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The Pathological and Clinical Effects of Preoperative Chemoradiation in Rectal Cancer (직장암의 수술 전 항암화학방사선치료 후 병리학 및 임상적 효과 분석)

  • Song, Jin-Ho;Jang, Hong-Seok;Kim, Yeon-Sil;Chung, Su-Mi;Son, Seok-Hyun;Kang, Jin-Hyeong;Youk, Eui-Gon;Lee, Doo-Seok;Lee, Suk-Hi;Yoon, Sei-Chul
    • Radiation Oncology Journal
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    • v.29 no.1
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    • pp.11-19
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    • 2011
  • Purpose: To evaluate the pathological and clinical effects of preoperative chemoradiation (CCRT) in cases of locally advanced rectal cancer and to determine the predictive factors for tumor downstaging. Materials and Methods: From March 2004 to August 2008, 33 patients with locally advanced rectal cancer were treated with preoperative CCRT. Twenty-eight patients (84.8%) were treated using a concomitant boost technique while five (15.2%) patients were treated using a cone down boost technique. All patients received 50.4 Gy of irradiation and concurrent chemotherapy with 5-fluorouracil. The median follow-up duration was 24.2 months (range, 9.8 to 64.7 months). Results: Thirty-one (93.9%) patients underwent surgery. Twenty-four patients (72.7%) underwent anal sphincter-preserving surgery. The 3-year disease free survival (DFS) and overall survival rates were 63.4% and 78.8%, respectively. Post-operative factors were more important for DFS. Pathologic N stage, margin status, and pathologic differentiation were significant prognostic factors (p=0.001, 0.029, 0.030). Tumor size and lymphovascular invasion were also associated with marginal significance (p=0.081, 0.073). However, only pre-treatment T stage was a significant pre-operative factor (p=0.018). The complete pathological response rate was 9.1 %. T-downstaging was observed in ten (30.3%) patients, whereas N-downstaging was found in 24 (72.7%) patients. Pre-treatment T stage and the interval between CCRT and operation were the predictive factors for downstaging in a univariate analysis (p=0.029, 0.027). Pre-treatment carcinoembryogenic antigen was also associated with marginal significance (p=0.068). Conclusion: The survival of rectal cancer patients can be better determined based on post-operative findings. Therefore, pre-operative CCRT for downstaging of the tumor seems to be important. Pre-treatment T stage and the interval between CCRT and operation can be used to predict downstaging.

Interpretation of Interaction of Herbicides on Principal Paddy Weeds - By Use of Oxyfluorfen and Bensulfuron-methyl Data - (주요(主要) 논 잡초종(雜草種)에 대한 제초제간(除草劑間)의 상호작용효과(相互作用效果) 해석연구(解析硏究) - Oxyfluorfen과 Bensulfuron을 예(例)로 -)

  • Han, J.H.;Guh, J.O.;Chon, S.U.;Kwon, O.D.
    • Korean Journal of Weed Science
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    • v.12 no.2
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    • pp.144-157
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    • 1992
  • The study was conducted to compare the interprete methods and examine the feasibility of mixture use of oxyfluorfen and bensulfuron in controlling principal Paddy weeds, annuals and perennials. Application ratio of both chemicals were obtained from the combinations of 5 levels(0, 5, 10, 15, 20 g ai/ha) of each chemicals, respectively. All the treatments were applied at 5 days after transplanting and water was maintained at 3.0cm in depth. Shoot fresh-weight of weeds was assessed at 35 days after treatments. Data obtained was analysed by Colby, Isobole, Calculus, Regression and EQM method, respectively. The results from the analysis of variance on the principal weeds treated with oxyfluorfen and bensulfuron showed significant interactions at 1% level on both Echinochloa crus-galli and Eleocharis Kuroguwai, and total species at 0.5% level on both Potamogeton distinctus and Cyperus serotinus, but non significant on Scirpus juncoides and Sagittaria pygmaea. Thereafter, the results of the models applied to Echinochloa crus-galli, Eleocharis kuroguwai and total species were as follows ; 1. The Colby method gave values nearly identical to regression estimate method (both multiplicative models) as provided by Akobundu et al. The Colby method and Regression method indicated synergistic toward Echinochloa curs-galli, and total species, but antagonistic toward Eleocharis kuroguwai. 2. The Isobole method shows synergism on Echinochloa crus-galli at $ID_{50}$, and total species at $ID_{60}$ on Eleochari kuroguwai. 3. The Calculus method gave positive signs for the first differentiation and negative signs for the second differentiation except for some rates on Echinochloa crus-galli and total species, but reverse on Eleocharis kuroguwai. These result does not agree with the observed values. 4. ${\theta}$ value from the EQM method was greater than one at all combinations. This result was quite different from those of other methods. 5. The various models did not show the same results, but mixture of oxyfluorfen and bensulfuron tend to have synergistic effect. Weeding effect also was high. Treatment in terms of two chemical combination was expected to reduce rates, and to enhence weeding efficacy compared with single treatment.

