Cho Moon-June;Jang Ji-Young;Kim Jun-Sang;Kim Byung-Kook;Song Chang-Joon;Kim Jae-Sung
Radiation Oncology Journal
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v.19
no.1
/
pp.10-15
/
2001
Purpose : This is a retrospective study to evaluate the results of radiation therapy in nasopharyngeal carcinoma. Materials and Methods : From September 1989 to October 1996, 19 patients with nasopharyngeal carcinoma completed planned radiation therapy course. Stages were 1 in 2 patients, II in 6, III in 2 IV in 9 patients, respectively. Pathology was squamous cell carcinoma in 5 patients, undifferentiated cell carcinoma in 14 patients. Fourteen patients were treated with radiation therapy only. Five patients received chemotherapy. The follow-up period ranged from 5 months to 115 months with a median of 33 months. Follow-up was possible in all patients. Results : Responses to radiation therapy were complete response in 15 patients, partial response in 2, and no response in 2, respectively. Patterns of failure were as follows : locoregional recurrence in 6 patients and distant metastasis in 4 patients. The sites of distant metastasis were bone, liver and lung. Five year survival rate was $47.8\%$ and five year disease free survival rate was $48.1\%$. Stage, T-stage, N-stage, central nervous system involvement, pathology type, performance status, response, radiation dose, chemotherapy were not significant prognostic factors. Conclusion : 5-year survival rate was $47.8\%$ and 5-year disease free survival rate was $48.1\%$. The advances in radiation therapy techniques and chemotherapy are needed.
Kim, Hong-Taek;Kang, In-Kyu;Kwon, Young-Ho;Park, Si-Sam;Cho, Yong-Hoon
Journal of the Korean Geotechnical Society
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v.18
no.3
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pp.87-94
/
2002
Recently, there have been numerous attempts to expand the traditional temporary soil nailing system into a permanent wall. Two reasons for this include the soil nailed system's advantage of efficient and economic use of subgrade space and its ability to decrease the total construction cost. However, the systematic and logical design approach has not been proposed yet. The permanent soil nailing wall system, which utilizes precast concrete from soil nailing system, is already used in many countries, but the study of cast-in-place concrete lacing or rigid walls in bottom-up construction of traditional soil nailing walls is imperfect and insufficient. In this paper, various laboratory model tests have been carried out to investigate the influence of parameters, including stiffness of the rigid wall to the soil nailing structure with respect to failure mode, displacement patterns and tensile forces at the nail head in several levels of load. Then, the variation of earth pressure distribution on the soil nailing wall, built with a rigid front plate, is sought through different levels of surcharge load and tensile forces at the nail head.
This study is an analysis of distribution of patients who installed Implantium implant in Yonsei University Dental Hospital and types of implant site for about 1 years recall check and success rate. 164 implants were installed to 52 patients in this study. It shows the conclusion below. 1. Patients at the age of 40s and 50s were 65% of all implant cases and average number of implant was 4 (man), and 2.7 (woman). 75 implants were operated on maxilla and 89 were mandible. 19 implants on anterior region and 145 implants on posterior region. 2. Most distribution of bone qaulity for implant site was type III(37.2%) and bone quantity was type C(61. 7%) 3. The majority of implants were those of 10, 12mm in length (85%) and regular diameter in width (48.8%). 4. 30 implants were installed with the advanced technique-GER, window opemng, osteotome technique. 5. Two implants were removed before prosthodontic treatment due to the osseointegraton failure. The success rate was 98.8% in 15.2 months follow up period and the marginal bone loss was 0.28mm. The results provided us with basic data on patient type, implant distribution, bone condition, and survival rate. Within the limit of present study, It was concluded that Implantium implant could be used satisfactorily in various clinical situations.
The tau-p inversion algorithm is widely employed to generate starting models with most computer programs, which implement refraction tomography. This algorithm emphasises the vertical resolution of many layers, and as a result, it frequently fails to detect even large lateral variations in seismic velocities, such as the decreases which are indicative of shear zones. This study demonstrates the failure of the tau-p inversion algorithm to detect or define a major shear zone which is 50m or 10 stations wide. Furthermore, the majority of refraction tomography programs parameterise the seismic velocities within each layer with vertical velocity gradients. By contrast, the Generalized Reciprocal Method (GRM) inversion algorithms emphasise the lateral resolution of individual layers. This study demonstrates the successful detection and definition of the 50m wide shear zone with the GRM inversion algorithms. The existence of the shear zone is confirmed by a 2D analysis of the head wave amplitudes and by numerous closely spaced orthogonal seismic profiles carried out as part of a later 3D refraction investigation. Furthermore, an analysis of the shot record amplitudes indicates that a reversal in the seismic velocities, rather than vertical velocity gradients, occurs in the weathered layers. The major conclusion reached in this study is that while all seismic refraction operations should aim to provide as accurate depth estimates as is practical, those which emphasise the lateral resolution of individual layers generate more useful results for geotechnical and environmental applications. The advantages of the improved lateral resolution are obtained with 2D traverses in which the structural features can be recognised from the magnitudes of the variations in the seismic velocities. Furthermore, the spatial patterns obtained with 3D investigations facilitate the recognition of structural features such as faults which do not display any intrinsic variation or 'signature' in seismic velocities.
