• Title/Summary/Keyword: 관계절

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Indication of Dissection of the 14v Lymph Node in Advanced Distal Gastric Cancer (원위부 진행성 위암에서의 상장간막정맥(14v) 림프절 절제술의 적응증)

  • Lim, Jung-Taek;Jung, Oh;Kim, Ji-Hoon;Oh, Sung-Tae;Kim, Byung-Sik;Park, Kun-Choon;Yook, Jeong-Hwan
    • Journal of Gastric Cancer
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    • v.6 no.3
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    • pp.154-160
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    • 2006
  • Purpose: According to the 2nd English Edition of the Japanese Gastric Cancer Association (JGCA) in 1998, in case of distal gastric cancer, the 14v (superior mesenteric vein) lymph node (LN) is included in the N2 group. However, in Korea, a modified radical gastrectomy is performed, and a 14v LN dissection is not done as a routine procedure. Thus, we investigated the rate of metastatic 14v LNs, evaluated the necessity of dissection of the 14v LN, and searched for indications of 14v LN dissection. Materials and Methods: From April 2004 to August 2005, we enrolled the patients who were diagnosed as having advanced gastric cancer in the distal third portion of the stomach. We peformed a distal gastrectomy with D2 lymph node dissection as defined in the 2nd English edition of the JGCA classification. We calculated the positive rate of metastatic LNs of each station and analyzed the relationship between the positive rates of No.6 LNs and 14v LNs. We also compared the positive 14v LN group with the negative 14v LN group. Results: The total number of patients was 50, the mean age was 56 (range $30{\sim}80$) years, and sex ratio (Male/Female) was 1.63 : 1. In 47 (94%) cases, distal a gastrectomy with gastroduodenostomy was done, and in the remaining 3 (6%) cases, a distal gastrectomy with gastrojejunostomy was done. The most frequently metastatic LNs were nos. 3 and 6 (54%). The metastatic rate of the f4v LN was 10%, which was similar to that of LN no. 9. In the comparison of the 14v positive group with the 14v negative group, there were significant differences in the numbers of metastatic LNs (mean 25.4 vs 4.91, P<0.001) and the numbers of metastatic no. 6 LNs, (mean 6.8 vs 1.42, P<0.001), and if no. 6 LNs were metastatic, the possibility of metastasis to the 14v LN was 19.2%. In the 14v positive group, all cases were more than stage 3 by the UICC 6th edition. Conclusion: In cases of advanced cancer with metastasis to the no. 6 IN, there was a good chance of metastasis to the 14v LN. Thus, in the operative field, if the tumor is advanced to more than stage 3 by the UICC classification and the no. 6 LN is metastatic, a 14v LN dissection is necessary. However, the usefulness of a 14v LN dissection should be evaluated prospectively through an analysis of tumor recurrence and long-term survival.

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Effects of Concurrent Chemotherapy and Postoperative Prophylactic Paraaortic Irradiation for Cervical Cancer with Common Iliac Node Involvement (자궁경부암의 근치적 절제술 후 총장골동맥림프절 침범 시 동시항암화학치료와 예방적 대동맥주위림프절 방사선조사의 효과)

