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Prognosis and Management for Gallbladder Cancer with Hepatic Invasion: Long-term Results of 139 Patients from a Single Center in China

  • Qu, Kai;Chang, Hu-Lin;Liu, Si-Nan;Liu, Chang;Xu, Xin-Sen;Wang, Rui-Tao;Zhou, Lei;Tian, Feng;Wei, Ji-Chao;Tai, Ming-Hui;Meng, Fan-Di
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.3
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    • pp.1015-1018
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    • 2012
  • Objective: To improve the diagnosis of primary gallbladder carcinoma (GBC) with/without hepatic metastases by analyzing our experience of different GBC treatment in our patients. Methods: A retrospective study was carried out to analyze the clinical data of the 139 patients with GBC who underwent hepatic resection in our unit from January 2003 to December 2007. Patients were divided into two groups according to whether they demonstrated hepatic invasion. Tumor presentation, surgical modes, and prognosis of each patient were retrospectively reviewed. Kaplan-Meier curves and log-rank tests were employed to compare the survival rates of those patients undergoing different surgical procedures. Results: Of the 139 patients, 46 were men and 93 were women with the male to female ratio of 1:2.0. Their ages were ranged from 35 to 86 years with a mean age of $62.8{\pm}10.4$ years. There were 73 patients complicated with hepatic invasion (group A), and no hepatic invasion occurred in the other 66 patients (group B). Compared with the group B, the patients with hepatic invasion suffered lower differentiation of tumor (p=0.000), more advanced Nevin staging (p=0.008) and poorer prognosis (p=0.013). Radical resection were more frequently performed in group B (75.76%) than in group A (45.20%) with better outcomes (p=0.000). Conclusion: GBC patients complicated with hepatic invasion had poorer prognosis than those without invasion in long-term follow-ups. Radical resection might result in a satisfied prognosis in patients without hepatic invasion, but appears less favorable than palliative resection in those who were complicated with hepatic invasion.

A Study on the Development of a Selection System for Preservation Formats of Image-Type Electronic Records (이미지 유형 전자기록물의 보존포맷 선정체계 구축방안 연구)

  • Song, ChaeEun;Yang, Dongmin
    • The Korean Journal of Archival Studies
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    • no.79
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    • pp.343-387
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    • 2024
  • Electronic records, characterized by their inherent volatility and instability, necessitate sustainable preservation measures to ensure their long-term accessibility. The National Archives of Korea has instituted a selection system for preservation formats tailored predominantly for document-type electronic records. However, this system falls short in accommodating other record types such as audiovisual records. This study endeavors to broaden the applicability of the existing system, with a concentrated focus on image-type electronic records, and to formulate foundational guidelines for their long-term preservation. In South Korea, image-type electronic records rank as the second most prevalent category following document-type. The image-type electronic records are the most basic form of audio-visual records, and research on this lays the foundation for future discussions on other audio-visual records. Consequently, this research has led to the development of a selection system for preservation formats specifically for image-type electronic records. This system is designed to facilitate the prompt and efficient evaluation of preservation format suitability, even in the context of emerging image formats. The efficacy of this system was validated through its application to extant image formats, resulting in the selection of TIFF, JFIF, and PNG as the optimal preservation formats. The outcomes of this study offer valuable insights and practical reference points for future preservation format evaluations within the field of electronic record management.

Glycididazole Sodium Combined with Radiochemotherapy for Locally Advanced Nasopharyngeal Carcinoma

