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Multimodality Treatement in Patients with Clinical Stage IIIA NSCLC (임상적 IIIA병기 비소세포폐암의 다각적 치료의 효과)

  • Lee, Yun Seun;Jang, Pil Soon;kang, Hyun Mo;Lee, Jeung Eyun;Kwon, Sun Jung;An, Jin Yong;Jung, Sung Soo;Kim, Ju Ock;Kim, Sun Young
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.6
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    • pp.557-566
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    • 2004
  • Background : To find out effectiveness of multimodality treatments based on induction chemotherapy(CTx) in patients with clinical stage IIIA NSCLC Methods : From 1997 to 2002, 74 patients with clinical stage IIIA NSCLC underwent induction CTx at the hospital of Chungnam National University. Induction CTx included above two cycles of cisplatin-based regimens(ectoposide, gemcitabine, vinorelbine, or taxol) followed by tumor evaluation. In 30 complete resection group, additional 4500-5000cGy radiotherapy(RTx) was delivered in 15 patients with pathologic nodal metastasis. 29 out of 44 patients who were unresectable disease, refusal of operation, and incomplete resection were followed by 60-70Gy RTx in local treatment. Additional 1-3 cycle CTx were done in case of induction CTx responders in both local treatment groups. Results : Induction CTx response rate were 44.6%(complete remission 1.4% & partial response 43.2%) and there was no difference of response rate by regimens(p=0.506). After induction chemotherapy, only 33 out of resectable 55 ones(including initial resectable 37 patients) were performed by surgical treatment because of 13 refusal of surgery by themselves and 9 poor predicted reserve lung function. There were 30(40.5%) patients with complete resection, 2(2.6%) persons with incomplete resection, and 1(1.3%) person with open & closure. Response rate in 27 ones with chest RTx out of non-operation group was 4.8% CR and 11.9% PR. In complete resection group, relapse free interval was 13.6 months and 2 year recur rate was 52%. In non-complete resection(incomplete resection or non-operation) group, disease progression free interval was 11.2 months and 2 year disease progression rate was 66.7%. Median survival time of induction CTx 74 patients with IIIA NSCLC was 25.1months. When compared complete resection group with non-complete resection group, the median survival time was 31.7 and 23.4months(p=0.024) and the 2-year overall survival rate was 80% and 41%. In the complete resection group, adjuvant postoperative RTx subgroup significantly improved the 2-year local control rate(0% vs. 40%, p= 0.007) but did not significantly improve overall survival(32.2months vs. 34.9months, p=0.48). Conculusion : Induction CTx is a possible method in the multimodality treatments, especially followed by complete resection, but overall survival by any local treatment(surgical resection or RTx) was low. Additional studies should be needed to analysis data for appropriate patient selection, new chemotherapy regimens and the time when should RTx be initiated.

A Study on the Moisture Evaporation and Property Change Depending on the Composting Temperature for the Escalator Reversing Composting System (기계교반 퇴비화시설에서의 구간별 발효온도에 따른 수분 증발량 및 특성 변화 연구)

  • Kwag J. H.;Choi D. Y.;Park C. H.;Jeong K. H.;Kim J. H.;Kang H. S.;Yang C. B.;La C. S.
    • Journal of Animal Environmental Science
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    • v.10 no.3
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    • pp.163-168
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    • 2004
  • This research was carried out to investigate the moisture evaporation and property change depenging on the composting temperature for the escalator reversing composting system. The system was supported by the Y livestock cooperative composting factory. According to the test, the composting remperature eas varied in the range of $65\~80^{\circ}C$. The water content was de-creased to $75\%$ and became about $60\%$ at the end of the phase. Total nitrogen became $0.58\%$, total phosphoric acid $1.47\%$ and potashium $0.49\%$ at the end of the phase.

