• 제목/요약/키워드: Survival on day 15

검색결과 185건 처리시간 0.024초

선천성 식도폐쇄 및 기관식도루 수술 1례 보고 (Congenital Esophageal Atresia with Tracheoesophageal Fistula: Report of the First Survival)

  • 김수용;김세환;김영우
    • Journal of Chest Surgery
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    • 제3권1호
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    • pp.21-24
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    • 1970
  • The congenital esophageal atresia with tracheoesophageal fistula has been reported only 15 cases up to date in Korea, but this might be the first cases that was operated on successfully. A five day old male infant underwent the Haight`s operation on Nov-l,1968. The diagnosis was made by the esophagography and the operation was performed transpleurally through the right fifth intercostal space and the Stamm`s feeding gastrostomy was made on at the same time. The post-operative course has been uneventful until now. A literature review was done in this subject.

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Neoadjuvant Chemoradiotherapy in Non-cardia Gastric Cancer Patients - Does it Improve Survival?

  • Saedi, Hamid Saeidi;Mansour-Ghanaei, Fariborz;Joukar, Farahnaz;Shafaghi, Afshin;Shahidsales, Soodabeh;Atrkar-Roushan, Zahra
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.8667-8671
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    • 2014
  • Background: Survival rates after resection of advanced gastric cancer are extremely poor. An increasing number of patients with gastric carcinomas (GC) are therefore being treated with preoperative chemotherapy. We evaluated 36 month survival rate of GC patients that were treated by adding a neoadjuvant chemoradiotherapy before gastrostomy.Materials and Methods: Patients with stage II or III gastric adenocarcinomas were enrolled. The patients divided into two groups: (A) Neoadjuvant group that received concurrent chemoradiation before surgery (4500cGy of radiation at 180cGy per day plus chemotherapy with cisplatin and 5-fluorouracil, in the first and the end four days of radiotherapy). Resection was attempted 5 to 6 weeks after end of chemoradiotherapy. (B) Adjuvant group that received concurrent chemo-radiation after surgical resection. Results: Two (16.7%) patients out of 12 patients treated with neoadjuvant chemo-radiotherapy and 5 (38.5%) out of 13 in the surgery group survived after 36 months. These rates were not significantly different with per protocol and intention-to-treat analysis. The median survival time of patients in group A and B were 13.4 and 21.6 months, respectively, again not significantly different. Survival was significantly greater in patients with well differentiated adenocarcinoma in group B than in group A (p<0.004). Conclusions: According to this study we suggest surgery then chemoradiotherapy for patients with well differentiated gastric adenocarcinoma rather than other approaches. Additional studies with greater sample size and accurate matching relying on cancer molecular behavior are recommended.

동결 해동한 포배 이식에 있어서 동결시기가 임신결과에 미치는 영향 (Effect of Cryopreservation Day on Pregnancy Outcomes in Frozen-thawed Blastocyst Transfer)

  • 김현정;김충현;이중엽;권재희;황도영;김기철
    • Clinical and Experimental Reproductive Medicine
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    • 제37권1호
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    • pp.57-64
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    • 2010
  • 목 적: 배양 환경과 동결 기술이 발달함에 따라 동결 포배의 해동-이식의 빈도가 증가하고 있으며, 신선 주기와 마찬가지로 해동-이식 주기에서도 질 좋은 배아를 선별하는 것은 임신 성공 여부를 결정하는 아주 중요한 과제이다. 본 연구는 동결 당시 포배로의 발달 속도가 임신 결과에 미치는 영향을 알아보기 위하여, 수정 후 5일 및 6일째 동결한 포배의 해동-이식 후 임신율을 비교 분석하였다. 연구방법: 2006년 1월부터 12월까지 5일째 또는 6일째 동결한 포배를 해동하여 2007년 6월까지 융해 이식한 87명, 93주기를 대상으로 하였다. 동결법은 ethylene glycol과 DMSO를 이용한 유리화 동결법을 이용하였으며, 팽창 포배는 인위적인 수축을 시행 후 동결하였다. 해동 과정은 이식 전날 시행하여 15~18시간 배양액에서 배양 후 재팽창 여부를 확인하였다. 결 과: 5일째 동결한 포배를 해동-이식한 52주기와 6일째 동결한 포배를 해동-이식한 41주기에서 환자의 나이, 이식한 배아의 수, 해동 배아의 생존율 등 임신 결과에 영향을 미칠만한 요인들의 차이는 없었다. 그러나 생화학적 임신율, 임상적 임신율, 진행 임신율, 착상율 등은 5일째 동결한 포배를 해동-이식한 주기에서 높게 나타났다. 결 론: 5일째 동결한 포배를 해동-이식했을 때의 임신율은 6일째 동결한 포배를 해동-이식했을 때의 임신율보다 2배 이상 높았으며, 이는 신선 주기와 마찬가지로 해동-이식 주기에서도 동결 전 배아의 발달 속도의 차이를 임신 성공 예측의 중요한 지표로 사용할 수 있음을 시사한다.

