• Journal of Yeungnam Medical Science
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• v.15 no.2
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• pp.195-207
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• 1998

폐암을 집단 검진으로 조기 진단하려는 노력은 현재까지 뚜렷한 성과를 얻지 못하고 있는 실정이다. 미국의 국립암연구소에서 실시한 흉부엑스선 촬영과 객담세포진 검사를 이용한 폐암의 집단 검진 결과는 검진군에서 대조군보다 유의하게 진단율이 높았으며 절제율도 더 높았고 5년 생존율도 향상시킬 수 있었다. 그러나 폐암을 조기 진단하기 위한 집단 검진의 궁극적인 목표인 사망률을 감소시키지는 못하였다. 최근에는 미국 국립암 연구기관에서 실시했던 결과에 대한 해석이 다양하여 아직까지도 폐암 조기 진단에 있어서 흉부액스선촬영과 객담세포진검사의 의의에 관한 결론에 대해서는 논란이 되고 있다. 1993년부터 새로운 집단 검진에 관한 연구가 진행중에 있어서 그 결과가 나올 때까지는 흉부엑스선촬영과 객담세포진검사를 이용한 집단 검진의 의의에 대한 결과는 기다려 보아야 할 것이다. 분자생물학적으로 폐암을 조기 검진하기 위한 검체로는 혈액보다는 객담이 훨씬 적절하고 합리적인 검체이다. 폐암의 발생은 가장 먼저 기관지 상피 세포에서 일어나서 암화 과정의 여러 단계에서 다양한 종양 표지자가 객담에 섞여 나오기 때문에 이 표지자를 객담에서 측정하는 것이 훨씬 합리적인 조기 진단법이 될 수 있다. 동시에 폐암을 집단 검진으로 조기 진단하기 위해서는 종양 표지자를 대량으로 측정하기 위한 자동측정법도 개발되어야 할 것이다. 암을 예방하기 위하여는 여러면에서 방안이 연구되어야 한다. 즉 암발생의 가능성이 높은 대상을 선태하여야 하며 초기에 집단 검진으로 진단을 할 수 있어야 하고, 이러한 검진으로 추적 검사가 가능하여야 하며 마지막으로 결과를 판정할 수 있어야 한다. 이 가운데 현재까지 유일하게 실시할 수 없는 것은 조기 진단으로 사용할 수 있는 뚜렷한 종양 표지자가 없는 것이다. 이와 같이 현재까지는 폐암을 조기 진단하기 위한 특이한 표지자는 없으나 앞으로 폐암 발생 기전의 여러 단계가 체계적으로 밝혀진다면 그 과정에서 중요한 표지자들이 밝혀질 것이다. 그리고 이들을 간단하게 검사할 수 있는 검사법도 밝혀져 폐암 조기 진단의 궁극적 목적인 폐암으로 인한 사망률을 감소시킬 수 있을 것으로 기대된다.

• Horticultural Science & Technology
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• v.17 no.2
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• pp.138-140
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• 1999

These studies were carried out to investigate the effects of cold pretreatment, dark condition, and Ficoll on the callus formation and organ differentiation in anther culture of carnation for the purpose of settling the techniques of anther culture of 'Rony' carnation. Diameter of flower buds containing anthers with microspores before or after uniuncleated stage was between 4 and 6 mm. A high percentage of callus formation and responding anthers were achieved by low temperature pretreatment at $4^{\circ}C$ for 7 days. Callus formation was promoted under dark condition. Roots were differentiated from calli formed under darkness. Ficoll didn't promote callus formation but promoted differentiation of shoots and roots.

• Journal of Korean Tunnelling and Underground Space Association
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• v.17 no.1
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• pp.33-47
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• 2015

Concrete lining in tunnel construction is used as secondary support for downward loads when primary support decays. The use of concrete lining varies greatly depending on the intentions of engineer and/or client. An engineer uses much smaller deformation modulus which determines the concrete lining thickness than of a pattern 3, when supporting patterns 4 and 5 are used in a weathered rock and soil. Considering these conditions, this study intends to suggest optimal construction procedures through a back analysis using a computer program(MIDAS-civil). Cases of Seoul Subway System line${\bigcirc}{\bigcirc}$ zone${\bigcirc}{\bigcirc}$ were selected to be examined for this study. The results show that it is possible to reduce the thickness of concrete lining. When results from this study were applied to Seoul Metropolitan subway construction projects, it is expected to bring economic benefits.

