• 제목/요약/키워드: Characteristic curve

검색결과 1,509건 처리시간 0.034초

Clinical outcomes of adjuvant radiation therapy and prognostic factors in early stage uterine cervical cancer

  • Kim, Hyun Ju;Rhee, Woo Joong;Choi, Seo Hee;Nam, Eun Ji;Kim, Sang Wun;Kim, Sunghoon;Kim, Young Tae;Kim, Gwi Eon;Kim, Yong Bae
    • Radiation Oncology Journal
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    • 제33권2호
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    • pp.126-133
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    • 2015
  • Purpose: To evaluate the outcomes of adjuvant radiotherapy (RT) and to analyze prognostic factors of survival in the International Federation of Gynecology and Obstetrics (FIGO) IB-IIA uterine cervical cancer. Materials and Methods: We retrospectively reviewed the medical records of 148 patients with FIGO IB-IIA uterine cervical cancer who underwent surgery followed by adjuvant RT at the Yonsei Cancer Center between June 1997 and December 2011. Adjuvant radiotherapy was delivered to the whole pelvis or an extended field with or without brachytherapy. Among all patients, 57 (38.5%) received adjuvant chemotherapy either concurrently or sequentially. To analyze prognostic factors, we assessed clinicopathologic variables and metabolic parameters measured on preoperative 18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT). To evaluate the predictive performance of metabolic parameters, receiver operating characteristic curve analysis was used. Overall survival (OS) and disease-free survival (DFS) were analyzed by the Kaplan-Meier method. Results: The median follow-up period was 63.2 months (range, 2.7 to 206.8 months). Locoregional recurrence alone occurred in 6 patients, while distant metastasis was present in 16 patients, including 2 patients with simultaneous regional failure. The 5-year and 10-year OSs were 87.0% and 85.4%, respectively. The 5-year and 10-year DFSs were 83.8% and 82.5%, respectively. In multivariate analysis, pathologic type and tumor size were shown to be significant prognostic factors associated with both DFS and OS. In subset analysis of 40 patients who underwent preoperative PET/CT, total lesion glycolysis was shown to be the most significant prognostic factor among the clinicopathologic variables and metabolic parameters for DFS. Conclusion: Our results demonstrated that adjuvant RT following hysterectomy effectively improves local control. From the subset analysis of preoperative PET/CT, we can consider that metabolic parameters may hold prognostic significance in early uterine cervical cancer patients. More effective systemic treatments might be needed to reduce distant metastasis in these patients.

Effect of leukocyte alteration on treatment outcomes following preoperative chemoradiotherapy in patients with rectal cancer

  • Kim, Tae Gyu;Park, Won;Choi, Doo Ho;Park, Hee Chul;Kim, Seok-Hyung;Cho, Yong Beom;Yun, Seong Hyen;Kim, Hee Cheol;Lee, Woo Yong;Lee, Jeeyun;Park, Joon Oh;Park, Young Suk
    • Radiation Oncology Journal
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    • 제35권3호
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    • pp.217-226
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    • 2017
  • Purpose: Hematotoxicity following anti-cancer treatment is known to be related to treatment efficacy in several malignancies. The purpose of this study was to examine the hematologic parameters related to the tumor response and survival in patients treated with curative surgery following preoperative chemoradiotherapy (CRT) for rectal cancer. Materials and Methods: Four hundred eighteen patients with rectal cancer who underwent preoperative CRT and curative surgery were analyzed, retrospectively. The main clinical factors and blood cell counts before and after CRT were investigated with respect to their relationships with tumor downstaging and patient survival. Results: The post-CRT leukocyte count was significantly different between the tumor downstaging group and the non-downstaging group (median, 4740/uL vs. 5130/uL; p = 0.013). Multivariate analysis showed that histological grade, circumferential extent, and post-CRT leukocyte count were related to tumor downstaging. In addition, histological grade, post-CRT leukocyte count, and tumor downstaging were related to disease-free survival. The 5-year disease-free survival and overall survival in patients with post-CRT leukocyte count ${\leq}3730/uL$, which is the cut-off value derived from the receiver operation characteristic (ROC) curve analysis, were significantly higher than those with higher counts (88.0% vs. 71.6%, p = 0.001; 94.4% vs. 84.1%, p = 0.024). Conclusion: Post-CRT leukocyte count of ${\leq}3730/uL$ could be regarded as a good prognostic factor for tumor response and survival in rectal cancer patients treated with preoperative CRT.