한국산 해마, Hippocampus coronatus의 출산과 초기성장 (Parturition and Early Growth of Crowned Seahorse, Hippocampus coronatus in Korea)

  • 최영웅;노섬;정민민;이영돈;노경언
    • 한국양식학회지
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    • 제19권2호
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    • pp.109-118
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    • 2006
  • 체색의 변화가 다양하여 관상용으로 가치가 높은 Hippocampus coronatus의 안정적인 번식기술을 개발하기 위하여 가막만과 여자만 부근해역의 잘피밭에서 채집 한 후 실험실에서 사육하면서 어미의 출산특성, 자치어의 성장 및 초기자어사육에 알맞은 먹이조건을 조사하었다. $7{\sim}11$월에 가막만과 여자만에서 출현한 체장(SL) $53.91{\sim}87.31 mm$ (평균 $77.76{\pm}9.84 mm$, n=12) 범위의 개체들이 실험실내에서 $6{\sim}75$ 개체(평균 39 ind./male/time)를 출산하였다. 출산 직후 자어의 크기는 $11.69{\sim}15.81 mm$(평균 $13.7{\pm}1.3 mm$, n=15)였고 몸통과 꼬리의 체륜수는 10 그리고 39개였으며 가슴지느러미, 등지느러미 그리고 뒷지느러미 줄기수는 각각 12, 14 그리고 4개였다. 출산 후 60일에는 $23.48{\sim}25.29 mm$ (평균, $24.65{\pm}0.83 mm$, n=4)로 성장하였고 일간성장률은 0.18 mm/day였다. Copepod와 Artemia를 혼합 공급하여 포식량을 조사한 결과 출산 후 5일째에 copepod nauplii의 포식량은 평균 21 ind./larva/hour였고 Artemia napulii의 포식량은 평균 3 ind./larva/hour로 copepod nauplii에 대한 선호도가 높았고 출산 후 30일째에는 copepod nauplii에 대한 포식량이 평균 5 ind./larva/hour, 그리고 Artemia napulii의 포식량이 평균 9 ind./larva/hour로 성장함에 따라 Artemia napulii에 대한 포식량이 증가하였다. 생존율을 고려한 먹이 공급방법에 있어서 Artemia nauplii와 copepod nauplii를 혼합 공급할 경우 생존율은 출산 후 50일에 48.9%로 향상된 결과를 얻을 수 있었다.

백서구치의 교정적 치아이동중 압박측 치주조직의 초기변화에 관한 연구 (AN ELECTRON MICROSCOPIC STUDY ON THE TISSUE CHANGES IN THE PRESSURE ZONES OF RAT MOLAR PERIODONTIUM INCIDENT TO ORTHODONTIC TOOTH MOVEMENT)

  • 구중회;이기수
    • 대한치과교정학회지
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    • 제19권1호
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    • pp.21-44
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    • 1989
  • Incipient changes of the periodontal tissue in the pressure zones of rat molar subjected to the experimental force were studied by the transmission electron microscope. Experimental animals were consisted in 3 control and 21 experimental rats, of which one maxillary first molar was moved buccally with a fixed appliance which were exerting the force of 15 gm. After experimental period of 1 hour, 3 hours, 6 hours, 24 hours, 2 days, 3 days and 7 days, the animal were sacrificed with cardiac perfusion of $2.5\%$ glutaraldehyde in the sodium cacodylate buffer and the experimental teeth with surrounding periodontal structures were processed for electron microscope. At the beginning of the tooth movement, periodontal ligaments of the pressure were compressed and collagenous fibers were arranged parallel to the root of the teeth and cell free zones in company with cell necrosis were followed. Cell free zones at the periodontal ligaments appeared in the 3 hour survival group, and getting severe with time lapse it became widespread in 2-3 day survival group and undermining bone resorption as a healing process was observed in 7 day survival group. Dilatation of mitochondria and swelling of the rER in the fibroblast and other connective tissue cells in the periodontal ligament were observed in the 3 hour survival group, which were characteristics of the incipient changes in the compressed periodontal ligament. Dilatation of nuclear membrane and pyknosis were followed by the destruction of the nucleus and cell membrane. There were no evidence in cell damage or necrosis of the alveolar bone adjacent to the hyalinized area of periodontal ligaments.

