• Title/Summary/Keyword: 후향연구

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Response Evaluation after Stereotactic Ablative Radiotherapy for Lung Cancer (초기 폐암의 정위방사선치료후 반응평가 분석)

  • Choi, Ji Hoon
    • Progress in Medical Physics
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    • v.26 no.4
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    • pp.229-233
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    • 2015
  • We retrospectively reviewed lung cancer patients who were treated with stereotactic ablative radiotherapy (SABR). We investigated the value of response evaluation after treatment by measuring the volume change of tumors on serial chest computed tomography (CT) examinations. The study included 11 consecutive patients with early-stage (T1-T2aN0M0) non-small cell lung cancer (NSCLC) who were treated with SABR. The median dose of SABR was 6,000 cGy (range 5,000~6,400) in five fractions. Sequential follow-up was performed with chest CT scans. Median follow-up time was 28 months. Radiologic measurement was performed on 51 CT scans with a median of 3 CT scans per patient. The median time to partial response ($T_{PR}$) was 3 months and median time to complete remission ($T_{CR}$) was 5 months. Overall response rate was 90.9% (10/11). Five patients had complete remission, five had partial response, and one patient developed progressive disease without response. On follow-up, three patients (27.2%) developed progressive disease after treatment. We evaluated the the response after SABR. Our data also showed the timing of response after SABR.

Numerical Study on Aerodynamic Characteristics of Kline-Fogleman Airfoil and Its 3D Application at Low Reynolds Number (Kline-Fogleman Airfoil과 이를 적용한 날개의 저 레이놀즈수 공력특성 연구)

  • Roh, Nahyeon;Yee, Kwanjung
    • Transactions of the KSME C: Technology and Education
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    • v.2 no.1
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    • pp.29-37
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    • 2014
  • In this study, analyzed the aerodynamic characteristics of Kline-Fogleman airfoils and wings with those more efficiency at low Reynolds number. It was found that lift to drag ratio is enhanced in the range of Reynolds number below $2.4{\times}10^5$, especially, can be improved up to 26% at Reynolds number is $1{\times}10^4$. It was confirmed that the most advantage case in terms of lift-to-drag ratio is Middle case and lift-to-drag ratio is improved to 20% at 80% of the wing area is Kline-Folgeman airfoil. At this time, endurance time increase to 12%. Also taking the structural stability of the wing and lift-to-drag improvement into account, designed to be from 50% to 80% the size of the Kline-Fogleman Airfoil would be advantageous.

A Clinical Analysis of 20 cases of Diaphragmic Rupture (외상에 의한 횡격막 파열의 임상적 고찰)

  • 이계선;정진악;금동윤;안정태;이재원;신제균
    • Journal of Chest Surgery
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    • v.32 no.4
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    • pp.394-398
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    • 1999
  • Background: According to the changes in the Environmental factors, traumatic diaphragmic rupture is seen in increasing frequency. Many reports described the early diagnostic methods and treatment modalities. In our institution, a study was retrospectively performed to obtain the early diagnostic and treatment methods of diaphragmic ruptures. Material and Method: From January 1994 to April 1998, 20 patients with traumatic rupture of the diaphragm were treated in our institution and We analyzed the patients in preoperative clinical presentations, diagnostic accuracies, associated injuries and postoperative complications. Result: Socially active male patients were affected most. 75% of patients had blunt trauma and 25% had penetrating injury. There were 16 cases of ruptured right diaphragm, 3 cases of left diaphragm and 1 case on both. Preoperative diagnosis were possible in 10 patients (50%) and 6 patients(30%) were diagnosed intraoperatively, but 4 patients (20%) were diagnosed in the late stages. Most common postoperative complication was wound infection, and two died of associated injuries. Conclusion: We conclude that if there is suspicion of diaphragmic rupture after a trauma, careful study and examination is essential and interdepartmental collaboration is very important.

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Pharmacokinetics of High-dose Methotrexate in Pediatric Patients with Osteosarcoma (소마 골육증 환자에서 고동량 Methotrexate의 Pharmacokinetics)

