• Title/Summary/Keyword: Advanced Treatment

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Therapeutic Compliance and Its Related Factors of Lung Cancer Patients (폐암환자의 치료순응도와 관련요인)

  • Kam, Sin;Park, Jae-Yong;Chae, Sang-Chul;Bae, Moon-Seob;Shin, Moo-Chul;Yeh, Min-Hae;Nam, Si-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.1
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    • pp.13-23
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    • 2002
  • Objectives : To investigate the therapeutic compliance and its related factors in lung cancer patients. Methods : The subjects of this study comprised 277 patients first diagnosed with lung cancer at Kyungpook National University Hospital between Jan 1999 and Sept 1999. Of these, 141(50.9%) participated in the study by properly replying to structured questionnaires. The data was analyzed using a simplified Health Decision Model. This model includes categories of variables covering therapeutic compliance, health beliefs, patient preferences, knowledge and experience, social interaction, sociodemographic and clinical characteristics. Results : The therapeutic compliance rate of the 141 study subjects was 78.0%. An analysis of health beliefs and patient preferences revealed health concern (p<0.05), dependency on medicine (p<0.05), perceived susceptibility and severity (p<0.05) as well as preferred treatment (p<0.01) as factors related to therapeutic compliance. Factors from the sociodemographic characteristics and clinical factors that were related to therapeutic compliance were age (p<0.01), monthly income (p<0.05), histological type (p<0.05) and clinical stage (p<0.05) of cancer. Conclusions : In order to improve therapeutic compliance in lung cancer patients it is necessary to educate the aged, low-income patients, or patients who have small cell lung cancer or lune cancer of an advanced stage for which surgery is not indicated. Additionally, it is essential for medical personnel to have a deep concern about patients who have poor lifestyles, a low dependency on medicine, or a high perceived susceptibility and severity. Practically, early diagnosis of lung cancer and thoughtful considerations of low-income patients are important. By means of population-based education in a community, we may promote attention to health and enhance the early diagnosis of lung cancer.

Clinical and Therapeutic Aspects of Squamous Cell Carcinoma of Oral Tongue (구강 설 편평 상피 세포암의 임상적, 치료적 고찰)

  • Ryu Samuel;Lee Chang Gul;Park In Kyu;Suh Chang Ok;Kim Gwi Eon;Loh John J.K.
    • Radiation Oncology Journal
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    • v.5 no.2
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    • pp.105-110
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    • 1987
  • Fourty nine patients with squamous cell carcinoma of oral tongue were reviewed retrospectively for the evaluation of clinical manifestation and for the comparison between therapeutic modalites. The gross shape of the tumor was infiltrative in 22, ulcerative in 12, ad ulcer-oinfiltrative type in 10 patients. Direct extension of the tumor was most commonly to the floor of the mouth. The incidence of nodal metastasis generally increased with tumor stage. $55\%$ of the patients showed neck nodal metastasis at the time of diagnosis. Ipsilateral subdigastric node were most commonly involved, followed by submandibular nodes. The 5-year survival rate of patients treated with surgery and radiotherapy was $58.7\%$ in contrast to $21.6\%$ in radiation alone group. Overall 5-year survival rate was $31\%$ In radiation alone group, half of the patients in stage I, II were locally controlled. But the local control In stage III, IV was much inferior to early lesions. Especially, of 4 patients combined with implantation technique, 3 were completely controlled. 5-year survival rate of these implanted patients was $50\%,\;49.4\%$ of patients treated over 7,000cGy survived 5 years. This was significant in contrast to $6.4\%$ of the group treated below 7,000cGy. The most common sites of failures were primary sites. In early lesions primary radiotherapy with implantation would be an appropriate treatment in cancer of oral tongue, operation reserved for radiation failure. Operation and adjuvant radiotherapy is recommended in cases of advanced disease.

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Carcinoma of the Uterine Cervix Treated with External Beam Irradiation Alone (자궁경부암의 외부방사선 치료 성적)

  • Kim, Mi-Sook;Ha, Sung-Whan
    • Radiation Oncology Journal
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    • v.11 no.2
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    • pp.363-367
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    • 1993
  • A retrospective analysis was peformed on 42 patients with carcinoma of the uterine cervix who were treated with external beam (EB) radiation therapy alone at the Department of Therapeutic Radiology, Seoul National University Hospital from March 1979 to December 1988. After whole pelvic field irradiation of 50Gy, all the patients received additional booster dose of 12-22Gy to the primary tumor Thirty one received EB radiotherapy alone because of poor geometry for intracavitary application,5 because of medical problems and 6 because of other reasons. Five year locoregional control rate and five year survival rate were $34.5\%\;and\;35.4\%,$ respectively. Five year survivals were $66.7\%,\;36.4%,\;32.8\%\;and\;25.0\%$ for stage IIA, IIB, IIIB and IVA, respectively. The response one month after treatment well correlated with prognosis. The incidence of grade 2 and 3 complication was $12\%\;and\;10\%,$ respectively. There was tendency of increased complication with advanced stage.

