Park, Eun Young;Kim, Yeon-Sil;Choi, Kyu Hye;Song, Jin Ho;Lee, Hyo Chun;Hong, Sook-Hee;Kang, Jin-Hyoung
Radiation Oncology Journal
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v.37
no.3
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pp.166-175
/
2019
Purpose: This study aimed to investigate neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) as prognostic factors in patients with locally advanced non-small cell lung cancer (NSCLC) who received concurrent chemoradiotherapy (CCRT). Materials and Methods: We retrospectively analyzed 66 patients with locally advanced NSCLC treated with definitive CCRT. Among these patients, 95% received paclitaxel/carboplatin or docetaxel/cisplatin. The median radiation dose was 66 Gy in 33 fractions. The NLR and PLR before/after CCRT were evaluated. The maximally selected log-rank test was used to obtain the cutoff values related to the overall survival (OS). Results: Patients with high post-CCRT NLR (>3.12) showed worse OS, locoregional progression-free survival (LRPFS), and distant metastasis-free survival (DMFS) than those with low NLR (2-year OS: 25.8% vs. 68.2%, p < 0.001; 2-year LRPFS: 12.9% vs. 33.8%, p = 0.010; 2-year DMFS: 22.6% vs. 38.2%, p = 0.030). Patients with high post-CCRT PLR (>141) showed worse OS and LRPFS than those with low PLR (2-year OS: 37.5% vs. 71.1%, p = 0.004; 2-year LRPFS: 16.5% vs. 40.3%, p = 0.040). Patients with high NLR change (>1.61) showed worse OS and LRPFS than those with low NLR change (2-year OS: 26.0% vs. 59.0%, p < 0.001; 2-year LRPFS: 6.8% vs. 31.8%, p = 0.004). The planning target volume (hazard ration [HR] = 2.05, p = 0.028) and NLR change (HR = 3.17, p = 0.025) were the significant factors for OS in the multivariate analysis. Conclusion: NLR change after CCRT was associated with poor prognosis of survival in patients with locally advanced NSCLC. An elevated NLR after CCRT might be an indicator of an increased treatment failure risk.
Jo, Ji Hwan;Ahn, Seung Do;Koh, Minji;Kim, Jong Hoon;Lee, Sang-wook;Song, Si Yeol;Yoon, Sang Min;Kim, Young Seok;Kim, Su Ssan;Park, Jin-hong;Jung, Jinhong;Choi, Eun Kyung
Radiation Oncology Journal
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v.37
no.3
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pp.224-231
/
2019
Purpose: To investigate the patterns of recurrence in patients with neuroblastoma treated with radiation therapy to the primary tumor site. Materials and Methods: We retrospectively analyzed patients with high-risk neuroblastoma managed with definitive treatment with radiation therapy to the primary tumor site between January 2003 and June 2017. These patients underwent three-dimensional conformal radiation therapy or intensity-modulated radiation therapy. A total of 14-36 Gy was delivered to the planning target volume, which included the primary tumor bed and the selected metastatic site. The disease stage was determined according to the International Neuroblastoma Staging System (INSS). We evaluated the recurrence pattern (i.e., local or systemic), progression-free survival, and overall survival. Results: A total of 40 patients with high-risk neuroblastoma were included in this study. The median patient age was 4 years (range, 1 to 11 years). Thirty patients (75%) had INSS stage 4 neuroblastoma. At the median follow-up of 58 months, there were 6 cases of local recurrence and 10 cases of systemic recurrence. Among the 6 local failure cases, 4 relapsed adjacent to the radiation field. The other 2 relapsed in the radiation field (i.e., para-aortic and retroperitoneal areas). The main sites of distant metastasis were the bone, lymph nodes, and bone marrow. The 5-year progression-free survival was 70.9% and the 5-year overall survival was 74.3%. Conclusion: Radiation therapy directed at the primary tumor site provides good local control. It seems to be adequate for disease control in patients with high-risk neuroblastoma after chemotherapy and surgical resection.
Pink root disease of onion, a known worldwide constraint upon onion production, significantly reduces crop levels in the main Korea cultivation area. In order to examine the effect of flooding on incidence of pink root disease caused by Pyrenochaeta terrestris and on onion growth and on populations of soil fungi, field experiments were conducted during two seasons, 2003/04 and 2004/05 at Onion Research Institute. Populations of soil fungi from fields were assayed on selective media. Flooding treatment was effective in reducing populations of P. terrestris, Pythium spp., and Rhizoctonia sp. in soil; fungal populations in soils flooded for 90 days were reduced to 1/2 to 1/3 of those in non-flooded soils. In nursery bed, protective activities of soils flooded for over 60 days were 93.5 to 99.2% and their pink root incidences were less than 5%, which were 1/11 to 1/18 of that in control. Increased yield of onion bulbs was associated with control of soil borne pathogenic fungi by flooding treatments. As flooding period was prolonged, bulb grade showed the tendency to increase. Soil flooding for over 60 days resulted in effective disease control, facilitated accurate planning of plant population in the field, extension of the growing-season and consequently higher yields of better quality.