  • Li, Ming-Yi;Liu, Jin-Quan;Chen, Dong-Ping;Qi, Bin;Liang, Yu-Ying;Yin, Wen-Jing
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.6
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    • pp.2641-2646
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    • 2014
  • Background: To evaluate efficacy and side effects of glycididazole sodium (CMNa) combined with chemotherapy (cisplatin plus 5-FU/folic acid, PLF) and radiotherapy in treating patients with locally advanced nasopharyngeal carcinoma. Materials and Methods: Patients with III~IV stage nasopharyngeal carcinoma (NPC),were randomly divided into treatment group (46 patients) and control group (45 patients). Both groups received radiotherapy concomitant with PLF chemotherapy. The treatment group at the same time cwas given CMNa ($800mg/m^2$ before radiotherapy), by l h intravenous drip, three times a week. Results: When the dose of radiation was over 60 Gy, complete response rates of nasopharyngeal tumor and lymph node metastases in treatment group were significantly higher than in the control group (93.5% vs 77.8%; 89.1% vs 93.5%, p<0.05). Three months after radiotherapy, complete response rate of nasopharynx cancer and lymph node metastases in treatment group was both 97.8%, again higher than in the control group (84.4% and 82.2%) (p<0.05). In the treatment group, 1, 3, 5 year disease-free survival rates were 95.7%, 86.7% and 54.5%; and in control group, the corresponding disease-free survival rates were 93.3%, 66.2% and 38.6%, respectively, the difference being statistically significant (log-rank =5.887, p=0.015). One, 3, 5 year overall survival rates in two groups of patients were 97.8%, 93.5%, 70.4% and 95.5%, 88.07%, 48.4%, respectively, again with a statistically significant difference (log-rank=6.470, p=0.011). Acute toxicity and long-term radiotherapy related toxicity in the two groups did not differ (p>0.05). Conclusions: Glycididazole sodium could improve curative effects without increasing adverse reactions when treating paitents with locally advanced nasopharyngeal carcinoma.

Comparative study in fracture strength of zirconia cores fabricated with three different CAD/CAM systems (3종의 CAD/CAM 시스템에서 지르코니아 코어의 파절 강도에 관한 비교 연구)

  • Shin, Eon-Sick;Lee, Young-Soo;Park, Won-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.1
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    • pp.22-30
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    • 2008
  • Purpose: The purpose of this study is to compare three different CAD/CAM systems through the fracture strength of zirconia core and to evaluate the clinical availability of each system. Material and methods: The following three groups of 30 maxillary mesial incisor core for all-ceramics(each group 10) were fabricated as follows: group 1. $Adens^{(R)}$ CAD/CAM system, group 2. $Cerasys^{(R)}$ CAD/CAM system, group 3. 3M $Lava^{(R)}$ CAD/CAM system. All specimens were manufactured consistently thickness 0.5mm and relief $40{\mu}m$. Specimens were subjected to compressive loading on the lingual area by Z250/$SN5S^{(R)}$. Each group's mean and standard deviation were calculated and Kruskal Waillis test, Wilcoxon Rank Sum test were utilized to find out the relationship among the groups. Results: The results were as follows: 1. The mean fracture strength of $Adens^{(R)}$ system was $615.89{\pm}156.1N$, the $Cerasys^{(R)}$ system was $863.98{\pm}151.5N$, and the 3M $Lava^{(R)}$ system was $1143.1{\pm}286.6N$. 2. The fracture strength of the systems showed the significant statistical differences in order of 3M $Lava^{(R)}$ system, $Cerasys^{(R)}$ system, $Adens^{(R)}$ system. Conclusion: In this study, in spite of the differences among the groups, every group showed clinically useful results. It is necessary to study further clinical experiments on a long term basis.

On the Homotoneity of Species Composition in the Phytosociologically Synthesized Community Tables (식물사회학적 식생자료의 종조성 균질성에 대하여)

  • Kim, Jong-Won;Eom, Byeong-Cheol
    • Korean Journal of Environment and Ecology
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    • v.31 no.5
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    • pp.433-443
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    • 2017
  • Securing the species compositional integrity (typicalness and representativeness) is the essential prerequisite for an integrated management of vegetation resources using the phytosociological $relev\acute{e}s$ and plant communities of the Z.-M. school. This study is intended to develop a tool for qualitative and quantitative evaluation of species compositional homotoneity of a set of $relev\acute{e}s$ per syntaxon. The new homotoneities, actual homotoneity ($H_{act}$), and optimal homotoneity ($H_{opt}$) taking into account the heterogeneous factors of $relev\acute{e}s$ are proposed. The correlations between the floristic variables such as the vegetation type, the new homotoneities, and the previously studied homogeneous measures (e.g. Pfeiffer's homogeneity, basic homotoneity-coefficient, corrected homotoneity-coefficient, and mean floristic similarity) are analyzed by using Spearman's rank correlation coefficient. $H_{act}$ and $H_{opt}$ are effective in determining the difference of inter-synthesized units and of inter-$relev\acute{e}s$, respectively. $H_{act}$ is the homotoneity that is the most independent of the number of $relev\acute{e}s$. On actual vegetation with long-term human impact in the Korean Peninsula, $H_{opt}$ has become an aid to the more precise understanding of $H_{act}$ as substantive homogeneousness of species composition of syntaxa. It is expected that $H_{act}$ and $H_{opt}$ can be used for the selection of a sort of homogeneous vegetation data to build a phytosociological $relev\acute{e}$-database with consistency and objectiveness for national vegetation resources.