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Clinical Investigation of Efficacy of Albumin Bound Paclitaxel plus Platinum Compounds as First-line Chemotherapy for Stage III/IV Squamous Non-small Cell Lung Cancer

  • Fang, Ying;Wang, Li;Xia, Guo-Hao;Shi, Mei-Qi
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권17호
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    • pp.7453-7457
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    • 2014
  • Objective: To observe the efficacy and toxicity of nanoparticle albumin bound paclitaxel (nab-paclitaxel) plus platinum agent (cisplatin or carboplatin) as first line treatment for stage III/IV squamous non-small-cell lung cancer (NSCLC). Methods: Forty chemotherapy naive patients with stage III/IV squamous NSCLC received nab-paclitaxel $125mg/m^2$ on day 1 and day 8, cisplatin $75mg/m^2$ on day 1, carboplatin area under the concentration-time curve of 5 (AUC=5) on day 1. One cycle of treatment was 3 weeks, and at least two were completed in each case. Results: Of the 40 patients who participated in the study, 25 achieved partial responses (PR), 12 reached a stage of stable disease (SD), and 3 suffered progressive disease (PD). The overall response rate (ORR) was 62.5% and the disease control rate (DCR) was 92.5%. Of the 20 patients without surgery or radiotherapy, 10 achieved PR, 7 reached a stage of SD, and 3 PD. The ORR was 50.0% and the DCR was 85.0%. The median progression-free survival time (PFS) of patients without surgery or radiotherapy was 5.0 months. Of the 20 patients receiving surgery or radiotherapy, 15 had PR and 5 p had SD, with an ORR of 75.0% and a DCR of 85.0%. Specifically, the DDP arm demonstrated a significantly higher ORR than the CBP arm (100%vs 54.5%, P<0.05). Common treatment related adverse events were myelosuppression, gastrointestinal response, baldness and neurotoxicity, most of which were grade 1 to 2. Conclusion: Nab-paclitaxel plus platinum agent (cisplatin or carboplatin) is effective as a first-line chemotheraphy for stage III/IV squamous NSCLC, and its adverse effects are tolerable.

Evaluation of effect over time after oral administration of telmisartan for chronic kidney disease in cats

  • Han, Donghyun;Lee, Dong-Guk;Jung, Dong-In
    • Journal of Biomedical and Translational Research
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    • 제19권4호
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    • pp.86-91
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    • 2018
  • Angiotensin receptor blockers, such as telmisartan, are considered effective in the treatment of hypertension and proteinuria due to chronic kidney disease (CKD) in cats. It selectively blocks the $AT_1$ receptor and does not affect the $AT_2$ receptor, thus effectively blocking the activity of the renin angiotensin aldosterone system. This study aims to compare over time the changes in various indicators, including systemic hypertension and proteinuria, before and after the administration of telmisartan in cats with CKD. Decrease in blood pressure (BP) (p<0.001) and urine protein to creatinine (UP/C) ratio (p<0.001) were found to be statistically significant over time after the administration of telmisartan. BP and the UP/C ratio were $160{\pm} 22.2$ and $0.50{\pm}0.647$ before telmisartan administration (Day 0), $150{\pm}21.0$ and $0.27{\pm}0.487$ on the 30th day (Day 30), $150{\pm}17.0$ and $0.25{\pm}0.376$ on the 60th day (Day 60), and $140{\pm}17.8$ and $0.15{\pm}0.233$ on the 90th day (Day 90) after administration, respectively. BP and UP/C were statistically significantly lower in cats with CKD over time at each time point from Day 0 to Day 90 at 30 day intervals. Especially after 90 days of telmisartan administration, the improvement of BP and UP/C were estimated to be about 20 mmHg and 0.35, respectively. In conclusion, the oral administration of telmisartan to cats with CKD is effective in improving BP and proteinuria, which has a positive effect on long-term survival in cats with CKD.

바위털갯지렁이(Marphysa sanguinea) 유생의 착저와 초기 성장에 미치는 기질 크기 및 유기물 함량 (Effects of Substrate Sizes and Organic Contents on Larval Settlement and Growth in the Early Stage of the Polychaete Marphysa sanguinea)

  • 와와푸;김성균;김창훈
    • 한국수산과학회지
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    • 제53권1호
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    • pp.132-138
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    • 2020
  • Marphysa sanguinea is the most well-known polychaete species with a high economic value. However, this species has a high mortality in the early rearing stage of aquaculture. This study was conducted to find out the optimal substrate size and organic contents for the growth and survival rate of M. sanguinea larvae and juveniles. It was observed that the smaller grain size (<Ø 0.063 mm) and high organic contents (5-10%) induced settlement and reduced settlement time of larvae. Moreover, the growth and survival rate of larvae reached high levels at Ø 0.004-0.016 mm of grain sizes and 5-7.5% of organic contents as advantageous substrates for settlement. The survival rate of juveniles reached over 90% in less than Ø 0.016 mm substrate on 15-day experiment for different grain sizes of substrates. These results indicated that substrate compositions of less than Ø 0.016 mm of sand size and 5-7.5% of organic contents in mud will enhance the productivity of M. sanguinea at the early stage.

