• 제목/요약/키워드: Treatment Grade

검색결과 2,115건 처리시간 0.031초

CCNU, Vinblastine과 Prednisone으로 병용 치료한 요크셔 테리어 개의 Grade II 피부 비만세포종 증례 (CCNU, Vinblastine and Prednisone Treatment for Grade II Dermal Mast Cell Tumor in a Yorkshire terrier dog)

  • 서경원;이종복;김성수;방동하;정진영;황철용;김대용;윤화영;이창우
    • 한국임상수의학회지
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    • 제24권4호
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    • pp.618-621
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    • 2007
  • 11살의 중성화 수컷 요크셔 테리어 개가 오른쪽 서혜 부위에 다발성의 Plaque를 주증으로 내원하였다. 조직학적 검사를 통해 grade II의 비만 세포종으로 진단되었다. 초기 치료는 Vinblastine과 Prednisone을 사용하였다. 그러나 치료 반응이 좋지 않아 Lomustine(CCNU)를 첨가한 공격적인 치료를 실시하였다. CCNU, Vinblastine, PDS를 이용한 치료 5주 후에 병변은 개선되었다. 4차 항암치료 시 중등도의 백혈구 감소 증을 나타내었고, 이에 대한 개선 처치 후에, 같은 프로토콜을 적용한 항암치료를 실시하였으나, 병변이 개선되지 않았다. 이후, 환자의 전신적인 상태가 나빠져 보호자의 요청에 의해 안락사 하였으나 부검은 실시하지 못하였다. 환자의 생존기간은 항암치료 개시 후 330일 이었다.

폐 카본슬러지의 재활용을 위한 不純物 분리 제거 (Removal of Impurities from Waste Carbon Sludge for the Recycling)

  • 이성오;국남표;오치정;김선태;신방섭
    • 자원리싸이클링
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    • 제10권3호
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    • pp.51-59
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    • 2001
  • 본 연구는 폐 카본 슬러지로부터 불순물을 제거하여 고품위 수성 카본을 제조하고자 수행되었다. 수성 카본 슬러지는 NH$_3$를 제조하기 위해서 물의 불꽃 반응에 의해 수소가스를 생산하는 동안 부산물로써 다량 발생된다. 발생된 카본 슬러지는 황, 철, 애쉬 등의 다량의 불순물을 함유하고 있어 탈수 후 일부 저품위 카본 원료로 사용되고, 나머지는 소각되어지고 있다. 고품위 수성 카본은 기능성 카본 블랙으로써 제조가 어려울 뿐만 아니라 제조시 환경오염문제와도 밀접한 관련이 있기 때문에 오일블랙에 비해 3~5배의 가격이 비싸다. 고품위 수성 카본은 일반적으로 밧데리, 플라스틱 착색제, 전선피복 고무 첨가제 등에 사용되어지고 있다. 수성카본 슬러지를 전도체로써 사용하기 위해서는 99%이상의 탄소와 매우 낮은 불순물을 함유하고 있어야한다 따라서 제품에 막대한 영향을 미치게되는 불순물의 제거가 필수적으로 이루어져야 한다. 본 연구는 폐카본슬러지로부터 불순물을 제거하기 위해서 분쇄, 자력선별. 부유선별, 초음파처리 등을 포함한 불순물 정제실험을 수행하였다. 실험결과 전도체로써 사용하기 위한 조건을 만족하는 애쉬0.01%, 철 0.01%, 황 0.3%이하로 대부분의 불순물을 제거하였고, 비표면적은 930 m$^2$/g을 나타냈다.

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주타액선종양 104례에 대한 분석 (A Clinical Analysis of Major Salivary Gland Tumors-104 Cases)

  • 김명상;김영호;홍정표;최은창;김광문;홍원표
    • 대한두경부종양학회지
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    • 제14권1호
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    • pp.40-45
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    • 1998
  • Backgroud and Objectives: Major salivary gland tumor is a rare disease with a largely unknown origin. And also corresponding to the diversity of histopathologic characteristics is an equally wide distribution of clinical behavior that makes treatment decisions difficult. The aim of this study is to analysis the clinical experience of our major salivary gland tumor and to suggest a guidline of management. Materials and Methods : We studied clinical manifestations and treatment results of 104 patients who were diagnosed as major salivary gland tumors. Tumor site, patient age and sex of the patients were analysed. Histopathologic diagnosis, treatment modality, lymph nodes metastasis, recurrence rate and 5-year survival rate were studied on malignant tumors. Results: 1) 48 patients were male and 56 patients were female. 2) Benign tumors were 79 cases. They consisted of 57 cases(72%) of parotid tumor, 22 cases(27%) of submandibular tumor. And pleomorphic adenoma was the most common benign tumor. 3) Malignant tumors were 25 cases and were consisted of 19 cases(76%) of parotid tumor, 4 cases(l6%) of submandibular tumor and 2 cases(8%) of sublingual gland tumor with high-grade mucoepidermoid carcinoma as the most common cause. 4) In the malignant tumors, the number of stage I, II tumors was 14 and that of stage III, IV tumors was 11. Neck node metastasis was noted in 8 cases. 5) 8 cases of malignant tumor were died and all of them had high-grade malignancy. And they were dead before 17 months from the time of diagnosis. 6) Mean survival duration in the malignant salivary gland tumor was 56 months. 7) High-grade malignancy had a 5-year survival rate of 57.9%. A 5-year survival rate of TI, T2 patients was 92.9% and that of T3, T4 patients was 36.4%. That of patients who had neck node metastasis was 37.5% and that of those who had tree neck was 82.4%. Conclusion: The results of this study suggest that the survival rate is dependent on the tumor size, lymph node matastasis and histologic grade. And also the early diagnosis and radical surgery result in the increased survival rate and are effective for prevention of the tumor recurrance.