A Study on the System of Official Uniforms Established by Emperor Hong-wu(洪武) of the Ming(明) Dynasty (명 홍무제의 관복제정에 관한 연구)

  • Chun Hea-Sook;Ryoo Jae-Woon
    • Journal of the Korean Society of Costume
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    • v.55 no.2 s.92
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    • pp.70-81
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    • 2005
  • This paper researches the system of official uniforms and characteristics of the system based on Ming-Shi(明史), Da-Ming-Hui-Dian(大明會典) and Hong-Wu-Li-Zhi(洪武禮制) in the emperor Hong-wu(洪武帝) of Ming dynasty(明). The system could be divided in to three terms, i.e., the early (initial), the middle and the end (last) terms. In the first(1368) & the third year of the emperor's reign (1370) the system of official uniforms was simple f9r his people not to be luxurious and for revived the system of official uniforms of the Han dynasty(漢) and annulled the system of the Yuan dynasty(元), be-cause the country was not stable yet. During the middle term of Hong-wu, the 14th (1381) to 16th (1383) year of his reign, people attained luxurious lives and developed a strong sense of rank as the country became more stable. As a result, the system became more complicated when the emperor used the costumes to represent political and social ranking. In the end of the emperor's age, the 23rd (1390) to 26th (1393), it reveals his strong intention to establish a system of costumes that separated the ruler from the ruled. He wanted to strengthen the power of Emperor for his little grandson, Jian-wen(建文帝), who would succeed to the throne and would have absolute power. These changes became fundamental to the Ming dynasty's costume system and the Ming dynasty kept them for long time.

A Study on Women′s Costume Colors in the Sumptuary Laws of Silla in Sam Guk Sa ki(三國史記) (삼국사기의 복식연구 IV -색복의 부인 복색을 중심으로-)

  • 김진구
    • The Research Journal of the Costume Culture
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    • v.6 no.2
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    • pp.36-44
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    • 1998
  • The purpose of this study was to identify and to classify the names of costume colors of women of Silla. The results of this study can be summarized as follows; Until now scholars and researchers interpreted nine colors in Sam Guk Sa Ki as nine colors explained in the dictionaries. However, term, nine colors in the contexts did not refer to the literary meaning of nine colors such as blue, red, yellow, white, black, green, purple, pink, and navy blue as explained in the dictionaries. 'Nine colors' of Silla were women's costume colors which were specified in the royal edict in the texts. Thus, 'nine colors' of Silla had a specific meaning rather than literary meaning. 'Nine colors' of Silla women's costume were identified as red( ), yellow(黃), purple(紫), purplish pink(紫粉), gold powder(金屑), pink(紅), yellow powder(黃屑), dark pink(緋) and dark purple(滅紫). These 'nine colors' were actually prohibited colors in women's costume in the royal edict. Women from true bone, the highest class, were prohibited the use of tow colors of red and yellow out of nine colors. While women from four du pum and common class were forbidden the use of nine colors out of total of nine colors. Kinds and numbers of colors of costume were used as a means of differentiating the social class and rank of women in Silla. Also it was found that women of Silla favored red purple, pink tones and yellow color in their costume and these colors were fashionable colors among women of Silla. These fashionable costume colors of Silla women seems to be influenced by fashions of women of T'ang dynasty of China. Red, purple, pink, yellow and green were favorite colors of women of T'ang dynasty of China.