동절기 배합사료 공급 횟수가 황복(Takifugu obscurus) 치어의 성장과 체조성에 미치는 영향 (Effect of Feeding Frequency on Growth and Body Composition of Juvenile River Puffer, Takifugu obscurus in Winter season)

  • 강희웅;조재권;손맹현;홍창기;박종연
    • 수산해양교육연구
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    • 제27권3호
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    • pp.718-724
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    • 2015
  • To survey the most feeding frequence of formulated diet as food for cultured puffer in winter season, we performed a rearing test using juveniles of river puffer, Takifugu obscurus (body weight 15.0 g) for 120 days. The feeding frequencies were set up as 2times/1day, 2times/2days, 2times/3days and 2times/4days. We tested triplicately the experiment and investigated survival rate, daily food intake (DFI), feed efficiency (FE), condition factor (CF), daily growth rate (DGR). Consequently, growth was increased following to an increasing of feeding frequency, was the fast in 2times/1day of feeding frequency, and was the slowest in 2times/4days (p<0.05). DFI and CF were increased following to an decreasing of feeding frequency and was the highest in 2times/4days of feeding frequency. FE was decreased following to an decreasing of feeding frequency, and was the highest in 2times/1day of feeding frequency. In a proximate carcass composition at the final day, moisture and crude lipid contents were the lowest in 2times/4days, and in survival, there was not any significant difference among experimental groups. Therefore, we concluded that the 2times/2days are the best of feeding frequency for economical benefit of river puffer culture in winter season.

은어, Plecoglossus altivelis의 성장과 삼투압 조절에 미치는 염분의 영향 (Effect of Salinity on Growth and Osmoregulation of Sweetfish, Plecoglossus altivelis)

  • 전민지;강경호;장영진;이종관
    • 한국양식학회지
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    • 제12권2호
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    • pp.123-135
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    • 1999
  • In order to investigate the effect of salinity on growth and osmoregulation of the sweetfish, Plecoglossus altivelis, the fish (post-larva, juvenile, adult) reared in seawater were directly transferred into the experimental rearing water of the different salinities (post-larva : $0\textperthousand$, $5\textperthousand$, $10\textperthousand$, $15\textperthousand$, $20\textperthousand$, $30\textperthousand$. juvenile : $0\textperthousand$, $\10textperthousand$, $20\textperthousand$, $30\textperthousand$. adult : $0\textperthousand$, $15\textperthousand$, $35\textperthousand$, respectively). Fish samples were taken in time courses after transfer for blood and body fluid collection. The changes of sodium, potassium concentration and osmolality of the body fluid and plasma, muscle water content, gonadosomatic index (GSI) and hepatosomatic index (HSI) in the experimental fish were observed in time courses. Growth rate of the post-larva in $\5~25\textperthousand$ were faster than in $0\textperthousand$ (P<0.05). Survival rate was very low in $0\textperthousand$ (P<0.05). No fish survived more than 50 days after transferred into $0\textperthousand$. The concentration of sodium, potassium and osmolality in body fluid of the juvenile sweetfish were slightly decreased at 0.25 day after the beginning of the maintainable level of sodium, potassium and osmolality were $36.4\pm6.2 mM/\ell, 47.5\pm0.7 mM/\ell, 366.3\pm19.1 mOsm/kg, respectively. Except potassium concetration, fish in $0\textperthousand$ and $10\textperthousand$ displayed the pattern of hypoosmotic regulation. Growth rate and survival rate of juveniles of $30\textperthousand$ are significantly low than other groups (P<0.05). The concentration of sodium, potassium and osmolality in plasma of adult sweetfish were slightly decreased at 1 day after the beginning of the maintainable level of sodium, potassium and osmolality were $159.0\pm2.5 mM/\ell, 5.8\pm0.9 mM/\ell, 338.1$\pm13.3 mOsm/kg respectively. Compared with these values, fish in $0\textperthousand$ and $15\textperthousand$ displayed hypoosmotic regultion. Growth and survival rate of adult in $35\textperthousand$ are significantly low than other experimental groups. GSI was the highest in $15\textperthousand$ after 60 days. HSI was the lowest in $35\textperthousand$. With decreased salinities, oxygen consumption was found to be decreased in the other experimental groups compared to the more than $30\textperthousand$.

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