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Safety and Efficacy of a Mouth-Rinse with Granulocyte Colony Stimulating Factor in Patients with Chemotherapy-Induced Oral Mucositis

  • Wang, Lin;Huang, Xin-En;Ji, Zhu-Qing;Liu, Meng-Yan;Qian, Ting;Li, Li
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권1호
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    • pp.413-418
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    • 2016
  • Objective: To assess the safety and effectiveness of a mouth-rinse with G-CSF (JiSaiXin, produced by NCPC Biotechnology Co., Ltd) in treating patients with chemotherapy-induced oral mucositis (CIM). Method: A consecutive cohort of patients with advanced cancers and CIM were treated with mouth-rinse G-CSF. All chemotherapy for patients with advanced cancers was adopted from regimens suggested by NCCN guidelines. The mouth-rinse with G-CSF at a dose of 150-300ug plus 100ml-500ml normal saline was started from the time of oral mucositis was confirmed and continuously used for at least 7 days as one course. After at least two courses of treatment, safety and efficacy were evaluated. Results: There were 7 female and 7 male patients with advanced cancer and CIM recruited into this study, including 5 with colorectal, 2 with lung, 1 patient with gastric, 1 with cervical and 1 with pancreatic cancer, as well as 2 patients with diffuse large B cell lymphomas, 1 with nasopharyngeal and 1 with gastric cancer. The median age was 57 (41-79) years. Grade 1 to 2 myelosuppression was observed in 3/14 patients, and Grade 4 myelosuppression in 1/14. Adverse effects on the gastrointestinal tract were documented in 5/14 patients, and were Grade 1 to Grade 3. No treatment related death was documented. Regarding CIM, the median response time to mouth rinse of G-CSF was 2 (1-5) days, and all patients with CIM demonstrated a positive response. Conclusions: Mouth-rinse with G-CSF proved to be safe and effective in treating patients with advanced cancers and CIM. However, further randomized controlled studies should be conducted to clarify the effectiveness of this treatment with other lesions.

초등학생의 Dental IQ 수준과 구강보건 관리실태 (Dental IQ and Oral Health Care Status of Elementary School Students)

  • 김광덕;전진호
    • 보건교육건강증진학회지
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    • 제20권2호
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    • pp.95-112
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    • 2003
  • Objectives: Oral health care program for the elementary school children (ESOHCP) should be met the first priority because dental caries are highly sensitive and prevalent among them. This study was performed to enhance the efficiency of ESOHCP, and their oral health promotion. Methods: The Subjects were 346 students (3rd grade 163, 6th grade 185) of one elementary school in Busan. Dental IQ and actual oral health status; the decayed, mixing and filling teeth were checked through questionnaire and oral health examination from April to June 2002. Dental IQ was presented out of one hundred, and data analysis was done using SAS (ver 8.1) program. Results: The students' cognitive level about the causative and preventive factor of dental caries was relatively high. However, the practical aspects of preventive behavior - tooth brushing; three times per day (20%), three minutes per time (22%), oral health examination; one time per three months (10%) left much to be desired. And, only 27% of the subjects had experienced in school oral health education. The mean level of dental IQ was 79 out of 100, and 51 % and 42% of them had the decayed and teeth with filling, respectively, with the rate of DMFT 82%, DT 43%, FT 57%. The level of dental IQ was higher in case of having his (her) own tooth brush (p=0.072), standard tooth brushing (p<0.001) three times per day, post meal, three minutes per time, present experience of oral health examination (p<0.001) and dental clinic visit (p<0.001). The grade of caries was more serious in case of 6th grade (p=0.059), an absence of his (her) own tooth brush (p= 0.090), present experience of oral health examination (p=0.021), and an absence of regular dental clinic visit (p=0.003). The frequency of oral health examination (γ= 0.620), tooth brushing; times per day (γ=0.445), post meal (γ=0.355), expending times per brushing (γ=0.352), right cognition to the treatment of caries (γ=0.401), positive attitude to dental treatment (γ=0.387), the frequency of dental clinic visit for the past one year (γ=0.152) showed significant correlation with dental IQ. In the multivariate analysis, dental IQ was influenced by the frequency of oral health examination, right cognition to the cause of caries, times of teeth brushing per day, right cognition to the treatment of caries, etc., with adjusted R2=0.857. Conclusion: Though the students' cognitive level about the causative and preventive factor of dental caries was high, the practical aspects of preventive behavior left much to be desired. Ant the current ESOHCP considered to be still inefficient. However, frequent dental visits had apparent correlation with hish level of dental IQ. The specialized and practical program should be needed for the efficient ESOHCP. Harmonized effort from educational, health and dental society is essential.

