• 제목/요약/키워드: Retreatment

검색결과 132건 처리시간 0.032초

Second Complete Remission of Relapsed Stage IV Non-Small Cell Lung Cancer Following Retreatment

  • Yoo, Su-Jin;Lee, Jeong-Eun;Jung, Sun-Young;Park, Dong-Il;Park, Myoung-Rin;Park, Hee-Sun;Jung, Sung-Soo;Kim, Ju-Ock;Kim, Sun-Young
    • Tuberculosis and Respiratory Diseases
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    • 제72권4호
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    • pp.381-385
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    • 2012
  • Non-small cell lung cancer (NSCLC) is the leading cause of cancer related deaths. Most patients were presented with advanced disease at the time of diagnosis. In advanced NSCLC, it is almost impossible to anticipate complete remission by using only cytotoxic chemotherapy or molecularly targeted agents. In our case, two patients were diagnosed as advanced NSCLC and received chemotherapy. They achieved complete response (CR). After finishing treatment, disease recurred. They were retreated with the same regimens and achieved second CR. Until now, they have received each regimen, continuously, and the CR state has been maintained.

ATD automatic bridge remover를 이용한 새로운 포스트 제거 방법 (A NEW POST REMOVAL TECHNIQUE USING ATD TUGGING DEVICE)

  • 박윤우;박세희;신혜진;조경모;김진우
    • Restorative Dentistry and Endodontics
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    • 제30권3호
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    • pp.215-220
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    • 2005
  • 포스트가 축조된 치아를 재근관 치료하는 경우 성공적인 비외과적 재근관치료를 시행하기 위해서는 포스트 제거가 선행되어야 한다. 기존의 포스트를 제거하는 방법으로는 초음파기구, Ruddle post removal system, Eaggler post remover, Masserann kit을 이용하는 방법 등 여러 가지가 소개 되고 있으나 기존의 방법들은 각 기구에 맞게 코어를 삭제해야 하는 시간과 많은 노력이 요구되며 포스트 제거시 치아나 포스트의 파절이 유발되기도 한다 그러나 최근에는 기존의 방법과는 다른 ATD automatic bridge remover를 이용해 포스트를 제거하는 새로운 방법이 소개되고 있으며 코어에 구멍을 형성하는 시간만 소요되어 비교적 빨리 제거 할 수 있다는 장점을 가지고 있다. 따라서 본 증례에서는 ATD automatic bridge remover를 이용해 주조포스트를 제거하고 성공적으로 재근관치료를 시행한 증례에 대해서 보고하고자 한다.

편측 의수 사용 환자에서 Milled Bar와 Attachment를 이용한 임플란트 피개의치 재수복 증례 (Retreatment of implant overdenture using Milled Bar and Attachment in a patient using a unilateral prosthetic arm: A case report)

  • 박소형;정창모;윤미정;허중보;이소현
    • 대한치과보철학회지
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    • 제60권2호
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    • pp.187-194
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    • 2022
  • 완전 무치악 환자의 가철성 보철 수복 치료에서 잔존 치조제의 흡수가 심한 경우 임플란트를 이용하면 부가적인 지지, 유지 및 안정을 제공할 수 있다. 환자의 상태에 대한 정확한 진단 및 평가 없이 보철물을 제작하게 되면 생역학적, 기능적, 심미적으로 불리한 치료 결과를 야기하게 된다. 본 증례의 환자는 개인치과의원에서 상·하악 임플란트 피개의치를 제작하였으나 연조직 통증 및 기존 의치 유지력 저하로 재치료를 위해 내원하였다. 진단 결과 기존 의치의 수직고경이 다소 낮게 설정되어 있어 이를 거상하고, milled bar와 부가적인 attachment를 이용한 임플란트 피개의치를 제작하였다. 이를 통해 증진된 구강위생과 기능적, 심미적인 면에서 만족할 만한 결과를 얻었기에 보고하는 바이다.

