• 제목/요약/키워드: combined treatment

검색결과 3,963건 처리시간 0.034초

Meta Analysis of Treatment for Stage IE~IIE Extranodal Natural Killer /T Cell Lymphomas in China

  • Li, Hui;Wang, Chun-Sen;Wang, Xiao-Dong
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권5호
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    • pp.2297-2302
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    • 2014
  • Objective: To evaluate early treatment for extranodal natural killer/T cell lymphoma (ENK/TCL) in China and provide reference for clinical treatment of these patients. Methods: Computer-based retrieval was performed in PubMed, CNKI, CBM, VIP and WanFang Data to search for randomized controlled trials (RCTs) of treatment for early ENK/TCL, and a meta-analysis was conducted with RevMan 5.0 software. Results: A total of 11 RCTs, including 871 patients, were selected, of which the first radiotherapy had a higher complete response (CR) than the first chemotherapy [OR=14.16, 95%CI (8.68, 23.10), P<0.00001] and CR was not different between combined treatment group and radiotherapy group [OR=1.86, 95%CI (0.47, 3.58), P=0.61], but long-term survival rate was higher with combined treatment[OR=1.88, 95%CI (1.09, 3.19), P=0.02]. No difference in survival rate was observed between radio-chemotherapy and chemo-radiotherapy groups [OR=1.11, 95%CI (0.73, 1.69), P=0.63]. Conclusions: Radiotherapy is of great significance in the treatment of early ENK/TCL, but combined therapy could further enhance long-term survival rate of patients. This conclusion still requires further confirmation using RCTs with high quality and large sample size.

Sursulf 처리후 고주파 표면경화된 저탄소강의 경도 및 마모특성에 미치는 Sursulf 처리시간 및 고주파 경화 이송속도의 영향 (The Effect of Sursulf Treating Time and Traveling Speed during Induction Hardening on Hardness and Wear Characteristics of Low Carbon Steel Combined-Heat-Treated)

  • 노용식;김영희;이평호;신호강;이상윤
    • 열처리공학회지
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    • 제2권2호
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    • pp.17-26
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    • 1989
  • This study has been performed to investigate into some effects of the Sursulf treatment time and the traveling speed of surface hardening treatment on the hardness and the wear characteristics by applying the combined heat treating techniques of Sursulf process followed by induction hardening treatment to mild steel. It has been shown that increasing the Sursulf treatment time increases the case depth, but both hardness and wear resistance are not considerably improved. When the combined heat treating technique of high frequency induction heating after Sursulf treatment is applied, an improvement in case depth as well as wear resistance is obtained. In particular, the hardness in diffusion zone is greatly increased due mainly to the formation of martensite and possibly lower bainite. Iron oxides formed during induction heating and subsequent water spray cooling in the outermost part of compound layer may be considered to cause some increases in hardness and wear resistance.

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Pharmacological Test for a Combined Products Containing Sucralfate as a Suspended Antiulcer drug.

  • Kang, Seog-Youn;Kim, Seung-Hee;Jung, Sook-Young;Lee, Song-Deuk
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1995년도 춘계학술대회
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    • pp.93-93
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    • 1995
  • The three combined products were prepared as suspended solutions composed of various ratio of Sucralfate, Hydrotalcite and Neusilin, into which 30% ethanol extracts of Machili cortex, and of Atractylodis rhizoma were added. The efficacy for these products was examined in vivo using a pyrous ligation method in rats. The influence of these products on the intestinal motility was also examined in mice. In all experimental setting, the antisecretory effect of the combined treatment was more pronounced than that of each drug alone. The combined treatment consisted of Sucralfate, Hydrotalcite, Neusilin ratios of 2:2:1 produced the highest inhibitory effect for the gastric secretion. The intestinal motility was not influenced significantly by the treatment of all experimental setting. The above results revealed that the therapeutic dose of Sucralfate, Hydrotalcite, Neusilin given in combination showed a synergistic effect for the inhibition of gastric secretion and little side effect on the intestinal motility. Therefore, the combined product with Sucralfate, Hydrotalcite, Neusilin ratio of 2:2:1 is recommended for the useful drug to heal the gastrointestinal diseases with no side effect on the intestinal motility.

