• Title/Summary/Keyword: 장기 생존

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Radiation Therapy for Operable Breast Cancer after Conservative Surgery (유방암환자의 유방보존수술 후 방사선 치료 성적)

  • Lee, Myung-Za;Chun, Ha-Chung
    • Radiation Oncology Journal
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    • v.20 no.4
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    • pp.309-315
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    • 2002
  • Purpose : To evaluate the result of conservative management on recurrence, survival and prognostic factors of patient with operable breast cancer. Materials and Methods : Fifty three patients, treated for localized breast cancer by lumpectomy or quadrantectomy followed by radiotherapy between January 1985 and December 1996, were retrospectively studied. All patients followed up for at least five years. Their median age was 43 years $(range\;24\~72)$. The tumor stages were as follows : T1 in 30 patients, T2 in 21, Tis in 2. Thirty-eight patients had negative and 15 had positive axillary nodes. The histological types were 42 infiltrating ductal, 2 infiltrating lobular, and 2 intraductal carcinomas with 7 other histologies. The tumor locations were the outer quadrant in 38 breasts, the inner quadrant in 13 and central in 2. Radiation doses of $46\~50\;Gy$ were given to the entire breast areas with additional doses of 14-18 Gy delivered to the tumor bed areas. Results : The overall five and 10 yea actuarial and disease free survivals were $94.3\%\;and\;92.4\%,\;91.2\%\;and\;81\%$, respectively. The overall five year survivals were $100\%$ in stage I and IIa, and $66.7\%$ in stage IIb and IIIa tumors. Seven patients failed either locally or distantly. Incidence of local failure and distant metastasis for the first failure were $7.5\%\;and\;5.7\%$, respectively. Local recurrence appeared within 2 years of treatment at the primary site and after more than 8 years outside of primary lesion, whereas distant metastasis appeared between 2 and 6 years following treatment. The overall recurrences were high at a young age (< or = 35 years), with 5 out of 12 (2 local, 3 distant), and in T2 lesions with 5 out of 21 (1 local, 3 distant, and 1 in both). Distant metastasis was high in the positive axillary lymph node group with 4 out of 15 $(26.6\%)$. A high incidence in the axillary node was noted at a young age with 7 out of 12 $(58.3\%)$ and in T2 lesions with 8 out of 21 $(38.4\%)$. A young age, positive axillary node and large tumor size were all related with poor survival. Conclusion : Based on this study, lumpectomy or quadrantectomy, followed by radiation appears to be an adequate therapeutic method in operable breast cancer. A long term follow-up is necessary because a recurrence of breast can occur long time after treatment. The poor prognostic group, especially young patients with an aggressive biological behavior needs more effective treatment modalities to improve their survival.

Retrospective study of the $Implantium^{(R)}$ implant with a SLA surface and internal connection with microthreads (SLA 표면 처리와 미세나사선을 가진 내측 연결형의 국산 임플란트에 대한 후향적 연구)

  • Doh, Re-Mee;Moon, Hong-Suk;Shim, Jun-Sung;Lee, Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.2
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    • pp.136-147
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    • 2009
  • Statement of problem: Since the introduction of the concept of osseointegration in dental implants, high long-term success rates have been achieved. Though the use of dental implants have increased dramatically, there are few studies on domestic implants with clinical and objective long-term data. Purpose: The aim of this retrospective study was to provide long-term data on the $Implantium^{(R)}$ implant, which features a sandblasted and acid-etched surface and internal connection with microthreads. Material and methods: 106 $Implantium^{(R)}$ implants placed in 38 patients at Yonsei University Hospital were examined to determine the effect of various factors on implant success and marginal bone loss, through clinical and radiographic results during a 6 to 30 month period. Results: 1. Out of a total of 106 implants placed in 38 patients, one fixture was lost, resulting in a 99.1% cumulative survival rate. 2. Among the 96 implants which were observed throughout the study period, the survival rates were 97.0% in the maxilla and 100% in the mandible. The survival rate in the posterior regions was 98.9% and 100% in the anterior regions. 3. The mean bone loss during the first year after prosthesis placement was 0.17 mm, while the mean annual bone loss after the first year was 0.04 mm, which was statistically less than during the first year(P<.05). 4. There was no significant difference in marginal bone loss according to age during the first year(P>.05), but after the first year, the mean annual bone loss in patients above 50 years was significantly greater(P<.05) compared with patients under 50 years. 5. No significant difference in marginal bone loss was found according to the following factors: gender, jaw, location in the arch, type of implant(submerged or non-submerged), presence of bone grafts, type of prostheses, and type of opposing dentition(P<.05). Conclusion: Based on these results, the sole factor influencing marginal bone loss was age, while factors such as gender, jaw, location in the arch, type of implant, presence of bone grafts, type of prostheses and type of opposing dentition had no significant effect on bone loss. In the present study, the success rate of the $Implantium^{(R)}$ implant with a SLA surface and internal connection with microthreads was satisfactory up to a maximum 30 month period, and the marginal bone loss was in accord with the success criteria of dental implants.

