• 제목/요약/키워드: volume change ratio

검색결과 484건 처리시간 0.034초

Risk factors for prostate-specific antigen persistence in pT3aN0 prostate cancer after robot-assisted laparoscopic radical prostatectomy: a retrospective study

  • Jun Seop Kim;Jae Hoon Chung;Wan Song;Minyong Kang;Hyun Hwan Sung;Hwang Gyun Jeon;Byong Change Jeong;Seong Il Seo;Hyun Moo Lee;Seong Soo Jeon
    • Journal of Yeungnam Medical Science
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    • 제40권4호
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    • pp.412-418
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    • 2023
  • Background: The aim of this study was to evaluate the risk factors for prostate-specific antigen (PSA) persistence in pathological stage T3aN0 prostate cancer (PCa) after robot-assisted laparoscopic radical prostatectomy (RALP). Methods: A retrospective study was performed on 326 patients with pT3aN0 PCa who underwent RALP between March 2020 and February 2022. PSA persistence was defined as nadir PSA of >0.1 ng/mL after RALP, and the risk factors for PSA persistence were evaluated using logistic regression analysis. Results: Among 326 patients, 61 (18.71%) had PSA persistence and 265 (81.29%) had PSA of <0.1 ng/mL after RALP (successful radical prostatectomy [RP] group). In the PSA persistence group, 51 patients (83.61%) received adjuvant treatment. Biochemical recurrence occurred in 27 patients (10.19%) in the successful RP group during the mean follow-up period of 15.22 months. Multivariate analysis showed that the risk factors for PSA persistence were large prostate volume (hazard ratio [HR], 1.017; 95% confidence interval [CI], 1.002-1.036; p=0.046), lymphovascular invasion (LVI) (HR, 2.605; 95% CI, 1.022-6.643; p=0.045), and surgical margin involvement (HR, 2.220; 95% CI, 1.110-4.438; p=0.024). Conclusion: Adjuvant treatment may be needed for improved prognosis in patients with pT3aN0 PCa after RALP with a large prostate size, LVI, or surgical margin involvement.

Monitoring Response to Neoadjuvant Chemotherapy of Primary Osteosarcoma Using Diffusion Kurtosis Magnetic Resonance Imaging: Initial Findings

  • Chenglei Liu;Yan Xi;Mei Li;Qiong Jiao;Huizhen Zhang;Qingcheng Yang;Weiwu Yao
    • Korean Journal of Radiology
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    • 제20권5호
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    • pp.801-811
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    • 2019
  • Objective: To determine whether diffusion kurtosis imaging (DKI) is effective in monitoring tumor response to neoadjuvant chemotherapy in patients with osteosarcoma. Materials and Methods: Twenty-nine osteosarcoma patients (20 men and 9 women; mean age, 17.6 ± 7.8 years) who had undergone magnetic resonance imaging (MRI) and DKI before and after neoadjuvant chemotherapy were included. Tumor volume, apparent diffusion coefficient (ADC), mean diffusivity (MD), mean kurtosis (MK), and change ratio (ΔX) between pre-and post-treatment were calculated. Based on histologic response, the patients were divided into those with good response (≥ 90% necrosis, n = 12) and those with poor response (< 90% necrosis, n = 17). Several MRI parameters between the groups were compared using Student's t test. The correlation between image indexes and tumor necrosis was determined using Pearson's correlation, and diagnostic performance was compared using receiver operating characteristic curves. Results: In good responders, MDpost, ADCpost, and MKpost values were significantly higher than in poor responders (p < 0.001, p < 0.001, and p = 0.042, respectively). The ΔMD and ΔADC were also significantly higher in good responders than in poor responders (p < 0.001 and p = 0.01, respectively). However, no significant difference was observed in ΔMK (p = 0.092). MDpost and ΔMD showed high correlations with tumor necrosis rate (r = 0.669 and r = 0.622, respectively), and MDpost had higher diagnostic performance than ADCpost (p = 0.037) and MKpost (p = 0.011). Similarly, ΔMD also showed higher diagnostic performance than ΔADC (p = 0.033) and ΔMK (p = 0.037). Conclusion: MD is a promising biomarker for monitoring tumor response to preoperative chemotherapy in patients with osteosarcoma.

