• Title/Summary/Keyword: A Case Study

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Outcome after relapse in childhood and adolescent osteosarcoma : single institution experience in Korea (소아 청소년 골육종 재발 후 치료성적 : 한국의 단일기관 성적)

  • Lee, Yun-Jeong;Lee, Hyun-Jae;Kim, Dong-Ho;Lim, Jung-Sub;Lee, Jun-Ha;Park, Kyung-Duk;Jeon, Dae-Geun;Lee, Soo-Yong
    • Clinical and Experimental Pediatrics
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    • v.51 no.1
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    • pp.78-83
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    • 2008
  • Purpose : Osteosarcoma is the most common primary malignant bone tumor in children and adolescents. Although survival rate of osteosarcoma patients has markedly improved, about 20-30% of patients still have a relapse. This study was aimed to find factors that influence postrelapse survival of osteosarcoma in childhood and adolescents. Methods : Between 1985 and 2004, of 461 patients who were diagnosed and treated as osteosarcoma in Korean Cancer Center Hospital, 180 patients with recurrent osteosarcoma were retrospectively reviewed. We examined survival rates and analyzed prognostic factors, such as relapse site, post-relapse treatment methods, pathologic response to neoadjuvnat chemotherapy, metastasis at first diagnosis, and relapse free interval. Results : The overall recurrence rate of patients with osteosarcoma was 39%. The 5-year and 10-year postrelapse survival rates in the recurrent osteosarcoma were 13% and 4%, respectively. The 5-year post-relapse survival rate was influenced by site of relapse (lung, 39%; local, 0%; lung & bone, 25%; others, 12%; P<0.05), relapse-free interval (<12 months, 13%; ${\geq}12$ months, 44%, P<0.05), and post-relapse treatment methods (with surgery, 38%; without surgery, 11%; P<0.05). Conclusion : The survival rate of recurrent case is very low after 10 years, so new second-line chemotherapy and active treatment is needed to increase survival. Aggressive surgery with the removal of recurrence sites combined with multi-agent chemotherapy could either cure patients with recurrent osteosarcoma or significantly prolong their survival.

Nodal Station as a Prognostic Factor in Resected Stage IIIA N2 Non-Small Cell Lung Cancer (절제된 IIIA N2 병기 비소세포형 폐암에 있어서 Nodal Station의 의의)

  • 김대준;김길동;김치영;정경영
    • Journal of Chest Surgery
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    • v.36 no.7
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    • pp.489-496
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    • 2003
  • To clarify the prognostic implication of the location and number of the metastatic mediastinal nodes in resected stage IIIA N2 non-small cell lung cancer. Material and Method: One hundred and seventy-four patients with resected non-small cell lung cancer who eventually proved to have pathologic stage IIIA N2 disease were studied. Patients who received preoperative induction therapy, non-curative operation or defined as operative mortality were excluded from this study. Result: In upper lobe tumors, there was no difference in 5-year survival according to the involvement of lower mediastinal nodes (32.3% vs 25.6%, p=0.86). In lower lobe tumors, no difference was found in 5-year survival according to the involvement of upper mediastinal nodes (25.1% vs 14.1%, p=0.33). There was no significant difference in 5-year survival between patients with or without metastatic subcarinal node (20.9% vs 25.6%, p=0.364). In terms of the number of metastatic mediastinal nodes, 5-year survival was better in single station group (26.3%) than multiple station group (18.3%) (p=0.048). In multiple station N2 group, the patients who received postoperative chemotherapy and radiation therapy had better 5-year survival (34.2%) (p=0.01). Cox's proportional hazards model revealed that the age $\geq$60 (O.R: 1.682, p=.006), multiple station N2 (O.R: 1.503. p=0.021), pneumonectomy (O.R: 1.562, p=0.018), postoperative chemotherapy and radiation therapy (O.R: 0.625, p=0.012) were the factors affecting the postoperative survival. Conclusion: Multiple station N2 disease was the important prognostic factor for postoperative survival in resected stage IIIA N2 non-small cell lung cancer. Postoperative chemotherapy and radiotherapy were thought to improve the survival in case of multiple station N2 disease.