• Journal of Chest Surgery
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• v.36 no.4
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• pp.267-272
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• 2003

Background: Common treatment modalities for tracheal stenosis include conservative methods such as repeated balloon dilatation, removal of obstructive material through bronchoscopy and T-tube insertion as well as operative treatment methods. Recent advances in surgical approaches through tracheal resection and end-to-end anastomosis have been reported to give better functional and anatomical results. Material and Method: Between March 1990 and July 2002, 41 patients who received tracheal resection and end-to-end anastomosis at Asan Medical Center, University of Ulsan were studied retrospectively. Result: The causes for tracheal resection and end-to-end anastomosis included 26 cases of postintubation stenosis, 10 cases of primary tracheal tumors (3 benign, 7 malignant), 1 case of endobronchial tuberculosis, 2 cases of traumatic rupture, and 2 cases of tracheal invasion of a thyroid cancer, Of the 41 patients who received tracheal resection and reconstruction, 29 received tracheal resection and end-to-end anastomosis, and 12 received laryngotracheal anastomosis with cricoid or thyroid cartilage resection. Four of these patients received supralaryngeal release. The average length of the resected trachea was $3.6{\pm}1.0$cm. Of the 41 patients who received tracheal resection and end-to-end anastomosis, 30 (73.2%) experienced no postoperative complications, and 8 (19.5%) experienced granulation tissue growth and/or minor infections which improved after conservative management. Good or satisfactory results were therefore achieved in 92.7%. Complications included repeated granulation tissue growth in 7, wound infection in 2, anastomotic site dehiscence in 2, restenosis resulting in dyspnea on exertion in 1, and repeated postoperative aspiration requiring retracheostomy in 1. There was no early postoperative mortality. There were 3 cases of hospital death. Conclusion: In cases of proper length of tracheal lesion, excellent results were obtained after tracheal resection and end-to-end anastomosis. But, granulation tissue growth is so serious complication, it is necessary for continuous study and efforts to prevent it.

• Tuberculosis and Respiratory Diseases
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• v.60 no.3
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• pp.321-329
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• 2006

Background : To evaluate the clinical characteristics of lung cancer patients in Korea, where there is a higher number of smokers than in Western countries. Methods : A retrospective study was performed on 1655 lung cancer patients, who were diagnosed at a university hospital between September 1996 and August 2005. Age, gender, cell types and clinical stage were analysed. Of 941 patients, who responded to a questionnaire at the time of diagnosis, the smoking habits, occupational history, family history of lung cancer in the first-degree relatives, coexisting diseases (diabetes mellitus and cardiovascular disease), body weight loss, ECOG performance status and presenting symptoms, were examined prospectively. In addition, coexisting diseases including chronic obstructive pulmonary disease, idiopathic pulmonary fibrosis and active pulmonary tuberculosis were evaluated. Results : Of the 1655 patients, the male to females ratio was 3.6. Squamous cell carcinoma was the most common cancer whereas adenocarcinoma was more common in lifetime nonsmokers or women. 19.9% of the patients were non smokers and 80.1% ever smokers. Since 2000, there was an increase in the incidence of adenocarcinoma with a corresponding decrease in the incidence of squamous cell carcinoma. 6.2% of patients were asymptomatic. A coincident diagnosis of chronic obstructive pulmonary disease, cardiovascular disease, diabetes mellitus, active pulmonary tuberculosis, and idiopathic pulmonary fibrosis was made in: 44.1%, 22.2%, 10.7%, 3.9%, and 1.6% of patients, respectively. A positive family history of lung cancer in the first-degree relatives was identified in 4.4% of patients. An occupational history relevant to lung cancer was identified in 12.2% of patients. Conclusion : There is a high proportion of cigarette smokers in Korean lung cancer patients. The most common cell type was squamous cell carcinoma. However, a more detailed, prospective study of the clinical characteristics will be needed to better characterize lung cancer in Korea.

