• Title/Summary/Keyword: Advanced treatment

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Combined chemotherapy and intra-arterial chemotherapy of retinoblastoma

  • Choi, Saerom;Han, Jung Woo;Kim, Hyosun;Kim, Beom Sik;Kim, Dong Joon;Lee, Sung Chul;Lyu, Chuhl Joo
    • Clinical and Experimental Pediatrics
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    • v.56 no.6
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    • pp.254-259
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    • 2013
  • Purpose: Retinoblastoma (RB) is the most common primary malignant intraocular tumor in children. Although systemic chemotherapy has been the primary treatment, intra-arterial chemotherapy (IAC) represents a new treatment option. Here, we performed alternate systemic chemotherapy and IAC and retrospectively reviewed the efficacy and safety of this approach. Methods: Patients diagnosed with intraocular RB between January 2000 and December 2011 at Severance Children's Hospital, Yonsei University, were reviewed. Before February 2010, the primary treatment for RB was chemotherapy (non-IAC/CTX). Since February 2010, the primary treatment for RB has been IAC (IAC/CTX). External beam radiotherapy or high-dose chemotherapy were used as "last resort" treatments just prior to enucleation at the time of progression or recurrence during primary treatment. Enucleation-free survival (EFS) and progression-free survival were assessed. Results: We examined 19 patients (median age, 11.9 months; range, 1.4 to 75.6 months) with a sum of 25 eyes, of which, 60.0% were at advanced Reese Ellsworth (RE) stages. The enucleation rate was 33.3% at early RE stages and 81.8% at advanced RE stages (P=0.028). At 36 months, EFS was significantly higher in the IAC/CTX group than in the non-IAC/CTX group (100% vs. 40.0%, P=0.016). All 5 patients treated with IAC achieved eye preservation, although most patients were at advanced RE stages (IV-V). Conclusion: Despite the limitation of a small sample size, our work shows that an alternative combined approach using IAC and CTX may be safe and effective for eye preservation in advanced RB.

Treatment Patterns, Costs, and Survival among Medicare-Enrolled Elderly Patients Diagnosed with Advanced Stage Gastric Cancer: Analysis of a Linked Population-Based Cancer Registry and Administrative Claims Database

  • Karve, Sudeep;Lorenzo, Maria;Liepa, Astra M;Hess, Lisa M;Kaye, James A;Calingaert, Brian
    • Journal of Gastric Cancer
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    • v.15 no.2
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    • pp.87-104
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    • 2015
  • Purpose: To assess real-world treatment patterns, health care utilization, costs, and survival among Medicare enrollees with locally advanced/unresectable or metastatic gastric cancer receiving standard first-line chemotherapy. Materials and Methods: This was a retrospective analysis of the Surveillance, Epidemiology, and End Results-Medicare linked database (2000~2009). The inclusion criteria were as follows: (1) first diagnosed with locally advanced/unresectable or metastatic gastric cancer between July 1, 2000 and December 31, 2007 (first diagnosis defined the index date); (2) ${\geq}65$ years of age at index; (3) continuously enrolled in Medicare Part A and B from 6 months before index through the end of follow-up, defined by death or the database end date (December 31, 2009), whichever occurred first; and (4) received first-line treatment with fluoropyrimidine and/or a platinum chemotherapy agent. Results: In total, 2,583 patients met the inclusion criteria. The mean age at index was $74.8{\pm}6.0years$. Over 90% of patients died during follow-up, with a median survival of 361 days for the overall post-index period and 167 days for the period after the completion of first-line chemotherapy. The mean total gastric cancer-related cost per patient over the entire post-index follow-up period was United States dollar (USD) $70,808{\pm}56,620$. Following the completion of first-line chemotherapy, patients receiving further cancer-directed treatment had USD 25,216 additional disease-related costs versus patients receiving supportive care only (P<0.001). Conclusions: The economic burden of advanced gastric cancer is substantial. Extrapolating based on published incidence estimates and staging distributions, the estimated total disease-related lifetime cost to Medicare for the roughly 22,200 patients expected to be diagnosed with this disease in 2014 approaches USD 300 millions.

Fabrication of Nanostructured $5Cu_{0.6}Fe_{0.4}-Al_2O_3$ Composite by Pulsed Current Activated Sintering from Mechanically Synthesized Powder (기계적으로 합성한 분말로부터 펄스전류 활성 소결에 의한 나노구조 $5Cu_{0.6}Fe_{0.4}-Al_2O_3$ 복합재료제조)

  • Park, Na-Ra;Song, Jun-Young;Nam, Kee-Seok;Shon, In-Jin
    • Journal of the Korean Society for Heat Treatment
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    • v.22 no.3
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    • pp.149-154
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    • 2009
  • Dense $5Cu_{0.6}Fe_{0.4}-Al_2O_3$ composite was consolidated from mechanically synthesized powders by pulsed current activated sintering method within 1 min. $5Cu_{0.6}Fe_{0.4}-Al_2O_3$ powder was synthesized from 3CuO and 2FeAI using the high energy ball milling. Dense $5Cu_{0.6}Fe_{0.4}-Al_2O_3$ with relative density of up to 95% was produced under simultaneous application of a 80 MPa pressure and the pulsed current. Mechanical properties and grain size of the composite were investigated.

