• Title/Summary/Keyword: cooperative treatment

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Clinical outcomes of synchronous head and neck and esophageal cancer

  • Park, Jae Won;Lee, Sang-wook
    • Radiation Oncology Journal
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    • v.33 no.3
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    • pp.172-178
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    • 2015
  • Purpose: To investigate clinical outcomes of synchronous head and neck and esophageal cancer (SHNEC). Materials and Methods: We retrospectively reviewed 27 SHNEC patients treated with curative intent at a single institution. The treatment modality for individual cases was usually determined on a case by case basis. Results: The median follow-up duration for the surviving patients was 28.2 months. The most common site of head and neck cancer was hypopharyngeal carcinoma (n = 21, 77.7%). The lower esophagus was the most common location of esophageal carcinoma (n = 16, 59.3%). The 2-year progression-free survival (PFS) and overall survival (OS) rates were 57.5% and 39.6%. Major pattern of failure was locoregional recurrence in the study patients. Esophageal cancer stage, the Eastern Cooperative Oncology Group (ECOG) performance status, and pretreatment weight loss were significant prognostic factors for OS in univariate analysis. Treatment-related death was observed in two patients, and one patient developed a grade 4 late treatment-related complication. Conclusion: Although the survival outcome for SHNEC is poor, long-term survival might be achievable with aggressive treatment with stage I-II esophageal cancer and good performance.

A Study on the Performance Evaluation of Heat Treatment Furnace Design for Copper Tube Bending (동관 벤딩을 위한 열처리로 설계 및 성능평가에 관한 연구)

  • Park, Dae-kwang;Kim, Jae-yeol;Gao, Jia-Chen
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.15 no.1
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    • pp.136-144
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    • 2016
  • The air-conditioning industry is closely related to types of lifestyles, climate, and products. With the improvement of national income, the pursuit of pleasant living and working environments, and South Korea's four seasons and distinct climatic conditions, demand for air conditioning has increased. In addition, the industry is becoming increasingly precise and cooperative, and the increase in the domestic production of sophisticated air conditioning and continued growth of future industrial cooperation are expected to rapidly rise. Accordingly, the study of air piping systems can improve the productivity and quality of products and cost savings and can achieve vibration reduction. Additionally, using a heat treatment furnace for copper tube annealing treatment reduces the risk of using an oxy-acetylene torch.

Delayed awakening time from general anesthesia for dental treatment of patients with disabilities

  • Choi, Junglim;Kim, Seungoh
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.3
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    • pp.219-226
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    • 2021
  • Background: Patients with disabilities often require general anesthesia for dental treatment because of their cooperative or physical problems. Since most patients with disabilities take central nervous system drugs, the management of recovery status is important because of drug interactions with anesthetics. Methods: The anesthesia records of patients under general anesthesia for dental treatment were reviewed, and data were collected. Healthy patients under general anesthesia for dental phobia or severe gagging reflex were designated as the control group. Patients with disabilities were divided into two groups: those not taking any medication and those taking antiepileptic medications. The awakening time was evaluated in 354 patients who underwent dental treatment under general anesthesia (92 healthy patients, 183 patients with disabilities, and 79 patients with disabilities taking an antiepileptic drug). Based on the data recorded in anesthesia records, the awakening time was calculated, and statistical processes were used to determine the factors affecting awakening time. Results: Significant differences in awakening time were found among the three groups. The awakening time from anesthesia in patients with disabilities (13.09 ± 5.83 min) (P < 0.0001) and patients taking antiepileptic drugs (18.18 ± 7.81 min) (P < 0.0001) were significantly longer than in healthy patients (10.29 ± 4.87 min). Conclusion: The awakening time from general anesthesia is affected by the disability status and use of antiepileptic drugs.