• Radiation Oncology Journal
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• v.19 no.4
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• pp.359-368
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• 2001

Purpose : To determine the long-term results of bladder-preserving approach by transurethral resection of the bladder (TURB), systemic chemotherapy, and radiation therapy for muscle-invasive bladder cancer Methods and materiaals : From 1991 Jan. through 1994 Dec., 25 patients with muscle invading clinical stage T2 to T4NxM0 bladder cancer were treated with induction by maximal TURB and (arm 1, n=4) three cycles of chemotherapy [MVAC(methotrexate, vincristine, adriamycin, ciplatin)] followed by 64.8 Gy of radiation with concomitant cisplatin, or two cycles of chemotherapy [MCV (methotrexate, ciplatin, vincristine)] after irradiation with concomitant cisplatin (arm 2, n=14), or concurrent chemoradiation only (arm 3, n=7). Tumor response was scored as a clinical complete response (CR) when the cystoscopic tumor-site biopsy and urine cytology results were negative. Those with less than a CR underwent cystectomy. The median follow-up of all patients was 70 months. Resulst : Most treatment toxicities were mild to moderate. Grade 3 acute hematologic toxicity and chronic cystitis were observed in only 1 and 2 patients, respectively. Overall 5 year survival was $67.3\%$. Complete remission rate was $80\%$ (20/25). Sixty-three percent of all survivors retained their bladders. In multivariate analysis, prognostic factors that significantly affect survival were T-stage (p=0.013) and Complete remission (p=0.002). Conclusion : Combined modality therapy with TURB, chemotherapy, and radiation has a $67.3\%$ overall 5 year survival rate. This result is similar to cystectomy-based studies for patients of similar clinical stages.

• Journal of the Korean Society of Radiology
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• v.5 no.4
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• pp.207-215
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• 2011

This study was focused to the effects of cancer patient's perceived quality of medical service upon satisfaction as a customer who have been stressed to face the death. we established research model between medical service quality and customer satisfaction, and build up 4 hypotheses between tangibility, expertise, credibility, responsiveness and customer satisfaction. 220 responses were used to analyzed with multiple regression analysis by SPSS for Windows 14.0K. All 4 hypotheses were accepted. Among 4 independent variables tangibility was most effective to customer satisfaction as coefficient-0.298, and next expertise was as coefficient 0.237. From the results we suggested the implications as follows; first, the medical institute have to develop medical service based on tangibility, expertise, credibility, responsiveness. Second, such services might bring higher customer satisfaction. Third, the patient satisfaction may lead to extend its own life. Fourth, the hospital also may survive long against the competitive environment with such services.

• Proceedings of the Technology Innovation Conference
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• 2005.02a
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• pp.158-175
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• 2005

정부지원 R&D 프로그램에 대한 성과평가는 과학기술혁신을 위한 정부투자의 규모가 확대되면서 동시에 그 수요가 증가하고 있다. 본 연구는 국내외에서 시행되고 있는 정부 R&B 프로그램의 성과평가에 대한 체계를 비교분석함으로서 올바른 성과평가의 틀에 관한 시사점을 제공하는데 목적이 있다. 각 프로그램을 비교분석하기에 앞서 성과평가와 관련한 일반적인 이론들을 살펴봄으로써 R&D프로그램에 대한 성과평가가 갖추어야 할 이론적인 체계에 대해 살펴보았다. R&D 프로그램의 성과평가를 위해서는 R&D 활동 자체가 혁신시스템 안에서 수행되고, 집행과정에서 그 효과가 증폭되어 혁신시스템을 변화시킬 수도 있기 때문에 일반적인 정책평가 이론 외에도 혁신시스템 이론을 함께 고려할 필요가 있다. 혁신시스템적 사고방식하에서 올바른 성과평가를 수행하기 위해서는 일반적인 평가기준으로 서 제시되는 적합성, 효율성, 효과성의 각각에 대해 혁신시스템적 기여도에 대한 고려가 충실히 반영되어 있어야 한다. 예를 들어 혁신시스템의 모든 요소들을 포함하는지, 환경적인요인을 고려했는지, 혁신 요소들 간에 형성된 네트워크에 대해 충분한 고찰을 하고 있는지 등이 여기에 해당한다. 실증연구에서는 이러한 것들이 모두 반영되었는가에 초점을 맞춰 각 국가 별 R&D 프로그램에 대한 성과평가를 분석하였다. 분석 대상은 해외와 국내의 주요 R&D 프로그램으로 비교적 성과평가가 활발하게 진행되었던 사례들을 선정하였다. 이러한 평가에 대한 평가, 즉 메타평가를 통해 각 프로그램의 성과평가가 가지는 특성을 밝히고 이들을 비교하여 적절한시사점 이 도출하였다. 이들 사례를 비교 분석한다면 그 결과를 바탕으로 하여 혁신시스템을 고려한 성과평가의 일반적인 모형을 제시할 수 있을 것으로 기대한다. 나아가 추후에 진행될 R&D 프로그램에 대한 성과평가에서도 본 연구에서 제시한 일반 모형을 응용함으로써 조금 더 체계화된 성과평가가 이루어질 수 있을 것으로 기대한다.결과 관점간 가중치의 우선순위가 동일할 경우 현행 평가제도는 연구기관의 의견이 반영되었다고 볼 수 있으나, 검증결과 관점간 가중치가 다르게 나타났다. 또한, 추가적인 분석에서 연구회별 관점의 가중치와 소속 연구기관별 관점의 가중치를 분석한 결과 일부 연구기관에서는 연구회의 가중치와달리 나타났다. 따라서, 현행 기관평가제도는 일부 연구기관의 특성이 충분히 반영되지 않아서 유효한 평가제도로 볼 수 없다고 하겠다. 본 연구의 결과에 따라 출연연구기관의 기관평가지표에 대한 각 지표별 가중치와 지표 문항 개선시 유용한 자료로 활용되리라 본다.로 하기 때문에 원가를 절감할 수 있다.환경현안에 대한 정치경제적 접근을 외면하지 말고 교과서 저작의 소재로 삼을 수 있어야 하며, 이는 '환경관리주의'와 '녹색소비'에 머물러 있는 '환경 지식교육'과 실천을 한단계 진전시키는 작업으로 이어질 것이다. 이후 10년의 환경교육은 바로 '생태적 합리성'과 '환경정의'라는 두 '화두'에 터하여 세워져야 한다.배액에서 약해를 보였으나, 25% 야자지방산의 경우 50 ${\sim}$ 100배액 어디에서도 액해를 보이지 않았다. 별도로 적용한 시험에서, 토마토의 경우에도 25% 야자지방산 비누 50 ${\sim}$ 100배액 모두 약해를 발생하지 않았으나, 오이에서는 25% 야자지방산 비누 100배액에도 약해를 나타내었다. 12. 이상의 결과, 천연지방산을 이용하여 유기농업에 허용되는 각종의 살충비누를 제조할 수 있었으며, 방제가 조사결과 진딧물, 응애 등 껍질이 연약한 곤충의 방제에 효과적인 것으로 나타났다. 따라서 제조된 살충비누를 활용하면 환경친화적인 해충방제가 가능하다고 판단되었다.능을 충진시켜서 암세포를 파괴시킨다. 또한 콜로니 자극인자인 사이토카인을 생산시켜서 면역담당세포의 신생을 촉진시키기도 하며, 암의 화학요법과 방사선 요법으로 저하된 백혈구를 회복시키는 역할을 한다. 따라서 최근의

