• 제목/요약/키워드: disease intensity

검색결과 478건 처리시간 0.022초

Determinants of Opioid Efficiency in Cancer Pain: a Comprehensive Multivariate Analysis from a Tertiary Cancer Centre

  • Goksu, Sema Sezgin;Bozcuk, Hakan;Uysal, Mukremin;Ulukal, Ece;Ay, Seren;Karasu, Gaye;Soydas, Turker;Coskun, Hasan Senol;Ozdogan, Mustafa;Savas, Burhan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권21호
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    • pp.9301-9305
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    • 2014
  • Background: Pain is one of the most terrifying symptoms for cancer patients. Although most patients with cancer pain need opioids, complete relief of pain is hard to achieve. This study investigated the factors influencing persistent pain-free survival (PPFS) and opioid efficiency. Materials and Methods: A prospective study was conducted on 100 patients with cancer pain, hospitalized at the medical oncology clinic of Akdeniz University. Patient records were collected including patient demographics, the disease, treatment characteristics, and details of opioid usage. Pain intensity was measured using a patient self-reported visual analogue scale (VAS). The area under the curve (AUC) reflecting the pain load was calculated from daily VAS tables. PPFS, the primary measure of opioid efficacy, was described as the duration for which a patient reported a greater than or equal to two-point decline in their VAS for pain. Predictors of opioid efficacy were analysed using a multivariate analysis. Results: In the multivariate analysis, PPFS was associated with the AUC for pain (Exp (B)=0.39 (0.23-0.67), P=0.001), the cumulative opioid dosage used during hospitalisation (Exp (B)=1.00(0.99-1.00), P=0.003) and changes in the opioid dosage (Exp (B)=1.01 (1.00-1.01), P=0.016). The change in VAS score over the standard dosage of opioids was strongly associated with current cancer treatment (chemotherapy vs. others) (${\beta}=-0.31$, T=-2.81, P=0.007) and the VAS for pain at the time of hospitalisation (${\beta}=-0.34$, T=-3.07, P= 0.003). Conclusions: The pain load, opioid dosage, concurrent usage of chemotherapy and initial pain intensity correlate with the benefit received from opioids in cancer patients.

Type 1 당뇨 아동의 심장 탈분극 재분극 간격과 심혈관 위험인자에 대한 12주 유산소운동 트레이닝의 효과 (Effects of 12-week Aerobic Exercise Training on Cardiac Depolarization-repolarization Intervals and Cardiovascular Risk Profiles in Type 1 Diabetic Children)

  • 신기옥;박찬호;박정준
    • 생명과학회지
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    • 제18권9호
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    • pp.1278-1283
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    • 2008
  • 본 연구의 목적은 type 1 당뇨 아동에서 12주 유산소운동 트레이닝이 심장 QT 간격과 심혈관 위험 인자들에 어떠한 변화가 있는지를 조사하였다. 연구의 대상자는 9-17세 사이의 type 1 당뇨 아동 11명을 대상으로 하였다. 대상자들은 유산소운동 프로그램을 총 12주간 주 3회 실시하였다. 운동 강도는 3주까지 HRR 45%, 그 이후에는 HRR 55%를 적용하였다. 심장 QT 간격의 평가는 심박수 변이성 파워 스펙트랄 분석을 이용하였으며, 심혈관 위험인자들은 대상자들의 혈액 샘플을 채취하여 검사하였다. 연구결과 유산소운동 트레이닝 후 수축기 혈압(p<0.05)과 확장기 혈압(p<0.05)에서 유의한 감소가 있었다. 또한 심장 QT 간격(p<0.05), TC 농도(p<0.05), 그리고 HDL-C 농도(p<0.05)의 감소를 보였다. 이상의 연구결과와 선행연구를 고려할 때 운동 강도와 빈도가 고려된 장기간 규칙적인 신체활동은 type 1 당뇨 아동의 당뇨 합병증 예방 및 심혈관 건강관리에 효과적이고 중요한 작용을 할 수 있으리라 기대할 수 있다.

