• Radiation Oncology Journal
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• 제30권3호
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• pp.124-131
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• 2012

Purpose: To determine whether triple negative (TN) early stage breast cancers have poorer survival rates compared with other molecular types. Materials and Methods: Between August 2000 and July 2006, patients diagnosed with stage I, II early stage breast cancers, in whom all three markers (estrogen receptor, progesterone receptor, and human epidermal growth factor receptor [HER]-2) were available and treated with modified radical mastectomy or breast conserving surgery followed by radiotherapy, were retrospectively reviewed. Results: Of 446 patients, 94 (21.1%) were classified as TN, 57 (12.8%) as HER-2 type, and 295 (66.1%) as luminal. TN was more frequently associated with young patients younger than 35 years old (p = 0.002), higher histologic grade (p < 0.0001), and nuclear (p < 0.0001). The median follow-up period was 78 months (range, 4 to 130 months). There were 9 local relapses (2.0%), 15 nodal (3.4%), 40 distant metastases (9.0%), and 33 deaths (7.4%) for all patients. The rates of 5-year OS, DFS, LFS, and DMFS for all patients were 95.5%, 89.9%, 95.4%, and 91.7%, respectively. There were no significant differences in OS, DFS, LFS, and DMFS between triple negative and other subtypes (p > 0.05). Conclusion: We found that patients with TN early stage breast cancers had no difference in survival rates compared with other molecular subtypes. Prospective study in homogeneous treatment group will need for a prognosis of TN early stage breast cancer.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3321-3324
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• 2016

Background: Androgen receptors (ARs) are expressed in more than 70% of breast cancers (BCs) and have been implicated in BC pathogenesis. Some triple negative (TN)BC tumors express AR and may benefit from AR-targeted therapies. The aim of this study was to evaluate survival and the prevalence of AR expression and its correlation with other risk factors in triple negative BCs in women from Western Iran. Materials and Methods: In a retrospective study between 2009-2015, 41 patients with TNBC were referred to the Private Clinic of Oncology, Kermanshah city, Iran. ER, PR and AR-positive expression was defined as ${\geq}10%$ nuclear staining and also HER2 (2+), FISH was performed. Nuclear staining was considered representative for Ki67 and P53. The mean follow-up for the patients was 25 months. In this time, 5 patients died and 4 lost to follow-up were censored from survival analysis. Results: The mean age at diagnosis was 46.9 years (range, 24-71 years) and all patients were female. The OS rates for AR-positive and AR-negative patients were 90% and 85.1%, respectively, and the mean OS was 26.3 and 23.2 months. Therefore, there was no significant difference between the two groups (Hazard ratio: 0.580, 95% CI: 0.086-3.893, P=0.575). Conclusions: In TNBC patients, evaluation of AR status may provide additional information on prognosis and treatment. The results of studies showed that the prevalence AR expression may differ in the world and probably ethnicity can be an influencing factor.

• 대한기계학회논문집
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• 제19권1호
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• pp.231-239
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• 1995

This paper describes a computer simulation of the triple effect, water-lithium bromide absorption cooling cycles. The performance of the absorption systems is investigated through cycle simulation to obtain the system characteristics with the cooling water inlet temperature, the working solution concentrations, the ratio of the amount of the weak solution to the high, middle and low temperature generators, and the temperature difference of each solution heat exchanger. The efficiency of different cycles has been studied and the simulation results show that higher coefficient of performance could be obtained for the parallel cycle of constant solution distribution rate. As a result of this analysis, the optimum designs and operating conditions were determined based on the operating conditions and coefficient of performance.

• 한국표면공학회:학술대회논문집
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• 한국표면공학회 2003년도 춘계학술발표회 초록집
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• pp.4-4
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• 2003

Various Cu films were fabricated using sputtering and electroplating with and without additive, and their surface damages after annealing were investigated. After annealing at 43SoC, the difference between damage morphologies of the films was observed. In some films stress-induced grooves along the grain boundaries were observed, while in the others voids at the grain boundary triple junctions were observed. It was also observed that the stress-induced groove was formed along the high energy grain boundaries. It was found out that the difference of the morphologies of surface damages in Cu films depends on not process type but grain boundary characteristics. To explain the morphological difference of surface damages, a simple parameter considering the contributions of grain structures and grain boundary characteristics to surface and grain boundary diffusions is suggested. The effective grain boundary area, which is a function of grain size, film thickness and the fraction of high energy grain boundaries, played a key role in the morphological difference.

