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Causes of Under-staging in Patients with Gastric Cancer That was Proven to be Unresectable after a Laparotomy - Correlation with CT Findings (비절제 위암의 원인분석-전산화단층촬영(CT) 소견을 중심으로)

  • Yoon, Hyuk-Jin;Shin, Jung-Hye;Kim, Gab-Chul;Yu, Wan-Sik;Chung, Ho-Young
    • Journal of Gastric Cancer
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    • v.6 no.4
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    • pp.263-269
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    • 2006
  • Purpose: The aim of this study was to investigate the causes of under-staging in patients with advanced gastric cancer that was proven to be unresectable after a laparotomy. Materials and Methods: We retrospectively analyzed 25 gastric cancer patients who had undergone a diagnostic laparotomy between 2001 and 2005. For the preoperative evaluation, spiral CT and multidetector-row CT were performed. We analyzed the clinicopathologic features of patients and compared the image findings and the results of surgery. The causes of under-staging were divided into 3 groups; patient factor, CT factor, and interpretation factor. Results: Grossly, there were 12 cases of Borrmann type-III tumors and 13 cases of Borrmann type-IV tumors. The most frequent histologic type was poorly differentiated adenocarcinomas (8 cases) and signet ring cell carcinomas (7 cases). There were 13 cases of adjacent organ invasion, and the pancreas was the most frequently invaded organ (9 cases). There were 17 cases of peritoneal metastasis, and 3 cases of distant lymph node metastasis. For the cause of under-staging, there were four cases of patient factor, 19 cases of interpretation factor, and 9 cases of CT factor. In three cases, the cause of under-staging could not be identified. Conclusion: CT interpretation factor was the most frequent cause of under-staging in the preoperative diagnosis with gastric cancer patients. Therefore, more cautious CT interpretation is necessary to avoid unnecessary laparotomies in gastric cancer patients.

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The Study on the Factors for Detection of Renal Stone on Ultrasound (초음파 검사에서 신장 결석의 검출 요인에 관한 연구)

  • Sim, Hyun-Sun;Jung, Hong-Ryang;Lim, Cheong-Hwan
    • Journal of radiological science and technology
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    • v.29 no.1
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    • pp.1-6
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    • 2006
  • Purpose: Renal stones are common and typically arise within the collecting system. The renal sinus are contains the collection system, the renal vessels, lymphatcs, fat, and fibrous tissue. Because of the compression of all the large echoes in signal processing, the echo from the renal stone generally cannot be distinguished from large echoes emanating from normal structures of the renal sinus. Use of ultrasonography has been difficult for detecting small renal stone without posterior shadowing and chemical composition of stone. The aim of study was measuring for posterior acoustic shadowing to a stone for various scan parameter and it examines a help in renal stone diagnosis. Material & Methods: The stone was place on sponge examined in a water bath with a 3.5MHz or 7.5MHz transducer(LOGIQ 400, USA). First, tested a variety of gain. Second, tested a variety of dynamic range. Third, tested a variety of focal zone. Fourth, measuring of the echo level for low and high frequency for depth. Results: 1) Average echo level was 98 for low total gain(10 dB) and was 142 for high total gain(40 dB). Posterior acoustic shadowing of renal stone was clear for low gain. 2) Average echo level was 129 for low dynamic range(42 dB) and was 101 for high dynamic range(72 dB). Posterior acoustic shadowing of renal stone was clear for high dynamic range. 3) When stone is in focal zone of transducer, definite posterior acoustic shadow is identified. 4) Stone was clear appeared for high frequency(7.5 MHz) than low frequency(3.5 MHz) and it is not distorted. Conclusion: The demonstration of an posterior acoustic shadow of renal stone dependents on several technical factors such as gain, dynamic range, focus, and frequency. This various factors are a help in renal stone diagnosis.