  • Nam, Taeg-Jong;Park, Gwang-Jun;Shin, Wan-Gyoon
    • Korean Journal of Clinical Pharmacy
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    • v.16 no.1
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    • pp.1-8
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    • 2006
  • Methotrexate(MTX)는 소아 골육종 환자에서 $12g/m^2$의 고용량을 사용하고 있다. 현재, 소아 골육종 환자에서 신기 능에 따른 고용량 MTX의 임상 약동학은 연구되어 있지 않다. 따라서 본 연구에서는 신기능에 따른 MTX 약동학을 이용하여 구내염을 최소화하는 방법을 제시하고자 하였다. 방법: 환자들의 의무기록지를 후향적 방법으로 검토하였다. 한 병원에서 골육종으로 진단받고, 치료 받은 환자들을 대상으로 정상 신기능군과 비정상 신기능군으로 나누었다. 두 군에 MTX 투여 후 혈중 농도를 각각 비교하였고, 최고 혈중농도도 비교하였다. 혈중 농도와 구내염의 관련성, CL, AUC와 구내염의 상관관계를 분석하였다. 각 군의 terminal half-life, CL, Vss의 평균과 mea residence time(MRT)의 평균을 구하였고, 두 군간 각각을 비교하였다 $({\alpha}=0.05)$. 결과: 환자는 6명이었고, 평가 가능한 총 MTX 투여 회수는 34회였다. MTX 투여 후 최고혈중 농도, 24,48 시간의 혈중농도는 통계적으로 유의성 있는 차이가 있었고, 72,96 시간에서의 농도는 두 군간 유의성이 없었다. 각 군에서 혈중농도와 구내염의 상관관계, 그리고 CL, AUC와 구내염의 상관관계는 발견되지 않았다. Vss를 제외한 모든 파라미터들(terminal half-life, CL, MRT)은 통계적으로 유의성 있는 차이가 있었다. 결론: 비정상 신기능 군에서 MTX 투여 시작 후 24, 48 시간에서의 혈중농도가 더 높고, 변동이 심했다. 또한 MTX의 CL는 감소했고, 혈중농도는 증가하였다. 이러한 사실로 MTX 투여 전 후 혈중 크레아티닌이나 또는 크레아티닌 청소율 모니터링이 필요하다는 것을 알 수 있으며, MTX 투여가 끝난 직후 그리고 그 이후 24 시간 간격으로 혈중 농도를 측정해야함을 알 수 있다.

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Retrospective Study of OSFE and Simultaneous Sintered Porous Surface Implant Placement (OSFE법을 이용하여 식립된 Sintered Porous Surface 임플란트에 대한 후향적 연구)

  • Moon, Kyung-Nam;Kim, Hak-Kyun;Park, Gwang-Bum;Kim, Dong-Ju;Sun, Ju-Rim;You, Jae-Seek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.24 no.4
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    • pp.381-388
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    • 2008
  • Various techniques and diversely designed implants have been developed to overcome anatomic limitations of the maxillary posterior alveolar bone. The OSFE (osteotome sinus floor elevation) technique has been used for maxillary sinus augmentation. Also, $Endopore^{(R)}$ implant was designed to increase the surface area by its sintered porous surface. The purpose of this study was to evaluate the survival rate of $Endopore^{(R)}$ implants placed in the posterior maxilla in association with the elevation of the sinus membrane using OSFE technique, and examine the new bone formation in the sinus. One hundred fifteen $Endopore^{(R)}$ implants in 66 patients were placed in the posterior maxilla by OSFE technique. The implants were clinically and radiographically followed up for an average of 26.3 months. Most implants were stable and radiographs showed that the bone regenerated in contact with the implants. But, 5 implants in 4 patients were removed after the prosthetic restoration and the survival rate was 95.6% during the follow-up period. The height of new bone formed in the sinus was $3.26{\pm}1.04mm$.

Comparative Effectiveness of Hwangryunhaedok-tang Pharmacopuncture, Essential Bee Venom Pharmacopuncture and Jungsongouhyul Pharmacopuncture for Cervical Pain caused by Traffic Accidents: A Retrospective Observational Study (교통사고 후 발생한 경항통에 대한 황련해독탕약침, 봉독약침, 중성어혈약침 치료의 효과 비교 연구: 후향적 관찰 연구)

  • Kim, Young-Jun;Kim, Tae-Ryeong;Woo, Chang-Hoon;Shin, Byung-Cheul
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.2
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    • pp.83-89
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    • 2018
  • Objectives The purpose of this study is to compare the effectiveness of Hwangryunhaedok-tang Pharmacopuncture, Bee Venom Pharmacopuncture and Jungsongouhyul Pharmacopuncture on cervical pain caused by traffic accident retrospectively. Methods The retrospective observational chart review was conducted to 52 cases of traffic accident patients who had admitted to Daegu haany University Pohang Korean Hospital from December 1st, 2015 to May 31th, 2017. The patients were classified into three groups by which pharmacopuncture was used as Hwangryunhaedoktang pharmacopuncture treatment group, bee venom pharmacopuncture treatment group and Jungsongouhyul pharmacopuncture treatment group. Additionally, outcomes should include Neck disability index(NDI) and patient's global assessment(PGA) for evaluate the treatment effects. Results Each pharmacopuncture treatment group showed significant decrease of NDI and PGA. But there was no significant difference in NDI and PGA between three groups. Conclusions According to the results, we found out that 3 kinds of pharmacopunctures are considered to be effective and useful for cervical pain patients caused by traffic injury. Further well designed prospective studies are needed.