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Studies on Photosynthetic and Respiratory Characteristics in Warm Season and Cool Season Turfgrasses (한지형(寒地型) 잔디와 난지형(暖地型) 잔디의 광합성(光合成) 및 호흡특성(呼吸特性))

  • Nan, Xuan Song;Kaneko, Seiji;Ishii, Ryuichi
    • Korean Journal of Weed Science
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    • v.15 no.2
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    • pp.166-174
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    • 1995
  • This experiment was conducted to investigate a cause of summer depression of cool season turfgrass, using nine cultivars in warm season and twenty-eight cool season turfgrasses. Even though an average of apparent photosynthesis(APS) per fresh weight was 13.09 mg $CO_2$/g/h in warm season turfgrass and 7.75 mg $CO_2$/g/h in cool season turfgrass, the Creeping bentgrass in cool season type was higher than Kikuyugrass and Bahiagrass in warm season type. The optimum temperature for the heighest APS was $30^{\circ}C$ in warm season type and $25^{\circ}C$ in cool season type. In $CO_2$ compensation point(CCP) as an index of dark respiration, it was higher in cool season turfgrass(75.6ppm) than warm season turfgrass(29.5ppm). In warm season type, even though the temperature increased from $25^{\circ}C$ to $40^{\circ}C$ the CCP was not increased. But the higher temperature rises the more increased CCP in cool season type. Dark respiration(DR) was higher in cool season type than warm season type under various temperature conditions, but the increasing ratio of DR with the temperature increment was not so much differed between two types.

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Fluid Inclusion and Stable Isotope Geochemistry of the Yugeum Hydrothermal Gold Deposit in Youngduk, Korea (영덕 유금 열수 금광상에 대한 유체포유물과 안정동위원소 연구)

  • Kim, Sang-Woo;Lee, In-Sung;Shin, Dong-Bok
    • Journal of the Mineralogical Society of Korea
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    • v.23 no.1
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    • pp.1-13
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    • 2010
  • The Yugeum deposit in Youngduk in Gyungsangbuk-do is emplaced in the Cretaceous granitoids located in the Northeastem Gyeongsang Basin. Gold-bearing quartz veins filling the fracture with a direction of $N19^{\circ}{\sim}38^{\circ}W$ are most abundantly distributed within the Younghae granodiorite body. The formation of quartz veins can be classified into three main stages: barren quartz stage, auriferous quartz vein stage, and finally the extensive sulfide mineralization stage. Various sulfide minerals such as pyrite, chalcopyrite, galena, sphalerite, and arsenopyrite were precipitated during the hydrothermal gold mineralization process. Gold commonly occurs as fine-grained electrum in sulfides with high Au concentration (up to 93 wt%) compared to Ag. During the early gold mineralization stage, the temperature and pressure of the fluids are in the range of $220{\sim}250^{\circ}C$ and 730~1800 bar, and the oxygen fugacity is between $10^{-27}$ and $10^{-31.7}$ atm. On the other hand, the fluids of the late stage mineralization are characterized by temperature of $290{\sim}350^{\circ}C$ and pressure of 206~472 bar, and the oxygen fugacity is in the range of $10^{-26.3}{\sim}10^{-28.6}$ atm. The sulfur isotope compositions of sulfide minerals are in the range of $0.2{\sim}4.2^{\circ}/_{\circ\circ}$, while the ${\delta}^{34}SH_2S$ values range from 1.0 to $3.7^{\circ}/_{\circ\circ}$. The Ag/Au atomic ratios of electrum ranges from 0.15 to 1.10, and Au content is higher than Ag in most electrum. During the main gold mineralization stage at the relatively high temperature condition and with pH from 4.5 to 5.5, the stability of ${AuCl_2}^-$ increased while the stability of ${Au(HS)_2}^-$ decreased. Considering the pressure estimated in this deposit, the temperature of the ore fluid reached higher than $350^{\circ}C$ and ${AuCl_2}^-$ became an important species for the gold transportation. As mineralization proceeded with decreasing temperature and increasing pH and $f_{o2}$, the precipitation of sulfide minerals and accompanying electrum occurred.