• Asian Pacific Journal of Cancer Prevention
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• 제15권15호
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• pp.6109-6113
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• 2014

Background: Breast cancer is a heterogeneous disease with molecular subtypes that have biological distinctness and different behavior. They are classified into luminal A, luminal B, Her-2 and triple negative/basal-like molecular subtypes. Most of breast cancers reported in Indonesia are already large size, with high grade or late stage but the clinicopathological features of different molecular subtypes are still unclear. They need to be better clarified to determine proper treatment and prognosis. Aim: To elaborate the clinicopathological features of molecular subtypes of breast cancers in Indonesian women. Materials and Methods: A retrospective cross-sectional study of 84 paraffin-embedded tissues of breast cancer samples from Dr. Sardjito General Hospital in Central Java, Indonesia was performed. Expression of ER, PR, Her-2 and Ki-67 was analyzed to classify molecular subtypes of breast cancer by immunohistochemistry. The relation of clinicopathological features of breast cancers with molecular subtypes of luminal A, luminal B, Her-2 and triple negative/basal-like were analyzed using Pearson's Chi-Square test. A p-value of <0.05 was considered statistically significant. Results: Case frequency of luminal A, Luminal B, Her-2+ and triple negative/basal-like subtypes were 38.1%, 16.7%, 20.2% and 25%, respectively. Significant difference was found in breast cancer molecular subtypes in regard to age, histological grade, lymph node status and staging. However it showed insignificant result in regard to tumor size. Luminal A subtype of breast cancer was commonly found in >50 years old women (p:0.028), low grade cancer (p:0.09), negative lymph node metastasis (p:0.034) and stage III (p:0.017). Eventhough the difference was insignificant, luminal A subtype breast cancer was mostly found in small size breast cancer (p:0.129). Her-2+ subtype breast cancer was more commonly diagnosed with large size, positive lymph node metastasis and poor grade. Triple negative/basal-like cancer was mostly diagnosed among <50 years old women. Conclusions: This study suggests that immunohistochemistry-based subtyping is essential to classify breast carcinoma into subtypes that vary in clinicopathological features, implying different therapeutic options and prognosis for each subtype.

• 생물환경조절학회지
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• 제3권2호
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• pp.119-127
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• 1994

본 연구는 동계 무가온 3중 및 4중피복 plastic house내에서 고추를 육묘하여 이들 육묘환경조건에서의 고추유묘의 생장반응을 파악하고 육묘환경의 차이에 따른 묘의 소질과 정식이후의 생장과의 관련성을 검토하고자 수행한 바 그 결과는 다음과 같다. 1. 초장, 엽수, 엽면적 및 각 기관별 건물중은 3중피복구가 4중피복구에 비하여 50%의 감소를 보였다. 가장 큰 차이는 엽면적으로 육묘기간중 3중에 비해 4중에서는 2-5배의 증가를 보여 육묘 환경의 차이가 고추유묘 생장에 현저한 영향을 미쳤다. 2. 3중피복구에서는 4중피복구에 비하여 생장초기부터 엽면적의 확보가 지연되었고, 이에 따라 고체생장율도 현저히 감소했다. 비엽면적(SLA)은 4중에서 3중에 비하여 엽의 두께가 얇았으며, 순동화율은 4중에서 생장초기에 증가하였다가 생장이 진행됨에 따라 감소되는 경향이었으나 3중에서는 파종후 6주후에 급격히 증가했다. 3. 엽면적과 전체건물중, 엽건물중간에는 직선적인 관계가 인정되었다. 그러나 엽면적과 개체생장율간에는 4중에서만 인정되었으며, 엽면적과 순동화율간에는 3중과 4중에 관계없이 직선적인 관계가 인정되지 않았다. 4. 파종후 6주째까지는 3중에서 엽으로의 건물분배가 많았고, 줄기와 뿌리로의 분배는 적었으며, 4중에서는 그 반대의 경향을 보였다. 5. 고추의 분지수는 3중과 4중에 관계없이 지수함수적 증가를 보였고, 주당 과중은 직선적인 증가를 보였다. 4중에서 육묘한 고추의 분지수는 3중에서 육묘한 고추보다 현저히 많았고 시간이 경과함에 따라 더욱 뚜렷한 경향이었다. 6. 고추유묘의 형질중 정식후 고추수량에 기여하는 정도가 가장 큰 것은 유묘의 지상부 건물중으로서 고추육묘에 있어서 양묘의 기준은 유묘의 지상부 건물중으로 결정되었으며, 또한 묘의 소질과 수량과의 관련성이 크게 인정되어 동계 시설재배시 고추의 다수를 위한 고추육묘는 지상부 건물중 증가를 위한 환경관리의 중요성이 인정되었다.

