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Prognostic Factors Affecting Long Term Survival after Operation in Metastatic Lung Cancer (전이성 폐암에서 수술 후 장기 생존에 영향을 미치는 예후 인자)

  • 홍기표;정경영;김길동;박인규
    • Journal of Chest Surgery
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    • v.32 no.10
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    • pp.916-923
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    • 1999
  • Background: Many institutes are interested in lung metastatectomy than before because of the improved long term survival, low mortality, and low morbidity after lung metastatectomy. However, prognostic factors affecting long term survival are controversial. We attempt to analyze the prognostic factors affecting retrospectively by comparing the results of lung metastasectomy. Material and Method: Between Jan. 1990 and Dec. 1997, 74 operations were taken in 63 patients with pulmonary metastases in various primary sites. We analyzed the postoperative long term survival according to sex, cell type, laterality, disease free interval(DFI), operation, the number of metastases, and the size of the largest metastasis. Result: There were 27 male and 36 female patients. Sex did not appeared to affect survival time(p=0.849). The primary tumor was carcinoma in 32, sarcoma in 28, and others in 3. Cell type, considering carcinoma and sarcoma, did not relate to survival time(p=0.071). DFI had no influence on the outcome(p=0.902). The type of operative procedure had no influence on the outcome(p=0.556). The laterality of metastases, 47 unilateral(74.6%) and 16 bilateral(25.4%), had no influence on the outcome(p=0.843). The number of metastases excised(one, two or three, four or more) did not appear to affect survival(p=0.263). The size of largest metastasis(<=10mm, 11mm-30mm, and >30mm) did not appear to affect survival(p=0.751). Previous factors were evaluated in both the carcinoma and sarcoma patients respectively. DFI was the only significant prognostic factor in metastatic lung sarcoma(p=0.0026). Conclusion: Survival was not related to sex, cell type, laterality, DFI, operative procedure, number of metastases, nor the size of the largest metastasis. DFI was related to the survival time in sarcoma group but further study is needed.

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Intracisternal Administration of Voltage Dependent Calcium Channel Blockers Attenuates Orofacial Inflammatory Nociceptive Behavior in Rats

  • Won, Kyoung-A.;Park, Sang-H.;Kim, Bo-K.;Baek, Kyoung-S.;Yoon, Dong-H.;Ahn, Dong-K.
    • International Journal of Oral Biology
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    • v.36 no.2
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    • pp.43-50
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    • 2011
  • Voltage dependent calcium channel (VDCC), one of the most important regulator of $Ca^{2+}$ concentration in neuron, play an essential role in the central processing of nociceptive information. The present study investigated the antinociceptive effects of L, T or N type VDCC blockers on the formalin-induced orofacial inflammatory pain. Experiments were carried out on adult male Sprague-Dawley rats weighing 220-280 g. Anesthetized rats were individually fixed on a stereotaxic frame and a polyethylene (PE) tube was implanted for intracisternal injection. After 72 hours, 5% formalin ($50 \;{\mu}L$) was applied subcutaneously to the vibrissa pad and nociceptive scratching behavior was recorded for nine successive 5 min intervals. VDCC blockers were administered intracisternally 20 minutes prior to subcutaneous injection of formalin into the orofacial area. The intracisternal administration of 350 or $700{\mu}g$ of verapamil, a blocker of L type VDCC, significantly decreased the number of scratches and duration in the behavioral responses produced by formalin injection. Intracisternal administration of 75 or $150 \;{\mu}g$ of mibefradil, a T type VDCC blocker, or 11 or $22\; {\mu}g$ of cilnidipine, a N type VDCC blocker, also produced significant suppression of the number of scratches and duration of scratching in the first and second phase. Neither intracisternal administration of all VDCC blockers nor vehicle did not affect in motor dysfunction. The present results suggest that central VDCCs play an important role in orofacial nociceptive transmission and a targeted inhibition of the VDCCs is a potentially important treatment approach for inflammatory pain originating in the orofacial area.

