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A Clinical Analysis of the Thyroid Cancer (갑상선암의 임상적 고찰)

  • Park Ki-Min;Kang Hyung-Kil;Kim Lee-Su;Lee Bong-Hwa
    • Korean Journal of Head & Neck Oncology
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    • v.13 no.2
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    • pp.213-220
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    • 1997
  • Background: Thyroid cancer is a relatively rare neoplasm and its incidence varies geographically and ethnically around the world. Thyroid cancer is the most common endocrine malignancy, but it has a wide spectrum of biologic behavior, histologic appearance, and management. Purpose: The purpose of the study was to analyse and evaluate all aspects of the clinical consideration in thyroid cancer. Method: Between 1986 and 1995, a retrospective analysis of 77 thyrod cancer patients admitted at the Department of Surgery, Hangang Sacred Heart Hospital, Hallym University was made to assess clinical entities. Result: By the pathological classification, the papillary carcinoma was the most common type(83.1%). Male to female ratio was 1 : 5.4 and most prevalent age group was noted from fourth decade to fifth decade(46.8%). The most common duration of illness between the appearance of the symptoms and the treatment was below 6 months(44.2%), and the most common symptom was the palpable mass at the anterior portion of the neck(96.1%). Most cases of the thyroid cancer were appeared as cold nodule in the $^{99m}$Tc-thyroid scan(95.7%). In the site of tumor location, the right and left lobe was distributed similarly. In the extent of tumor, incidence of intrathyroidal location was 41.6%, and that of the metastasis to the cervical lymph nodes was 44.2% and that of the direct capsular invasion was 27.3%, and incidence of both involved case was 13%. Surgical procedures were total thyroidectomy alone in 27 cases(35.1%) or with modified neck dissection in 6 cases(7.8%), or with radical neck dissection in 2 cases (2.6%), near total thyroidectomy alone in 22 cases(28.6%), ipsilateral lobectomy with isthmectomy alone in 12 cases(15.6%) or with modified neck dissection in 1 case(1.3%), and biopsy only in 7 cases(9.1%). The most common postoperative complications were transient hypoparathyroidism(5.2%) and transient unilateral recurrent laryngeal nerve paralysis(5.2%). Conclusion: The major problem of management of thyroid cancer include a wide spectrum of clinical behaviour of this tumor entity, the lack of reliable prognostic factors and lack of an objective assessment of the various treatment modalities. But because of showing the favorable prognosis for most thyroid cancer, appropriate and aggressive management should be recommended.

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Wear Performance of Pesticide Protective Clothing in Vinyl Plastic Hothouse made with Water-Oil Repellent and Dual Functional Finished Nonwoven Fabrics (비닐하우스 내에서의 발수발유가공 부직포와 복합가공 부직포로 만든 농약 방호복의 착용성능)

  • Choi, Jong-Myoung;Cho, Jeong-Sook;Cho, Gil-Soo
    • Journal of the Korean Society of Clothing and Textiles
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    • v.20 no.2
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    • pp.350-361
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    • 1996
  • The objectives of this study mere 1) to investigate whether the different nonwoven fabric types influenced on the objective and subjective wear performances of the experimental pesticide protective pants, 2) to detect whether the different finishes treated to the nonwoven fabrics influenced on the objective and subjective wear performances of the experimental pants, and 3) to detect the relationships between objective wear performances and subjective wear sensation. Three types of nonwoven fabrics (T (Tyvek$\textregistered$), 5 (Sontara$\textregistered$) and K (Kimlon$\textregistered$)) were used as test specimens. By pad-dry.cure method, each of the specimen was treated with fluorocarbon compound for water-oil repellent finish (Tw, Sw, Kw). And each of specimen was treated with organic silicon quarternary ammonium salts and then treated with fluorocabon compound for dual functional finish (76, 50, Kd). Using the three water-oil repellent finished fabrics and the three dual functional finished fabrics, six experimental protective pants (Cl (Tw), C2 (Sw), C3 (Kw), C4 (76), C5 (56), C6 (Kd)) were made according to the same pattern suggested by the Rual Guidance Office. The wear trials of experimental pesticide protective pants were performed in a conditioned vinyl plastic hothouse ($30\pm1^{\circ}C$, $70\pm5%$R.H., 0.25m/sec air velocity). The measurements of skin temperature, microclimate temperature and humidity on the subjects were obtained by the themohygromenter. The subjective wear sensations were measured using previously developed thermal, humidity and overall comfort scales. The results obtained from this study were as follows: 1) There were siginificant differences among nonwoven fabric types on the objective and subjective wear performances, therefore, the skin temperature, microclimate temperature and humidity of subjects who wore the experimental pants made with Sontara were siginificantly lower than those who wore the others. And, the experimental pants made with Sontara were assessed as more comfortable than the others in terms of the subjective thermal, humidity and overall wear sensations. 2) There were no significant differences between two finish types on the objective and subjective wear Performances. 3) The microclimate humidity on the thigh was highly correlated with the overall subjective comfort sensations and the next highly correlated one was the mean skin temperature. That is, the higher the microclimate humidity and the mean skin temperature, the higher the overall subjective comfort sensation ratings which mean the overall subjective sensation was very uncomfortable.

