• Radiation Oncology Journal
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• v.23 no.1
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• pp.9-16
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• 2005

Purpose : To prospectively evaluate the use of positron emission tomography with the glucose analog fluoro-deoxyglucose (FDG-PET) to deoxyglucose (FDG-PET) to predict disease-free survival (DFS) after concurrent chemo-radiotherapy (CCRT) in patients with non-disseminated nasopharyngeal carcinoma (NPC). Materials and Methods : We studied 41 patients with non-disseminated NPC scheduled to undergo platinum-based CCRT were eligible for this study. Patients were studied by FDG-PET prior to the CCRT. FDG uptake of tumors were measured with the maximal standardized uptake value (SUV). Results : Complete response rate was $100\%$. In ten patients who presented with any component of treatment failure, the median $SUV_{max}$ was 8.55 (range: $2.49\~14.81$) in any component of failure and the median $SUV_{max}$ was 5.48 (range: $2.31\~26.07$) In the remaining patients without any such failure. Patients having tumors with high FDG uptake had a significantly lower 3-year DFS ($51\%\;{\nu}91\%$, p=0.0070) compared with patients having low uptake tumors. Conclusion : FDG uptake, as measured by the SUV, has potential value in predicting DFS in NPC treated by CCRT, High FDG uptake may be a useful parameter for Identifying patients requiring more aggressive treatment approaches.

• Korean Journal of Ichthyology
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• v.26 no.4
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• pp.310-321
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• 2014

Change in fish species composition after the Hebei Spirit oil spill in December 2007 off Taean were determined by analysis of samples collected in Mailpo beach, 10 km south from the oil spill site and polluted by the crude oil. Fish samples were collected by a beach seine in the shallow water at Malipo beach during the low tide of the new moon from February 2008 to December 2009. Five seine hauls were made during the day and the night in each sampling time. Monthly day and night samples did not show the significant differences in species composition. A total of 21 species, 1,032 individuals and 6,544 g of fish were collected in 2008, and 31 species, 4,206 individuals and 35,659 g of fish in 2009. The species collected were composed of the small-sized fish or juveniles. Abundant fishes were the resident species in coastal water, and the migrants were low in abundance. Among the fish occurred, Chelon haematochelius, Sebastes schlegelii, Takifugu niphobles and Pleuronectes yokohamae were predominated in abundance of both years. Monthly fish abundance and species diversity in 2008 were significantly lower than those in 2009. A few number of resident fish were collected from February to June 2008 showing the lowest in May 2008, and fish abundance increased from July 2008. The number of species and abundance of fish in 2009 were increased in spring as the temperature raised, showed a peak in summer and decreased in autumn. This monthly variation in fish species composition and abundance was similar to those in the non-polluted water in other temperate waters. Low fish abundance during several months after oil spill was considered to be related to the residual oil in the water and habitat disturbance due to oil cleaning activity in the beach. Monthly fish species compositions after September 2008 were similar to those of 2009 suggested that the impact on the shallow water fish by the oil residuals was not too significant at least to the fish species composition after September 2008.

• Radiation Oncology Journal
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• v.24 no.1
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• pp.1-10
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• 2006

Puroose: To present preliminary results of intensity-modulated radiotherapy (IMRT) using the simultaneous modulated accelerated radiation therapy (SMART) boost technique in patients with nasopharyngeal carcinoma (NPC). Materials and Methods: Twenty patients who underwent IMRT for non-metastatic NPC at the Asan Medical Center between September 2001 and December 2003 were prospectively evaluated. IMRT was delivered using the 'step and shoot' SMART technique at prescribed doses of 72 Gy (2.4 Gy/day) to the gross tumor volume (GTV), 60 Gy (2 Gy/day) to the clinical target volume (CTV) and metastatic nodal station, and 46 Gy (2 Gy/day) to the clinically negative neck region. Eighteen patients also received concurrent chemotherapy using cisplatin once per week. Results: The median follow-up period was 27 months. Nineteen patients completed the treatment without interruption; the remaining patient interrupted treatment for 2 weeks owing to severe pharyngitis and malnutrition. Five patients (25%) had RTOG grade 3 mucositis, whereas nine (45%) had grade 3 pharyngitis. Seven patients (35%) lost more than 10% of their pretreatment weight, whereas 11 (55%) required intravenous fluids and/or tube feeding. There was no grade 3 or 4 chronic xerostomia. All patients showed complete response. Two patients had distant metastases and loco-regional recurrence, respectively. Conclusion: IMRT using the SMART boost technique allows parotid sparing, as shown clinically and by dosimetry, and may also be more effective biologically. A larger population of patients and a longer follow-up period are needed to evaluate ultimate tumor control and late toxicity.

