• Title/Summary/Keyword: 치료 비율

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Analysis of T Lymphocyte Subpopulation Change Defined by Monoclonal Antibodies Immediately after Radiotherapy (단클론항체를 이용한 방사선치료 직후의 T 임파구아형의 변화에 관한 연구)

  • Choi, Gyu-Young;Choi, Wan, Sung
    • Radiation Oncology Journal
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    • v.10 no.2
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    • pp.129-135
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    • 1992
  • We studied the T lymphocyte and its subpopulation percentage change in 40 patients immediately after the radiation therapy. Study population consisted of 12 patients treated at the site of head and neck region,14 patients treated at the site of thoracic region, and 14 patients treated at the site of pelvic region. Twenty two patients received radiotherapy as radical modality, and remaining 18 patients received radiotherapy as postoperative modality. Immediately after radiotherapy, total T lymphocyte (T1) percentage was decreased from $56.4\%$ to $55.2\%$, helper T cell (T4) percentage was decreased from $36.4\%$ to $34.1\%$, but suppressor T lymphocyte (T8) percentage was increased from $23.5\%$ to $25.4\%$. As a result, T4/T8 ratio was decreased from 1.57 to 1.39. This study suggested that immediate change after radiotherapy of the T lymphocyte and its subpopulation percentage was not related to the treatment volume and the degree of helper T cell decrement was not pronounced by the radiation dose increment. Long-term follow-up study En larger scale is needed to determine long term changing pattern in T lymphocyte subpopulation and its relationship to the prognosis of patients.

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A STUDY ON THE CHANGE OF T-LYMPOCYTE AND NATURAL KILLER CELL IN H & N CANCERS (두경부악성 종양 환자의 T-lymphocyte 및 Natural Killer Cell에 대한 연구)

  • 김상윤;조영주;이재담;이봉재;추광철
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.20-20
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    • 1991
  • 악성종양의 발생과 진행에 면역 방어기능이 중요한 역할을 하리라는 가설은 모두가 공감하는 사실이다. 이중 T-lymphocyte와 Natural killer cell (이하 NK cell이라함)은 종양 면역학에 특히 중요한 임파구로 이런 임파구의 혈액분포양상은 면역방어기능을 짐작할 수 있는 간접적인 자료가 될 수 있다. 저자들은 치료전 두경부 악성종양환자에서 혈액을 채취하여 T-lymphocyte와NK cell의 분포양상을 검사하고, 방사선치료 환자에서는 NK cell activity를 측정하였기에 다음과 같은 결과를 보고하는 바이다. 1) 두경부 악성 종양 환자군에서 CD3+ cell은 감소하고 NK cell은 증가하며 CD4/CD8 비율은 변화가 없었다. 2) 병변이 진행되면서 CD3+ cell과 CD4+ cell은 감소하고 NK cell은 증가하였으며 CD4/CD8 비율의 변화는 없었다. 3) 방사선치료에 의해 CD3+ cell과 CD4+ cell, CD4/CD8 비율은 감소하였고, NK cell과CD8+cell은 증가하였다. 4) 방사선치료에 의한 CD4/CD8 비율의 감소와, CD8+ cell의 증가는 NK cell의 증가에 의한 것이라 추정되고, NK cell을 제외하면 CB4/CD8 비율의 변화는 없었다. 5) 방사선치료 환자에서 NK cell activity는 증가하였고, 이런 증가가 T-lymphocyte기능의 감소를 보상해 주고 있었다.

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A Micro Finite Element Analysis on Effects of Altering Monomer-to-Powder ]Ratio of Bone Cement During Vertebroplasty (골 시멘트 중합 비율 변경이 척추성형술 치료에 미치는 영향에 대한 비교 분석)

  • 김형도;탁계래;김한성
    • Journal of Biomedical Engineering Research
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    • v.23 no.6
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    • pp.451-458
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    • 2002
  • Osteoporosis is a systemic skeletal disease caused by low bone mass and the decrease of bone density in the microstructure of trabecular bone. Drug therapy(PTH Parathyroid hormone) may increase the trabecular thickness and thus bone strength. Vertebroplasty is a minimally invasive surgery foy the treatment of osteoporotic vertebral compression fracture. This Procedure includes Puncturing vertebrae and filling with Polymethylmethacrylate(PMMA). Although altering recommended monomer-to-Powder ratio affects material properties of bone cement, clinicians commonly alter the mixture ratio to decrease viscosity and increase the working time. The Purposes of this study were to analyze the effect of 4he monomer-to-powder ratio on the mechanical characteristics of trabecular. In this paper, the finite element model of human vertebral trabecualr bone was developed by modified Voronoi diagram, to analyze the relative effect of hormone therapy and vertebroplasty at the treatment of osteoporotic vertebrae. Trabeuclar bone models for vertebroplasty with varied monomer-to-Powder ratio(0.40∼1.07 ㎖/g) were analyzed. Effective modulus and strength of bone cement-treated models were approximately 60% of those of intact models and these are almost twice the values of hormone-treated models. The bone cement models with the ratio of 0.53㎖/g have the maximum modulus and strength. For the ratio of 1.07㎖/g, the modulus and strength were minimum(42% and 49% respectively) but these were greater than those for drug therapy. This study shows that bone cement treatment is more effective than drug therapy. It is found that in vertebroplasty, using a monomer-to-powder ratio different from that recommended by manufacturer nay significantly not only reduce the cement's material Properties but also deteriorate the mechanical characteristics of osteoporotic vertebrae.