인유두종 바이러스의 감염 또는 감염되지 않은 자궁 경부 이형성증에서 p53 및 Ki-67의 발현 (Expression of p53 and Ki-67 in Cervical Dysplasia with Human Papilloma Virus Infection or Non-infection)

  • 최숙경;김태전;홍승복;이훈택
    • 대한임상검사과학회지
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    • 제36권2호
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    • pp.178-184
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    • 2004
  • This research focuses on the overall evaluation of tumor protein (p53) and cell growth marker (Ki-67) in their functions as carcinogenic factors in both a HPV-infected group and in a HPV-noninfected group with the precancerous dysplasia of uterine cervix. Histological grades were determined by the H&E staining and the expression level of p53 and Ki-67 were tested by the immunohistochemistry method. The results were as follows. Among the total of 66 cases, p53 (+) was observed in 19 cases (29.0%) from the mild grade group, 22 cases (33.0%) from the moderate grade group, and 19 cases (29.0%) from the severe grade group. The values correlate with the increase of dysplasia intensity in HPV-noninfected group and showed significant correlation (p<0.05), but there were no significant difference from the HPV-infected group. Among a total of 66 cases, the mitotic index of Ki-67 (+) were observed in 19 cases (29.0%) from the mild grade group, 22 cases (33.0%) from the moderate grade group, and 19 cases (29.0%) from the severe grade group. The values were significantly different against dysplasia intensity (p<0.05), but showed no significant difference from HPV infection. After cross comparing the statistical parameters of p53 and ki-67 in their significance, p53 was shown to be statistically significant with Ki-67 while there was no statistically significant difference with Ki-67 (p<0.05). Taken together, tumor protein (p53) and an index of Ki-67 observed in cervical dysplasia and in HPV related dysplasia of cervix uterine did not have any notable significance with HPV infection. The incidence rate of p53, however, had some significant correlation with dysplasia while Ki-67 had no particular statistical significance. As a result, p53 and Ki-67 can be considered as effective diagnostic markers in predicting the disease progression of dysplasia to cervical cancer.

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비부비동 반전성 유두종의 전산화 단층촬영상과 자기공명영상의 분석 (Evaluation of Computed Tomography and Magnetic Resonance Imaging of Sinonasal Inverted Papilloma)

  • 배창훈;서영중;이석춘;천승민;백운회;정은채;송시연;김용대
    • Journal of Yeungnam Medical Science
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    • 제22권2호
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    • pp.191-198
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    • 2005
  • 확실한 자기공명영상의 효과를 판정하기 위해서는 아직도 증례가 많이 부족한 것이 사실이지만 본 연구의 결과에서도 알 수 있듯이 반전성 유두종에 있어 술전 자기공명영상으로 종양의 범위와 위치를 구별하는데 탁월한 효과를 확인하였다. 앞으로도 많은 환자를 대상으로 체계적인 연구가 이루어져야 하겠고 향후 지속적인 자기공명영상 촬영술의 발달이 뒷받침 된다면 좀 더 정확한 결과를 얻을 수 있을 것으로 기대된다.

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Effect of Soluble-silicate or Chitosan Foliar Spray on Ginseng Cultivated in Blue-white Plastic Film House

  • Seo, Sang Young;Cho, Jong hyeon;Kim, Chang Su;Kim, Hyo Jin;Kim, Dong Won;An, Min Sil;Jang, In Bae
    • 한국자원식물학회:학술대회논문집
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    • 한국자원식물학회 2019년도 추계학술대회
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    • pp.46-46
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    • 2019
  • The experiments were performed in the Jinan (elevation: 300 meters above sea level), Jeollabuk-do. Seedlings (n = 63 per $3.3m^2$) of ginseng cultivar (Cheonpung, Yeonpung) were planted on April 10, 2015. Shading material of plastic film house was blue-white film. Before the Planting seedling, silicate (3 kg/10 a) or chitosan (40 kg/10 a) was fertilized and foliar sprayed on the leaves 1000 times dilution solution once a month from May to September every year. The growth results of 5-year old ginseng surveyed in 2018 are as follows. The average air temperature in the plastic film house was the highest at $26.6^{\circ}C$ and $26.5^{\circ}C$ in July and August, respectively, and the highest temperature was $40.5^{\circ}C$ in July. The maximum daily temperature of $35^{\circ}C$ or more was 30 days, with the average soil temperature being $24.9^{\circ}C$ in August. The chemical properties of the test soil are as follows. pH was 6.4~6.9 level and EC was 0.35~0.46 dS/m. The organic matter content was 33.5~41.4 g/kg, and available-P content was 251.9~306.8 mg/kg. Exchangeable cations contents, such as K, Ca and Mg were all the appropriate ranges. The soil microbial density surveyed by the dilution plate method was 10~50 times higher than that of control (Non-treatment) and actinomycete density was 3~6 times higher. Pathogens of the genus Fusarium by Metagenome analysis decreased 91.3% and 68.2% respectively in the foliar sprayed of chitosan and soluble-silicate. The light intensity (PAR) in the blue-white film plastic film house gradually increased until July and then decereased, with the average of light intensity in March-October was $120.3umol/m^2/s$. The growth of aerial parts such as plant height and stem length was better than non-sprayed group in silicate or chitosan treatments and Yeonpung cultivar was superior to the Cheonpung cultivar. The SPAD value was higher in Yeonpung cultivar foliar sprayed with soluble-silicate. The growth of underground parts such as root length and taproot length were better in chitosan and soluble-silicate treatment than control, especially in Yeonpung cultivar foliar sprayed with chitosan was good in taproot length and taproot diameter, and fresh weight of root was 60.1 g. Ginsenoside contents were 24.9 mg/g and 22.4 mg/g, in the Cheonpung cultivar foliar sprayed with soluble-silicate or chitosan respectively, 28% and 15% higher than control (19.5 mg/g). The incidence of disease by Alteraria panax and Botrytis cinerea was 3~9% and 4~9%, respectively. High temperature damage rate was 3~5%.