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Numerical Analysis of Three-Dimensional Magnetic Resonance Current Density Imaging (MRCDI) (3차원 자기공명 전류밀도 영상법의 수치적 해석)

  • B.I. Lee;S.H. Oh;E.J. Woo;G. Khang;S.Y. Lee;M.H. Cho;O. Kwon;J.R. Yoon;J.K. Seo
    • Journal of Biomedical Engineering Research
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    • v.23 no.4
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    • pp.269-279
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    • 2002
  • When we inject a current into an electrically conducting subject such as a human body, voltage and current density distributions are formed inside the subject. The current density within the subject and injection current in the lead wires generate a magnetic field. This magnetic flux density within the subject distorts phase of spin-echo magnetic resonance images. In Magnetic Resonance Current Density Imaging (MRCDI) technique, we obtain internal magnetic flux density images and produce current density images from $\bigtriangledown{\times}B/\mu_\theta$. This internal information is used in Magnetic Resonance Electrical Impedance Tomography (MREIT) where we try to reconstruct a cross-sectional resistivity image of a subject. This paper describes numerical techniques of computing voltage. current density, and magnetic flux density within a subject due to an injection current. We use the Finite Element Method (FEM) and Biot-Savart law to calculate these variables from three-dimensional models with different internal resistivity distributions. The numerical analysis techniques described in this paper are used in the design of MRCDI experiments and also image reconstruction a1gorithms for MREIT.

A Study-on Context-Dependent Acoustic Models to Improve the Performance of the Korea Speech Recognition (한국어 음성인식 성능향상을 위한 문맥의존 음향모델에 관한 연구)

  • 황철준;오세진;김범국;정호열;정현열
    • Journal of the Institute of Convergence Signal Processing
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    • v.2 no.4
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    • pp.9-15
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    • 2001
  • In this paper we investigate context dependent acoustic models to improve the performance of the Korean speech recognition . The algorithm are using the Korean phonological rules and decision tree, By Successive State Splitting(SSS) algorithm the Hidden Merkov Netwwork(HM-Net) which is an efficient representation of phoneme-context-dependent HMMs, can be generated automatically SSS is powerful technique to design topologies of tied-state HMMs but it doesn't treat unknown contexts in the training phoneme contexts environment adequately In addition it has some problem in the procedure of the contextual domain. In this paper we adopt a new state-clustering algorithm of SSS, called Phonetic Decision Tree-based SSS (PDT-SSS) which includes contexts splits based on the Korean phonological rules. This method combines advantages of both the decision tree clustering and SSS, and can generated highly accurate HM-Net that can express any contexts To verify the effectiveness of the adopted methods. the experiments are carried out using KLE 452 word database and YNU 200 sentence database. Through the Korean phoneme word and sentence recognition experiments. we proved that the new state-clustering algorithm produce better phoneme, word and continuous speech recognition accuracy than the conventional HMMs.

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Characteristic Evaluation of Iron Aluminide-Cu and Ni-P Coated $SiC_p$ Preform Fabricated by Reactive Sintering Process (반응소결법으로 제조한 Iron Aluminide-Cu 및 Ni-P 피복 $SiC_p$ 예비성형체의 특성평가)

  • Cha, Jae-Sang;Kim, Sung-Joon;Choi, Dap-Chun
    • Journal of Korea Foundry Society
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    • v.22 no.1
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    • pp.42-48
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    • 2002
  • Effects of coating treatment of metallic Cu, Ni-P film on $SiC_p$, for $SiC_p$/iron aluminide composites were studied. Porous hybrid preforms were fabricated by reactive sintering after mixing the coated $SiC_p$, Fe and Al powders. Then the final composites were manufactured by squeeze casting after pouring AC4C Al alloy melts in preforms. The change of reactive temperature, density, microstructure of the preforms and microstructure of the composites were investigated. The exprimental results were summarized as follows. The thickness of Cu and Ni-P metallic layer formed on $SiC_p$ by electroless plating method were about $0.5{\mu}m$ and coated uniformly. There was no remakable change in the ignition temperature with variation of the mixing ratio of Fe and Al powder while in the case of coated $SiC_p$ it was lower about $20^{\circ}C$ than in the non-coated $SiC_p$. The maximum reaction temperature increased with increasing Al contents, but decreased with increasing $SiC_p$ contents. Expansion ratio of preform after reactive sintering increased with amount of Cu coated $SiC_p$. In the case of Fe-70at.%Al, the expansion ratio was about 7% up to 8wt.% of $SiC_p$, addition but further addition of $SiC_p$, increased the ratio significantly. And in the case of Fe-50 and 60at.%Al, it was about 20% up to 16wt.% of $SiC_p$ addition and about 28% in 24wt.% of $SiC_p$, addition. The microstructures of compounds showed that the grains became finer as amount of $SiC_p$, and mixing ratio of iron powder increased and the shape of compounds was changed gradually from irregular to spheroidal.

