pond under these experiment conditions. There was the stronger linear regression between the percentage of Methemoglobin and the molar ratio of nitrite to chloride rather than nitrite alone: $Y\;(Methemoglobin\;\%)\;=\;58.45\;\times\;(NO^{2-}/Cl^-)\;+\;0.41,\;R^2=0.60$. These results indicate that deterioration of water quality has no strong impact on poor weight gain for $36\%$ dietary protein in this study.

• Journal of Yeungnam Medical Science
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• 제19권2호
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• pp.126-135
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• 2002

신생혈관녹내장에 대한 MMC 섬유주절제술의 효과와 그 예후에 영향을 미치는 요인에 대해 알아보고자 하였다. 신생혈관녹내장으로 진단하고 MMC 섬유주절제술을 시행한 55명, 62안을 대상으로 의무기록을 후향적으로 조사하였다. 수술 성공 여부의 기준은 술후 안압하강제 사용에 관계없이 술후 최종 안압이 21 mmHg이하이며 시력상실이 없는 경우를 성공으로 판정하였고, 술전 시력이 광각이상의 환자에서 광각이 소실된 경우와 광각무인 환자에서 안구위축이 발생한 경우 및 안압하강을 위해 추가적 녹내장수술을 시행한 경우는 수술실패로 판정하였다. 평균 $23.9{\pm}16.2$개월의 추적 관찰 후 전체 62안 중 37안(60%)이 수술성공으로 판정되었다. Kaplan-Meier 생존분석을 이용한 수술 후 6개월, 12개월, 24개월, 36개월의 누적 수술성공률은 각각 85%, 71%, 57%, 52%이었다. 당뇨망막병증이 있는 경우가 다른 원인을 가진 경우보다 수술성공률이 더 높았고(p=0.005), 범망막광응고술을 시행한 경우에서 시행하지 않은 경우보다 수술성공률이 더 높았다(p=0.015). 하지만, 범망막광응고술의 시행여부는 Cox proportional hazard regression 분석법에 의해 섬유주절제술 실패의 의미있는 위험인자로 작용하지는 않았다. 결론적으로 신생혈관녹내장은 원인질환이 당뇨망막병증의 경우 MMC를 사용한 섬유주절제술의 예후가 다른 원인질환에 의한 경우보다 양호하였으며, MMC를 이용한 섬유주절제술이 방수유출장치삽입술이나 모양체광응고술에 앞서 일차적 수술로 유용하다고 생각한다.

• 응용통계연구
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• 제28권5호
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• pp.921-932
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• 2015

본 연구에서는 증강된 보병대대의 과학화 전투훈련 데이터 중 공격작전에 관한 장병들의 생존분석을 실시하였다. 과학화 전투훈련은 KCTC(Korea Combat Training Center)로 불리는 전투훈련장에서 MILES(Multiple Integrated Lazer Engagement System)와 중앙통제장비체계 등 과학화된 훈련장비와 체계 운용하 훈련부대가 적 전술 및 무기체계를 사용하는 전문 대항군과 실시하는 쌍방 자유기동훈련이다. 이는 훈련기간 동안 훈련지역의 모든 데이터가 저장되어 훈련통제 뿐 아니라 분석 및 사후검토를 할 수 있는 첨단화된 군사 훈련으로 통계적 분석이 가능한 데이터를 제공한다. 분석방법은 모수적 분포 가정이 필요하지 않은 Cox의 비례위험모형을 적용하였으며, 보다 풍부하고 용이한 해석을 위해 의사결정나무모형(CART(Classification and Regression Trees), GUIDE(Generalized, Unbiased, Interaction Detection and Estimation), CTREE(Conditional Inference Trees))을 활용하였다. Cox 비례위험모형의 비례성 가정을 확인하여 이를 위배하는 변수에 대해서 층화하여 분석하고, Cox 비례위험모형 결과 복무기간에 관한 해석이 용이하지 않아 단변량으로 local 회귀분석을 통해 추가적인 해석을 시도하였다. CART, GUIDE, CTREE는 모형의 특성별로 나무모형을 형성하며 이를 통하여 다양한 해석이 가능하다.

