• 제목/요약/키워드: Beyond the years

검색결과 419건 처리시간 0.025초

Long-term Survival of a Hepatocellular Carcinoma Patient Treated by Korean Medicine Combined with Western Therapy: a Case Report

  • Kang, Ji-Young;Kim, Jun-Young;Son, Chang-Gue;Cho, Jung-Hyo
    • 대한한의학회지
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    • 제34권4호
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    • pp.56-62
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    • 2013
  • Objectives: Hepatocellular carcinoma patients have a poor prognosis and survival beyond 5 years is very rare in spite of western treatment. We report a case of long-term survival of a hepatocellular carcinoma patient treated by Korean medicine combined with western therapy. Methods: The treatment was provided from November 2004 to July 2012. Herbal medicine, acupuncture and moxibustion treatment were used as main treatment methods. We prescribed herbal medicines three times a day and performed acupuncture and moxibustion an average of 2-3 times a week. Clinical laboratory tests were performed each month and a CT scan was carried out 13 times during the treatment period. In order to evaluate the disease status, we checked the patient's abdominal circumference, weight change and subjective symptoms regularly. Results: During treatment, subjective symptoms of the patient and state of ascites due to hepatocellular carcinoma were relatively stable. The progress of hepatocellular carcinoma was gradual without worsening rapidly. Since the initial diagnosis with hepatocellular carcinoma, the patient survived for a further 7 years and 9 months treated by Korean medicine combined with western treatment. Conclusions: According to the above results, this case indicates that Korean medical treatment combined with western therapy for hepatocellular carcinoma patients has synergistic effects of prolonged survival, relief of symptoms and management of complications.

관상동맥 우회술 91례의 임상적 고찰 (The Clinical Analysis of 91 Cases of Coronary Artery Bypass Graft)

  • 김학제
    • Journal of Chest Surgery
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    • 제28권5호
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    • pp.453-463
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    • 1995
  • During 42 month period 91 consecutive patient underwent coronary artery bypass surgery. The mean age of these patient was 57 years [range from 28 to 78 years . There were 57 men and 34 women. The preoperative risk factors that include beyond the 50 % of total patients were male sex, obesity, hypo-high-density lipoproteinemia, smoking, hypercholesterolemia, hyper-low-density lipoproteinemia, hypertriglyceridemia and hypertension. Preoperatively 27 patients had stable angina pectoris and 39 patients of unstable angina pectoris. Twenty five patients had previous myocardial infarction history. The patterns of disease were 8 patients of single vessel involvement, 18 patients of double vessel involvement, 54 patients of triple vessel involvement and 11 patients of left main coronary artery disease. Fifty five patients were in Canadian Cardiovascular Society functional class III. Myocardial revascularization was performed under emergency conditions in 5 patients. Nine percent of patients had previous PTCA history. We performed 16 cases of sequential anastomosis, internal mammary artery harvest in 86 percent of total patients and total 284 distal anastomoses[mean 3.1 anastomosis per patient . The mean ACC time was 60.5 minutes and ECC time was mean 110 minutes. The combined surgeries were 16 cases of endarterectomy, 2 cases of LV aneurysmectomy, 1 case of Bentall operation, 1 case of repair of sinus of Valsalva, 1 case of ligation of coronary AV fistula and 1 case of excision of breast mass. The most common complication was wound infection[12 cases, 13 % . There was one hospital death due to postoperative respiratory failure and low output syndrome in patient with postinfarction VSD, LV aneurysm. Postoperative 88 patients were in Functional class I or II. The 99mTc-MIBI myocardial perfusion scan that used as evaluation of postoperative state was well correlated with patient`s symptoms instead of some disadvantages.

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Increased Serum S-TRAIL Level in Newly Diagnosed Stage-IV Lung Adenocarcinoma but not Squamous Cell Carcinoma is Correlated with Age and Smoking

  • Kargi, Aysegul;Bisgin, Atil;Yalcin, Arzu Didem;Kargi, Ahmet Bulent;Sahin, Emel;Gumuslu, Saadet
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권8호
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    • pp.4819-4822
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    • 2013
  • Background: Lung cancer is the leading cause of cancer mortality in the world. Many factors can protect against or facilitate its development. A TNF family member TRAIL, has a complex physiological role beyond that of merely activating the apoptotic pathway in cancer cells. Vitamin D is converted to its active form locally in the lung, and is also thought to play an important role in lung health. Our goal was to investigate the possible clinical significance of serum sTRAIL and 1,25-dihydroxyvitamin D(3) levels in patients with non-small cell lung cancer (NSCLC). Materials and Methods: Totals of 18 consecutive adenocarcinoma and 22 squamous cell carcinoma patients with stage-IV non-small cell lung cancer referred to our institute were included in this study. There were 12 men and 6 women, with ages ranging from 38 to 97 (mean 60.5) years with adenocarcinoma, and 20 men and 2 women, with ages ranging from 46 to 80 (mean 65) years with squamous cell carcinoma. Serum levels of sTRAIL and 1,25-dihydroxyvitamin D(3) were measured in all samples at the time of diagnosis. Results: sTRAIL levels in NSCLC patients were higher than in the control group. Although there was no correlation between patient survival and sTRAIL levels, the highest sTRAIL levels were correlated with age and cigarette smoking in the adenocarcinoma patients. sTRAIL level in healthy individuals were correlated with serum 1,25-dihydroxyvitamin D(3). Conclusions: Serum sTRAIL concentrations were increased in NSCLC patients, and correlated with age and smoking history, but not with overall survival.

