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Reduced Port Surgery for Prostate Cancer is Feasible: Comparative Study of 2-port Laparoendoscopic and Conventional 5-port Laparoscopic Radical Prostatectomy

  • Akita, Hidetoshi;Nakane, Akihiro;Ando, Ryosuke;Yamada, Kenji;Kobayashi, Takahiro;Okamura, Takehiko;Kohri, Kejiro
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6311-6314
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    • 2013
  • Background: While 5-port laparoendoscopic radical prostatectomy is standard practice, efforts have been focused in developing a single port surgery for cosmetic reasons. However, this is still in the pioneering stage considering the challenging nature of the surgical procedures. We have therefore focused on reduced port surgery, using only 2-ports. In this study, we compared 2-port laparoendoscopic radical prostatectomy (2-port RP) and conventional 5-port laparoscopic radical prostatectomy (LRP) for clinically localized prostate carcinoma and evaluated the potential advantages of each. Materials and Methods: From January 2010 to December 2010, all 23 patients with clinically localized prostate cancer underwent LRP. Starting November, 2010, when we introduced the reduced port approach, we performed this procedure for 22 consecutive patients diagnosed with early-stage prostate cancer (cT1c, cT2N0). The patients were matched 1:1 to 2-port RP or LRP for age, preoperative serum PSA level, clinical stage, biopsy and pathological Gleason grade, surgical margin status, pad-free rates and post-operative pain. Results: There was a significant difference in operative time between the 2-port RP and LRP groups ($286.5{\pm}63.3$ and $351.8{\pm}72.4$ min: p=0.0019, without any variation in blood loss (including urine) ($945.1{\pm}479.6$ vs $1271.1{\pm}871.8ml$: p=0.13). The Foley catheter indwelling period was shorter in the 2 port RP group, but without significance ($5.6{\pm}1.8$ vs $8.0{\pm}5.6$ days: p=0.057) and the total perioperative complication rates for 2 port RP and LRP were comparable at 4.5% and 8.7% (p=0.58). There was an improvement in pad-free rates up to 6 months follow-up (p=0.090), and significantly improvement at 1 year (p=0.040). PSA recurrence was 1 (4.5%) in 2-port RP and 2 (8.7%) in LRP. Continuous epidural anesthesia was used in most of LRP patients (95.7%) and in early 2-port RP patients (40.9%). In these patients, average total amount of Diclofenac sodium was 27.8mg/patient in 2-port RP and 50.0mg/patient in LRP. Conclusions: Thus the reduced port approach is as efficacious as LRP in terms of many outcome measures, with significant cosmetic advantages and reduction in post surgical pain. This method can be readily performed safely and therefore can be recommended as a standard laparoscopic surgery for prostate cancer in the future.

Experimental Study on the Elastic Constants of A Transversely Isotropic Rock by Multi-Specimen Compression Tests Report 2 - Statistical Evaluation and Determination of True Values of Elastic Constants (다중시험편 시험에 의한 평면이방성 암석의 탄성상수 분석연구 제 2 보 - 자료의 통계적 평가와 참값의 결정)

  • Park, Chulwhan;Park, Chan;Jung, Yong-Bok
    • Tunnel and Underground Space
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    • v.22 no.5
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    • pp.346-353
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    • 2012
  • Multi-specimen uniaxial compression test has been carried out in order to find the method to determine the five independent elastic constants from a single standard specimen of a transversely isotropic rock. Total 35 specimens of 7 different angles from a large block of rhyolite presenting the flow structure obviously are used in tests. This second report is to focus on the statistical evaluation of measured strains and analyzed elastic constants. And the determination of their true or near-true values is discussed. As the result of RSD analysis, it turns out that the reliability of measured strains is sufficiently obtained and Saint-Venant approximation is well applicable except 15 degree angled specimen in tests. RSD is decreasing on the increase of the angle of anisotropy. This tendency may be caused not only by the decreasing of the deviation of measured strains, but also by the better applicability of Saint-Venant approximation on the increase of angle. It can be concluded that the analyzed values are considered the near-true ones of five independent constants on the high reliability. But the variation of the apparent Young's modulus expected by these values is not proved to match the measured tendency. It is inferred that the factor to decrease the apparent Young's modulus and/or to increase the shear strain, is present in the test or in the nature of the anisotropy in consideration of this inconsistency.

