• 제목/요약/키워드: Treatment status

검색결과 3,304건 처리시간 0.03초

Could the Neutrophil to Lymphocyte Ratio be a Poor Prognostic Factor for Non Small Cell Lung Cancers?

  • Kacan, Turgut;Babacan, Nalan Akgul;Seker, Metin;Yucel, Birsen;Bahceci, Aykut;Eren, Ayfer Ay;Eren, Memet Fuat;Kilickap, Saadettin
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권5호
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    • pp.2089-2094
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    • 2014
  • Background: Although many prognostic factors have been identified for lung cancers, new ones are needed to determine the course of the disease. Recently, a high neutrophil to lymphocyte ratio (NLR) prior to surgery or treatment has been shown to be an indicator of prognosis for cancer. The aim of this study was to investigate the value of NLR as a prognostic factor and the correlation between NLR and other probable clinical prognostic factors in non small cell lung cancer patients prior to treatment. Materials and Methods: Data of patients who were diagnosed with non-small cell lung cancer in our institution were retrospectively reviewed. Demographic and clinicopathologic characteristics were recorded. NLR was calculated before the application of any treatment. Results: A total of 299 patients, 270 (90%) males and 29 (10%) females, were included in the study. Age (p<0.001) stage (p<0.001), Eastern Cooperative Oncology Group performance status (p<0.001), weight loss (p<0.001), anemia (p<0.001), histopatology (p<0.001), NLR ${\geq}3$ (p=0.048), NLR ${\geq}4$ (p=0.025) and NLR ${\geq}5$ (p=0.018) were found to be the prognostic factors. Age, anemia, Eastern Cooperative Oncology Group performance status, the stage, NLR (${\geq}5$) were an independent prognostic factors. There was a positive correlation between NLR and the Eastern Cooperative Oncology Group performance status (0.23, p=0.001), the C reactive protein levels (r=0.36, p<0.001). Conclusions: Prior to treatment high NLR was found as an independent poor prognosis factor. Besides, NLR correlated with Eastern Cooperative Oncology Group performance status and the C reactive protein levels.

노인 운동프로그램의 효과 (The Effects of Exercise Program for the Elderly)

  • 김태임;이강이;박영임;전명희;김인자;김은주;김동옥;김지현;권윤정
    • 지역사회간호학회지
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    • 제17권3호
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    • pp.335-345
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    • 2006
  • Purpose: The Purpose of this study was to develop an exercise program for elder people, and to verify the effects of it. Method: A one-group pretest-posttest experimental design was used. The exercise program was developed by researchers, and applied to 20 elders for 3 times a week for 5 weeks. To evaluate the treatment effects, dependent variables such as subjective health status, cognitive function, ADL, IADL, and depression were measured repeatedly 7 times. One-way Repeated Measures ANOVA was used for analysis. Result: There were significant positive changes in subjective health status, cognitive function, ADL, and depression except IADL during the treatment period. The treatment effects decreased significantly during 1-3 weeks after the treatment period. Conclusion: The exercise program, which had developed by the researchers, enhancing subjective health status, cognitive function, and ADL and decreasing depression of elders. Therefore this program is strongly recommended for geriatric nursing care settings.

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한의학과 서양의학의 협진 프로세스를 통한 협진 현황 보고 (A Report on the Status of Cooperation through the Korean Medicine and Western Medicine Collaboration Process)

  • 이강준;이규래;송윤경
    • 한방재활의학과학회지
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    • 제29권3호
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    • pp.129-139
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    • 2019
  • Objectives The purpose of this study is to investigate present status of cooperation through Korean medicine and Western medicine collaboration process. Methods We have established Korean medicine and Western medicine collaboration process to examine the status of cooperation. The medical records were investigated retrospectively, the general characteristics of gender, age of cooperative patients, classification of disease, frequency of medical treatment and type of insurance were analyzed. Results The Korean medicine and Western medicine collaboration process conducted in 4 stages, the convenience of patient movements is considered. A total of 245 people received cooperative medical treatment, 156 were out-patient department (OPD) patients and 89 were hospitalized patients, both group have more women than men. When classified as disease, OPD patients were most diagnosed with Sprain and strain of lumbar spine, while hospitalized patients were most diagnosed with lumbar and other intervertebral disc disorders with radiculopathy. A total of 72.7% patients were received cooperative medical treatment at once. In a survey of cooperative satisfaction, 68.5% of all medical staff responded positively to the treatment effect, and 68.6% said the need for cooperation was necessary. Conclusions As a result of this study, we were able to see the present status of cooperation, and through this, we found an improvement in the continuation of the cooperation. Based on the present study, It is hoped that a cooperative process will emerge that can improve the problems shown in this study.

