• 제목/요약/키워드: T3N0

검색결과 3,907건 처리시간 0.029초

직장암의 근치적 수술 후 보조 화학방사선요법 (Postoperative Adjuvant Chemoradiotherapy in Rectal Cancer)

  • 장세경;김종우;오도연;정소영;신현수
    • Radiation Oncology Journal
    • /
    • 제24권3호
    • /
    • pp.157-163
    • /
    • 2006
  • 목 적: 직장암으로 근치적 수술 후 보조 화학방사선요법을 시행받은 환자들의 치료실패 양상 및 생존율 등의 치료 결과를 후향적으로 확인함으로써 직장암 환자의 치료에서 근치적 수술 후 보조 화학방사선요법의 역할을 알아보고자 하였다. 대상 및 방법: 직장암으로 근치적 수술을 시행하고 수술 후 보조 치료방법으로 화학방사선치료를 시행받은 AJCC 병기 II기와 III기 환자 46명을 대상으로 하였다. 병기별 분포는 T1, T2 병기는 없었고 T3 38명(82.6%), T4 8명(17.4%)으로 대부분 T3 병기였으며, N0 12명(26.1%), N1 16명(34.8%), N2 18명(39.1%)이었다. 보조 화학요법은 40명에서 4주 간격으로 6회에 걸쳐 5-fluorouracil (5-Fu)와 leucovorin을 정맥 주사하였고 6명에서는 Uracil/Tegafur (UFT)를 $6{\sim}12$개월간 매일 경구 복용하였다. 방사선치료는 골반 내 영역 림프절을 포함하는 부위에 45 Gy를 조사한 후 원발병소가 있었던 부위를 중심으로 조사범위를 축소하여 $5.4{\sim}9\;Gy$를 추가조사 하였다. 추적관찰기간은 $8{\sim}75$개월이었고 중앙값은 35개월이었다. 결 과: 전체 46명 중 17명(37%)에서 재발이 관찰되었다. 국소단독실패는 없었고 영역단독실패 1명(2.2%), 원격단독 실패 13명(28.3%), 국소영역 및 원격실패 3명(6.5%)으로 국소영역실패율은 8.7%, 원격실패율은 34.8%였다. 최초 치료실패 부위는 골반 내 원발병소 주변 부위와 골반 내 림프절이 각각 3명이었고 연결부위나 회음부에서 실패한 경우는 없었다. 최초 원격실패의 부위는 폐, 간, 뼈 순이었다. 전체 5년 생존율과 무재발 생존율은 각각 51.5%와 58.7%였다. N 병기에 따른 생존율은 N0, N1, N2에서 각각 100%, 53.7%, 0%였고(p=0.012), 무재발 생존율은 각각 100%, 47.6%, 41.2%였다(p=0.009). 종양의 위치에 따른 무재발 생존율은 상부, 중간부, 하부에서 각각 55.0%, 78.5%, 31.2%였다(p=0.006). 다변량 분석에서 5년 전체 생존율에 영향을 미치는 유의한 예후인자는 N 병기였고(p=0.012), 무재발 생존율에 영향을 미치는 예후인자는 N 병기와(p=0.001) 종양의 위치였다(p=0.006). 수술을 요하는 장 관련 후유증은 3명(6.5%)에서 발생하였다. 결 론: 직장암의 치료에서 근치적 수술 후 보조 화학방사선요법은 국소영역제어 측면에서는 효과적이었으나 원격제어에 대한 효과는 부족하다고 생각된다. 향후 생존율을 더욱 향상시키기 위해서는 원격실패를 감소시키려는 노력이 시도되어야 될 것으로 생각한다.

영양염류 제거를 위한 생물막 공정의 적용에 관한 연구 (A Study on apply of submerged biofilter for nutrient removal)

