• 제목/요약/키워드: efficacy rate

검색결과 1,820건 처리시간 0.032초

Comparison of Vinorelbine, Ifosfamide and Cisplatin (NIP) and Etoposide and Cisplatin (EP) for Treatment of Advanced Combined Small Cell Lung Cancer (cSCLC) Patients: A Retrospective Study

  • Luo, Jie;Wu, Feng-Ying;Li, Ai-Wu;Zheng, Di;Liu, Jin-Ming
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권9호
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    • pp.4703-4706
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    • 2012
  • Objective: To compare efficacy and safety profile of vinorelbine, ifosfamide and cisplatin (NIP) with etoposide and cisplatin (EP) in the treatment of advanced combined small cell lung cancer (c-SCLC). Methods: From January 2006 to December 2010, 176 patients with advanced c-SCLC were enrolled. The primary endpoint was overall survival (OS) and the secondary endpoints were progression free survival (PFS), response rate (RR) and toxicity. Results: Overall RR was 30.0% in the NIP and 38.5% in the EP group; there was no significant difference (P=0.236). The PFS in the EP group was little longer than that of NIP group, with 6.5 months for EP and 6.0 months for NIP group, but the difference was statistically non-significant (P=0.163). The median OS and one year survival rates were 10.4 months and 36.3% for NIP group, and 10.8 months and 49.0% for EP respectively, EP showing a survival benefit, although this was not statistically significant. Both groups well tolerated the adverse effects. The incidence of grade I-II leucopenia and alopecia in the NIP group was significantly higher than that of EP group (32.5% vs. 10.4% (P<0.001, 35.0% vs. 12.5%, P<0.001). Conclusion: the ORR, PFS and OS in NIP were slightly inferior to traditional regimen EP. The toxicity of NIP can be considered tolerable. The usage of three drugs combination in the treatment of mixed SCLC remains uncertain. Nevertheless, the results need to be further confirmed by large, prospective clinical trials.

Gelam Honey and Ginger Potentiate the Anti Cancer Effect of 5-FU against HCT 116 Colorectal Cancer Cells

  • Hakim, Luqman;Alias, Ekram;Makpol, Suzana;Ngah, Wan Zurinah Wan;Morad, Nor Azian;Yusof, Yasmin Anum Mohd
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권11호
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    • pp.4651-4657
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    • 2014
  • The development of chemopreventive approaches using a concoction of phytochemicals is potentially viable for combating many types of cancer including colon carcinogenesis. This study evaluated the anti-proliferative effects of ginger and Gelam honey and its efficacy in enhancing the anti-cancer effects of 5-FU (5-fluorouracil) against a colorectal cancer cell line, HCT 116. Cell viability was measured via MTS (3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulphenyl)-2H-tetrazolium) assay showing ginger inhibiting the growth of HCT 116 cells more potently ($IC_{50}$ of 3mg/mL) in comparison to Gelam honey ($IC_{50}$ of 75mg/mL). Combined treatment of the two compounds (3mg/mL ginger+75mg/mL Gelam honey) synergistically lowered the $IC_{50}$ of Gelam honey to 22mg/mL. Combination with 35 mg/mL Gelam honey markedly enhanced 5-FU inhibiting effects on the growth of HCT 116 cells. Subsequent analysis on the induction of cellular apoptosis suggested that individual treatment of ginger and Gelam honey produced higher apoptosis than 5-FU alone. In addition, treatment with the combination of two natural compounds increased the apoptotic rate of HCT 116 cells dose-dependently while treatment of either ginger or Gelam honey combined with 5-FU only showed modest changes. Combination index analysis showed the combination effect of both natural compounds to be synergistic in their inhibitory action against HCT 116 colon cancer cells (CI 0.96 < 1). In conclusion, combined treatment of Gelam honey and ginger extract could potentially enhance the chemotherapeutic effect of 5-FU against colorectal cancer.

