• Title/Summary/Keyword: Stage I and II

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Psychoeducation Intervention to Improve Adjustment to Cancer among Turkish Stage I-II Breast Cancer Patients: A Randomized Controlled Trial

  • Dastan, Nihal Bostanci;Buzlu, Sevim
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.5313-5318
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    • 2012
  • Psycho-educational interventions are not a substitute for analgesics, but they may serve as adjuvant therapy. Nurses can provide psychoeducational programmes to cancer patients to assist them in optimizing behavior that strengthen adjustment. The aim here was to determine the effects of psychoeducation on levels of adjustment to cancer in stage I-II breast cancer patients who met the study criteria (experimental group: 38 women, control group:38 women). The psychoeducational program consisted of eight 90 minute weekly sessions and data were collected using a questionnaire and the Mental Adjustment to Cancer Scale three times: before, six weeks and six months after the intervention. Data analysis was performed using descriptive statistical methods as well as the Chi square test, the Mann Whitney U test, repeated measures analysis of variance, the matched pairs t test and the Post Hoc Bonferroni test. The results at 6 weeks and 6 months after the program revealed that the experimental group had higher levels of "fighting spirit", lower levels of "helplessness/hopelessness, anxious preoccupation and fatalism" but there was no significant change in levels of "avoidance/denial" compared to the control group with regard to adjustment to cancer. In this study, psychoeducation was shown to cause positive changes in levels of adjustment to cancer in breast cancer patients

Treatment of Early Laryngeal Cancer (초기 후두암의 치료)

  • Choi, Geon;Chae, Sung-Won;Park, Ho-Jung;Jung, Kwang-Yoon;Choi, Jong-Ouck
    • Korean Journal of Bronchoesophagology
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    • v.4 no.1
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    • pp.91-95
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    • 1998
  • Background: Laryngeal cancer, the most common malignancy of head and neck, is being detected and treated in earlier and more effectively due to introduction of endoscope, continuous development of radiographic technology, and advancement in new surgical techniques such as laser surgery and conservation laryngeal surgery Objectives To compare the different treatment results for early laryngeal cancer to determine which methos provides the good prognosis. Materials and Methods: Retrospective study was done for 135 patients with early laryngeal squamous cell carcinoma(Stage I or II) who were treated at our institute between 1989 to 1996. There were 105 patients with glottic cancer(Stage I: 68 patients, Stage II:37 Patients) and 30 patients with supraglottic cancer(Stage I: 12 patients, Stage II:18 patients) Initial treatment included radiation therapy for 54 patients, endoscopic laser surgery for 8 patients, laryngofissure and cordectomy for 8 patients, vertical partial laryngectomy for 37 patients, supraglottic laryngecomy for 14 patients and supracricoid laryngectomy for 5 patiens, and total laryngectomy for 9 patients. Results : Salvage treatments, such as total laryngectomy, conservation laryngeal surgery, radiation therapy and neck dissection were performed for initial treatment failure with 9 patients after radiation therapy, 8 patients after conservation laryngeal surgery, 2 patients after endoscopic laser and 3 patients after total laryngectomy. Overall 3-year survival rate for glottic 71 was 92.4%, glottic f 84.3%, supraglottic 7172.7%, and supraglottic f was 63.%%. However, survival rate of the same stage was variable according to the choice of initial treatment. Conclusion New classification of the early laryngeal cancer was necessary and helpful for the choice of the initial treatment.

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Effects of Dynamic Tubing Gait Training on Postural Alignment, Gait, and Quality of Life in Chronic Patients with Parkinson's Disease : Case Study (동적탄력튜빙 보행훈련 프로그램이 만성 파킨슨병 환자의 자세정렬과 보행능력과 삶의 질에 미치는 영향 : 사례연구)

  • Lee, Dong-Ryul
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.363-377
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    • 2021
  • The present study investigated the effects of dynamic tubing gait training(I and II) on the postural alignment, gait, and quality of life in chronic patients with Parkinson's disease. This study is based on the case study that recruited a total of 3 patients with chronic Parkinson's disease (Hoehn and Yahr Stage of 1 to 3 each one person). Dynamic tubing gait training (I and II) applied to chronic patients with Parkinson's disease for 25 sessions, 30 minutes a day, 5 days a week, over 5 weeks period. To investigate the effects of this study, evaluating using the postural alignment test, muscle activity tests, gait analysis, and quality of life scale for patient with Parkinson's disease. After the intervention of Dynamic tubing gait training (I and II), Trunk flexion was decreased. Also, during walking from initial contact (IC) to mid stance (Mst), muscle activity of Quadriceps, Hamstring, and Tibialis Anterior (TA) was increased and muscle activity of Gastrocnemius was decreased. The muscle activation of Erector Spinae (ES T12, L3) was increased in the H&Y I and III stages and decreased in the H&Y II stage. Length of gait line, single support line, ant/post position and lateral symmetry of center of pressure (COP) parameters improved. The spatio-temporal gait parameters including of step length, stride length, and velocity was increased, and cadence decreased. Further the quality of life of patients with Parkinson's disease was improved. Based on these findings, Dynamic tubing gait training (I and II) could be applied as a new approach to improve posture, gait, quality of life in chronic patients with Parkinson's disease for more than 5 years, whose drug resistance is halved.

