Radiofrequency Ablation of Thyroid Nodules: Basic Principles and Clinical Application

Radiofrequency (RF) ablation has been gaining popularity as a minimally invasive treatment for benign thyroid nodules regardless of the extent of the solid component. RF ablation of benign nodules demonstrated volume reductions of 33–58% after one month and 51–85% after six months, while solving nodule-related clinical problems. RF ablation has recently shown positive short-term results for locoregional control as well as symptom improvement in patients with recurrent thyroid cancers. This paper reviews the basic physics, indications, patient preparation, devices, procedures, clinical results, and complications of RF ablation

Knowledge-Augmented Language Model Verification

Recent Language Models (LMs) have shown impressive capabilities in generating texts with the knowledge internalized in parameters. Yet, LMs often generate the factually incorrect responses to the given queries, since their knowledge may be inaccurate, incomplete, and outdated. To address this problem, previous works propose to augment LMs with the knowledge retrieved from an external knowledge source. However, such approaches often show suboptimal text generation performance due to two reasons: 1) the model may fail to retrieve the knowledge relevant to the given query, or 2) the model may not faithfully reflect the retrieved knowledge in the generated text. To overcome these, we propose to verify the output and the knowledge of the knowledge-augmented LMs with a separate verifier, which is a small LM that is trained to detect those two types of errors through instruction-finetuning. Then, when the verifier recognizes an error, we can rectify it by either retrieving new knowledge or generating new text. Further, we use an ensemble of the outputs from different instructions with a single verifier to enhance the reliability of the verification processes. We validate the effectiveness of the proposed verification steps on multiple question answering benchmarks, whose results show that the proposed verifier effectively identifies retrieval and generation errors, allowing LMs to provide more factually correct outputs. Our code is available at https://github.com/JinheonBaek/KALMV.Comment: EMNLP 202

Autonomous Control Strategy of DC Microgrid for Islanding mode using Power Line Communication

This paper proposes a DC-bus signaling (DBS) method for autonomous power management in a DC microgrid, used to improve its reliability. Centralized power management systems require communication between the power sources and loads. However, the DBS method operates based on the common DC-bus voltage and does not require communication. Based on the DC-bus voltage band, the DC-bus voltage can be used to inform the status of the DC-bus in various scenarios. The DC microgrid operates independently to maintain the system stably in the DC-bus voltage band. The DC microgrid can be divided into a grid-connected mode and an islanding mode. This paper proposes a control strategy based on power management of various independent components in islanding mode. In addition, the autonomous control method for switching the converter???s operation between grid-connected mode and islanding mode is proposed. A DC microgrid test bed consisting of a grid-connected AC/DC converter, a bidirectional DC/DC converter, a renewable energy simulator, DC home appliances and a DC-bus protector is used to test the proposed control strategy. The proposed autonomous control strategy is experimentally verified using the DC microgrid test bed

Session D5: Current Status of Fish Passages in South Korea

Abstract: Weirs are important for countries that agriculture is the primary industry due to the stable supply of water to agricultural fields. Because agriculture is still important in Korean peninsula, weirs have been constructing until now from small streams to large rivers. However, only limited fish passages were installed in weirs, and there were no managements. As a results, streams and rivers have become highly fragmented, with fish migration being severely impeded. Thus, ministry of agriculture, food and rural affairs investigated entire fish passages in Korea in 2010-2011, and estimated current status and problems. A total of 33,718 weirs were installed (until year 2012), and this means that weirs are arithmetically located every 0.81km of the total stream length in Korea. Fish passages, however, were constructed only in 4,496 weirs (13.3% of installation rate). The weir type fish passages with Ice- Harbor type fishways (8.1%) which are favoured nowadays was showed the greatest number (36%), and the vertical slot type passages was in the second place (31%). The denil type and nature-like type were rarely installed. Only 18.1% of installed fish passages were left whole, and urgent repair is needed for 56.7%. Fish passages of 31.3% were incorporated into the recommended slope range of Korea (1:20). Most of problems are related discharge, poor entrance, breakage and sedimentation. With these structural problems, discontinuous installation of fish passages generates poor continuity of streams. Currently, to improve stream connectivity many projects from Korean government are now conducting and preparing, and additionally development of fish passages specialized for Korean fishes are required

Comparison of total body irradiation-based or non-total body irradiation-based conditioning regimens for allogeneic stem cell transplantation in pediatric leukemia patients