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Purification and Characterization of Sulfated Polysaccharide Isolated from Hot Water Extract of Pachymeniopsis elliptica (Pachymeniopsis elliptica의 열수 추출물로부터 분리한 함황 다당류의 정제 및 특성)

  • Lee, Sun-Hee;Jun, Woo-Jin;Yu, Kwang-Won;Chun, Hyug;Shin, Dong-Hoon;Hong, Bum-Shik;Cho, Hong-Yon;Yang, Han-Chul
    • Korean Journal of Food Science and Technology
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    • v.32 no.5
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    • pp.1191-1197
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    • 2000
  • In the preliminary study, we investigated the anti-complementary activities of 62 extracts from Korean edible seaweeds. Of those, Pachymeniopsis elliptica showed the highest anti-complementary activity. Therefore, it was purified as follows; i) PE-1 by ethanol precipitation, ii) PE-1-C by ultrafiltration, iii) PE-1-CIV by DEAE-Toyopearl 650C, and iv) PE-1-CIV-ii by Sepharose CL-6B. The purified compound, PE-1-CIV-ii, was the complexed homogeneous polysaccharide (molecular mass: 780 kDa) with 82.9% of anti-complementary activity. Also, it contained a significant amount of sulfate group (30.5%), which indicated it as a sulfated algal polysaccharide. Its structural monosaccharides were galactose (44.3%), 3,6-anhydrogalactose (34.0%), glucose (8.2%), fucose (5.4%), xylose (5.2%) and rhamnose (2.9%). After the treatment of periodate on a sample, a significant decrease in anti-complementary activity was found, which was a characteristic of bioactive polysaccharides. And-tumor activity of PE-1-A, B and C was tested in the sarcoma-180 solid tumor model. The PE-1-C with the largest molecular mass (more than 300 kDa) showed 81% of inhibition on the solid tumors, suggesting that the anti-complementary activity was, at least in part, related to anti-tumor activity. Based upon these results, the purified polysacchardes could be an immunopotentiator in vivo.

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A Study of Effects of Psychosocial Factors and Quality of Life on Functional Dyspepsia in Firefighters (소방관에서 기능성 소화불량에 대한 심리사회적 요인의 영향 및 삶의 질에 관한 연구)

  • Jang, Seung-Ho;Ryu, Han-Seung;Choi, Suck-Chei;Lee, Hye-Jin;Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.1
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    • pp.66-73
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    • 2016
  • Objectives : The purpose of this study was to investigate the characteristics of psychosocial factors related to functional dyspepsia(FD) and their effects on quality of life(QOL) in firefighters. Methods : This study examined data collected from 1,217 firefighters. We measured psychological symptoms by Patient Health Questionnaire-9(PHQ-9), Generalized Anxiety Disorder questionnaire(GAD-7), Korean Occupational Stress Scale(KOSS), Ways of Coping checklist(WCCL), Rosenberg's Self-Esteem Scale(RSES) and World Health Organization Quality of Life Scale abbreviated version(WHOQOL-BREF). Chi-square test, independent t-test, Pearson's correlation test, logistic regression analysis, and hierarchical regression analysis were used as statistical analysis methods. Results : For the group with FD, the male participants showed significantly higher frequency(p=0.006) compared to the female participants. The group with FD had higher scores for depressive symptoms(p<.001), anxiety (p<.001), and occupational stress(p<.001), and did lower scores for self-esteem(p=.008), quality of life(p<.001) than those without FD. The FD risk was higher in the following KOSS subcategories: job demand(OR 1.94, 95% CI : 1.29-2.93), lack of reward(OR 2.47, 95% CI : 1.61-3.81), and occupational climate(OR 1.51, 95% CI : 1.01-2.24). In the hierarchical regression analysis, QOL was best predicted by depressive symptoms, self-esteem, and occupational stress. Three predictive variables above accounts for 42.0% variance explained of total variance. Conclusions : The psychosocial factors showed significant effects on FD, and predictive variables for QOL were identified based on regression analysis. The results suggest that the psychiatric approach should be accompanied with medical approach in future FD assessment.