A Case Report of Partial Remission of End-stage Ovarian Cancer Patient with Lung Metastasis Treated with Carboplatin/Paclitaxel and Traditional Korean Medicine (Carboplatin/Paclitaxel과 한방치료를 병행하며 부분 관해 된 폐전이 동반 말기 난소암 1례)

  • Ko, Eun-Bi;Oh, Jae-Sung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.1
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    • pp.91-104
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    • 2022
  • Objectives: The purpose of this study is to report the effect of combination treatment of Traditional Korean medicine (TKM) and chemotherapy on a ovarian cancer with lung metastasis patient. Methods: One ovarian cancer with lung metastasis patient was treated by TKM in conjunction with Carboplatin/paclitaxel since Feb. 2020. Repeat cycle every 3 weeks for 6 times. The patient has been treated with TKM at the same time. To evaluate the patient, symptoms were measured by Numeric Rating Scale (NRS), Eastern Cooperative Oncology Group (ECOG) and tumor size was measured by scanning with Computed Tomography (CT). Blood tests including cancer biomarker were conducted during treatment. Adverse events were evaluated by the National Cancer Institute Common Terminology Criteria for Adverse Event (NCI-CTCAE), version 5.0. Results: After treatment with Carboplatin/paclitaxel and TKM during 2 months, the size of the ovarian cancer was decreased(Partial Response, PR), size and malignant pleural effusion at right lung disappeared. And no evidence of newly developed metastatic lesions. After 2 months, the tumor response was stable disease while improving the performance and other symptoms. Conclusions: This case provides us conjunctive treatment with Conventional and Eastern medicine may have substantial benefit for patients with end-stage ovarian cancer.

Internet Based Telemedicine & Distance education System

  • Kim, Seok-Soo;Park, Cil-Cheol
    • Proceedings of the Korea Multimedia Society Conference
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    • 2001.06a
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    • pp.373-377
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    • 2001
  • The telemedicine & distance education system that this paper suggests has been designed on the CTE(Collaborative Telemedicine & distance Education) framework, which is an integrated multimedia environment. This is a CBM-based collaborative telemedicine & distance education type, different from the conventional doctor based general practice, and is an integrated multimedia telemedicine & distance education system capable of many application developments using information super highway. This paper presents the content regarding electronic medical examination chart and data treatment for efficient medical examination and prompt treatment by realizing mutual conversation type remote medical examination system among 3 parties(patient, doctor, pharmacist) on internet base. And, The implementation of this new teaming system should be designed with multimedia application development platform base which is interfaced with computer engineering, computer network technology, CSCW (Computer-Supported Cooperative Work) technology, and education engineering.

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DENTAL TREATMENT OF PSYCHIATRIC PATIENTS (정신장애 환자의 치과치료)

  • Moon, Sung-Yong;Kim, Su-Gwan
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.2 no.1
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    • pp.1-9
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    • 2006
  • Patients with severe mental problems have difficulty maintaining good oral hygiene, so that the incidence of dental disease is greater, the disease is more severe, and the progression is much faster in these patients. Generally, they require physical restraint, drug-induced sedation, and general anesthesia since they are not cooperative. In many cases, these patients have systemic disease, so that the prognosis after dental treatment depends highly on the management of existing diseases. The problems related to treating these patients are examined and methods of using general anesthesia and sedatives are further examined to propose better ways of treating these patients.

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Sewage Treatment Using a Modified DNR Process (수정 DNR 공정을 이용한 하수처리)

  • Choi, Jin-Taek;Nam, Se-Yong
    • Journal of Environmental Health Sciences
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    • v.34 no.6
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    • pp.446-451
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    • 2008
  • In this study, the removal characteristics of organic components and nutrients of sewage taken from the Suwon area were investigated in a lab-scale modified DNR (Daewoo Nutrient Removal) process. The modified DNR process consisted of a sludge denitrification tank, an anaerobic tank, an anoxic tank, an aerobic tank, a secondary anoxic tank and a secondary aerobic tank. The proposed process with the average C/N ratio of 3.5 was performed for the sewage treatment. The results were compared with other existing DNR processes. The organic fractions in sewage were analyzed by measuring the oxygen uptake rate. The resulting removal efficiencies of SS, BOD, COD, TN and TP were 93.1%, 95.5%, 86.1%, 67.8% and 80.6%, respectively.