  • 안승섭
    • 한국환경과학회지
    • /
    • 제9권5호
    • /
    • pp.415-422
    • /
    • 2000
  • In this study the removal possibility of nutrients of T-P, NH3-N, NO3-N and T-N is examined through a positive experimental study using submerged biofilter of media packing channel method. From the analysis of nutrients removal efficiency for each run of the collected sample following results are obtained. Firstly the result of N/P surveying for inflow shows serious value that excess the limit value of 20 as the values are in the range of 12.0~42.7 and the average is 25.73. Secondly the highest concentration of the incoming NH3-N reaches double of the standard since the concentrations of NH3-N and NO3-N for inflow shows 0.06mg/$\ell$ and 2.5~3.8mg/$\ell$ respectively and the average removal rate which passed the submerged biofilter adopted in this study is a satisfactory level. Next the average removal rate of T-P of 51.5% shows the possiblity of entrophication removal since the removal rate of T-P of 66.8~68.8% in relative low temperature period of RUN 1~2 appeared higher than in RUN 3~6 and T-N shows relatively poor result with the average removal rate of 34.1% And it is known that the bigger BOD/P and BOD/N are the more removal rate increases from the examination result of the relation between BOD/P and BOD/N and the treatment water T-P and T-N to decide the relation with the concentration of organic matters and though that the appropriate proportion is necessary for effective removal of nitrogen and phsophorus.

  • PDF

갈대 및 부들 습지셀의 연못시스템 방류수 질소제거 비교 (Comparison of Nitrogen Removal Between Reed and Cattail Wetland Cells in a Treatment Pond System)

  • 양홍모
    • 한국환경농학회지
    • /
    • 제23권4호
    • /
    • pp.234-239
    • /
    • 2004
  • [ $NO_3$ ]-N and T-N removal rates of cattail wetland cells were compared with those of reed wetland cells. The examined cells were a part of a pond-wetland system composed of two ponds in series and six wetland cells in parallel. Each wetland cell was 25m in length and 6m in width. Cattails (Typha angustifolia) were transplanted into three cells and reeds Phragmites australis) into another three ones in June 2000. Water of Sinyang stream flowing into Kohung Estuarine lake located in the southern part of the Korean Peninsula was pumped into the primary pond, its effluent was discharged into the secondary pond Effluent from the secondary pond was funneled into each cell. Two cattail and reed cells were chosen for this research. Water quantity and quality of influnt and effluent were analyzed front May 2001 through October 2001. The volume of influent and effluent of the cells averaged about $20.0\;m^3/day$ and $19.3\;m^3/day$, respectively. Hydraulic retention time was approximately 1.5 days. Influent $NO_3$-N concentration for the four cells averaged 2.39 mg/L. Effluent $NO_3$-N concentration far the cattail and reed cells averaged 1.74 and 1.78 mg/L, respectively. Average $NO_3$-N retention rate for the cattail and reed cells by mass was 30 and 29%, respectively. Influent T-N concentration far the four cells averaged 4.13 mg/L. Effluent T-N concentration for the cattail and reed cells averaged 2.55 and 2.61 mgL respectively. Average T-N retention rate for the cattail and reed cells by mass was 39 and 38%, respectively. $NO_3$-N and T-N concentrations in effluent from the cattail cells were significantly low (p=0.04), compared with those from the reed cells. Cattail wetland cells were more efficient for $NO_3$-N and T-N abatement than reed ones.

CONFORMAL DEFORMATION ON A SEMI-RIEMANNIAN MANIFOLD (I)

  • Jung, Yoon-Tae;Lee, Soo-Young
    • 대한수학회보
    • /
    • 제38권2호
    • /
    • pp.223-230
    • /
    • 2001
  • In this parper, we considered the uniqueness of positive time-solution to equation ${\Box}_g$u(t,$\chi$) - $c_n$u(t,$\chi$) + $c_n$u(t,$\chi$)$^[\frac{n+3}{n-3}]$ = 0, where $c_n$ = $\frac{n-1}{4n}$ and ${\Box}_g$ is the d'Alembertian for a Lorentzian warped manifold M = {a,$\infty$] $\times_f$ N.

  • PDF

$Me_2Pt(PPh_2CH_2C(t-Bu)=N-N=CMe(2-py)-\kappa^2N,P)$의 합성 및 결정 구조 (Synthesis and Crystal Structure of $Me_2Pt(PPh_2CH_2C(t-Bu)=N-N=CMe(2-py)-\kappa^2N,P)$)

  • 조성일;강상욱;장경화
    • 한국결정학회지
    • /
    • 제15권2호
    • /
    • pp.83-87
    • /
    • 2004
  • 유기금속 착화합물 $Me_2Pt(PPh_2CH_2C(t-Bu)=N-N=CMe(2-py)-\kappa^2N,P)$을 phosphino hydrazone $Ph_2PCH_2C(t-Bu)=NNH_2$와 2-acetylpyridine와 $[PtMe2({\mu}-SMe_2)]_2$를 사용하여 합성하였다. X-선 회절법을 이용하여 이 화합물의 분자 구조를 규명하였다. 이 백금 화합물의 결정학적 자료는 monoclinic, space group $P2_1/n,\;a=11.6926(7)\;{\AA},\;b=15.6607(19)\;{\AA},\; c=14.6125(6)\;{\AA},\;\beta=93.018(4)^{\circ},\;Z=4,\;V=2672.0(4)\;{\AA}^3$이다. 결정 구조는 직접법으로 해석하였으며, 5238개의 회절 반점에 대하여 최종 신뢰도 인자 R=0.0363인 분자 모형을 구하였다.