Phenoloxidases and Photomorphogenesis in Coprinus congregatus (Coprinus congregatus의 분화와 Phenoloxidase와의 관계)

  • 최형태
    • Proceedings of the Botanical Society of Korea Conference
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    • 1987.07a
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    • pp.157-167
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    • 1987
  • The have been many reports that phenoloxidase are correlated with development in many fungi. C. congregatus, one of nushroom-forming basidiomycetes, which requires light for its development also has phenoloxidases. In C. congragatus, there are two sets of membrane-associated phenoloxidase (PHO I and PHO II) which are differentiated by their isozyme patterns, and each enzyme set consists of two different subtrate specific enzyme protein; o-tolidine reacting enzyme, and DOPA reacting enzyme. PHO I which is localized by a protoplast-concanavalin A technique by using a new solidifying agent, Pluronic Polyol F 127, instead of agar appears in the vegetative hyphae, and PHO II appears at the early primordial stage on agar and at the sclerotial stage of liquid shake cultures. Inhibition of PHO I with the enzyme inhibitors inhibits mushroom formation as well as melanization of the vegetative hyphae at concentrations which do not inhibit the vegetative growth. PHO I deficient mutants do not form mushrooms or melanins, and the mutants show abnormal nuclear migration patterns. PHO II has roles; possibly cementing the adjacent hyphae during the actual three dimensonal structure formation, and melanizing mushrooms and sclerotia. The possible roles of PHO I in the light reception complex and in melanin formation, the function of malanin, and possible roles of postulated post translational modifying enzymes which regulate the phenoloxidases, nuclear migration pattern, and self-nonself recognition mechanism are discussed.

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Comparison of Clinical Menifestations between Adolescents and Unmarried Young Women with Endometriosis in Daegu (대구 지역 청소년 및 미혼 여성 자궁내막증 환자의 임상 특성에 관한 비교연구)

  • Kim, Yoon-Jeong;Choi, Min-Hye;Chung, Min-Ji;Lee, Jung-Ho;Lee, Taek-Hoo
    • Clinical and Experimental Reproductive Medicine
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    • v.34 no.3
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    • pp.167-172
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    • 2007
  • Objective: The purpose of this study is to find out the differences of clinical characteristics of endometriosis and to emphasize the significance of early diagnosis of endometriosis to protect disease progression in adolescents. Methods: A retrospective analysis was carried out. All cases (n=130) were diagnosed surgically as endometriosis between January 2000 and August 2007 in two university hospitals in Daegu. Adolescents were 23 cases and unmarried young women were 107 cases. Data were collected through review of medical records. Results: The predominant symptom in adolescents was cyclic pain. 52.2% of adolescent patients were stage I or II. And stage III was 47.8% but stage IV was none. The other side 82.2% of unmarried young women patients were stage II or III and stage IV was 15.8%. Serum CA-125 level was elevated in adolescents, also. But there was no significant difference between the two groups. Conclusions: Endometriosis is progressive disease. Early diagnosis is necessary for prevention of the disease progression and free from pain. Appropriate gynecologic examination and careful concerns about adolescents are mandatory.

Geology and Gold-Silver Mineralization of Dongjin Mine (동진광산의 지질과 금은광화작용)

  • Chung, Jae-Il;Kim, Seon-Young
    • Economic and Environmental Geology
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    • v.29 no.3
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    • pp.395-405
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    • 1996
  • The Donjin deposits which is located in the Chinan Basin, are emplaced along $N10{\sim}40^{\circ}E$ trending fissure sets. So it is a sort of fissure-filling ore deposits. The results of paragenetic studies suggest two stages of hydrothermal mineralization; stage I: base-metal sulfides stage, stage II: late base-metal sulfides, electrum and silver-bearing sulfosalts stage. Au: Ag ratios of the electrums show that Ag atomic% are higher than that of Au. The temperature and salinity of the Donjin deposits estimated from fluid inclusion and sulfur isotope geothermometry are as follows; stage I: $240{\sim}315^{\circ}C$, 2.4~7.1 NaCl eq. wt.%, stage II: $190{\sim}268^{\circ}C$, 4.6~8.4 NaCl eq. wt.%. The estimated oxygen and sulfur fugacity during first stage mineralization, based on phase relation of associated minerals, range from $10^{-35}{\sim}10^{-39.7}$ atm. and$10^{-11}{\sim}10^{-13.4}$ atm., respectively. All these evidences suggest that the Dongjin deposits are polymetallic meso-epithermal ore deposits.

