• Title/Summary/Keyword: Advanced Treatment

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Hepatoprotective effect of Schisandra chinensis on high-fat diet-induced fatty liver in rats (고지방 식이에 의한 흰쥐의 지방간증에서 오미자 추출물의 간보호 효과)

  • Song, Yun-O;Lee, Soo-Jung;Park, Hyoung-Joon;Jang, Sun-Hee;Chung, Byung-Yeoup;Song, Young-Min;Kim, Gon-Sup;Cho, Jae-Hyeon
    • Korean Journal of Veterinary Service
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    • v.36 no.1
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    • pp.45-52
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    • 2013
  • The purpose of the present study is to determine whether Schisandra chinensis (SC) has a protective effect on high fat diet (HFD)-induced fatty liver including hepatic lipid accumulation in rats. The HFD-induced obese rats were weighed after SC extracts were administered through the gastrointestinal tract at a concentration of 250 mg/kg b.w/day for 5 weeks. After 5 weeks, all of the rats on a high fat-diet were 36.5% heavier compared with normal controls. In contrast, rats on a high-fat diet supplemented with SC were 23.5% lighter than rats fed only a high-fat diet. Although there was no significant difference in food intake among the groups during the experimental diet period, the body weight gain of the SC group was significantly lower than the weights of the HFD groups. SC treatment slightly decreased the liver weight. Reduction of hepatic TBARS contents by SC was observed in rats fed a diet containing SC, and antioxidant activity was markedly increased in HFD+SC group compared to those of HFD group in liver. Moreover, total-lipid and triglyceride contents in the liver of groups fed a diet containing SC were significantly lower compared to those of the HFD group. High fat feeding elevated liver cholesterol concentration, but the addition of SC to the HFD rats resulted in the significant decrease in liver cholesterol. In histological observation of liver tissues, the hepatocytes of HFD rats showed a typical fatty liver morphology showing numerous lipid droplets in cytoplasm, whereas administration of SC reduced the size and numbers of lipid droplets. These results clearly demonstrated the attenuation of SC on nonalcoholic fatty liver induced by obese rats fed HFD.

The Exploratory Analysis on the Registry Data of Patients with Low Back Pain Applying Correlation Analysis Method (Correlation 분석 기법을 적용한 요통 환자에 관한 레지스트리 데이터의 탐색적 분석)

  • Park, Chang-Hyun;Park, Mu-Sun;Kim, Hyung-Suk;Cha, Yun-Yeop;Kim, Soon-Joong;Ko, Youn-Suk;Oh, Min-Seok;Hwang, Eui-Hyoung;Shin, Byung-Cheul;Kim, Chang-Eop;Song, Yun-Kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.4
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    • pp.97-109
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    • 2017
  • Objectives The aim of this study is to analyze the patients who have low back pain through registry. Methods We registered patients with low back pain who visited department of korean rehabilitation medicine in university hospitals on study. We collected data from 116 subjects consisted of 51 inpatients and 65 outpatients and ruled out 8 who didn't have pattern identification data at the point of inpatient or outpatient visit so we analyzed 108 in total. We used Pearson's product moment correlation to find correlationship among variables, and analyzed statistical data using Phyton scipy library stats package. Results We set general features, region of the pain, physical examination, ROM, questionnaire results, pattern identification as variables and draw a conclusion by analyzing these variables. Conclusions Registry aimed at low back pain patients was established in department of korean rehabilitation medicine of university hospitals and exploratory analysis based on data were made. Through the registry, we expect that more advanced studies will be performed; for example, executing research which verifies effectiveness and stability of korean medical treatment or developing tools to fill the gap between pattern identification and disease identification.

Can Induction Chemotherapy before Concurrent Chemoradiation Impact Circumferential Resection Margin Positivity and Survival in Low Rectal Cancers?