A Study on Development and Prospects of Archival Finding Aids (기록 검색도구의 발전과 전망)

  • Seol, Moon-Won
    • The Korean Journal of Archival Studies
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    • no.23
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    • pp.3-43
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    • 2010
  • Finding aids are tools which facilitate to locate and understand archives and records. Traditionally there are two types of archival finding aids: vertical and horizontal. Vertical finding aids such as inventories have multi-level descriptions based on provenance, while horizontal ones such as catalogs and index are tools to guide to the vertical finding aids based on the subject. In the web environment, traditional finding aids are evolving into more dynamic forms. Respecting the principles of provenance and original order, vertical finding aids are changing to multi-entity structures with development of ISAD(G), ISAAR(CPF) and ISDF as standards for describing each entity. However, vertical finding aids can be too difficult, complicated, and boring for many users, who are accustomed to the easy and exciting searching tools in the internet world. Complementing them, new types of finding aids are appearing to provide easy, interesting, and extensive access channels. This study investigates the development and limitation of vertical finding aids, and the recent trend of evolving new finding aids complementing the vertical ones. The study finds three new trends of finding aid development. They are (i) mixture, (ii) integration, and (iii) openness. In recent days, certain finding aids are mixed with stories and others provide integrated searches for the collections of various heritage institutions. There are cases for experimenting user participation in the development of finding aids using Web 2.0 applications. These new types of finding aids can also cause some problems such as decontextualised description and prejudices, especially in the case of mixed finding aids and quality control of user contributed annotations and comments. To solve these problems, the present paper suggests to strengthen the infrastructure of vertical finding aids and to connect them with various new ones and to facilitate interactions with users of finding aids. It is hoped that the present paper will provide impetus for archives including the National Archives of Korea to set up and evaluate the development strategies for archival finding aids.

Identification of Bird Community Characteristics by Habitat Environment of Jeongmaek Using Self-organizing Map - Case Stuty Area Geumnamhonam and Honam, Hannamgeumbuk and Geumbuk, Naknam Jeongmaek, South Korea - (자기조직화지도를 활용한 정맥의 서식지 환경에 따른 조류 군집 특성 파악 - 금남호남 및 호남정맥, 한남금북 및 금북정맥, 낙남정맥을 대상으로 -)

  • Hwang, Jong-Kyeong;Kang, Te-han;Han, Seung-Woo;Cho, Hae-Jin;Nam, Hyung-Kyu;Kim, Su-Jin;Lee, Joon-Woo
    • Korean Journal of Environment and Ecology
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    • v.35 no.4
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    • pp.377-386
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    • 2021
  • This study was conducted to provide basic data for habitat management and preservation of Jeongmaek. A total of 18 priority research areas were selected with consideration to terrain and habitat environment, and 54 fixed plots were selected for three types of habits: development, valley, and forest road and ridge. The survey was conducted in each season (May, August, and October), excluding the winter season, from 2016 to 2018. The distribution analysis of birds observed in each habitat type using a self-organizing map (SOM) classified them into a total of four groups (MRPP, A=0.12, and p <0.005). The comparative analysis of the number of species, the number of individuals, and the species diversity index for each SOM group showed that they were all the highest in group III (Kruskal-Wallis, the number species: x2 = 13.436, P <0.005; the number of individuals: x2 = 8.229, P <0.05; the species diversity index: x2 = 17.115, P <0.005). Moreover, the analysis by applying the land cover map to the random forest model to examine the index species of each group and identify the characteristics of the habitat environment showed a difference in the ratio of the habitat environment and the indicator species among the four groups. The index species analysis identified a total of 18 bird species as the indicator species in three groups except for group II. When applying the random forest model and indicator species analysis to the results of classification into four groups using the SOM, the composition of the indicator species by the group showed a correlation with the habitat characteristics of each group. Moreover, the distribution patterns and densities of observed species were clearly distinguished according to the dominant habitat for each group. The results of the analysis that applied the SOM, indicator species, and random forest model together can derive useful results for the characterization of bird habitats according to the habitat environment.