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Comparison of Non-surgical and Surgical Recovery of Fertilized Eggs in Superovulated Rabbits (과배란 처리 가토에서 수정란의 비외과적 회수와 외과적 회수의 비교)

  • 심금섭;변태호;이재근
    • Korean Journal of Animal Reproduction
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    • v.8 no.1
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    • pp.16-21
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    • 1984
  • This experiment was carried out to compare with the nonsurgical and surgical recovery of fertilized eggs in super-ovulated rabbits. Sixty-four eggs recovered were transferred to twelve synchronized, pseudopregnant rabbits to test the viability of the eggs by surgical transfer. Each group(I, II, III) received a single subcutaneous injection of 5mg PGF2${\alpha}$/kg B.W. at 24(Group I), 48(Group II) and 72 hours (Group III) after mating, respectivity. After the administration of PGF2${\alpha}$, vaginal washings were conducted at 3, 6, 9, 12 and 24 hrs, and frequency of vaginal washing was 5 times for the each group (I, II, III). In Group (IV, V, Ⅵ), the rabbits were killed to recover the fertilized eggs from the genital tract at 24(Group Ⅵ), 48(Group V) and 72 hours (Group Ⅵ) after mating, respectively. The results obtained were as follows: 1. Of the total eggs, 69.3%, 73.4% and 66.9% were recovered for Group I, II and III, respectively from the vagina within 6 hrs after PGF2${\alpha}$ injection and particularly for Group III. 2. The rates of egg recovery versus the number of corpora lutea were 55 (51.6-60%), 35.8 (24-52.6%), 33.4 (25-47%) and 72 (70.7-73.0)%, 60.3 (50-71.4)%, 449(44.4-45.5)% in Group I, II, III and Group IV, V, Ⅵ, respectively. 3. Most of eggs recovered were one-cell stage in Group Iand Group IV. More than one half of the eggs recovered in Group II and V were over eight-cell stage, and most of the eggs were so in Group III and Ⅵ. 4. When sixty-four eggs recovered between 24 to 72 hours after mating were transferred to pseudopregnant rabbits. Three recipients were pregnant, and the rate of pregnancy was 25%.

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Ore Minerals and Fluid Inclusions Study of the Kamkye Cu-Pb-Zn-Au-Ag Deposits, Repubulic of Korea (감계 동(銅)-연(鉛)-아연(亞鉛)-금(金)-은광상(銀鑛床) 광석광물(鑛石鑛物)과 유체포유물(流體包有物) 연구(硏究))

  • Lee, Hyun Koo;Kim, Sang Jung
    • Economic and Environmental Geology
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    • v.28 no.1
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    • pp.9-17
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    • 1995
  • The Kamkye Cu-Pb-Zn-Au-Ag deposits occur as quartz veins that filled fault-related fractures of NW system developed in the Cretaceous Gyeongsang basin. Three major stages of mineral deposition are recognized: (1) the stage I associated with wall rock alteration, such as sericite, chlorite, epidote and pyrite, (2) the early stage II of base-metal mineralization such as pyrite, hematite, and small amounts of sphalerite and chalcopyrite. and the middle to late stage II of Cu-As-Sb-Au-Ag-S mineralization, such as sphalerite, chalcopyrite, galena with tetrahedrite, tennantite, pearceite, Pb-Bi-Cu-S system, argentite and electrum. (3) the stage III of supergene mineralization, such as covellite, chalcocite and malachite. K-Ar dating of alteration sericite is a late Cretaceous ($74.0{\pm}1.6Ma$) and it may be associated with granitic activity of nearby biotite granite and quartz porphyry. Fluid inclusion data suggest a complex history of boiling, cooling and dilution of ore fluids. Stage II mineralization occurred at temperatures between 370 to $220^{\circ}C$ from fluids with salinities of 8.4 to 0.9 wt.% NaCl. Early stage II($320^{\circ}C$, 2.0 wt.% NaCl) may be boiled due to repeated fracturing which opened up the hydrothermal system to the land surface, and which resulted in a base-metal sulfide. Whilst the fractures were opened to the surface, mixing of middle-late stage II ore fluids with meteoric waters resulted in deposition of Cu-As-Sb-Au-Ag minerals from low temperature fluids(${\leq}290^{\circ}C$). Boiling of ore fluids may be occured at a pressure of 112 bar and a depth of 412 m. Equilibrium thermodynamic interpretation of sphalerite-tetraherite assemblages in middle stage II indicates that the ore-forming fluid had log fugacities of $S_2$ of -6.6~-9.4 atm.