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Curative Radiotherapy of Supralottic Cancer (성문상부암의 근치적 방사선치료)

  • Kim, Yong-Ho;Chai, Gyu-Young
    • Radiation Oncology Journal
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    • v.16 no.2
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    • pp.139-145
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    • 1998
  • Purpose : The purpose of this study was to evaluate the efficacy of curative radiotherapy in the management of supralottic cancer. Materials and Methods : Twenty-one Patients with squamous cell carcinoma of the supralottis were treated with radiotherapy at Gyeongsang National University Hospital between 1590 and 1994. Median follow-up period was 36 months and 95% were observed for at least 2 years. Results : Actuarial survival rate at 5 years was 39.3% for 21 patients. The 5-rear actuarial survival rate was 75.0% in Stage I, 42.9% in Stage II, 33.3% in Stage III and 28.6% in Stage IV(p=0.54), The 5-year local control rate was 52.0% for 21 patients. The 5-rear local control rate was 75.0% in Stage I, 57.1% in Stage II, 66.7% in Stage III, and 28.6% in Stage IV(p=0.33). Double primary cancer was developed in 3 patients and those were all esophageal cancers. Conclusion : In early stage(Stage I and II) supralottic cancer, curative radiotherapy would be a treatment of choice and surgery would be better to be reserved for salvage of radiotherapy failure. In advanced stage(Stage III and IV), radiotherapy alone is inadequate for curative therapy and combination with surgery should be done in operable patients. This report emphasizes the importance of esophagoscopy and esophagogram at the follow-up of patients with supralottic cancer.

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Apoptotic Effects of Junglyeokdaejosape-tang and Junglyeok-tang on A549 lung Cancer Cells (A549 폐암 세포주에 대한 정력대조사폐탕 및 정력탕의 Apoptosis 효과)

  • Yu Byeong-Gil;Kim Myung-Dong;Hwang Tae-Jun;Yoo Yeong-Min;Lee Seon-Goo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.5
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    • pp.1204-1212
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    • 2005
  • Lung cancer is one of the common malignant tumors in the world. It occurs more increasingly due to the serious air pollution, heavy smoking, expoure to ionized radiation, pollution with heavy metal, and owing to well advanced diagnostic skill, etc. Also lung cancer has the limitation of medical care because metastasis is already shown up in more than half cases when it is first detected through medical examination. Although it is treated with chemoradiation, the rate of deaths from lung cancer is high as well, because blood has a lot of toxicity which give side effects. So it has a low rate of cure. So, the ways of various treatment is being researched to raise the rate of care and decrease the side effects recently, and one of the results is inducing apoptosis which makes use of molecularbiologic diagnosis of lung cancer's cell and using oriental medicine drugs. The purpose of this study is whether apoptosis would happen on the human lung carcinoma cell by treated with Junglyeokdaejosape-tang, Junglyeok-tang Junglyeokdaejosape-tang and Junglyeok-tang has been prescribed for cough, chest pain, and many other similar cases. Cough and chest pain is shown in early lung cancer. That is why we used these prescriptions. Apoptosis happend on the human lung carcinoma A549 cells treated with Jeongiyeokdaejosapye-tang, Jeonglyeok-tang. The concentration-dependent inhibition of cell viability was observed and apoptosis was confirmed by DNA fragmentation. Bcl-2 and COX-2 mRNA expression decreased, but Bax mRNA expression increased, so it was identified with the case of indomethacin known to enhance apoptotic DNA fragmentation. Also expression of the p21, p53, cyclin E, cyclin D1, cytochrome c, caspase-3, and caspase-9 protein increased and the activity of caspase-3 increased, as well. Last, fragmentation of the PARP was shown. The previous and present results indicated that apoptosis of A549 cells by above-mentioned drugs is associated with the blockage of G1/S progression.

Simultaneous Nitrification and Denitrification using Submerged MBR packed with Granular Sulfur and Non-woven Fabric (부직포 및 황 충진 MBR을 이용한 포기조내 동시 질산화/탈질에 관한 연구)

