• Radiation Oncology Journal
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• v.30 no.3
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• pp.140-145
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• 2012

Purpose: Combined chemoradiotherapy is standard management for locally advanced non-small cell lung cancer (LA-NSCLC), but standard treatment for elderly patients with LA-NSCLC has not been confirmed yet. We evaluated the feasibility and efficacy of concurrent chemoradiotherapy (CCRT) for elderly patients with LA-NSCLC. Materials and Methods: Among patients older than 65 years with LA-NSCLC, 36 patients, who underwent CCRT were retrospectively analyzed. Chemotherapy was administered 3-5 times with 4 weeks interval during radiotherapy. Thoracic radiotherapy was delivered to the primary mass and regional lymph nodes. Total dose of 54-59.4 Gy (median, 59.4 Gy) in daily 1.8 Gy fractions and 5 fractions per week. Results: Regarding the response to treatment, complete response, partial response, and no response were shown in 16.7%, 66.7%, and 13.9%, respectively. The 1- and 2-year overall survival (OS) rates were 58.2% and 31.2%, respectively, and the median survival was 15 months. The 1- and 2-year progression-free survivals (PFS) were 41.2% and 19.5%, respectively, and the median PFS was 10 months. Regarding to the toxicity developed after CCRT, pneumonitis and esophagitis with grade 3 or higher were observed in 13.9% (5 patients) and 11.1% (4 patients), respectively. Treatment-related death was not observed. Conclusion: The treatment-related toxicity as esophagitis and pneumonitis were noticeably lower when was compared with the previously reported results, and the survival rate was higher than radiotherapy alone. The results indicate that CCRT is an effective in terms of survival and treatment related toxicity for elderly patients over 65 years old with LA-NSCLC.

• Journal of the Korean Crystal Growth and Crystal Technology
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• v.27 no.6
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• pp.282-288
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• 2017

In this paper, GaAs/AlGaAs multi-layer structure was grown by liquid phase epitaxy with graphite sliding boat, which can be used as a device structure of a photocathode image sensor. The multi-layer structure was grown on an n-type GaAs substrate in the sequence as follows: GaAs buffer layer, Zn-doped p-type AlGaAs layer as etching stop layer, Zn-doped p-type GaAs layer, and Zn-doped p-type AlGaAs layer. The Characteristics of GaAs/AlGaAs structures were analyzed by using scanning electron microscope (SEM), secondary ion mass spectrometer (SIMS) and hall measurement. The SEM images shows that the p-AlGaAs/p-GaAs/p-AlGaAs multi-layer structure was grown with a mirror-like surface on a whole ($1.25mm{\times}25mm$) substrate. The Al composition in the AlGaAs layer was approximately 80 %. Also, it was confirmed that the free carrier concentration in the p-GaAs layer can be adjusted to the range of $8{\times}10^{18}/cm^2$ by hall measurement. In the result, it is expected that the p-AlGaAs/p-GaAs/p-AlGaAs multi-layer structure grown by the LPE can be used as a device structure of a photoelectric cathode image sensor.

• Journal of Gastric Cancer
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• v.18 no.1
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• pp.30-36
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• 2018

Purpose: We investigated complications after laparoscopic sentinel basin dissection (SBD) for patients with gastric cancer who were enrolled in a quality control study, prior to the phase III trial of sentinel lymph node navigation surgery (SNNS). Materials and Methods: We analyzed prospective data from a Korean multicenter prerequisite quality control trial of laparoscopic SBD for gastric cancer and assessed procedure-related and surgical complications. All complications were classified according to the Clavien-Dindo Classification (CDC) system and were compared with the results of the previously published SNNS trial. Results: Among the 108 eligible patients who were enrolled in the quality control trial, 8 (7.4%) experienced complications during the early postoperative period. One patient with gastric resection-related duodenal stump leakage recovered after percutaneous drainage (grade IIIa in CDC). The other postoperative complications were mild and patients recovered with supportive care. No complications were directly related to the laparoscopic SBD procedure or tracer usage, and there were no mortalities. The laparoscopic SBD complication rates and patterns that were observed in this study were comparable to those of a previously reported trial. Conclusions: The results of our prospective, multicenter quality control trial demonstrate that laparoscopic SBD is a safe procedure during SNNS for gastric cancer.