The Spot Weldability of SD35 and SD30A Steel for Reinforcement Bar (건설용 이형 철근(SD35, SD30A)의 점용접성)

  • Lee, Su Yeon;Park, Dae Young;Huh, Seok Hwan;Youn, Kuk Tea;Lee, Chan Gyu;Gornakov, Vladimir S.;Taguchi, Osamu;Yoo, Dea Hwang
    • Journal of the Korean Society for Heat Treatment
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    • v.24 no.5
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    • pp.277-286
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    • 2011
  • The spot weldability of metal joints between SD35 and SD30A steel was investigated. This study was aimed to determine the spot welding parameters (i.e. welding current and time) for reinforcement bar joint and to evaluate the weldability, mechanical strength, hardness and microstructure. The results indicated that shear strength and elongation of the welding joints at 12.5kA and 1000 ms were 26.7 $kgf/mm^2$ and 22%, respectively. And fracture distribution of them by using shear and tensile test showed 100% necking mode and 100% ductile mode, respectively.

Caffeine and Carbamazepine: Detection in Nakdong River Basin and Behavior under Drinking Water Treatment Processes (Caffeine과 Carbamazepine: 낙동강 수계에서의 검출 및 정수처리 공정에서의 거동)

  • Son, Hee-Jong;Yeom, Hoon-Sik;Jung, Jong-Moon;Jang, Seong-Ho;Kim, Han-Soo
    • Journal of Environmental Science International
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    • v.21 no.7
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    • pp.837-843
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    • 2012
  • The aims of this study were to investigated the occurrence of caffeine and carbamazepine in Nakdong river basin (8 mainstreams and 2 tributaries) and the behavior of caffeine and carbamazepine under drinking water treatment processes (conventional and advanced processes). The examination results showed that caffeine was detected at all sampling sites (5.4~558.5 ng/L), but carbamazepine was detected at five sampling sites (5.1~79.4 ng/L). The highest concentration level of caffeine and carbamazepine in the mainstream and tributaries in Nakdong river were Goryeong and Jinchun-cheon, respectively. These pharmaceutical products were completely removed when they were subject to conventional plus advanced processes of drinking water treatment processes. Conventional processes of coagulation, sedimentation and sand-filtration were not effective for their removal, while advanced processes of ozonation and biological activated carbon (BAC) filtration were effective. Among these pharmaceuticals, carbamazeoine was more subject to ozonation than caffeine.

A Study of Advanced Oxidation Process for Reuse of Industrial Wastewater (산업폐수 재이용을 위한 고급산화공정 시스템 연구)

  • Kim, Sung-Joon;Jin, Ming-Ji;Won, Chan-Hee;Hwang, Jeong-Seok;Lee, Gil-Yong
    • Journal of Korean Society on Water Environment
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    • v.26 no.4
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    • pp.580-584
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    • 2010
  • As water becomes more scarce around the world the reuse of treated wastewater is being recenlty considered as indispensible trend we need to follow. Especially, industrial area consuming large amount of water has been encouraged to reuse the treated wastewater to secure sufficient water for the production of merchandise. In this study, a study of advanced oxidation process for treatment of industrial wastewater. The treatment performance of UV and ozoznation and five types advanced oxidation processes such as UV/AC, UV/Catalyst, $O_3$/Catalyst, UV/$O_3$/Catalyst was experimentally investigated for reuse of industrial wastewater. The removal efficiency of $COD_{Cr}$, color were relatively evaluated in each treatment unit simulated outflow water of wastewater treatment area. UV/$O_3$/Catalyst process showed the highest $COD_{Cr}$ remaval and color remaval among proposed oxidation process.

Cleaning Effect of Papermaking Felt with Enzymes (효소에 의한 초지용 펠트의 세척효과)

  • Yoon, Byung-Tae;Kim, Seong-Bo;Eom, Tae-Jin;Choi, Myoung-Jae
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.37 no.3
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    • pp.17-22
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    • 2005
  • The cleaning efficiency of papermaking felt which is contaminated with fiber fines and various micro-materials was investigated and compared between the application of enzyme and commercial detergent. It was found that the cleaning efficiency by the treatment of acidic-based detergent was more efficient than that of alkaline-based one in the conventional commercial detergent. it was also observed that the treatment design of first acidic-based detergent treatment to second alkaline-based detergent procedure was better in the cleaning efficiency, compared to alkaline based-to-acidic based one. The cleaning property of felt with enzyme was resulted in good cleaning efficiency, without any addition of surfactant. Especially, the enzyme treatment under alkaline condition (pH 10) showed a better cleaning result than that under acidic condition(pH 5). The addition of nonionic surfactant to the enzyme increased the cleaning efficiency of felt and decreased the cationic demand of wastewater. These results showed more favour than the application of conventional commercial detergent.

A Study on the Optimal Use of Silent Discharge Type Ozonizer in Purification Plant (정수장의 무성방전형 오존발생기 최적활용방안에 관한 연구)

  • Shin, Hong-Sub;Park, Hyun-Mi;Kwon, Young-Hak;Song, Hyun-Gig;Park, Won-Joo
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.29 no.3
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    • pp.54-60
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    • 2015
  • There are 5 purification plants with the adopted advanced water purification treatment process in Korea. Annual operating costs were 8,990 million won including purchase cost of oxygen and power usage charges. We need research to optimize, in the future, when considering the direction of domestic water treatment continues to adopt advanced water treatment process. In this paper, calculate the optimal operating costs by injected the oxygen gas, used power cost. approximately 25% of the operating costs can be reduced when injected the ozone gas is 1.0ppm than 2.0ppm, the necessary amount of oxygen is increased then power is lower. so operating costs are decided according to oxygen costs. On the other hand, high ozone concentration 2.0ppm, the necessary power is increased then amount of oxygen is lower. Therefore, in the case of G purification plant, the controlling factor of the input ozone concentration 2ppm, PID control operation by setting the concentration of over 10Wt% is efficient. The installed capacity is the more little the more better when considering on Ozone injection rate in the process of water treatment.