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Long-term Results of Surgical Treatment for Primary Lung Cancer (원발성 폐암 수술의 장기성적)

  • Ham, Si-Yeong;Seong, Suk-Hwan;Kim, Ju-Hyeon
    • Journal of Chest Surgery
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    • v.20 no.4
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    • pp.730-744
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    • 1987
  • From Nov. 1980 to Jun. 1987, 270 primary lung cancer patients were operated on at the department of Thoracic & Cardiovascular Surgery, Seoul National University Hospital. There Were 223 males & 47 females with 55.5 years of mean age. There were 151 [55.9%] squamous cell ca., 43 [18.8%] adenoca., 8 [3.5%] undiff. large cell, 9 [3.9%] undiff. small cell ca. & 18 [7.9%] mixed type, and also composed of 65 [28.3%] stage I, 31 [13.5%] stage II and 133 [58.1%] of stage III cases. They received 78 [34.1%] lobectomies, 62 [27.1%] pneumonectomies and 60 [26.2%] exploratory thoracotomies with 70% resectability rate. The five year actuarial survival rate of all patients was 37%. According to TNM stage, five year survival rate of the patients in stage I was 71%, those of stage II was 29% and of stage III 21%. According to histological cell type, five year actuarial survival rate of the squamous cell ca. was 35%, of adenoca. 49%, of undiff. large cell. 22%, 2 year survival rate of undiff. small cell was 31% and 3 year survival rate of mixed type was 47%. Hospital death was 2 case with a 1.3% early postop. mortality rate.

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Locally Advanced Rectal Carcinoma : Curative Surgery Alone vs. Postoperative Radiotherapy and Chemotherapy (국소적으로 진행된 직장암에 대한 근치적 수술 단독 치료군과 수술후 보조적 방사선 및 항암화학요법 병행군의 치료결과 분석)

  • Ahn Seung Do;Choi Eun Kyung;Kim Jin Cheon;Kim Sang Hee
    • Radiation Oncology Journal
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    • v.13 no.3
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    • pp.253-258
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    • 1995
  • Purpose : To evaluate the effects of postoperative radiotherapy and chemotherapy on the pattern of failure and survival for locally advanced rectal carcinoma, we analyzed the two groups of patients who received curative resection only and who received postoperative radiochemotherapy retro-spectively. Materials and Methods : From June 1989 to December 1992, ninety nine patients with rectal cancer were treated by curative resection and staged as B2-3 or C. Group I(25) patients received curative resection only and group II(74) patients postoperative adjuvant therapy. Postoperative adiuvant group received radiation therapy (4500cGy/25fx to whole pelvis) with 5-FU (500mg/$m^2$, day 1-3 IV infusion) as radiosensitizer and maintenance chemotherapy with 5-FU(400mg/$m^2$ for 5 days) and leucovorin (20mg/m^2$ for 5 days) for 6 cycles. Results : The patients in group I and group II were comparable in terms of age sex, performance status, but in group II $74{\%}$ of patients showed stage C compared with $56{\%}$ of group I. All patients were followed from 6 to 60 months with a median follow up of 29 months. Three year overall survival rates and disease free survival rates were $68\%,\;64\%$ respectively in group I and $64\%,\;61\%$, respectively in group II. There was no statistical difference between the two treatment groups in overall survival rate and disease free survival rate. Local recurrences occurred in $28{\%}$ of group I, $21{\%}$ of group II (p>.05) and distant metastases occurred in $20{\%}$ of group I, $27{\%}$ of group II(p>.05). The prognostic value of several variables other than treatment modality was assessed. In multivariate analysis for prognostic factors stage and histologic grade showed statistically significant effect on local recurrences and lymphatic or vessel invasion on distant metastasis. Conclusion : This retrospective study showed no statistical difference between two groups on the pattern of failure and survival. But considering that group II had more advanced stage and poor prognostic factors than group I, postoperative adjuvant radiochemotherapy improves the results for locally advanced rectal carcinoma as compared with curative surgery alone.

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