관절염 환자의 자기효능감, 우울 및 건강상태 인지와의 관계 (The Relationship on Self-Efficacy, Depression and the Perception of Health Status in Patients with Arthritis)

  • 길숙영;오원옥
    • 한국보건간호학회지
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    • 제19권2호
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    • pp.284-293
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    • 2005
  • Purpose: This study was conducted to examine the relationship among self-efficacy, depression and the perception of health status. Method: The subjects of this study consisted of 93 patients with arthritis. The data was collected from July to September, 2004 and it was analyzed with t-tests, ANOVA, Duncan's tests and Pearson Con-elation Coefficients using SAS. Result: Self-efficacy showed significant differences according to the economic status, pain, the number of previous treatment methods, depression, the perception of health status and the number of affected sites. There was a significant correlation between self-efficacy and depression (r=-.48, p<.000), the perception of health status and self-efficacy (r=-.29, p=.01), and perception of health status and depression (r=.34, p.001. Conclusion: Continuous self-management and a proper program on self-efficacy promotion are required for the management of arthritis patients.

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철분의 구강투여가 철분부족 아동의 혈중철분지표 및 적혈구, 소변, 머리카락의 납 과 카드뮴 수준변화에 미치는 영향 (The Effect of Iron Supplementation on the Hematological Iron Status and Pb and CD Levels in Erythrocyte, Hair and Urine of Subjects With Suboptimal Iron Status)

  • 손숙미;정혜영
    • Journal of Nutrition and Health
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    • 제31권7호
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    • pp.1165-1173
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    • 1998
  • The effect of oral iron supplementation was assessed on blood iron levels and Pb and Cd levels in erythrocytes, hair and urine of 101 Puchon 5th grade school children with suboptimal iron status. Treatment with 25mg of elemental iron per day for 8weeks resulted in a significant increase in the intake of most nutrients in addition to iron. Iron supplementation resulted in significant improvements in hemoglobin, MU, MCH, MCHC, serum ferritin, serum iron, TIBC, and transferrin saturation of subjects(p<0.05 - p<0.01) and cocomitantly lowered Pb and Cd levels in erythrocytes, hair, and urine(p<0.01). Regression analysis showed that only iron intake contributed to significant increases in hemoglobin and serum ferritin. It seems that 25mg of iron supplementation is safe and adequate to improve iron status in school children with suboptimal iron status and it also has the benefit of alleviating Pb and Cd status. (Korean J Nutrition 31(7) : 1165-1173, 1998)

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섬망 증세와 신체 활동도에 호전을 보인 뇌전이가 있는 소세포폐암 환자 1례 (A Case Study of Small-Cell Lung Cancer with Multiple Brain Metastases Patient who Showed Improvement of Delirium and Performance Status)

  • 박소라;이수민;최성헌;정의홍;이수경
    • 사상체질의학회지
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    • 제26권4호
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    • pp.400-408
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    • 2014
  • Objectives The aim of this study was to report the improvement of delirium and performance status in the small-cell lung cancer patient who had multiple brain metastases and pericardial effusion after Sasang constitutional treatment. Methods We retrospectively reviewed the medical records, medical laboratory and image scans of 71-year-old male patient diagnosed as small-cell lung cancer. Results The small-cell lung cancer with multiple brain metastases patient sometimes talked deliriously even after the whole brain radiation therapy. During the hospitalization period, he showed delirium. We treated him with Gihwangbaekho-tang and Dojeokgangki-tang as a main therapy. After treatment, he didn't show delirium and performance status was improved. Conclusions A small-cell lung cancer with multiple brain metastases patient showed the improvement of symptoms (delirium, poor performance status, constipation and poor oral intake) with the treatment of Gihwangbaekho-tang, Yanggyuksanhwa-tang and Dojeokgangki-tang.

Present State of Membrane Filtration for Water Treatment in Japan

  • Kiso, Yoshiaki
    • 멤브레인
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    • 제13권1호
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    • pp.1-8
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    • 2003
  • Membrane filtration systems have been focusing and increasing rapidly in the filed of drinking water treatment because of several reasons. We describe briefly the present state of membrane filtration processes for drinking water treatment in Japan: including background, objectives, membrane suppliers, and some cases of actual plants.

Part II. What drives Korean adults to seek orthodontic treatment: Factors contributing to orthodontic treatment decisions

  • Oh, Min-Hee;Park, Ae-Hyun;Kim, MinSoo;Kim, Eun-A;Cho, Jin-Hyoung
    • 대한치과교정학회지
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    • 제51권1호
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    • pp.3-14
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    • 2021
  • Objective: This study aimed to identify the perceptions of orthodontic treatment among Korean adults and determine the factors that drive them to seek orthodontic treatment. Methods: A total of 2,321 adults aged 19-64 years were surveyed using an internet research system from a specialized research company. The participants were divided into the following groups based on their experience of and willingness to undergo orthodontic treatment: experience, acceptance, and non-acceptance groups. The characteristics of the participants were compared using analysis of variance with post-hoc analysis. Multinomial logistic regression analysis was performed in all three models with the non-acceptance group as a reference. Results: In terms of demographic characteristics, age, gender, marital status, and education had significant influences on orthodontic treatment decisions in adults in the experience and acceptance groups (p < 0.001). When all the factors were analyzed, age, marital status, past dental treatment experience, regular oral examinations, demand for orthodontic treatment, optimal treatment period, health insurance coverage, information on orthodontic treatments, perceptions regarding orthodontic treatment, and psychosocial impact of dental esthetics significantly influenced orthodontic treatment decisions in adults in the experience and acceptance groups (p < 0.001). Conclusions: These findings suggest that various factors influence orthodontic treatment decisions in adults. Individuals who seek orthodontic treatment were found to undergo more regular dental treatment and oral examination than those who did not. They also had a better perception of orthodontic treatment and more negative values for the psychosocial impact of dental esthetics.