영산강 수계 지류.지천의 수질 특성 평가 및 등급화 방안 (Evaluation of Water Quality Characteristics and Grade Classification of Yeongsan River Tributaries)

  • 정수정;김갑순;서동주;김정현;임병진
    • 한국물환경학회지
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    • 제29권4호
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    • pp.504-513
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    • 2013
  • Water quality trends for major tributaries (66 sites) in the Yeongsan River basin of Korea were examined for 12 parameters based on water quality data collected every month over a period of 12 months. The complex data matrix was treated with multivariate analysis such as PCA, FA and CA. PCA/FA identified four factors, which are responsible for the structure explaining 78.2% of the total variance. The first factor accounting 27.3% of the total variance was correlated with BOD, TN, TP, and TOC, and weighting values were allowed to these parameters for grade classification. CA rendered a dendrogram, where monitoring sites were grouped into 5 clusters. Cluster 2 corresponds to high pollution from domestic wastewater, wastewater treatment and run-off from livestock farms. For grade classification of tributaries, scores to 10 indexes were calculated considering the weighting values to 3 parameters as BOD, TN and TP which were categorized as the first factor after FA. The highest-polluted group included 10 tributaries such as Gwangjucheon, Jangsucheon, Daejeoncheon, Gamjungcheon, Yeongsancheon. The results indicate that grade classification method suggested in this study is useful in reliable classification of tributaries in the study area.

야생쑥 추출물을 이용한 견직물의 천연염색성에 관한 연구 (The study on Natural Dyeability of silk with Artemisia Extract)

  • 박영득
    • 한국의상디자인학회지
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    • 제3권1호
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    • pp.33-46
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    • 2001
  • The purpose of this study was to investigate the natural dyeability of silk on extract of Artemisia princeps, The experimental items were divided into the mordanting method. comonent of fabric, kind of mordant. The experimental study was done by laundering fastness, abrasion(dry/wet) fastness, perspiration(acid/alkali) fastness, light fastness test and color difference by C.C.M system. The summarized finding resulted from experiments and investigation are suggested as follows; First, in the C. C. M test on mordanting methods, color difference was significantly improved when mordants were treatmented. And the premordanting method showed the highest color difference, color was most yellow-greenish, Second, in the C.C.M test on component of fabrics, color difference of silk was higher than cotton. It is considered that silk has -$NH_2$ , -COOH, -OH than more than cotton. Third, in dyeing-fastness on mordants, laundering fastness showed that color-change was 2~3 grade, the contamination on attached fabric was 4~5 grade. perspiration fastness(acid/alkali) showed 4~5 grade nearly and those of acid was higher than alkali. abrasion fastness(dry/wet) was 4~5 grade and in Fe(3~4 grade) was lower than the other mordants. Forth, in color difference analysis on mordants, Fe(50.0) showed the highest and the order of color difference was alum(16.0), Cu(7.2), Sn(3.5), Al(3.1), Cr(2.3), The Hue was turned into yellow-greenish in alum mordant treatment, the luminocity of color was most dark in Fe(-48.9) and Cu(-7.2), chroma was the highest in alum (15.7) method.

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Aneurysmal Subarachnoid Hemorrhage in Third and Fourth Decades of Life