The Effect of the Optical Points Difference between Finished-Reading Glasses and Dispensing Reading Glasses (완성품 돋보기와 조제가공된 돋보기가 광학적 요소에 미치는 영향)

  • Shim, Young-Cheol;Yoo, Gun-Chang;Kim, In-Suk
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.3
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    • pp.65-71
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    • 2008
  • Purpose: This paper studied the effect of eyes on the comparison between the distance optical centers problem of dispensing reading glasses made by optician and finished reading glasses in the current market. Methods: The method of this study has been measured by eleven different categories from +1.00D to +4.00D. This study also separated into three groups by their optical frame size and measured optical center point (O.C) and optical center height (O.H) with 200 peoples of man and females over 40 years old without ocular disease living in Gwang-san gu, Gwang-Ju city. Results: As a result, optical center point ranged from 57 mm to 80 mm and it turned to be most common range is from 61 mm to 65 mm (64.6%). Moreover, the optical center height ranged from 1 mm to 8mm and most common ranged (23%) were 4 mm. In other words, finished reading glasses have irregular optical ranges. After observing 200 people who are over 40 years old men and women, result shows that more than 75.5% (151 people) currently use finished reading glasses. Survey of 151 people, most common error between the finished reading glasses's O.C and the wearers P.D were 4 mm (45%). Furthermore, the most common error between the finished reading glassses's O.H and the wearers O.H ranged from 3 mm to 4 mm. Astonishingly, the entire 151 people who wear finished reading glasses appeal that they feel tiredness on their eyes when they wear finished reading glasses. 53 people (35%) claimed that they feel tiredness on their eyes after 10 to 20 minutes wearing finished reading glasses. Base on the research, We conducted more experiment to find the value of prism of optical centers err because it will tell us whether the finished reading glasses are good enough to wear or not. We multiplied diopter by the difference between finished reading glasses's O.C. and wearer's P.D. Consequently, We found out that the finished reading glasses counter to the German RAL-RG 915 policy. And We also found that it is relative to the diopter of lenses. In conclusion, based on the researched that wearing finished reading glasses have a dangerous factor for our vision. Therefore optician must need to recommend correctly made dispensing reading glasses based on the optical center point.

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Characteristics of Suillus bovinus fairy rings and genets associated with thinning intensity in Pinus densiflora forests (소나무림에서 간벌강도에 따른 황소비단그물버섯(Suillus bovinus)의 균환과 genet 특성)

  • Park, Yong-Woo;Lee, Hwa-Yong;Koo, Chang-Duck
    • Journal of Mushroom
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    • v.18 no.2
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    • pp.125-134
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    • 2020
  • To study the fairy ring and genet characteristics of Suillus bovinus based on thinning intensity in Pinus densiflora forests, a simple sequence repeat (SSR) analysis was performed on the fruiting bodies of the plant. In pine wood production forests, the thinning strengths applied were 34%, 45%, and 60%. As a result, the number of fruiting bodies in the 34% treatment area was 104, which was higher than that in the other treatment areas. In the 34% treatment area, fruiting bodies occurred in a circular shape, within a diameter of approximately 5 meters (m) of the trees. In the 45% treatment area, the fruiting bodies were randomly distributed between 6 to 7 m from the trees, while in the 60% treatment, fruiting bodies occurred in a narrow oval shape, 6 m from the trees. In the control area, two fruiting bodies were present around the root collar. Hybridity was confirmed in the SSR markers of Sb-CA1 and Sb-CA3. The fruiting bodies in the 34% treatment area had a He / Ho value lower than that in the 60% treatment area. In fruiting bodies of the 34% treatment area, a total of 20 genets were identified, with an average size of 14±11 ㎡; 60% of genets were formed by a single fruiting body. In fruiting bodies of the 45% treatment area, a total of 6 genets were identified and the average size was 11±12 ㎡; 50% of genets were formed by a single fruiting body. In fruiting bodies of the 60% treatment area, a total of 10 genets were identified, with an average size of 1.1±0.8 ㎡; 70% of genets were formed by a single fruiting body. Thus, the formation ratio of a new genet increases when the thinning intensity is increased.

