• Title/Summary/Keyword: benefit rate

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The Surgical Treatment of Choice for Patients with Differentiated Thyroid Cancer(DTC) (분화성 갑상선암 환자에서 수술범위의 선택)

  • Cha Seong-Jae;Park Sung-Jun;Lim Hyen-Muck
    • Korean Journal of Head & Neck Oncology
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    • v.13 no.2
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    • pp.200-205
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    • 1997
  • Background: There is considerable controversy concerning the most appropriate surgical treatment of patients with DTC. Objectives: In order to selection of the appropriate surgical treatment for DTC, we have analyzed the outcome of the different types of surgical treatment in low and high risk groups of DTC. Materials and Methods: From January 1968 through december 1980, a total of 71 patients with DTC were treated surgically at our institution. According to Cady and Rossi's scoring system, the patients were divided into low risk and high risk groups. Results: Seventy percent of patients were defined as low risk group with a 4% death rate whereas 30% of patients at high risk with a death caused by thyroid cancer in 38%(p<0.05). There was no difference in mortality between ipsilateral lobectomy and total thyroidectomy in both low and high risk groups(p>0.1). Conclusion: In our study, total thyroidectomy was not benefit in high risk group. These results suggested that total thyroidectomy must be selected carefully and based on clear evidence of major improvement in outcome or absence of other suitable surgical approaches. However, follow up study of more cases will be needed for accurate determination of the efficacy of total thyroidectomy in high risk group.

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Facing Past and Present Challenges to Social & Economic Development (사회경제개발에 대한 과거와 현재 직면과제)

  • 성낙정
    • Explosives and Blasting
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    • v.15 no.3
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    • pp.14-19
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    • 1997
  • Koreans have emphasized education as the primary means to reconstruct our country means to reconstruct our country after two catastrophic events-the Japanese occupation and the Korean War(1950-1953). A Strong belief- in education coupled with sheer deter-mination spurred the period of industrial and eeonomic development that started in the early 1970-'s. The "can-do" attitude of the general public was matched and aided by small S & T communities. Scientists and engineers provided the neeessary expertise to manufacture goods and process the many raw materials imported from overseas. After nearly three decades of reconst-ructing our completely devastated country, Korea has become a modern, cosmo-politan, fast-paced and dynamic country. In order to further increaser our manufac- turing capabilities and double the per-capita income by the beginning of the 21st century, we must improve productivitiy and encourage creatitivity in all sectors of our country. The S & T community's efforts in research and development. education, and interna-tional cooperation will be invaluable in determining our direction and reaching these goals. The general public is eager to peacefully unite our foreign powers since 1945. Toward that end. members of the S & T community are willing to coope-rate with our north Korean counterparts in all areas of S & T with the exception of defense related endeavors. Establi-shing scientific ties with north Korea will result in mutual economic benefit and greater regional stability in East Asia. In particular. scientists and manu-facturers in each province are eager to initiate cordial and professional relation-ships with north Korea in the hopes of securing these benefits. The Korean Federation of Science and Technology Societies(KOFST) has played an important role both in developing S & T policies, and in gostering the frowty of S & T societies. A non-governmental umbrella organization composed of over 251 professional societies, KOFST facili-tates the transfer of research outcomes and technology from research institutions to the various industries. KOFST also seeks to increase cooperation between the countries of the Pacific Rim. As evidence of that, we have pursued joint research and industrial ventures with China. Established projects include those on environmental conditions in the Yellow Sea, and improvement of aircraft manufacturing, telecommunica-tion equipment, and agricultural produ-cts. Increased cooperation between the Pacific Rim countries, particularly in S & T, would foster social and economic development for the region as a whole.

