• Journal of Gastric Cancer
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• v.24 no.2
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• pp.185-198
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• 2024

Purpose: Peritoneal washing cytology (PWC) is a widely used diagnostic tool for detecting peritoneal metastasis of advanced gastric cancer. However, the prognosis of patients with positive PWC remains poor even after gastrectomy, and treatments vary among institutions and eras. In this study, we identified the clinical factors that can help predict cytology-positive (CY(+)) gastric cancer. Materials and Methods: We retrospectively reviewed the national data of patients with gastric cancer from 2019, as provided by the Information Committee of the Korean Gastric Cancer Association. Of the 13,447 patients with gastric cancer, 3,672 underwent PWC. Based on cytology results, we analyzed the clinicopathological characteristics and assessed the possibility of CY(+) outcomes in relation to T and N stages. Results: Of the 3,270 patients who underwent PWC without preoperative chemotherapy, 325 were CY(+), whereas 2,945 were negative. CY(+) was more commonly observed in patients with Borrmann type IV gastric cancer, an undifferentiated histological type, and advanced pathological stages. Multivariate analysis revealed Borrmann type IV (odds ratio [OR], 1.821), tumor invasion to T3-4 (OR, 2.041), and lymph node metastasis (OR, 3.155) as independent predictors of CY(+). Furthermore, for circular tumor location, the N stage emerged as a significant risk factor for CY(+), particularly when the tumor was located on the posterior wall (PW) side. Conclusions: Lymph node metastasis significantly affects CY(+) outcomes, particularly when the tumor is located on the PW side. Therefore, PWC should be considered not only in suspected serosal exposure cases but also in cases of lymph node metastasis.

• Steel and Composite Structures
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• v.30 no.1
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• pp.31-46
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• 2019

In the present study, the various dynamic properties of MWCNT embedded fiber reinforced polymer uniform and tapered composite (MWCNT-FRP) plates are investigated. Various configurations of a tapered composite plate with ply-drop off and uniform composite plate have been considered for the development of the finite element formulation and experimental investigations. First order shear deformation theory (FSDT) has been used to derive the kinetic and potential energy equations of the hybrid composite plates by including the effect of rotary inertia, shear deformation and non-uniformity in thickness of the plate. The governing equations of motion of FRP composite plates without and with MWCNT reinforcement are derived by considering a nine- node rectangular element with five degrees of freedom (DOF) at each node. The effectiveness of the developed finite element formulation has been demonstrated by comparing the natural frequencies and damping ratio of FRP composite plates without and with MWCNT reinforcement obtained experimentally. Various parametric studies are also performed to study the effect of CNT volume fraction and CNT aspect ratio of the composite plate on the natural frequencies of different configurations of CNT reinforced hybrid composite plates. Further the forced vibration analysis is performed to compare the dynamic response of the various configurations of MWCNT-GFRP composite plate with GFRP composite plate under harmonic excitations. It was observed that the fundamental natural frequency and damping ratio of the GFRP composite plate increase approximately 8% and 37% respectively with 0.5wt% reinforcement of MWCNT under CFCF boundary condition. The natural frequencies of MWCNT-GFRP hybrid composite plates tend to decrease with the increase of MWCNT volume fraction beyond 2% due to agglomeration of CNT's. It is also observed that the aspect ratio of the CNT has negligible effect on the improvement of dynamics properties due to randomly orientation of CNT's.

• Korean Journal of Head & Neck Oncology
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• v.31 no.2
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• pp.11-15
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• 2015

Background and Objectives: This study aimed to analyze the features of patients with papillary thyroid carcinoma (PTC) recurred as distant metastases (DM). Materials and Method: We retrospectively reviewed and analyzed clinical records of 63 patients who were treated for PTC recurred as DM between 2000 and 2006. Univariate and multivariate analyses of various clinical factors were performed. Results: Male patients were 12, and female patients were 51. The 5- and 10-year survival rates for PTC recurred as DM were 85% and 73%, respectively. Size of tumor, multiplicity of tumor, lateral neck node metastasis, and RAI ablation therapy with other treatments such as surgery were associated with survival rate (p < 0.005) in univariate analysis. The lateral neck node metastasis[p =0.039, hazard ratio=2.2(95% CI. 1.18~3.24)] and multiple organ DM[p =0.041, hazard ratio=2.18(95% CI. 1.03~2.89)] were related to the survival in multivariate analysis. Conclusion: PTC recurred as DM is uncommon (2.2%). The size of tumor, the multiplicity of tumor, lateral neck node metastasis and RAI ablation therapy with other treatments for DM were revealed as associated factors for the survival. Evaluation of DM should be considered in patients with PTC during long-term follow-up.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.14 no.4
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• pp.1562-1578
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• 2020