래버린스 웨어를 적용한 측수로형 여수로의 홍수배제능력 및 수리학적 특성 연구 (A Study on Flood Discharge Capacity and Hydraulic Characteristic of Labyrinth Weir as a Side-Channel Spillway)

  • 박세훈;문영일
    • 한국수자원학회논문집
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    • 제41권1호
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    • pp.65-74
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    • 2008
  • 국내 농업용수 댐은 약 18,000개로 추산되는데 거의 대부분이 월류에 취약한 필댐이다. 여수로 형식은 자연월류 측수로형 여수로가 99%인 것으로 추산되고 있다. 본 연구에서는 댐의 홍수배제능력을 증대시키기 위한 방법의 하나로 측수로형 여수로의 선형웨어 부분을 래버린스 웨어로 개축할 경우 어느 정도의 방류량 증대효과가 발생하는지를 분석하였다. 분석방법은 저수용량 크기별로 5개의 댐을 임의 선정하여 수리모형실험과 Flow-3D를 이용한 3차원수치해석을 통해 월류수심별 방류량을 산정하였고, 확률홍수량과 가능최대홍수량(PMF)에 대한 저수지홍수추적을 실시하여 개축 전 후의 최고수위를 비교하였다. 분석결과 래버린스 웨어는 홍수유입초기에 방류량 증대효과가 있어서 선형웨어에 비해 홍수시 최고수위를 200년 확률홍수량 유입시 13.8$\sim$43.7%, 500년 확률홍수량 유입시 13.9$\sim$38.3%, PMF 유입시 6.1$\sim$9.6% 정도 저하시킬 수 있는 것으로 분석되었다.

GPS 위성시계오차의 장단기 특성 분석 (Analysis of Short-Term and Long-Term Characteristics of GPS Satellite Clock Offsets)

  • 손은성;박관동;김경희
    • 한국측량학회지
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    • 제28권6호
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    • pp.563-571
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    • 2010
  • GPS 위성은 세슘과 루비듐으로 이루어진 원자시계가 3~4개 탑재되어 있으며 NANU 정보를 통해 현재와 과거에 사용했었던 원자시계의 종류를 파악할 수 있다. 이 연구에서는 2001년부터 2009년까지의 SP3 파일에서 각 PRN에 대한 위성시계오차를 추출하여 분석하였다. 분석 결과 대체적으로 세슘시계는 직선형태, 루비듐시계는 곡선형태의 특성을 보였으나 일정한 경향은 나타나지 않았다. 또한 일주일간의 CLK 파일에서 위성시계오차를 추출하여 각 PRN별로 1차식과 2차식으로 접합하고 그 결과를 비교하였다. 세슘시계의 경우 2차식보다 1차식이 추출 데이터와 유사하였으며 루비듐시계의 경우 2차식이 추출 데이터와 유사하였고 특정 PRN은 다차항 형태의 특성을 보였다. 그리고 Modified Allan Deviation 방법을 이용하여 2007년과 2010년의 GPS 위성을 Block별, 원자 시계별로 분석하였다. 그결과 GPS 위성은 Block별, 원자시계별로 서로 다른 특성이 보였으며 Block 또는 원자시계가 변경되면 그 특성도 변경되는 것을 확인할 수 있었다.

조미 건조김의 흡습특성에 관한 연구 (Study on the Moisture Sorption Characteristics of Seasoned Dried Laver)

