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The Role of Radiotherapy in the Management of Supratentorial Low Grade Astrocytoma (천막 상부 저분화 성상세포종의 치료에 있어 방사선 치료의 역할)

  • Lee, Kyung-Ja;Chang, Hye-Sook;Song, Mi-Hee
    • Radiation Oncology Journal
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    • v.15 no.1
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    • pp.1-10
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    • 1997
  • Purpose : To evaluate the role of radiotherapy in the management of incompletely resected supratentorial low grade astrocytoma with the analysis of the survival, the Pattern of failure, and the prognostic variables affecting survival. Material and methods : Between January 1990 and December 1995, fifty-one patients with supratentorial low grade astrocytoma received radiotherapy after subtotal resection(16 patients) or stereotactic biopsy(35 patients) at Asan Medical Center, External radiotherapy was done by conventional fractionation with the total dose of 4820cGy to 6000cGy(median 5580cGy) and partial brain volume. The follow-up was done from 6 to 79 months(median 48 months) Result : Overall actuarial survival rate at 2 and 5 years were $83.4\%\;and\;54.8\%$, respectively. Progression free survival at 2 and 5 years were $67.4\%\;and\;48.7\%$, respectively The significant prognostic factors affecting overall survival rate were the performance status, 1 stage, histologic subtype, radiation field and radiation response. The major pattern of failure was local failure, such as Progressive disease and primary site recurrence in 23 patients $(45.1\%)$. Progression free survivors excluding 2 patients were physically and intellectually intact without major neurologic deficit. Conclusion : Although the follow-up period of this study was relatively short, overall actuarial and progression free survival rate were encouraging. Patients with good performance status, lower T stage, pilocytic subtype, patients treated with small radiation field and radiation responder showed better survival. As the local failure was the major pattern of failure, the various efforts to decrease the local failure is necessary.

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Evaluation of Community Land Model version 3.5-Dynamic Global Vegetation Model over Deciduous Forest in Gwangneung, Korea (광릉 활엽수림에서 Community Land Model 3.5-Dynamic Global Vegetation Model의 평가)

  • Lim, Hee-Jeong;Lee, Young-Hee;Kwon, Hyo-Jung
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.12 no.2
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    • pp.95-106
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    • 2010
  • The performance of Community Land Model version 3.5 - Dynamic Global Vegetation Model (CLM-DGVM) was evaluated through a comparison with the observation over temperate deciduous forest in Gwangneung, Korea. Influence of plant phenology, composition of plant functional type, and climate variability on carbon exchanges was also examined through sensitivity test. To get equilibrium carbon storage, the model was run for 400 years driven by the observed atmospheric data at the deciduous forest of the year 2006. We run the model for 2006 with the equilibrium carbon storage at Gwangneung forest and compared the model output with the observation. A comparison of leaf area index (LAI) between the model and observation indicated that the simulated phenology poorly represented the timing of budburst, leaf-fall, and evolution of LAI. Senescence of the phenology was delayed about four weeks and the simulated maximum LAI (of 5.8 $m^2$ $m^{-2}$) was greater than the observed value (of 4.5 $m^2$ $m^{-2}$). The overestimated LAI contributed to overestimation of both gross primary productivity (GPP) and ecosystem respiration $(R_e)$ through increased photosynthesis and foliar autotropic respiration $(R_a)$, respectively. Despite the discrepancy between the simulated and observed LAI, the simulated tree carbon storage amounts were comparable with the reported values at the site. Change in plant phenology from the simulated to the observed reduced more than six weeks of the plant growth period, resulting in the decreased amount of GPP and $R_e$. These values, however, were still higher (~10% of GPP and 40% of $R_e$) than the observed values. The effect of change in plant functional type composition (from dominant temperate deciduous forest to the coexistence of temperate deciduous and needle leaf forests) on the estimated amount of GPP and $R_e$ was marginal. The influence of climate variability on carbon storage amounts was not significant. The simulated inter-annual variation of GPP and $R_e$ from 1994 to 2003 depended on annual mean air temperature and total radiation but not on precipitation. Other deficiencies of CLM3.5-DGVM have been discussed.