경·요추 감압치료를 시행한 추간판탈출증 환자에 대한 후향적 통계 분석 (Retrospective Statistical Analysis of Patients with Disc Herniation Treated with Cervical or Lumbar Decompression Treatment)

  • 이예지;김정일;전주현;김은석;김영일
    • 대한한의학회지
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    • 제42권2호
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    • pp.1-20
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    • 2021
  • Objectives: The purpose of this study was to confirm the relavance between the dependent variables and the treatment effects of nonsurgical spinal decompression(NSD). Methods: 105 patients suffering from disc herniation and treated with NSD were investigated and analyzed. Results: The intention of retreatment showed a tendency to be higher in having occupation, western treatment only before NSD(WTB) and non-western treatment(WTN) group. As the number of NSD increased, satisfaction score and the Numeric Rating Scale(NRS) difference increased and the NRS after NSD decreased. On the other hand, as western treatment after NSD increased, satisfaction score and the NRS difference decreased and the NRS after NSD increased. The odds ratio of having intention of retreatment was lower in western treatment only after NSD(WTA) group than WTN group. The NRS difference showed a high tendency in the age group of 20s, 60s, and 70s and older. The NRS difference of group with NSD more than 10 times was higher than that of the group with less than 10 times. Satisfaction score of WTN and WTB group was higher than that of WTA group. Adjusted NRS after NSD was the lowest in non-western treatment group and the highest in WTA group. Adjusted NRS after NSD was the lowest in the group with NSD over 21 times, and the NRS after NSD increased as the number of NSD decreased. Conclusion: This study included patients with cervical or lumbar disc herniation and showed that occupation, the number of NSD, western treatment and age statistically affected the treatment effect.

Fracture incidence of Reciproc instruments during root canal retreatment performed by postgraduate students: a cross-sectional retrospective clinical study

  • Liliana Machado Ruivo;Marcos de Azevedo Rios;Alexandre Mascarenhas Villela;Alexandre Sigrist de Martin;Augusto Shoji Kato;Rina Andrea Pelegrine;Ana Flavia Almeida Barbosa;Emmanuel Joao Nogueira Leal Silva;Carlos Eduardo da Silveira Bueno
    • Restorative Dentistry and Endodontics
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    • 제46권4호
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    • pp.49.1-49.8
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    • 2021
  • Objectives: To evaluate the fracture incidence of Reciproc R25 instruments (VDW) used during non-surgical root canal retreatments performed by students in a postgraduate endodontic program. Materials and Methods: From the analysis of clinical record cards and periapical radiographs of root canal retreatments performed by postgraduate students using the Reciproc R25, a total of 1,016 teeth (2,544 root canals) were selected. The instruments were discarded after a single use. The general incidence of instrument fractures and its frequency was analyzed considering the group of teeth and the root thirds where the fractures occurred. Statistical analysis was performed using the χ2 test (p < 0.01). Results: Seven instruments were separated during the procedures. The percentage of fracture in relation to the number of instrumented canals was 0.27% and 0.68% in relation to the number of instrumented teeth. Four fractures occurred in maxillary molars, 1 in a mandibular molar, 1 in a mandibular premolar and 1 in a maxillary incisor. A greater number of fractures was observed in molars when compared with the number of fractures observed in the other dental groups (p < 0.01). Considering all of the instrument fractures, 71.43% were located in the apical third and 28.57% in the middle third (p < 0.01). One instrument fragment was removed, one bypassed, while in 5 cases, the instrument fragment remained inside the root canal. Conclusions: The use of Reciproc R25 instruments in root canal retreatments carried out by postgraduate students was associated with a low incidence of fractures.