  • Han, Tae-Jin;Wu, Hong-Gyun;Kim, Hak-Jae;Ha, Sung-Whan;Kang, Soon-Beom;Song, Yong-Sang;Park, Noh-Hyun
    • Radiation Oncology Journal
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    • v.28 no.3
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    • pp.125-132
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    • 2010
  • Purpose: To retrospectively assess the advantages and side effects of prophylactic Paraaortic irradiation in cervical cancer patients with common iliac nodal involvement, the results for survival, patterns of failure, and treatment-related toxicity. Materials and Methods: From May 1985 to October 2004, 909 patients with cervical carcinoma received postoperative radiotherapy at the Seoul National University Hospital. Among them, 54 patients with positive common iliac nodes on pathology and negative Paraaortic node were included in the study. In addition, 44 patients received standard pelvic irradiation delivered 50.4 Gy per 28 fractions (standard irradiation group), and chemotherapy was combined in 16 of them. The other 10 patients received pelvic irradiation at a dose of 50.4 Gy per 28 fractions in addition to Paraaortic irradiation at 45 Gy per 25 fractions (extended irradiation group). In addition, all of them received chemotherapy in combination with radiation. Follow-up times for pelvic and Paraaortic irradiation ranged from 6 to 201 months (median follow-up time, 58 months) and 21 to 58 months (median follow-up time, 47 months), respectively. Results: The 4-year overall survival, disease free survival, and distant metastasis free survival in the standard irradiation group and extended irradiation group were 67.2% vs. 90.0% (p=0.291), 59.0% vs. 70.0% (p=0.568) and 67.5% vs. 90.0% (p=0.196), respectively. The most common site of first failure for the standard irradiation group was the paraaortic lymph node, while no paraaortic failure was observed in the extended irradiation group. Relatively, hematologic toxicity grade 3 or greater was common in the extended irradiation group (2/10 extended vs. 2/44 standard), while gastrointestinal toxicity of grade 3 or greater was lower (2/10 extended vs. 6/44 standard), and urologic toxicity of grade 3 or greater was observed in the standard irradition group only (0/10 vs. 3/44). Conclusion: Concurrent chemotherapy and prophylactic Paraaortic irradiation in patients with common iliac nodal involvement showed slightly improved clinical outcomes aside from increased hematologic toxicity, which was statistically insignificant. Considering the relatively small number of patients and short follow-up times, additional studies are needed to obtain more conclusive outcomes.

RETROSPECTIVE STUDY OF TRACHEOTOMY IN CHILDREN (유소아 기관 절개술의 후향적 고찰)

  • 정명현;홍원표;장미숙;이정환
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.26-26
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    • 1991
  • 기관 절개술은 절대적으로 필요한 수술 방법임에도 불구하고 경우에 따라서는 매우 심각한 합병증이나 후유증을 유발하고 있어 가능한 피하는 것이 좋으며 부득이하여 시술을 하더라도 그 적절한 시기를 정하기 어려운 경우가 많다. 특히 유소아에서는 최근에 개량된 삽관튜브의 출현으로 비교적 장기간의 기관삽관이 가능해지자 기관절개술의 적용예가 많이 감소하기는 하였으나 합병증이나 후유증을 너무 우려한 나머지 기관절개술을 기피하거나 적절한 수술시기를 놓쳐 더욱 어려운 입장에 처하게 되기도 한다. 저자들은 1977년도부터 1990년까지 세브란스 병원에서 기관절개술을 시행받은 15세이하의 유소아 환자 94례에서 기관절개술의 원인 질환과 적용시기 및 합병증을 알아보고 기관삽관과의 관계를 후향적으로 조사하여 다음의 결과를 얻었다. 1. 유소아 기관 절개술의 원인 질환은 두부외상이 28례(29.8%)로 가장 많았고, 신경계 질환 17례(18%), 기도 감염 10례(10.6%)의 순이었고 그 외 선천적 기형 종양, 외상, 감염 등으로 다양한 분포를 보였다. 2.기관 절개술전에 기관삽관을 시행하지 않았던 예는 18례(19.1%)이고 기관삽관을 시행했던 예는 76례(80.9%)이며, 38례(40.4%)는 일주이내에 기관절개술을 시행하였고 12례(12.8%)는 2주이내에, 8례(8.5%)는 3주이내, 6례(6.4%)는 4주이내에 시행하였으며 12례(12.8%)는 기관 삽관후 4주이후에 기관절개술을 시행하였다. 3.기관 절개술후, 합병증은 26례(27.7%)에서 있었고 육아조직 형성이 14례(14.9%) 였고 기관 협착이 12례(12.8%)의 순이었다. 4.인공 호흡기률 사용하였던 46례(48.9%)중 14례(14.9%)에서 합병증이 있었고, 인공 호흡기를 사용치 않았던 48례(51.5%)에서는 12례(12.8%)에서 합병증이 발생하였다. 5.삽관 발거를 시행할 수 있었던 예는 47례(50%)였으며, 기관 절개술후 1개월이내에 시행한 예가 21례(16%), 6개월이내 시행한 예가 16례(17%), 2년이내에 시행한 예가 6?(6.4%)였으며 2년 이후 시행할 수 있었던 예도 4례(4.3%) 있었다. 6.기관 절개술 환자중 26례(27.7%)는 원인 질환으로 결국은 사망하였으며, 21례(22.3%)는 삽관 발거를 하지 않은 상태에서 퇴원하여 추적이 불가능하였다.