Purpose : This study aims to compare the outcome of total body irradiation (TBI)- or non-TBI-containing conditioning regimens for leukemia in children. Methods : We retrospectively evaluated 77 children conditioned with TBI (n=40) or non-TBI (n=37) regimens, transplanted at Chonnam National University Hospital between January 1996 and December 2007. The type of transplantation, disease status at the time of transplant, conditioning regimen, engraftment kinetics, development of graft-versus-host disease (GVHD), complications, cause of deaths, overall survival (OS), and event-free survival (EFS) were compared between the 2 groups. Results : Among 34 patients with acute lymphoblastic leukemia (ALL), 28 (82.4%) were in the TBI group, while 72.7% (24/33) of patients with myeloid leukemia were in the non-TBI group. Although the 5-year EFS of the 2 groups was similar for all patients (62% vs 63%), the TBI group showed a better 5-year EFS than the non-TBI group when only ALL patients were analyzed (65% vs 17%&#59; P =0.005). In acute myelogenous leukemia patients, the non-TBI group had better survival tendency (73% vs 38%&#59; P=0.089). The incidence of GVHD, engraftment, survival, cause of death, and late complications was not different between the 2 groups. Conclusion : The TBI and non-TBI groups showed comparable results, but the TBI group showed a significantly higher 5-year EFS than the non-TBI group in ALL patients. Further prospective, randomized controlled studies involving larger number of patients are needed to assess the late-onset complications and to compare the socioeconomic quality of life

Segregation analysis of mandibular prognathism in Korean orthognathic surgery patients and their families

Objective: To investigate the existence of genetic influences on the incidence of mandibular prognathism (MP) in Korean Class Ill patients. Materials and Methods: The probands consisted of 100 Class Ill patients with MP (51 men and 49 women; mean age, 22.1 +/- 5.2 years; SNA, 81.2 degrees +/- 3.2 degrees; SNB, 84.1 degrees +/- 3.9 degrees) who underwent orthognathic surgery. Using three-generation pedigree charts, questionnaires, and clinical examinations, general information and information regarding MP for a total of 3777 relatives of the probands (1911 men and 1866 women) was ascertained. Familial correlations of MP between possible pairs in the pedigree were estimated. Heritability (h(2)) of MP under various models was estimated. Segregation analysis was conducted under the assumption of the nonpolygenic multivariate logistic model and finite polygenic mixed model. One-, two-, and three-susceptibility-type models were evaluated. Results: Among 3777 relatives, 199 (97 men and 102 women) were affected with MP (5.3%). Correlation coefficients of MP incidence in full siblings and in parent-offspring were .2003 and .2036, respectively (all P < .001). The h(2) of MP was estimated as 21.5% after adjusting for sex and founder effects. Two- and three susceptibility-type models showed that the general model fit better than the other models. MP incidence did not have a major gene transmission model and was influenced by numerous minor effect genes and their additive effects. Conclusion: These results suggest that the inherited susceptibility to MP in Korean Class Ill patients might be due to the summation of minor effects from a variety of different genes and/or influence of environmental factors, rather than Mendelian transmission of major genes.OAIID:oai:osos.snu.ac.kr:snu2013-01/102/0000004298/12SEQ:12PERF_CD:SNU2013-01EVAL_ITEM_CD:102USER_ID:0000004298ADJUST_YN:YEMP_ID:A072100DEPT_CD:852CITE_RATE:1.184FILENAME:segregation-ao-2013-final.pdfDEPT_NM:치의과학과SCOPUS_YN:YCONFIRM:

Observational signatures of outbursting protostars - I: From hydrodynamic simulations to observations

Accretion onto protostars may occur in sharp bursts. Accretion bursts during the embedded phase of young protostars are probably most intense, but can only be inferred indirectly through long-wavelength observations. We perform radiative transfer calculations for young stellar objects (YSOs) formed in hydrodynamic simulations to predict the long wavelength, sub-mm and mm, flux responses to episodic accretion events, taking into account heating from the young protostar and from the interstellar radiation field. We find that the flux increase due to episodic accretion events is more prominent at sub-mm wavelengths than at mm wavelengths; e.g. a factor of ∼570 increase in the luminosity of the young protostar leads to a flux increase of a factor of 47 at 250 μ μ m but only a factor of 10 at 1.3 mm. Heating from the interstellar radiation field may reduce further the flux increase observed at longer wavelengths. We find that during FU Ori-type outbursts the bolometric temperature and luminosity may incorrectly classify a source as a more evolved YSO due to a larger fraction of the radiation of the object being emitted at shorter wavelengths

Observational signatures of outbursting protostars - II: Exploring a wide range of eruptive protostars

Young stars exhibit variability due to changes in the gas accretion rate onto them, an effect that should be quite significant in the early stages of their formation. As protostars are embedded within their natal cloud, this variability may only be inferred through long wavelength observations. We perform radiative transfer simulations of young stellar objects (YSOs) formed in hydrodynamical simulations, varying the structure and luminosity properties in order to estimate the long-wavelength, sub-mm and mm, variations of their flux. We find that the flux increase due to an outburst event depends on the protostellar structure and is more prominent at sub-mm wavelengths than at mm wavelengths; e.g. a factor of 40 increase in the luminosity of the young protostar leads to a flux increase of a factor of 10 at 250 μm but only a factor of 2.5 at 1.3 mm. We find that the interstellar radiation field dilutes the flux increase but that this effect may be avoided if resolution permits the monitoring of the inner regions of a YSO, where the heating is primarily due to protostellar radiation. We also confirm that the bolometric temperature and luminosity of outbursting protostars may result in an incorrect classification of their evolutionary stage