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Surgical Treatment of Primary Lung Cancer (원발성 폐암의 외과치료)

  • Youm, Wook;Sung, Sang-Hyun;Park, Sung-Hyuk
    • Journal of Chest Surgery
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    • v.26 no.5
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    • pp.373-379
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    • 1993
  • Primary lung cancer has increased markedly in its incidence and prevalence rate recently in Korea. In frequency, it occupies the second rank cancer preceded by stomach cancer in korean male. From February 1986 to December 1992, we have operated on 55 cases of primary lung cancer in Korea Veterans Hospital and followed them. The results are as follows; 1. The peak incidence of age of primary lung cancer was 6th decade and 5th decade and those were 87.3% of study group, mainly in male. 2. Symptoms were cough [63.6%], dyspnea [41.8%], chest pain and discomfort [38.2%], blood tinged sputum and hemoptysis [21.8%]. Symptoms were frequently encountered before hospitalization and asymptomatic cases were 9.1% of study group. 3. Methods of diagnostic confirmation were bronchoscopic biopsy [52.7%], percutaneous needle aspiration[PCNA][21.8%], sputum cytolgy [12.7%], open biopsy [12.7%]. 4. Histopathologically, squamous cell carcinoma [76.4%] was the most frequent cancer and adenocarcinoma [10.9%], giant cell cancer [7.3%], and the others in order. 5. Methods of operation were pneumonectomy [32.7%], bilobectomy [18.2%], lobectomy [27.3%], lobectomy and segmenectomy [1.8%], exploration [20%], and overall resectability was 80%. 6. Operative mortality was 5.5% [3 cases] and there were 5 cases of complication. 7. Postoperative long-term follow up reveals that the cumulative survival rates in 6 months, 12 months, 26 months, 34 months, 43 months, 64 months were 89.5%, 71.7%, 66.7%, 57.2%, 50.8%, 42.3% respecively.

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Lake Vulnerability Assessment (호소의 취약성 평가)

  • Kim, Eung-Seok;Yoon, Ki-Yong;Lee, Seung-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.11
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    • pp.6877-6883
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    • 2014
  • The continuous social development has led to increasing pollution in lakes. This study proposed the LVRI (Lake Vulnerability Resilience Indicator) based on the vulnerability assessment of climate change for an environmental risk assessment in lakes sufferign water pollution in an integrated aspect of the characteristics in lake watersheds. A total of 11 representative assessment factors were selected and constructed for 6 lake basins in the Geum River Watershed to calculate the exposure, sensitivity and adaptation indicators in a vulnerability assessment classification system. The weight coefficients for assessment factors of the LVRI were also calculated using the Entropy method. This study also compared the rank results of the lake environmental risk with/without the weight coefficients of assessment factors for the practical application of the proposed lake environmental risk assessment method. The lake environmental risk results estimated in this study can be used for long-term water quality analysis and management in lakes.

A Plot Scale Experiment to Analysis the NPS Reduction by Silt Fence and Vegetated Ridge for Non-Irrigated Cropland (실트펜스와 식생밭두렁 적용을 통한 밭 비점오염 저감효과 분석을 위한 포장실험 연구)