A Clinical Evaluation of the Tumor Volume Doubling Time in Primary Bronchogenic Carcinoma (폐암환자에서 본 Tumor Doubling Time 의 임상적 의의)

  • 홍기우;이홍균
    • Journal of Chest Surgery
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    • v.6 no.1
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    • pp.15-22
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    • 1973
  • The definition of cancer, its diagnosis and its prognosis all depend upon description of growth. To the layman a synonym for cancer is a "growth". There are no quantitative terms for the description of growth or growth rate in clinical use. There has been no attempt to assign values that would define "rapidly" or "slowly" growing. Estimates of growth potentiality are implied in the descriptive phrases "poorly differentiated" or "well differentiated", "highly malignant" or "low grade malignancy". and in systems of grading. These qualifying terms represent a personal impression, clinically useful in prognosis, but relative in nature. They do not lend themselves to uniform application or precise measurement for purpose of comparison. Growth is related to size and time. The volume of tumor depends upon the duration of the period of growth and the rate of growth. If the interval and change in volume are known. the average growth rate can be determined. If the growth rate is determined, and assumed to be constant., the duration of a given tumor and the time of inception can be estimated. The commonest concept of the origin of cancer is that as a result of a mutation involving a single cell, succeeding divisions of cells establish a colony with the characteristics recognizable as cancer. If the growth rate of the hypothetical tumor were constant it could be described in terms of "tumor volume doubling time". In the department of thoracic surgery of St. Mary hospital in Catholic Medical College, a clinical evaluation for the growth rate, degree of malignancy, resectability and prognosis was done on a total 24 cases of primary bronchogenic carcinoma which contour was significant on the chest X-ray film as possible estimating the tumor volume doubling time. The following results were obtained: 1. In the cases of 6.0cm or more in diameter of minor size at operation the resectability rate was lower and in the cases of 60 days or more in the tumor or volume doubling time the resectability rate was higher. 2. If differentiation of cancer cells was lower graded in tissue pathology, the tumor volume was shorter and the resectability rate was lower. 3. The tumor volume doubling time of the primary bronchogenic carcinoma occured more over 60 years of age was slightly shorter than under 60 years of age. 4. The tumor size at operation was more important to evaluate the survival time and prognosis than the tumor volume doubling time because the tumor growth was not always constant, we presume.mor volume doubling time because the tumor growth was not always constant, we presume.

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BS/channeling studies on the heteroepitaxially grown $Y_2O_3$ films on Si substrates by UHV-ICB deposition (실리콘 기판 위에 UHV-ICB 증착법으로 적층 성장된 $Y_2O_3$박막의 BS/channeling 연구)

  • 김효배;조만호;황보상우;최성창;최원국;오정아;송종한;황정남
    • Journal of the Korean Vacuum Society
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    • v.6 no.3
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    • pp.235-241
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    • 1997
  • The crystallinity and the structure of heteroepitaxially grown $Y_2O_3$ films on the silicon substrates deposited by Ultra High Vacuum Ionized Cluster Beam(UHV-ICB) were investigated by Back-scattering Spectroscopy(BS)/channeling. The channeling minimum values, $X_{min}$, of the $Y_2O_3$ films deposited by other methods were 0.8~0.95 up to the present, which indicates amorphous or highly polycrystalline nature of the $Y_2O_3$ films. On the contrary, the channeling minimum value of heteroepitaxially grown $Y_2O_3$ films on Si(100) and Si(111) deposited by UHV-ICB are 0.28 and 0.25 respectively. These results point out fairly good crystalline quality. It is also observed that the top region of $Y_2O_3$ films have less crystalline defects than the bottom region regardless of the crystal direction of the Si substrates. The axis of $Y_2O_3$<111> epitaxially grown on Si(111) is tilt by $0.1^{\circ}$ with respect to Si<111>. That of $Y_2O_3$<110> on Si(100) is parallel to the Si<001>. The $Y_2O_3$ film on Si(100) grew with single domain structure and that on Si(111) grew with double domain structure. From the result of oxygen resonance BS/channeling, the oxygen atoms in heteroepitaxially grown $Y_2O_3$ film on Si(111) substrate have the crystallinity, but that on Si(100) shows almost channeling amorphous state.