• Korean Journal of Head & Neck Oncology
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• v.24 no.1
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• pp.57-63
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• 2008

Background and Purpose：Nausea, vomiting and weight loss are common problems that are encountered in the course of cancer patient treatment who are receiving radiotherapy. In this study, we are aiming to analyze the effect of megestrol acetate on quality of life of head and neck cancer patients receiving radiotherapy, resulting from improvement of weight loss, appetite and nutritional status via multicenter, open-labeled, observational clinical trial. Material and Methods：A total of 270 patients from 10 medical institutes who are receiving radiotherapy or who have completed radiotherapy within 3 months, between February 2007 and February 2008, were selected as candidates for the study. Megestrol acetate suspension(megace) was given to the subjectives once a week for 4 weeks with the amount of 20ml(megestrol 800mg). Measurement of weight and questionnaire surveys were carried out three times: at the start of the study, 4 weeks after the start of the medication, and 4 weeks after the end of the medication, respectively. Results：The group who has received megace had a total number of 199, and control group was 70. The group who have received megace showed mean weight loss of 1kg in 8 weeks, compared with the weight loss of 5.5kg in control group, which showed that the medication was effective in reducing the amount of weight loss(P=0.027). The group who received megace had a tendency to report a reduced rate of decrease in the score of appetite, nausea and vomiting, and QOL score, but it did not have statistical significance(P>0.05). Conclusion：Megestrol acetate have reduced the degree of weight loss significantly, and it has a tendency to reduce the rate of decrease in appetite, aggravation of nausea and vomiting, and quality of life.

• Korean Journal of Remote Sensing
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• v.34 no.6_1
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• pp.953-968
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• 2018

In order to understand the change of surface water temperature in the East China Sea (ECS), this study analyzed the relationship between sea surface temperature (SST), air temperature (AT) and heat flux using satellite and model reanalysis data from 2003 to 2017. SST in the ECS showed the lowest (average : $13.72^{\circ}C$) in March and the highest (average : $28.12^{\circ}C$) in August. AT is highly correlated with SST and shows a similar seasonal change. In August, SST is higher than AT and then continuously higher than AT until winter. To analyze the change of the summer SST in the ECS, we used the SST anomaly value in August to classify the periods with positive (04', 06', 07', 13', 16', 17') and negative (03', 05', 08', 09', 10', 11', 12', 14', 15') values. Spatial similarity between the two periods indicates that SSTs are relatively larger variations in the northern part than in the southern part, and in the western part than in the eastern part in the study area. AT and net heat flux values also show similar changes with SST. However, the periods of the positive SST anomaly have the relatively increasing SST, AT and heat flux values compared to the periods of the negative SST anomaly in the summer season of the ECS. Although the change of SST in the summer season generally well correlates with AT, there were the periods when it was different from general trends between SST and AT (10', 12', 15', 16'). SST in August 2010 and 2012 decreased by $0.5^{\circ}C$ from AT. It suggests that the decreasing SST was considered to be caused by the effects of the typhoon passing through the study area. In August 2015, AT was relatively lower than SST (> $0.5^{\circ}C$), which is might be weakening of the East Asian Summer Monsoon. In August 2016, SST and AT show the highest values during the whole study periods, but SST is higher than AT (> $1^{\circ}C$). From satellite and heat flux data, the variations of SST have been shown to be relatively higher in the area of the expansion Changjiang Diluted Water (CDW) originated from the China coast. More research is needed to analyze this phenomenon, it is believed as not only the effect of rising AT but also the expansion of the low-salinity water.