  • Kim, Sung-Jae;Park, Tae-Yang;Kim, Sung-Min;Jang, Jeong-Ryeol;Kim, Sang-Min
    • Journal of The Korean Society of Agricultural Engineers
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    • v.54 no.4
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    • pp.19-27
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    • 2012
  • The objective of this study was to test the pollutant reduction effect by the silt fence and vegetated ridge through field monitoring. The experiment plots were established with two replication and three treatments. Each plot was designed with 5 m width, 22 m length, and 3 % slope. Flumes with the floating type stage gages were installed at the outlet of each plot to monitor the runoff. For a rainfall monitoring, tipping bucket rain gage was installed within the experiment site. Cultivated crops were spring daikon and autumn chinese cabbage. Analysis of variance (ANOVA) indicated that the water quality concentration from three experiment plots were not significantly different in 5 % of significant level. The monitoring results showed that the average pollution loads reduced by silt fence compared to control were SS 75.33 %, TN 40.87 %, TP 56.58 %, BOD 52.12 %, COD 36.07 %, TOC 34.99 %; by vegetated ridge compard to control were SS 65.27 %, TN 81.80 %, TP 54.26 %, BOD 67.09 %, COD 46.55 %, TOC 43.30 %. Analysis of Spearman's rank correlation coefficient showed that BOD-SS and SS-Turbidity were highly related at the silt fence and vegetated ridge plots. In all plots, SS-Turbidity and TP-TN relations were relatively high. The monitoring results showed that the silt fence and vegetated ridge were effect method to reduce the pollutant loads from the field runoff. Long-term monitoring is required to obtain more quantitative reduction effect for diverse crops and to increase the reliability of results.

Effects of a Smart Phone Weight Loss Program on Obesity and Body Composition in Adolescents (스마트폰 앱을 이용한 체중감량 프로그램이 고교생의 비만도와 신체조성에 미치는 효과)

  • Jun, Min Kyung;Ha, Ju Young
    • Journal of Korean Public Health Nursing
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    • v.27 no.1
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    • pp.102-112
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    • 2013
  • Purpose: The purpose of this study was to determine the effects of a weight loss program administered through a smart phone application on body composition and obesity in adolescents. Methods: This study applied a 6-week weight loss program with dietary education, exercise therapy, and behavior modification therapy from 4 June 2012 to 20 July 2012. The collected data were analyzed by descriptive statistics and the Wilcoxon signed rank test using the SPSS WIN 18.0 program. Results: After the 6-week program, the average weight of the subjects was reduced from 75.96kg to 74.41kg (Z=$-3.994^p$, p<.001), while the body mass index (BMI) decreased from 29.23 to 28.60 (Z=$-3.980^p$, p<.001), and the obesity index decreased from 38.45% to 35.59% (Z=$-3.977^p$, p<.001). The percentage of body fat decreased from 32.45 to 31.92 (Z=$-3.947^p$, p<.001), and the rate of skeletal muscle growth increased from 26.06% to 26.58% (Z=$-3.822^p$, p<.001). Conclusion: A weight loss program using a SNS (social network service) application, with dietary education, exercise therapy, and behavior modification therapy can reduce obesity and impact body composition in a short-term. Therefore, the utilization of the SNS application can be used to effectively enhance the management of adolescent obesity.

A Beamformer Construction Method Via Partial Feedback of Channel State Information of MIMO Systems (다중 입출력 시스템의 부분적 채널 정보 궤환을 통한 빔포머 형성 방안)

  • Kim, Yoonsoo;Sung, Wonjin
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.6
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    • pp.26-33
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    • 2014
  • For wireless communication systems of (and beyond) LTE-Advanced, multiple-input multiple-output (MIMO) with an increased number of antennas will be utilized for system throughput improvement. When using such an increased number of antenna, an excessive amount of overhead in channel state information (CSI) feedback can be a serious problem. In this paper, we propose methods which reduce the CSI feedback overhead, particularly including application strategies for multi-rank transmission targeted for two or more reception antennas. To reduce the information which is instantaneously transmitted from the reception node to the transmission node, we present a beamforming method utilizing singular value decomposition (SVD) based on channel estimation of partitioned antenna arrays. Since the SVDs for partial matrices of the channel may lose the characteristics of the original unpartitioned matrix, we explain an appropriate scheme to cope with this problem.