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감염성 척추염과 감별질환의 병태생리와 MRI 소견 (Pathophysiology and MRI Findings of Infectious Spondylitis and the Differential Diagnosis)

  • 유선진;김여주;이승훈;류정아;박성훈;홍정의
    • 대한영상의학회지
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    • 제82권6호
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    • pp.1413-1440
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    • 2021
  • MRI에서 추간판의 이상 신호와 위, 아래 척추체 종판의 파괴, 종판 주변의 골수부종 등은 감염성 척추염의 전형적인 소견으로 여겨지나 퇴행성 척추질환, acute Schmorl's node, 척추관절병증, synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO)/chronic recurrent multifocal osteomyelitis, 척추신경관절병증, calcium pyrophosphate dehydrate 결절침착질환 등 다양한 비감염성 척추질환에서도 나타날 수 있다. MRI에서 이러한 비감염성 척추질환과 감별되는 감염성 척추염의 영상 소견은 추간판의 고신호와 농양, 척추 연부조직의의 농양, 그리고 T1 강조영상에서 저신호로 보이는 종판의 경계가 불명확해지는 점 등이다. 그러나 이러한 감별점이 항상 적용되는 것은 아니며 감염성, 비감염성 질환의 영상 소견에 유사점이 많기 때문에 정확한 진단을 위해서는 감염성 척추염뿐만 아니라 감염과 감별해야 하는 다양한 질환의 병태생리와 연관된 영상학적 특징을 아는 것이 중요하다.

Prognostic Prediction Based on Dynamic Contrast-Enhanced MRI and Dynamic Susceptibility Contrast-Enhanced MRI Parameters from Non-Enhancing, T2-High-Signal-Intensity Lesions in Patients with Glioblastoma

  • Sang Won Jo;Seung Hong Choi;Eun Jung Lee;Roh-Eul Yoo;Koung Mi Kang;Tae Jin Yun;Ji-Hoon Kim;Chul-Ho Sohn
    • Korean Journal of Radiology
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    • 제22권8호
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    • pp.1369-1378
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    • 2021
  • Objective: Few attempts have been made to investigate the prognostic value of dynamic contrast-enhanced (DCE) MRI or dynamic susceptibility contrast (DSC) MRI of non-enhancing, T2-high-signal-intensity (T2-HSI) lesions of glioblastoma multiforme (GBM) in newly diagnosed patients. This study aimed to investigate the prognostic values of DCE MRI and DSC MRI parameters from non-enhancing, T2-HSI lesions of GBM. Materials and Methods: A total of 76 patients with GBM who underwent preoperative DCE MRI and DSC MRI and standard treatment were retrospectively included. Six months after surgery, the patients were categorized into early progression (n = 15) and non-early progression (n = 61) groups. We extracted and analyzed the permeability and perfusion parameters of both modalities for the non-enhancing, T2-HSI lesions of the tumors. The optimal percentiles of the respective parameters obtained from cumulative histograms were determined using receiver operating characteristic (ROC) curve and univariable Cox regression analyses. The results were compared using multivariable Cox proportional hazards regression analysis of progression-free survival. Results: The 95th percentile value (PV) of Ktrans, mean Ktrans, and median Ve were significant predictors of early progression as identified by the ROC curve analysis (area under the ROC curve [AUC] = 0.704, p = 0.005; AUC = 0.684, p = 0.021; and AUC = 0.670, p = 0.0325, respectively). Univariable Cox regression analysis of the above three parametric values showed that the 95th PV of Ktrans and the mean Ktrans were significant predictors of early progression (hazard ratio [HR] = 1.06, p = 0.009; HR = 1.25, p = 0.017, respectively). Multivariable Cox regression analysis, which also incorporated clinical parameters, revealed that the 95th PV of Ktrans was the sole significant independent predictor of early progression (HR = 1.062, p < 0.009). Conclusion: The 95th PV of Ktrans from the non-enhancing, T2-HSI lesions of GBM is a potential prognostic marker for disease progression.

