• 제목/요약/키워드: Aggressive treatment

검색결과 717건 처리시간 0.032초

기능성 나노복합 무기질 활성탄계 표면 처리제를 적용한 콘크리트의 내구성능 평가에 관한 실험적 연구 (An experimental study on the durability evaluation of concrete applied functional nano composite inorganic activated carbon based coatings)

  • 양기영;장석재;백종명
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2006년도 추계학술대회 논문집
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    • pp.1385-1390
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    • 2006
  • Concrete structure can be deteriorated by ingress of moisture and aggressive agents. To maintain the sound performance of concrete structure during the service life, it needs to protect concrete from ingress of moisture and aggressive agents before arising deterioration of concrete. Protection of concrete is possible by surface treatment. In this study, durability of the functional nano composite inorganic activated carbon based coatings which can provide a barrier against the ingress of moisture or aggressive ions to concrete is discussed. For the durability evaluation of the coatings, fine void structure evaluation test, chloride penetration acceleration test, accelerated carbonation test, freezing and thawing test, and the accelerated test of chemical erosion are conducted. As the result of this study, the functional nano composite inorganic activated carbon based coatings which became one formed complex compound with adsorption and porosity on concrete surface, had an effect on the function of far infrared radiation, antimicrobial action, air cleaning, airing assurance, and the interception of moisture of deterioration factor, chloride ion, carbon dioxide, sulfate, and so on.

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갑상선 유두암 원주세포변형 1예 (A Case of Columnar Cell Variant of Papillary Thyroid Carcinoma)

  • 최시홍;이동후;정수진;김도훈
    • 임상이비인후과
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    • 제29권2호
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    • pp.281-285
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    • 2018
  • Columnar cell variant of papillary thyroid carcinoma (CCV-PTC) is a rare variant representing 0.15-0.2% of all PTCs. The CCV is aggressive, due to its rapid growth, high local recurrence rate, and frequent lung, brain and bone metastasis. Aggressive surgical and medical management are recommended for these neoplasias. The authors experienced a case of CCV-PTC in a 45-year-old man. We performed total thyroidectomy with neck dissection. The patient received radiation and radioactive iodine therapy. There were no recurrences or complications in the following 24 months after the operation. The patient will closely undergo continuous follow up. We present the clinical characteristics, pathology, treatment, and prognosis of the tumor with a review of the literature.

Prognostic Sub-Grouping of Diffuse Large B-Cell Lymphomas into Germinal Centre And Post Germinal Centre Groups by Immunohistochemistry after 6 Cycles of Chemotherapy

  • Hassan, Usman;Mushtaq, Sajid;Mamoon, Nadira;Asghar, Asghar Hussain;Ishtiaq, Sheeba
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권4호
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    • pp.1341-1347
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    • 2012
  • Introduction: Diffuse large B-cell lymphomas (DLBCL) can be divided into germinal centre (GC-DLBCL) and post germinal centre (post GC-DLBCL) groups by applying immunohistochemical antibodies. As these subgroups respond differently to chemotherapy, it is possible at diagnosis to select a poor prognostic subgroup for aggressive treatment. Objective: To determine the frequencies of GC-DLBCL and post GC-DLBCL in patients by immunohistochemistry (IHC) and the clinical response after six cycles of chemotherapy. Subjects and Methods: In this descriptive study conducted in AFIP and CMH, Rawalpindi and NORI, Islamabad, from September 2010 to September 2011, a total of 75 pretreatment cases of DLBCL diagnosed during the study period were included. Cases were segregated in to GC-DLBCL and post GC-DLBCL groups according to results of immunohistochemistry markers CD10, BCL6 and MUM1. Immediate clinical response was assessed after 6 cycles of chemotherapy. Response was divided into complete response, partial response, stable disease or relapse or progression. Results: The mean age was $54.2{\pm}15$. Males were 53 (70.7%). Forty (53.3%) cases comprised the GC-DLBCL group; 25(62.5%) of them showed a complete response. Most patients of the post GC-DLBCL 19(54%) showed relapse/progression. Results of immediate clinical response in both prognostic subgroups were significant (p<0.05). Results regarding positivity with immunohistochemical antibodies CD10 (p 0.011), BCL6 (p 0.013) and MUM1 (p 0.000) regarding immediate clinical response were also significant. Conclusion: GC-DLBCL group shows better response to CHOP chemotherapy regimen. Immunohistochemistry should be used to further classify DLBCL as this can enable us to select aggressive group for aggressive treatment. This manuscript is important because the study is the first to becarried out exclusively in Pakistan or our part of the world.