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Effect of Chemical Composition and Dietary Enzyme Supplementation on Metabolisable Energy of Wheat Screenings

  • Mazhari, M.;Golian, A.;Kermanshahi, H.
    • Asian-Australasian Journal of Animal Sciences
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    • v.24 no.3
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    • pp.386-393
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    • 2011
  • Three trials were conducted to determine the available energy of different wheat screening varieties collected from different locations of Khorasan in Iran. In experiment 1, chemical composition and the nitrogen corrected true metabolisable energy (TMEn) were evaluated. A precision-fed rooster assay was used, in which, each wheat screening sample was tube fed to adult roosters, and the excreta were collected for 48-h. In Exp. 2 and 3, five and two wheat screening verities-based diets with or without xylanase and phytase were fed to 16-day old battery reared chicks respectively, and total feed consumption and excreta were measured during next three days. The variable nature of wheat screening varieties led to significant differences in mean TMEn values (p<0.01). The TMEn values of samples determined with adult roosters varied by ${\pm}5.03%$ of the mean value ($3,097.65{\pm}49.32\;kcal/kg$) and ranged from 2,734.90 to 3,245.12 kcal/kg. There was a significant correlation (p<0.05) between crude fiber (CF), neutral detergent fiber (NDF), and acid detergent fiber (ADF) with TMEn, and the greatest correlation coefficient was observed between NDF and TMEn (r = -0.947; p<0.001). The optimal equation in terms of $R^2$ from using a single chemical analysis was obtained with NDF: TMEn = 4,152.09-27.80 NDF ($R^2$ = 0.90, p<0.0001), and the TME prediction equation was improved by the addition of the crude protein (CP) and ASH content to sequential analysis: TMEn = 3,656.97-28.65 NDF+32.54 CP+38.70 ASH ($R^2$ = 0.98, p<0.0001). The average AMEn values of 5 and 2 wheat screening varieties determined with young broiler chickens were $2,968.41{\pm}25.70\;kcal/kg$ and $2,976.38{\pm}8.34\;kcal/kg$ in Exp. 2 and Exp. 3, respectively. Addition of xylanase and phytase to wheat screenings resulted in significant (p<0.01) improvement in AMEn by 4.21 and 2.92%, respectively.

The Influence of Unattended Distractors on the Identification of Targets (주의하지 않은 방해자극이 표적의 식별에 미치는 영향)

  • Park, ChangHo
    • Korean Journal of Cognitive Science
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    • v.24 no.4
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    • pp.365-391
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    • 2013
  • Negative repetition effect (NRE) refers to the phenomenon that the accuracy of report is impaired when a target was flanked by the same distractor than when by alternative distractor. To probe the nature of NRE, this study introduced attention window(s) indicating the positions where a target might be presented, and non-attention window(s) where a target could not be presented. Attention windows are supposed to help participants detect targets readily. Two among three positions are indicated by attention windows in Exp. 1, and a single large attention window encompassing central two positions among four positions was used in Exp. 2, and either large or small attention window was used depending on the number of target candidates in Exp. 3. In the result of three experiments, NREs were consistently observed when both positions of a target and a distractor were indicated by previous attention windows. However, NREs (including its tendency) and its opposite, PREs were observed when a distractor was presented in the non-attention position, depending on its distance from the target and the size of attention window. It seems that this pattern of repetition effects is hard to be explained by repetition blindness hypothesis (Kanwisher, 1991), positional uncertainty hypothesis (Keren & Boer, 1985), and inhibitory attention capture hypothesis (Kwak et al., 1993). Instead it was proposed that shifting of spatial attention should be considered accordingly with the structure of stimulus display. The promising role of this task was discussed in studying the relation of attention and perception.