소아 만성 B형 간염 환아에서 Interferon-${\alpha}$의 용량 차이 및 재치료에 따른 치료 효과 비교 (The Comparison of Interferon-${\alpha}$ Treatment by Dosages and Retreatment for Chronic Hepatitis B in Children)

  • 장창환;이경희;황위경;오기원;박우생;이준화;고철우;최병호
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제6권2호
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    • pp.152-160
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    • 2003
  • 목 적: 소아의 만성 B형 간염 치료에 interferon-${\alpha}$의 일정한 치료 효과가 보고되고 있다. 저자들은 interferon-${\alpha}$의 용량 차이에 따른 치료 효과 및 초치료와 재치료에 따른 치료 효과에 차이가 있는지 비교해 보았다. 방 법: 1990년 3월부터 1999년 8월까지 경북대학교병원 소아과에 내원하였던 환아(2~14세) 중 6개월 이상 HBsAg, HBeAg 및 HBV DNA가 양성이고, 혈청 ALT치가 상승되어 있는 51명의 환아를 대상으로 27명에게 interferon-${\alpha}$ $3MU/m^2$ ($2.66{\pm}0.66\;MU/m^2$)를 투여하였고 24명에게는 $6\;MU/m^2$ ($4.45{\pm}0.94\;MU/m^2$)을 주 3회씩 6개월(6~12개월)간 피하 혹은 근육 주사하였다. interferon-${\alpha}$ 초치료 평균용량은 $3.50{\pm}1.20\;MU/m^2$이었고 평균 치료 기간은 7개월(6~12개월)이었다. 초치료에 반응이 없었던 환아 중 12명을 대상으로 다시 interferon-${\alpha}$ 재치료를 시행하였다. 재치료 평균 용량은 $3.62{\pm}1.51\;MU/m^2$이었고 평균 치료 기간은 7개월(6~12개월)이었다. 용량 차이를 보인 두 군 사이에 성별, 연령, 치료기간, 치료전 ALT치와 HBV DNA 등에서는 통계학적으로 유의한 차이가 없었으며 초치료, 재치료 두 군간에도 유의한 차이가 없었다. 결 과: 치료 시작 1년 후 시점에서 interferon $3\;MU/m^2$로 치료한 27명 중 11명(41%)에서 ALT의 정상화를 보였고 9명(33%)에서 HBeAg이 anti-HBe로 혈청전환이 되었다. 한편 $6\;MU/m^2$ 치료군 24명 중 에서는 12명(50%)에서 ALT의 정상화를 보였고 7명(29%)에서 혈청전환이 되었는데 두 군 사이의 치료성적에는 통계학적으로 유의한 차이가 없었다. Interferon $3\;MU/m^2$ 치료군에서 발생한 부작용으로는 발열 14례(52%), 백혈구 감소증 10례(37%)였으며 모든 경우에서 특별한 조치 없이 회복되었다. 한편 interferon $6\;MU/m^2$ 치료군에서는 발열 16례(67%), 백혈구 감소증 8례(33%), 혈소판 감소증 1례(4%), 갑상선 기능 저하증 2례(8%)가 있었다. 치료와 관련된 부작용도 두 군 간에 통계학적으로 유의한 차이가 없었다. Interferon-${\alpha}$ 초치료군 51명 중 23명(45%)에서 ALT의 정상화를 보였고 16명(31%)에서 혈청전환이 있었으며 재치료군은 12명 중 3명(25%)에서 ALT의 정상화 및 혈청전환이 있었다. 결 론: Interferon-${\alpha}$ $3\;MU/m^2$ 치료군과 $6\;MU/m^2$치료군을 비교했을 때 ALT의 정상화 및 혈청전환에서 의미 있는 치료 효과의 차이를 찾을 수 없었다. interferon-${\alpha}$ 재치료는 초치료만큼의 효과가 있음을 보여주었다.