소화탈리액 대상 오존 전처리와 Ultra Violet-Advanced Oxidation Process 연계 처리를 통한 유기물질 지표 개선 (Improvement of Organic Substances Indicators by Linked Ultra Violet-Advanced Oxidation Process After Ozonation for Anaerobic Digested Wastewater)

  • 이재엽;제스민아터;김일호
    • 상하수도학회지
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    • 제37권5호
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    • pp.253-259
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    • 2023
  • Bioreactors are devices used by sewage treatment plants to process sewage and which produce active sludge, and sediments separated by solid-liquid are treated in anaerobic digestion tanks. In anaerobic digestion tanks, the volume of active sludge deposits is reduced and biogas is produced. After dehydrating the digestive sludge generated after anaerobic digestion, anaerobic digested wastewater, which features a high concentration of organic matters, is generated. In this study, the decomposition of organic carbon and nitrogen was studied by advanced oxidation process. Ozone-microbubble flotation process was used for oxidation pretreatment. During ozonation, the TOC decreased by 11.6%. After ozone treatment, the TOC decreased and the removal rate reached 80.4% as a result of the Ultra Violet-Advanced Oxidation Process (UV-AOP). The results with regard to organic substances before and after treatment differed depending on the organic carbon index, such as CODMn, CODCr, and TOC. Those indexes did not change significantly in ozone treatment, but decreased significantly after the UV-AOP process as the linkage treatment, and were removed by up to 39.1%, 15.2%, and 80.4%, respectively. It was confirmed that biodegradability was improved according to the ratio of CODMn to TOC. As for the nitrogen component, the ammonia nitrogen component showed a level of 3.2×102 mg/L or more, and the content was maintained at 80% even after treatment. Since most of the contaminants are removed from the treated water and its transparency is high, this water can be utilized as a resource that contains high concentrations of nitrogen.

Effects of the Use of Beta-Blockers on Chronic Obstructive Pulmonary Disease Associated with Cardiovascular Comorbities: Systematic Review and Meta-analysis

  • Natasha Cordeiro dos Santos;Aquiles Assuncao Camelier;Anne Karine Menezes;Victor Durier Cavalcanti de Almeida;Roberto Rodrigues Bandeira Tosta Maciel;Fernanda Warken Rosa Camelier
    • Tuberculosis and Respiratory Diseases
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    • 제87권3호
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    • pp.261-281
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    • 2024
  • Cardiovascular comorbidity is common in individuals with chronic obstructive pulmonary disease (COPD). This factor interferes with pharmacological treatment. The use of β-blockers has been proposed for their known cardioprotective effects. However, due to their adverse reactions, and the risk of causing bronchospasm, there is reluctance to use them. To summarize existing evidence on the effects of β-blocker use in COPD associated with cardiovascular comorbidities in relation to disease severity, exacerbation, and mortality outcomes. EMBASE, Medline, Lilacs, Cochrane Library, and Science Direct databases were used. Observational studies that evaluated the effects of β-blockers on individuals with COPD and cardiovascular comorbidities, and related disease severity, exacerbations, or mortality outcomes were included. Studies that did not present important information about the sample and pharmacological treatment were excluded. Twenty studies were included. Relevance to patient care and clinical practice: The use of β-blockers in individuals with COPD and cardiovascular disease caused positive effects on mortality and exacerbations outcomes, compared with the results of individuals who did not use them. The severity of the disease caused a slight change in forced expiratory volume in 1 second. The odds ratio for mortality was 0.50 (95% confidence interval [CI], 0.39 to 0.63; p<0.00001), and for exacerbations, 0.76 (95% CI, 0.62 to 0.92; p=0.005), being favorable to the group that used β-blockers. Further studies are needed to study the effect of using a specific β-blocker in COPD associated with a specific cardiovascular comorbidity.