우울증을 수반한 폐경기 여성환자에서의 항우울제와 경피 에스트라디올 호르몬의 병합치료 효과 : 우울증상 및 신체증상과 혈장 Gonadal Hormone, 5-Hydroxyindoleacetic Acid 농도를 중심으로 (Effects of Addition of Transdermal Estradiol to Antidepressants Treatment in Postmenopausal Women with Depression : On the Depression, Physical Symptoms and Plasma Hormonal Status, 5-Hydroxyindoleacetic Acid Levels)

  • 조숙행;김승현;이민수
    • 생물정신의학
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    • 제2권1호
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    • pp.91-99
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    • 1995
  • A on-off study was designed to evaluate the effects of addition of transdermal esrtradiol to tricyclic antidepressants on depression level, vasomotor symptom(hot flush), sexual functions and hormonal status, plasma 5-hydroxyindoleascetic acid(5-HIAA) level in postmenopausal women with depression. Plasma level of estradiol, progesterone, LH, FSH, prolactin and 5-HIAA was measured by Time-resolved fluoroimmunoassay and HPLC(High Performance Liquid Chromatography). To asses their symptoms, the BDI(Beck Depression Inventory) and modified symptom scale, extracted from women's health questionnaire were used. Depression score, sexual function score were decreased by the last 4-weeks of addition of transdermal estradiol to antidepressant treatment, not Significant, but vasomotor symptom (hot flushes) score was decreased significantly(p<0.05) by the last 4-weeks of the given treatment. Thus, during addition of transdermal estradiol to antidepressants treatment, only vasomotor symptom(hot flushes) was improved significantly, but depression level was not changed in postmenopausal women with depression. Plasma FSH, estradiol and prolactin level was not changed in postmenopausal women with depression. Plasma FSH, estradiol and prolactin levels were increased by the last 4-weeks of the treatment. There were not significant correlations between clinical symptoms and plasma hormonal status and 5-HIAA level in baseline. After the last 4-weeks of transdermal estradiol treatment, the change of depression score was correlated significantly with change of serum prolactin and 5-HIAA level and the change of vasomotor symptom score was correlated significantly with the change of plasma prolactin level.

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Evaluation of δ-Aminolevulinic Acid on Serum Iron Status, Blood Characteristics, Egg Performance and Quality in Laying Hens

  • Chen, Y.J.;Cho, J.H.;Yoo, J.S.;Wang, Y.;Huang, Y.;Kim, I.H.
    • Asian-Australasian Journal of Animal Sciences
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    • 제21권9호
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    • pp.1355-1360
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    • 2008
  • Effects of dietary ${\delta}$-aminolevulinic acid (ALA) supplementation on serum iron status, blood characteristics, egg production and quality were examined in laying hens in an 8-week feeding trail. Two hundred and forty (Hy-line brown, 40-week-old) layers were randomly assigned to four dietary treatments with ten replications (six layers in adjacent three cages). Dietary treatments included: 1) CON (basal diet), 2) ALA1 (CON+ALA 5 ppm), 3) ALA2 (CON+ALA 10 ppm) and 4) ALA3 (CON+ALA 15 ppm). All nutrient levels of diets were formulated to meet or exceed NRC (1994) recommendations for laying hens. During the entire experimental period, differences of serum iron concentration and total iron binding capacity (TIBC) were significantly increased in ALA1 supplemented treatment (quadratic effect, p<0.05). The difference of total protein between 8 and 0 weeks was significantly higher in ALA2 treatment than CON treatment (quadratic effect, p<0.05). No significant effects were observed on hemoglobin, WBC, RBC, lymphocyte and albumin concentrations. Egg production and egg weight were not influenced by the ALA supplementation. Egg yolk index was also significantly higher in ALA3 treatment than CON treatment at the end of 4 and 8 weeks (linear effect, p<0.05). Haugh unit was increased in ALA3 treatment compared to CON and ALA1 treatments at the end of 8 weeks (linear effect, p<0.05). However, egg shell thickness, breaking strength and yolk color unit were not affected by the ALA supplementation. In conclusion, dietary ALA supplementation at a level of 5 ppm can affect iron concentration in serum while higher levels (10 or 15 ppm) have some beneficial influences on blood profiles and egg quality.