• 제목/요약/키워드: curative effect

검색결과 201건 처리시간 0.023초

Survival Results and Prognostic Factors in T4 N0-3 Non-small Cell Lung Cancer Patients According to the AJCC 7th Edition Staging System

  • Arslan, Deniz;Bozcuk, Hakan;Gunduz, Seyda;Tural, Deniz;Tattli, Ali Murat;Uysal, Mukremin;Goksu, Sema Sezgin;Bassorgun, Cumhur Ibrahim;Koral, Lokman;Coskun, Hasan Senol;Ozdogan, Mustafa;Savas, Burhan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권6호
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    • pp.2465-2472
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    • 2014
  • Background: The American Joint Committee on Cancer (AJCC) published a new staging system ($7^{th}$ edition) in 2009. In our study, we evaluated the survival results and prognostic factors among T4 local advanced non-small cell lung cancer (LA-NSCLC) patients in a large heterogeneous group, in accordance with this new system. Materials and Methods: We retrospectively evaluated the files of 122 T4 N0-3 M0 LA-NSCLC patients, identified according to the new staging system, treated at two centers between November 2003 and June 2012. Variables correlating with univariate survival at p<0.20 were later included in multivariate Cox regression analysis. Here, selection of relevant predictors of survival was carried out in accordance with the likelihood ratio formula with p<0.05 regarded as significant. Results: The median age was 60 and the median follow-up period was 17.4 months. Median overall survival (OS) was 18.3 months, the 1 year overall survival (OS) rate was 72%, and the 5 year OS rate was 28%. Statistically significant predictors of survival were (p<0.20) ECOG-PS (Eastern Cooperative Oncology Group Performance Status), age, T4 factor subgroup, stage and primary treatment in OS univariate analysis. On multivariate analysis for OS ECOG-PS (p=0.001), diagnostic stage (p=0.021), and primary treatment (p=0.004) were significant. In the group receiving non-curative treatment, the median OS was 11.0 months, while it was 19.0 months in the definitive RT group and 26.6 months in the curative treatment group. There was a significant difference between the non-curative group and the groups which had definitive RT and curative operations (respectively p<0.001 and p=0.001) in terms of OS, but not between the groups which had definitive RT and curative operations. The median event free survival (EFS) rate was 9.9 months, with rates of 46% and 19% at 3 and 5 years, respectively. On univariate analysis of EFS rate with ECOG-PS, weight loss and staging, statistical significance was found only for thorax computerized tomography (CT)+18F-fluorodeoxy-glucose positron emission tomography-CT (PET-CT) use, stage and primary treatment (p<0.20). In multivariate analysis with EFS, only the primary treatment was statistically significant (p=0.001). In the group receiving non-curative treatment, the median EFS was 10.5 months while in the curative operation group it was 14.7 months. When all the primary treatment groups were taken into consideration, grade III/IV side effect swas observed in 57 patients (46.6%). Esophagitis was most prominent among those that received definitive radiotherapy. Conclusions: Independent prognostic factors among these 122 heterogeneous LA-NSCLC T4 N0-3 M0 patients were age at diagnosis, ECOG-PS, stage and primary treatment, the last also being a significant prognostic indicator of EFS. Our findings point to the importance of appropriate staging and a multidisciplinary approach with modern imaging methods in this patient group. In those with T4 lesions, treatment selection and the effective use of curative potential should be the most important goal of clinical care.

Curative Effect of Selenium Against Indomethacin-Induced Gastric Ulcers in Rats

  • Kim, Jeong-Hwan;Kim, Byung-Woo;Kwon, Hyun-Ju;Nam, Soo-Wan
    • Journal of Microbiology and Biotechnology
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    • 제21권4호
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    • pp.400-404
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    • 2011
  • Indomethacin is a nonsteroid anti-inflammatory agent that is known to induce severe gastric mucosal lesions. In this study, we investigated the effect of selenium on gastric mucosal lesions in rats. To confirm the curative effect of selenium against indomethacin-induced gastric ulcers, gastric ulcers were induced by oral administration of 25 mg/kg indomethacin, and then different doses (10, 50, and 100 ${\mu}g$/kg of body weight) of selenium or vehicle were treated by oral gavage for 3 days. Oral administration of indomethacin clearly increased the gastric ulcer area in the stomach, whereas selenium applied for 3 days significantly decreased the gastric ulcer area in a dose-dependent manner. In addition, selenium markedly reduced the increase of lipid peroxidation induced by indomethacin in the gastric mucosa and increased activities of radical scavenging enzymes such as superoxide dismutase, catalase, and glutathione peroxidase in a dose-dependent manner. These results reveal that selenium can heal indomethacin-induced gastric ulcers through elimination of the lipid peroxides and activation of radical scavenging enzymes.