Strength and Healing Performance of the Mortar using Bacterial Pellet as a Self-Healing Material (박테리아 펠렛을 자기치유 소재로 사용한 모르타르의 강도 및 치유성능)

  • Jang, Indong;Son, Dasom;Ryu, Young-ung;Park, Woojun;Yi, Chongku
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.8 no.1
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    • pp.112-119
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    • 2020
  • In this study, cellulose-based bacterial pellets was used for the self-healing concrete manufacturing. The pellet is composed of complex cultured bacterial spore powder, methyl cellulose, two kinds of PVA nutrients and water, and is extruded through a hydraulic press to have a shape of 2mm in diameter to 3 to 4mm in length. Cellulose pellets expand at neutral pH, release bacteria and nutrients, and do not react in a basic environment, increasing the long-term survival rate of bacteria in cement mortar. In addition, pellet self-healing performance of pellet mortar was significantly higher than that of control mortar. Cellulose-based pellets are a new type of bacterial carrier system that will help develop self-healing concrete in the future by improving and optimizing pellets.

Clinical Results of Mitral Valve Replacement with St. Jude Medical Valve (St. Jude Medical 판막에 의한 승모판치환술의 임상성적)

  • 장원채;신성현;나국주;김상형
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.247-254
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    • 1998
  • A total of 172 cases of MVR using the St. Jude Medical valve was conducted in the period from August 1986 to May 1996. The hospital mortality rate was 3.5% (n=6) and the late mortality rate was 3.3% (n=5). According to the follow-up of 161 surviving patients, the average length of survival was 50.23$\pm$0.27 months. Three cases of prosthetic valve related complication deaths were identified. Two cases could be ascribed to left atrial thrombi and resulting cerebral infarction, and one case was prosthetic valve endocarditis. Two cases were caused by hemorrhagic complications that we presume to have been accompanied by anti-coagulation therapy. The actuarial survival rate of all cases at 10 years was 92.3%. We conclude that good clinical results and a low complication rate could be achieved through mitral valve replacement with the St. Jude Medical valve. We also conclude that mid-term and long-term follow-ups were instrumental and necessary.

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A Study on Reliability Estimation for Electricity Meter and Digitall Protection Relay (전자석 계량/계전기의 신뢰성평가 방법 연구)

  • Lee, D.H.;Lee, Y.H.;Sin, Y.S.;Kim, Y.K.;Sin, Y.J.;Kim, M.;Park, Jeong-Won
    • Proceedings of the KIEE Conference
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    • 2005.11b
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    • pp.3-5
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    • 2005
  • 21세기의 무한 경쟁 환경에서 기업의 생존은 고객 만족에 의해 좌우된다고 해도 과언이 아니다. 한편, 고객 만족을 달성하기 위해서는 고객의 욕구가 어떻게 변화하고 있는가를 충실히 파악하여야 한다. 헌재의 고객은 제품의 기본 기능과 가격 똥의 요소뿐만 아니라, 제품의 품질, 특히 신뢰성에 매우 민감한 반응을 보이고 있으며, 각 기업은 이러한 추세를 반영하여 제품의 보증기간을 경쟁적으로 연장하고 있다. 신뢰성이란 제품이 얼마나 오랫동안 고장 없이 의도한 기능을 발휘할 수 있는가를 나타낸다. 즉, 신뢰성이란 시간적 품질을 의미하며 제품이 충분한 신뢰성을 가지고 있지 못할 경우, 과도한 클레임으로 인한 보증비용의 증가와 같은 단기적인 손해뿐만 아니라, 고객 불만족, 고객 이탈, 기업 경쟁력 상실 통으로 야기되는 장기적인 손실에 이르기까지 매우 큰 피해를 감수해야 한다. 따라서 제품의 신뢰성은 기업의 생존과 경쟁력 우위를 확보하기 위한 중요한 전략적 요소로 다루어 져야 한다. 신뢰성 활동은 크게 신뢰성 평가와 신뢰성 설계 두 가지로 나눌 수 있다. 전자는 현재 개발 또는 양산 중인 제품의 신뢰성 수준이 어느 정토인가를 파악하자 하는 활동이며, 후자는 제품에 신뢰성을 높이기 위한 일련의 활동을 포함한다. 한편, 신뢰성 평가는 모든 신뢰성 업무에서 앞서 선행적으로 이루어 져야 하는 기초적 활동이며, 본 과제에서는 자사의 전자식 전력량계(LSEW12)와 디지털 보호계전기(GIPAM2200)를 대상으로 신뢰성 평가에 관한 연구를 수행하였다.