• 대한통합의학회지
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• 제10권2호
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• pp.115-123
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• 2022

Purpose : The hamstring is a group of three muscles, biceps femoris, semitendinosus, and semimembranosus, placed behind the thigh. The hamstring is one of the most commonly injured muscles and usually occurs during high-speed, high-intensity exercise. The purpose of this study was to investigate the effect of static stretching and eccentric exercise of hamstrings on flexibility, strength, and functional performance. Methods : This study was conducted on 28 healthy adults. Subjects were divided into a static stretching group (n=15) and an eccentric exercise group (n=13). Subjects measured hamstring flexibility (active knee extension test), hamstring strength (concentric and eccentric peak torque), and functional performance (triple hop for distance and modified 20 m sprint). The intervention was conducted three times a week for six weeks. To compare the difference between values before and after the intervention, paired t-test was used, and an independent t-test was used to compare between groups. Results : In both groups, the active knee extension test, concentric peak torque, triple hop test, and 20 m sprint significantly increased after the intervention compared to before the intervention (p<.05). However, no significant difference was found in eccentric peak torque after intervention in both groups (p>.05). No significant difference was found between the two groups in the effect on the variables (p>.05). Conclusion : Both interventions were found to be effective for flexibility, concentric strength, and functional performance. Eccentric exercise and static stretching are recommended to improve the flexibility and functional performance of the hamstring. This study's results will be considered essential data on the effectiveness of static stretching and eccentric exercise.

• 대한치과보철학회지
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• 제57권4호
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• pp.321-327
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• 2019

목적: 본 연구는 단일구조 지르코니아 크라운의 소결 후 소성 과정이 변연 및 내면 적합도에 미치는 영향에 대하여 3차원으로 평가해 보고자 하였다. 재료 및 방법: 타이타늄 지대치 모형을 제작하여 10개의 단일구조 지르코니아 크라운을 제작하였다. 제작된 단일구조 지르코니아 크라운을 소결 한 상태를 대조군으로, 소결 후 광택을 위해 추가적인 소성단계를 거친 후를 실험군으로 설정하였다. 각 군에서 triple-scan protocol을 이용하여 협설과 근원심으로 단면을 형성하고 변연 및 내면 적합도를 계측하여 통계 분석하였으며, 삼차원 표면 비교를 시행하였다 (${\alpha}=.05$). 결과: 변연과 내면 적합도를 분석한 결과 근심 축벽에서 대조군($32.0{\pm}24.3{\mu}m$)과 실험군 간($17.0{\pm}10.8{\mu}m$)의 통계적 유의한 차이가 있었고 (P < .020), 원심 축벽에서 대조군($60.2{\pm}24.3{\mu}m$)과 실험군($71.8{\pm}21.5{\mu}m$)간의 통계적으로 유의한 차이가 있었다 (P < .01). 나머지 측점지점에서는 통계적으로 유의한 차이가 없었다. 결론: 단일구조 지르코니아 크라운에서의 소결 후 추가적인 소성은 내면의 변형에 큰 영향을 미치지 않았고 임상적으로 허용 가능한 범위에 있었다.