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임신 중 피부질환에 대한 치험 2례 (Two cases of dermatitis patients during pregnancy)

  • 정아롱;정은아;박수은;김경혜
    • 대한한방부인과학회지
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    • 제20권1호
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    • pp.258-267
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    • 2007
  • Purpose : Generally dermatitis is treated by corticosteroids, antihistamines ect, but the use of these drugs may affect pregnant women adversely. In this case Oriental medical therapy can be very useful. The purpose of this study is to report clinical management of dermatitis patients during pregnancy by oriental medicine including Hwa-acupuncture and herbal-combined extraction. Methods : We experienced two cases of dermatitis patient during pregnancy. In the beginning of treatment, they had severe itching, burning sensation, bulls, papule. We teated them with Hwa-acupuncture, herbal-combined extraction. Results : After quite short oriental treatment including Hwa-acupuncture and herbal-combined extraction, the symptoms of patients are remarkable alleviated. Conclusion : We think that many case of dermatitis during pregnancy can be managed effectively by Hwa-acupuncture and herbal-combined extraction. If we make more studies about disease under pregnancy condition, it will bring the high satisfaction of patient and the elevation of treatment rate.

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이산화염소 가스 훈증, 중온 열수 및 푸마르산 병합처리가 감귤의 미생물학적 안전성 및 저장 중 품질에 미치는 영향 (Combined Treatment of Chlorine Dioxide Gas, Mild Heat, and Fumaric Acid on Inactivation of Listeria monocytogenes and Quality of Citrus unshiu Marc. during Storage)

  • 김현규;민세철;오덕환;구자준;송경빈
    • 한국식품영양과학회지
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    • 제45권8호
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    • pp.1233-1238
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    • 2016
  • 감귤의 저장 중 미생물학적 안전성 확보 및 품질 향상을 위해 0.5% 푸마르산과 $50^{\circ}C$ 열수 세척처리 후 15, 30 ppmv 이산화염소 가스 훈증 처리하여 $4{\pm}1^{\circ}C$에서 30일간 저장하였다. 푸마르산, 열수 세척처리, 15와 30 ppmv 병합처리 시 접종된 Listeria monocytogenes를 3.5~3.7 log CFU/g 감소시켰다. 또한, 감귤의 병합처리 후 30 ppmv 병합처리구에서 저장 30일 후에 효모 및 곰팡이 수에 있어서 2.54 log CFU/g의 감소 효과를 나타냈고, 대조구와 비교하여 부패율을 48% 낮추는 효과를 보였다. 저장 중 당도, 산도는 대조구와 비교하여 유의적인 차이를 나타내지 않았고, 병합처리는 감귤 시료의 표면 색도에 부정적인 영향을 끼치지 않았다. 따라서 본 연구 결과 이산화염소 가스, 중온 열수 세척, 푸마르산 병합처리는 감귤 시료의 품질에 영향을 끼치지 않으면서 미생물학적 안전성 및 품질을 향상할 수 있는 효과적인 허들기술이라고 판단된다.

MCF-7 MTS에서 sodium salicylate과 genistein 복합처리는 불완전한 세포사멸과 세포괴사를 유도한다 (Combined Treatment of Sodium Salicylate and Genistein Induces Incomplete Apoptosis and Necrosis in MCF-7 Multicellular Tumor Spheroids)