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Studies of Gangjung(I) -Effect of dried Insam on the Lipid Oxidation and Sensory Evaluation of Gangjung- (강정에 관한 연구(I) -인삼이 강정의 지방산화와 기호도에 미치는 영향)

  • 이숙경;백남현;손종성
    • Journal of Food Hygiene and Safety
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    • v.15 no.4
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    • pp.334-339
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    • 2000
  • The antioxidant effect and sensory evaluation of various concentration of dried insam on gangjung was investigated far 6 months. The results were as follows: 1. The antioxidant effect of each sample were in the rank order of 0>0.5>1.0>1.5>2.0>2.5% of dried insam at 2$0^{\circ}C$ by acid and peroxide value but the effect did not increase pro-portionally with increasing concentration.2. In 3 months, acid and peroxide values increased slowly showing, but after 3 months, acid and peroxide values increased remarkably. 3. The acid value(AV) and the peroxide value(POV) of dried insam gangjung increased according to storage term but there was no significant difference with the kinds of adding methods of dried insam. 4. Sensory evaluation of preference for flavor, texture, taste and total quality of six samples by multiple paired comparison test indicated that gangjung with 1.5% dried insam In maltose was the best among samples.

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A Study on the Space Structure and Feature of Interior in the Passenger's Residential Place of a Cruise Ship in Chronological Order (시기별 크루즈 선박 승객거주구역의 공간구성 및 실내디자인 특성에 관한 연구)

  • 진달래;이규백
    • Archives of design research
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    • v.16 no.4
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    • pp.215-224
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    • 2003
  • The cruiser trip which can have various experiences in a short time is growing as the best tourism package because there is less leisure time in contrast of the increased income in 21C. in other words, as the demand of the tourist goes up, the number of ships built newly is increasing. The order of the ship keeping first and second rank in Korea has arranged a long-term strategy in order to get into the global market with the cruiser with the high value added. They also set the objective related to the cruiser design and skillful construction work. We need to observe the change and trend of the cruiser with a care at this time when the cruiser industry is launched out. In this study, the cruiser industry is divided by four periods: the spring time, the depressed time, the developing time and the peak time, on the basis of the trend of the development and the change of space structure. In addition, it was analyzed in this study that there were the various trends such as the ratio, the structure and the type of the space as well as the interior plan in the passenger's residential place The aim of this study is to present the fundamental material about the interior plan to prepare for building the domestic cruisers in a foreseeable future.

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Job Satisfaction Influenced Personal Traits among Officers and Noncommissioned Officers Working in Army Hospital (군병원 간부들의 개인적 성향에 따른 직무 만족도)

  • OH Jung Yi;Jung Moon Sook
    • Journal of Korean Public Health Nursing
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    • v.9 no.1
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    • pp.1-16
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    • 1995
  • The purpose of this study was to find out and analyze the satisfaction degree related to job by general characteristics, satisfaction factors. This survey was based on the questionnaire method. The sample consisted of 51 noncommissioned officers, 72 administrative officers and 160 nurse officers from army hospitals. The data were collected from March 14 to April 18, 1994 and statistically analysed by percentage, mean and $x^2$ test. Factors of job satisfaction consist of 6 categories; job pristige, interaction, autonomy, task requirements, pay, and organizational requirements. The overall job satisfaction degree was $62.8\%$ in NCOs, $54.2\%$ in administrative officers and $33.3\%$ in nurse officers. The job satisfaction of NCCs increased in factors of job prestige (p<0.01), autonomy (p<0.05), task requirement (p<0.05), and was higher as age. There were statistically significant in the factors of pay in school background, Job prestige in rank (p<0.05). 'I'm OK and You're OK' type was $76.5\%$ which was the highest rate and A major personal traits also showed the highest job satisfaction $(63.7\%)$. There were significant difference between major personal traits and interaction (p<0.01), autonomy (p<0.05), organizational requirement (p<0.01), pay (p<0.05) and task requirement. The job satisfaction of administrative Officers was represented significant differences in factors of pay (p<0.05), task requirements (p<0.05) by school background. Long term Workers showed the highest job satisfaction and significant difference in factors of job prestige and organizational requirement (p<0.01). Job satisfaction in 'I'm OK but you're not OK' type was slightly high, and CP major personal traits also showed the highest job satisfaction. The job satisfaction of nurse officers was represented significant difference in factors of autonomy (p<0.01), job prestige (p<0.05), organizational requirement (p<0.05), and pay by age. In CP major personal traits. job satisfaction showed the highest rate (75.0)

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