  • Kim, Su-Yong;Lee, Chul-Hee;Park, In Sung;Hwang, Jae Ha;Hwang, Soo Hyun;Han, Jong Woo
    • Journal of Korean Neurosurgical Society
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    • 제52권3호
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    • pp.167-171
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    • 2012
  • Objective : The aim of this study was to compare clinical characteristics of ruptured aneurysms in young adults, of the third and fourth decades of life, and to compare several clinical characteristics affecting the outcome of patients. Methods : We retrospectively investigated 1459 patients who underwent surgery and endovascular treatment for ruptured cerebral aneurysms from June 1992 to December 2010 and compared clinical characteristics. We also reviewed pre-existing medical conditions and perioperative complications. Results : Among 1459 patients, there were 21 patients (1.44%) in the third decade and 104 patients (7.13%) in the fourth decade of life. Within two age groups, 88 (70.4%) were male and 37 (29.6%) were female, a ratio of 2.37 : 1. In both groups, we observed the anterior cerebral artery (ACA) aneurysm with the most frequency (p=0.028). In general, favorable outcome was achieved in both age groups (90.5% and 81.7%, respectively). An initial univariate analysis showed Hunt-Hess grade, Fisher grade, location of aneurysm, and rebleeding significantly associated with outcome after aneurysm rupture. Further, multivariate analysis demonstrated that only Hunt-Hess grade (grade 4-5) was a risk factor for the outcome (odds ratio=9.730, 95% confidence interval 2.069-45.756, p=0.004). Conclusion : The incidence of subarachnoid hemorrhage (SAH) was higher in the male population of the third and fourth decades of life. Aneurysms on the ACA were most frequently occurred in both age groups and the outcome of aneurysmal SAH among the third and fourth decades was favorable. Multivariate analysis revealed that high Hunt-Hess grade was a risk factor for patient's outcome.

노인장기요양보험 이용자 특성에 따른 자원사용량 차이 (Difference in Resource Utilization according to Beneficiary Characteristics of the Long-term Care Facilities)

  • 이수형;신호성
    • 보건행정학회지
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    • 제20권1호
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    • pp.19-36
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    • 2010
  • Fee for long-term care insurance in Korea are determined in proportion to resources utilized according to severity rather than based on categorization of beneficiaries in consideration of the characteristics of resource utilization. This adoption is based on the assumption that as beneficiaries of long-term care insurance, characteristically, demands social services rather than needs medical treatments, the characteristics of beneficiaries and the quality of utilized resources are comparatively homogenous. Therefore, the proposition is that the size of resource consumed by beneficiaries in the same grade is identical. However, even in the same grade, the level of utilized resources is different depending on the characteristic of beneficiaries. In this regard, this study is to examine whether there are differences in the volumes of utilized resources depending on the characteristics of beneficiaries even in the same grade. We analyzed time study data for 2003, 2005, 2006 which conducted by the Korea Institute for Health and Social Affairs. To look at differences in the volumes of utilized resources, we identified characteristics of beneficiaries that influence utilized resource volumes and categorized services provided by facilities into the rehabilitation treatment category, the problematic behavior category, and the physical malfunction category. Then, we examined each service in consideration of service difficulty levels and wage weights. The result of examination showed that differences in utilized resource volumes exist in all three grades depending on the characteristics of beneficiaries. Especially, in the first grade with a high level of seriousness, utilized resource volumes were different for those three service categories and the problematic behaviour category considered dementia was found to consume the largest volume of resources. Moreover, there was the inversion phenomenon of utilized resources volumes between the grades. This result indicates that utilized resource volumes are different even in the same grade depending on the characteristics of beneficiaries and it is required to consider case-mix for reflection of the volumes of utilized resources depending on the characteristics of beneficiaries.

Clinicopathologic Features and Molecular Subtypes of Breast Cancer in Young Women (Age ≤35)

  • Goksu, Sema Sezgin;Tastekin, Didem;Arslan, Deniz;Gunduz, Seyda;Tatli, Ali Murat;Unal, Dilek;Salim, Derya;Guler, Tunc;Coskun, Hasan Senol
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권16호
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    • pp.6665-6668
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    • 2014
  • Introduction: Breast cancer in young women is a relatively rare disease; however it tends to be more aggressive and is the leading cause of cancer death in this population. The aim of this study is to investigate the clinical and biological features of breast cancer arising in young Turkish breast cancer patients. Materials and Methods: Patients with breast cancer aged 35 or less (${\leq}35$ years) were selected for the study. In total 211 cases were included. Pathologic features; histologic subtypes, grade, lymphovascular invasion, axillary involvement, and stage were recorded for each. Results: The most common subtype was luminal B (36.5%), followed by luminal A (30.8%), triple negative (23.2%) and HER2+(9.5%) subtypes. Twelve percent of the patients had stage 4, 32.7% had stage 3, 46.4% had stage 2, and 6.2% had stage 1 disease at the time of diagnosis. Mean tumour diameter was 3.87 cm (range 0.3-13 cm). The axillary lymph nodes were positive in 74.4% of the patients, while lympho-vascular invasion was seen in 56.4%. Some 9.5% of patients had grade 1, 51.2% had grade 2, and 31.8% had grade 3 tumors. Conclusions: Young women with breast cancer in Turkey are more likely to present with luminal B subtype. Tumors in young women are more likely to present with advanced disease, to be high grade and and to have more lymphovascular invasion. Further research should focus on whether we need new treatment strategies for young patients with breast carcinoma.