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The Relationship between Explicit/Implicit Dependency and Depression (외현적/암묵적 의존성과 우울과의 관계)

  • Park, Sunhee;Oh, Kyung Ja
    • Korean Journal of Cognitive Science
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    • v.27 no.4
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    • pp.599-618
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    • 2016
  • The relationship between dependent personality traits and depression has been widely studied in the field of psychology. However, the existing evidence is mixed and often contradictory, obscuring the precise nature of this relationship. Given that the most common method of measuring the construct of dependency has been to administer self-report instruments, it is possible that implicit dependency, another parameter of dependency that is distinct from explicit dependency measured via self-report, is confounding these results. The current study aimed to clarify the relationship between dependency and depression by comparing the effect of implicit and explicit dependency. Implicit dependency was measured via the Single Category-Implicit Association Test (SC-IAT), a test of implicit personality that has shown to have good validity and reliability in previous studies. In addition, we examined the effect of gender on this relationship, given the potential role of gender stereotype that may make male participants show lower levels of dependency when measured through self-report (vs. SC-IAT). Results showed that implicit and explicit dependency indeed had separate and distinct relationships, and the relationships depends on participants' gender. Among female participants, increased explicit dependency predicted depression only when implicit dependency was also elevated. In contrast, explicit dependency predicted depression regardless of the level of implicit dependency in male participants. These findings suggest that implicit and explicit dependency may be separate parameters capturing different aspects of dependent personality traits, further supporting the need to consider the implicit aspect of personality in personality assessment research. Implications and limitations of the current findings and directions for future research are discussed.

Structure and Magnetic Properties of Ho and Ni Co-doped BiFeO3 Ceramics

  • Hwang, J.S.;Yoo, Y.J.;Park, J.S.;Kang, J.H.;Lee, K.H.;Lee, B.W.;Kim, K.W.;Lee, Y.P.
    • Proceedings of the Korean Vacuum Society Conference
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    • 2014.02a
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    • pp.183-183
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    • 2014
  • Recently, multiferroic materials gain much attention due to their fascinating fundamental physical properties. These materials offer wide range of potential applications such as data storage, spintronic devices and sensors, where both electronic and magnetic polarizations can be coupled. Among single-phase multiferroic materials, $BiFeO_3$ is typical because of the room-temperature magnetoelectric coupling in view of long-range magnetic- and ferroelectric-ordering temperatures. However, $BiFeO_3$ is well known to have large leakage current and small spontaneous polarization due to the existence of oxygen vacancies and other defects. Furthermore the magnetic moment of pure $BiFeO_3$ is very weak owing to its antiferromagnetic nature. Recently, various attempts have been performed to improve the multiferroic properties of $BiFeO_3$ through the co-doping at the A and the B sites, by making use of the fact that the intrinsic polarization and magnetization are associated with the lone pair of $Bi^{3+}$ ions at the A sites and the partially-filled 3d orbitals of $Fe^{3+}$ ions at the B sites, respectively. In this study, $BiFeO_3$, $Bi_{0.9}Ho_{0.1}FeO_3$, $BiFe_{0.97}Ni_{0.03}O_3$ and $Bi_{0.9}Ho_{0.1}Fe_{0.97}Ni_{0.03}O_3$ bulk compounds were prepared by solid-state reaction and rapid sintering. High-purity $Bi_2O_3$, $Ho_2O_3$, $Fe_2O_3$ and $NiO_2$ powders with the stoichiometric proportions were mixed, and calcined at $500^{\circ}C$ for 24 h to produce the samples. The samples were immediately put into an oven, which was heated up to $800^{\circ}C$ and sintered in air for 1 h. The crystalline structure of samples was investigated at room temperature by using a Rigaku Miniflex powder diffractometer. The field-dependent and temperature-dependent magnetization measurements were performed with a vibrating-sample magnetometer and superconducting quantum-interference device.