Studies of Short-Term Variability of Methane in the Moo-Ahn Observatory Site in Korea (무안지역 메탄가스의 단주기적 농도변화에 대한 평가)

  • Choi, Gyoo-Hoon;Youn, Yong-Hoon;Kim, Chang-Hee;Cho, Young-Min;Kim, Ki-Hyeon
    • Journal of the Korean earth science society
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    • v.22 no.4
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    • pp.327-338
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    • 2001
  • In this study, the short-term variability of methane concentrations were investigated over 24-hr scale. The data obtained form the Moo-Ahn (MAN) station located in the western coastal area of Korea were analyzed from various respects to describe its distribution characteristics over short term scale. The MAN data were compared with those obtained from the two major background observatory sites: Point Barrow (Alaska) and Mauna Loa (Hawaii). The mean concentration of methane for the whole study period, when computed using the daily mean values, was found to be 1898${\pm}$85.3ppb (N=812). The mean values for the two comparable sites were observed to be 1832${\pm}$29.6ppb (N=823) for Point Barrow and 1745${\pm}$14.8ppb (N=818) for Mauna Loa. According to the analysis of frequency distribution. the mode value for the MAN area is found to be 1900ppb, but the mean concentration for Point Barrow and Mauna Loa are shown to have relatively low values of 1850 and 1750ppb, respectively. When examined over diurnal scale, the CH$_4$data for the MAN area exhibit a rather consistent trend; CH$_4$level is low during the daytime (after 6:00 A.M) and rises during the nighttime. The findings of the generally enhanced methane concentration in the MAN station may be explained form various respects. One of the most important reasons is that the MAN area is under the influence of various source processes relative to all the other stations under consideration. The short-term distribution patterns for the MAN station are hence characterized not only by the high methane concentration but also by the high oscillation in its CH$_4$concentration level.

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EFFECT OF DECALCIFIED FREEZE-DRIED ALLOGENEIC BONE GRAFT(DFDB) ON THE JAW DEFECTS AFTER CYST ENUCLEATION (낭종 적출후 악골 결손부 치유에 관한 동종골 이식 효과에 관한 연구)

  • Lee, Dong-Keun;Min, Seung-Ki;Kwon, Kyung-Hwan;Sung, Hun-Mo;Park, Hwa-Kyu;Kang, Mun-Jeong;Sin, Ki-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.4
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    • pp.360-365
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    • 1999
  • This study was aimed to suggest to better treatment method of jaw cyst that the maximum diameter was wider than 3cm, using different treatment and clinical and radiographic result. We divided the 60 patients into three groups, group A(20 patients) were treated with cyst enucleation and Decalcified Freeze-Dried Allogeneic Bone(DFDB) graft, group B(20 patients) were treated with cyst enucleation and autogenous bone graft, group C(20 patients) were treated with only cyst enucleation. Each group was evaluated with panoramic radiograph and clinical sign & symptom at pre-op and post-op(immediate, 6, 12, 24, 36 month). Bone density was evaluated with disital densitometer. The result was as follows : 1. Post-Op infection was higher in group C(4 pts.) than in group A(1 pt.) and B(1 pt.) 2. Post-Op gingival recession was higher in group C(3 Pts.) than in group A(1 pt.) and B(1 pt.) 3. Anatomic distortion was higher in group C(3 Pt.) than in group A(1 Pt.), and B(1 pt.) 4. Reoperation was done in two patients who were in group C 5. There were donor site morbidity in two patients 6. There was no significant difference between group A and B in their bony density in their follow up period(p>0.05). 7. There were significant differences between group A, B and group C in their bony density until post-op 24 months but a little differences at post-op 36 months(P<0.01)

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Studies on the Some Hydrological Quantities of Principal Locations in the Basin of Geum River(I) (금강유역(錦江流域) 주요지점(主要地点)의 제(諸) 수문량(水文量)에 관(關)한 연구(硏究)(I))