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Effects of Continuing Adjuvant S-1 for 1 Year on the Prognosis of Gastric Cancer Patients: Results from a Prospective Single Center Study

  • Eun, Hasu;Hur, Hoon;Byun, Cheul Soo;Son, Sang-Yong;Han, Sang-Uk;Cho, Yong Kwan
    • Journal of Gastric Cancer
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    • v.15 no.2
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    • pp.113-120
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    • 2015
  • Purpose: Although several clinical trials have proven the efficacy of adjuvant S-1 treatment in gastric cancers, it is still unclear which patients receive the most benefit. In this study, we prospectively recruited patients with locally advanced gastric cancer who had undergone curative resection followed by adjuvant S-1 administration to investigate which factors affect the outcomes. Materials and Methods: Between July 2010 and October 2011, we enrolled 49 patients who underwent curative resection for stage II or III gastric cancer and who subsequently received adjuvant S-1 treatment for 1 year. Results: Twenty-nine patients (59.2%) continued S-1 treatment for 1 year, and 12 patients (24.5%) experienced recurrent disease during the follow-up period. Patients with continuation of S-1 for 1 year had significantly increased rates of disease-free survival (P<0.001) and overall survival (P=0.001) relative to the patients who discontinued S-1 during year 1. Multivariate analysis indicated poor outcomes for patients with stage III disease and those who discontinued S-1 treatment. Excluding patients who discontinued S-1 due to cancer progression (n=7), adjuvant treatment with S-1 still demonstrated a significant difference in the disease-free survival rate between the patients who continued treatment and those who discontinued it (P=0.020). Conclusions: S-1 is tolerated as adjuvant treatment in gastric cancer patients. However, discontinuing S-1 treatment may be an unfavorable factor in the prevention of recurrence. S-1 adjuvant treatment should be continued for 1 year if possible through the proper management of toxicities.

Surgical Outcomes of Single-port Laparoscopic Appendectomy versus Conventional Laparoscopic Appendectomy in Children: Preliminary Report of a Prospective Randomized Trial (소아에서 단일공과 삼공 복강경 충수절제술의 수술 후 결과 비교: 전향적 무작위 연구 예비 결과)

  • Cho, Jung Rae;Kang, Won Me;Ahn, Soo Min
    • Advances in pediatric surgery
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    • v.20 no.2
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    • pp.48-52
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    • 2014
  • Purpose: Currently the substantial clinical benefits of single-port laparoscopic appendectomy (SLA) over conventional three-port laparoscopic appendectomy (CLA) are equivocal. The aim of this study was to compare surgical outcomes between SLA and CLA in children with acute appendicitis. Methods: A single blind prospective randomized single center study was performed to compare the surgical outcomes of SLA and CLA. A total of 105 patients were randomized and various parameters were analyzed, 52 patients with SLA and 53 patients with CLA between July 2013 and March 2014. Patients with sonographically confirmed acute appendicitis were randomly assigned to receive either SLA or CLA. The outcome measurements were operating time, wound complication, and intraperitoneal morbidities, postoperative pain score and cosmetic result score. Results: Operating time is significantly longer in SLA ($70.4{\pm}26.7$ minutes vs. $58.0{\pm}23.4$ minutes; p=0.016). There were no significant differences in the postoperative wound complication rate and intraperitoneal morbidities between two groups. There were no significant differences in postoperative resting pain score ($6.6{\pm}2.5$ vs. $6.3{\pm}2.5$; p=0.317) and activity pain score ($6.9{\pm}2.4$ vs. $6.3{\pm}2.5$; p=0.189), and the cosmetic result score ($9.2{\pm}1.1$ vs. $9.1{\pm}1.4$; p=0.853). Conclusion: Although SLA would be a safe and feasible procedure in children, SLA could not demonstrate the clear benefit over CLA.