Role of Glyco-Persica® in Targeting Diabetes Type 2: an Integrative Approach

  • Dashtdar, Mehrab;Dashtdar, Mohammad Reza;Dashtdar, Babak;Khan, Saeed Ahmad
    • Journal of Pharmacopuncture
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    • v.16 no.4
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    • pp.14-21
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    • 2013
  • Objectives: The objective of this study was to examine how an integrated approach to type 2 diabetes mellitus treatment could improve glycemic control and immune-potentiating activities adherent to oral hypoglycemic agents along with a botanical compound, among primary care patients. Methods: In this study, we used the self-control and the group-control methods. Candidates meeting the trial conditions were selected from among volunteers who had taken the test substance for 45 days. During the trial, all groups were on a controlled diet; neither were the original medications nor their dosages changed. Results: The results showed that the botanical compound (Glyco-Persica$^{(R)}$) significantly reduced the main clinical symptoms in diabetes type 2. In the treatment group, 36 of 52 patients (69.23%) and in the control group 10 of 52 patients (19.23%) showed reduced symptoms, and this difference was statistically significant (P < 0.05). The fasting blood sugar in the treatment group after treatment compared with that before treatment and with that in the control group after treatment was statistically different (P < 0.05). The post-prandial glucose in the treatment group after treatment was significantly different from that before treatment and from that in the control group after treatment (P < 0.05); the post-prandial blood sugar in the treatment group was reduced by 8.98%. Conclusions: The results revealed that the botanical compound (Glyco-Persica$^{(R)}$) has significant hypoglycemic properties which affect main clinical symptoms in diabetes type 2. Body weight, blood pressure, heart rate, routine blood, stool and urine tests showed no meaningful negative changes after the course of treatment. There was no significant adverse reaction during the trial.

Relation of Multiple Neurogenic Tumors in the Spinal Canal to Neurofibromatosis

  • Seol, Ho-Jun;Chung, Chun-Kee;Kim, Hyun-Jib;Lee, Yoon-Kyung;Park, Sung-Hye
    • Journal of Korean Neurosurgical Society
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    • v.38 no.1
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    • pp.16-22
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    • 2005
  • Objective : The authors characterize a syndrome of multiple neurogenic tumors in the spinal canal, which is unclassifiable by the current National Institute of Health[NIH] criteria for neurofibromatosis. Methods : We retrospectively examined cases in which two or more spinal neurogenic tumors were detected by magnetic resonance[MR] imaging and which had been pathologically confirmed. Eighteen patients were recruited between February 1986 and March 2002. According to NIH criteria, eight cases were neurofibromatosis type 1[NF1], four were type 2[NF2], and six were neither type 1 nor type 2 [Unclassifiable : UC]. The locations of lesions, clinical presentations, radiological findings, and pathological results with immunohistochemistry were reviewed. Results : In the case of NF2, three of four cases were intradural tumors. Pathological examinations revealed neurilemmomas in two of four NF2 and all of the UC cases. In the case of NF1, pathological examinations showed seven neurofibromas and one neurilemmoma. Concerning UC, the age at presentation was middle-aged to late [mean age 48.5, range 35 to 64], which contrasted with ordinary NF2, where patients tended to become symptomatic before 20years of age. The pathological examinations of UC cases revealed neurilemmoma similar to most of NF2 and the immunohistochemical study showed characteristic of NF1. Conclusion : Multiple neurogenic tumors in the spinal canal are an under-recognized disease entity. Further studies for genetic aberration in multiple spinal neurogenic tumors are needed.

Documents of Air Carriage (항공운송증권(航空運送證卷))

  • Choi, June-sun
    • The Korean Journal of Air & Space Law and Policy
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    • v.7
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    • pp.101-134
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    • 1995
  • Article 3 Paragraph 1 of the Warsaw Convention regulates the requirements of passenger tickets, Article 4 Paragraph 3, the requirements of baggage tickets, Article 8, the requirements of airway bills. In this article the writer has discussed the legal nature of the documents of air carriage, such as air waybills, passenger tickets and baggage checks. Further, the writer has also discussed several issues relating to the use of the documents of air carriage under the Warsaw Convention. Article 3 Paragraph 2, as well as Article 4 Paragraph 4 and 9 provides that the carrier shall not be entitled to avail himself of the provisions of the Convention which evade or limit his liability. In particular, the Montreal Agreement of 1966 provides that the notification on the carrier's liability in passenger ticket should be printed in more than 10 point type size with contrasting ink colors. However, another question is whether the carrier shall not be entitled to avail himself of the liability limit under the Convention in case the type size is below 10 points. The Convention does not specify the type size of certain parts in passenger tickets and only provides that the carrier shall not be entitled to avail himself of liability limit, when a carrier fails to deliver the ticket to passenger. However, since the delivery of passenger tickets is to provide an opportunity for passengers to recognize the liability limit under the Convention and to map out a subsequent measures, the carrier who fails to give this opportunity shall not be entitled to avail himself of the liability limit under the Convention. But some decisions argue that when the notice on the carrier's liability limit is presented in a fine print in a hardly noticeable place, the carrier shall not be entitled to avail himself under the Convention. Meanwhile, most decisions declare that regardless of the type size, the carrier is entitled to avail himself of liability limit of the provisions of the Convention. The reason is that neither the Warsaw Convention nor the Montreal Agreement stipulate that the carrier is deprived from the right to avail himself of liability limit of the provisions of the Convention when violating the notice requirement. In particular, the main objective of the Montreal Agreement is not on the notice of liability limit but on the increase of it. The latest decisons also maintain the same view. This issue seems to have beeen settled on the occasion of Elisa Chan, et al. vs. Korean Airlines Ltd. The U.S. Supreme Court held that the type size of passenger ticket can not be a target of controversy since it is not required by law, after a cautious interpretation of the Warsaw Convention and the Montreal Agreement highlighting the fact that no grounds for that are found both in the Warsaw Convention and the Montreal Agreement. Now the issue of type size can hardly become any grounds for the carrier not to exclude himself from the liability limit. In this regard, any challenge to raise issue on type size seems to be defeated. The same issue can be raised in both airway bills and baggage tickets. But this argument can be raised only to the tranportation where the original Convention is applied. This creates no problem under the Convention revised by the Hague Protocol, because the Hague Protocol does not require any information on weight, bulk, size, and number of cargo or baggage. The problem here is whether the carrier is entitled to avail himself of the liability limit of the provisions of the Convention when no information on number or weight of the consigned packages is available in accordance with Article 4 of the Convention. Currently the majority of decisions show positive stance on this. The carrier is entitled to avail himself of the liability limit of the provisions of the Convention when the requirement of information on number and weight of consigned packages is skipped, because these requirements are too technical and insubstancial. However some decisions declare just the opposite. They hold that the provisions of the Convention Article 4 is clear, and their meaning and effect should be imposed on it literally and that it is neither unjust nor too technical for a carrier to meet the minimum requirement prescribed in the Convention. Up to now, no decisions by the U.S. Supreme Court on this issue is available.