  • Ahn, Byoung Gi;Cho, Seung Seup
    • Korean Journal of Agricultural Science
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    • v.2 no.1
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    • pp.281-300
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    • 1975
  • The precipitation data and water level data in twenty-four sampling places, to investigate same hydrological quantities along the basin of Geum River, have been analyzed, and the findings for the first report are summarized as follows. 1. The mean annual precipitation in the basin of Geum River is of 1203mm, and the areal weight of areal rainfall by Thiessen's method shows as Table 1. 2. The areas where have maximum annual precipitation of 1501 to 2000mm, are seventeen placed among twentyfour gauging stations, and it is founded to be the highest rate with 71 percents. The precipitation of below 1500mm is measured in the other three statinons, and that of above 2001mm in four stations, too. 3. The areas where have maximum rainfall of 201 to 300mm within a day, are fifteen places, and that comes in the highest rate of distribution with 63 percents. 4. As to distribution of the places with maximum rainfall of below and above 300mm within two days, it shows respectively 50 percents. 5. The areas where have maximum rainfall of 301 to 400mm within three days, are fifteen places, and it is the highest rate of distribution with 63 percents. 6. The fourteen places have maximum rainfall of 401 to 600mm within a continuous day, it is the highest rate of distribution with 58 percents. 7. Table 5 shows probable maximum rainfall within a day, and it does the most rainfall a long the upper stream of Daecheong dam site around Muju, and the next shows in the areas around Ganggyeung, Gongju and Buyeu. 8. During irrigation period on paddy corp, for 100 days from early ten days in June to early ten days in September the areas where have rainfall of 601 to 800mm are sixteen places, and it is the highest rate of distribution with 76 percents, as Table 6 9. The areas where have effective rainfall of 501 to 600mm, are fifteen places, and it is the highest rate of distribution with 71 percents. Thirteen places have the effective ratio of 66 to 75 percents, and it means 62 percents of distribution, and the next, 76 to 85 percents in the seven places, and it comes 33 percents. 10. The areas where have probable effective rainfall of 401 to 500mm, are fourteen places, which is about 100mm less than mean effective rainfall in each area, and that comes 67 percents of distribution. 11. A particular year can not be appointed as once -in-10 year drought in the same year as a whole in the basin of Geum River. 12. The basin of Geum River, s/S being 0.53 to 0.74, has relatively proper conditions in the aspect of water resources.

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The Trend of Aviation Terrorism in the 4th Industrial Revolution Period and the Development Direction for Domestic Counter Terrorism of Aviation (제4차 산업혁명 시대의 항공 테러리즘 양상 및 국내 항공테러 대응체계 발전방향)

  • Hwang, Ho-Won;Kim, Seung-Woo
    • The Korean Journal of Air & Space Law and Policy
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    • v.32 no.2
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    • pp.155-188
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    • 2017
  • On the one hand, the 4th Industrial Revolution provides a positive opportunity to build a new civilization paradigm for mankind. However, on the other hand, due to the 4th Industrial Revolution, artificial intelligence such as 'Goggle Alpha Go' revolutionized and even the human ability was replaced with a 'Silicon Chip' as the opportunity to communicate decreases, the existence of human beings is weakened. And there is a growing concern that the number of violent crimes, such as psychopath, which hunts humans as games, will increase. Moreover, recent international terrorism is being developed in a form similar to 'Psychopathic Violent-Crime' that indiscriminately attacks innocent people. So, the probability that terrorist organizations abuse the positive effects provided by the Fourth Industrial Revolution as means of terrorism is increasing. Therefore, the paradigm of aviation terrorism is expected to change in a way that attacks airport facilities and users rather than aircraft. Because airport facilities are crowded, and psychopathic terrorists are easily accessible. From this point of view, our counter terrorism system of aviation has many weak points in various aspects such as: (1) limitations of counter-terrorism center (2) inefficient on-site command and control system (3) separated organization for aviation security consultation (4) dispersed information collection function in government (5) vulnerable to cyber attack (6) lack of international cooperation network for aviation terrorism. Consequently, it is necessary to improve the domestic counter terrorism system of aviation so as to preemptively respond to the international terrorism. This study propose the following measures to improve the aviation security system by (1) create 'Aviation Special Judicial Police' (2) revise the anti-terrorism law and aviation security law (3) Strengthening the ability respond to terrorism in cyberspace (4) building an international cooperation network for aviation terrorism.