Preparation and Characterization of Double-Layered Coated Capsule Containing Low Molecular Marine Collagen and γ-Aminobutyric Acid Producing Lactobacillus brevis CFM20 (저분자 해양성 콜라겐과 γ-Aminobutyric Acid 생성 Lactobacillus brevis CFM20을 함유하는 이중코팅캡슐의 제조 및 특성)

  • Kim, Sun-Yeong;Oh, Do-Geon;Kim, Kwang-Yup
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.46 no.7
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    • pp.857-867
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    • 2017
  • This study was performed to encapsulate low molecular weight marine collagen and ${\gamma}$-aminobutyric acid (GABA)-producing lactic acid bacteria to inhibit degradation and improve survival rate during exposure to adverse conditions of the gastro-intestinal tract. Calcium-alginate method was used for the manufacture of a double-layered coated capsule. The inner core material was composed of collagen and lactic acid bacteria, and the coating materials were alginate and chitosan. The sizes and shapes of the double-coated capsule were affected mainly by centrifuge speed and pH. Manufactured capsules were observed with a scanning electron microscope and by confocal laser scanning microscopy to confirm the micromorphological changes of capsules and bacterial cells. As a result, double-layered coated capsules were not degraded at pH 1.2, whereas degradation occurred at pH 7.4. In addition, GABA and collagen were maintained in stable state at pH 1.2. Therefore, double-layered coated capsules developed in this study would not be degraded in the stomach and could be stably delivered to the small intestine to benefit intestinal and dermatic health.

AN IN-VITRO WEAR STUDY OF INDIRECT COMPOSITE RESINS AGAINST HUMAN ENAMEL (법랑질에 의한 수종의 간접복합레진의 마모에 관한 연구)

  • Yi, Hyun-Jeong;Jeon, Young-Chan;Jeong, Chang-Mo;Jeong, Hee-Chan
    • The Journal of Korean Academy of Prosthodontics
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    • v.45 no.5
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    • pp.611-620
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    • 2007
  • Statement of problem: Second-generation indirect composite resins have been improved flexural strength, compressive strength, hydrolytic degradation resistance, wear resistance compared to first-generation indirect composite resins, but there are still some problems as hydrolysis and low wear resistance. Some manufacturers claim that wear resistance of their materials has been improved, but little independent study has been published on wear properties of these materials and the properties specified in the advertising materials are largely derived from in-house or contracted testing. Purpose: This study was to evaluate the wear of indirect composite resins (SR Adore, Sinfony, Tescera ATL) and gold alloy against the human enamel. Material and method: Extracted human incisors and premolars were sectioned to $2{\times}2{\times}2mm$ cube and embedded in the clear resin and formed conical shaped antagonist to fit the jig of pin-on-disk tribometer. Total 20 antagonists were stored in distilled water. Five disk samples, 24mm in diameter and 1.5mm thick, were made for each of three groups of indirect composite resins and gold alloy group, and polished to #2,000 SiC paper on auto-polishing machine. Disk specimens were tested for wear against enamel antagonists. Wear test were conducted in distilled water using a pin-on-disk tribometer under condition (sliding speed 200rpm contact load 24N, sliding distance 160m). The wear of the enamel was determined by weighing the enamel antagonist before and after test, and the weight was converted to volumes by average density. The wear tracks were analyzed by scanning electron microscopy and surface profilometer to elucidate the wear mechanisms. Statistical analysis of the enamel wear volume, wear track depth and wear tract width of disk specimens were accomplished with one-way ANOVA and the means were compared for significant differences with Scheffe's test. Results: 1. The enamel wear was most in gold alloy, but there were no statistically significant differences among all the groups (P>.05). 2. In indirect composite resin groups, the group to make the most shallow depth of wear tract was Sinfony, followed by Tescera ATL, SR Adoro (P<.05). Gold alloy was shallower than Sinfony, but there was no statistically significant difference between Sinfony and gold alloy (P>.05). 3. The width of wear tract of SR Adore was larger than the other groups (P<.05), and there were no statistically significant differences among the other groups (P>.05). 4. SEM analysis revealed that Sinfony and gold alloy showed less wear scars after test, Tescera ATL showed more wear scars and SR Adore showed the most. Conclusion: Within the limits of this study, Sinfony and gold alloy showed the least wear rates and showed similar wear patterns.