Moon, Kyung Min;Cho, Geon;Sung, Ha Min;Jung, Min Su;Tak, Kyoung Seok;Jung, Sung-Won;Lee, Hoon-Bum;Suh, In Suck
Archives of Plastic Surgery
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v.40
no.5
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pp.610-615
/
2013
Background Cephalometric analysis is essential for planning treatment in maxillofacial and aesthetic facial surgery. Although photometric analysis of the Korean nose has been attempted in the past, anthropometry of the deeper nasal structures in the same population based on computerized tomography (CT) has not been published. We therefore measured three anthropometric parameters of the nose on CT scans in our clinical series of patients. Methods We conducted the current retrospective study of a total of 100 patients (n=100) who underwent a CT-guided radiological measurement at our institution during a period ranging from January of 2008 to August of 2010. In these patients, we took three anthropometric measurements: the nasofrontal angle, the pyramidal angle, and the linear distance between the nasion and the tip of the nasal bone. Results The mean nasofrontal angle was $131.14^{\circ}$ in the male patients and $140.70^{\circ}$ in the female patients. The mean linear distance between the nasion and the tip of the nasal bone was 21.28 mm and 18.02 mm, respectively. The mean nasal pyramidal angle was $112.89^{\circ}$ and $103.25^{\circ}$ at the level of the nasal root, $117.49^{\circ}$ and $115.60^{\circ}$ at the middle level of the nasal bone, and $127.99^{\circ}$ and $125.04^{\circ}$ at the level of the tip of the nasal bone, respectively. Conclusions In conclusion, our data will be helpful in the preparation of silicone implants for augmentation and/or corrective rhinoplasty in ethnic Korean people.
Comparison of the dose aspect that radiation therapy treatments using IMRT, tomotherapy, mArc (modulated arc therapy). The experimental subject is non-small cell lung cancer patient. The prescription dose is 58.0 Gy to the volume of PTV(planning target volume). and spinal cord, esophagus, and liver organ is the normal organ(OAR, organ at risk). Average PTV value is 57.60 Gy in mArc and 61.04 Gy in tomotherapy and 58.95 Gy in IMRT. The average dose of the Esophagus is 2.84 Gy in m-Arc, 5.14 Gy in tomotherapy, 1.84 Gy in IMRT. The average dose of the Liver is 19.44 Gy in m-Arc, 12.22 Gy in tomotherapy, 21.97 Gy in IMRT. The average dose of the Spinal cord is 5.72 Gy in m-Arc, 7.08 Gy in tomotherapy, 6.15 Gy in IMRT. Results of this study is no significant difference between mArc and tomotherapy and Linac based IMRT in dose study and also, mArc's dose coverage and dose volume histogram is better than IMRT and tomotherapy. but, This study is limited to a disease of cancer. in addition, fewer number of groups. The wide range the more research can be developed patient-specific treatment techniques and be applied to the patients
Environmental capacity assessment of Busan city was conducted to provide basis for planning on sustainable development and growth of the city. Using Onish model, assessment was carried out on amenities and service facilities for the citizens of Busan city. Ecological Footprint model was used to judge if the city exceeds the its environmental capacity and to estimate the extent of the excess if it exists. The analysis using Onish model revealed that the citizens of Busan city are generally well supported by the infrastructure and service facilities of the city. Water treatment and supply facilities have enough capabilities to support the city, whereas the relatively low rate of sanitary sewer supply (78%) suggests the need for further improvement in the wastewater area. The capacities of sanitary landfills are found sufficient enough to support the city for the next 10 years. The high value for the line length served per capita in the subway sector hints on certain inconvenience of commuters. All the air quality indicators meet the Korean and WHO standards except for $NO_2$. The ecological footprint model analysis produced EF indicators for Busan city of 3.04 ha/person and 2.54 ha/person for the years of 1993 and 2003, respectively. The decrease of the indicator from 1993 to 2003 is mainly due to the incorporation of Gijang area by Busan city in 1995, suggesting the importance of the ecologically productive area in the evaluation using this model. The analysis on the ecological deficit that is based on ecologically productive land shows that the consumption by Busan city exceeds its ecologically available production by 19,600% as of 2003. The area needed to support the consumption of Busan city in 2003 is 123 times as large as the present area of Busan city, which is substantially lower than the multiplier (742) obtained for Seoul city in 1997 but is higher than those observed for Chongju city (71 in 1999) and Ulsan city (39 in 2001).