  • Moon, Jin-Young;Hwang, Yong-Woo;Park, Ji-Hyoung
    • Journal of Korean Society of Water and Wastewater
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    • v.23 no.4
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    • pp.439-446
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    • 2009
  • This study was performed to evaluate SND(simultaneous nitrification and denitrification)efficiency, nitrogen removal efficiency and filtration function of non-woven fabric by using submerging MBR packed with granular sulfur covered with non-woven fabric filter. Synthetic wastewater was used as influent wastewater. Concentration of $NH_4{^+}-N$ in influent was maintained about 40 mg/L and the experiment was performed in four phases according to the flow rate. Nitrogen loading rate divided four phases ranging from $0.04 kg\;NH_4{^+}-N/m^3-day$ to $0.16 kg\;NH_4{^+}-N/m^3-day$. As a result, the maximum $NH_4{^+}-N$ removal rate was accomplished at $0.142 kg\;NH_4{^+}-N/m^3-day$ in nitrogen loading of $0.147 kg\;NH_4{^+}-N/m^3-day$. Nitrification efficiency was higher than 95% in all phases. $NO_3{^-}-N$ loading rate was adjusted ranging from $0.22 kg\;NO_3{^-}-N/m^3-day$ to $0.89 kg\;NO_3{^-}-N/m^3-day$. The maximum $NO_3{^-}-N$ removal rate was accomplished up to $0.71 kg\;NO_3{^-}-N/m^3-day$ in $NO_3{^-}-N$ loading of $0.89 kg\;NO_3{^-}-N/m^3-day$. The maximum $NO_3{^-}-N$ removal efficiency was 95% in $NO_3{^-}-N$ loading of $0.22 kg\;NO_3{^-}-N/m^3-day$. T-N removal rate was 90% and concentration of T-N in effluent was 3.7 mg/L in T-N loading rate of $0.039 kg\;NO_3{^-}-N/m^3-day$. In this study, TMP in reactor with and without non-woven fabric filter were observed to define fouling of hollow-fiber membrane module. Reaching time to standard washing pressure(22 cm Hg) of two reactors were 29 days with non-woven fabric But the reactor without non-woven fabric reached standard washing pressure only after 4 days. Accordingly, non-woven fabric was demonstrated the superiority as a filtration ability. With high nitrogen removal rate and decreasing of fouling of membrane, MBR packed with granular sulfur covered with non-woven fabric filter submerging in activated sludge aeration tank can be used as an advanced treatment process.

High Temperature Oxidation Behavior of Fe-14Cr Ferritic Oxide Dispersion Strengthened Steels Manufactured by Mechanical Alloying Process (기계적 합금화 공정으로 제조된 Fe-14Cr Ferritic 산화물 분산 강화(ODS) 합금 강의 고온 산화 거동)

  • Kim, Young-Kyun;Park, Jong-Kwan;Kim, Hwi-Jun;Kong, Man-Sik;Lee, Kee-Ahn
    • Journal of Powder Materials
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    • v.24 no.2
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    • pp.133-140
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    • 2017
  • This study investigates the oxidation properties of Fe-14Cr ferritic oxide-dispersion-strengthened (ODS) steel at various high temperatures (900, 1000, and $1100^{\circ}C$ for 24 h). The initial microstructure shows that no clear structural change occurs even under high-temperature heat treatment, and the average measured grain size is 0.4 and $1.1{\mu}m$ for the as-fabricated and heat-treated specimens, respectively. Y-Ti-O nanoclusters 10-50 nm in size are observed. High-temperature oxidation results show that the weight increases by 0.27 and $0.29mg/cm^2$ for the as-fabricated and heat-treated ($900^{\circ}C$) specimens, and by 0.47 and $0.50mg/cm^2$ for the as-fabricated and heat-treated ($1000^{\circ}C$) specimens, respectively. Further, after 24 h oxidation tests, the weight increases by 56.50 and $100.60mg/cm^2$ for the as-fabricated and heat-treated ($1100^{\circ}C$) specimens, respectively; the latter increase is approximately 100 times higher than that at $1000^{\circ}C$. Observation of the surface after the oxidation test shows that $Cr_2O_3$ is the main oxide on a specimen tested at $1000^{\circ}C$, whereas $Fe_2O_3$ and $Fe_3O_4$ phases also form on a specimen tested at $1100^{\circ}C$, where the weight increases rapidly. The high-temperature oxidation behavior of Fe-14Cr ODS steel is confirmed to be dominated by changes in the $Cr_2O_3$ layer and generation of Fe-based oxides through evaporation.

A Study on Changes in Heavy Metal Contents in Concrete Prepared Using Coal Ashes (석탄재의 콘크리트 활용에 따른 중금속 함량변화 연구)