Park, Jong Won;Choi, Seo Hee;Yoon, Hong In;Lee, Jeongshim;Kim, Tae Hyung;Kim, Jun Won;Lee, Ik Jae
Radiation Oncology Journal
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v.36
no.2
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pp.103-113
/
2018
Purpose: Anaplastic thyroid cancer (ATC) is a rare tumor with a lethal clinical course despite aggressive multimodal therapy. Intensity-modulated radiotherapy (IMRT) may achieve a good therapeutic outcome in ATC patients, and the role of IMRT should be assessed. We retrospectively reviewed outcomes for ATC treated with three-dimensional conformal radiotherapy (3D-CRT) or IMRT to determine the optimal treatment option and explore the role of radiotherapy (RT). Materials and Methods: Between December 2000 and December 2015, 41 patients with pathologically proven ATC received RT with a sufficient dose of ${\geq}40Gy$. Among them, 21 patients (51%) underwent surgery before RT. Twenty-eight patients received IMRT, and 13 received 3D-CRT. Overall survival (OS) and progression-free survival (PFS), patterns of failure, and toxicity were examined. Results: The median follow-up time for survivors was 38.0 months. The median and 1-year OS and PFS rates were 7.2 months and 29%, 4.5 months and 15%, respectively. Surgery significantly improved the prognosis (median OS: 10.7 vs. 3.9 months, p = 0.001; median PFS: 5.9 vs. 2.5 months, p = 0.007). IMRT showed significantly better PFS and OS than 3D-CRT, even in multivariate analysis (OS: hazard ratio [HR] = 0.30, p = 0.005; PFS: HR = 0.33, p = 0.005). Significantly higher radiation dose could be delivered with IMRT than 3D-CRT ($EQD2_{10}$ 66 vs. 60 Gy, p = 0.005). Only 2 patients had grade III dermatitis after IMRT. No other severe toxicity ${\geq}grade$ III occurred. Conclusion: Patients with ATC showed better prognosis through multimodal treatment. Furthermore, IMRT could achieve favorable survival rates by safely delivering higher dose than 3D-CRT.
Purpose : This study was to evaluate survival, failure patterns, and prognostic factors of stage I squamous cell carcinoma of the glottic larynx after curative radiation therapy. Materials and Methods : A retrospective analysis was done for 57 patients with glottic cancer who were treated with curative radiation therapy from June 1985 to November 1992. There were 55 male and two female patients. Patients' age ranged from 17 to 71 years(median 39 years). Radiation therapy was delivered five times a week, 2 Gy daily, total 66 Gy using 6 MV X-ray. Results : Complete response(CR) was noted in 51 out of 57 patients (89.5%) and persistent disease (PER) in six out of 57 patients(10.5%). The disease-free survival rates at 3 and 5 years were 72.9% and 63.8%, respectively. Seven failures were observed among 51 CR patients during follow-up. Salvage total laryngectomy for six recurred patients and partial laryngectomy for one recurred patient were done with successful results, i.e., all of them were actually salvaged. Among six PER patients, salvage total laryngectomy for two patients and partial laryngectomy for two patients were done and two patients refused operation. Following salvage surgery for the four PER patients, three were salvaged and one failed locoregionally. Among the 13 failures 10(76.9%) were salvaged with surgery. The ultimate local control rate at 5 years was 92.3% and overall 47 out of 57 (82.5%) patients were able to preserve their larynx. The 5-year disease-free survival rates were 85.5% for posterior lesions, and 61.6% for anterior lesions(P<0.05). Cord mobility, involvement of anterior commissure, field size, and T stage did not impact on disease-free survival. Conclusion : Considering the high percentage of voice preservation with initial radiotherapy, radiotherapy should be the first choice in the treatment of stage 1 glottic carcinoma.
As research results, male schoolchildren were found to solve problems more easily in the area of basic process skills while female schoolchildren were found to solve problems in the area of integrated process skills. Schoolboys showed the high tendency to solve problems in a planning pattern by memory, or solving pattern in which they are fully aware of the contents of both questions and choices in answer sheets, or the pattern which they are fully aware of distracters in answer sheets; in contrast, schoolgirls showed a high tendency to get a good result by analyzing both questions & choices in answer sheets or analyzing a chart, graph and illustration, which explains that female schoolchildren tend to solve problems in more diverse ways than male schoolchildren. In case of a poor achiever, male schoolchildren tend to make a failure while trying to find answers in an inadequately understood state or trying to solve on mistaken memories while doing questions immediately while female schoolchildren showed a lot of solving patterns based on mistaken memories or wrong analyses of a chart, illustration, or graph. Such results are believed to offer the implications on the understanding of male/female schoolchildren in their problem-solving pattern of their exploratory ability in elementary science and on its subsequent program development.