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A taxonomic Study of Lysimachia sect. Spicatae (Primulaceae) Based on Morphological Characters (형태학적 형질에 의한 까치수염속(Lysimachia) Spicatae절 식물의 분류학적 연구)

  • Kim, Jin Man;Tae, Kyoung-Hwan;Kim, Joo-Hwan
    • Korean Journal of Plant Taxonomy
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    • v.37 no.1
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    • pp.61-78
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    • 2007
  • The general morphological characters of Lysimchia sect. Spicatae were reviewed. From the results, numerical analyses were conducted based on 34 morphological characters from 14 populations of three species in Korea in order to investigate the key characters among the treated taxa and taxonomic delimitation and to discuss the systematic relationship. Habitat, leaf apices, presence or absent of hair on leaves, stipules, stems and bracts, branch of stems, kind of hair on floral axis and pedicels, shape of florescens were important diagnostic characters to identify the species. The relationship between Lysimachia clethoides and L. barystachys was more close than that of L. fortunei based on the quantitative characters. Also, a new key was made up from the result.

The relationship between fluency levels and suprasegmentals according to the sentence types in the English read speech by Korean middle school English learners (한국 중학생의 영어 읽기 발화에서 문장유형에 따른 유창성 등급과 초분절 요소의 관계)

  • Kim, Hwa-Young
    • Phonetics and Speech Sciences
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    • v.14 no.3
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    • pp.51-66
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    • 2022
  • This study aims to help Korean English learners to learn English pronunciation by revealing which suprasegmentals affect the implementation of English sentences closer to native English speakers when they read English sentences. To this end, Korean middle school English learners were selected as subjects and research data were gathered through sentence types (declarative, interrogative, imperative, and exclamative), as well as syllables. Speech rate, pause frequency, pause duration, F0 range, and rhythm among suprasegmentals were used for analysis of these English sentence utterances. Mean analysis, correlation analysis, and regression analysis were performed. The results showed that speech rate, pause frequency, pause duration, and F0 range affected the evaluation of fluency levels. In the regression analysis between all suprasegmentals and fluency levels, the suprasegmentals that most affected fluency levels were speech rate and F0 range. Rhythm had no meaningful relation with fluency levels. Therefore, when teaching English pronunciation, it is necessary to teach students to increase their speech rate and F0 range. In addition, students should be trained to reduce both the number and the duration of pauses during utterance to improve their fluency. It is noteworthy that of the four sentence types, exclamative sentences were produced with faster speech rate, fewer pauses, shorter pause duration, and higher rhythm values.

Analyzing dependency of Korean subordinate clauses using a composit kernel (복합 커널을 사용한 한국어 종속절의 의존관계 분석)

  • Kim, Sang-Soo;Park, Seong-Bae;Park, Se-Young;Lee, Sang-Jo
    • Korean Journal of Cognitive Science
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    • v.19 no.1
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    • pp.1-15
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    • 2008
  • Analyzing of dependency relation among clauses is one of the most critical parts in parsing Korean sentences because it generates severe ambiguities. To get successful results of analyzing dependency relation, this task has been the target of various machine learning methods including SVM. Especially, kernel methods are usually used to analyze dependency relation and it is reported that they show high performance. This paper proposes an expression and a composit kernel for dependency analysis of Korean clauses. The proposed expression adopts a composite kernel to obtain the similarity among clauses. The composite kernel consists of a parse tree kernel and a liner kernel. A parse tree kernel is used for treating structure information and a liner kernel is applied for using lexical information. the proposed expression is defined as three types. One is a expression of layers in clause, another is relation expression between clause and the other is an expression of inner clause. The experiment is processed by two steps that first is a relation expression between clauses and the second is a expression of inner clauses. The experimental results show that the proposed expression achieves 83.31% of accuracy.

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Syntactic Attraction of Subject-Verb Agreement (주어-동사 일치의 통사적 유인)

  • Jang, Soyeong;Kim, Yangsoon
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.353-358
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    • 2021
  • This study provides the syntactic analysis for the agreement attraction by proposing three types of syntactic subject-verb agreement. Because subject-verb number agreement codifies the link between a predicate and its subject, it must be the purely syntactic processes of the head-to-head agreement or the feature percolation, where relevant agreement features percolate upward or downward through the hierarchical syntactic structure. The agreement errors are not affected by linear proximity or minimal interference, but instead are affected by the hierarchical relationship between an agreement target and a local attractor. The data in this paper includes the complex noun phrases with a modifier PP or a relative clause CP. Here, the [+PL] feature is suggested to be a local attractor for subject-verb agreement errors as a strong feature. Therefore, speakers tend to erroneously produce plural agreement for a singular subject in a main clause due to a plural NP in a modifier PP or plural agreement for a singular subject in a relative clause due to plural main subject.

