• Title/Summary/Keyword: Early-stage treatment

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Development Rates of the Cryopreserved Mouse Embryos According to the Embryonic Stage and Cryopreservation Method (생쥐 초기배아의 발생시기와 냉동보존 방법에 따른 발생률)

  • Cheon, Yong-Pil;Lee, Ho-Jun;Kim, Moon-Kyoo
    • Clinical and Experimental Reproductive Medicine
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    • v.21 no.3
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    • pp.325-330
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    • 1994
  • The study has been carried out in order to evaluate the effects of embryonic stage, and cryopreservation method on the rates of viability and development of the cryopreserved mouse early embryos. The results were as following:In the treatment steps of cryoprotectant, for the fertilized oocyte with pronucleus(PN), 2-step was better than the others. And for the other embryos, 4-step was better than 2- or 3-step. In respect to the embryonic stage, as the embryos developed from fertilized oocytes to 8-cell embryos, the rates of viability and development were increased higher. Therefore, 8-cell embryo was better stage than the others. In respect to the kind of cryoprotectants, PROH was better than DMSO for the fertilized oocyte, as a cryoprotectant. DMSO, for the 2-cell embryos and PROH and DMSO for the 4- and 8-cell embryos were suitable for cryopreservation.

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Phase II Study on Breast Conservative Surgery Plus Chemo- and Radiotherapy in Treating Chinese Patients with Early Staged Breast Cancer

  • Liu, Yang-Chen;Zhou, Shao-Bing;Gao, Fei;Yin, Xiao-Xiang;Zhao, Ying;Huang, Xin-En
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3747-3750
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    • 2013
  • Purpose: To evaluate the efficacy of conservative surgery plus chemo-, radio-therapy in treating patients with early stage breast cancer. Patients and Methods: Eligible patients were treated by postoperative chemotherapy as well as whole-breast irradiation with tumor bed boost. Postoperative radiotherapy consisted of 6 MV whole breast linear accelerator irradiation with two tangential half fields to a total dose of 45~50 Gy, followed by $10{\sim}15MeV{\beta}$ boost irradiation to tumor bed for 10~20Gy, total dose 56~66Gy. Results: Fifty-two patients were enrolled. Overall 1-, 2- and 3 year survival rates were 98.1%, 92.3%, and 90.4%, respectively, with a local recurrence rate of 5.77%. Cosmetic results were evaluated as good by doctors in 90.4% of patients. Conclusions: Breast conservative surgery combined with chemo- radio-therapy could be a treatment option for Chinese patients with early stage breast cancer.

The Influence of the Application of NEES to GV20 and L14, on HSP27 and HSP70, after the Ischemic Brain Injury

  • Choi, Jung-Hyun
    • Journal of International Academy of Physical Therapy Research
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    • v.2 no.2
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    • pp.281-287
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    • 2011
  • This research was attempted to seek for a positive approach within the framework of physical therapy instead of the drug treatment in the past, with regard to the ischemic brain injury in the early stage. Accordingly, the aim of this research is to observe the change of HSP27 and HSP70, the genes that are expressed in the early stage of brain injury and to investigate the effects of needle electrode electrical stimulation(NEES), upon applying NEES after ischemia. The experimental method is to give rise to global ischemia and apply NEES to 27 SD-Pat rats with the particulars of being eight-week-old, male, around 300g, and adapted to laboratory environment for more than a week, and divide them into three groups, that is, GV20 NEES group(n=9), L14 NEES group(n=9), no applied NEES global ischemia(GI) group(n=9), and then observe their changes of HSP27 and HSP70 at the time lapse of 6, 9 hr and 12 hr after ischemia, using immunohistochemistry methods. Upon observing through the immunohistochemistry method, it was noticed that there was a significant difference between the GV20 NEES group and the L14 NEES group as for HSP27 and there were significant differences among all groups as for HSP70(p<.05). Accordingly, it is supposed that the application of NEES after the outbreak of cerebral ischemia delay the apoptosis in the early ischemic part of forebrain or protect neurons against apoptosis.

Reconstruction of the Soft Tissue Defect in Fournier's Gangrene (Fournier 괴사 환자의 연부조직 결손 재건술)

  • Seo, Sung-Bo;Kang, Yang-Soo;Cheon, Ji-Seon;Yang, Jeong-Yeol
    • Archives of Reconstructive Microsurgery
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    • v.12 no.1
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    • pp.13-18
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    • 2003
  • Fournier's gangrene is a synergistic necrotizing fasciitis of the perineal, perirectal and urogenital area and can be fatal unless treated in early stage. Perianal and urogenital infections are common causes of the disease but it can occur after artificial procedure on perineal area using by surgical instruments. It is mixed aerobic and anaerobic infection and E. coli is the most common causative bacteria. Untill now many investigators have focused on early diagnosis, preserving hemodynamic stability, broad-spectrum systemic antibiotics and treatment of underlying disease in management of Fournier's gangrene. The authors have experienced five patients of chronic liver disease whose necrotizing perineal infections developed spontaneously and treated them aggressively as described above and reconstructed perineal soft tissue defects using by various surgical methods, then we got good results both functionary and cosmetically. From now on, we would better reconstruct soft tissue defect of perineum with skin graft or pedicled flap in early stage when treat Fournier's gangrene, thereafter we can get an ultimate increase in patient's life quality.