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A Study on Tensile Restraint Crack Critical Stress Characteristcs of Gravity-Wet-Type Underwater Welded Joints (중력식 습식 수중용접부의 인강구속균열 임계응력 특성에 관한 연구)

  • Sae Kyoo Oh;Moon Ho Kang;Sang Deok Han
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.23 no.2
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    • pp.15-15
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    • 1987
  • In this study, the characteristics of TRC (tensile restraint crack) critical stress in the gravity type underwater wet welding process and in the in-air welding have been investigated for Y, y and 45°r grooves using the KR Grade A-3 steel plates and the E4303 covered electrodes. The following results were obtained: (1) In the TRC tests, the initial critical stress of Y groove is higher than those of the 45°r single bebel grooves in both in-air and underwater weldings, and the cold fracture sensitivity is higher in the underwater welding than in the in-air welding. (2) The hardness of underwater weld metal is the highest in heat affected zone is about Hk 365 in the in-air weld but Hk 670 in the underwater weld which is higher for cooling speed is more rapid, resulting in the lower critical stress by increase of fracture sensitivity. (3) The diffusible hydrogen quantity for 48 hours is about 18cc/100g-weld-metal in the in-air welding but 48cc/100g-weld-metal in the underwater welding. So that, in the case of underwater welding the diffusible hydrogen penetrates about 3 times more than that in the in-air welding.

Development of nuclear Transfer Embryos using Somatic Cell Nuclei from Korean Native Cattle (Hanwoo) with High Genetic Value (고능력 한우 종모우 체세포를 이용한 핵이식 배아의 발달에 관한 연구)

  • Park, S. W.;M. R. Shin.;Kim, Y. H. .;H Shim;Kim, N. H.
    • Korean Journal of Animal Reproduction
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    • v.25 no.1
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    • pp.51-61
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    • 2001
  • This study was conducted to determine developmental ability of reconstructed embryos by nuclear transfer using somatic cell of Korean bull with high genetic value. Fibroblast cells obtained from ear biopsy of the bull were cultured in Dulbecco's Modified Eagle's medium (DMEM) at 37$^{\circ}C$ in air containing 5% $CO_2$. The cummulus-oocyte complexes were collected from slaughterhouse and were matured in vitro for 20 h in TCM 199 culture medium and the oocytes were then enucleated in modified phosphate buffered saline with cytochalasin B. Matured bovine oocytes were enucleated by aspirating the first polar body and metaphase chromatin using a beveled pipette in modified phosphate buffered saline. The ear fibroblast cells were fused into enucleated oocyte by electrical stimulation. The reconstructed oocytes were activated with ionomycine and 6-dimethylaminopurine, and then cultured in CR1aa medium for 7.5 days. Out of 524 bovine eggs reconstructed by nuclear transfer 65.6%(277/422) embryos were cleaved, and 30.7% (85/277) cleaved embryos were developed to the morula to blastocysts. There was no difference of developmental ability in vitro of reconstructed embryos regardless of donor cell passages. In order to determine fate of foreign mitochondria of donor nucleus, the Mito Tracker stained cells were fused into enucleated oocytes. The donor mitochondria were detected early stage of embryos, but disappeared rapidly. The developmental ability of reconstructed embryos was not impaired by Mito Tracker treatments. The results indicate that viable reconstructed embryos can be producted by nuclear transfer using somatic cell of Korean bulls.bulls.

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A novel anti-adhesion agent using DNA aptamers for Streptococcus mutans (DNA 앱타머를 이용한 Streptococcus mutans의 부착 억제)

  • Park, Byung-Ju;Ohk, Seung-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.382-388
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    • 2018
  • In this study, the SELEX method was used to screen for and select aptamers with high selectivity and affinity for Streptococcus mutans, which is the causative agent of dental caries. Aptamers are single stranded oligonucleotides of DNA or RNA with high selectivity and affinity for target molecules because of their specific three-dimensional structures that are used to collect biometric information. When compared to antibodies in vitro, aptamers are more advantageous because of their ease of use in the screening process, low cost, chemical stability, and lack of restrictions on the target molecules. We sorted DNA aptamers, which contain 44 bp or 38 bp primer sequences in 5' and 3', 39 bp random sequences in the middle.We then analyzed the character and affinity to S. mutans. Aptamers of specific oligonucleotides that combine with S. mutans were selected and these results are selectively fused to S. mutans. The results confirmed that DNA aptamers can be used for rapid diagnosis and treatment of dental caries caused by bacteria of the oral cavity, namely S. mutans.