Prognostic Value of Esophageal Resectionline Involvement in a Total Gastrectomy for Gastric Cancer (위전절제술 시 식도측 절제연 암 침윤의 예후적 가치)

  • Kwon, Sung-Joon
    • Journal of Gastric Cancer
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    • v.1 no.3
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    • pp.168-173
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    • 2001
  • Purpose: A positive esophageal margin is encountered in a total gastrectomy not infrequently. The aim of this retrospective review was to evaluate whether a positive esophageal margin predisposes a patient to loco-regional recurrence and whether it has an independent impact on long-term survival. Materials and Methods: A retrospective review of 224 total gastrectomies for adenocarcinomas was undertaken. The Chisquare test was used to determine the statistical significance of differences, and the Kaplan-Meier method was used to calculate survival rates. Significant differences in the survival rates were assessed using the log-rank test, and independent prognostic significance was evaluated using the Cox regression method. Results: The prevalence of esophageal margin involvement was $3.6\%$ (8/224). Univariate analysis showed that advanced stage (stage III/IV), tumor size ($\geq$5 cm), tumor site (whole or upper one-third of the stomach), macroscopic type (Borrmann type 4), esophageal invasion, esophageal margin involvement, lymphatic invasion, and venous invasion affected survival. Multivariate analysis demonstrated that TNM stage, venous invasion, and esophageal margin involvement were the only significant factors influencing the prognosis. All patients with a positive esophageal margin died with metastasis before local recurrence became a problem. A macroscopic proximal distance of more than 6 cm of esophagus was needed to be free of tumors, excluding one exceptional case which involved 15 cm of esophagus. Conclusion: All of the patients with a positive proximal resection margin after a total gastrectomy had advanced disease with a poor prognosis, but they were not predisposed to anastomotic recurrence. Early detection and extended, but reasonable, surgical resection of curable lesions are mandatory to improve the prognosis.

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Long-Term Outcomes after D2 Gastrectomy for Early Gastric Cancer: Survival Analysis of a Single-Center Experience in China

  • Wang, Zheng;Ma, Li;Zhang, Xing-Mao;Zhou, Zhi-Xiang
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.17
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    • pp.7219-7222
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    • 2014
  • Background: Early gastric cancer (EGC) is well accepted as having a favorable prognosis, but some patients experience an ominous outcome after curative resection. This study was aimed at evaluating predictive factors associated with prognosis of D2 gastrectomies in patients with early gastric cancer. Materials and Methods: A total of 518 patients with early gastric cancer who underwent D2 gastrectomies were reviewed in this study. The clinicopathological features and surgical outcomes were analyzed. The survival rate was estimated using the Kaplan-Meier method and compared by log rank test. Prognostic factors were analyzed using a multivariate Cox proportional hazards model. Results: The 5-year survival rate was 90.3%. Tumor infiltration, lymph node metastasis and lymphovascular invasion were significant prognostic factors for survival. Gender, age, tumor size, tumor location, macroscopic type and histological type were not significant prognostic factors. Multivariate analysis indicated that lymph node metastasis was an independent poor prognosis factor. Conclusions: Early gastric cancers with lymph node metastasis have a relatively poor prognosis after standard surgery. Even after curative resection, patients with EGC with positive lymph nodes should be closely followed and be considered as candidates for comprehensive therapies.

A Survey On Women's Preference of Food Color (식품색에 대한 여성의 기호조사 I (연령별))