  • 임종환
    • 한국식품영양과학회지
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    • 제22권4호
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    • pp.476-483
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    • 1993
  • 상업적으로 생산되는 조미김의 흡습특성을 조사하기 위하여 조미김과 2종의 흡습제 (silica gel, zeolite)의 등온흡습곡선을 30, 40, 5$0^{\circ}C$에서 포화염용액을 사용하여 측정하였다. 실험온도 및 상대습도 범위내에서 평형수분함량에 도달하는데 조미김은 4~6시간, silica gel은 20~25시간, zeolite는 43~46시간이 소요되었다. 조미김과 흡습제의 등온흡습곡선은 모두 전형적인 sigmoid형 곡선을 나타냈다. BET식을 활용하여 구한 단분자층 수분함량은 조미김이 각 온도(30, 40, 5$0^{\circ}C$)에서 5.26, 4.46, 3.49% (d.b.)이었고, silica gel은 17.32, 15.24, 12.89% (d.b.), 그리고 zeolite가 16.87, 14.92, 14.33%(d.b.)로서 조미김에 비해 흡습제가 높은 범위의 단분자층 수분함량을 나타냈다. 또한 단분자층 수분함량은 온도가 증가함에 따라 실험온도 범위 내에서 직선적으로 감소함이 발견되었다 포장재의 투습도 역시 온도의 영향을 받음을 알 수 있었는데, 조미김 포장재의 투습계수의 온도의존성은 Arrhenius식으로 표시할 수 있었다.

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CLASSIFICATION OF MUSCARINIC RECEPTOR SUBTYPES BY OXOMEMAZINE

  • Lee, Shin-Woong-;Woo, Chang-Woo;Kim, Jeung-Gu-
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1994년도 춘계학술대회 and 제3회 신약개발 연구발표회
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    • pp.290-290
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    • 1994
  • The binding characteristic of oxomemazine to muscarinic receptor in the cerebrum, heart, and ileum were compared to those of pirenzepine to investigate whether oxomemazine could classify the muscarinic receptor subtypes. 〔$^3$H〕Quinucl idinyl benzilate(QNB) identified a single class of muscarinic receptors with apparent K$\sub$D/ value of about 60 pM in three tissues. Analysis of the pirenzepine inhibition curve of 〔$^3$H〕QNB binding to cerebral microsome indicated the presence of two receptor subtypes with high (Ki=16 nM, M$_1$-receptor) and low (Ki=400 nM, M$_2$-receptor) affinity for pirenzepine. Oxomemazine also identified two receptor subtypes with high (Ki=84 nM, On-receptor) and low (Ki=1 4 ${\mu}$M, O$\sub$L/-receptor) affinity in rat cerebral microsome, The percentage population of the M$_1$-and M$_2$-receptors to the total receptors were 61 : 39, and those of the O$\^$H/- and O$\sub$L/-receptors 39 : 61, respectively, However, the Hill coefficients of these two drugs for the inhibition of 〔$^3$H〕QNB binding to the heart and ileum were close to unity which indicated that these drugs bound to a uniform population of receptors in these two tissues. The Ki values for the low affinity sites of pirenzepine and oxomemazine in the cerebrum were similar to those of these drugs in the heart ileum. Both pirenzepine and oxomemazine increased K$\sub$D/ value for 〔$^3$H〕QNB without affecting the binding sites concentration and Hill coefficient for the 〔$^3$H〕QNB binding. Oxomemazine had a 10-fold lower affinity at Ma-receptors than at M$_1$-receptors, and pirenzepine a 8-fold lower affinity at O$\sub$L/-receptors than OH-receptors. Analysis of the shal low competition curves of oxomemazine for the H$_1$ receptors and pirenzepine for the O$\sub$L/-receptors yielded that 69% of the M$_1$-receptors were of the O$\sub$H/-receptors and the remaining 31% of the O$\sub$L/-receptors, and that 29% of the O$\sub$L/-receptors were of the M$_1$-receptors and 71% of the M$_2$-receptors. However, M$_2$ for oxomemazine and O$\sub$H/ for pirenzepine were composed of a uniform population. These results suggest that oxomemazine could discriminatethe muscarnic receptor subtypes and may subclassify the M$_1$-receptors into two subtypes.