Vitamin C and Mineral Contents in Perilla Leaves by Leaf age and Storage Conditions (깻잎의 엽령 및 저장에 따른 비타민 C와 무기질 함량)

  • 최영희;한재숙
    • Korean journal of food and cookery science
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    • v.17 no.6
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    • pp.583-588
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    • 2001
  • In this study, the differences in the contents of vitamin C and minerals in perilla leaves were compared according to the age of leaf and storage conditions. The content of vitamin C in perilla leaves the younger the perilla leaves, the higher the content of vitamin C: Vitamin C content of mature leaf at the lowest part of the stem was 63.7mg/100g, and that of young leaf at the top of the stem was 129.0mg/100g. However, the contents of Ca and Fe by the leaf age were in an opposite tendency with vitamin C: Ca content of the leaves at the lowest and the top part of the stem were 449.4 mg and 311.8mg/100g, respectively. But, the contents of Na and Mg were poor in mature leaf, and the content of K showed no particular difference according to leaf age. When stored at 5$^{\circ}C$, residual rate of vitamin C content was 92.56, 81.52 and 77.05%, after stored 1, 5 and 10 days, respectively. In the case of 20$^{\circ}C$, residual rate of vitamin C was 85.80, 79.90 and 72.53%, respectively. When stored at 5$^{\circ}C$, Ca content in perilla leaves was in the range of 348.93∼408.81mg/100g, and at 20$^{\circ}C$, the content of Ca was 360.26∼392.25mg/100g. Storage time and temperature did not make a significant difference in the mineral content of perilla leaves.

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Comparisons of Soil Characteristics between Campsites and Their Adjoining Forest Areas in the Eastern Area of Jirisan National Park (지리산국립공원 동부지역 야영장 조성지와 인접 산림지역의 토양 특성 비교)

  • Kim, Choon-Sig;Jang, Kyoung-Su;Lee, Hong-Woo;Cho, Hyun-Seo
    • Korean Journal of Environment and Ecology
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    • v.21 no.6
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    • pp.487-493
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    • 2007
  • This study was carried out to evaluate soil property between campsites located at Joongsanri, Daewonsa old, Daewonsa new, Baekmudong and their adjoining forest areas in the eastern area of Jirisan National Park. The survey results showed that there existed a significant difference(p<0.05) between the two areas in soil property, such as soil bulk density, soil hardness, soil pH, water infiltration and soil respiration rates. However, there was no difference in soil property by depth between surface soil($0{\sim}15cm$) and subsurface soil($15{\sim}30cm$) for the two areas(p>0.05). In case of soil bulk density, its values in campsites were significantly higher ($1.29{\sim}1.44g/cm^3$) than in forest areas($0.95g/cm^3$), while soil hardness was significantly lower(p<0.05) in forest areas($1.44kg/cm^2$) than in campsites($2.9{\sim}4.0kg/cm^2$). Soil pore space was significantly lower in campsites($45.7{\sim}51.4%$) than in forest areas(64.3%), and soil pH in forest areas indicated pH 5.46 and that of the campsites was distributed at the range from pH 6.49 to pH 6.38. In addition, water infiltration was significantly lower in campsites($0.79{\sim}2.06cc/sec$) than in forest areas(18.7cc/sec), while soil respiration rates were significantly higher in forest areas($0.58gCO_2/m^2/h$) than in campsites($0.13{\sim}0.34gCO_2/m^2/h$).

Field Application of Waterworks Automatic Meter Reading and Analysis of Household Water Use (상수도 원격검침시스템의 현장 적용성 평가 및 가정용수 사용량 분석)

  • Joo, Jin Chul;Ahn, Hosang;Ahn, Chang Hyuck;Ko, Kyung-Rok;Oh, Hyun Je
    • Journal of Korean Society of Environmental Engineers
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    • v.34 no.10
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    • pp.656-663
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    • 2012
  • After the construction of waterworks automatic meter reading with 15 mm diameter digital water mater with magnetoresistance sensor developed in this study at 96 households of apartment complexes located in Incheon-City B-Gu S-Dong, the feasibility of field application of waterworks automatic meter reading was evaluated. The field application of waterworks automatic meter reading was performed from July to December in 2011, and average reception rate was as low as 84.6% due to the instable wibro networks, the existence of communication blackout and temporary malfunction of router. After the extraction of 10 households with one to five residents out of 96 households by using stratified random sampling method and analysis of domestic water use, it was found that domestic water use was significant at August and showed a decreasing trend at September, followed by increase in domestic water use at November and decrease in domestic water use at December. This phenomenon should be attributed to weather factors (temperature, humidity, etc.), which significantly affected domestic water use. Similar trend in domestic water use in terms of weather factors was obtained in case of Liter per capita day of water use after the extraction of 30 households out of 96 households by using stratified random sampling method. After analysis of Liter per capita day for 96 households, single residents increases resulted in reduction of domestic water usage by about 14% of Liter per capita day. These results might be due to the fact that domestic water usage such as laundry, beverages, catering, cleaning, etc. should be required for even the household with one resident, whereas domestic water usage for those common utilization can be significantly saved for the household with more than one resident.