소셜 빅데이터 기반 융합연구 동향 분석 (Trend Analysis of Convergence Research based on Social Big Data)

  • 노영희;김태연;정대근;이광희
    • 한국콘텐츠학회논문지
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    • 제19권2호
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    • pp.135-146
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    • 2019
  • 본 연구는 4차 산업혁명과 함께 학제간 융합연구의 중요성이 부각되는 시점에서 소셜미디어 빅데이터 분석을 통하여 학술적 연구를 넘어 융합연구 전반에 대한 동향을 분석하고자 하였다. 이를 위해 텍스트마이닝 기법을 활용하여 소셜미디어에서 융합연구와 관련하여 2009년 1월부터 2018년 9월까지 약 10년간 게시된 글과 제목 등 약 150,000건을 수집하였으며, 이를 바탕으로 기간별로 워드클라우드와 네트워크 분석을 실시하였다. 분석결과, 각 기간별로 활발하게 진행된 연구분야는 2009년과 2010년에는 친환경, 2011년과 2012년에는 스마트, 2013년과 2014년에는 정보통신, 2015년과 2016년에는 로봇, 2017년과 2018년에는 인공지능이다. 또한 약 10년간 지속적으로 수행되고 있는 연구분야는 문화, 디자인, 화학, 나노, 바이오, 로봇, IT, 정보통신이다. 본 연구에서는 기간별 융합연구 동향을 파악하므로 써, 융합연구를 기획하고 있는 연구자들에게 연구방향을 설정하는데 있어 도움이 될 수 있다.

한.미 FTA 체결에 따른 한우농가 피해보전효과 분석 (An Analysis on the Damage Compensation of Hanwoo Farmers as a Result of the Korea-U. S. Free Trade Agreement)

  • 최세현;조재환;김은순
    • 한국유기농업학회지
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    • 제21권4호
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    • pp.523-538
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    • 2013
  • To help improve the current government practice of direct damage-compensation policies, resulting from the loss of profit, sustained by Hanwoo farmers, as a result of the recent Korea-U. S. Free Trade Agreement (FTA), this research aims to examine any problems or issues caused by said policies. To accomplish this task, we have established Hanwoo-SIMO model and estimated the damage of Hanwoo farmers, one without the implementation of the FTA and another with the FTA, to compare and contrast the two. We then analyzed the efficacy of the current government policies. According to our analysis, the current direct compensation policies for the loss of profit on the part of Hanwoo farmers are insufficient. To address this problem, we recommend the government enact a new direct damagecompensation law to address the following issues. First, as the base formula of damage-compensation, the government should use current price of the beef rather than the annually changing flexible price. Second, the flexible control index should remain fixed at 1.0 rate while the government prepares the adequate amount of the damage compensating direct payment resulting from the FTA. Third, the direct government compensation policy should extend beyond the current 15 years (2013-2026) as the profit loss is expected to increase after the midpoint of the FTA.

위험직종(危險職種) 분류(分類)에 따른 난청(難聽)의 고찰(考察) (A Study on the Hearing Disturbance Based on the Classification of Hazardous Occupation)

  • 박영일
    • 보험의학회지
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    • 제2권1호
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    • pp.122-127
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    • 1985
  • The basis for determining hearing disturbance adopted by the Life Insurance Industry is the loss of hearing power above 80 db on either or both sides, in accordance with the divide sixth method of audiometric test. Different types of small-to-medium-sized enterprises were chosen for the study of the extent of loss and the power of hearing. The following are the findings: 1. The disturbance percentage found among the types of occupation and different levels of age was found to be higher as the subject's ages increased. 2. The heavier the workload and the noisier the environment, the higher the percentage of disturbance. The average percentage of the subjects turned out to be 24.35%. Those engaged in sawing and wood-work showed 49%. Those engaged in machinery and equipment for transportation accounted for 42.6%. Those engaged in the metal products occupied 39.6%. The disturbance percentage among those engaged in such noisy works as press, pipe and sawing showed 32.52%. 28.46% of those workers with three to four years employment turned out to be disturbed in hearing. Of these, a high percentage of 43.9% showed disturbance in conversation or talk. 3. No hearing loss due to occupation beyond the Life Insurance standard of 80 db was found; therefore, the present status poses no problem. Constant attention, however, is needed.