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중등도 이상의 무지 외반증에서 최소 절개를 이용한 원위 중족골 절골술의 결과 (Results of Minimal Incision Distal Metatarsal Osteotomy for Moderate to Severe Hallux Valgus)

  • 허정욱;은일수;고영철;박만준;박숙현
    • 대한족부족관절학회지
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    • 제19권2호
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    • pp.51-57
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    • 2015
  • Purpose: Minimal incision distal metatarsal osteotomy (MIDMO) is known to be an effective surgical procedure for mild to moderate hallux valgus. However, the result of MIDMO on moderate to severe hallux valgus is controversial; therefore, we investigated the radiological and clinical results of MIDMO on moderate to severe hallux valgus. Materials and Methods: We reviewed 51 feet (48 patients) with moderate to severe hallux valgus. The mean age was 67.0 years and the mean follow-up period was 32.2 months. Radiological data of hallux valgus angle, first intermetatarsal angle, and distal metatarsal articular angle on plain radiographs were analyzed. Recurrence, union, lateral translation of distal fragment and angulation were also analyzed. The clinical data were obtained using American Orthopaedic Foot and Ankle Society (AOFAS) score of preoperation and last follow-up. Receiver operating characteristic (ROC) curve was used to determine a cut-off value. Results: The mean hallux valgus angle measured at preoperation was $37.7^{\circ}$ and $15.9^{\circ}$ at last follow-up. The mean first intermetatarsal angle of preoperation and last follow-up were $15.2^{\circ}$ and $8.3^{\circ}$. The mean distal metatarsal articular angle changed from $12.6^{\circ}$ at preoperation to $7.8^{\circ}$ at last follow-up. Preoperative hallux valgus angle (p=0.0051) and distal metatarsal articular angle (p=0.0078) were statistically significant factors affecting postoperative AOFAS score. Cut-off value of each was $37^{\circ}$ and 13o, respectively. Lateral translation of distal fragment in 5 recurrent cases was 23.0% compared to 45.3% of 46 non-recurrent cases. The result was statistically significant and the cut-off value was 38%. Conclusion: Sufficient lateral translation over 38% in MIDMO on moderate to severe hallux valgus patients with preoperative hallux valgus angle under $37^{\circ}$ and distal metatarsal articular angle under $13^{\circ}$ can lead to good clinical results without recurrence.

Usefulness of Fracture Risk Assessment Tool Using Lumbar Bone Mineral Density in Prediction of Osteoporotic Vertebral Fracture

  • Lee, Heui Seung;Lee, Sang Hyung;Chung, Young Seob;Yang, Hee-Jin;Son, Young-Je;Park, Sung Bae
    • Journal of Korean Neurosurgical Society
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    • 제58권4호
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    • pp.346-349
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    • 2015
  • Objective : To investigate the value of lumbar bone mineral density (BMD) in fracture risk assessment (FRAX) tool. Methods : One hundred and ten patients aged over 60 years were enrolled and divided into 2 groups as non-osteoporotic vertebral fracture (OVF) and OVF groups. The 10-year-risk of major osteoporotic vertebral fracture of each group was calculated by FRAX tool with femoral and lumbar spine BMDs to compare the usefulness of lumbar spine BMD in prediction of OVF. The blood level of osteocalcin and C-terminal telopeptide (CTX) as markers of activities of osteoblast and osteoclast, respectively were analyzed using the institutional database. Results : In the OVF group, the ratio of patients with previous fracture history or use of glucocorticoid was higher than those in non-OVF group (p=0.000 and 0.030, respectively). The levels of T-score of femur neck and lumbar spine in OVF group were significantly lower than those in non-OVF group (p=0.001 and 0.000, respectively). The risk of OVF in FRAX using femur BMD in non-OVF and OVF groups was $6.7{\pm}6.13$ and $11.4{\pm}10.06$, respectively (p=0.007). The risk of using lumbar BMD in the 2 groups was $6.9{\pm}8.91$ and $15.1{\pm}15.08$, respectively (p=0.002). The areas under the receiver operator characteristic curve in the FRAX risk with lumbar and femur neck BMD were 0.726 and 0.684, respectively. The comparison of osteocalcin and CTX was not significant (p=0.162 and 0.369, respectively). Conclusion : In our study, the 10-year risk of major osteoporotic fracture in the OVF group of our study was lower than the recommended threshold of intervention for osteoporosis. Hence, a lower threshold for the treatment of osteoporosis may be set for the Korean population to prevent OVF. In the prediction of symptomatic OVF, FRAX tool using lumbar spine BMD may be more useful than that using femur neck BMD.