A Study on Heat Transfer Coefficient of a Perfluorocarbon Heat Pipe (Perfluorocarbon 히트파이프의 열전달 계수에 관한 연구)

  • 강환국;김철주;김재진
    • Journal of Energy Engineering
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    • v.7 no.2
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    • pp.194-201
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    • 1998
  • In electric commuter trains using AC motors, lots of GTO thyristors and diodes are needed for power controls. These semiconductors generate heat about 1~2 kW, and for cooling which perfluorocarbon(PFC) heat pipes have been in use for the last two decades. The present study was investigated on the effects of such important design parameters as structure of internal surface (grooved or smooth), fill charge ratio, and inclinating angle from a vertical on heat transfer coefficients at both evaporators and condensers. To obtain experimental data, several heat pipes of the same geometry of 520 mm long and diameter of 15.88 mm but different in fill charge ratio and internal surface structure were designed and fabricated. For prediction of the heat transfer coefficients, related expressions were examined and the results of calculations were compared with experimental data. Performance tests were conducted while heat pipes operated at mode of thermosyphons. High enhancements of heat transfer coefficient were obtained internal grooves. In these cases, the evaporating heat transfer coefficients distributed in the range of 2~5.5 kW/$m^2$K, with an increase of heat flux from 15~45 kW/$m^2$. These experimental data were in good agreement with Rohsenow's expression based on nucleate boiling when correction factor $C_R$=1.3 was encountered. In addition, the condensation heat transfer coefficients were distributed from 1.5 to 3.5 kW/$m^2$K, and the data were in good agreements with Nusselt's correlation, based on filmwise condensation on vertical plate, when choosing a correction factor $C_N=4$. A fill charge ratio of 40~100% were recommended, and the in clination angle effects were negligible when the angle was higher then 30$^{\circ}$.

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Neurometabolic Improvement in Parkinson's Disease after Stereotactic Functional Neurosurgery by Follow-up MR Spectroscopy

  • Choe, Bo-Young;Baik, Hyeon-Man;Jeun, Sin-Soo;Son, Byung-Chul;Kim, Moon-Chan;Kim, Bum-Soo;Lee, Jae-Moon;Lee, Hyoung-Koo;Suh, Tae-Suk
    • Journal of the Korean Magnetic Resonance Society
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    • v.7 no.1
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    • pp.1-15
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    • 2003
  • PURPOSE - To investigate neurometabolism from the brain destructive lesions and striatal putamen-pallidus regions to the clinically worst side in patients with Parkinson's disease after stereotactic functional neurosurgery. METHODS - Using proton magnetic resonance spectroscopy ($^1$H MRS), fifteen patients (7 males and 8 females; mean age 56.5 years; age range 43-67 years) with Parkinson's disease (PD) were studied to measure N-acetylaspartate (NAA), creatine (Cr), choline-containing compounds (Cho) and lactate (Lac) levels on the neurosurgical lesions of thalamus, globus pallidus and striatal putamen-pallidus regions in a brain. RESULTS - Brain destructive lesion and striatal putamen-pallidus region in PD compared with controls were highly and significantly related to NAA/Cho ratios reduction, respectively (P =0.002, P =0.04), but showed no difference from the same regions of PD prior to neurosergery (P =0.06, P =0.77). Increased lactate peaks at 1.3 ppm were present in all the cerebral lesions, and these resonances were confirmed at a long TE =136 ms, indicating that these signals distinguished from lipids. CONCLUSIONS - Our results suggest that NAA/Cho ratios may provide as a neurometabolite marker for neurochemical changes in brain surgical lesion, and the ratios might be related to functional change of neuropathophysiological status in the striatal putamen-pallidus region of PD. Increase of lactate signals, being remarkable in surgical lesions, could be consistent with a common consequence of surgical necrosis. Therefore, MR spectroscopy could be a sensitive diagnostic tool in monitoring neurometabolic changes in PD with neurosurgical treatment.