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Prevalence of Cancers of Female Organs among Patients with Diabetes Type 2 in Kelantan, Malaysia: Observations over an 11 Year Period and Strategies to Reduce the Incidence

  • Jalil, Nur Asyilla Che;Zin, Anani Aila Mat;Othman, Nor Hayati
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.7267-7270
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    • 2015
  • Introduction: Kelantan is one of the states in Malaysia which has a high prevalence of type 2 diabetes (DM2). Other than with endometrial carcinoma, the association of DM2 with particular female cancers is not known. Objective: To determine the proportion of breast, cervical, ovarian and endometrial cancers among females with DM2 diagnosed in Hospital Universiti Sains Malaysia (HUSM) over an 11 year period. Materials and Methods: All histologically confirmed cases of breast, endometrial, cervical and ovarian carcinomas admitted to the Hospital were included in the study. The patient diabetic status was traced from the hospital medical records. Results: There was a total of 860 cases of breast, cervical, ovarian and endometrial carcinomas over this period. Breast carcinoma was the commonest, accounting for 437/860 (50.8%) followed by cervix, 159/860 (18.5%), ovarian, 143/860 (16.6%) and endometrial carcinomas, 121/860 (14.1%). Out of these, 228/860 (26.5%) were confirmed diabetics. Endometrial carcinoma patients showed the highest proportion being diabetics, 42.1% (51/121), followed by ovarian cancer, 25.9% (37/143), breast carcinoma, 23.6% (103/437) and cervical cancer 23.3% (37/159). Conclusions: There is a significant proportion of DM2 among women with these four cancers, endometrial carcinoma being the highest followed by ovarian, breast and cervical carcinoma. The rising trend of these four cancers is in tandem with an increasing trend of DM2 in the community. In populations where diabetes is prevalent, screening for epithelial cancers should be rigourous. Diabetic clinics should include screening for these cancers among their female patients and gynecology clinics should screen the women they treat for their diabetes status.

Switching Element Disjoint Multicast Scheduling for Avoiding Crosstalk in Photonic Banyan-Type Switching Networks(Part I):Graph Theoretic Analysis of Crosstalk Relationship (광 베니언-형 교환 망에서의 누화를 회피하기 위한 교환소자를 달리하는 멀티캐스트 스케줄링(제1부):누화 관계의 그래프 이론적 분석)

  • Tscha, Yeong-Hwan
    • Journal of KIISE:Information Networking
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    • v.28 no.3
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    • pp.447-453
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    • 2001
  • In this paper, we consider the scheduling of SE(switching element)-disjoint multicasting in photonic Banyan-type switching networks constructed with directional couplers. This ensures that at most, one connection holds each SE in a given time thus, neither crosstalk nor blocking will arise in the network. Such multicasting usually takes several routing rounds hence, it is desirable to keep the number of rounds(i.e., scheduling length) to a minimum. We first present the necessary and sufficient condition for connections to pass through a common SE(i.e., make crosstalk) in the photonic Banyan-type networks capable of supporting one-to-many connections. With definition of uniquely splitting a multicast connection into distinct subconnections, the crosstalk relationship of a set of connections is represented by a graph model. In order to analyze the worst case crosstalk we characterize the upper bound on the degree of the graph. The successor paper(Part II)[14] is devoted to the scheduling algorithm and the upper bound on the scheduling length. Comparison with related results is made in detail.

