• Title/Summary/Keyword: extensive stage

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A Study on the Initial Stage of Extensive Reading Process through College Students' Journal Writing

  • Heo, Sunyoung
    • English Language & Literature Teaching
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    • v.18 no.3
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    • pp.77-92
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    • 2012
  • This paper explores the learners' experience process and features in the initial stage of extensive reading process through college students' daily based journal writings. The subjects of this study were 10 volunteer students and they kept their journals from 30 minutes to 2 hours daily based for two weeks. The participants took pre and post tests in order to find out how their reading comprehension ability improved. Four of them improved it while the rest of them did not. After writing journals for two weeks, all students agreed on the potential power of extensive reading. In addition, they realized their learning problems and tried to overcome them on their own ways. Although the research period was only two weeks, the students showed the potential of extensive reading in learning English. From the results of the study, extensive reading encouraged the students to read more and they were convinced that extensive reading will lead to successful learning English. It can be meaningful outcome from the 2-week period research. Thus, a longer period scheme could provide more detail information to the extensive reading.

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Single-Stage Open Repair of Extensive Arch and Descending Thoracic Aneurysm through Sternotomy: A Case Report

  • Kim, Joon Young;Kim, Hong Rae;Kim, Joon Bum
    • Journal of Chest Surgery
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    • v.54 no.6
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    • pp.509-512
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    • 2021
  • Extensive thoracic aortic disease involving the ascending aorta, the aortic arch, and the descending thoracic aorta may require multiple surgical and interventional managements, which impose a burden in terms of cumulative surgical trauma and the risk of interval mortality. Herein, we describe a single-stage arch and descending thoracic aorta replacement via sternotomy in a patient with multiple comorbidities presenting with an extensive thoracic aortic aneurysm.

Prognostic Factors for Survival of Patients with Extensive Stage Small Cell Lung Cancer - a Retrospective Single Institution Analysis

  • Wu, Chao;Li, Fang;Jiao, Shun-Chang
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.4959-4962
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    • 2012
  • The objective of this retrospective study was to investigate prognostic factors associated with survival of patients with extensive stage small cell lung cancer (ES-SCLC). Included were 200 patients admitted to the Liberation Army General Hospital with a diagnosis of ES-SCLC. The demographics of patients, disease characteristics, pre-treatment biochemical parameters and therapeutic plan were assessed or evaluated. Univariate analysis found that second-line chemotherapy, radiotherapy, and no liver metastasis were associated with improved survival. Tumor response to first-line chemotherapy and normal initial hemoglobin levels were also associated with a survival benefit (all P-values ${\leq}$ 0.0369). Multivariate Cox regression analysis indicated that liver metastasis and the total number of all chemotherapy cycles were independent prognostic factors of survival. The morbidity risk in patients with liver metastasis was 2.52-fold higher than that in patients without liver metastasis (hazard ratio (HR)=2.52 (1.69-3.76); P<0.0001). However, one unit increase in the total number of chemotherapy cycles decreased the risk of death by 0.86-fold (HR=0.86 (0.80-0.92); P<0.0001). Absence of liver metastasis and ability of a patient to receive and tolerate multiple lines of chemotherapy were associated with longer survival.

A Study on the Development of Cotton Fabrics during the Early Chosun Period (조선전기 면직물 발달에 관한 연구)

  • 조효숙
    • Journal of the Korean Society of Costume
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    • v.45
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    • pp.41-54
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    • 1999
  • The purpose of this thesis is to trace the development of cotton Early Chosun Period by examining the historical literary sources : such as production of cotton various uses of cotton trade with other countries The developement process of cotton fabrics during this period can be divided into three stages. The first stage which can be discribed as a settling period lasted 27 years from A.D. 1392 to 1418. In this stage cotton fabrics were just about to be used as fabrics for popular clothing. The second stage which can be discribed as a developmental period lasted 50 years from A. D.1418 to 1468. In this stage cotton fabrics were mainly produced in the southern parts of the country which are Kyungasng-Do, Choongcheng-Do and Jeunla-Do. And cotton fabrics were used not only by the common people but also by the royal family. The third stage, that is the last one was an extensive period and lasted from A.D.1469 to 1592. In this stage as the demand for cotton fabrics greatly increased the production from southern parts of the country fell in short of the supply needed. Therefore the production was extended to the northwestern parts. In addition cotton fabrics finally came to be used as money to value the goods.