• Journal of Marine Life Science
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• v.8 no.1
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• pp.1-7
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• 2023

This study was performed to understand the reproductive ecology of cephalopods, described the microanatomical structure of the male reproductive organs and spermatophore in the common squid, Todarodes pacificus, a major cephalopods in Korea. The common squid was gonochorism and had sexual dimorphism, the color of the reproductive organs reflected on the mantle and the presence of the hectocotylus. Male reproductive organs were composed of testis, primary vas deferens, spermatophoric gland (seminal vesicle), spermatophoric sac (Needham's sac) and secondary vas deferens. The male has specialized reproductive organs such as the spermatophore forming organ, spermatophoric gland. Testis was histologically a seminiferous tubule type. The primary vas deferens was a thin and inverted triangular spring-like form that connected from the rear of the testis to the spermatophoric gland. Inside, it was filled with sperm of basophilic in H-E stain. The spermatophoric gland is an irregular oval connected to the primary vas deferens and spermatophoric sac, and there were a number of tubular glands. The spermatophoric sac is a tubular structure located between spermatophoric gland and secondary vas deferens, and a number of spermatophores have been identified in the lumen. The secondary vas deferens was connected to the posterior of the spermatophoric sac and had a spermatophore inside. The spermatophore was a long, transparent tube about 22 mm long, with a sperm mass inside.

• Korean Journal of Head & Neck Oncology
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• v.20 no.1
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• pp.58-61
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• 2004

Lymph node metastasis of thyroid cancer occurs to anterior compartment (level VI) and superior mediastinal lymph node (Level VII). In lateral neck, it occurs commonly in middle and lower jugular lymph node (level III, IV). And it can also metastasis to posterior neck lymph node (level V). Superior mediastinal lymph node metastasis of thyroid cancer requires superior mediastinal dissection with massive removal of peritracheal and periesophageal soft tissue. After superior mediastinal dissection, severe complication may occurs such as innominate artery rupture and tracheal necrosis. We describe a case of tracheal necrosis as a complication of superior mediastinal dissection and total thyroidectomy in thyroid cancer patient.