A RETROSPECTIVE STUDY ON INCIDENCE OF C-SHAPED CANALS IN MANDIBULAR SECOND MOLARS (하악 제2대구치의 C형 근관 발현빈도에 관한 후향적 연구)

  • Kim, Hee-Sun
    • Restorative Dentistry and Endodontics
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    • v.34 no.4
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    • pp.346-349
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    • 2009
  • Mandibular second molars have many variations in canal configuration. Technical modifications in cleaning, shaping and obturation are required. The purpose of this study was to investigate the root canal anatomy of mandibular second molars. 86 teeth of 85 patients were accessed and evaluated with taking radiographs for working length determination. 27 teeth(31.4%) had C-shaped canals, 43 teeth(50%) had 3 canals, 11 teeth(12.7%) had 4 canals, 5 teeth(5.8%) had 2 canals. Incidence of C-shaped canal was 31.7% in male and 31.1% in female. 30.9% of left mandibular second molar and 31.8% of right mandibular second molar showed C-shaped canals.

Short-term clinical outcome of intentionally replanted posterior molars (의도적 재식술을 시행한 대구치의 단기간의 임상 평가)

  • Choi, Yong-Hoon
    • Restorative Dentistry and Endodontics
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    • v.36 no.1
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    • pp.12-18
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    • 2011
  • Objectives: This retrospective study evaluated the therapeutic effects of the intentional replantation (IR) procedure performed on the maxillary and mandibular molars of 35 patients. Materials and Methods: For the subjects, IR was performed due to difficulties in anatomically accessing the lesions and/or close proximity to the thick cortical bone, inferior alveolar nerve, or maxillary sinus, which rendered the ordinary periradicular surgery impossible. The patients'progress was followed for a year and up to 2 years and 4 months. The success of the procedure was evaluated in terms of clinical and radiographic success (%). Results: The results revealed the following: (a) 1 case (3%) of failed tooth extraction during IR; (b) 2 cases (6%) of extraction due to periodontal diseases and inflammatory root resorption; (c) 3 cases (9%) of normally functioning teeth in the oral cavity with minor mobility and apical root resorption, and; (d) 29 cases (82%) of normally functioning teeth without obvious problems. Conclusions: IR was confirmed to be a reliably repeatable, predictable treatment option for those who cannot receive conventional periradicular surgery because of anatomic limitations or patient factors.

Retrospective Medical Record Analysis on Frequent Disease of Collaboration: A Pilot Study (다빈도 협진 질환의 후향적 진료기록 분석 연구 : 예비연구)

  • Gong, Na-gyeong;Lee, Hyeon-joo;Lee, Chan;Hwang, Jin-seub;Lee, In
    • The Journal of Internal Korean Medicine
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    • v.42 no.4
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    • pp.563-571
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    • 2021
  • Objectives: This pilot study aimed to confirm the possibility of applying our design to the main study, a retrospective medical record analysis of the diseases which have most frequently been treated with collaborations of Korean and Western medicine, and to identify what corrections and statistical models are needed to conduct the main study. Methods: Data were collected from a case report form developed for patients who received treatment in the medical institutions. Appropriate statistical techniques, like Propensity Score (PS) and Generalized Estimation Equation (GEE) models, were used to compare the indicators of collaboration and non-collaboration groups for patients in comparable diseases. Results: Using PS matching for each M and S disease group, the indicators were compared by balancing the collaboration and non-collaboration group, and the GEE models compared indicators between groups in each disease over follow-up. Through this process we identified two limitations, insufficient samples and a large deviation of the follow-up period. Conclusion: This pilot study confirmed that the study design and case report form are applicable. The main study will be conducted by collecting sufficient samples and reflecting deviation of follow-up period.

Correlation Analysis between BMI and Bone Density in Menopause Women (폐경여성의 BMI와 골밀도의 상관관계 분석)

  • Kim, Hyeon-Jin
    • Journal of the Korean Society of Radiology
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    • v.15 no.7
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    • pp.1015-1020
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    • 2021
  • This study retrospectively analyzed the test results of 113 healthy postmenopausal women without special diseases among patients who visited a medical institution in Busan from January 2020 to June 2021. The purpose of the study was to investigate the effect of BMI (Body Mass Index) on bone density in menopause women, the analysis of the lumbar and femur of patients with low weight (BMI<18.5) showed a significant probability (p-value) of 0.000, and the normal weight (18.5≦BMI<23.0) of the femur. In overweight (23.0≦BMI<25.0), the significance probability (p-value) of the lumbar region was 0.021 and the significance probability (p-value) of the femur was 0.034, confirming the correlation. However, in patients with high obesity (30.0≦BMI<40.0), the p-value of the lumbar region was 0.127, and the p-value of the femur was 0.093, indicating that there was no correlation between BMI and bone density.