비지도학습 오토 엔코더를 활용한 네트워크 이상 검출 기술 (Network Anomaly Detection Technologies Using Unsupervised Learning AutoEncoders)

  • 강구홍
    • 정보보호학회논문지
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    • 제30권4호
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    • pp.617-629
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    • 2020
  • 인터넷 컴퓨팅 환경의 변화, 새로운 서비스 출현, 그리고 지능화되어 가는 해커들의 다양한 공격으로 인한 규칙 기반 침입탐지시스템의 한계점을 극복하기 위해 기계학습 및 딥러닝 기술을 활용한 네트워크 이상 검출(NAD: Network Anomaly Detection)에 대한 관심이 집중되고 있다. NAD를 위한 대부분의 기존 기계학습 및 딥러닝 기술은 '정상'과 '공격'으로 레이블링된 훈련용 데이터 셋을 학습하는 지도학습 방법을 사용한다. 본 논문에서는 공격의 징후가 없는 일상의 네트워크에서 수집할 수 있는 레이블링이 필요 없는 데이터 셋을 이용하는 비지도학습 오토 엔코더(AE: AutoEncoder)를 활용한 NAD 적용 가능성을 제시한다. AE 성능을 검증하기 위해 NSL-KDD 훈련 및 시험 데이터 셋을 사용해 정확도, 정밀도, 재현율, f1-점수, 그리고 ROC AUC (Receiver Operating Characteristic Area Under Curve) 값을 보인다. 특히 이들 성능지표를 대상으로 AE의 층수, 규제 강도, 그리고 디노이징 효과 등을 분석하여 레퍼런스 모델을 제시하였다. AE의 훈련 데이터 셋에 대한 재생오류 82-th 백분위수를 기준 값으로 KDDTest+와 KDDTest-21 시험 데이터 셋에 대해 90.4%와 89% f1-점수를 각각 보였다.

여수해만에서 분리한 유독 와편모조류, Gymnodinium catenatum (Graham)의 성장에 미치는 수온, 염분과 광 조건 (Effects of Water Temperature, Salinity and Irradiance on the Growth of the Toxic Dinoflagellate, Gymnodinium catenatum (Graham) Isolated from Yeosuhae Bay, Korea)

  • 오석진;윤양호
    • ALGAE
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    • 제19권4호
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    • pp.293-301
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    • 2004
  • 여수해만에서 분리한 Gymnodinium catenatum의 성장에 있어서 최적 수온과 염분 조건을 파악하기 위해 수온 6단계,염분 5단계의 조합에 의한 30단계의 배치배양을 실시하여, 성장속도를 계산하였다. C. catenatum은 약 18${^{\circ}C}$ 이상의 수온과 전 염분단계에서 0.3day$^{-1}$ 이상의 성장속도를 보였으며 수온의 감소와 함께 성장속도도 감소하였다. 하지만 염분은 성장에 그다지 영향을 미치지 않았다. 최대성장속도(0.5day$^{-1}$)는 수온 25${^{\circ}C}$와 염분 30psu에서 얻어졌다. 따라서, 수온과 염분에 따른 성장속도를 고려할 때, C. catenatum은 이른 여름부터 가을까지 한국남해연안해역에서 서식 가능한 것으로 판단된다 이 종의 출현을 예측하기 위한 모델식은 $\mu$ = 0.005-T$^2$ - 0.0001164 T$^3$ - 0.063-S + 0.005-S$^2$ - 0.00007608-S$^3$ - 0.003-T-S + 0.00005308-T$^2$-S로 나타났다. 한편. 수온 18${^{\circ}C}$와 염분 30psu 조건하에서 6단계의 광도 실험을 실시한 결과, 광량에 따른 C. catenatum의 성장은 $\mu$ = 0.16 (I - 10.4)/(1+21.8), (r=0.96)의 관계식으로 Ks는 42.6$\mu$mol m$^{-2}$s$^{-1}$, I$_0$는 10.4$\mu$mol m$^{-2}$s$^{-1}$이었다. 따라서 수온, 염분과 광 조건만을 고려할 경우 C. catenatum은 고수온기 한국 남해 내만과 연안해역에서 우점종으로 출현할 가능성이 높을 것으로 판단되었다.