  • Lee, Jinwon;Choi, Seung-Hyun;Kim, Kangjoo;Kim, Seok-Hwi;Moon, Bo-Kyung
    • Economic and Environmental Geology
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    • v.51 no.4
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    • pp.371-379
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    • 2018
  • In many countries, recycling coal ashes as backfill materials for subsided lands, abandoned mine tunnels, and road pipeline constructions by making low-strength concretes with minimal amounts of cement is frequently considered for massive treatment of coal ashes. This study investigates the variation of heavy metals in the concrete test pieces prepared for the cases of using only Portland cement as binding material, fly ash as a replacement of the cement, sand as aggregates, and disposed ashes in the ash ponds as a replacement of aggregates. Heavy metal contents were measured based on the aqua regia extraction technique following the Korean Standard for Fair Testing of Soil Contamination and the influences of each materials on the total heavy metal contents were also assessed. Results show that the cement has the highest Cu, Pb, and Zn concentrations than any other materials. Therefore, the test pieces show significant concentration decreases for those metals when the cement was replaced by fly ash. Ponded ash shows low concentrations relative to fly ash in most of the parameters but shows higher Cu and Ni, and lower Pb levels than the sand aggregate. In overall, heavy metal levels of the test pieces are regulated by mixing among the used materials. Test pieces prepared during this study always show concentrations much lower than the Worrisome Level of Soil Contamination (Area 1), which was designated by the Soil Environment Conservation Act of Korea.

Fenton Degradation of Highly Concentrated Fe(III)-EDTA in the Liquid Waste Produced by Chemical Cleaning of Nuclear Power Plant Steam Generators (펜톤 반응을 이용한 원전 증기발생기 화학세정 폐액의 고농도 Fe(III)-EDTA 분해)

  • Jo, Jin-Oh;Mok, Young Sun;Kim, Seok Tae;Jeong, Woo Tae;Kang, Duk-Won;Rhee, Byong-Ho;Kim, Jin Kil
    • Applied Chemistry for Engineering
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    • v.17 no.5
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    • pp.552-556
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    • 2006
  • An advanced oxidation process catalyzed by iron ions in the presence of hydrogen peroxide, the so-called Fenton's reaction, has been applied to the treatment of steam generator chemical cleaning waste containing highly concentrated iron(III)- ethyl-enediaminetetraaceticacid (Fe(III)-EDTA) of 70000 mg/L. The experiments for the degradation of Fe(III)-EDTA were carried out not only with a simulated waste, but also with the real one. The effect of pH and the amount of hydrogen peroxide added to the waste on the degradation was examined, and the results were discussed in several aspects. The optimal pH to maximize the degradation efficiency was dependent on the amount of hydrogen peroxide added to the waste. i.e., when the amount of hydrogen peroxide was different, maximum degradation efficiency was obtained at different pH's. The optimal amount of hydrogen peroxide relative to that of Fe(III)-EDTA was found to be 24.7 mol ($H_{2}O_{2}$)/mol (Fe(III)-EDTA) at pH around 9.

Effects of locally-delivered minocycline hcl on controlled periodontal disease (Minocycline 국소 약물 방출 제제의 치주질환 치료 효과)

  • Chung, Mi-Hyun;Kwon, Young-Hyuk;Herr, Yeek;Lee, Man-Sup;Park, Joon-Bong
    • Journal of Periodontal and Implant Science
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    • v.28 no.1
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    • pp.37-56
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    • 1998
  • The purpose of this study was to evaluate the clinical and microbiological outcomes following the use of 30% minocycline-loaded polycaprolacton film and 2% minocycline-loaded gel that was applied locally into pockets combined with scaling and root planing. 25 human subjects who were non-pregnant, non-lactating, aged 20-50 and diagnosed as moderate to advanced adult periodontitis were enrolled. Subjects were excluded if they had a history of severe acute or chronic systemic disease, if they required antibiotic prophylaxis for dental treatment for any reason, or if they reported a history suggestive of hypersensitivity reactions to minocycline or tetracycline. 4quadrants that had several teeth with a 5-8mm probing pocket depth and radiographic evidence of alveolar bone loss for each patient were selected and divided into test sites and control sites according to the split-mouth design. Scaling and root planing was done for each site at baseline(0week). Test sites received the minocycline gel and strip and control sites had saline irrigation. The patients received both treatments simyltaneously. Subgingival irrigation of sterile saline was applied to the control sites for approximately 30 seconds. Minocycline strip and gel was applied into the periodontal pocket at 1, 2, 3, 4 weeks each after scaling and root planing in the test sites. The clinical and microbiological measurements were made at baseline and at the follow-up visits 6, 10, 14, 20 weeks. The results of this study were as follows; 1. The sulcular bleeding index, probing pocket depth and Periocheck test was significantly reduced and the relative proportions of spirochetes and motile rods were significantly reduced and the proportion of cocci was correspondingly increased, in locally delivered minocycline strip group compared to saline irrigation group. 2. In locally delivered minocycline gel group, The effect was the same with minocycline strip group as compared with saline irrigation therapy. 3. There was no significant differences between minocycline strip group and minocycline gelgroup. In conclusion, minocycline HCl local drug delivery combined with scaling and root planing may provide added improvement of clinical and microbiological responses by inhibiting bacterial recolonization of treated sites. It is suggested that the local administration of minocycline-HCl in the periodontal pocket is effective when combined with subgingival mechanical debridement.

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