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Effect of Mandibular Repositioning Device on Airway Size and Airway Collapsibility in Obstructive Sleep Apnea Syndrome : Cine CT during Sleep (수면무호흡증 환자에서 Mandibular Repositioning Device가 Airway size와 Airway Collapsibility에 미치는 효과)

  • Hong, Seung-Bong;Kyung, Seung-Hyun;Han, Hyun-Jung;Na, Dong-Kyu;Son, Young-Ik;Park, Young-Chel
    • Sleep Medicine and Psychophysiology
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    • v.6 no.2
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    • pp.110-115
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    • 1999
  • Objectives: To investigate the effect of mandibular repasitioning device on airway sige and airway collapsibility in patients with obstructive sleep apnea syndrome(OSAS). Methods: Cine CT with polysomnographic monitoring was performed during sleep in nine(OSAS) patients before and after manibular repositioning device(MRD) application. Axial CT images were obtained in five upper airway levels(retropalatal-high, retroalatal-low, retroglossal, epiglottis, and hypopharynx levels). In each airway level, one axial CT image was obtained during sleep apnea period and 10 serial axial CT images were scanned every 1 second during normal sleep breathing. After wearing MRD, all CT images were obtained by the same method. The cross-sectional areas of airway were measured by automatic tracing method. The changes of minimum airway size and maximum airway size after MRD were evaluated. The airway collapsibility was calculaed before and after MRD. Results: During sleep apnea, the airway of retropalatal-low level was the most frequently narrowest site. During normal sleep breahing the minimum airway size was increased significantly after MRD at retropalatal-low level(p=0.011). The mean airway collapsibility was the highest at retropalatal-low level. MRD decreased the airway collapsibility significantly at retropalatal-low level(p=0.021) and epiglottis level(p=0.038). Conclusions: The enlargement of the minimum airway size and decreased airway collapsibility may be the therapeutic mechanism of MRD in obstructive sleep apnea.

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Clinical Study on Laryngo - Microscopic Surgery For Vocal Nodules and Polyps (후두결절 및 폴립의 후두미세 수술에 관한 임상연구)

  • 문영일
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.11.2-11
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    • 1983
  • Vocal nodules and polyps are much more frequent in singers, public speakers, teachers and actors. Voice trauma and voice misuse, at times associated with mild inflammatory reaction, appear to be important in their etiology. It is generally agreed that vocal cord nodules and polyps are inflammatory in nature and they arise in the subepithelial layer of loose connective tissue of the vocal cord. Since the junction of anterior and middle thirds of the membranous cord and has the greatest amplitude of vibration. This is the site of predilection for vocal cord nodules. The author performed laryngomicrosurgery for 70 cases of vocal nodules and polyps at Ewha Womans University Hospital during the period of 5 years. The result obtained were as follows ; 1) Surgical excision is not necessarily the best approach because vocal nodules in the early stages will resolve with the simplest voice therapy. 2) In children, surgery is rarely indicated because most nodules in children regress during adolescence. 3) For patients who use their voices professionally, voice therapy is indicated for three months. 4) If after three month of conservative treatment the cord lesion does not improve and the patient it still dissatisfied with his voice, laryngomicrosurgery can then be considered. 5) The small cuffed endotracheal tube in the interarytenoid space helps to keep the cords immobile and in an abducted position. 6) Removal of the nodule shoule be started by gentle retraction posteriorly and as soon as a tear appears anterior to the nodule. 7) On occasion it is preferable to start the dissection with a siccle knife while the nodule is held on the stretch. 8) Voice rest should be maintained for a week following which the free edges of the cords are usually healed.