폐쇄성 수면무호흡 환자의 상기도 형태의 특징과 압력강하에 관한 3차원 전산유체역학해석 (Morphological characteristics of the upper airway and pressure drop analysis using 3D CFD in OSA patients)

  • 모성서;안형택;이정선;정유삼;문윤식;배응권;성상진
    • 대한치과교정학회지
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    • 제40권2호
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    • pp.66-76
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    • 2010
  • 폐쇄성 수면무호흡(obstructive sleep apnea, OSA)은 수면 중에 반복적으로 상기도의 완전폐쇄나 부분폐쇄가 일어나는 질환으로서 흡기된 공기는 반드시 상기도라는 연조직 관(tube) 구조를 통과해야 하므로 상기도의 폐쇄경향은 관의 형태 및 관을 통과하는 공기의 유체역학적 특성에 따라서도 큰 영향을 받을 수 있다. 본 연구에서는 OSA 환자 3인의 치료 전 상기도 CT 이미지를 이용하여 개별화된 3차원 유한요소모델 A, B, C를 제작하고, 비공 당 170, 200, 230 ml/s의 흡기유량에 대하여 3차원 전산유체역학 해석을 시행하였다. 상기도의 유속, 음압 그리고 압력강하를 측정한 결과 관찰된 3개의 모델에서 모두 단면적이 가장 작은 부위에서 유속이 증가하였고, 음압이 크게 나타났다. 기도의 형태는 구개인두와 구인두 부위에서 좁아지는 형태를 가지며, 최소 단면적 영역과 하인두 단면적의 차이가 클수록 유속과 음압의 변화가 크게 나타났다. 비강 부위의 최고 압력과 최소 단면적 영역의 최저 압력의 차이를 의미하는 압력강하는 상기도 저항을 종합적으로 판단할 수 있는 유용한 지표이며, 유량에 따라 증가하였다.

Varietal Difference in Retrogradation of Cooked Rice and Its Association with Physicochemical Properties of Rice Grain

  • Choi, Hae Chune;Hong, Ha Cheal;Cho, Soo Yeon
    • 한국작물학회지
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    • 제44권4호
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    • pp.355-363
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    • 1999
  • The experiments were carried out to elucidate the varietal variation of retrogradation in aged cooked rice and its association with some physicochemical properties of milled rice. The fifteen rice materials were selected from forty-three low-amylose japonica and Tongil-type rice cultivars based on palatability and retrogradation of cooked rice stratified by preliminary sensory evaluation of warm and cooled cooked rice. One japonica glutinous rice variety was included for comparison of retrogradation of cooked rice. The $\alpha$-amylase-iodine method was adopted for checking the varietal difference in retrogradation of cooked rice. The desirable checking time for evaluating the varietal difference in deterioration of aged cooked rice was four hours after storing in room temperature and two hours after preserving in refrigerator based on the largest coefficients of variations in degree of retrogradation of cooked rice. The rice cultivars revealing the relatively slow retrogradation in aged cooked rice were Ilpumbyeo, Chucheongbyeo, Sasanishiki, Jinbubyeo and Koshihikari. A Tongil-type rice, Taebaegbyeo, and a japonica cultivar, Seomjinbyeo, showed the relatively fast deterioration of cooked rice. The retrogadation index represented by the percentage of retrogradation difference between warm and cooled cooked rice to original estimates of warm cooked rice was significantly affected by the degree of retrogradation of cooled cooked rice. Generally, the better rice cultivars in eating quality of cooked rice showed less retrogradation and much sponginess in cooled cooked rice. Also, the rice varieties exhibiting less retrogradation in cooled cooked rice revealed higher hot viscosity and lower cool viscosity of rice flour in amylogram. The sponginess of cooled cooked rice was closely associated with magnesium content and volume expansion of cooked rice. The hardness-changed ratio of cooked rice by cooling was negatively correlated with solids amount extracted during boiling and volume expansion of cooked rice. The major physicochemical properties of rice grain closely related to the palatability of cooked rice may be directly or indirectly associated with the retrogradation characteristics of cooked nce. The varietal difference in retrogradation of cooked rice can be effectively classified by scatter diagram on the plane of upper two principal components based on some retrogradation properties of cooked rice. The deteriorated structural change in cooled cooked rice by observing through the scanning electron microscope was more conspicuous in the fastly retrograded cooked rice than in the slower one.