Effect of Graded Levels of Wheat Bran Supplementation on Intake, Nutrient Digestibility, Microbial N Yield and Growth Rate of Native Bulls Fed Rice Straw Alone

  • Chowdhury, S.A.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제11권2호
    • /
    • pp.162-170
    • /
    • 1998
  • The dose response effects of different levels of wheat barn (WB) supplementation to a rice straw based diet has been studied in growing native (Bos indicus) bulls of Bangladesh. Twelve bulls of $266{\pm}29.6kg$ live weight and $32{\pm}9.5$ months old were given either of three diets of ad libitum untreated rice straw alone (T1) or straw supplemented with 2 (T2) or 3 (T3) kg WB. Besides, the experimental animals also received a mineral mixture. In 4 weeks, data were recorded on the intake, digestibility, microbial N (MN) yield, N balance (NB) and growth rate (GR). In the three diets, WB was 0 (T1), 29.6 (T2) and 42 (T3) percent of the total DM intake. With the increasing levels of WB supplementation, the total DM and OM intake increased, but the straw intake decreased linearly. WB supplementation increased the digestibilities of DM, OM and N but had no effect on ADF digestibility. The urinary purine derivative excretion and hence the MN yield increased with WB supplementation. The total MN yield were 7.26 and 35 g/d respectively for 0.2 and 3 kg WB supplementation. However, the efficiency of MN yield was highest (13 g/kg DOMR) at 2 kg WB level. Despite the increase DOM intake, the dietary ME content remain below 6 MJ/kg DM even at 3 kg WB supplementation. The NB were -84,467 and 1,620 mg/kg $W^{0.75}/d$ which were reflected on the GR of -186,346 and 554 g/d for 0, 2 and 3 kg WB supplementation respectively. Depending on the cost effectiveness, on an untreated rice straw diet, WB may be supplemented by up to 3 kg/d (42% of the diet) or more. However, if the maximum utilization of roughage is the main concern, the optimum WB level would probably be around 2 kg (30% of the diet) daily.

피드백형 플럭스게이트 마그네토미터 제작 (Construction of Feed-back Type Flux-gate Magnetometer)

  • 손대락
    • 한국자기학회지
    • /
    • 제22권2호
    • /
    • pp.45-48
    • /
    • 2012
  • Co계 비정질 리본인 Metglass$^{(R)}$2714A 코어를 사용하여, 자기장 측정 범위가 ${\pm}100\;{\mu}T$, 측정 주파수 범위가 dc~10 Hz인 3-축의 피드백형 플럭스게이트 마그네토미터를 제작하였다. 제작된 마그네토미터의 아날로그 출력의 전기잡음은 5 pT/$\sqrt{Hz}$ at 1 Hz 이었으며, Micro-controller와 24 bit ADC(Analog to Digital Converter)를 사용한 마그네토미터의 출력을 0.1 nT의 분해능으로 디지털로 출력 할 수 있게 하였다. 디지털 신호로 출력되는 마그네토미터의 선형도는 $1{\times}10^{-4}$ 이하였으며, 1시간 동안 영점 변화는 0.2 nT 이하였다.

$\alpha$-아미노이소부틸산-알라닌 올리고 펩티드의 $3_{10}$/$\alpha$ 나선 전이에 관한 모형 (A Model for the $3_{10}$/$\alpha$ Helix Transitions of $\alpha$-Aminoisobutyric Acid-Alanine Oligopeptide)