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Studies on the Standard Measure of Compound Patterns of Eight Principles for Rapid Pattern Differentiation against Epidemic Contagious Diseases (전염성 감염병에 대한 신속변증 시행을 위한 팔강복합증형 표준안 연구)

  • Gyoo Yong, Chi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.5
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    • pp.147-154
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    • 2022
  • In order to secure practising rapid pattern(證, zheng) differentiation against acute infectious diseases like corona virus disease-19(COVID-19) showing rapid variation and contagion, a simplified classification of stages centering on the exterior-interior pattern identification with 2 step-subdivision by cold, heat, deficiency, excess pattern and pathogens is proposed. Pattern differentiation by compound patterns of 8 principles is made for the non-severe stage of general cold and the early mild stage of epidemic disease. Compound pattern's names of 8 principles about external infectious diseases are composed of three stages, that is disease site-characters-etiology. Based on early stage symptoms of fever or chilling etc., exterior, interior and half exterior and half interior patterns are determined first, and then cold, heat, deficiency, excess patterns of exterior and interior pattern respectively are determined, and then more concrete differentiation on pathogens of wind, dryness, dampness and dearth of qi, blood, yin, yang accompanied with constitutional and personal illness factors. Summarizing above descriptions, 4 patterns of exterior cold, exterior heat, exterior deficiency, exterior excess and their secondary compound patterns of exterior cold deficiency and exterior cold excess and so on are classified together with treatment method and available decoction for a standard measure of eight principle pattern differentiation.

Prognostic Impact of Histology in Patients with Cervical Squamous Cell Carcinoma, Adenocarcinoma and Small Cell Neuroendocrine Carcinoma

  • Intaraphet, Suthida;Kasatpibal, Nongyao;Siriaunkgul, Sumalee;Sogaard, Mette;Patumanond, Jayanton;Khunamornpong, Surapan;Chandacham, Anchalee;Suprasert, Prapaporn
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5355-5360
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    • 2013
  • Background: Clarifying the prognostic impact of histological type is an essential issue that may influence the treatment and follow-up planning of newly diagnosed cervical cancer cases. This study aimed to evaluate the prognostic impact of histological type on survival and mortality in patients with cervical squamous cell carcinoma (SCC), adenocarcinoma (ADC) and small cell neuroendocrine carcinoma (SNEC). Materials and Methods: All patients with cervical cancer diagnosed and treated at Chiang Mai University Hospital between January 1995 and October 2011 were eligible. We included all patients with SNEC and a random weighted sample of patients with SCC and ADC. We used competing-risks regression analysis to evaluate the association between histological type and cancer-specific survival and mortality. Results: Of all 2,108 patients, 1,632 (77.4%) had SCC, 346 (16.4%) had ADC and 130 (6.2%) had SNEC. Overall, five-year cancer-specific survival was 60.0%, 54.7%, and 48.4% in patients with SCC, ADC and SNEC, respectively. After adjusting for other clinical and pathological factors, patients with SNEC and ADC had higher risk of cancer-related death compared with SCC patients (hazard ratio [HR] 2.6; 95% CI, 1.9-3.5 and HR 1.3; 95% CI, 1.1-1.5, respectively). Patients with SNEC were younger and had higher risk of cancer-related death in both early and advanced stages compared with SCC patients (HR 4.9; 95% CI, 2.7-9.1 and HR 2.5; 95% CI, 1.7-3.5, respectively). Those with advanced-stage ADC had a greater risk of cancer-related death (HR 1.4; 95% CI, 1.2-1.7) compared with those with advanced-stage SCC, while no significant difference was observed in patients with early stage lesions. Conclusion: Histological type is an important prognostic factor among patients with cervical cancer in Thailand. Though patients with SNEC were younger and more often had a diagnosis of early stage compared with ADC and SCC, SNEC was associated with poorest survival. ADC was associated with poorer survival compared with SCC in advanced stages, while no difference was observed at early stages. Further tailored treatment-strategies and follow-up planning among patients with different histological types should be considered.