Vector data compression algorithm can meet requirements of different levels and scales by reducing the data amount of vector graphics, so as to reduce the transmission, processing time and storage overhead of data. In view of the fact that large threshold leading to comparatively large error in Douglas-Peucker vector data compression algorithm, which has difficulty in maintaining the uncertainty of shape features and threshold selection, a segmented Douglas-Peucker algorithm based on node importance is proposed. Firstly, the algorithm uses the vertical chord ratio as the main feature to detect and extract the critical points with large contribution to the shape of the curve, so as to ensure its basic shape. Then, combined with the radial distance constraint, it selects the maximum point as the critical point, and introduces the threshold related to the scale to merge and adjust the critical points, so as to realize local feature extraction between two critical points to meet the requirements in accuracy. Finally, through a large number of different vector data sets, the improved algorithm is analyzed and evaluated from qualitative and quantitative aspects. Experimental results indicate that the improved vector data compression algorithm is better than Douglas-Peucker algorithm in shape retention, compression error, results simplification and time efficiency.

• Radiation Oncology Journal
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• v.31 no.3
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• pp.111-117
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• 2013

Purpose: To determine whether the maximum standardized uptake value (SUV) of [$^{18}F$] fluorodeoxyglucose uptake by positron emission tomography (FDG PET) ratio of lymph node to primary tumor (mSUVR) could be a prognostic factor for node positive non-small cell lung cancer (NSCLC) patients treated with definitive radiotherapy (RT). Materials and Methods: A total of 68 NSCLC T1-4, N1-3, M0 patients underwent FDG PET before RT. Optimal cutoff values of mSUVR were chosen based on overall survival (OS). Independent prognosticators were identified by Cox regression analysis. Results: The most significant cutoff value for mSUVR was 0.9 with respect to OS. Two-year OS was 17% for patients with mSUVR > 0.9 and 49% for those with mSUVR ${\leq}0.9$ (p = 0.01). In a multivariate analysis, including age, performance status, stage, use of chemotherapy, and mSUVR, only performance status (p = 0.05) and mSUVR > 0.9 (p = 0.05) were significant predictors of OS. Two-year OS for patients with both good performance (Eastern Cooperative Oncology Group [ECOG] ${\leq}1$) and mSUVR ${\leq}0.9$ was significantly better than that for patients with either poor performance (ECOG > 1) or mSUVR > 0.9, 23% (71% vs. 23%, p = 0.04). Conclusion: Our results suggested that the mSUVR was a strong prognostic factor among patients with lymph node positive NSCLC following RT. Addition of mSUVR to performance status identifies a subgroup at highest risk for death after RT.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.22 no.12
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• pp.2744-2754
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• 1997

Recently, the Multi-Layer Restoration(MLR) algorithm was proposed by British Telecom(BT) to restore the network failures in Digital Cross-connect System(DCS) mesh survival network[1, 2]. This algorithm has multi restoration stage which is composed of the pre-planned and dynamic restoration. This algorithm is effective its ability in link or node failures. This reason is that it does not restore in the pre-planned rstoration stage but in dynamic restoration stage. In this paper, we propose the MLR with pre-planned Multi-Chooser(PMC) and successive restoration ratio algorithm. This proposed algorithm has a excellent performance for restortion time and ratio, spare channel availability and fast restoration from multiple link failure or node failure. This paper proposed the modeling and restoration algorithm, and analyzed the performance of the algorithm by simulation using OPNET(OPtimized Network Engineering Tools).

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.18 no.5
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• pp.1390-1411
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• 2024

Underwater Wireless Sensors Networks (UWSNs) are deployed in remotely monitored environment such as water level monitoring, ocean current identification, oil detection, habitat monitoring and numerous military applications. Providing scalable and efficient routing is very challenging in UWSNs due to the harsh underwater environment. The biggest difficulties are the nodes inherent movement due to water current, long delay in data transmission, low bandwidth of the acoustic signal, high error rate and energy scarcity in battery powered nodes. Many routing protocols have been proposed to solve the aforementioned problems. There are three broad categories of routing protocols namely depth based, energy based and vector-based routing. Vector Based Forwarding protocols perform routing through virtual pipeline by defining their radius which give proper direction to packets communication. We proposed a routing protocol termed as Path-Oriented Energy Scaled Expanded Vector Based Forwarding (PESEVBF). PESEVBF takes into account all parameters; holding time, the source nodes packets routing path and void holes creation on the second hop; PESEVBF not only considers the packet upward advancement but also focus on density of the forwarded nodes in terms of number of potential forwarding and suppressed nodes for path selection. Node selection in resultant holding time is based on minimum Path Factor (PF) value. Moreover, the suppressed node will be selected for packet forwarding to avoid the void holes occurrences on the second hop. Performance of PESEVBF is compared with other routing protocols using matrices such as energy consumption, packet delivery ratio, packets dropping ratio and duplicate packets creation indicating considerable performance improvement.