Comparison of Dose Distribution in Spine Radiosurgery Plans: Simultaneously Integrated Boost and RTOG 0631 Protocol (척추뼈전이암 환자의 체부정위방사선치료계획 비교: 동시통합추가치료법 대 RTOG 0631 프로토콜)

  • Park, Su Yeon;Oh, Dongryul;Park, Hee Chul;Kim, Jin Sung;Kim, Jong Sik;Shin, Eun Hyuk;Kim, Hye Young;Jung, Sang Hoon;Han, Youngyih
    • Progress in Medical Physics
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    • v.25 no.3
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    • pp.176-184
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    • 2014
  • In this study, we compared dose distributions from simultaneously integrated boost (SIB) method versus the RTOG 0631 protocol for spine radiosurgery. Spine radiosurgery plans were performed in five patients with localized spinal metastases from hepatocellular carcinoma. The computed tomography (CT) and T1- and T2-weighted magnetic resonance imaging (MRI) were fused for delineating of GTV and spinal cord. In SIB plan, the clinical target volume (CTV1) was included the whole compartments of the involved spine, while RTOG 0631 protocol defines the CTV2 as the involved vertebral body and both left and right pedicles. The CTV2 includes transverse process and posterior element according to the extent of GTV. The doses were prescribed 18 Gy to GTV and 10 Gy to CTV1 in SIB plan, while the prescription of RTOG 0631 protocol was applied 18 Gy to CTV2. The results of dose-volume histogram (DVH) showed that there were competitive in target coverage, while the doses of spinal cord and other normal organs were lower in SIB method than in RTOG 0631 protocol. The 85% irradiated volume of VB in RTOG 0631 protocol was similar to that in the SIB plan. However, the dose to normal organs in RTOG 0631 had a tendency to higher than that in SIB plan. The SIB plan might be an alternative method in case of predictive serious complications of surrounded normal organs. In conclusion, although both approaches of SIB or RTOG 0631 showed competitive planning results, tumor control probability (TCP) and normal tissue complication probability (NTCP) through diverse clinical researches should be analyzed in the future.

Pesticide Residues Survey and Safety Evaluation for Perilla Leaf & Lettuce on the Garak-dong Agricultural & Marine Products Market (가락동 농수산물도매시장 반입 들깻잎과 상추의 잔류농약 실태 및 안전성 평가)

  • Park, Won-Hee;Hwang, In-Sook;Kim, Eun-Jeong;Cho, Tae-Hee;Hong, Chae-Kyu;Lee, Jae-In;Choi, Su-Jeong;Kim, Jin-A;Lee, Yun-Jeong;Kim, Mi-Sun;Kim, Gi-Hae;Kim, Moo-Sang
    • The Korean Journal of Pesticide Science
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    • v.19 no.3
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    • pp.151-160
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    • 2015
  • This study was conducted to monitor residual pesticides in perilla leaf & lettuce and to assess their risk to human health. The total number of perilla leaf & lettuce were 4,063 and 2,248 respectively and these products were collected at the Garak-dong Agricultural & Marine Products Market sold by auction from 2010 to 2012. Multi-residual analysis of 285 pesticides were performed by GC-ECD, GC-NPD, HPLC-DAD and HPLC-FLD. In perilla leaf, 61 pesticides were detected and detection rate was 20.0%. 28 pesticides were detected in case of lettuce and detection rate was 4.8%. In order to do risk assessment by perilla leaf & lettuce consumption, estimated daily intake of residual pesticides were determined and compared to acceptable daily intake, referring to hazard index (HI values). The range of % HI values of perilla leaf was from 0.000% to 0.049%. The range of % HI values of lettuce was from 0.000% to 0.095%. These results show that the risk caused by pesticide residues in perilla leaf & lettuce intake were very low and these vegetable intake was safe.

Studies on Anisakiasis Especially Morphological Studies on the Anisakinae Larva (Anisakiasis에 대한 조사연구(調査硏究) 특히 유충(幼蟲)의 형태학적(形態學的) 구조(構造)에 대하여)