Referral Trends of Children in Jeonbuk National University Dental Hospital for Last 3 years (최근 3년간 전북대학교 치과병원의 소아청소년환자 의뢰경향)

  • Bae, Cheolhyeon;Lee, Daewoo;Kim, Jaegon;Yang, Yeonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.4
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    • pp.362-368
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    • 2019
  • The purpose of this study was to analyze outpatient referral patterns of children in Jeonbuk National University Dental Hospital. All patients under 16 years old who were consulted from the external facilities were reviewed based on the electronic medical record of Jeonbuk National University Dental Hospital from 2015 to 2018. Total 720 boys and 460 girls with an average age of 7.4 years were referred from local dental clinic (85.2%) for treatment severity (90.2%). 3.2% of patients has disability with the highest number of intellectual disabilities. The patients were usually referred at the pre-treatment stage with higher rates if they had disability or medical problem. Referral rate by chief complaints was highest in surgery, followed by reparative treatment and orthodontic treatment. 2nd referrals in pediatric dentistry had a higher rate of referrals to minor surgery and pulp treatment than of first referrals. The time point of 2nd referral was relatively delayed with increased ratio of 'during treatment'. These results suggest necessities of appropriate case selection and referral based reasonable criteria for pediatric dentist.

Analysis of Music Therapy Research in Professional Journals in Korea (국내 음악치료 전문 학술지 연구 현황 분석)

  • Cho, Hyun Ah
    • Journal of Music and Human Behavior
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    • v.10 no.2
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    • pp.55-77
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    • 2013
  • The purpose of this study was to identify current trends in music therapy literature in Korea in order to provide the groundwork for future research. Therefore, 122 articles from the Korean Journal of Music Therapy (KJMT) from 1999 to 2012 and 76 articles from the Journal of Music and Human Behavior (JMHB, formerly known as Korean Journal of Music Therapy Education) from 2004 to 2012 were analyzed. Analysis was performed by identifying the frequency and percentage of the following items: type, population, topic, and methodology of published articles. In addition, the results obtained were compared and contrasted between these two publications. Overall, it was found that there was a high prevalence of descriptive studies (KJMT, 46%,; JMHB, 45%), applied research (KJMT, 51%; JMHB 66%), and quantitative studies (KJMT, 82%; JMHB 37%). In addition, ordinary people with no particular diagnosis were the most often studied population (34%). Differences were found in that a historical study was only found in KJMT whereas a philosophical study was published only in JMHB. Further analysis revealed that JMHB included a higher proportion of applied research than KJMT. In KJMT, quantitative research was appeared twice as often as qualitative and mixed-method research combined. On the other hand, a similar number of each of the three methodological types of studies appeared in JMHB. In conclusion, this study indicates that more effort should be made to increase the quantity and improve the quality of professional publications in the field of music therapy in Korea.

THE CHANGES IN PRACTICE PATTERN AND PATIENT DISTRIBUTION FOR LAST 5 YEARS(2000-2005) IN THE DEPARTMENT OF PEDIATRIC DENTISTRY AT SEOUL NATIONAL UNIVERSITY DENTAL HOSPITAL (최근 5년간(2000-2005) 서울대학교 치과병원 소아치과의 진료현황 변화 및 신환분포에 대한 조사)

  • Choi, Eun-Jung;Jung, Tae-Ryun;Kim, Chong-Chul;Kim, Young-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.4
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    • pp.673-677
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    • 2006
  • The spectrum of pediatric dentistry has been changing recently, due to many socioeconomic changes and developments in dental materials. The purpose of this study was to recognize the changing pattern in pediatric dental treatment and to present the direction for pediatric dentistry in the future. Patient distribution and practice trends were reviewed based on the patient records of the department of pediatric dentistry, Seoul National University Dental Hospital, from 2000 to 2005. Results were as follows ; 1. In 2000, preventive treatments comprised 14.5%, restorative treatments 52.6%, surgical treatments 11.4% and orthodontic treatments 21.5%. In 2005, the percentages were changed to 12.1%, 38.3%, 13.7%, and 35.9% respectively, showing a decline in preventive and restorative treatments and an increase in surgical and orthodontic treatments. 2. In restorative treatments, the proportion of amalgam, stainless steel crown restoration and pulp treatments decreased, and that of glass ionomer and resin restoration increased. 3. The number of out-patients increased from 2000 to 2002, and decreased thereafter. 4. In 2005, the average age of patients decreased from that of 2000.