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치주 유지관리기 환자에게 PRF-K2를 함유한 nutraceutical의 효과 (The effect of nutraceutical containing PRF-K2 on periodontal condition during maintenance phase)

  • 김유강;정현주;김세원;백동현
    • Journal of Periodontal and Implant Science
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    • 제37권1호
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    • pp.91-102
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    • 2007
  • The long term success of periodontal treatment is dependent upon the effectiveness of the main-tenance care program after active treatment. The purpose of this study was to evaluate whether nutraceutical containing PRF-K2 as natural product from plant and seaweed has beneficial effects on clinical parameters, gingival crevicular fluid (GCF) volume and GCF cytokine levels during main- tenance phase after periodontal treatment. Among the generally healthy and non-smoking. moderate to severe chronic periodontitis patients during maintenance phase in Department of Periodontics, Chonnam National University Hospital, twenty eight patients took nutraceutical containing PRF-K2 (Oscotec Inc. Cheonan, Korea) for 3 months as experimental group and sixteen patients received only maintenance care as control group. Clinical examination and GCF collection were performed at baseline, 1, 2 and 3 months of experiment. Total amounts and concentrations of GCF IL-1{\beta}, IL-1ra and $PGE_2$ were evaluated using ELISA kit. In probing pocket depth, experimental group showed the tendency of more reduction than control group after 3 months of experiment. Sulcus bleeding index (SBI) and GCF volume were significantly decreased in experimental group(p<0.05), whereas they were increased in control group. GCF IL-1{\beta} level tended to decrease in both experimental and control group and IL-1ra concentration tended to increase in experimental group and to decrease in control group. IL-1ra/IL-1{\beta} ratio tended to increase in experimental group and to decrease in control group during experimental period. GCF $PGE_2$ amount did not show any change in experimental group and tended to increase in control group. These results suggest that nutraceutical supplement which contain PRF-K2 could improve perio-dontal condition during maintenance phase after periodontal therapy.

Phage Lysogen과 Expanded Bed Adsorption을 이용한 세포내 효소의 회수 (Recovery of Intracellular Enzyme Using Phage Lysogen and Expanded Bed Adsorption)

  • 장우진;윤현식구윤모
    • KSBB Journal
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    • 제11권6호
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    • pp.663-668
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    • 1996
  • Phage lysogen계는 통일 반응기 내에서 단백질 고농도 생산과 세포파괴를 수행할 수 있는 장점을 가지나, 배양액내 다양한 배지생분과 세포내외 물질 이 흔재하게 되어 분리, 정제 공정에서의 효율이 감소되는 단점이 있다. 본 실험에서는 이러한 E. coli double-lysogen 계의 단점을 Expanded Bed Adsorption을 적용함으로써, 세포분리 빛 세포파괴 공정과, 잔류물질 제거를 위한 전처리 공정을 간소화 할 수 있었다. 이러한 공정의 간소화를 통해 생물 공학적 제품 생산시 생산비용의 감소와 생산효율 증 대를 이룰 수 있을 것으로 생각된다. EBA의 운전에 있어 배양용액의 주입량을 1/2로 감소시키는 경우 resin에 홉착되지 않고 손실되는 단백질과 흡착후 용리되는 단백질양이 모두 감소하 여 실험한 범위에서 주입량 감소에 의한 영향은 없 는 것으로 나타났다. Column 길이를 2배 증가시킨 경우 resin 1mL당 홉착되는 단백질 양이 $3.44{\times}106unit 에서 5.28{\times}106unit$ 으로 65% 증가하였으며, column 지름을 2배 증가시키는 경우 용리액의 농축비가 0.8에서 2.1로 증가하였다. 따라서 resin 단위 부피당 흡착량의 증 가를 위해서는 column의 길이를 증가시키는 것이 펼요하며, 높은 농도의 용리액을 얻기 위해서는 col­u umn의 지름을 증가시키는 것이 척절하다고 판단된다. EBA의 광범위한 사용을 위해서는 목적 단백질에 적합한 물성을 갖는 reSIn의 개발이 중요하며, 주어 진 상황에 따른 운전 조건의 최적화가 필요하다고 판단된다.