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A Clinical Therapeutic Results on Small Cell Lung Cancer (소세포 폐암의 치료성적에 대한 고찰)

  • Kim, Eun-Hwa;Lee, Soon-Hyoung;Huh, Won-Young;Kim, Han-Sik;Jo, Jin-Ung;Kim, Mee-Ae;Kim, Sang-Kyun;Kim, Kwi-Wan;Chung, Weon-Kuu;Kim, Soo-Kon
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.3
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    • pp.262-269
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    • 1994
  • Background : A clinical study was carried out on 153 new cases with small cell lung cancer registered at Presbyterian Medical Center, Chonju during the 7 years from 1986 to 1992. They were analyzed by sex and age distribution, symptoms and signs, classification of stage and site and its treatments. Especially, an effort was made to compare the overall survival time between limited stage and extensive stage. Methods : Among 806 lung cancer patients diagnosed by biopsy or cytologic evaluation for the 7 years, 153 patients was shown small cell lung cancer. These 153 cases was analyzed retrospectivery through patient's records, letters or telephones. Results : The results of evaluation of small cell lung cancer are as follows. Over 85 percent of the small cell lung cancer patients were over 50 years of age and prominent clinical features were cough(86.3%), sputum(75.8%) and dyspnea(54.9%). One hundred and five patients(68.7%) was staged to have limited stage. Mean survival time of the chemotherapy and chemoradiotherapy in limited stage has significant difference and its survivals are 5.3 months and 15.0 months. Patients whose disease was staged as limited, regardless of whether or not chemotherapy was administered, had a median survival time of 10.9 months, compared with 4.8 months for those with extensive stage. Conclusion : Lung cancer is one of the malignant diseases tend to increase gradually in Korea and proven to be the most common cancer next to the gastric cancer among various cancers in males found at the Presbyterian Medical Center in the past seven years. This report is a retrospective view of the clinical therapeutic results of the small cell lung cancer patients. Especially at the limited stage, the combined therapy revealed higher survival rate than the chemotherapy alone. For a more accurate evaluation. a prospective view, without any bias, of patients selected at random is needed.

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How to Analyze an Unreliable Two-Machine, Two-Stage Transfer Line with Interstage Buffer

  • Hong, Yu-Shin
    • Journal of Korean Institute of Industrial Engineers
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    • v.14 no.2
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    • pp.115-129
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    • 1988
  • This paper discusses an analytical method to derive the efficiency and the average storage level of an unreliable two-machine, two-stage automatic transfer line with interstage buffer storage. Extensive numerical experiments and simulations are also conducted to see the behavior of the system under the wide range of parameter values as well as various distributions.

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Tidal Computations For Inchon Bay

  • Choi, Byung Ho
    • 한국해양학회지
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    • v.15 no.2
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    • pp.112-122
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    • 1980
  • A two-dimensional non-linear tidal model has been established to calculate the M$\_$2/ tide of Inchon Bay in the west coast of Korea. Cartesian coordinates are used for the derivation of the governing equations and account is taken of extensive drying boundaries (tidal flats) which are exposed at low tides. The tidal amplitudes and phases computed from the model agree well with those known from observation lying within bounds 5cm in amplitude and 5 in phase relative to the observed results. The work represents a further stage in the development including extensive sea measurements capable of application in various coastal engineering problems encountered in Inchon Bay area.

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Urethroplasty of extensive penile urethral strictures with a longitudinal ventral tubed flap of penile skin (modified Orandi urethroplasty): 20 years of follow-up of two cases

  • Heo, Jae Won;Hong, Woo Taik;Kim, Yong Hun;Yang, Chae Eun;Kim, Jiye;Kim, Sug Won
    • Archives of Plastic Surgery
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    • v.47 no.6
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    • pp.613-618
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    • 2020
  • The surgical treatment of extensive urethral strictures remains a controversial topic; although techniques have evolved, there is still no definite method of choice. Since 1968, when Orandi presented an original technique for one-stage urethroplasty using a penile skin flap, the Orandi technique has become the most prevalently used one-stage procedure for anterior urethral strictures. We present a 20-year follow-up experience with one-stage reconstruction of long urethral strictures using a longitudinal ventral tubed flap of penile skin, with some important technical changes to Orandi's original technique to overcome the deficient vascularity caused by periurethral scar tissue. In 1997, a 55-year-old male patient complained of severe voiding difficulty and a weak urinary stream because of transurethral resection of the prostate due to benign prostatic hyperplasia. Another 47-year-old male patient had the same problem due to self-removal of a Foley catheter in 2002. In both patients, a urethrogram demonstrated extensive strictures involving the long segment of the anterior urethra. A rectangular skin flap on the ventral surface of the penis was used considering the appropriate length, diameter, and depth of the neourethra. The modified Orandi flap provided a pedicled strip of penile skin measuring an average of 8 cm. The mean duration of follow-up was 20.5 years. A long-term evaluation revealed stable performance characteristics without any complications.