A Low-Complexity ML Detector for Generalized Spatial Modulation Based on Priority (GSM을 위한 우선순위 기반 저복잡도 ML 검출 기법)

  • Lee, Man Hee;Shin, Soo Young
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.42 no.4
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    • pp.731-738
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    • 2017
  • In this paper, we proposed a modified ML detector for generalized spatial modulation which is a method among Multiple-input Multiple-output. This proposed method detects signal applying modified channel statement information based on priority. Complexity in conventional methods increases as increasing the number of active antennas. To solve this problem, we proposed a new ML method using static channel information decided by the number of transmit antennas and the number of receive antennas. This method detects active antennas one by one through priority. The proposed method has proved benefit on complexity compared with conventional method through simulations. When the number of transmit antennas is equal to 10, there is approximately 45% complexity reduction.

Cyclic testing of chevron braced steel frames with IPE shear panels

  • Zahrai, Seyed Mehdi
    • Steel and Composite Structures
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    • v.19 no.5
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    • pp.1167-1184
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    • 2015
  • Despite considerable life casualty and financial loss resulting from past earthquakes, many existing steel buildings are still seismically vulnerable as they have no lateral resistance or at least need some sort of retrofitting. Passive control methods with decreasing seismic demand and increasing ductility reduce rate of vulnerability of structures against earthquakes. One of the most effective and practical passive control methods is to use a shear panel system working as a ductile fuse in the structure. The shear Panel System, SPS, is located vertically between apex of two chevron braces and the flange of the floor beam. Seismic energy is highly dissipated through shear yielding of shear panel web while other elements of the structure remain almost elastic. In this paper, lateral behavior and related benefits of this system with narrow-flange link beams is experimentally investigated in chevron braced simple steel frames. For this purpose, five specimens with IPE (narrow-flange I section) shear panels were examined. All of the specimens showed high ductility and dissipated almost all input energy imposed to the structure. For example, maximum SPS shear distortion of 0.128-0.156 rad, overall ductility of 5.3-7.2, response modification factor of 7.1-11.2, and finally maximum equivalent viscous damping ratio of 35.5-40.2% in the last loading cycle corresponding to an average damping ratio of 26.7-30.6% were obtained. It was also shown that the beam, columns and braces remained elastic as expected. Considering this fact, by just changing the probably damaged shear panel pieces after earthquake, the structure can still be continuously used as another benefit of this proposed retrofitting system without the need to change the floor beam.

Model-based and wavelet-based fault detection and diagnosis for biomedical and manufacturing applications: Leading Towards Better Quality of Life

  • Kao, Imin;Li, Xiaolin;Tsai, Chia-Hung Dylan
    • Smart Structures and Systems
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    • v.5 no.2
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    • pp.153-171
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    • 2009
  • In this paper, the analytical fault detection and diagnosis (FDD) is presented using model-based and signal-based methodology with wavelet analysis on signals obtained from sensors and sensor networks. In the model-based FDD, we present the modeling of contact interface found in soft materials, including the biomedical contacts. Fingerprint analysis and signal-based FDD are also presented with an experimental framework consisting of a mechanical pneumatic system typically found in manufacturing automation. This diagnosis system focuses on the signal-based approach which employs multi-resolution wavelet decomposition of various sensor signals such as pressure, flow rate, etc., to determine leak configuration. Pattern recognition technique and analytical vectorized maps are developed to diagnose an unknown leakage based on the established FDD information using the affine mapping. Experimental studies and analysis are presented to illustrate the FDD methodology. Both model-based and wavelet-based FDD applied in contact interface and manufacturing automation have implication towards better quality of life by applying theory and practice to understand how effective diagnosis can be made using intelligent FDD. As an illustration, a model-based contact surface technology an benefit the diabetes with the detection of abnormal contact patterns that may result in ulceration if not detected and treated in time, thus, improving the quality of life of the patients. Ultimately, effective diagnosis using FDD with wavelet analysis, whether it is employed in biomedical applications or manufacturing automation, can have impacts on improving our quality of life.