천마 괴경썩음병 방제에 효과적인 유기농업자재 선발 (Screening for Effective Organic Farming Materials for the Control of Tuber Rot of Gastrodia elata Caused by Fusarium spp.)

  • 김창수;이한나;김효진;서상영;조종현;이은숙;안민실;김희준
    • 한국유기농업학회지
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    • 제29권4호
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    • pp.561-574
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    • 2021
  • 본 연구는 Fusarium spp.에 의해 발생하는 천마 괴경썩음병에 대하여 유기농업자재의 방제효과를 검정하기 위해 수행되었다. 유기농업자재 15품목을 대상으로 실내에서 항균활성 검정과 실내시설에서 천마 자마에 포자현탁액 접종을 통한 자마검정을 실시하였다. 이중 미생물제인 7품목의 유기농업자재가 Fusarium spp.의 균사생장을 억제하였다. 천마 자마를 이용한 검정에서 3품목의 유기농업자재가 70% 이상의 우수한 방제효과를 나타냈다. 그 중에서 sulfur가 유효성분인 광물질 제제의 억제효과가 가장 뛰어났다. 그 다음으로 3품목의 유기농업자재를 선발하여 예방적 효과와 치료적 효과를 검정하기 위해 적용하였는데, 예방적 처리를 했을 때 3품목 모두 병 발생에 대한 억제 효과가 상당히 높았다. 특히 sulfur와 B. subtilis의 예방적 효과는 각각 93.2%, 86.9%로 탁월하였으며, 치료적 효과는 73.3%, 60.2%로 상대적으로 낮게 나타났다. 반면, citronella + paraffin oil + ethyl alcohol은 예방적 효과와 치료적 효과가 각각 73.3%, 67.0%로 비슷한 효과를 나타냈다. 이 연구를 통해 시설하우스 내 연작 재배지에서 잘 발생하는 천마 괴경썩음병은 유기농업자재로 충분히 방제될 수 있으며, 예방적 처리가 더욱 중요하며 효과적임이 확인되었다.

조기 식도암에서 내시경초음파의 역할 (Role of Endoscopic Ultrasound in the Assessment of Superficial Esophageal Cancer)

  • 조유경
    • 대한기관식도과학회지
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    • 제17권1호
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    • pp.19-22
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    • 2011
  • 내시경 초음파검사는 식도벽의 조직학적 층구조를 가장 유사하게 반영하는 검사법으로 식도 병변의 진단과 치료전략에 필수검사이다. 표재성 식도암에서 고주파 미세탐촉자를 이용한 EUS는 내시경 절제 같은 국소치료가 가능한 환자들을 선별하는 데 중요한 역할을 한다.

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Effect of pepper tree (Schinus molle) essential oil-loaded chitosan bio-nanocomposites on postharvest control of Colletotrichum gloeosporioides and quality evaluations in avocado (Persea americana) cv. Hass

  • Chavez-Magdaleno, Mireya Esbeiddy;Gonzalez-Estrada, Ramses Ramon;Ramos-Guerrero, Anelsy;Plascencia-Jatomea, Maribel;Gutierrez-Martinez, Porfirio
    • Food Science and Biotechnology
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    • 제27권6호
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    • pp.1871-1875
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    • 2018
  • Preventive and curative activity of postharvest treatments with chitosan nanoparticles (CS) and chitosan biocomposites loaded with pepper tree essential oil (CS-PEO) against anthracnose were evaluated on Avocado (Persea americana) cv. Hass artificially inoculated in rind wounds. After 10 days of storage significant preventive and curative activity against Colletotrichum gloeosporioides was observed with the absence of internal damage by applying CS and CS-PEO. Quality parameters like water losses and firmness changes were assessed on fruit treated. CS and CS-PEO were effective to reduce water losses and firmness losses.