Combined Free Flaps in Reconstruction of Upper Extremity (결합 유리피판을 이용한 상지 복합결손의 재건)

  • Kim, Sug Won;Lee, June Bok;Lee, Sung Jun;Seul, Chul Hwan;Seo, Dong Wan
    • Archives of Reconstructive Microsurgery
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    • v.13 no.1
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    • pp.1-6
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    • 2004
  • Advances in microvascular techniques and refinements in microsurgical tissue transfers have enabled surgeons to combine different tissue components and reconstruction into a single-stage operation in extensive or composite defect following injury. Some problems and consideration for extensive or composite defects are form, shape, function, and dimension of the defect sites. Therefore combination of two or more flaps is required to reconstruct extensive or composite defect. This paper presents our clinical experience of four cases of combined free flaps with or without sequential microanastomosis in reconstruction of upper extremity based on peroneal flowthrough, thoracodorsal, and dorsalis pedis vascular system. Satisfactory results were obtained without flap loss and complications. The free flaps were combined in th following fashion; two cases by bridge fashion, one by chimeric microanastomosis and one by simple chimeric fashion. The median follow-up time on all patients was 21.7 months. Donor site morbidity was minimal. Extensive soft tissue or composite defects can be effectively covered by various combined flaps. Even though the risk for complication exists, the options of combination with or without sequential microanastomosis can add a functional or sensory dimension to reconstruction of complex wounds.

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Effect Of VPP/CAV Alternating Chemotherapy Versus Carboplatin/Etoposide(CE) Chemotherapy For Extensive Stage Small Cell Lung Cancer (전신병기(Extensive stage) 소세포 폐암 환자에서 항암 화학요법 성적 : VPP/CAV 및 Carboplatin/Etoposide(CE) 복합 화학요법의 치료효과)

  • Kim, Sun-Young;Suh, Jae-Chul;Kim, Myung-Hoon;Park, Hee-Sun;Kang, Dong-Won;Lee, Kyu-Seung;Ko, Dong-Seok;Kim, Geun-Hwa;Jeong, Seong-Su;Kim, Ju-Ock
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.5
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    • pp.740-747
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    • 2000
  • Background : To compare the efficacies and side effects of etoposide, cisplatin/cyclophosphamide, adriamycin, vincristine(VPP/CAV) with those of carboplatin etoposide(CE) in extensive stage small cell lung cancer patients. Method : Patients with extensive stage small lung cancer who has measurable disease were eligible. VPP/CAV group(n=22) was treated with cisplatin(60mg/$m^2$ iv. D1) etoposide(100mg/$m^2$ iv. D1-3), and 3 weeks later cyclophosphamide(1000mg/$m^2$ iv. D1), adriamycin( 40mg/$m^2$ iv. D1), and vincristine(1.4mg/$m^2$ iv. D1), were administered alternatively. CE group(n=22) was treated with carboplatin(325mg/$m^2$ iv. D1) and etoposide (100mg/$m^2$ iv. D1-3) ; repeated treatment was performed every 3 weeks. Result : Forty four patients were eligible for the study. The overall response rate was 61.4% (complete remission rate 0%, partial response rate 61.4%, stable disease rate 25%, progressive disease rate 13.6%), and median survival was 10.8 months. In VPP/CAV group, response rate was 54.5% (complete remission rate 0%, partial response rate 54.4%, stable disease rate 27.3%, progressive disease rate 18.2%), and, in carboplatin/etoposide group, the response rate was 68.2%(complete remission rate 0%, partial response rate 68.2%, stable disease rate 22.7%, progressive disease rate 9.1%). The median survival time was 9.5 months in the VPP/CAV group and 11 months in CE group. The toxicity of both group was moderate, and anemia was more frequent in the CE group. Conclusion : VPP/CAV regimen and CE regimen produced similar response rates and survival times in extensive stage small cell lung cancer patients. CE regimen may be effective as part of the initial therapy for extensive stage small cell lung cancer.

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