Predictors of Recurrence after Curative Resection in Patients with Early-Stage Non-Small Cell Lung Cancer

  • Lee, Sang Hee;Jo, Eun Jung;Eom, Jung Seop;Mok, Jeong Ha;Kim, Mi Hyun;Lee, Kwangha;Kim, Ki Uk;Park, Hye-Kyung;Lee, Chang Hun;Kim, Yeong Dae;Lee, Min Ki
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.4
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    • pp.341-348
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    • 2015
  • Background: There have been various results from studies concerning the predictors of recurrence in early-stage nonsmall cell lung cancer (NSCLC). Therefore, an accurate assessment is needed to guide effective adjuvant therapy. We investigated the predictors of a recurrence in patients with resected, early-stage NSCLC and the risk factors associated with locoregional or distant recurrence. Methods: This retrospective study was conducted on patients at the Pusan National University Hospital from January 2006 to December 2011. Patients with pathological stages I or II were included in this study, as based on the seventh edition TNM staging system. Multivariate Cox proportional hazard models were used to identify factors associated with recurrence. Results: Two hundred and forty-nine patients were included. Among them, 180 patients were stage I, and 69 were stage II. Overall, by multivariate analysis, the independent factors associated with a 5-year total recurrence were the presence of visceral pleural invasion (VPI) (p=0.018) and maximal standardized uptake values (SUVs) of tumors on positron emission tomography (PET) >4.5 (p=0.037). The VPI was the only independent risk factor associated with both locoregional and distant recurrence, in the analysis of the patterns of tumor recurrence and their risk factors. In the subgroup analysis of stage I patients, three variables (male, VPI and resection margin positive) were significantly associated with a 5-year recurrence. Conclusion: The independent factors associated with postoperative recurrence in early-stage NSCLC were as follows: PET SUV >4.5 and the presence of VPI. For patients with those factors adjuvant therapy should be recommended as a more efficacious treatment.

A Clinical Case Study on the Tinnitus with Sudden Sensorineural Hearing Loss (돌발성 난청을 동반한 이명 환자 1례에 대한 증례보고)

  • Kim, Seok-Ju;Lee, Hyun
    • Journal of Haehwa Medicine
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    • v.16 no.1
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    • pp.1-7
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    • 2007
  • Tinnitus is noise from ear or head without any external sound stimulation and can cause hearing difficulties, psychologenic disturbances or many difficulties in everyday life. the etiology has yet been discussed and the management is also very difficult. Sensorineural hearing loss is defined as a sudden hearing impairment which was develope over a period of hours to days. I report one tinnitus case which accompanied with sudden sensorineural hearing loss. In the early and acute stage which judged as Dam-Wha, herbal treatment with Tong-myeong-ri-gi-tang was efficacious on the tinnitus. In the convalescent stage and judged as Sin-heo, herbal treatment with Ja-sin-tong-i-tang was efficacious on the tinnitus that accompanied with sudden sensorineural hearing loss.

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The Literature Study of Chronic rhinorrhea of children (만성(慢性) 비루(鼻漏)에 대(對)한 고찰(考察))

  • Kim, Jeong Sook;Han, Jae Kyung;Kim, Yun Hee
    • Journal of Haehwa Medicine
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    • v.13 no.1
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    • pp.197-210
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    • 2004
  • Objective : This study was designed to investigate causes, symptoms and treatments for the Chronic rhinorrhea of children with oriental medical literatures. Methods : We surveyed the oriental and western medical books from to recent published books that have articles on Chronic rhinorrhea. Results and Conclusions : The Chronic rhinorrhea are classified to Bigu and Biruan(鼻淵). Bigu is similar to Allergic Rhinitis and Biyan(鼻淵) is similar to Chronic Sinusitis. The external cause of disease is the invasion of Poong han(風寒) etc a wrong air and the internal causes of disease are the deficiency of the spleen, lung and kidney and inner heat caused by stress. Treatment in Oriental medicine consists of herbal-therapy, acupuncture and moxa. The methods of treatment are expelling of Poong han(風寒) in the early stage and helping the vital energy in the late stage.

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유류오염토양 정화를 위한 생물활성 촉진방법의 평가

  • Kim Jong-Ha;Kim Tae-Seung;Yun Jeong-Gi;Kim Hyeok
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 2005.04a
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    • pp.211-214
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    • 2005
  • Bench-scale experiments conducted to evaluation of the biostimulation and bioaugmentation techniques in treatment of petroleum contaminated soil. The soil bioreactors were operated for a 52 day-period. PDB population in the stimulated treatments increased from $7{\times}10^4MPN/g$ soil in zero day to $7{\times}10^7MPN/g$ soil after 23 days. However, despite the initially higher PDB population in the augmented treatments, it was decreased PDB population with respect to time. The average biodegradation rate in the augmented treatments were greater than of the stimulated treatment in the early stage, but the average biodegradation rate in the latter stage were calculated $3{\sim}5mg/kg-day$ in the augmented treatments and 10.38mg/kg-day in the stimulated treatments. The TPH removal rate was calculated $20{\sim}30%$ in the augmented treatments and 53% in the stimulated treatments.

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