  • 이수연;김초희;전현민;주민경;김민영;정의경;박혜경;강호성
    • 생명과학회지
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    • 제22권9호
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    • pp.1145-1151
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    • 2012
  • 아스피린과 아스피린의 deacetylated form인 sodium salicylate (NaSal)은 대장암, 폐암 및 유방암을 비롯한 다양한 암의 항암제 활성을 나타내는 것으로 잘 알려져 있다. A549 폐암 세포주에 저농도의 NaSal과 genistein을 함께 복합 처리시 상승작용에 의해 세포사멸을 증가시켜서 NaSal에 의한 암억제 효과를 증대시킴을 이미 밝힌바 있다. 본 연구에서는 A549가 아닌 다른 암세포주와 in vitro solid tumor model인 multicellular spheroids (MTS)을 이용하여 NaSal과 genistein 복합처리 효과를 조사하였다. NaSal/genistein 복합 처리시 A549 세포주와 마찬가지로 HCT116 세포주에서도 세포사멸이 유도되었지만, MCF-7 세포주에서는 유도되지 않았다. 흥미롭게도, MCF-7 세포주는 MTS로 배양되는 동안 NaSal/genistein 복합 처리에 의해 세포 죽음을 나타내었다. 세포 죽음의 형태는 MCF-7 MTS의 발달 단계에 따라 세포사멸 또는 세포괴사로 나타났다. MCF-7 MTS에서의 세포사멸은 불완전한 양상을 보였다. 즉 염색체가 응축되고 쪼개지지만, 핵막은 여전히 관찰되었다. 이상의 연구 결과 NaSal/genistein 복합처리는 MCF-7 MTS 배양 system에서 불완전한 세포사멸과 세포괴사를 일으킴을 알 수 있었다.

안구건조증환자 11례의 한·양방 병용치료에 대한 임상보고 (Eastern and Western Combined Medical Treatments on 11 Patients with Dry Eye Syndrome)

  • 이동진;황보민;서형식;김수진;이종수
    • 한방안이비인후피부과학회지
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    • 제25권2호
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    • pp.61-67
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    • 2012
  • Objective : The endpoint of this trial is to verify therapeutical availability of conventional western eyedrops combined with acupuncture treatment by means of BUT(tear film break-up time), Schirmer's test, which have been considered to be typical methods for diagnosing dry eye syndrome. Methods : The subjects of this trial included the outpatients who had been diagnosed with dry eye syndrome in Pusan national university hospital and underwent acupuncture treatment from March 2011 to April 2011. They received acupuncture treatment once a week, three times while constantly using Restasis or artificial tears. We collated and analyzed the outcome data of Schirmer's test and BUT conducted at the beginning of this trial and three times more after each acupuncture treatments. Acupoints, such as, Chanjuk(BL2), Eoryo, Sajukgong(TE23), Taeyang, Sabaek(ST2), limited around both eyes were selected based on their clinical effects referring to medical books. Results : 1. From BUT test results, Restasis and acupuncture combined group showed statistically significant difference, however, artificial tears and acupuncture combined group showed difference only between before and after the treatment, which is not statistically significant. 2. From Schirmer's test results, Restasis and acupuncture combined group showed statistically significant difference, however, artificial tears and acupuncture combined group showed difference only between before and after the treatment, which is not statistically significant. 3. The average duration of treatment was statistically 16.3 days for Restasis and acupuncture combined group. Conclusions : Combination of acupuncture and Restasis for dry eye syndrome can shorten the duration of treatment. Therefore, clinical benefit is expected to be worth.

Clinical Observation and Therapeutic Evaluation of Rh-endostatin Combined with DP Regimen in Treating Patients with Advanced Esophageal Cancer