침구류 세균에 대한 테르펜의 항균 및 항진드기 효과에 대한 연구 (Study on The Antibacterial and Anti-mite Effects of Terpenes Against Bedding Bacteria)

  • 고원진;서용모
    • 한국콘텐츠학회논문지
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    • 제20권4호
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    • pp.454-463
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    • 2020
  • 본 연구는 최근 인간의 건강을 위협하는 다양한 원인 중에서 우리 주변에서 흔히 접할 수 있는 대상을 통해 그 원인의 해결을 제안하고자 시도 되었다. 천연물 유래의 테르펜의 경우 기존의 피톤치드와 같은 역할을 하고 있으며 다양한 생리활성 기능을 수행하고 있다. 본 연구에서는 우리주변에서 용이하게 구할 수 있으며 적용이 가능한 생물소재를 통해 오염원을 제거할 수 있는 생리활성을 검증하였다. 본 연구에서는 계피오일과 테르펜을 이용하여 다양한 질병과 오염원이 되고 있는 진드기와 미생물에 대한 효능을 검증하였다. 본 실험에서는 우리가 흔히 사용하는 베개를 이용하여 베게 등과 같은 침구류에서 발생할 수 있는 다양한 미생물과 진드기의 발생에 대한 작용에 대해 그 효능을 검증하였다. 그 결과로 테르펜의 항 미생물 활성은 Pour plate 방법을 사용하여 관찰하였다. 항진드기 효과는 테르펜을 사용하지 않고 첫 번째 테스트에서 베개 4개 중 2개에서 약한 양성(100 미만)으로 감지되었다. 테르펜을 사용한 두 번째 실험에서, 모든 시료들이 20 미만으로 음으로 감소되는 것으로 확인되었으며, 테르펜의 최상의 항진드기 효능은 20%인 것으로 밝혀졌다. 이 연구의 목적은 천연물 유래의 테르펜을 이용한 침구용 항균 및 진드기 방지 제품의 개발 가능성을 제안하는 것이다.

난소과자극증후군의 치료에 관한 한의 임상 연구 고찰 (Review for Clinical Studies of Oriental Medicine on the Treatment of Ovarian Hyperstimulation Syndrome)

  • 구수정;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제33권3호
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    • pp.60-79
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    • 2020
  • Objectives: This review plans to assess the efficacy and effectiveness of oriental medicine for the treatment of Ovarian Hyperstimulation Syndrome (OHSS) through literature research and overview. Methods: Database searching was conducted to identify relevant randomized controlled trials (RCTs) on oriental medicine for the treatment of Ovarian Hyperstimulation Syndrome. Studies were searched from Journal of Korean Obstetrics and Gynecology, Korean Medical Database, Korean studies Information Service System, China National Knowledge Infrastructure, Cochrane library, PubMed and EmBase up to 21st May, 2020. Results: Seventeen studies were finally selected. Fifteen studies intervened with oral Chinese herb medicine, two studies intervened with acupuncture and moxibustion. Nine studies concluded that intervention with oriental medicine significantly relieved OHSS symptoms. Three studies reporting ovary diameter, four studies reporting abdominal circumference and other four studies reporting pelvic effusion showed significant reduction compared to control groups. Six studies showed significantly shorter duration for hospitalization in intervention groups. Only one study showed significantly higher pregnancy rate. Factors related with vascular permeability and blood cell coagulation were significantly lowered in intervention groups in general. Conclusions: From seventeen studies, oriental medicine relieved OHSS symptoms and showed treatment effectiveness. Further strictly designed studies and long-term observed studies are needed to establish evidences.

국민연금과 세대간 계약의 재구성 (The National Pension and Restructuring of Intergenerational Contracts)

  • 정해식;주은선
    • 응용통계연구
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    • 제28권4호
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    • pp.807-826
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    • 2015
  • 공적연금제도는 세대간 연대에 기반한 세대간 계약을 구체화한다. 지난 두 차례의 국민연금 개혁은 수익과 부담을 둘러싼 세대간 공평성에 주목하여, 보장성을 낮추고 미래세대의 부담을 줄였다. 그러나 좁은 의미의 세대간 형평성을 강조한 개혁의 결과, 국민연금은 세대간 연대 확대에 기여하지 못하고 있다. 이 연구는 한국사회에서 세대간 계약의 내용 변화를 살펴보고, 좁은 의미의 세대간 형평성이 아니라 포괄적인 시각에서 사회적 연대에 기여하도록 세대간 계약을 재구성하는 노력이 필요하다고 제안한다. 즉, 연금제도를 통한 사회적 계약은 세대간 공평성에만 집중하는 것이 아니라 사회적 지속성의 관점에서 세대간 연대의 실효성과 안정성을 높이는 방향으로 재구성되어야 한다는 것이다. 그 일환으로 후세대에 대한 사회투자 강화를 제안하였다. 이는 세대간 자원 분배의 갈등적 요소를 줄이는 동시에 인구, 고용 부문의 변화를 통해 재정안정성을 제고할 수 있는 정책 수단 중 하나일 것이다.