Development of Dose Planning System for Brachytherapy with High Dose Rate Using Ir-192 Source (고선량률 강내조사선원을 이용한 근접조사선량계획전산화 개발)

  • Choi Tae Jin;Yei Ji Won;Kim Jin Hee;Kim OK;Lee Ho Joon;Han Hyun Soo
    • Radiation Oncology Journal
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    • v.20 no.3
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    • pp.283-293
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    • 2002
  • Purpose : A PC based brachytherapy planning system was developed to display dose distributions on simulation images by 2D isodose curve including the dose profiles, dose-volume histogram and 30 dose distributions. Materials and Methods : Brachytherapy dose planning software was developed especially for the Ir-192 source, which had been developed by KAERI as a substitute for the Co-60 source. The dose computation was achieved by searching for a pre-computed dose matrix which was tabulated as a function of radial and axial distance from a source. In the computation process, the effects of the tissue scattering correction factor and anisotropic dose distributions were included. The computed dose distributions were displayed in 2D film image including the profile dose, 3D isodose curves with wire frame forms and dosevolume histogram. Results : The brachytherapy dose plan was initiated by obtaining source positions on the principal plane of the source axis. The dose distributions in tissue were computed on a $200\times200\;(mm^2)$ plane on which the source axis was located at the center of the plane. The point doses along the longitudinal axis of the source were $4.5\~9.0\%$ smaller than those on the radial axis of the plane, due to the anisotropy created by the cylindrical shape of the source. When compared to manual calculation, the point doses showed $1\~5\%$ discrepancies from the benchmarking plan. The 2D dose distributions of different planes were matched to the same administered isodose level in order to analyze the shape of the optimized dose level. The accumulated dose-volume histogram, displayed as a function of the percentage volume of administered minimum dose level, was used to guide the volume analysis. Conclusion : This study evaluated the developed computerized dose planning system of brachytherapy. The dose distribution was displayed on the coronal, sagittal and axial planes with the dose histogram. The accumulated DVH and 3D dose distributions provided by the developed system may be useful tools for dose analysis in comparison with orthogonal dose planning.

Dose Alterations at the Distal Surface by Tissue Inhomogeneity in High Energy Photon Beam (조직 불균질성에 의한 고에너지 광자선의 선량변화)

  • Kim, Young-Ai;Choi, Tae-Jin;Kim, Ok-Bae
    • Radiation Oncology Journal
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    • v.13 no.3
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    • pp.277-283
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    • 1995
  • Purpose : This study was performed to measure dose alteration at the air-tissue interface resulting from rebuild-up to the loss of charged particle equilibrium in the tissues around the air-tissue interfaces. Materials and Methods : The 6 and 10-MV photon beam in dual energy linear accelerator were used to measure the surface dose at the air-tissue interface The polystyrene phantom sized $25{\times}25{\times}5\;cm^3$ and a water phantom sized $29{\times}29{\times}48\;cm^3$ which incorporates a parallel-plate ionization chamber in the distal side of air gap were used in this study. The treatment field sizes were $5{\times}5\;cm^2,\;10{\times}10\;cm^2\;and\;20{\times}20\;cm^2$. Air cavity thickness was variable from 10 mm to 50 mm. The observed-expected ratio (OER) was defined as the ratio of dose measured at the distal junction that is air-tissue interface to the dose measured at the same point in a homogeneous phantom. Results : In this experiment, the result of OER was close or slightly over than 1.0 for the large field size but much less (about 0.565) than 1.0 for the small field size in both photon energy. The factors to affect the dose distribution at the air-tissue interface were the field size, the thickness of air cavity. and the photon energy. Conclusion : Thus, the radiation oncologist should take into account dose reduction at the air-tissue interface when planning the head and neck cancer especially pharynx and laryngeal lesions, because the dose can be less nearly $29{\%}$ than predicted value.