• Journal of Korean Neurosurgical Society
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• 제64권6호
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• pp.950-956
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• 2021

Objective : Psoas and masseter muscles are known markers of sarcopenia. However, the relative superiority of either muscle as a marker is unclear. Therefore, this study analyzed the two muscles in patients with a prognosis of traumatic brain injury (TBI). Methods : Patients with TBI visiting a regional trauma center between January 2017 and December 2018 were selected, and their medical records were reviewed. TBI patients with an abbreviated injury score (AIS) of 4 or 5 were selected. Patients with an AIS of 4 or 5 at the chest, abdomen, and extremity were excluded. Patients with a hospital stay of 1 to 2 days were excluded. Both muscle areas were measured based on the initial computed tomography. The psoas muscle index (PMI) and the masseter muscle index (MMI) were calculated by dividing both muscle areas by height in meters squared (cm²/m²). These muscle parameters along with other medical information were used to analyze mortality and the Glasgow outcome scale (GOS). Results : A total of 179 patients, including 147 males (82.1%), were analyzed statistically. The mean patient age was 58.0 years. The mortality rate was 16.8% (30 patients). The mean GOS score was 3.7. Analysis was performed to identify the parameters associated with mortality, which was a qualitative study outcome. The psoas muscle area (16.9 vs. 14.4 cm², p=0.028) and PMI (5.9 vs. 5.1 cm²/m², p=0.004) showed statistical differences between the groups. The PMI was also statistically significant as a risk factor for mortality in logistic regression analysis (p=0.023; odds ratio, 0.715; 95% confidence interval, 0.535-0.954). Quantitative analyses were performed with the GOS scores. Bivariate correlation analysis showed a statistically significant correlation between PMI and GOS scores (correlation coefficient, 0.168; p=0.003). PMI (p=0.004, variation inflation factor 1.001) was significant in multiple regression analysis. The masseter muscle area and MMI did not show significance in the study. Conclusion : Larger PMI was associated with statistically significant improved survival and GOS scores, indicating its performance as a superior prognostic marker. Further analyses involving a larger number of patients, additional parameters, and more precise settings would yield a better understanding of sarcopenia and TBI.

• Korean Journal of Radiology
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• 제24권5호
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• pp.434-443
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• 2023

Objective: To investigate the association between pelvic bone computed tomography (CT)-derived body composition and patient outcomes in older adult patients who underwent surgery for proximal femur fractures. Materials and Methods: We retrospectively identified consecutive patients aged ≥ 65 years who underwent pelvic bone CT and subsequent surgery for proximal femur fractures between July 2018 and September 2021. Eight CT metrics were calculated from the cross-sectional area and attenuation of the subcutaneous fat and muscle, including the thigh subcutaneous fat (TSF) index, TSF attenuation, thigh muscle (TM) index, TM attenuation, gluteus maximus (GM) index, GM attenuation, gluteus medius and minimus (Gmm) index, and Gmm attenuation. The patients were dichotomized using the median value of each metric. Multivariable Cox regression and logistic regression models were used to determine the association between CT metrics with overall survival (OS) and postsurgical intensive care unit (ICU) admission, respectively. Results: A total of 372 patients (median age, 80.5 years; interquartile range, 76.0-85.0 years; 285 females) were included. TSF attenuation above the median (adjusted hazard ratio [HR], 2.39; 95% confidence interval [CI], 1.41-4.05), GM index below the median (adjusted HR, 2.63; 95% CI, 1.33-5.26), and Gmm index below the median (adjusted HR, 2.33; 95% CI, 1.12-4.55) were independently associated with shorter OS. TSF index (adjusted odds ratio [OR], 6.67; 95% CI, 3.13-14.29), GM index (adjusted OR, 3.45; 95% CI, 1.49-7.69), GM attenuation (adjusted OR, 2.33; 95% CI, 1.02-5.56), Gmm index (adjusted OR, 2.70; 95% CI, 1.22-5.88), and Gmm attenuation (adjusted OR, 2.22; 95% CI, 1.01-5.00) below the median were independently associated with ICU admission. Conclusion: In older adult patients who underwent surgery for proximal femur fracture, low muscle indices of the GM and gluteus medius/minimus obtained from their cross-sectional areas on preoperative pelvic bone CT were significant prognostic markers for predicting high mortality and postsurgical ICU admission.