Reliable Radiologic Parameters to Predict Surgical Management for Clubfoot Treated with the Ponseti Method (Ponseti 방법으로 치료를 시작한 선천성 만곡족 환자에서 수술적 치료 여부를 예측할 수 있는 방사선적 지표)

  • Song, Kwang Soon;Yon, Chang Jin;Lee, Si Wook;Lee, Yong Ho;Um, Sang Hyun;Kwon, Hyuk Jun
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.1
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    • pp.59-66
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    • 2019
  • Purpose: Several radiologic reference lines have been used to evaluate individuals with a clubfoot but there is no consensus as to which is most reliable. The aim of this study was to identify which radiologic parameters have relevance to the predictability of additional surgery after Ponseti casting on clubfoot and the effect of clubfoot treatments that contain Ponseti casting and additional surgery. Materials and Methods: A total of 102 clubfeet (65 patients, 37 bilateral) were reviewed from 2005 to 2013. The patients were divided into two groups (Group A, those for whom the result of the Ponseti method was successful and did not require additional surgery; and Group B, those for whom the result of the Ponseti method was unsuccessful and required additional surgery), and the following parameters were measured on the plain radiographs: i) talo-calcaneal angle on the anteroposterior and lateral view, ii) talo-1st metatarsal angle on the anteroposterior view, and iii) Tibio-calcaneal angle on the lateral view with the ankle full-dorsiflexion state. Each radiograph was reviewed on two separate occasions by one orthopedic doctor to characterize the intra-observer reliability, and the averages were analyzed. Next, 20 cases were chosen using a random number table, and two orthopedic doctors measured the angle separately to characterize the interobserver reliability. Results: Groups A and B included 73 clubfeet (71.6%) and 29 clubfeet (28.4%), respectively. The initial talo-calcaneal angle and tibiocalcaneal angle in the lateral view were significantly different among the groups. In addition, inter- and intra-observer biases were not detected. The talo-1st metatarsal angle on the anteroposterior view and tibio-calcaneal angle on the lateral view were significantly different after treatment in both groups. Conclusion: Congenital clubfeet treated with the Ponseti method showed successful results in more than 70% of patients. The initial talocalcaneal angle and tibio-calcaneal angle on the lateral view were the radiologic parameters that could predict the need for additional surgical treatments. The talo-1st metatarsal angle on the anteroposterior view and tibio-calcaneal angle on the lateral view could effectively evaluate the changes in clubfoot after treatment.

Investigation on Effects of Aging on the Formation and Physicochemical Properties of Hydrothermally Synthesized Magnesium Aluminum-Layered Double Hydroxide/Rice Husk Hydrochar Nanocomposites for Effective Remediation of Arsenic-Contaminated Soil (비소 오염토양의 효과적 정화를 위한 열수합성 마그네슘알루미늄-이중층수산화물/왕겨 하이드로차 나노복합체의 형성 및 이화학적 특성에 미치는 에이징 효과 규명)

  • Seon Yong Lee;Chul-Min Chon;Gil-Jae Yim;So-Jeong Kim;Sue A Kang;Young Jae Lee
    • Economic and Environmental Geology
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    • v.57 no.5
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    • pp.577-592
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    • 2024
  • This study presents the synthesis and characterization of MgAl-layered double hydroxide (LDH)/rice husk hydrochar (RHH) nanocomposites (MgAl-LDH/RHHs) via an in situ one-pot hydrothermal route at 150 ℃, utilizing Mg:Al molar ratio of 2:1 for arsenic remediation. The formation of MgAl-LDH/RHHs and their physicochemical properties were evaluated under varying hydrothermal aging times systematically. Prolonging the aging period to 12 hrs significantly enhanced the crystallinity and crystal size of the LDHs, resulting in a 3D hierarchical structure with the highest specific surface area (27.98 m2/g) formed on the hydrochar surface. The hexagonal crystal structure (d003 = 0.8246 nm) was characterized by a rhombohedral unit cell with lattice parameters a = 0.3049 nm and c = 2.4738 nm, and a high positive charge density of 4.284 e/nm2. These properties were found to be favorable for the sorption of arsenic oxyanions. Batch adsorption experiments were conducted to assess the potential of MgAl-LDH/RHHs-12h for the remediation of arsenic-contaminated soils. The original soil sample (CY) was mechanically sieved into fine-grained (CYF, < 75 ㎛) and coarse-grained (CYC, 75 ㎛-2 mm) fractions. When these soil samples were reacted with deionized water, arsenate was identified as the dissolved arsenic species, with concentrations of 2.85 mg/L for CY, 4.02 mg/L for CYF, and 2.55 mg/L for CYC, respectively. Kinetic sorption experiments, conducted at pH 5.0 and 8.0 in the presence and absence of 0.1 M NaCl as a background electrolyte, revealed that arsenic sorption onto MgAl-LDH/RHHs-12h was inhibited at pH 8 in the presence of NaCl. These findings suggest that effective arsenic sorption requires low pH conditions with minimal background electrolytes in soils.