• Asian-Australasian Journal of Animal Sciences
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• v.15 no.12
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• pp.1719-1724
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• 2002

An investigation was made to evaluate the native range of western India in terms of nutrient supply during different physiological stages in goats. One hundred female and 5 male Kutchi adult goats were grazed on a 35 ha plot of native range. They were maintained on sole grazing. Four experiments, one in a defined physiological stage was carried out. Stage I, when maximum number of females were bred; stage II, when bucks were used for breeding purpose; stage III, 3-months old (weaner) kids were allowed to graze on ranges and stage IV, when the goats were in early stage of lactation. During oestrous period, diet contained 15.2% crude protein (CP), 54.0% neutral detergent fibre (NDF), 31.5% acid detergent fibre (ADF) and 12.6% acid detergent lignin (ADL). Digestibility coefficient of dry matter (DM), CP, NDF and ADF was 0.586,0.531, 0.431 and 0.239, respectively. DM, digestible crude protein (DCP) and metabolizable energy (ME) intakes were $82.7,\;6.71g\;kg^{-1}\;W^{0.75}$ and $0.99MJ\;kg^{-1}\;W^{0.75}$. Diet of buck was constituted by $230g\;kg^{-1}$ DM of grasses and forb and $770g\;kg^{-1}$ DM of tree foliage. CP, NDF, ADF and ADL contents of the diet were 13.6, 57.8, 43.5 and 20.0%, respectively. DM, DCP and ME intakes were $57.9,\;4.13g\;kg^{-1}\;W^{0.75}$ and $0.82MJ\;kg^{-1}\;W^{0.75}$. Digestibility coefficient of CP, NDF and ADF were 0.496, 0.432 and 0.346, respectively. Diet of kids was constituted by Prosopis cineraria ($900g\;kg^{-1}DM$) and Zizyphus nummularia ($100g\;kg^{-1}DM$) leaves. Digestibility of CP, NDF and ADF were 0.456, 0.415 and 0.201, respectively. DM, DCP and ME intakes were $85.8,\;6.44g\;kg^{-1}\;W^{0.75}$ and $1.22MJ\;kg^{-1}\;W^{0.75}$. Lactation phase of goat fell between October-December and tree foliage formed the major portion of the diet. Diet of lactating goat contained only 6.8% CP and 16.5% ADL. Digestibility of DM, CP, NDF and ADF was 0.567, 0.221, 0.307 and 0.233, respectively. DM, DCP and ME intakes were $108.2,\;1.62g\;kg^{-1}\;W^{0.75}$ and $1.50MJ\;kg^{-1}\;W^{0.75}$, respectively. Present study establishes that goats on semiarid range with sufficient number of fodder trees were able to meet the nutrient requirement of ewes during oestrous and bucks during breeding season. However, during lactation and active growth phase, only DM requirement is met. Thus, it is recommended to supplement concentrate mixture to goats grazing on range during lactation and growth phase.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.10
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• pp.5989-5993
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• 2013

Background: Radiation therapy is the mainstay of treatment for nasopharyngeal carcinoma. Importance of tumor coverage and challenges posed by its unique and critical location are well evident. Therefore we aimed to evaluate our radiation treatment plan through dose volume histograms (DVHs) to find planning target volume (PTV) dose coverage and factors affecting it. Materials and Methods: This retrospective study covered 45 histologically proven nasopharyngeal cancer patients who were treated with definitive 3D-CRT and chemotherapy between Feb 2006 to March 2013 at the Department of Oncology, Section Radiation Oncology, Aga Khan University Hospital, Karachi, Pakistan. DVH was evaluated to find numbers of shrinking field (phases), PTV volume in different phases and its coverage by the 95% isodose lines, along with influencing factors. Results: There were 36 males (80%) and 9 females (20%) in the age range of 12-84 years. Stage IVA (46.7%) was the most common stage followed by stage III (31.1). Eighty six point six-percent received induction, 95.5% received concurrent and 22.2% received adjuvant chemotherapy. The prescribed median radiation dose was 70Gy to primary, 60Gy to clinically positive neck nodes and 50Gy to clinically negative neck regions. Mean dose to spinal cord was 44.2Gy and to optic chiasma was 52Gy. Thirty seven point eight-percent patients completed their treatment in three phases while 62.2% required four to five phases. Mean volume for PTV3 was $247.8cm^3$ (50-644.3), PTV4 $173.8cm^3$ (26.5-345.1) and PTV5 $119.6cm^3$ (18.9-246.1) and PTV volume coverage by 95% isodose lines were 74.4%, 85.7% and 100% respectively. Advanced T stage, intracranial extension and tumor volume > $200cm^3$ were found to be important factors associated with decreased PTV coverage by 95% isodose line. Conclusions: 3D CRT results in adequate PTV dose coverage by 95% isodose line. However advanced T stage, intracranial extension and large target volume require more advanced techniques like IMRT for appropriate PTV coverage.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.3
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• pp.1255-1258
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• 2015