• Korean Journal of Radiology
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• v.21 no.12
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• pp.1355-1366
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• 2020

Objective: We aimed to evaluate the diagnostic value and prognostic relevance of FDG positron emission tomography/computed tomography (PET-CT) in extrahepatic cholangiocarcinoma patients. Materials and Methods: This study included 234 extrahepatic cholangiocarcinoma patients who underwent FDG PET-CT between June 2008 and February 2016. The diagnostic performance of FDG PEG-CT was compared to that of contrast-enhanced multidetector row CT (MDCT) and MRI. Independent prognosticators for poor survival were also assessed. Results: The sensitivity of FDG PET-CT for detecting primary tumor and regional lymph node metastases was lower than that of MDCT or MRI (p < 0.001), whereas the specificity and positive predictive value for detecting regional lymph nodes metastases was significantly better in FDG PET-CT compared to MDCT and MRI (all p < 0.001). There was no significant difference in the diagnostic yield of distant metastases detection among three diagnostic imaging techniques. In a multivariate analysis, maximum standardized uptake values (SUV_max) of the primary tumor (adjusted hazard ratio [HR], 1.75; 95% confidence interval [CI], 1.13-2.69) and of the metastatic lesions ≥ 5 (adjusted HR, 8.10; 95% CI, 1.96-33.5) were independent contributors to poor overall survival in extrahepatic cholangiocarcinoma patients. In a subgroup analysis of 187 patients with periductal infiltrating type of cholangiocarcinoma, an SUV_max of the primary tumor ≥ 5 was associated with an increased risk of regional lymph node (adjusted odds ratio [OR], 1.60; 95% CI, 0.55-4.63) and distant metastases (adjusted OR, 100.57; 95% CI, 3.94-2567.43) at diagnosis as well as with poor overall survival (adjusted HR, 1.81; 95% CI, 1.04-3.15). Conclusion: FDG PET-CT showed lower sensitivity for detecting primary tumor and regional lymph node involvement than MDCT and MRI. However, the SUV_max of primary tumors and metastatic lesions derived from FDG PET-CT could have significant implications for predicting prognoses in extrahepatic cholangiocarcinoma patients.

• Journal of Information Processing Systems
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• v.13 no.3
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• pp.618-629
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• 2017

Mobile nodes can't always connect each other in DTNs (delay tolerant networks). Many DTN routing protocols that favor the "multi-hop forwarding" are proposed to solve these network problems. But they also lead to intolerant delivery cost so that designing a overhead-efficient routing protocol which is able to perform well in delivery ratio with lower delivery cost at the same time is valuable. Therefore, we utilize the small-world property and propose a new delivery metric called multi-probability to design our relay node selection principles that nodes with lower delivery predictability can also be selected to be the relay nodes if one of their history nodes has higher delivery predictability. So, we can find more potential relay nodes to reduce the forwarding overhead of successfully delivered messages through our proposed algorithm called HESnW. We also apply our new messages copies allocation scheme to optimize the routing performance. Comparing to existing routing algorithms, simulation results show that HESnW can reduce the delivery cost while it can also obtain a rather high delivery ratio.

• Journal of Korea Multimedia Society
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• v.13 no.6
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• pp.849-864
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• 2010

This paper proposes a multipath routing protocol called cross-layer multipath AODV (CM-AODV) for wireless ad hoc networks, which selects multiple routes on demand based on the signal-to-interference plus noise ratio (SINR) measured at the physical layer. Note that AODV (Ad hoc On-demand Distance Vector) is one of the most popular routing protocols for mobile ad hoc networks. Each time a route request (RREQ) message is forwarded hop by hop, each forwarding node updates the route quality which is defined as the minimum SINR of serialized links in a route and is contained in the RREQ header. While achieving robust packet delivery, the proposed CM-AODV is amenable to immediate implementation using existing technology by neither defining additional packet types nor increasing packet length. Compared to the conventional multipath version of AODV (which is called AOMDV), CM-AODV assigns the construction of multiple paths to the destination node and makes it algorithmically simple, resulting in the improved performance of packet delivery and the less overhead incurred at intermediate nodes. Our performance study shows that CM-AODV significantly outperforms AOMDV in terms of packet delivery ratio and average end-to-end delay, and results in less routing overhead.