Anterior Lateral Thigh Free Flap and Achilles Tendon Reconstruction Surgery for Contact Dermal Burn of Heel Including Achilles Tendon: A Case Report -Surgical Treatment for Functional Recovery- (아킬레스건을 포함한 뒷발굽 접촉성 피부 화상에 대해 시행한 전외측 대퇴피부 피판술 및 아킬레스건 재건술: 증례 보고 -기능적 회복을 위한 수술적 치료법-)

  • Park, Jun-Sik;Baek, Seung-Ha;Kim, Gab-Lae
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.3
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    • pp.127-130
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    • 2018
  • A 3rd degree burn on the heel including the Achilles tendon is vulnerable and requires active treatment to improve the functional outcomes. Previously, there have been a few treatments on severe burns, such as amputation, debridement or simple skin graft. The cooperative technique of an anterior lateral thigh flap with Achilles tendon reconstruction can be an innovative procedure that preserves the major arteries. The authors review a case and report the clinical outcome.

Endoscopic Treatment for Gastric Subepithelial Tumor

  • Chan Gyoo Kim
    • Journal of Gastric Cancer
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    • v.24 no.1
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    • pp.122-134
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    • 2024
  • Most gastric subepithelial tumors (SETs) are asymptomatic and are often incidentally discovered during endoscopic procedures conducted for unrelated reasons. Although surveillance is sufficient for the majority of gastric SETs, certain cases necessitate proactive management. Laparoscopic wedge resection, although a viable treatment option, has its limitations, particularly in cases where SETs (especially those with intraluminal growth) are not visualized on the peritoneal side. Recent advances in endoscopic instruments and technology have paved the way for the feasibility of endoscopic resection of SETs. Several promising endoscopic techniques have emerged for gastric SET resection, including submucosal tunneling endoscopic resection, endoscopic full-thickness resection (EFTR), laparoscopic and endoscopic cooperative surgery (LECS), and non-exposure EFTR (non-exposed endoscopic wall-inversion surgery and non-exposure simple suturing EFTR). This study aimed to discuss the indications, methods, and outcomes of endoscopic therapy for gastric SETs. In addition, a simplified diagram of the category of SETs according to the therapeutic indications and an algorithm for the endoscopic management of SET is suggested.

A Comparison Research of Eastern and Western Medication on the Insomnia (불면증에 대한 동서의학의 약물치료 비교 분석)

  • Jung, Song-Hwa;Kim, Ji-Hwon;Lee, Hyo-Gyung;Jang, Hyun-Ho;Kim, Tae-Heon;Lyu, Yeoung-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.3
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    • pp.65-88
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    • 2009
  • Objectives : There has not been the comparison research of medication on the Insomnia as the complementary significance of the Oriental-Western Cooperative Therapeutic Viewpoint so far. The aim of this preliminary research is to study Eastern and Western Medication Model for the Insomnia through the comparison of Oriental Medication based on "Sang Han Lon" and "Dong yui bo gam". Methods : The author researched oriental-western viewpoints and the present treatment condition of Sleep and Sleeping Pills with reference to Korean articles issued since 1975, dissertations, journals registered or candidated on KCI, alternative medicine journals on Pubmed, and books concerning Neuropsychiatry. In the field of Oriental medical study, this study was demonstrated on "The Oriental Medical textbook of neuropsychiatry", "Sang han lon", "Dong yui bo gam" and the present research trend. Results : In Oriental Medicine, Insomnia is treated according to si-jie-bu-shui-zung (思結不睡證) type, rong-xie-bu-zu-zung (榮血不足證) type, yin-her-nae-re-zung (陰虛內熱證) type, xin-dan-her-qie-zung (心膽虛怯證) type, dam-xian-yu-jie-zung (痰涎鬱結證) type, and wei-zhong-bu-he-zung (胃中不和證) type etc. In Western Medicine, Insomnia has been treated by Barbiturate over 60's and BZ over 70's. According to recent treatment on Insomnia, Zolpidem or Zaleplon, which is short-lived and has less side effects, is used much, and tri-cyclic antidepressants are prescribed on a chronic psycho-physiological insomnia. Conclusions : Generally, Insomnia is being treated by controlling whole ways. The oriental medication is less effective for sleep induction. On the contrary, that of western medication is very effective for sleep induction, but there are many possibilities of side effects. If this two mutual therapy is conducted cooperatively, more effective medical care might be expected. Therefore, it is considered that not only the oriental medical study for sleep induction, but the study of Oriental-Western Cooperative Therapy should be preceded to treat Insomnia from now on.

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