새로운 CPS1 유전자 돌연변이에 의한 신생아형 carbamoyl phosphate synthetase 1 결핍 1례 (A Case of Lethal Neonatal Type Carbamoyl Phosphate Synthetase 1 Deficiency with Novel Mutation of CPS1)

  • 서승현;김유미;변신연;손승국;김성헌;김형태;김구환;유한욱
    • 대한유전성대사질환학회지
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    • 제16권2호
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    • pp.109-114
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    • 2016
  • Carbamoyl phosphate synthetase 1 (CPS1) 결핍은 상염색체 열성 유전을 하는 매우 드문 유전질환으로, 요소 회로의 첫 번째 효소인 carbamoyl phosphate synthetase의 결핍에 의해 고암모니아혈증을 유발한다. CPS1 결핍은 신생아시기부터 성인까지 다양한 시기에 고암모니아혈증이 발현될 수 있으나 대부분 신생아 시기의 치명적인 고암모니아혈증으로 발현하여 예후가 불량하며 응급 투석 및 집중 치료가 필요하다. 본 증례는 드문 유전 질환인 CPS1 결핍 신생아에서 새로운 CPS1 유전자의 돌연변이를 발견하였고 조직적인 팀 접근을 통해 심각한 고암모니아혈증에 대한 신속한 투석 및 집중 치료를 시행하여 심한 뇌 병변 및 사망을 예방하고 양호한 경과를 보였음을 보고하는 바이다.

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배추 밑동썩음병 발생과 방제 (Incidence and Control of Bottom Rot of Chinese Cabbage Caused by Rhizoctonia solani Kuhn)

  • 강수웅;김희규
    • 한국식물병리학회지
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    • 제2권3호
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    • pp.193-198
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    • 1986
  • 우리나라의 미기록 병인 Rhizoctonia solani Kuhn에 의한 배추 밑동썩음병(Bottom rot)에 대한 남부지방파로재배 시의 발병소장과 방제방법을 검토하였다. 본 병의 발병은 정식 20여일 경과후, 배추의 생육중기부터 발병되기 시작하여 결구기에 증가하는 경향이고, 수확기의 발병주율은 평균 $52\%$ 정도였다. 그 피해는 추파로지재배보다 비닐하우스를 이용한 반촉성재배에서 심하였고, 초기에 심엽까지 감염된 이병주는 위축되어 생육이 극히 불량하여 결구가 되지 않았다. 병주에서 분리한 R. solani의 PDA배지상에서 균사 생육적온은 $20\~25^{\circ}C$였고, 균사융합군은 제II군 제1형으로 분류되었다. 배추, 무, 참깨 및 유채의 유묘에 접종했을 때 입고율이 매우 높았고 상치, 토마토, 오이에서는 입고율은 낮았으나 발아가 $2\~3$일 지연되었다. 방제약제는 발병초기부터 pencycron Wp.를 10일간 3회 처리한 것이 방제가가 $80\%$로 우수하였다.

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Construction of In Vivo Fluorescent Imaging of Echinococcus granulosus in a Mouse Model

  • Wang, Sibo;Yang, Tao;Zhang, Xuyong;Xia, Jie;Guo, Jun;Wang, Xiaoyi;Hou, Jixue;Zhang, Hongwei;Chen, Xueling;Wu, Xiangwei
    • Parasites, Hosts and Diseases
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    • 제54권3호
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    • pp.291-299
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    • 2016
  • Human hydatid disease (cystic echinococcosis, CE) is a chronic parasitic infection caused by the larval stage of the cestode Echinococcus granulosus. As the disease mainly affects the liver, approximately 70% of all identified CE cases are detected in this organ. Optical molecular imaging (OMI), a noninvasive imaging technique, has never been used in vivo with the specific molecular markers of CE. Thus, we aimed to construct an in vivo fluorescent imaging mouse model of CE to locate and quantify the presence of the parasites within the liver noninvasively. Drug-treated protoscolices were monitored after marking by JC-1 dye in in vitro and in vivo studies. This work describes for the first time the successful construction of an in vivo model of E. granulosus in a small living experimental animal to achieve dynamic monitoring and observation of multiple time points of the infection course. Using this model, we quantified and analyzed labeled protoscolices based on the intensities of their red and green fluorescence. Interestingly, the ratio of red to green fluorescence intensity not only revealed the location of protoscolices but also determined the viability of the parasites in vivo and in vivo tests. The noninvasive imaging model proposed in this work will be further studied for long-term detection and observation and may potentially be widely utilized in susceptibility testing and therapeutic effect evaluation.