  • 황춘선
    • Journal of the Korean Home Economics Association
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    • v.31 no.2
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    • pp.177-188
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    • 1993
  • To obtain a clear understanding of the degree of effect by the food color in diet habits, this study was a survey of the taste for food color. In this study, the term of investigation was tow months(May and Jun. 1992), the object was 10's∼50's women, and the sampling of them at random contain 100 person, respectively. The data-treatment was determinded by frequency, percentage, SD, Chi-square, Spearman's rank order correlation coefficient, Correlation, F-test as measured by SAS program for PC and statistical figures were obtained by GDAS. The results were as follows; 1. Food color in diet habits. : The relationship of food color with appetite by age group was showed to affect all age groups having more then 90%. The concern for food color by age group showed the lowst teenage having 56.7%, showing more then 70% except teenage. When chosen food, The most important characteristics of food was not age group but taste. In the correlation between characteristics, The correlation between color and form, taste and nutrition was showed affirmative. The difference test for the taste of food color and general color was shown, and the level of significance was chosen at 95%. 2. In the correlation between food color and the sense of emotion, The food color of depression and solitude was purple, the color of sadness and crying was white. But in case of only solitude, A statistical significance was shown. 3. In the investigation of taste for food color, the mean of taste degree was high in red, orange, yellow, yellowish green, green, white and low in blue, black. Their statistical significance was shown between colors but, was not shown between age groups. 4. In the relation of food color and associated with food, the colors of associated with food shown a vast difference with natural food color were blue(85.5%), purple(80.0%), pink(41.7%) and yellow(40.0%) but, A red color was not shown the error rate of associated with food color at all. Almost all kinds of associated with food were fruits and vegetables.

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Clinicopathology Figures and Long-term Effects of Tamoxifen Plus Radiation on Survival of Women with Invasive Ductal Carcinoma and Triple Negative Breast Cancer

  • Payandeh, Mehrdad;Sadeghi, Masoud;Sadeghi, Edris;Aeinfar, Mehrnoush
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.12
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    • pp.4863-4867
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    • 2015
  • Background: Triple negative breast cancer (TNBC), characterized as estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 Her2 negative and accounting for 10-17% of all breast carcinomas, is only partially responsive to chemotherapy and suffers from a lack of clinically established targeted therapies. The aim of the current study was to evaluate the patterns of treatment and clinicopathology figures in Kurdish patients with triple-negative breast cancer, and to compare these to other reports. Materials and Methods: Between 2001 and 2014, 950 breast cancer patients were referred to our clinic. There were 74 female patients with TNBC, including 70 patients was invasive ductal carcinoma entered into our study. ER and PR positivity was defined as positive immunohistochemical staining in more than 10% of tumor cells. Immunohistochemistry assay with anti-HER2 antibodies was used to identify HER negative (0 and 1+) or positive (2+ and 3+). HER2 gene amplification was determined by fluorescent in situ hybridization (FISH). Overall survival (OS) was plotted with GraphPad Prism 5 Software using Kaplan-Meier and log-rank tests for comparison of results. Results: The mean age in the first diagnosis for 70 patients with triple TNBC and invasive ductal carcinoma was 49.6 years that range of age was 27-82 years. All of the patients were female. Of 70 patients, 23 patients had metastasis. Thirty-two patients (45.7%) were treated with tamoxifen and 39 (55.7%) with radiotherapy. Three-year, 5-year and 10-year OS rates for all patients were 82%, 72% and 64%, respectively. Conclusions: The OS in our West Iran TNBC patients is less than reported elsewhere. However, treatment with combination of tamoxifen plus radiation increases the OS and reduces the mortality rate.

The Study On Customization for Domestic Application of Micro PAVER (Micro PAVER의 국내 적용을 위한 적정화에 대한 연구)

  • An, Deok-Soon;Kwon, Soo-Ahn;Suh, Young-Chan
    • International Journal of Highway Engineering
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    • v.5 no.3 s.17
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    • pp.21-29
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    • 2003
  • The management of existing airfield pavement information has currently become difficult and the maintenance cost has increased over time due to the long-term performance. It is needed to develop the method for effective budget allocation and systematic airfield pavement management services. The objectives of this paper are to introduce Micro PAVER, one of the popular pavement management systems, into our management system and customize Micro PAVER based on our environment and pavement management level. This study focused on the analysis on logics and structures of Micro PAVER and customization of important parts in the program using the existing pavement evaluation data and survey method. Customized items selected in this study included the pavement deterioration prediction models, critical PCI, maintenance cost by PCI, maintenance or rehabilitation method and unit cost, and PCI rank.

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