폐합병증을 동반한 심한 면역저하 환자에서 폐생검술의 유효성 및 위험성에 대한 분석 (Analysis of Risk and Benefit of Open Lung Biopsy in Severe Immunocompromised Patients with Pulmonary Complications)

  • 이호석;이성호;김관민;심영목;한정호
    • Journal of Chest Surgery
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    • 제34권7호
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    • pp.539-546
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    • 2001
  • 배경: 면역저하 환자에게 발생하는 폐 합병증은 흔히 치명적이다. 폐생검술과 같은 침습적인 진단 술기의 위험도 때문에 일반적으로 임상 양상과 방사선 영상 소견에 근거하여 경험적인 치료가 적용된다. 그러나 최근 수술 술기와 수술 전후의 환자 관리의 발전으로 인해 술기와 연관된 위험도는 줄어든 실정이다. 이에 폐합병증을 동반한 심한 면역저하 환자에서 시행된 폐생검술의 위험성 및 유효성에 대하여 전향적으로 분석하였다. 대상 및 방법: 1996년 6월부터 1999년 12월까지 폐합병증을 동반한 면역저하 환자 42명에서 43례의 폐생검술을 실시하였다. 면역저하는 다음과 같이 정의하였고(1, 혈액학적인 질환으로 인해 화학요법이나 다른 치료를 동반하여 받은 경우, 2. 이식 수술 후 면역 억제제를 복용하는 경우, 3. 1 개월 이상의 스테로이드 복용, 4. 원발성 면역결핍 질환), 이상의 면역저하 환자에서 새로운 폐합병증을 동반하고 1 주간의 경험적 치료에 호전이 없거나 급속하게 진행되는 경우를 대상으로 하였다 기저 질환은 혈액학적 질환(31명), 이식 수술 환자(3명), 고형암으로 인한 화학요법(2명)등이었으며 수술은 개흉술이나 video-aided thoracoscopic surgery (VATS)를 통하여 이루어 졌다.

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Transarterial Embolization of Intracranial Arteriovenous Fistulas with Large Venous Pouches in the Form of Venous Outlet Ectasia and Large Venous Varix or Aneurysm : Two Centers Experience

  • Deniwar, Mohamed Adel;Ahmad, Saima;Eldin, Ashraf Ezz
    • Journal of Korean Neurosurgical Society
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    • 제65권1호
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    • pp.30-39
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    • 2022
  • Objective : There are different types of cerebral vascular malformations. Pial arteriovenous fistulas (PAVFs) and dural arteriovenous fistulas (DAVFs) are two entities; they consist of one or more arterial connections to a single venous outlet without a true intervening nidus. The high turbulent flow of PAVFs and aggressive DAVFs with cortical venous reflux can result in venous outflow varix and aneurysmal dilatation. They pose a significant challenge to transvenous embolization (TVE), stereotactic radiosurgery, and surgical treatment. We aim to share our centers' experience with the transarterial embolization (TAE) for arteriovenous fistulas (AVFs) with large venous pouches and to report the outcome. Methods : The authors' two institutions' databases were retrospectively reviewed from February 2017 to February 2021. All patients with intracranial high flow PAVFs and aggressive DAVFs with venous outlet ectasia and large venous varix and were treated by TAE were included. Results : Fifteen patients harboring 11 DAVFs and four PAVFs met our inclusion criteria. All patients underwent TAE in 17 sessions. Complete angiographic obliteration was achieved after 14 sessions in 12 patients (80%). Four patients (25%) had residual after one TAE session. Technical failure was documented in one patient (6.7%). Fourteen patients (93.3%) had favorable functional outcome (modified Rankin score 0-2). Conclusions : TAE for high flow or aggressive intracranial AVFs is a safe and considerable treatment option, especially for those associated with large venous pouches that are challenging and relatively high-risk for TVE.

Lipase Treatment of Polyester Fabrics

  • Kim, Hye-Rim;Song, Wha-Soon
    • Fibers and Polymers
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    • 제7권4호
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    • pp.339-343
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    • 2006
  • The aim of this paper is to improve moisture regain of PET fabrics using a lipase treatment. Effects of nine lipase sources, lipase activator and nonionic surfactant on moisture regain of PET fabrics are examined. Moisture regains of lipase-treated samples improve by two times in average compared with untreated and buffer-treated samples. Alkaline treatment creates larger pitting by more aggressive attack into fiber which is proved by SEM and water contact angle measurement. Moisture regain by alkaline treatment ($0.568%{\pm}0.08$) does not improve. However, lipase-treatment (L2 treatment) improves moisture regain up to 2.4 times ($1.272%{\pm}0.05$). Although lipase treatment is more moderate than alkaline treatment, lipase hydrolysis on PET fabrics improves moisture regain, efficiently. K/S values improved confirm that carboxyl and hydroxyl groups are produced on the surface of PET fabrics by lipase hydrolysis. Moisture regain and dyeability improve by lipase hydrolysis on PET fabrics.