대두 이소플라본 당전이 반응 산물의 콜레스테롤 생합성 저해 효과 (Inhibitory Effects of Transglycoslyation Products of Soy Isoflavones on Cholesterol Biosynthesis)

  • 유랑국;최승준;문태화;심재훈
    • 한국식품영양과학회지
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    • 제45권2호
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    • pp.293-297
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    • 2016
  • HMG-CoA reductase는 체내 콜레스테롤 생합성에 있어서 속도제한단계(율속) 효소이다. 본 연구는 HMG-CoA reductase에 대한 이소플라본 배당체의 저해 효과를 연구하였다. $100{\mu}M$의 농도에서 genistein-7-O-triglucoside(G2-genistin)는 HMG-CoA reductase 활성을 약 18% 정도 저해하였으나, daidzein-7-O-triglucoside는 저해 효과를 갖지 않았다. 시리아햄스터 HMG-CoA reductase의 반응속도 실험에서 G2-genistin은 농도에 관계없이 $V_{max}$의 저해 정도가 일정하였으며, 이것은 G2-genistin이 HMG-CoA reductase의 경쟁적 저해제로 작용함을 시사하고 HMG-CoA reductase의 활성을 직접적으로 저해함으로써 혈중 콜레스테롤 함량을 감소시킬 수 있음을 예상할 수 있다.

진행된 두경부암에서의 항암방사선 동시요법의 치료효과 (Concomitant Chemoradiotherapy as Primary Therapy for Advanced Head and Neck Cancer)

  • 이주연;이동욱;최영석;진홍률;이현석;연제엽;신시옥
    • 대한두경부종양학회지
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    • 제18권2호
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    • pp.163-167
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    • 2002
  • Background: To achieve the efficacy and toxic effects of concomitant FP chemoradiotherapy regimen by means of response and survival in patients with advanced head and neck cancer. Patient and Method: Thirty-three previously untreated patients with newly diagnosed advanced head and neck cancer were retrospectively reviewed. Results: Thirty-one patients were evaluable for the tumor response. Total response rate was 93%(complete response 60%, partial response 33%). Disease free survival was 37 month and 3-year overall survival was 63%. Grade 3 or 4 stomatitis was observed in 83% and appeared as the dose limiting toxicity for this regimen. Conclusion: Concomitant chemoradiotherapy with cisplastin and 5-fluorouracil is effective as primary therapy for advanced head and neck cancer. The majority of patients experienced severe stomatitis. Identification of less toxic regiment and improved disease control emerge as important future research goals.

Biological control efficacy on Sclerotinia rot(Sclerotinia sclerotiorum) by the use of antifungal agent some Bacillus sp.

  • Hong, Yeon-Kyu;Lee, Bong-Choon;Shin, Dong-Beom;Hyun, Jong-Nae;Kang, Hang-Won;Park, Sung-Tae
    • 한국식물병리학회:학술대회논문집
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    • 한국식물병리학회 2003년도 정기총회 및 추계학술발표회
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    • pp.106-107
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    • 2003
  • The effect of biological control agent Bacillus sp. (BAC03-3-1, BAC03-3-2, BAC02-4) on pre- and postemergence Sclerotinia rot of perilla (Perilla frutescens var. japonica) caused by Sclerotinia sclerotiorum was determined from greenhouse field trials. The ability of this antagonist to reduce germination of sclerotia of S. sclerotiorum was also evaluated. In the greenhouse, suspension of BAC03-3-1 application as root drench of perilla, which provided as little as 10$\^$7/ cells/ $m\ell$ per gram of soil, significantly increased plant stand in pathogen-infested soil over that in the untreated control. All three isolates reduced the germination of sclerotia of S. sclerotiorum in loamy sand soils in the greenhouse. In loamy sand amended with rice bran the sclerotial germination was inversely correlated (r = -0.79) with perilla stand in the greenhouse. However, a higher rate of bacterial suspension with rice bran(Ig dwt./100g soil) than that applied with bacterial suspensions only was necessary to achieve a comparable reduction in sclerotial germination. In field study, all three isolates added to soil to provide 10$\^$7/ cells/$m\ell$ per gram significantly prevented Sclerotinia rot (73-85%) after 35 days of growth. The isolate BAC02-4, BAC03-3-1 and BAC03-3-2 gave final stands of 65 to 75, 60 to 70, and 55 to 60%, respectively. The addition of rice bran(1 %) to loamy sand in the field resulted in a 10-fold increase in propagule numbers of the three isolates within 10 days of application.