  • Bhatti, Abu Bakar Hafeez;Waheed, Anum;Hafeez, Aqsa;Akbar, Ali;Syed, Aamir Ali;Khattak, Shahid;Kazmi, Ather Saeed
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.7
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    • pp.2993-2998
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    • 2015
  • Background: Distance from anal verge and abdominoperineal resection are risk factors for circumferential resection margin (CRM) positivity in rectal cancer. Induction chemotherapy (IC) before concurrent chemoradiation (CRT) has emerged as a new treatment modification. Impact of IC before concurrent CRT on CRM positivity in low rectal cancer remains to be independently studied. The objective of this study was to determine CRM positivity in low rectal cancer, with and without prior IC, and to identify predictors of disease free and overall survival. Materials and Methods: Patients who underwent surgery for rectal cancer between 2005 and 2011 were retrospectively reviewed and divided into two groups. Group 1 received IC before CRT and Group 2 did not. Demographics, clinicopathological variables and CRM status were compared. Actuarial 5 year disease free survival (DFS), overall survival (OS) and independent predictors of survival were determined. Results: Patients in the IC group presented with advanced stage (Stage 3=89.2% versus 75.4%) (P=0.02) but a high rate of total mesorectal excision (TME) (100% versus 93.4%) (P=0.01) and sphincter preservation surgery (54.9 % versus 22.9%) (P=0.001). Patients with low rectal cancer who received IC had a significantly low positive CRM rate (9.2% versus 34%) (P=0.002). Actuarial 5 year DFS in IC and no IC groups were 39% and 43% (P=0.9) and 5 year OS were 70% and 47% (P=0.003). Pathological tumor size [HR: 2.2, CI: 1.1-4.5, P=0.01] and nodal involvement [HR: 2, CI: 1.08-4, P=0.02] were independent predictors of relapse while pathological nodal involvement [HR: 2.6, CI: 1.3-4.9, P=0.003] and IC [HR: 0.7, CI: 0.5-0.9, P=0.02] were independent predictors of death. Conclusions: In low rectal cancer, induction chemotherapy before CRT may significantly decrease CRM positivity and improve 5 year overall survival.

Microstructure and plasma resistance of Y2O3 ceramics (Y2O3 세라믹스의 미세구조 및 플라즈마 저항성)

  • Lee, Hyun-Kyu;Lee, Seokshin;Kim, Bi-Ryong;Park, Tae-Eon;Yun, Young-Hoon
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.24 no.6
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    • pp.268-273
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    • 2014
  • $Y_2O_3$ ceramic specimens were fabricated from the granular powder, obtained by spray drying process from the slurry. The slurry was prepared by mixing PVA binder, NaOH for Ph control, PEG and $Y_2O_3$ powder. The $Y_2O_3$ specimen was shaped in size of ${\phi}14mm$ and then sintered at $1650^{\circ}C$. The characteristics, microstructure, densities and plasma resistance of the $Y_2O_3$ specimens were investigated with the function of forming pressure and sintering time. $Y_2O_3$ specimens were exposed under the $CHF_3/O_2/Ar$ plasma, the dry etching treatment of specimens was carried out by the physical reaction etching of $Ar^+$ ion beam and the chemical reaction etching of $F^-$ ion decomposed from $CHF_3$. With increasing sintering time, $Y_2O_3$ specimens showed relatively high density and strong resistance in plasma etching test.

The Results of the Survey about Present Situation of Quality Assurance for Radiotherapy Machine of Korea (한국의 방사선치료 기기 품질관리 현황에 관한 설문 결과)

  • Jeong, Seonghoon;Yoon, Myonggeun;Lee, Hyunho
    • Progress in Medical Physics
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    • v.26 no.3
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    • pp.185-191
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    • 2015
  • As radiation therapy is one of three major cancer treatment methods, many cancer patients get radiation therapy. Because of the invisible and scattering characteristics of radiation, it is impossible to identify the quality and the amount of radiation and secondary cancer could be induced by scattered radiation. Because of advanced technique of radiation therapy and the reasons mentioned above, quality assurance of radiotherapy machine should be performed completely. International organizations such as International Atomic Energy Agency (IAEA), American Association of Physicists in Medicine (AAPM) suggest report of quality assurance to recommend united method of radiotherapy machine quality assurance. Domestic society of medical physics, however, is too small to make such a report, domestic hospitals selectively choose some of contents in global suggestions. As there are no suggestions for domestic hospitals and global suggestions are being updated, we did a survey about quality assurance for radiotherapy machine. The questionnaire is composed of possession of radiotherapy machine, items performed for quality assurance and manpower, etc. 37 of 72 hospitals answered to survey. These results could be used for making domestic standard quality assurance procedure.

Application of QUAL-2E Model for Water Quality Management in the Keum River -Waste loads Allocation Analysis by Considering Autochthonous BOD- (금강수계의 수질관리를 위한 QUAL-2E 모델의 적용(II) -자생BOD를 고려한 허용오염부하량 산정-)