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Distribution of Sulfate-reducing Bacteria in Landfill Leachate and their Role on Insolubilization of Heavy metals (폐기물매립지 침출수에서 황산염환원균의 분포와 중금속 불용화역할)

  • Jung, Kweon;Shin, Jai-Young;Jung, Il-Hyun;Takamizawa, Kazuhiro;Yoo, Young-Sik
    • Journal of Environmental Health Sciences
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    • v.23 no.3
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    • pp.27-39
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    • 1997
  • This study, collaborated Gifu University, Japan, was performed to analyze chemical pollutants and microorganism and to clarify the distribution of sulfate-reducing bacteria and their insolubilization of heavy metal ions in leachates sampled seasonally between 1994 and 1996 from Nanjido waste landfill site, sampled 4 times between 1995 and 1996 from Pusan and Daejeon waste landfill site, and sampled 1 time between 1992 and 1994 from Hokkaido, Nagoya, Osaka and Hukuoka waste landfill site in Japan. The results were as follows: 1. The temperatures of internal leachate and leachate effluent were 40$\circ$C and 30$\circ$C, respectively, and the pH values of both leachates were about 8.0 at Nanjido waste landfill site. The concentration of SO$_4^{-2}$ gradually increased with the degree of stabilization and that of NO$_3$-N was detected in a part of sampling sites at one and half years, and in all sampling sites at 3 years after completion of landfill. 2. The organic substances in leachate of Nanjido waste landfill site decreased with the degree of stabilization and they were very fluctuated with measuring point and time. The concentration of organic substance and heavy metals in internal leachate were higher than in leachate effluent and those of Cd, Hg, and Pb were lower than detection limit except a part of samples in 1996. 3. APCs in internal leachate and leachate effluent were not much different and the minimum of APCs in internal leachate and leachate effluent were $1.0\times 10^4$/ml and $4.0\times 10^1$/ml, respectively. 4. The maximums of SRBs in Nanjido, Pusan, and Daejeon waste landfill site were 9180 MPN/ml, 24000 MPN/ml, and 348 MPN/ml, respectively and the maximum of SRBs in Japan waste landfill site was 9300 MPN/ml. 5. During 2-week-SRB culture, the values of MPN were high at 50$\circ$C for initial culture period and at 30$\circ$C for last culture period. MPN started to appear at first day and rapidly increased between 7th day and 9th day. 6. Cadmium and copper were insolubilized by SRB within 6 hr and iron and zinc were done within 48 hr. The rates of insolubilization of Cd, Cu, Fe, Zn, T-Cr were 100%, 99.5%, 95.0%, 99.8%, 16.1% after 48 hr treatment with SRB, respectively.

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Simultaneous Modulated Accelerated Radiation Therapy and Concurrent Weekly Paclitaxel in the Treatment of Locally Advanced Nasopharyngeal Carcinoma

  • Xie, Cong-Ying;Jin, Xian-Ce;Deng, Xia;Xue, Sheng-Liu;Jing, Zhao;Su, Hua-Fang;Wu, Shi-Xiu
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6129-6132
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    • 2012
  • Objectives: To evaluate the feasibility and efficacy of simultaneous accelerated radiation therapy (SMART) and concurrent weekly paclitaxel in the treatment of locally advanced nasopharyngeal carcinoma. Methods: Forty-one patients with pathologically confirmed nasopharyngeal carcinoma were treated by SMART with concurrent weekly paclitaxel. Daily fraction doses of 2.5 Gy and 2.0 Gy were prescribed to the gross tumor volume (GTV) and clinical target volume (CTV) to a total dose of 70 Gy and 56 Gy, respectively. Paclitaxel of $45mg/m^2$ was administered concurrently with radiation therapy every week. Adjuvant chemotherapy was given four weeks after the completion of the radiotherapy (RT) if the tumor demonstrated only a partial response (PR). Results: All patients completed the radiotherapy (RT) course. Adjuvant chemotherapy was administered to 12 patients due to PR. The CR (complete remission) rate was 82.9% three months after RT. Thirty-nine (95.1%) patients completed the concurrent weekly chemotherapy with paclitaxel, and two patients skipped their sixth course. Seven patients had a 15% dosage reduction at the fifth and sixth course due to grade 3 mucositis. The median follow-up was 30 (range, 14-42) months. The three-year overall survival (OS), metastases-free survival (MFS), and local control rates were 77.0%, 64.4%, and 97.6%, respectively. No correlation between survival rate and T or N stage was observed. Grade 3 acute mucositis and xerostomia were present in 17.1% and 7.1%, respectively. Conclusion: SMART with concurrent weekly paclitaxel is a potentially effective and toxicity tolerable approach in the treatment of locally advanced NPC.