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당대와 송대의 여자장식에 관한 고찰 (A Study on woman's hair fashions of Tang and Song Dynasty)

  • 이순자
    • 복식
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    • 제35권
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    • pp.67-89
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    • 1997
  • During thousands of years the people of china have not only created the brilliant cul-ture with a world reputation but also brought about an abundant treasury of paramountly beautiful hairdo fashions beyond comparison. Hair styles are an important symbol of the ma-terial and cultural civilization of a certain his-torical period. In Dang Dynasty the country was unified the economy was properous and the political situation was relatively stable. These spelt the solid foundation on which the rich and colourful varieties in the hair styles of women emerged. The numerous hair fashions in Tang Dynasty woman folk could be summed up into three catagories-high bun hanging bun and flat bun. Of course like the garments hair fashions are also the marks for the social status of the women in the feudal society. The hairstyle of the women of the Song Dynasty still followed the fashion of the later period of the Tang Dynasty the high bun be-ing the favoured style. To dress this type of high bun switches were generally used sometimes fashioned in to switch buns of various shapes coiled directly on top of the head. Women from rich families however usually had hairpins and combs made into the shape of flowers birds phoenixes of butterflies to be pinned on top of the buns.

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이차성 구순열 비첨부 교정 시 내측 및 외측 하부 비익연골의 동시교정술의 필요성과 효용성 (Medial and Lateral Crus Elevation to Correct the Secondary Unilateral Cleft Lip-Nasal Deformities)

  • 박병윤
    • Archives of Plastic Surgery
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    • 제33권2호
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    • pp.135-143
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    • 2006
  • The characteristics of the cleft lip nasal deformity is defined in this article in three planes. The alar flaring is explained in X axis, the lower positioning of the alar free margin is imagined in Y axis and the short hemicolumella is in Z axis. Most cleft surgeons have focused on the malposition of the lateral crus of alar cartilage while the author defined it in X and Y axises and tried to correct that deformity of short hemicolumella in Z axis. For the last 13 years the author applied that method in 818 cases of secondary cleft lip nose deformity. Through the columellar splitting incision extended to free margin of the alar not beyond the nasal dorsum, the skin and soft tissue of the webbing deformed the nasal tip was excised in crescent fashion. The dissected short hemicolumella including the medial crus was thus elevated and advanced into the space of the deformed nasal tip after the crescent excision. This procedure should be followed by the correction of the deformities in X and Y axis. The medial crus elevation is more effective and critical way to have the constant and nice outcome than the lateral crus reposition in secondary cleft lip nasal deformity

The first detection of intracluster light beyond a redshift of 1

  • Ko, Jongwan;Jee, Myungkook J.
    • 천문학회보
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    • 제44권1호
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    • pp.39.1-39.1
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    • 2019
  • Not all stars in the Universe are gravitationally bounded to galaxies. Since first discovered in 1951, observations have revealed that a significant fraction of stars fills the space between galaxies in local (low-redshift) galaxy clusters, observed as diffuse intracluster light (ICL). Theoretical models provide mechanisms for the production of intracluster stars as tidally stripped material or debris generated through numerous galaxy interactions during the hierarchical growth of the galaxy cluster. These mechanisms predict that most intracluster stars in local galaxy clusters are long-accumulated material since z~1. However, there is no observational evidence to verify this prediction. Here we report observations of abundant ICL for a massive (above $10^{14}$ solar masses) galaxy cluster at a redshift of z=1.24, when the Universe was 5 billion years old. We found that more than 10 per cent of the total light of the cluster is contributed by the diffuse ICL out to 110 kpc from the center of the cluster, comparable to 5-20 per cent in local, massive galaxy cluster. Furthermore, we found that the colour of the brightest cluster galaxy located in the core of the cluster is consistent with that of the ICL out to 200 kpc. Our results demonstrate that the majority of the intracluster stars present in the local Universe, contrary to most previous theoretical and observational studies, were built up during a short period and early (z>1) in the history of the Virgo-like massive galaxy cluster formation, and might be concurrent with the formation of the brightest cluster galaxy.

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소비자불만족에 대한 대응행동 유형과 판별변수에 관한 연구 -학원 교육서비스를 중심으로- (A Study on the Complaining Behavior Type about Consumer Dissatisfaction and Its Discriminant Variables -focused on the Educational Services Services of Private Institute-)

  • 이은희;민남희
    • 대한가정학회지
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    • 제39권9호
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    • pp.153-174
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    • 2001
  • The objectives of this study were to examine the propensity and to analyze some determinants of complaining behavior about the educational services of private institutes. The survey was conducted by means of self-administered questionnaire with 546 university students Living in Seoul and Cheongjoo. They had an experience of studying in the educational services of private institutes in recent two years. Major findings were as following: (1) The propensity of private complaining behavior about the educational services of private institutes averages 3.36 points out of 5. This score is beyond the middle slightly. Whereas the propensity of pubic complaining behavior is very low. (2) According to the discriminant analysis, tuition fee, information supplied for solving the dissatisfaction, and altitude about the complaining behavior are the determinants to distinguish between complaining/non complains behavior group of private complaining behavior. (3) Information supplied for solving the dissatisfaction, kindness of the stars, the establishment, the way of making tuition fees, the degree of awareness of cost, the attitude about complaining behavior, the confidence of success for complaining behavior are the determinants to distinguish between complaining/non complains behavior group of public complaining behavior.

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