식도암의 근치적 식도 절제술 후 폐합병증의 발생에 영향을 미치는 위험인자의 임상적 분석 (Clinical Analysis of Risk Factors in Pulmonary Complications after Curative Resection of Esophageal Cancer)

  • 최필조;정상석
    • 대한기관식도과학회지
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    • 제17권2호
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    • pp.98-103
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    • 2011
  • Purpose Pulmonary complications continue to be the major cause of morbidity and mortality after esophageal resection. The aim of this study was to compare and analyze retrospectively the factors which effect for postoperative pulmonary complications in patients who underwent curative resection for esophageal cancer. Material and Method A total of 118 patients were enrolled in the study from January 1994 to March 2009, and patients with previous neoadjuvant chemotherapy or radiotherapy were excluded. Of the total 118 patients, 27 patients developed pulmonary complications within 30 days of their operation. the factors which effect for postoperative pulmonary complications were compared and analyzed. Results There were 7 patients in-hospital deaths. 51 patients (43.2%) developed complications, and of them, the most common complication was pulmonary complication and occurred in 27 patients (22.9%). In univariate analysis, diabetes mellitus, cervical anastomosis through the retrosternal route, old age and poor lung function were risk factors contributing to postoperative pulmonary complications (p<0.05). In multivariate analysis, statistically significant factor was old age (65 years or older). Conclusion Clinical factor for the pulmonary complications after esophagectomy of esophageal cancer was significantly associated with diabetes mellitus, cervical anastomosis through the retrosternal route, old age (65 years or older) and poor lung function (FEV1<80%). Of these, old age was the most significant factor.

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Development and Evaluation of a Patient-Reported Outcome (PRO) Scale for Breast Cancer

  • Zhang, Jun;Yao, Yu-Feng;Zha, Xiao-Ming;Pan, Li-Qun;Bian, Wei-He;Tang, Jin Hai
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8573-8578
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    • 2016
  • Background: This study was guided by principles of the theoretical system of evidence-based medicine. In particular, when searching for evidence of breast cancer, a measuring scale is an instrument for evaluating curative effects in accordance with the laws and characteristics of medicine and exploring the establishment of a system for medically assessing curative effects. At present, there exist few tools for evaluating curative effects. Patient-reported outcomes (PROs) refer to outcomes directly reported by patients (without input or explanations from doctors or other intermediaries) with respect to all aspects of their health. Data obtained from PROs provide evidence of treatment effects. Materials and Methods: In accordance with the tenets of theoretical medicine and ancient medical theory regarding breast cancer, principles for developing a PRO scale were established, and a theoretical model was developed and a literature review was performed, items from this pool were combined and split, and an initial scale was constructed. After a pilot survey and additional modifications, a pre-questionnaire scale was formed and used in a field investigation. After the application of statistical methods, the item pool was used to create a formal scale. The reliability, validity and feasibility of this formal scale were then assessed. Results: In a clinical investigation, 479 responses were recovered, with an acceptance rate of 95%. a combination of various methods was employed, and the items that were selected by all methods or more than half of the methods were employed in the questionnaire. In these cases, the screening methods were combined with certain features of the item, A total of four domains and 38 items were reserved. The reliability analysis indicated that the PRO scale was relatively reliable. Conclusions: Scientific assessment proved that the proposed scale exhibited good reliability and validity. This scale was readily accepted and could be used to assess the curative effects of medical therapy. However, given the limited scope of this investigation, the capacity for adapting this scale to incorporate other theories could not be determined.

포황이 흰쥐의 식이성 고지혈증 치료에 미치는 영향 (Curative Effects of Typhae Pollen on the Diet-Induced Hyperlipidemia in Rats)

  • 신형섭;김규열;김호현;서일복
    • 동의생리병리학회지
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    • 제17권1호
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    • pp.225-229
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    • 2003
  • In Oriental Medicine, hyperlipidemia is considered as the phlegm stagnancy(痰飮) and blood stasis(瘀血). Typhae Pollen helps remove blood stasis and hemorrhage and it also has an effect of relieving pains caused by blood stasis. The purpose of this study is to investigate the curative effects of Typhae Pollen on diet-induced hyperlipidemia in rats. Thirty-two rats were divided into normal, control and treated group. Control and treated group were fed with 1.5% cholesterol diet during 4 weeks, and fed with normal diet during next 4 weeks. Treated group was also administrated with extract of Typhae Pollen during last 4 weeks. Blood samples were collected from each of animals at 4, 6 and 8weeks, and used for the blood chemical analysis. Animals were sacrificed at 8 weeks, and chemical analysis was performed on the collected liver samples. The serum total cholesterol(47.82±2.03㎎/㎗), LDL-cholesterol(11.09±1.27㎎/㎗), HDL-cholesterol (19.64±1.23㎎/㎗), triglyceride(85.09±3.48㎎/㎗) values of treated group were significantly decreased compared with the serum total cholesterol(73.73±5.34㎎/㎗), LDL-cholesterol(22.09±3.09㎎/㎗), HDL-cholesterol(25.18±1.45㎎/㎗l), triglyceride(124.27±6.72㎎/㎗) values of control group at 8weeks. The liver total cholesterol and triglyceride values of treated group show no statistically significant differency compared with those values of control group. On the basis of these results, it is confirmed that Typhae Pollen has the curative effects on the hyperlipidemia in rats induced by hyper-cholesterol diets.