  • Rim, Bong-Ho
    • Korean Journal of Veterinary Research
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    • v.21 no.2
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    • pp.105-112
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    • 1981
  • The morphological and structural studios of Anisakinae larva has been carried out since Sept. of 1980. The larva were collected from naturally infested eleven swine of 1,531 examined at Kwang-Ju abattoir and from marine fishes, Somber japonicus, bought at Kwang-Ju fish market. The results observed were as follow : 1. Anisakis larva found in the stomach wall and on the surface of the mucosa were more or less degenerated. According to the progress of degeneration, the cross sections showed varied structures (Fig. 6, 7). 2. Size of the larva both from swine and fishes were measured respectively in average(mm); 18.0 and 18.7 in body length, 0.30 and 0.41 in body width, 1.64 and 1.68 in esophagus(muscular-part), 0.56 and 0.67 in ventriculus (glandular part), and 0.13 and 0.12 in tail. It was notable that body length of the larva in this present data, 18.0mm and 1.87mm, were shorter than those in previous dada, 24.3mm from human cases and 28.4mm from, however, the present data were almost similar to the data, 1.75mm, from swine case. 3. The Boring tooth, Mucron, long ventriculus and short round tail were observed in the larva of this present study. These structures were differentiated from Anisakis type II larvae which was provided with short ventriculus, and conical and tapering tall without mucron. 4. The ventricular appendix and intestnal caecum were not present in the larva. These might be differentiated from other Anisakidae larva such as Terranova larvae, Contracaecum larvae, Raphidascaris larvae and Thynnascaris larvae. 5. The findings through the histological observation were a pair of Y-shaped or butterfly-shaped lateal chords, ventral and dorsal chords, excretory(Renette) cell, high columnar epithelial cells of digestive tract and muscle cells. These morphological characteristics revealed varied features in the structures in the degenerative degree of the larva in the stomach wall. 6. The above-mentioned characteristics of the larva observed could be indentified as Anisakis type I larvae. 7. The reports on natural infestation of domestic animal with Anisakis type I larvae were two swine cases in Korea and Japan respectively, On the other hand two human cases of the larva were reported in Korea and more than one thousand cases in Japan. In Twiwan no reports of human and domestic animal cases could be found.

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Effect of Several Treatments on Chilling Injury of Paprika Fruits during Low Temperature Storage (몇 가지 처리가 파프리카 과실의 저온장해에 미치는 영향)

  • Choi, In-Lee;Lee, Yong Beom;Kim, Il Seop;Baek, Jun Pill;Kang, Ho-Min
    • Journal of Bio-Environment Control
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    • v.22 no.4
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    • pp.427-431
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    • 2013
  • Paprika fruits should be stored and distributed at above $7^{\circ}C$ to prevent chilling injury but the small amount of paprika that transports with other horticultural products in refrigerated container by ship usually stored less than $5^{\circ}C$ for other products. In this case, paprika fruits cannot help exposing chilling temperature, so that the paprika must be lost marketable value during a long period of transfer. This study was conducted to compare the alleviated effects of high $CO_2$ treatment (passive MAP), heat (hot water dipping), and UVc treatment on chilling injury of paprika fruits due to low temperature storage, and also to decide if these treatments can be used for transporting under $5^{\circ}C$. After each treatment the paprika were put in the low temperature storage ($4^{\circ}C$) for 20 days and afterwards change the in room temperature ($20^{\circ}C$) for 5 days. The fresh weight loss of all the treatments except the high $CO_2$ treatment showed around 7~12% after 25 days of storage and the ethylene concentration showed periodical increases and decreases as around 3 ${\mu}l/l$. The $CO_2$ concentration was rapidly increased 33% carbon dioxide in high $CO_2$ treatment during room temperature storage after cold storage for 20 days. The firmness which is key quality characteristics during storage and is decreasing caused by chilling injury was not significantly different among all treatments. However, the firmness of stored paprika was maintained highest in the treated with hot water dipping. Therefore, HWD and UVc treatment that showed 60% of electrolyte leakage in the $4^{\circ}C$ control (chilling injury control) and similar level with the $7^{\circ}C$ control (non-chilling injury control) would be effective to alleviate chilling injury in the stored paprika.

Analysis of components according to different collecting time and production method in sun-dried salt (채취시기 및 생산방법에 따른 천일염의 성분 분석)

  • Jin, Yong-Xie;Kim, Haeng-Ryan;Kim, So-Young
    • Food Science and Preservation
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    • v.20 no.6
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    • pp.791-797
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    • 2013
  • This study was conducted to investigate the changes in the composition and microbiological properties of domestic sun-dried salt (white and gray salts) according to their collection time and production method. The results showed that the moisture contents of the white and gray sun-dried salts were 10.4~13.2% and 5.2~8.0%, respectively, and the sand contents were 0.1% and 0.2~0.3%, respectively, according to the month. Several samples exceeded the criteria of 15% moisture content and 0.2% sand content. The ash content and salinity of gray salt (below 85% and 90%, respectively) were higher than those of white salt (both below 80%). The total chloride contents of the salts collected in September and October were slightly lower than that of the others and exceeded the criteria of above 40%. In the case of mineral contents, there was no significant difference among the collection times because the analyses showed a marked deviation. The microbiological analysis showed that there was no significant difference among the production method, but the salt samples collected in September and October had relatively high detection rates of total aerobe, staphylococci, and halophilic bacteria.