Vegetation Structure of Pinus densiflora Community for Conservation and Restoration of Tricholoma matsutake - Pine Mushroom Appearance Area in Yangyang-gun, Kangwon-do - (송이생산지 보전 및 복원을 위한 소나무군락의 식생구조 분석 - 강원도 양양군 송이발생지역을 중심으로 -)

  • Kim, Jeong-Ho;Choi, Song-Hyun;Cho, Woo;Sung, Chan-Yong
    • Korean Journal of Environment and Ecology
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    • v.26 no.5
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    • pp.730-740
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    • 2012
  • Korea Expressway Corporation have a plan to make a new highway from East Hongcheon to Yanayang in Kangwon-do(province). This research was conducted to analyze a vegetation structure of japanese red pine forest and to prepare conservation and restoration basic information for minimizing the effects on pine mushroom producing by road construction. Considering the range of effects by road construction, twenty plots were set up near road construction reserved area, and surveyed. The result analyzed by TWINSPAN, one of the classification technique, showed that the communities were divided into four groups which are two Pinus densiflora community, Pinus densiflora-Quercus variabilis community and Pinus densiflora-Deciduous broad leaves forest community(IV). Species diversity index of each community ranged from $1.7353{\pm}0.0341$ to $1.9079{\pm}0.2471$, and the average number of species was $9.2{\pm}2.8$, especially $9.6{\pm}5.0$ at canopy layer in the unit area($100m^2$). The number of individuals ranged from 4 to 29 and average 9.55 in the unit area($100m^2$). The average RSI(relative space index) was below 35%, the average estimated age of the forest was $38{\pm}8.34$ years. The depth of $A_0$ layer of soil was 4~6cm and the range of soil acidity was pH4.70~5.63(average pH 5.29). Pine mushroom and Japanes red pine have a close symbiosis relation. Therefore it is needed that minimizing the read construction which goes through the pine mushroom producing area. If a road goes through a pine mushroom producing area, restoration measurement is prepared to prevent forest from rapid change such as succession or vegetation structure.

Arthroscopic Treatment of Metallic Suture Anchor Failures after Bankart Repair (Bankart 수술 후 발생한 금속 봉합 나사못 합병증의 관절경적 치료)

  • Shin, Sang-Jin;Jung, Jae-Hoon;Kim, Sung-Jae;Yoo, Jae-Doo
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.70-76
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    • 2006
  • Purpose: This study presents 5 patients who had metallic anchor protrusion on glenoid after Bankart repair in anterior shoulder instability and reviewed the cause, clinical feature and arthroscopic removal technique. Method and Materials: 5 male with average age of 22 years (range 19 to 25 years) were included. 4 patients had arthroscopic Bankart repair and 1 patient had open repair for anterior shoulder instability. They had protruded metallic suture anchors on glenoid and the protruded suture anchors were removed arthroscopically using larger suture anchor empty inserter. Results: 4 patients had painful clicking sound with motion of abduction and external rotation and 1 patient showed shoulder instability. The ROM showed normal except mild degrees loss of external rotation. The position of protruded metallic anchor was 2, 3 and 5 O'clock in three patients and 4 O'clock in 2 patients. In 2 patients, the metallic suture anchor was malpositioned about 5mm off on the medial side from the anterior glenoid edge. All had Outerbrige classification Grade II-III chondral damage on humeral head and 1 patient showed glenoid cartilage destruction. None had shoulder instability after 2 years of follow-up. Constant score was 65 preoperatively and 89 postoperatively. ASES score was 67 preoperatively and 88 postoperatively. Conclusion: Symptoms of protruded suture anchor are not combined with instability. Most of symptoms were revealed from the rehabilitation period and confused with postoperative pain. Prompt diagnosis and early arthroscopic removal or impaction of protruded metallic suture anchor is recommended because of serious glenohumeral cartilage destruction. This is easy and simple and reproducible method to remove protruded metallic suture anchor arthroscopically.

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