Analysis of Investment Effect on the Outdoor Swimming Pool Utilizing Reservoir's Amenity Resources (저수지 경관자원을 활용한 야외수영장 개발사업의 투자효과 분석)

  • Kwon, Yong-Dae;Hwang, Jun-Woo
    • Korean Journal of Agricultural Science
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    • v.34 no.1
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    • pp.85-97
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    • 2007
  • This study aimed at analyzing the economic effect of outdoor swimming pool investment using the reservoir's amenity resources. We focused on the identification of the amenity value of reservoir in the rural area and the economic evaluation for establishing This study aimed at analyzing the economic effect of outdoor swimming pool investment using the reservoir's amenity resources. We focused on the identification of the amenity value of reservoir in the rural area and the economic evaluation for establishing infrastructure such as swimming pool based on the reservoir's landscape value. To this end, we have conducted the case study on the outdoor swimming pool in connection with Go-Bok reservoir in Yeon-Gi county, Chungnam Province and estimated its income effect on the rural community by cost-benefit analysis method. The research results are as follows; 1) Outdoor swimming pool participants, with 11,581 visitors totaled to Yeon-gi county every year, was estimated to spend the worth of 58,446 thousand won paid for the agricultural product purchase and etc. 2) Internal rate return of the outdoor swimming pool project was estimated to 16.19%, which considered to be economically feasible comparing with 10% of current capital opportunity cost. Based on the results of this study, we suggest the following strategies for development of amenity value of swimming pool in connected with the reservoir; 1) Reservoir amenities should be well preserved even after construction of swimming pool lest losing amenity values while managing the facilities. 2) Measures to increase the marketing value of intangible reservoir's amenities through promotion should be established. 3) Effective program for more visitors with longer staying and more agricultural products sales should be designed.

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Carnoy's Solution Application for Patient Preliminarily Diagnosed with Keratocystic Odotogenic Tumor: Case Report (각화낭성치성종양으로 의심되는 환자의 Carnoy's Solution 적용: 증례보고)

  • Choi, Seok-Tai;Kim, Tae-Kwang;Leem, Dae-Ho;Baek, Jin-A;Shin, Hyo-Keun;Ko, Seung-O
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.6
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    • pp.498-504
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    • 2012
  • The odontogenic keratocyst (OKC) was originally classified as a developmental cyst, and OKC is histologically divided into orthokeratic and parakeratic types. According to revised histopathological classification of odontogenic tumors by the World Health Organization (2005), the term, keratocystic odontogenic tumor (KCOT) has been adopted to describe parakeratic OKC. The KCOT is noted for its capacity to recur after treatment. The aggressive, or potentially aggressive, nature of KCOT has led to alternative treatments. Among the treatments is noted the use of Carnoy's solution as adjunctive intralesional therapy having a low rate of recurrence. This study suggests a possible benefit of Carnoy's solution against recurrence of KCOT.

Indicators and Qualitative Assessment of Lung Cancer Management by Health Insurance Review and Assessment Service (HIRA) of Korea in 2015

  • Yeo, Chang Dong;Lee, Myoung Kyu;Lee, Seung Hyeun;Kim, Eun Young;Lee, Ik Jae;Park, Heae Surng;Chang, Yoon Soo
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.1
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    • pp.19-28
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    • 2018
  • Cancer is the leading cause of death in the Republic of Korea and cancer death accounts for 27.8% of the total deaths, which is not only a social issue but also a concern for the public. Among the cancer death rates, lung cancer mortality account for 34 deaths per 100,000 populations, making it the number one cancer death rate. In a preliminary report on cancer death in 2012, the lung cancer mortality ratio showed the regional variation indicating that there were differences in the qualitative level and the structure among the medical care benefit agency and in the assessment of the treatment process. Therefore, the Health Insurance Review and Assessment Service (HIRA) had begun evaluation of the assessment of lung cancer treatment since 2014 to improve the quality of lung cancer care through evaluation and feeds back the results of lung cancer care process. In this report, authors described the current Indicators for the lung cancer adequacy assessment proposed by HIRA and results of the evaluation reported in 2017.