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An Analysis of Clinical Characteristics on the Medical book of Koryŏ Dynasty, Hyang'yak Kugŭppang (鄕藥救急方, Medical Recipes of Local Botanicals for Emergency Use) (고려 의서 『향약구급방』의 임상 의학 특징 분석)

  • Oh, Chaekun;Kim, Sanghyun;Yi, Kiebok;Jeon, Jongwook;Shin, Dongwon
    • Herbal Formula Science
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    • v.28 no.3
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    • pp.289-300
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    • 2020
  • Objectives : In this paper, We pointed out medico-historical meaning of Hyang'yak Kugŭppang (鄕藥救急方, Medical Recipes of Local Botanicals for Emergency Use), a medical book of Koryŏ Dynasty, breaking from the existing analysis view based on Hyang'yak (鄕藥), local herbs produced in Korean Peninsula. Methods : For that purpose, we analyzed the clinical characteristics of the diseases and symptoms, strategies of treatment, therapeutic tools, drug formulations, composition of herbal formulas in Hyang'yak Kugŭppang. Results : The following characteristics were confirmed in Hyang'yak Kugŭppang. First, it contained a way to cope with the diseases and symptoms that do not have to check the exterior, interior, cold, and heat. Also, it introduced basic strategies such as reducing, facilitating flow, draining downward, warming, or tonifying, etc. It mainly included herbal medicine as the therapeutic tools, and introduced formulas composed by single herb than complex recipes. It suggested external applications more than internal use, and proposed formulations in the form of decoctions or powders, etc. The herbs of formulas were used by experience without explanations of nature & taste, efficacy of each herbs. Conclusions : Hyang'yak Kugŭppang is a book of medical recipes for emergency use that has been distributed to help gentries, even if they do not have professional medical knowledge, to instantly cope with diseases and symptoms with medicines that are easy to obtain. Previous researches has analyzed the value of Hyang'yak Kugŭppang as a collection of information of hyang'yak, and used it as a historical basis of the uniqueness of Korean medicine. Since Hyang'yak Kugŭppang is not a book specialized for herbs, but rather a clinical medical book that introduces recipes for specific symptoms of diseases, if we pay attention to the clinical characteristics of Hyang'yak Kugŭppang, it will provide an opportunity to describe Koryŏ or Korean medicine in a new way.

Rediscovery of haploid breeding in the genomics era (유전체 시대에 반수체 육종의 재발견)

  • Lee, Seulki;Kim, Jung Sun;Kang, Sang-Ho;Sohn, Seong-Han;Won, So Youn
    • Journal of Plant Biotechnology
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    • v.43 no.1
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    • pp.12-20
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    • 2016
  • Advances in DNA sequencing technologies have contributed to revolutionary understanding of many fundamental biological processes. With unprecedented cost-effective and high-throughput sequencing, a single laboratory can afford to de novo sequence the whole genome for species of interest. In addition, population genetic studies have been remarkably accelerated by numerous molecular markers identified from unbiased genome-wide sequences of population samples. As sequencing technologies have evolved very rapidly, acquiring appropriate individual plants or populations is a major bottleneck in plant research considering the complex nature of plant genome, such as heterozygosity, repetitiveness, and polyploidy. This challenge could be overcome by the old but effective method known as haploid induction. Haploid plants containing half of their sporophytic chromosomes can be rapidly generated mainly by culturing gametophytic cells such as ovules or pollens. Subsequent chromosome doubling in haploid plants can generate stable doubled haploid (DH) with perfect homozygosity. Here, classical methodology to generate and identify haploid plants or DH are summarized. In addition, haploid induction by epigenetic regulation of centromeric histone is explained. Furthermore, the utilization of haploid plant in the genomics era is discussed in the aspect of genome sequencing project and population genetic studies.