Aggressive Periodontitis and Treatment

  • 오준호;안용범;고선영;이은선;이원진;이승재;장문택;김형섭
    • 대한치주과학회:학술대회논문집
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    • 대한치주과학회 2007년도 춘계학술대회
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    • pp.21-21
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    • 2007
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8례의 메켈세포암종의 후향적 연구 (A Retrospective Analysis of Eight Cases of Merkel Cell Carcinoma)

  • 오승일;진웅식;장학;권성택;민경원
    • 대한두개안면성형외과학회지
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    • 제14권1호
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    • pp.41-45
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    • 2013
  • Background: Merkel cell carcinoma (MCC) is a rare locally aggressive cutaneous neuroendocrine carcinoma with a high incidence of local recurrence, regional lymph node metastasis, followed by distant metastasis. Because of shortage of the retrospective study, standard treatment has not been established. The purpose of this study was to present the surgical treatment and outcome of 8 patients with MCC. Methods: We report our experiences with 8 patients who underwent treatment for MCC at our institution from 2000 through 2012. Two men and 6 women received treatment for MCC. The mean age was 76.4 years (range, 53 to 93 years). Results: The follow-up period ranged from 7 to 26 months (mean, 22.9). During the follow-up period, three of 8 patients had a relapse (mean time before recurrence, 10 months; 1 month, 7 months, and 22 months). After primary surgery, 3 patients underwent radiotherapy, and 1 patient received chemotherapy. Conclusion: MCC is an aggressive skin cancer with a high rate of local recurrence. Complete surgical excision is the mainstay of local treatment, but adjuvant radiotherapy should be considered for better local control.

외상성 뇌손상 환자의 공격성에 대한 치료 1례 (Traditional Korean Medicine Treatment of a Traumatic Brain Injury Patient with Aggressive Behavior)

  • 박혜림;홍미나;조재현;배고은;최진용;홍진우;박성하;이인
    • 대한한방내과학회지
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    • 제37권5호
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    • pp.831-838
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    • 2016
  • Objective: To describe the effectiveness of traditional Korean medicine (TKM) on a patient showing aggressive behavior after a traumatic brain injury. Methods: We used complex TKM treatments. The acupoints used were as follows: Soyangin Taegeuk acupuncture (HT3, KI3, and SP3) and acupoints frequently used in hemiparesis (GV20, GV24, ST4, LI11, LI4, ST36, GB34, SP9, and LR3). Moxibustion was also applied to GV20, and herbal medicine (Samulanshin-tang-gami, 四物安神湯 加味方) was administered. The efficacy was evaluated at baseline, week 8, and week 16 using the Modified Overt Aggression Scale (MOAS). Results: After 8 weeks, the total MOAS score was decreased from 13 to 5, and this score was maintained until week 16. The average sleep time was increased and waking up during the night was decreased. Conclusions: We suggest that TKM could be effective for reducing aggressive behavior and alleviating sleep disturbances. Further studies are needed.

우측 하악부에 발생한 간엽성 연골육종: 증례보고 (Mesenchymal chondrosarcoma on right mandible: a case report)

  • 서준호;김여갑;권용대;최병준;김영란;이백수
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권2호
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    • pp.128-133
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    • 2010
  • Mesenchymal chondrosarcoma is very aggressive and represents approximately 1% of all chondrosarcomas. While it affects a very wide age range, the peak frequency is in the second decade of life. It may occur in the head and rib region with a predilection for the maxillofacial skeleton. The small cell undifferentiated component may assume a hemangiopericytoma-like vascular pattern and should be distinguished from hemangiopericytoma. Treatment is en bloc resection, the intended tissue margins of excision should be designed to extend well beyond the actual tumor margin, as mesenchymal chondrosarcomas. Aggressive behavior of mesenchymal chondrosarcoma of the jaw, with a tendency for delayed recurrence and metastasis even many years after treatment. The most frequent site of metastasis was the lung. Here we present 52 years old, female case of mesenchymal chondrosarcoma occurs on Rt. mandible.