Background: Locally advanced head and neck cancer is generally incurable and has a short survival rate. This study aimed to evaluate symptom relief, disease response, and acute toxicity after palliative hypo-fractionated radiotherapy and long-term survival in affected patients. Materials and Methods: Between January 2011 to December 2011, 80 patients who were histopathologically diagnosed as having stage III or stage IV head and neck squamous cell carcinoma based on Eastern Cooperative Oncology Group (ECOG) performance status 1-3, were offered palliative radiotherapy (20 Gy/5Fr/5 Days). Later these patients were evaluated on 30th day after completion of treatment for disease response based on World Health Organisation (WHO) criteria and palliation of symptoms using symptomatic response grading and acute toxicities by the Radiation Therapy Oncology Group (RTOG). Many patients were given post radiation therapy (RT) palliative chemotherapy for appropriate palliative care and a few patients were selected for further curative RT. The overall survival was also evaluated among this group of patients with last follow up date of 1st May, 2014. Results: The most common presenting complaint was pain followed by dysphagia. Most patients (60-70%) had appreciable relief in their presenting symptoms. A good response was observed in the majority following palliative RT; a few patients had progressive disease and some had stable and regressed disease. None of the patients experienced radiation toxicity that required hospital admission. Almost all showed grade one and two acute skin and mucosal toxicity one month after completion of treatment. The mean survival days for patients given only hypofractionated palliative RT was 307 days, those with post palliative RT and palliative chemotherapy was 390 days and patients who went on to receive further palliative RT and curative RT dose had significantly overall survival of 582 days. Conclusions: Advanced head and neck cancer should be identified for suitable palliative hypofractionated radiotherapy to achieve acceptable symptom relief in a great proportion of patients and should be followed by palliative chemotherapy or curative RT in suitable cases for long-term symptom-free survival.

• Clinical and Experimental Pediatrics
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• v.53 no.2
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• pp.222-227
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• 2010

Purpose : To evaluate the significance of clinical signs and laboratory findings as predictors of renal parenchymal lesions and vesicoureteral reflux (VUR) in childhood urinary tract infection (UTI). Methods : From July 2005 to July 2008, 180 patients admitted with a first febrile UTI at the Pediatric Department of Konkuk University Hospital were included in this study. The following were the clinical variables: leukocytosis, elevated C-reactive protein (CRP), positive urine nitrite, positive urine culture, and fever duration both before and after treatment. We evaluated the relationships between clinical variables and dimercaptosuccinic acid (DMSA) scan and voiding cystourethrography (VCUG) results. Results : VCUG was performed in 148 patients; of them, 37 (25.0%) had VUR: 18 (12.2%) had low-grade (I-II) VUR, and 19 (10.5%) had high-grade (III-V) VUR. Of the 95 patients who underwent DMSA scanning, 29 (30.5%) had cortical defects, of which 21 (63.6%) had VUR: 10 (30.3%), low-grade (I-II) VUR; and 11 (33.3%), high-grade VUR. Of the 57 patients who were normal on DMSA scan, 8 (14.0%) had low-grade VUR and 6 (10.5%) had high-grade VUR. The sensitivity, specificity, and positive and negative predictive values of the DMSA scan in predicting high-grade VUR were 64.7%, 69.9%, 33.3%, and 89.5%, respectively. Leukocytosis, elevated CRP, and prolonged fever ($36{\geq}$ hours) after treatment were significantly correlated with the cortical defects on DMSA scans and high-grade VUR. Conclusion : Clinical signs, including prolonged fever after treatment, elevated CRP, and leukocytosis, are positive predictors of acute pyelonephritis and high-grade VUR.

• Journal of the Korean Society of Food Science and Nutrition
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• v.32 no.6
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• pp.926-930
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• 2003

Effects of powdered pine needle (Pinus densiflora seib et Zucc) on serum and liver lipid composition and antioxidative capacity were investigated in rat fed high oxidized fat. Sixty male Sprague-Dawley rats weighing 161.25$\pm$2.51 g were blocked into four groups according to body weight and raised seven weeks with basal diet (normal group, I), basal diet and 10% oxidized fat (control group, II), basal diet, 10% oxidized fat and 2% powdered pine needle (2% powdered pine needle group, III) and basal diet, 10% oxidized fat and 3% powdered pine needle (3% powdered pine needle group, IV). Food intake, body weight gain and feed efficiency were not significantly different among oxidized fat diet groups. The level of plasma total cholesterol showed a tendency to decrease, whereas the plasma HDL-cholesterol concentration revealed a tendency to increase in pine needle groups. However plasma triglyceride level showed no significant differences in the treatment groups. Intake of the oxidized fat has increased the levels of liver cholesterol and triglyceride. The powdered pine needle showed a tendency to decrease thiobarbituric acid values in plasma and liver. The pine needle samples have also decreased the plasma GOT and GPT activities, whereas they have increased the liver glutathione peroxidase activity.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.2
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• pp.929-934
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• 2013