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Correlation between Pharmacokinetics of Praziquantel and Extermination of Microcotyle sebastis (Monogenea) in Cultured Rockfish Sebastes schlegeli

  • Kim Chun Soo;Kim Ki Hong
    • Fisheries and Aquatic Sciences
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    • 제4권4호
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    • pp.197-200
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    • 2001
  • To investigate the re-treatment time of Microcotyle sebastis by oral administration of praziquantel, the residue levels of praziquantel in plasma of rockfish Sebastes schlegeli administered orally at a dose of 200 mg/kg B.W. were analyzed by reversed-phase HPLC, and the concentrations of praziquantel in the plasma were correlated with the extermination of M. sebastis. The absorption and depletion of praziquantel in the blood of rockfish were fast and the residual concentrations of praziquantel declined below $4\mu g/mL$ within 24 hr post treatment. Most of worms were exterminated within 3 hr after oral administration of praziquantel, however, a small number of M. sebastis were not killed by the treatment until end of the experiment. Considering fast drop of praziquantel in blood and extermination pattern of M. sebastis in the present results, retreatment at an interval of 9-12 hr would be effective for eradication of M. sebastis.

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간이정신진단검사를 이용한 구취환자들의 인성평가에 대한 연구 (A Study of Personality Profile of Halitosis Patients by Symptom Checklist-90-Revision(SCL-90-R))

  • 함동선
    • Journal of Oral Medicine and Pain
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    • 제23권4호
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    • pp.361-368
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    • 1998
  • In order to evaluate the clinical features of the rcurred patients with temporomandibular disorders, 52 patients were subjected at the Dept. of Oral Medicine, PNUH from 1985 through 1996. As related to gender, duraton and diagnosis, Ll the relate factors-multiple diagnosis, emotinal problem, history of treatment, parafunctional habit, life distrubance, and trauma were analyzed. The obtained results were as follows : 1. The patients with multiple diagnosis were 83 percent and more often seen in women, chronic group and muscle-joint disorder group. 2. Duration of retreatment in chronic group and muscle-joint disorder was longer. 3. The patients with oral parafunctional habits were 89 percent and more often seen in women, chronic gorup, muscle-joint disorder group. 4. the Recurred patients showed 46 percent in history treatment, 42 percent in life distrubances, 39 percent in macrotrauma and 12 percent in emotional problem.

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변색된 치아의 심미성 회복에 관한 임상증례 (ESTHETIC IMPROVEMENT OF DISCOLORED TEETH : A CASE REPORT)

  • 정호석;김대업
    • 대한소아치과학회지
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    • 제21권2호
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    • pp.593-598
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    • 1994
  • There were two cases of esthetic improvement of discolored teeth. First case was 12-year-old girl whose upper right central incisor was discolored after traumatic injury. She was treated by walking bleaching technique. Endodontic retreatment was done, and then the mixture of Superoxol and sodium perborate was applied and changed every week. After 3 weeks, esthetic result was obtained and fracture site was rcovered with light-curing composite resin. Second cases was 11-year-old girl whose teeth were discolored by fluorosis. She was treated by vital bleaching technique. A resin splint was made and then 30% and 15% carbamide peroxide was applied using this splint. After 4 weeks, a noticeable improvement in the color and the brightness of the teeth was achieved.

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운기이론(運氣理論)을 응용(應用)한 침구치료법(針灸治療法) - 자오유주(子午流注) 침법(鍼法)과 기경팔법(寄經八法)을 중심(中心)으로 -

  • 김기욱;박현국
    • 대한한의학원전학회지
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    • 제11권1호
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    • pp.2-20
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    • 1998
  • In the field of acupuncture and moxibustion, the theory of taboo of acupuncture and moxibustion on the basis of where the 'Qi and the soul of the men(人氣 人神)' exist became the foundation of the 'theory of chrono-acupunclure and moxibustion(時間性鍼灸法), that takes into account the thrift and retreatment of the Qi(氣) and the 'soul of the men' according to day and time. The fields of acupuncture and moxibustion in the theory of 'Yun Qi(運氣) which takes into account time space are the theories of the 'ZiWuLinZhu(子午流注)' and the 'LingGuiBaFa(靈龜八法)'. While the theory of the 'ZiWuLlnZhu' has the nature of time, 'LingGuiBaFa' has the nature of space comparatively. So the theory of 'Yun Qi' adopted and improved the time-space background that is the basis of the theory of the 'ZiWuLinZhu' and the 'LingGuiBaFa'.

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