• Journal of Chest Surgery
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• 제46권6호
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• pp.433-438
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• 2013

Background: Surgical repair of post-infarct ventricular septal defect (VSD) is considered one of the most challenging procedures having high surgical mortality. This study aimed to evaluate the outcomes of the surgical repair of post-infarct VSD. Methods: From May 1991 to July 2012, 34 patients (mean age, $67.1{\pm}7.9$ years) underwent surgical repair of post-infarct VSD. A retrospective review of clinical and surgical data was performed. Results: VSD repair involved the infarct exclusion technique using a patch in all patients. For coronary revascularization, 12 patients (35.3%) underwent concomitant coronary artery bypass graft, 3 patients (8.8%) underwent preoperative percutaneous coronary intervention, and 9 patients (26.5%) underwent both of these procedures. The early mortality rate was 20.6%. Six patients (17.6%) required reoperation due to residual shunt or newly developed VSD. During follow-up (median, 4.8 years; range, 0 to 18.4 years), late death occurred in nine patients. Overall, the 5-year and 10-year survival rates were $54.4%{\pm}8.8%$ and $44.3%{\pm}8.9%$, respectively. According to a Cox regression analysis, preoperative cardiogenic shock (p=0.069) and prolonged cardiopulmonary bypass time (p=0.008) were independent predictors of mortality. Conclusion: The early surgical outcome of post-infarct VSD was acceptable considering the high-risk nature of the disease. The long-term outcome, however, was still dismal, necessitating comprehensive optimal management through close follow-up.

• Asian Pacific Journal of Cancer Prevention
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• 제14권6호
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• pp.3945-3948
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• 2013

Background: Lung cancer is the leading cause of cancer death, late diagnosis being the main obstacle to improving the outcomes with stage at diagnosis as an important prognostic factor. Relationships between ABO blood groups and risk of benign or malignant diseases have been observed and in this study, we aimed to investigate whether they might affect prognosis and response to chemoradiotherapy in patients with local advanced non-small cell lung cancer (NSCLC). Materials and Methods: Eighty-one patients with non-metastatic local advanced NSCLC were included in the study. ABO blood groups were A in 45 (55.6%), B in 7 (8.6%), AB in 8 (9.9%), and O in 21 (25.9%) patients. The patients were also divided two groups according to blood group A (45 patients) and non-A (B, AB and O; 36 patients). Response to chemoradiotherapy was complete remission in 10 (12.3%), disease regression in 42 (51.9%), stable disease in 12 (14.8%), and disease progression in 17 (21.0%) patients. Results: There was no significant difference among ABO blood group categories or between patients with A blood group and those with non-A blood group in terms of responses to chemoradiotherapy (p>0.05). There were also no significant differences regarding overall and disease-free survival rates. Conclusion: The ABO blood group system has no significant effect on prognosis and response to chemoradiotherapy in patients with non-metastatic NSCLC.

• Radiation Oncology Journal
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• 제13권1호
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• pp.27-31
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• 1995

Purpose : This study was done to evaluate preliminarily the role of intraluminal brachytherapy in the radiation treatment of non-metastatic esophageal cancer, Materials and Methods: We analyzed follow-up result of 21 patients treated at the dept. of therapeutic radiology in Gyeongsang national university hospital between April, 1989 and August, 1992. All patients received neoadjuvant chemotherapy(5-FU, Cispl-atin). Fifteen Patients were treated with external beam alone, and in remaining 6 patients, the external beam radiotherapy followed by intraluminal brachytherapy was done. Results : Among 21 patients, 7 patients showed complete tumor regression after completion of radiotherapy. But 2 of these complete responder recurred at the site of primary disease, so ultimate local control rate was $23.8\%$(5/21). Local control rate according to radiation treatment modality was $6.7\%$(1/15) in patients treaed with external irradiation only, and $66.7\%$ in patients treated with combined external irradiation and intraluminal brachytherapy. The 2 year NED survival rate was $6.6.\%$ in the former and $66.7\%$ in the latter. Conclusion: Although there should be consideration about case selection for addition of intraluminal brachytherapy intraluminal brachytherapy may be considerded as one of the method to enhance the local control probability of esophageal cancer.