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Clinical Studies of Amyotrophic Lateral Sclerosis(ALS) through Korean Medicine (한방치료를 통한 근위축성 측삭경화증(ALS)의 임상적 연구)

  • Kwon, Ki-rok
    • Journal of Acupuncture Research
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    • v.20 no.3
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    • pp.209-216
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    • 2003
  • 목적 : 대표적인 motor neuron disease(MND)이면서 가장 치명적인 신경퇴행성 질환인 ALS의 발생 양상과 한방치료효과에 대하여 연구하였다. 방법: 상지대학교 부속 한방병원에 래원한 ALS 환자들의 성별, 연령, 발병일, 발병양상, 래원 당시의 병태양상 등을 분석하였고, 이 중 3개월 이상 입원치료를 통하여 치료과정 평가가 가능하였던 18명의 환자들의 치료 전과 치료 후의 변화양상을 평가하였다. 결과 : 외국의 보고에 비하여 여성 환자가 많았고 발병 연령도 유의하게 낮았으며 상지에서 최초의 증상이 발현되는 비율이 상대적으로 높았다. Bulbar From의 비율도 높았고, 대부분의 환자가 여성인 것도 특이하였다. 환자들이 생각하는 질병의 발생원인 중 약 80%가 stress나 정신적 충격 등을 지적하여 정신적 불안상태가 유관함을 추정할 수 있었다. 한방치료가 ALS를 호전시키지는 못하였으나 진행을 억제하였고, 국소적인 주소증을 완화시키며 심리적 안정 상태를 유지하는데 도움이 된다고 평가되었다.

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Effect of Low-Intensity Ultrasound on Bone Repair in Rat Model (토끼모델에서 저강도 초음파치료의 골절치유 효과)

  • Yi, Chung-Hwi;Kim, Jong-Man;Hwang, Tae-Sun
    • Physical Therapy Korea
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    • v.6 no.4
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    • pp.1-7
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    • 1999
  • 이 연구에서는 24마리의 Japanese White 토끼를 대상으로 양쪽 비골을 인위적으로 골절시킨 후 초음파치료가 골절의 치유에 효과가 있는지를 알아보았다. 초음파 치료 후 대조군의 비골과 실험군의 비골에서의 골소주 비율은 차이가 없었으며 초음파 주파수를 0.875 MHz로 하였을 때와 3 MHz로 하였을 때의 골소주 비율도 차이가 없었다. 따라서 초음파 치료는 토끼의 비골 골절의 치유 효과가 없었다. 그러나 다양한 주파수와 초음파 전달양식을 변화시켰을 때 골절치유 효과가 있는지에 대해서는 지속적인 연구가 필요하다.

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Esthetic improvements through systematic diagnosis and treatment procedures in patients with unesthetic maxillary anterior teeth proportion after orthodontic treatment: Case report (교정치료 후 비심미적인 상악 전치부 비율을 가진 환자에서 체계적인 진단 및 치료과정을 통해 심미성이 개선된 보철 수복 증례)

  • Lee, Seong-Min;Choi, Yu-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.3
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    • pp.262-275
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    • 2015
  • The treatment of areas demanding esthetic requirements, such as maxillary anterior teeth, should take into account the achievement of a healthy, harmonious to the surrounding tissue, and an attractive smile line. In this case report, smile line, soft tissue and hard tissue morphology, and the anatomy and proportion of the tooth, must be considered. In patients with unesthetic maxillary anterior ratio due to inadequate gingival contour and diastema caused by peg lateralis, it would be challenging to achieve an esthetic restoration by orthodontic treatment alone. In such case, after orthodontic treatment, dento-gingivo-facial compositional diagnosis and analysis, followed by gingivectomy and prosthodontic restoration is needed to improve the interdental mesial/distal, width/length ratio to achieve a satisfactory esthetic result. In addition, when improving the tooth proportion of peg lateralis by prosthodontic treatment, Porcelain laminate veneer (PLV), which results in less tooth structure loss, reproduction of similar shade to that of the proximal tooth and high transparency, is recommended. This case report demonstrates esthetic improvements by prosthodontic restoration through systematic diagnosis and treatment procedure in patients with unesthetic maxillary anterior proportion after orthodontic treatment due to peg lateralis by means of two female patients aged twenty years old.