• 유기물자원화
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• 제12권3호
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• pp.86-94
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• 2004

우리나라 음식물쓰레기의 특징은 높은 수분함량과 고농도의 염분(NaCl)을 함유한다. 음식물쓰레기 수분함량은 가정의 경우 80.0%이고 음식점이나 농수산물시장에서 발생되는 것은 각각 76.9%와 90.0%의 함량을 가지며 염분 함량은 가정쓰레기와 음식점쓰레기가 각각 3.36%와 4.84%를 함유하고 있다. 음식물쓰레기 퇴비 중 염분함량을 1% 이하로 조절하기 위해 지금까지 여러 가지 방법이 개발되었다. 그러나, 이런 방법들은 침출수 과다로 인한 환경오염 또는 높은 장치비 등의 문제를 가지고 있어 실용화에 어려움을 가지고 있다. 염분이 충분히 제거되지 않은 음식물쓰레기 퇴비를 농경지에 사용할 경우 염해로 인한 식물의 성장장애 및 염류축적이 일어날 수 있다. 본 연구는 음식물쓰레기 퇴비에 함유된 염분을 $KHSO_5$, $KHSO_4$, $K_2SO_4$로 구성된 삼중염을 이용하여 분해하는 방법이며, 기존 화학적 처리방법과 달리 염분을 분해하여 칼륨비료의 원료인 KCl로 전환시켰다. 또한 상추재배시험 결과 음식물쓰레기 퇴비와 삼중염을 처리한 음식물쓰레기 퇴비 간에는 발아율 및 성장상태에서 많은 차이를 나타냈다.

• 한국병원경영학회지
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• 제10권1호
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• pp.93-114
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• 2005

The prenatal care is the preventive medical service to help the pregnant mother deliver the healthy baby. It's regular examines give some chances to check-up the healthy conditions. This thesis concentrates on the CRM system to support an effective prenatal care system and prove the effectiveness of it. As CRM is the adapted management related to the customer's own information, it is important to develop the CRM model classified by the patients characteristics. A general hospital in Busan operated the CRM system to carry out the effective prenatal care and there is an analysis to ensure the effectiveness of CRM system for the pregnant women in our maternity ward. The results can be summarized as follows: 1) According to the comparisons with the CRM system, we can conclude the system is desirable. (1) Maternal Age : In the age distribution, the prenatal visit frequency, triple marker freqency, oral GTT and targeted ultrasonography in the experimental group in 30 to 34 years old is higher on the whole. For over 35 years old group, the higher frequency comes out in the oral GTT and targeted ultrasonography and for 25 to 29 years old group the different figure shows just in the targeted ultrasonography. (2) Area of residence: There is a clear difference in all the items in Busan and near area but no sign of difference in prenatal visits and oral GTT in other residencial area. Especially in the targeted ultrasonography the higher figure shows in the experimental group located in the both areas. The targeted ultrasonography is known as the specific examination which should be examined by the specialists, on the contrary the other examinations can be operated in the small clinic. So the public information and seminars related with ultrasonography increases the check-up frequency. The clinic requests some ultrasonographical examinations to the specialists in general hospital. (3) Parity: The clear difference shows that the CRM system causes the prenatal visit frequency to become higher in experimental group. The figure is 9.7 times and 8.6 times each. This is opposite that the past study said multiparity reduced the average prenatal visits. But the result of CRM is considered as the method to help the multiparity understand the importance of the prenatal care. (4) Obstetrical history: In the experimental group of the spontaneous delivery group, the figure is higher in the prenatal visit frequency, triple marker, oral GTT and targeted ultrasonography but the Caesarean section delivery group has higher figure in targeted ultrasonography. (5) In the first check-up, the rate of targeted ultrasonography in under 16 week pregnancy, in the 16 week pregnancy to 32 week pregnancy and the over 32 week pregnancy in the experimental group is upper than the compared one. For the oral GTT, there is a difference in under 16 week pregnancy but no difference in prenatal visits and triple marker. 2) The analysis of characteristics of prenatal care through the decision tree resulted in the fact that the most important variable is the residential area. After the delivery frequency is following, the obstetrical history and maternal age are in order. It is the same result in the triple marker and oral GTT. Consequently it is the same order of important variables in CRM system. The effectiveness of CRM system is proved in this study. The CRM system is a marketing method to control and lead the customers through the segmentation of customer data. It increases the new customer aquisition, maintenance of loyal customers, augmentation of customers value, activation of potential customers and creation of life time customers. So eventually it can enlarge the customers value. The medical institution should make efforts to establish the data base enforced by the customer's information on the underlying ordinary data system to carry out the CRM system effectively. In addition, it should develop the a variety of marketing strategy in order to set up one to one marketing satisfying the needs of individual patients.