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Ecological Importance of Water Budget and Synergistic Effects of Water Stress of Plants due to Air Pollution and Soil Acidification in Korea (한국에서 수분수지의 생태적 중요성과 대기오염 및 토양 산성화로 인한 식물의 수분스트레스 증대 효과)

  • 이창석;이안나
    • The Korean Journal of Ecology
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    • v.26 no.3
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    • pp.143-150
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    • 2003
  • Korea has plentiful precipitation but rainfall events concentrate on several months of rainy season in her weather condition. Korea, therefore, experiences drought for a given period every year. Moreover the soil has usually low water holding capacity, as it is composed coarse particles originated from the granite. Response of several oaks and the Korean red pine (Pinus densiflora) on water stress showed that water budget was significant factor determining vegetation distribution. In addition, dehydration level due to cold resistance mechanism of several evergreen plants during the winter season was closely related to their distribution in natural condition. Experimental result under water stress showed that the Korean red pine was very tolerant to desiccation but the seedlings showed high mortality during the dry season. The mortality tended to proportionate to soil moisture content of each site. A comparison between soil moisture content during June when it is severe dry season and moisture content of the culture soil when the pine seedlings reached the permanent wilting point due to water withheld proved that high mortality during the dry season was due to water deficit. Water potential of sample plants measured during the exposure experiment to the air pollutant showed a probability that water related factors would dominate the occurrence of visible damage and the tolerance level of sample plants. In both field survey and laboratory experiment, plants exposed to air pollution showed more rapid transpiration than those grown in the unpolluted condition. The result would due to injury of leaf surface by air pollutants. Aluminum (Al/sup 3+/) increased in the acid soil not only inhibits root growth but also leads to abnormal distribution of root system and thereby caused water stress. The water stresses due to air pollution and soil acidification showed a possibility that they play dominating roles in inducing forest decline additionally to the existing water deficit due to weather and soil conditions in Korea. Sludge, which can contribute to improve field capacity, as it is almost composed of organic matter, showed an effect ameliorating the retarded growth of plant in the acidified soil. The effect was not less than that of dolomite known in widely as such a soil ameliorator. Litter extract contributed also to mitigate the water stress due to toxic Al/sup 3+/. We prepared a model showing the potential interaction of multiple stresses, which can cause forest decline in Korea by synthesizing those results. Furthermore, we suggested restoration plans, which can mitigate such forest decline in terms of soil amelioration and vegetation restoration.

Feeding Characteristics of the Japanese Anchovy, Engraulis japonicus According to the Distribution of Zooplankton in the Coastal Waters of Southern Korea (한국 남해 연안 해역에서 출현하는 동물플랑크톤의 분포에 따른 멸치 섭이 특성)

  • Kim, Min Jung;Youn, Seok Hyun;Kim, Jin-Yeong;Oh, Chul-Woong
    • Korean Journal of Environmental Biology
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    • v.31 no.4
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    • pp.275-287
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    • 2013
  • The Japanese anchovy Engraulis japonicus is a widespread species in the western North Pacific and major fishery resource. To understand the spatio-temporal variation of anchovy prey items in the coastal waters of southern Korea, the stomach contents of anchovy and the structure of the zooplankton community were analysed at three sites (Jindo, Yeosu and Tong-yeong) from July 2011 to February 2012. The main prey items in Yeosu and Jindo were cyprid stage of barnacle (>35%) and copepod Calanus sinicus (>22%) in July, respectively, while, predominant ones in Tongyeong were small copepods, Paracalanus parvus s.l. (41%) and Corycaeus affinis (22%). During this period, the dominant zooplankton were cladoceran Evadne tergestina (39%) in Yeosu, small copepod, P. parvus s.l. (28%) in Jindo and cladoceran E. tergestina (14%) in Tongyeong. The dominant prey items were barnacle larvae and copepods in summer, phytoplankton and Pseudodiaptomus marinus in autumn and P. parvus s.l. and cold water copepod, Centropages abdominalis in winter. Anchovy prefer the prey item C. sinicus (3%) over E. tergestina (39%), which was a dominant species in the catching site in summer. P. marinus (0.5%) and C. abdominalis (0.9%) were preferred over P. parvus s.l. (30%, 21%) in autumn and winter, respectively. Prey items varied with area and season in the coastal waters of southern Korea. These results suggest that the prey selectivity of anchovy showed high flexibility and adaptability in the study waters.