  • Deng, Wen-Ying;Song, Tao;Li, Ning;Luo, Su-Xia;Li, Xiang
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권16호
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    • pp.6565-6570
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    • 2014
  • Objective: To observe the curative effects of rh-endostatin combined with DP regimen in treating patients with advanced esophageal cancer and analyze the correlation of CT perfusion (CTP) parameters and the expression of vascular endothelial growth factor (VEGF). Methods: Twenty patients with esophageal cancer confirmed pathologically were randomly divided into combined treatment (rh-endostatin+DP regimen) group and single chemotherapy group, 10 patients in each group, respectively. All patients were given conventional CT examination and CTP imaging for primary tumor. The level of VEGF, the size of tumor and CTP parameters (BF, BV, PS and MTT) before treatment and after 2 cycles of treatment were determined for the comparison and the correlation between CTP parameters and VEGF expression was analyzed. Results: the therapeutic effect of rh-endostatin+DP regimen group was superior to single chemotherapy group. VEGF level after treatment in rh-endostatin+DP regimen group was obviously lower than single chemotherapy group (P<0.01). The expression of VEGF had positive correlation with BF and BV but negative correlation with MTT. Compared with treatment before for rh-endostatin+DP regimen group, BF, BV and PS decreased while MTT increased after treatment (P<0.05). However, there were no significant differences between treatment before and after treatment in single chemotherapy (P>0.05). Conclusions: Rh-endostatin can down-regulate the expression of VEGF in esophageal cancer, change the state of hypertransfusion and high permeability of tumor vessels and had the better curative effect and slighter adverse reactions when combined with chemotherapy.

Long-term Survival of a Hepatocellular Carcinoma Patient Treated by Korean Medicine Combined with Western Therapy: a Case Report

  • Kang, Ji-Young;Kim, Jun-Young;Son, Chang-Gue;Cho, Jung-Hyo
    • 대한한의학회지
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    • 제34권4호
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    • pp.56-62
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    • 2013
  • Objectives: Hepatocellular carcinoma patients have a poor prognosis and survival beyond 5 years is very rare in spite of western treatment. We report a case of long-term survival of a hepatocellular carcinoma patient treated by Korean medicine combined with western therapy. Methods: The treatment was provided from November 2004 to July 2012. Herbal medicine, acupuncture and moxibustion treatment were used as main treatment methods. We prescribed herbal medicines three times a day and performed acupuncture and moxibustion an average of 2-3 times a week. Clinical laboratory tests were performed each month and a CT scan was carried out 13 times during the treatment period. In order to evaluate the disease status, we checked the patient's abdominal circumference, weight change and subjective symptoms regularly. Results: During treatment, subjective symptoms of the patient and state of ascites due to hepatocellular carcinoma were relatively stable. The progress of hepatocellular carcinoma was gradual without worsening rapidly. Since the initial diagnosis with hepatocellular carcinoma, the patient survived for a further 7 years and 9 months treated by Korean medicine combined with western treatment. Conclusions: According to the above results, this case indicates that Korean medical treatment combined with western therapy for hepatocellular carcinoma patients has synergistic effects of prolonged survival, relief of symptoms and management of complications.

스테로이드 주사, 실리콘 겔 판, 레이져 병합요법을 이용한 부푼 흉터와 흉터종의 치료 (A Combined Therapy of Steroid Injection, Silicone Gel Sheeting, and Laser for Hypertrophic Scar and Keloid)

  • 최상록;윤민호;동은상;윤을식
    • Archives of Plastic Surgery
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    • 제33권6호
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    • pp.700-705
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    • 2006
  • Purpose: For hypertrophic scars and keloids no universally effective treatment modality exists. Surgical revision, intralesional steroid injection, silicone gel sheeting, pressure, laser, and others have been used with variable success, but many treatments are associated with high recurrence rates. Although optimal treatment remains undefined, successful treatment can be obtained through a combined therapeutic approach. Methods: We used three therapeutic modalities in combination, which are intralesional injection of triamcinolone acetonide, silicone gel sheeting, and 585 nm flashlamp-pumped pulsed dye laser. Fifty-eight cases of hypertrophic or keloid scar were treated by combined therapeutic regimen for mean period of 18 months. The changes of thickness, color, and pliability of scars were evaluated with clinical photographs by grading scale. Results: As summing the grades and categorizing the result into three group, we obtained 28% good, 67% fair, and 5% poor results. There was a desirable improvement of scars with insignificant adverse effects. Conclusion: Combination of intralesional steroid injection, silicone gel sheeting, and pulsed dye laser can lead to successful treatment of hypertrophic scar and keloid.