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국소진행된 직장암에서의 수술전 방사선치료 단독군과 방사선치료와 항암제 병용치료군의 치료성적 (Treatment Results of Preoperative Radiotherapy Alone vs. Preoperative Radiotherapy and Chemotherapy in Locally Advanced Rectal Cancer)

  • 김재성;박승호;조문준;윤완희;배진선;정현용;송규상
    • Radiation Oncology Journal
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    • 제13권1호
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    • pp.33-40
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    • 1995
  • Purpose : To assess the efficacy and toxicity of the preoperative radiotherapy with or without chemotherapy in locally advanced rectal cancer Methods : Forty three patients (clinically diagnosed stages above or equal to Astler-Coiler stage B2 without distant metastasis) were assigned to preoperative radiotherapy alone arm (n=16) or combined preoperative radiotherapy and chemotherapy arm (n=27). Preoperative radiotherapy of 4500 cGy to whole pel-vis +/-540 cGy boost to primary site and concurrent chemotherapy of 2 cycles of 5-FU (500 mg/$m^2$) and leucovorin (20 mg/$m^2$) were used. Fifteen patients of preoperative radiotherapy alone arm and 19 of combined arm received surgical resection after preoperative treatment. Results : During the preoperative treatment, no significant complication was developed in both groups. Pathologic results were as follows; complete remission 1, Bl 1, B2 6, C1 2, C2, 5 in preoperative radiotherapy alone arm and complete remission 2, Bl 8, B2 4, C2 3, D 2 in combined arm. Postoperative complications were delayed perineal wound healing in three patients, intestinal obstruction in three patients (one managed by conservative medical treatment, two by surgical treatment). Conclusion : The combined preoperative radiotherapy and chemotherapy arm was more effective in pathological response and lymph node negativity rate than the preoperative radiotherapy alone arm. Both the preoperative radiotherapy alone arm and the combined arm were generally well tolerated and did not result in an increased postoperative morbidity.

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하치조신경 전달 마취 시 알칼리화 된 리도카인의 마취 효능에 관한 임상적 연구 (A CLINICAL STUDY OF ANESTHETIC EFFICACY OF ALKALINIZING LIDOCAINE IN INFERIOR ALVEOLAR NERVE BLOCKS)

  • 김태환;김경욱;김철환
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제27권3호
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    • pp.276-282
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    • 2005
  • Inferior alveolar nerve block using lidocaine is the most frequent local anesthetic method in the dental treatment, but clinically it is not always successful. The 2% lidocaine cartridge has been used commonly in dental anesthesia. It contains vasoconstrictor and antioxidant, which presents low pH which provides chemical stability and longer shelf life. But alkalinized local anesthetics has less tissue trauma, easier dissociation of the non-ionized base which penetrates nerve sheath, rapid onset and more intensity. In this study, in inferior alveolar nerve block, alkalinized lidocaine using sodium bicarbonate (experimental group) is compared with plain lidocaine (control group) about injection pain, anesthetic onset, duration and postinjection discomfort. In inferior alveolar nerve block, alkalinized lidocaine using sodium bicarbonate showed lower injection pain. There was significant difference statistically from plain lidocaine(p=0.019). Comparing with plain lidocaine, alkalinized lidocaine produced more rapid onset (lip & pulp anesthetic onset), there was no significant difference(p>0.05). but there was boundary significance (0.050.05). These results suggest that addition of sodium bicarbonate to 2% lidocaine(1:100,000 epinephrine) for inferior alveolar nerve block is more effective for reduction of injection pain and onset time.