EFFECTS OF TITANIUM SURFACE COATING ON CERAMIC ADHESION (타이타늄 표면 코팅이 도재 결합에 미치는 영향)

  • Kim, Yeon-Mi;Kim, Hyun-Seung;Lee, Kwang-Min;Lee, Doh-Jae;Oh, Gye-Jeong;Lim, Hyun-Pil;Seo, Yoon-Jung;Park, Sang-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.45 no.5
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    • pp.601-610
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    • 2007
  • Statement of problem: The adhesion between titanium and ceramic is less optimal than conventional metal-ceramic bonding, due to reaction layer form on cast titanium surface during porcelain firing. Purpose: This study characterized the effect of titanium-ceramic adhesion after gold and TiN coating on cast and wrought titanium substrates. Material and method: Six groups of ASTM grade II commercially pure titanium and cast titanium specimens$(13mm{\times}13mm{\times}1mm)$ were prepared(n=8). The conventional Au-Pd-In alloy served as the control. All specimens were sandblasted with $110{\mu}m\;Al_2O_3$ particles and ultrasonically cleaned for 5min in deionized water and dried in air before porcelain firing. An ultra-low-fusing dental porcelain (Vita Titankeramik) was fused on titanium surfaces. Porcelain was debonded by a biaxial flexure test at a cross head speed of 0.25mm/min. The excellent titanium-ceramic adherence was exhibited by the presence of a dentin porcelain layer on the specimen surface after the biaxial flexure test. Area fraction of adherent porcelain (AFAP) was determined by SEM/EDS. Numerical results were statistically analyzed by one-way ANOVA and Student-Newman-Keuls test at ${\alpha}=0.05$. Results: The AFAP value of cast titanium was greatest in the group 2 with TiN coating, followed by group 1 with Au coating and the group 3 with $Al_2O_3$ sandblasting. Significant statistical difference was found between the group 1, 2 and the group 3 (p<.05). The AFAP value of wrought titanium was greatest in the group 5 with TiN coating, followed by the group 4 with Au coating and the group 6 with $Al_2O_3$ sandblasting. Conclusion: No significant difference was observed among the three groups (p>.05). The AFAP values of the cast titanium and the wrought titanium were similar. However the group treated with $Al_2O_3$ sandblasting showed significantly lower value (p<.05).

Local Drug Delivery System Using Biodegradable Polymers

  • Khang, Gil-Son;Rhee, John M.;Jeong, Je-Kyo;Lee, Jeong-Sik;Kim, Moon-Suk;Cho, Sun-Hang;Lee, Hai-Bang
    • Macromolecular Research
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    • v.11 no.4
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    • pp.207-223
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    • 2003
  • For last five years, we are developing the novel local drug delivery devices using biodegradable polymers, especially polylactide (PLA) and poly(D,L-lactide-co-glycolide) (PLGA) due to its relatively good biocompatibility, easily controlled biodegradability, good processability and only FDA approved synthetic degradable polymers. The relationship between various kinds of drug [water soluble small molecule drugs: gentamicin sulfate (GS), fentanyl citrate (FC), BCNU, azidothymidine (AZT), pamidronate (ADP), $1,25(OH)_2$ vitamin $D_3$, water insoluble small molecule drugs: fentanyl, ipriflavone (IP) and nifedipine, and water soluble large peptide molecule drug: nerve growth factor (NGF), and Japanese encephalitis virus (JEV)], different types of geometrical devices [microspheres (MSs), microcapsule, nanoparticle, wafers, pellet, beads, multiple-layered beads, implants, fiber, scaffolds, and films], and pharmacological activity are proposed and discussed for the application of pharmaceutics and tissue engineering. Also, local drug delivery devices proposed in this work are introduced in view of preparation method, drug release behavior, biocompatibility, pharmacological effect, and animal studies. In conclusion, we can control the drug release profiles varying with the preparation, formulation and geometrical parameters. Moreover, any types of drug were successfully applicable to achieve linear sustained release from short period ($1{\sim}3$ days) to long period (over 2 months). It is very important to design a suitable formulation for the wanting period of bioactive molecules loaded in biodegradable polymers for the local delivery of drug. The drug release is affected by many factors such as hydrophilicity of drug, electric charge of drug, drug loading amount, polymer molecular weight, the monomer composition, the size of implants, the applied fabrication techniques, and so on. It is well known that the commercialization of new drug needs a lot of cost of money (average: over 10 million US dollar per one drug) and time (average: above 9 years) whereas the development of DDS and high effective generic drug might be need relatively low investment with a short time period. Also, one core technology of DDS can be applicable to many drugs for the market needs. From these reasons, the DDS research on potent generic drugs might be suitable for less risk and high return.