Coal ash is generated from coal-fired thermal power plants every year. The remaining quantity of coal ash ends up in the landfills except for the recycled portion, and the existing ash pond capacity is limited almost. Currently, the difficulties are faced in building a new ash treatment plant because of the concerns about the environmental impacts of landfills at individual plant facilities. In terms of minimizing the environmental impact, the recycling and effective uses of coal ash are recognized as urgent issues to be challenged. Accordingly, this study examines the obstacles in expanding the recycling of the coal ash in South Korea and proposes solutions based on the case study analysis. The analysis results are as follows: 1) specific recycling guidelines and standards are required to be established in accordance with the contact medium (soil, ground water, surface water and sea water) and the chemical. 2) by providing the recognition environmentally safe in recycling the coal ash, transparency in establishing the planning stages and active communication with the community through promotion and research are essentially needed. 3) practical support system is required to encourage the power plant companies to use the coal ash as beneficial use.
The purpose of the study are expected to provide some basic information on counseling, diagnosis and treatment planning for patients related to teeth care. A self-reported questionnaire was filled out by 320 subjects in Seoul and Gyeonggi from May to August, 2015 after permission from Institutional Review Board (IRB). Except 18 copies, 302 data were analyzed using SPSS WIN 19.0 program. The questionnaire consisted of four questions of the general characteristics of the subjects, ten questions of the awareness toward of subjective teeth, five questions of the influence of teeth on appearance, and ten questions of self-esteem. The dependent variables made a 23.4% prediction of self-esteem. If they have higher education(p<0.001), influence of teeth on appearance(p<0.001) and the awareness toward of subjective teeth(p<0.001) had significant influence on self-esteem. The findings suggest that heightened subjective awareness toward teeth seems to be of use for the improvement of self-esteem. Therefore it's required to make an effort to take good care of teeth in terms of color or arrangement as well as oral health.
Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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v.22
no.1
/
pp.47-51
/
2011
Background and Objectives: Vocal polyps arc one of the most frequent benign laryngeal diseases. They arc usually found at the midpoint of the vocal fold. They are mainly caused by vocal overuse. Vocal polyps arc usually removed surgically. Generally, age-related changes to speech are attributed to change in anatomy and physiology of the speech mechanism. These changes result in increased variability in the acoustic properties of speech with age. Still, not 'all studies of age-related changes in speech have taken differences between the young group and adult group after laryngeal microsurgery into account. The aim of this investigation was to compare improvement of acoustic analysis in young patients and elderly patients with vocal polyps, before and after the laryngeal microsurgery. Materials and Method: One hundred and twenty-eight patients who underwent laryngeal microsurgery for vocal polyps from 2008 through 2011 were reviewed retrospectively. 105 of the 128 patients under age 60 were classified as adult group (AG), and remaining 23 patients as elderly group (EG). The speech of AG and EG were evaluated before and after surgery for identification of differences for age group across measures of fundamental frequency (F0), Jitter, Shimmer and Maximum phonation time (MPT). Results: There were not significant differences between two groups for improvement of F0, Jitter, Shimmer, NHR, and MPT before and after surgery. The findings suggest that elderly group compares quite well with adult group in effectiveness of surgery. However, comparison between elderly group and young group (Age under 40) there was significant difference of improvement in Jitter and Shimmer. Conclusion: In general, the results of the present research showed significant improvement in vocal quality after phonosurgery of vocal polyp in both elderly and adult group. However, comparison of improvement between elderly group and young group, there were significant differences of improvement in jitter and shimmer. Therefore, in treatment planning of elderly group, we should consider age related changes of vocal cord.
It's basically meant to make a contribution to the promotion of the oral health of shipbuilding workers and to the improvement of oral health education planning, industrial oral health policy setting and the related system, as it seems that the working environments of shipbuilding workers are very harsh due to the unique characteristics of their working process. The subjects in this study were the workers who were selected by convenience sampling from shipbuilding companies and their subcontractors in South Jeolla Province that numbered 10. The workers were surveyed to determine the relationship between their oral health education experience and oral health awareness, and the findings of the study were as follows: Out of the 310 workers investigated, 89.4 percent had no experience to receive oral health education, those who had no experience to receive oral health education fell behind in terms of oral health knowledge, awareness, concern and perception of oral health importance, and there was close correlation among their oral health knowledge, awareness, concern and perception of oral health importance. Those without oral health education experience cited lack of opportunities as the reason, the workers preferred to receive education about the prevention and treatment of dental caries, and their favorite educational method was lectures given by dentists, the workers who had oral health education experience had a more intention to receive oral health education than the others who hadn't.
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