Background/Aim: In gallbladder cancer (GBC), gender differences in incidence and mortality rates have been reported with geographic variation. However, there is little known about sex-related difference in GBC prognosis. This study compares prognostic factors according to gender for GBC. Methods: We searched clinicopathological factors in all stages of 952 GBC patients from seven medical centers in Korea. A total of 927 patients were enrolled and surgery with curative resection was performed in 499 patients. Results: Carbohydrate antigen (≥37 U/mL) was a significant prognostic factor in both females and males (odd ratio [OR], 4.30; 95% confidence interval [CI], 3.13-5.89; p<0.001). Age was a significant factor only in female patients, elderly patients were associated with low resectability and the likelihood of T-stage >2; an independent predictor of poor prognosis via multivariate analysis (OR, 1.03; 95% CI, 1.01-1.05; p=0.005, OR, 1.05; 95% CI, 1.02-1.08; p=0.002). Body mass index (BMI) also showed gender difference, and lower BMI (≤25 kg/m2) was the significant good indicator of multivariate analysis for lymph node metastasis in female patients (OR, 0.42; 95% CI, 0.23-0.77; p=0.005) but, the significant poor indicator of univariate analysis for advanced T-stage in male (OR, 2.79; 95% CI, 1.40-5.54; p=0.003). Conclusions: These results suggest that there is a possibility of gender difference in GBC prognosis. Age and high BMI were poor prognostic factors for curative resection for female GBC patients.

In this experiment, the engine (i30 FD) was fabricated and installed in front of the intake manifold of the gasoline engine of the 2010 1,600cc MPI(Multi Point Injection) 4-cylinder 16-valve DOHC(Double Over Head Camshaft) electronic control fuel injection system, and the plenum chamber was 150cc, 300cc, 4. The engine rotation speed was increased from 1000rpm to 3000rpm by 500rpm, and the pressure change and engine volume efficiency change of the air intake manifold runner were analyzed. In this study, the volume of air flowing into the cylinder was maximized through the stabilization of pressure vibration in the intake manifold runner part due to the engine operation condition and the volume change of the intake manifold plenum chamber, and the uniform distribution rate of the intake air was confirmed by minimizing the interference between the cylinders. It has in the purpose to analyze the flow characteristic at the intake manifold inside. It can apply to obtain the optimal design factor.

배경/목적: 2012년 급성췌장염의 애틀랜타 분류 개정안이 발표되었고 이후 널리 이용하고 있다. 본 연구는 1992년 애틀랜타 분류와 2012년 개정안을 이용하여 급성췌장염 환자를 분류한 후 임상경과를 비교하였다. 방법: 2012년 1월부터 2013년 7월 사이 대구경북지역 6개 대형 병원에 입원한 총 574명의 급성췌장염 환자를 대상으 로 후향적 연구를 시행하였다. 1992년 애틀랜타 분류와 2012 년 개정안을 이용하여 중등도 평가를 시행하고 인구 통계 자료, 장기부전, 국소합병증, 입원기간, 임상경과 등을 분석하였다.결과: 대상 중 377명(65.7%)이 남성이었다. 연령의 중간값 은 55.4세였다. 급성췌장염의 2대 원인은 음주(238명, 41.5%)와 담석(193명, 33.6%)이었다. 2012년 개정안에 따르 면 경증췌장염은 356명(62%), 중등췌장염은 197명(34.3%), 중증췌장염은 21명(3.7%)이었다. 입원기간은 중증도 증가에 따라 통계학적으로 유의하여 증가하였다(경증 5.9일, 중 등 8.3일, 중증 13일, p <0.001). 모든 경증 및 중등췌장염 환자는 임상적으로 호전되었다. 하지만, 호전을 보이지 않은 11명은 모두 중증췌장염에 속했다. 결론: 애틀랜타 분류 개정안이 급성췌장염의 임상경과를 예측하는 데 있어 좋은 방법이다.

The purposes of this study are to review some practical experiences in multi-agency collaboration efforts for the juvenile delinquents in U.S. and to make policy implications, practice for a better multi-agency collaboration system in Korea. Based on these findings, this study suggests multi-agency collaboration for the juvenile delinquents in the juvenile justice process in Korea as follows: First, Goverment should legislate for multi-agency collaboration in the juvenile justice process, establish collaboration system and juvenile correctional center. Second, Collaboration managers or coordinator should be trained so that they can play a variety of professional roles in managing collaboration programs and developed the various programs. Third, The supporting organizations such as goverment, enterprises, schools, social welfare agency, united way, voluntary agency or group, community should be developed and, furthermore, supporting thing such as juvenile justice information resources, financial, technical assistance to enhance the capacity of those correctional institutions.

This study emphasizes a comprehensive strategy to reduce crime risk factors in individual, family, school, peer group, and community levels. This effort includes prevention, early intervetion, and treatment services for juvenile offenders. This study offers a coordinated, community-based multi-agency network system both to provide several simultaneous services for youths and to reduce disorganized neighborhood environments. This stuy suggests a role of each agency such as family, school, welfare center, police, probation officials, church, business, and residents in a community-based comprehensive multi-agency collaboration. This study emphasizes the engagement of neighborhood residents as a main role in comprehensive multi-agency activities.

In adults, the complications of measles are more fatal and the viremia lasts longer than in children. Reports on severe forms of measles in adults are rare and no cases of elderly adults who experienced multiple organ failure in Korea have been reported. A 68-year-old man with a rash, fever, cough, and conjunctivitis was admitted to our hospital and confirmed by positive expression of specific IgM antibody to measles. The patient experienced acute kidney injury and acute lung injury requiring renal replacement therapy and mechanical ventilation. Herein, we report on a rare case of measles showing multiple organ failure in an elderly adult.