Radiologic Features and Surgical Outcome of Juxtafacet Cyst Associated with Degenerative Lumbar Disease (퇴행성 요추 질환에서 발생한 후관절 근접 낭종의 방사선적 특징 및 수술의 결과)

  • Kim, Whoan Jeang;Chang, Shann Haw;Yang, Hwa Yeol;Kwon, Won Jo;Sung, Hwan Il;Park, Kyung Hoon;Choy, Won Sik
    • Journal of the Korean Orthopaedic Association
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    • v.52 no.1
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    • pp.65-72
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    • 2017
  • Purpose: The purpose of this study was to evaluate the radiologic features of juxtafacet cyst and determine the correlation between these features and clinical outcome. Materials and Methods: We analyzed a total of 23 patients. The degree of facet joint degeneration was classified using the Fujiwara method. The facet joint angles were measured with an magnetic resonance imaging to determine whether there was a difference between the cystic lesion that was occupied and the cystic lesion that was not occupied. Disc degeneration was measured by the Pfirrmann classification method. The clinical result was evaluated using the Oswestry disability index score and visual analogue scale. Results: The L4-5 level of juxtafacet cyst was mostly affected, as found in previous studies. Facet joint arthritis was more severe within the side with the cystic lesion. Significant correlation was found between disc degeneration and juxtafacet joint cyst. All patients underwent wide decompression and fusion. Clinical result was excellent. No patients had signs of recurrence during the follow-up periods. Conclusion: Juxtafacet cyst has a significant correlation with facet joint degeneration. Therefore, aggressive surgical treatment-not just simple cyst excision-should be considered as the treatment option for juxtafacet cyst associated with degenerative lumbar disease.

Ecological Studies on Rice Sheath Blight Caused by Rhizoctonia solani 1. The Difference of Disease Development Between Jinheung and Yushin (잎집무늬마름병의 생태학적연구 1. 진흥과 유신의 발병차이)

  • Kim Chang Kyu;Kang Chang Sik;Rim Sa Joon;Lee Eun Jong;Lee Kyung Hee
    • Korean journal of applied entomology
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    • v.20 no.2 s.47
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    • pp.71-75
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    • 1981
  • The percentage of lesion height vs. plant height was higher in Yushin than Jinheung within the same nitrogen level. The infection occurred at the same level of waterline and the symptoms developed with the same speed for two varieties, but the damage was greater in Yushin as the symptoms reached faster to the top due to the short length of the 1st and 2nd internodes from the top.

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Effect of Foliar Application of Uniconazol and Paclobutrazol on Growth and Yield of Codonopsis lanceolata (Uniconazol 및 Paclobutrazol의 葉面散布 처리가 더덕의 생육 및 수량에 미치는 영향)

  • 김학현
    • Korean Journal of Plant Resources
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    • v.10 no.4
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    • pp.411-417
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    • 1997
  • In order to improve cultivation technique of Codonopsis lanceolata, uniconazol and paclobutrazol were treated periodically with foliar application during differentiation of node. Plant height, width and length of leaves decreased as the concentration of uniconazol and paclobutrazol increased independently of application period. Characteristics of subterranean part of all treatment by uniconazol foliar application did not show any significant difference to control, except when treated at the differentiated stage of 3rd node. But, when uniconazol was treated with the concentration of 10, 100mg $liter^1$, respectively at the differentiated stage of 12th node, fresh weight was increased to approximately 64%, 100% of control, respectively. Control and 10mg $liter^1$ treated at the differented stage of 6th node showed antitumor activity by the P388 cytotoxic screening test. Fresh weight of all treatment by paclobutrazol foliar application was not showed signigicant difference to control, except when treated at the differentiateed stage of 3rd node. But, when paclobutrazol was treated with the concentration of 10mg $liter^1$ at the differentiated stage of 12th node, fresh weight was slightly increased of control. All treatment showed slight antitumor activity by the P388 cytotoxic screening test.

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