  • 김영구;박형석
    • 대한화학회지
    • /
    • 제38권10호
    • /
    • pp.710-718
    • /
    • 1994
  • 본 연구에서는 ${\alpha}$-aminoisobutyric acid (Aib)와 alanine (Ala)이 교대로 결합된 올리고펩티드(Buo-(Ala-Aib)$_n$-oMe:여기서 Buo는 t-butoxy를 oMe는 methoxy를 의미한다)의 구조적인 전이현상을 적절하게 설명할 수 있는 통계 열역학적인 이론을 제시하고자 한다. Poly $\alpha-aminoisobutyric$ acid는 $3_{10}$ 나선 구조를 가지며 polyalanine은 $\alpha$ 나선구조를 가진다. 올리고펩티드(Buo-(Ala-Aib)$_n$-oMe)의 사슬 길이를 N = 4(N = 2n)에서부터 증가시킬 때, $3_{10}$ 나선구조에서 $\alpha$ 나선구조로의 전이는 사슬길이가 N = 8일 때 일어난다. 올리고 펩티드는 수용액에서 코일 구조로만 있으나, 유기용매(예를 들면, $CD_3$CN)에서는 여러가지 구조가 있을 수 있기 때문에, 코일구조만으로 된 것, 코일과 $3_{10}$ 나선구조로 된 것, 코일과 $\alpha$ 나선구조로 된 것을 zipper 모형을 사용하여 전이현상을 설명하였다. Zimm-Bragg변수인 $\alpha$$\xi$는 실험적인 값에 의거하였다. 각각 그 값은 $\sigma_T$ = 0.00011이고, ${\sigma}_T$ = 0.0060이며, $\xi_A$ = 10.1, $\xi_T$ = 3.90이 된다(첨자 A와 T는 각각 $\alpha$ 나선, $3_{10}$을 의미한다.) 일반적으로 사슬 전체길이를 N이라 하면 $\alpha$ 나선내에서의 나선내 수소 결합수는 N-2, N-3, N-4, ${\cdots}$, 3, 2, 1등이 있을 수 있으며, $3_{10}$ 나선에서는 N-1, N-2, N-3, N-4, ${\cdots}$, 3, 2, 1등이 있을 수 있다. 그러나 $\xi_A$$\xi_T$가 1보다 큰 값을 가지기 때문에, 긴 나선으로 된 사슬로 존재하는 것이 상대적으로 많다.

  • PDF

부산지역 3개 하천의 수질 특성 비교 (Water Quality Comparison in the Three Streams of Pusan Area)

  • 황선출;이봉헌
    • 한국환경과학회지
    • /
    • 제7권2호
    • /
    • pp.165-170
    • /
    • 1998
  • The purpose of thins study was to investigate the pollutions of water Qualities in 30 water samples from Nakdong River Western Nakdong River, and Suyoung Stream. COB, BOD. T-N and negative ion(F, Cl+, NO3-, SO42-) of water samples were analysed and the correlationships between water qualities were examined. The mean concentrations of COD(20.26ppm), BOD(25.36ppm), and T-N(18.05ppm) were the highest in the water sample of Suyoung Stream among the three streams and those of F-(0.25ppm), Cl+(2770ppm), and SO42-(37.66ppm) In Western Nakdong River, that of NO3-(10.8 ppm) in Nakdong River. The water quality of Suyoung Stream was the worst among the three streams in hsn area. The correlationships between water qualities were as follows , BOD and COD showed very high correlationship(correlation cofficient, r=0.97),50,2- and NO3'did high one(0.75), and NOa'and COD, BOD did relatively high ones(0.56 and 0.48, respectively).

  • PDF

광역논에서의 오염물질 부하량 산정 (Estimating of Pollutant Load at Paddy Field Area)

  • 김병희;윤춘경;황하선
    • 한국농공학회:학술대회논문집
    • /
    • 한국농공학회 2001년도 학술발표회 발표논문집
    • /
    • pp.509-512
    • /
    • 2001
  • In this study, pollutant load from paddy field was estimated by regression equation from 5 to 8 in 2001. During study period, total rainfall was 511.3mm and runoff discharge was 968.71mm. Regression equation between flow rate(m3/s) and pollutant loading rate(g/s) is exponential relationship. For site 1, coefficient of determination (R2) for $COD_{cr}$, T-P, T-N were 0.7068, 0.8441, 0.6806 respectively and site 2, 0.9369, 0.8855, 0.4262 respectively. Considering unit loads, Jun was the highest valus as 13.85 $COD_{c}kg/km2/day$, 0.24 T-Pkg/km2/day, 1.22 T-Nkg/km2/day. Until study period, total $COD_{cr}$ load estimated regression equation is 19.32kg/km2/day and, T-P, T-N were 0.264, 1.88 respectively

  • PDF