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Insensitivity of the ageotropum Pea Mutant Roots to Gravity (완두 돌연변이체 ageotropum 뿌리의 중력불감성)

  • Kim, Jeong-Im;Bin G. Kang
    • Korean Journal of Plant Tissue Culture
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    • v.22 no.6
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    • pp.345-350
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    • 1995
  • Root gravitropism was investigated in the pea (Pisum sativum L.) mutant ageotropum lacking normal gravitropic response. Exogenous ethylene treatment inhibited gravitropic response in the normal (wild type) pea rook, but had no significant effect to restore the unresponsiveness in the mutant Neither inhibitors of ethylene biosynthesis nor antagonists of ethylene action were able to bring about the development of gravioopic curvature in the ageotropum roots. Auxin action seems to be normal since asymmetric application of agar blocks containing auxin to the mutant roots caused normal gravitropic response to occur. Endogenous as well as auxin-induced ethylene production in tissue segments of the mutant root was about equal to that of the wild type. However no appreciable lateral transport of labeled auxin was observed in glavistimulated mutant roots whereas typical auxin asymetry was apparent in the wild type roots under the same conditions. It is concluded that the mutant has a defect in either gravity perception or its transduction, but not in the effector system involving auxin action.

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Uplink Resource Management Scheme for Multiple QoS Traffics in cdma2000 type Networks: Modified Weighted G-Fair Scheduler with RoT Filling (cdma2000-type 네트워크의 역방향 링크에서의 다중 QoS 서비스 보장을 위한 자원 관리 기술: Modified Weighted G-Fair 스케줄러)

  • 기영민;김은선;김동구
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.7A
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    • pp.786-793
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    • 2004
  • Autonomous data rate control scheme of current IxEV-DO uplink networks can not supper the various QoS requirements of heterogeneous traffics nor hold rise-over-thermal OtoT) constraints. In this paper, an uplink resource management scheme called the modified weighted g-fair (MWGF) scheduler with RoT filling is proposed and evaluated for heterogeneous traffics in cdma2000 type uplink networks. The proposed scheme belongs to a family of centralized resource management schemes and offers QoS guarantee by using priority metrics as well as lower system loading by holding RoT constraints using RoT filling method. With some case-study simulations, the proposed algorithms shows lower average delays of real time users compared to that of autonomous rate control by 29 - 40 %. It also shows the 1.0 - 1.3 dB lower received RoT level than autonomous rate control schemes, leading to lower network loading.

Studies on the Cyst Occurred in the Mesosalpinx, Mesovarium and Fimbria in the Gilts and Sows (자돈(雌豚)의 난관간막(卵管間膜), 난소간막(卵巢間膜) 및 난관채(卵管綵)에 형성(形成)된 낭종(囊腫)에 관한 연구(硏究))

  • Kang, Byong-kyu;Son, Seong-wan
    • Korean Journal of Veterinary Research
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    • v.24 no.1
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    • pp.69-77
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    • 1984
  • Gross and histological findings were obtained on cysts formed in the reproductive organs, particularly in the mesosalpinx, mesovarium, and fimbria, of 144 gilts and 37 sows. Of the 181 gilts and sows, 63 (34.8%) were found to have cysts which totaled 89. The number of cysts totaled 38 for the gilts and 51 for the sows, with relative frequencies of 18.1% and 48.6%, respectively. The total number of cysts and the incidence were greater in the sows than in the gilts. With regard to the location of cysts, the highest incidence was found in the mesosalpinx (59.6%). The incidence of cysts in the mesovarium and fimbria was relatively low, with 16.9% and 23.6%, respectively. Most cysts were spherical or oval in shape, and below 5.9mm in diameter. A pedunculated cyst was also seen. The bilateral, incidence of the cysts was lower than unilateral, although the incidence was approxmately the same between the gilts and the sows. With regard to the sexual cycle, the high incidence of cysts was found in the follicular phase than in the luteal phase. The cysts putting pressure upon the oviduct were classified into 3 types according to the shape of epithelium and lamina propria. In type I the epithelium had ciliated cells and the lamina propria formed folds. I type 2 ciliated cells existed, but no folds were formed. In type 3, neither ciliated cells nor folds were seen, the histological change, including partial atrophy and lack of folds in the tubal mucosa were seen.

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