The purposes of this study were to evaluate the microtensile bond strength of one-step adhesives accord ing to various dentin surface treatments and to observe the interface between resin(Z-100$^{TM}$) and dentin under SEM. In this study forty-five non-caries extracted human molars and three adhesive systems were used ; AlI-Bond 2(AB), One-Up Bond F(OU), AQ-Bond(AQ). ; In Group 1, 2, 3, AB was used and tooth surfaces were treated by smearing(S), ultrasonic cleansing(US), etching(E) respectively. In Group 4. 5, 6, One-Up Bond F was used and tooth surfaces were also treated as the same way above. In Groups 7, 8, 9, AQ Bond was used and tooth surfaces wet$.$e treated as the same way. Each specimen was prepared for microtensile bond testing, and were stored for 24hrs in 37$^{\circ}C$ distilled water. After that, microtensile bond strength for each specimen was measured. Specimens were fabricated to examine the failure patterns of interface between resin and dentin and observed under the SEM. The results were as follows ; 1. The results(mean$\pm$SD) of microtensile test were group 1, 25.69$\pm$4.31MPa; group 2, 40.93$\pm$10.94MPa; group 3, 47.65$\pm$8.85MPa; group 4, 35.98$\pm$9.14MPa; group 5, 39.66$\pm$8.45MPa; group 6, 43.26$\pm$13.01MPa; group 7, 25.07$\pm$4.2MPa;group 8, 30.4$\pm$4.74MPa;group 9, 33.61$\pm$7.88MPa. 2. One-Up Bond F was showed the highest value of 36.98$\pm$9.14MPa in dentin surface treatment with smearing, and there were significant differences to the other groups (p<0.05). 3. All-Bond 2 was showed the highest value of 40.93$\pm$10.94MPa in dentin surface treatment with ultra-sonic cleansing, but was no significant difference to One-Up Bond F(p>0.05) 4. All-Bond 2 was showed the highest value of 47.65$\pm$8.85MPa in dentin surface treatment with etch ing(10%phosphoric acid), and there were significant differences to the other groups(p<0.05). 5. All-Bond 2 was showed the highest value of 47.65$\pm$8.85MPa in dentin surface treatment according to manufacture's directions. but was no significant difference to One-Up Bond F(p>0.05). 6. AQ Bond was skewed the lowest microtensile bond strength with various dentin surface treatment, and the were significant differences to the other groups(p<0.05).
Hwang, Se Yun;Kim, Sung Chan;Lee, Jang Hyun;Nho, In Sik
Journal of the Computational Structural Engineering Institute of Korea
/
v.27
no.6
/
pp.615-624
/
2014
It has been well known the sloshing pressure has complex shape and various patterns. The pattern of sloshing pressure is variously characterized by the pressure amplitude, duration time and skewness. The structural response induced by the sloshing pressure is also affected by the pattern of sloshing pressure and the type of structural members. In order to understand the structural response by the perspective view of categorized pattern, it is more efficient to make simple sloshing pressure pattern than to reflect the complex pressure history. In this study, the sloshing pressures obtained by the small scale model test are simplified with respect to their duration and skewness. Dynamic analyses of Mark-III LNG CCS are then parametrically performed with the consideration of various types of sloshing impact. Meanwhile, the failure pressures given the duration and skewness are investigated after parametric calculations are conducted to investigate the effect of pressure parameters on the structural response.
Journal of the Computational Structural Engineering Institute of Korea
/
v.33
no.2
/
pp.121-128
/
2020
The purpose of this study is to investigate the distribution patterns of displacement and acceleration fields in a nonlinear soil ground based on the interaction of high-speed train, wheel, rail, and ground. For this purpose, a high-speed train in motion was modeled as the actual wheel, and the vertical contact of wheel and rail and the lateral contact, caused by meandering motion, were simulated; this simulation was based on the moving mass analysis. The soil ground part was given the nonlinear behavior of the upper ground part by using the modified the Drucker-Prager model, and the changes in displacement and acceleration were compared with the behavior of the elastic and inelastic grounds. Using this analysis, the displacement and acceleration ranges close to the actual ground behavior were addressed. Additionally, the von-Mises stress and equivalent plastic strain at the ground were examined. Further, the equivalent plastic and total volumetric strains at each failure surface were examined. The variation in stresses, such as vertical stress, transverse pressure, and longitudinal restraint pressure of wheel-rail contact, with the time history was investigated using moving mass. In the case of nonlinear ground model, the displacement difference obtained based on the train travel is not large when compared to that of the elastic ground model, while the acceleration is caused to generate a large decrease.
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