위암의 면역화학수술요법 (Immunochemosurgery for Gastric Carcinoma)

  • 김진복;유항종;서병조;이주호
    • Journal of Gastric Cancer
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    • 제1권1호
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    • pp.17-23
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    • 2001
  • Purpose: The purpose of this study is to analyze the clinicopathologic characteristics of gastric cancer patients and to evaluate the survival and prognostic factors and effect of immunochemosurgery for gastric cancer patients. Materials and Methods: The clinicopathologic characteristics were analyzed for 12,277 consecutive patients who underwent operation for gastric cancer from 1970 to 1999. We also evaluated the survival and prognostic factors for 9,262 consecutive patients from 1981 to 1996. The prognostic significance of treatment modality [surgery alone, surgery+chemotherapy, surgery+immunotherapy+chemotherapy (immunochemosurgery)] were evaluated in stage III gastric cancer. Results: The 5-year survival rate (5-YSR) of overall patients was $55.8\%$, and that of patients who received curative resection was $64.8\%$. The 5-YSRs according to TNM stage were $92.9\%$ for Ia, $84.2\%$ for Ib, $69.3\%$ for II, $45.8\%$ for IIIa, $29.6\%$ for IIIb and $9.2\%$ for IV. Regarding adjuvant treatment modality, significant survival difference was observed in stage III patients. The 5-year survival rates were $44.8\%$ for immunochemosurgery group, $36.8\%$ for surgery+chemotherapy group and $27.2\%$ for surgery alone group. Curative resection, depth of invasion and lymph node metastasis were the most significant prognostic factors in gastric cancer. Conclusion: Consequently, early detection and curative resection with radical lymph node dissection, followed by immunochemotherapy especially in patients with stage III gastric cancer should be recommended as a standard treatment principle for patients with gastric cancer.

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단백질과 단백질 가수분해물이 침수 속박 스트레스로 유도된 위 궤양 흰쥐의 질소대사에 미치는 영향 (Effect of Protein and Protein Hydrolysate on Nitrogen Metabolism in Rats with Gastric Ulcer Induced by Restraint and Water-Immersion Stress)

  • 김창임
    • Journal of Nutrition and Health
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    • 제28권4호
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    • pp.291-297
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    • 1995
  • This study aimed to verify the nutritional and curative effects of protein hydroysate in rats model with gastric ulcer induced by restraint and water-immersion stress. Sprague-Dawley, famale rats weighing approximtely 200g were forced in 5$\times$5$\times$15cm plexiglas cage. The restraint and water immersion stress was carried at 20$\pm$2$^{\circ}C$ for 8-hours. After stress 4 kinds of diets(10% casein, 20% casein, 10% casein hydrolysate, 20% casein hydrolysate) were given for 5 days. In the gastric ulcer rats model, the growth, gastric emptying rate, trypsin activity in gastrointestinal content, plasma total protein, albumin, $\alpha$-amino-N, UUN, creatinine and hydroxyproline of the urine and nitrogen retention were analyzed for nutritional effects of dietary nitrogen levels(10%, 20%) and sources (casein, casein hydrolysate). The results were as follows ; In gastric ulcer rats model, severeness of ulcer, plasma protein, gastric emptying rate, nitrogen retention rate were not different between 20% casein-fed group and 20% casein hydrolysatefed group. But 10% casein hydrolysate-fed group had more curative group. The casein hydrolysate diet-fed group was lower trysin activity in small intestianl content than the casein-fed group, at both casein level(10%, 20%). Finally at 20% levels, there was no difference between casein and casein hydrolysate diet, but 10% level, casein hydrolysate diet was more curative of ulcer than casein diet in gastric ulcer rat model. The results of this study provide useful information concerning diet therapy for the patients with gastrointestinal diseases and the field of enteral diet materials.

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