  • 김종구;이지연
    • Journal of Environmental Science International
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    • v.10 no.1
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    • pp.21-25
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    • 2001
  • The Keum river has been utilized for drinking water supply of several city including Kunsan city and is deepening pollution state due to numerous municipal and industrial discharges. The concentration BOD in river is affected by the organic loading from a tributary and the algae biomass that largely happen to under eutrophication state. In the eutrophic water mass such as the Keum river, the autochthonous BOD was very important part for making a decision of water quality management, because it was accounted for majority of the total BOD. The predict of water quality has important meaning for management of water quality pollution of the Keum river. The purpose of this study will manage and predict water quality of the Keum river using QUAL-2E model considering the autochthonous BOD. The estimation of autochthonous BOD represented that the relationship between BOD and chlorophyll a. The regression equation was shown to be autochthonous BOD=$\beta$(sub)5$\times$chlorophyll a. The results of this study may be summarized as followed; The QUAL-2E model was calibrated with the data surveyed in the field of the study area in June, 1998. The calculated value by QUAL-2E model are in good agree to measured value within relative error of 7.80~20.33%. Especially, in the case of the considering autochthonous BOD, the calculated value of BOD were fairly good coincided with the observed values within relative error of 15%. But the case of not considering autochthonous BOD, relative error of BOD was shown to be 43.2%. In order to attain II grade of water quality standard in Puyo station which has a intake facility of water supply, we reduced to the pollutants loading of tributaries. In the case of removed 100% BOD of tributaries, the BOD of Puyo station was 4.07mg/$\ell$, belong to III grade of water quality standard. But in the case of removed 88% nutrient of tributaries, it was satisfied to II grade of water quality standard as below 3mg/$\ell$ of BOD. For estimation of autochthonous BOD in Keum river, we are performed simulating in accordance with reduction of nutrient load(50~100%) under conditions removal 90% organic load. Occupancy of autochthonous BOD according to nutrient loading reductions were varied from 25.97~79.51%. Occupancy of autochthonous BOD was shown to be a tendency to increasing in accordance with reduction of nutrient loading. Showing the above results, the nutrient that one of the growing factor of algae was important role in decision of BOD in the Keum river. For the water quality management of the Keum river, therefore, it is necessary to considering autochthonous BOD and to construction of advanced sewage treatment plant for nutrient removal.

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The effects of ozone therapy as an adjunct to the surgical treatment of peri-implantitis

  • Isler, Sila Cagri;Unsal, Berrin;Soysal, Fatma;Ozcan, Gonen;Peker, Elif;Karaca, Inci Rana
    • Journal of Periodontal and Implant Science
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    • v.48 no.3
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    • pp.136-151
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    • 2018
  • Purpose: The decontamination procedure is a challenging aspect of surgical regenerative therapy (SRT) of peri-implantitis that affects its success. The purpose of the present study was to determine the impact of additional topical gaseous ozone therapy on the decontamination of implant surfaces in SRT of peri-implantitis. Methods: A total of 41 patients (22 males, 19 females; mean age, $53.55{\pm}8.98years$) with moderate or advanced peri-implantitis were randomly allocated to the test group (ozone group) with the use of sterile saline with additional ozone therapy or the control group with sterile saline alone for decontamination of the implant surfaces in SRT of peri-implantitis. Clinical and radiographic outcomes were evaluated over a period of 12 months. Results: At the 12-month follow-up, the plaque and gingival index values were significantly better in the ozone group (P<0.05). Probing depth decreased from $6.27{\pm}1.42mm$ and $5.73{\pm}1.11mm$ at baseline to $2.75{\pm}0.7mm$ and $3.34{\pm}0.85mm$ at the end of the 12-month observation period in the ozone and control groups, respectively. Similarly, the clinical attachment level values changed from $6.39{\pm}1.23mm$ and $5.89{\pm}1.23mm$ at baseline to $3.23{\pm}1.24mm$ and $3.91{\pm}1.36mm$ at the 12-month follow-up in the ozone and control groups, respectively. According to the radiographic evidence, the defect fill between baseline and 12 months postoperatively was $2.32{\pm}1.28mm$ in the ozone group and $1.17{\pm}0.77mm$ in the control group, which was a statistically significant between-group difference (P<0.05). Conclusions: Implant surface decontamination with the additional use of ozone therapy in SRT of peri-implantitis showed clinically and radiographically significant. Trial registry at ClinicalTrials.gov, NCT03018795.

Analysis of dimensions and shapes of maxillary and mandibular dental arch in Korean young adults

  • Park, Su-Jung;Leesungbok, Richard;Song, Jae-Won;Chang, Se Hun;Lee, Suk-Won;Ahn, Su-Jin
    • The Journal of Advanced Prosthodontics
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    • v.9 no.5
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    • pp.321-327
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    • 2017
  • PURPOSE. The aim of this study was to investigate dental arch dimensions and to classify arch shape in Korean young adults. MATERIALS AND METHODS. The sample included 50 Koreans with age ranging from 24 to 32 years. Maxillary and mandibular casts were fabricated using irreversible hydrocolloid and type III dental stones. Incisor-canine distance, $incisor-1^{st}$ molar distance, $incisor-2^{nd}$ molar distance, intercanine distance, $inter-1^{st}$ molar distance, and $inter-2^{nd}$ molar distance in both the maxillary and mandibular arch were measured using a three-dimensional measuring device. The dental arch was classified into three groups using five ratios from the measured values by the K-means clustering method. The data were analyzed with one-way analysis of variance. RESULTS. Arch lengths (IM2D, $incisal-2^{nd}$ molar distance) were 44.13 mm in the maxilla and 40.40 mm in the mandible. Arch widths (M2W, inter $2^{nd}$ molar width) were 64.12 mm in the maxilla and 56.37 mm in the mandible. Distribution of the dental arch form was mostly ovoid shape (maxilla 52% and mandible 56%), followed by the V-shape and the U-shape. The arch width for the U-shape was broader than for the other forms. CONCLUSION. This study establishes new reference data for dental arch dimensions for young Korean adults. The most common arch form is the ovoid type in the maxilla and mandible of Koreans. Clinicians should be aware of these references and classify arch type before and during their dental treatment for effective and harmonized results in Koreans.