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단량체 및 무기질 filler 조성 변화에 따른 복합레진의 유변학적 특성 (RHEOLOGICAL PROPERTIES OF RESIN COMPOSITES ACCORDING TO THE CHANGE OF MONOMER AND FILLER COMPOSITIONS)

  • 이인복;이종혁;조병훈;손호현;이상탁;엄정문
    • Restorative Dentistry and Endodontics
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    • 제29권6호
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    • pp.520-531
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    • 2004
  • The aim of this study was to investigate the effect of monomer and filler compositions on the rheological properties related to the handling characteristics of resin composites. Methods. Resin matrices that Bis-GMA as base monomer was blended with TEGDMA as diluent at various ratio were mixed with the Barium glass (0.7 um and 1.0 um), 0.04 um fumed silica and 0.5 um round silica. All used fillers were silane treated. In order to vary the viscosity of experimental composites, the type and content of incorporated fillers were changed, Using a rheometer, a steady shear test and a dynamic oscillatory shear test were used to evaluate the viscosity ($\eta$) of resin matrix, and the storage shear modulus (G'), the loss shear modulus (G"), the loss tangent ($tan{\delta}$) and the complex viscosity (${\eta}^*$) ofthe composites as a function of frequency ${\omega}{\;}={\;}0.1-100{\;}rad/s$. To investigate the effect of temperature on the viscosity of composites, a temperature sweep test was also undertaken. Results. Resin matrices were Newtonian fluid regardless of diluent concentration and all experimental composites exhibited pseudoplastic behavior with increasing shear rate. The viscosity of composites was exponentially increased with increasing filler volume%. In the same filler volume, the smaller the fillers were used, the higher the viscosities were. The effect of filler size on the viscosity was increased with increasing filler content. Increasing filler content reduced $tan{\delta}$ by increasing the G' further than the G". The viscosity of composites was decreased exponentially with increasing temperature.

'초등과학교육' 학술지의 변천 과정에 따른 연구 동향 분석(1983~2020년) (Research Trend Analysis according to the Change of "Journal of Korean Elementary Science Education" from 1983 to 2020)

  • 신원섭;박형민;김남일
    • 한국초등과학교육학회지:초등과학교육
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    • 제40권4호
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    • pp.545-555
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    • 2021
  • 이 연구의 목적은 '초등과학교육' 학술지의 변천 과정에 따른 연구 동향을 분석하는 것이다. 이 연구에서는 1983년 1권 1호부터 2020년 39권 4호까지 총 1,047편의 논문을 분석하였다. 연구의 결과는 다음과 같다. 첫째, '초등과학교육' 학술지의 변천 과정은 논문 편수에 급격한 변화가 있는 시점을 기준으로 태동기, 정착기, 발전기, 유지기로 구분하였다. 둘째, '초등과학교육' 학술지에 3인 이상의 연구와 순수·연구비 지원 연구가 감소하고 있었다. 셋째, 연구 대상은 초등학생과 초등교사에 관한 연구 비율이 높았다. 넷째, 연구 방법은 주로 조사연구와 실험연구이었고, 자료 분석 방법으로는 질적 분석과 혼합 분석 연구가 증가하고 있었다. 다섯째, 1 저자의 직업은 교수(45.6%), 교사(39.8%), 대학원생(10.6%), 연구원(1.7%) 순이었다. 여섯째, 교신저자의 지역은 수도권인 서울과 경인에 집중되었다. 마지막으로, '초등과학교육' 학술지가 미래의 초등과학교육을 선도하는데 중추적인 역할을 계속 수행하기 위해서는 학술지 전반에 대한 개선 노력과 국내외 연구자, 학회 임원과 회원, 교육 기관의 지속적인 참여와 협조가 필요하다.