Microstructures and Mechanical Properties of Friction Stir Welded 1925hMo stainless steel (마찰교반접합된 1925 hMo 스테인리스강의 미세 조직 및 기계적 특성에 관한 연구)

  • Ahn, Byung-Wook;Choi, Don-Hyun;Song, Keun;Yeon, Yun-Mo;Jung, Seung-Boo
    • Proceedings of the KWS Conference
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    • 2010.05a
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    • pp.23-23
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    • 2010
  • 마찰교반접합(Friction Stir Welding)은 1991년 영국 TWI에서 개발된 접합 법으로서 일정한 속도로 회전하는 툴이 재료내부에 삽입 되면서 툴과 재료사이에서 마찰열이 발생하여 연화된 재료와 접합 툴 사이에서의 기계적 교반에 의해 소성변형이 일어남과 동시에 접합이 이루어진다. 마찰교반접합은 동적 재결정에 의한 접합부의 미세한 결정립 형성으로 인하여 기계적 특성이 향상되며 보호 가스가 필요 없어 친환경적임과 동시에 용융 용접 법에 비해 접합 시 에너지 소모가 적다는 장점이 있다. 마찰교반접합은 기존의 저융점 재료에 관한 접합을 넘어서 최근에는 철계 합금, 타이타늄 합금, 니켈계 합금 등 고융점 재료에서의 적용에 관한 연구가 이루어지고 있다. 하지만 마찰교반접합을 이용하여 위와 같은 강한 재료를 접합하기 위해서는 내구성이 갖추어진 툴이 반드시 수반된다. 슈퍼 오스테나이트계 스테인리스강은 염화물의 농도가 높은 부식 환경에 적용되는 소재로서, 공식(pitting corrosion) 및 틈부식 (crevice corrosion)에 대한 내식성을 높이기 위하여 Mo의 함량을 6%로 낮추고 20~25% Cr과 Ni을 첨가하여 사용된다. 이러한 고합금의 슈퍼 오스테나이트계 스테인리스강은 여타 내식성 합금에 비하여 내식성이 매우 우수한 것으로 알려져 있다. 최근 SO2 배출에 대하여 규제가 강화되면서 화력 발전소용 탈황 설비 중 일부 장비에서 6% Mo가 첨가된 슈퍼 오스테나이트계 스테인리스강의 사용이 늘어나고 있다. 본 연구에서는 $Si_3N_4$ 툴을 사용하여 Mo이 6% 첨가된 슈퍼 오스테나이트계 스테인리스강인 1925hMo강을 마찰교반접합하였다. 툴 회전속도 (200rpm, 300rpm, 460rpm, 700rpm)를 변수로 하여 접합을 실시하였다. 접합 후 외관상태를 점검하였으며 광학현미경 (optical microscope)과 주사전자현미경 (scanning electron microscope)을 사용하여 미세조직 관찰을 하였으며 경도 및 인장강도 측정 등의 실험을 통하여 접합부의 기계적 특성을 평가하였다. 그 후 이러한 결과를 통하여 미세조직과 기계적 특성과의 관련성을 조사하였다.

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