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The Prognostic Effect of Subpleural Lesions in Early Stage Non-small Cell Lung Cancer - Preliminary Report - (초기 비소세포 폐암 환자의 늑막하 병변이 예후에 미치는 영향; 예비 보고)

  • Lee, Ho-Jun;Lee, Hyung-Sik;Hur, Won-Joo;Lee, Ki-Nam;Choi, Pill-Jo
    • Radiation Oncology Journal
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    • v.16 no.4
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    • pp.425-431
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    • 1998
  • Purpose : We retrospectively analyzed the impact of subpleural lesions of early stage non-small cell lung cancer on the patterns of failure to support selection of postoperative adjuvant therapy. Methods and Materials : The study included 91 patients who underwent surgery for early stage non-small cell lung cancer at Dong-A University Hospital from Dec 1990 to Sep 1996. Twenty five patients were excluded due to postoperative mortality (four patients, 4.4$\%$) and stage III (21 patients). Of 66 patients, 22 patients were subpleural lesions (15 patients in stage I, and seven patients in stage II). Postoperative adjuvant radiation therapy was given to seven patients with T2Nl disease. The median follow-up duration was 29.5 months (range; 8-84 months). Results : The overall survival rate was 69.5$\%$ at 3 years. For all patients who presented with (22 patients) and without (44 patients) subpleural lesions, 3-year overall survival rates were 35.5$\%$ and 84.6$\%$, respectively (p=0.0017). For stage I patients who presented with (15 patients) and without (29 patients) subpleural lesions, 3-year overall survival rates were 33.1$\%$ and 92.3$\%$, respectively (p=0.001). For stage II patients who presented with (7 patients) and without (15 patients) subpleural lesions, 3-year overall survival rates were 53.3$\%$ and 45.7$\%$, respectively (p=0.911). For patients with T2N0 disease (34 patients) who presented with (11 patients) and without (23 patients) subpleural lesions, 3-year overall survival rates were 27.3$\%$ and 90.3$\%$, respectively (p=0.009). Conclusion : These observations suggest that the subpleural lesion play an important role as a prognostic factor for early stage non-small cell lung cancer. Especially for T2N0 disease, patients with subpleural lesions showed significantly lower survival rate than those without that.

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Effect of top dressing of Compound Fertilizer Containing nitrate (Ammonium Nitrate Sulfate) on Paddy Rice (수도용(水稻用) 질산태질소함유(窒酸態窒素含有) 복합비료(複合肥料)의 추비효과(追肥效果))

  • Kim, Jeong-Je;Jang, Yong-Seon;Cho, Byong-Ok;Huh, Beom-Lyang
    • Korean Journal of Soil Science and Fertilizer
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    • v.21 no.3
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    • pp.289-295
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    • 1988
  • An ordinary paddy variety Hwaseong and a high-yielding variety Samgang were taken under investigation to test the effect of top dressing of newly formulated three compound fertilizers on rice plants for at sprouting heads. The fertilizer formulate used were C. F. I (14-0-14; $NO_3-N$ and $NH_4-N$) and C. F. II (14-0-14; $NH_4-N$ only) and C. F. III (14-0-14 + OM 10%; $NO_3-N$ and $NH_4-N$). A field experiment was conducted on a plot of Gyuam series. The following results were obtained: 1. Effects of compound fertilizers at sprouting heads a. Hwaseong variety exhibited 5-10% yielding increases on the plots with application of 2nd compound fertilizer (I) and (II) compared to straight fertilizer of (I) and (III). Fertilization with 2nd and 3rd compound fertilizers gave the best result when they are done 15 days before heading. A yield increase of 3-5% was achieved when the fertilization was done 20 days before heading in the case of Samgang variety, but no beneficial effect was observed with an application 10 days before heading. b. Rate of barren grains was at the minimum in the compound fertilizer (II) plots of both Hwaseong and Samgang varieties. c. Content of $NO_3-N$ in soils and grain yield appeared to be positively correlated($r=0.618^*$) 2. Effects of heading fertilizers on artificially reduced conditions of soil a. No significant difference in Eh values were measured among reduced paddy soils. The compound fertilizer of (II) presented the best result in yield increases regardless of rice variety. b. Rate of barren grains in both varieties was observed at the minimum on the application of compound fertilizer of (II). c. No great difference of mineral contents was detected among plants from different treatments.

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