Aim: To analyze the significance of different clinical factors for prognostic prediction in diffuse large B-cell lymphoma (DLBCL) patients. Methods: Two hundred and twenty-seven DLBCL patients were retrospectively reviewed. Patients were managed with cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) regimen or rituximab plus the CHOP (RCHOP) regimen. Results: Lactate dehydrogenase (LDH), ${\beta}2$-microglobulin (${\beta}2$-M), B symptoms, Ann Arbor stage and genetic subtypes were statistically relevant in predicting the prognosis of the overall survival (OS). In the CHOP group, the OS in patients with germinal center B-cell-like (GCB)(76.2%) was significantly higher than that of the non-GCB group (51.9%, P=0.032). With RCHOP management, there was no statistical difference in OS between the GCB (88.4%) and non-GCB groups (81.9%, P=0.288). Conclusion: Elevated LDH and ${\beta}2$-M levels, positive B symptoms, Ann Arbor stage III/IV, and primary nodal lymphoma indicate an unfavorable prognosis of DLBCL patients. Patients with GCB-like DLBCL have a better prognosis than those with non-GCB when treated with the CHOP regimen. The RCHOP treatment with the addition of rituximab can improve the prognosis of patients with DLBCL.

• Proceedings of the Korean Vacuum Society Conference
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• 2014.02a
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• pp.309.1-309.1
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• 2014

III-N계 기반의 광 반도체는 직접 천이형 넓은 밴드갭 구조를 갖고 있기 때문에 자외선에서 가시광을 포함한 적외선까지 포함한 폭 넓은 발광이 가능하여 조명 및 디스플레이 관련 차세대 광원으로 많은 관심을 받고 있다. 하지만 p형 GaN의 경우, 상온에서 도펀트로 사용되는 마그네슘(Mg)이 수소(H)와 결합하여 보상 효과를 나타내기 때문에 높은 정공농도를 갖기에 어려움이 있다고 알려져 있다. 따라서, 대부분의 연구 그룹에서는 GaN계 LED 소자를 성장 후 rapid thermal annealing 공정이 요구되고 있고, 최근에는 박막 성장 후 반응로 내에서 자체적으로 열처리를 진행하고 있는 실정이다. 하지만, 열처리 조건은 LED 소자의 발광특성에 큰 영향을 주기 때문에 본 연구에서는 반응로에서 열처리가 된 LED 샘플에 대해 추가적인 열처리 공정의 유무에 따른 GaN계 LED소자의 광학적 및 전기적 특성에 대해 알아보고자 하였다. 금속유기화학증착법을 이용하여 c-면 사파이어 기판에 저온 GaN 완충층 및 $2.0{\mu}m$두께의 GaN 박막을 성장한 후, $3.0{\mu}m$두께의 n-형 GaN에피층과 InGaN/GaN 5주기의 양자우물구조를 형성하고 $0.1{\mu}m$두께의 p형 GaN층을 성장하였다. P-형 GaN층 성장 후 온도를 내리면서 $750^{\circ}C$, N2 분위기에서 5분간 Mg 활성화를 위한 열처리를 반응로에서 in-situ로 진행하였다. 그 후 급속열처리 장비에 장입하여 $650^{\circ}C$, N2 분위기에서 5분간 추가적인 열처리를 진행하여 추가 열처리 유무에 따른 LED소자의 특성을 분석하였다. 추가적인 열처리 유무에 따른 LED소자의 레이저 여기에 의한 포토루미네선스 스펙트럼과 전계발광 스펙트럼을 조사한 바, 포토루미네선스 스펙트럼의 경우 추가적인 열처리를 진행하였을 경우, 이전보다 발광 세기가 감소함을 나타내었다. 이는 추가적인 열처리에 의해 InGaN/GaN 활성층이 손상되었기 때문이라고 추측된다. 그러나 전계발광 스펙트럼에서는 활성층이 손상되었음에도 불구하고 전계 발광세기가 3배 가량 증가한 것을 확인할 수 있었다. 또한, 20 mA 인가 시 4.2 V 에서 3.7 V로 전압이 감소하였다. 상기 결과로 미루어 볼 때 열처리에 의한 InGaN/GaN 활성층 손상에도 불구하고 광 세기가 크게 증가한 것은 금속유기화학증착장치의 in-situ 열처리에 의한 Mg가 충분히 활성화되지 못하였고, 추가적인 열처리에 의하여 p형 GaN에서 Mg-H 복합체의 분리로 인한 Mg 활성화가 더욱더 효과적으로 이루어졌기 때문이라고 추측된다.