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Acute Toxicity of Leuconostoc citreum GJ7 Isolated from Kimchi in Mice (김치로부터 분리한 Leuconostoc citreum GJ7의 마우스에 대한 급성독성)

  • Lee, Jae-Joon;Chang, Hae-Choon;Lee, Myung-Yul
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.36 no.5
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    • pp.534-539
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    • 2007
  • The present study was carried out to investigate the potential acute toxicity of Leuconostoc citreum GJ7 (Leu. citreum GJ7), a lactic acid bacterium isolated from Kimchi, in ICR male and female mice. The test article was administered to the mice orally or intraperitoneally. Mortality rates, clinical findings, and body weight changes were monitored for the 2 weeks following administration. The results showed that in 50% of the cases, lethal doses ($LD_{50}$) of Leu. citreum GJ7 were determined as >5, 000 mg/kg (p.o.) and >2500 mg/kg (i.p.) in both sexes. There were no significant changes in general conditions, body weights clinical signs and any gross lesions between vehicle control and Leu. citreum GJ7-treated groups. Hence, it is suggested that Leu. citreum GJ7 does not induce any significant acute toxicity in ICR mice.

Compamative Study of Tracheal Anastomotic Techniques. (기관 문합 수기의 비교 실험)

  • 송원영;이연재
    • Journal of Chest Surgery
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    • v.30 no.12
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    • pp.1219-1224
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    • 1997
  • Although several reports were presented recently about bronchial arterial revascularization in clinical lung transplantation, one factor peculiar to the lung transplantation is the ischemia of the donor bronchus. Poor bronchial healing occurs frequently following clinical lung transplantation and this has been major cause of mortality and morbidity. There have been many attempts to solve bronchial anastomotic complications. Telescoping technique, one of those attempts, was advocated by San Antonio Group recently. This experiment was per(armed to evaluate the effect of telescoping anastomotic technique upon th healing of the tracheo-bronchial anastomosis. We used rabbits(weighing about 800 g) as experimental animal. Method: Resection of middle one third of cervical trachea and reanastomosis was performed by simple interrupted anastomotic technique in Group 1(n=15) and by telescoping anastomotic technique in Group 2(n= 15). Result: Anastomotic sites in the telescoping technique group showed significant increase of fibrosis in the early postoperative days(< Sdays) and remarkable band-like fibrous union compared to the simple interrupted group.

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THE ACCUMULATION OF FREE PROLINE AT LOW TEMPERA TURES AND WATER STRESS IN BARLEY AND WHEAT (대 . 소맥에 있어서 저온 및 수분부족에 의한 유리 Prolie의 축적)

  • Won-Yul Choi;Don Aspinall
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.24 no.1
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    • pp.57-65
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    • 1979
  • In order to find the physiology of responess In order to find the physiology of responses and mechanisms of the actumlation of free proline at low temperatures and water stress. the temperature range, the effect of prolonged exposure to low temperatures, the light-dependence of proline accumulation in barle was significantly lower than in wheat. Proline accumulation at 5\circ C without water stress was shown to be light-dependent. Proline accumulation by water stress was not light-dependent at 2$0^{\circ}C$ but at 5$^{\circ}C$.

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A Clinical Experience of Mitral Valve Replacement (승모판막 치환술의 임상적 고찰)

  • 김종원;황수희
    • Journal of Chest Surgery
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    • v.29 no.12
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    • pp.1347-1353
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    • 1996
  • To assess the long-term results of mitral valve replacement, we reviewed our cases of the 374 patients undergoing mitral valve replacement between March 1982 to February 1992 There were 159 male and 215 female and mean age was 37.8 years. There were 24 hospital deaths(6.4%);the most commonly from low cardiac output syndrome(12 deaths). We used 314 mechanical valves and 60 tissue valves. Most of all were anticoagulated with coumadin maintaining target level of 1.5~3.0 INR of prothrombin time. Follow up was 94% complete(2270 patient-years). There were 12 late deaths 3 due to hemorrhage, 3 due to cerebral embolism and 6 from Overall actuarial survival including hospital mortality, was 82.3% after 10 years of operation Linealized rates of late complication events are follows thromboembolism, 1.3% per patient-year; anti coagulant related hemorrhage, 0.5% per patient year. We analyzed the factors of favorable effect to postoperative course were preoperat ve clinical status including NYHA class, first operation, valve apparatus preservating operation technique, not biggest size of prosthetic valve.

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A development of a multimodal patch-type probe for measuring blood flow and oxygen saturation in carotid artery (경동맥 혈류 속도 및 산소 포화도 측정을 위한 다중모드 패치형 프로브 개발)

  • Youn, Sangyeon;Lee, Kijoon;Kim, Jae Gwan;Hwang, Jae Youn
    • The Journal of the Acoustical Society of Korea
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    • v.38 no.4
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    • pp.443-449
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    • 2019
  • To protect the patient's internal organs when a patient with cardiovascular disease occurs, it is important to reduce the elapsed time by providing emergency medical services. Decisions for conducting cardiopulmonary resuscitation are mainly made using the carotid palpation method, which directs the pulse of the carotid artery, which can diagnose the patient's condition according to one's own subject and cause cerebral blood flow to be blocked by excessive pressure in the carotid due to the weaken cardiopulmonary function. In this study, we developed a multimodal patch-type probe based on multi-channel ultrasound Doppler pairs and oxygen saturation measurement modules which can monitor cardiopulmonary functions. From the in-vivo experiments, the developed probe can be utilized as a novel tool that can increase the survival rate of cardiovascular disease patients by objectively monitoring the cardiopulmonary function of the patient quantitatively and promptly in an emergency situation.