Prognostic Factors and Survival Rates of Stage III Gastric Cancer Patients after a Gastrectomy (3기 위암 환자의 술 후 생존율 및 예후 인자 분석)

  • Jang Seok-Won;Kim Chi-Ho;Kim Sang-Woon;Song Sun-Kyo
    • Journal of Gastric Cancer
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    • v.4 no.3
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    • pp.137-142
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    • 2004
  • Purpose: There have been some controversies over the therapeutic principles of advanced gastric cancer, and the results of treatment have been variable, especially for stage III disease. This study was conducted to define the prognostic factors of stage III gastric cancer. Materials and Methods: This retrospective study was based on the medical records of 179 patients with stage III disease who received a gastrectomy from January 1990 to December 1994. The 5-year survival rate was analyzed according to the age, sex, tumor location, tumor size, Borrmann's type, depth of invasion, lymph-node metastasis, ratio of metastatic lymph nodes, type of surgical resection, extent of lymphnode dissection, curability of resection, postoperative chemotherapy, and pathological stage. The statistical analysis was done by using the Kaplan-Meier method, the log-rank test, and the Cox proportional hazards model. Results: The overall 5-year survival rate was $61.6\%$ the 5-year survival rates according to subgroup were $69.7\%$ for stage IIIa ($100\%$ for $T_{2}N_{2}$, $70.0\%$ for $T_{3}N_{1}$, $68.6\%$ for $T_{4}N_{0}$), and $54.1\%$ for stage IIIb ($T_{3}N_{2}$) (P<0.05). Among various clinicopathologic factors of stage III gastric cancer, the age of the patient, the tumor location, the gross type of tumor, the type of gastric resection, the extent of lymph-node dissection, the curability of resection, and the subgroups of stage III were statistically significant in the univariate survival analysis. The multivariate analysis defined the curability of resection, the extent of lymph-node dissection, the type of operation, the stage of disease, and the age of the patient as independent prognostic factors. Conclusion: A curative surgical resection and an extended lymph-node dissection are thought to be most important for improving the survival rate in stage III gastric cancer patients.

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Preoperative N Staging of Gastric Cancer by Stomach Protocol Computed Tomography

  • Kim, Se Hoon;Kim, Jeong Jae;Lee, Jeong Sub;Kim, Seung Hyoung;Kim, Bong Soo;Maeng, Young Hee;Hyun, Chang Lim;Kim, Min Jeong;Jeong, In Ho
    • Journal of Gastric Cancer
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    • v.13 no.3
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    • pp.149-156
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    • 2013
  • Purpose: Clinical stage of gastric cancer is currently assessed by computed tomography. Accurate clinical staging is important for the tailoring of therapy. This study evaluated the accuracy of clinical N staging using stomach protocol computed tomography. Materials and Methods: Between March 2004 and November 2012, 171 patients with gastric cancer underwent preoperative stomach protocol computed tomography (Jeju National University Hospital; Jeju, Korea). Their demographic and clinical characteristics were reviewed retrospectively. Two radiologists evaluated cN staging using axial and coronal computed tomography images, and cN stage was matched with pathologic results. The diagnostic accuracy of stomach protocol computed tomography for clinical N staging and clinical characteristics associated with diagnostic accuracy were evaluated. Results: The overall accuracy of stomach protocol computed tomography for cN staging was 63.2%. Computed tomography images of slice thickness 3.0 mm had a sensitivity of 60.0%; a specificity of 89.6%; an accuracy of 78.4%; and a positive predictive value of 78.0% in detecting lymph node metastases. Underestimation of cN stage was associated with larger tumor size (P<0.001), undifferentiated type (P=0.003), diffuse type (P=0.020), more advanced pathologic stage (P<0.001), and larger numbers of harvested and metastatic lymph nodes (P<0.001 each). Tumor differentiation was an independent factor affecting underestimation by computed tomography (P=0.045). Conclusions: Computed tomography with a size criterion of 8 mm is highly specific but relatively insensitive in detecting nodal metastases. Physicians should keep in mind that computed tomography may not be an appropriate tool to detect nodal metastases for choosing appropriate treatment.