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Prostate Cancer in Younger and Older Patients: Do We Treat Them Differently?

  • Situmorang, Gerhard Reinaldi;Umbas, Rainy;Mochtar, Chaidir A.;Santoso, Rachmat Budi
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4577-4580
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    • 2012
  • Diagnostic and therapeutic strategies of prostate cancer may largely influenced by patients' age at presentation. This study is aimed to evaluate the characteristics, diagnostic and treatment strategies in prostate cancer patients in our centres. A cross-sectional analytic study of prostate cancer data in two main referral cancer centres, Cipto Mangunkusumo General Hospital and Dharmais National Cancer Centre from 1995-2010, was therefore performed. Patients were divided into 2 sub-populations; below 60 years (younger patients) and 75 years old and above (older patients). PSA levels, diagnostic modalities, Gleason score and therapeutic options were analysed for both and compared using bivariate analysis. 152 patients were <60 years and 210 were ${\geq}75$ years. There was no statistical difference in mean PSA level (797.9ng/mL vs 345.3 ng/mL, respectively; p>0.05) and diagnosis was made by biopsy in majority of patients in both groups (68.2% and 71.6% in younger and older groups respectively). Most presented with an advanced disease stage (65.1% and 66.0%, respectively) and there was no statistically significant difference in mean Gleason scores f (8.1 vs 7.7; p>0.05). Primary androgen deprivation therapy (PADT) was the main treatment for overall patients (48.0% and 50.7%, respectively). Radiotherapy and radical prostatectomy are the main therapeutic modalities for younger patients with local and locally advanced disease (39.6% and 35.4% respectively), while the majority of older patients with the same disease stage were treated with radiotherapy and PADT (45.8% and 39.0% respectively). Differences observed in treatment modalities were statistically significant (p<0.0003). We conclude that there is no difference in disease clinical aggressiveness of the two groups but significant differences were observed in therapeutic strategies utilised with younger and older patients.

A Literature Study on Acupuncture for Cerebral Palsy -Based on the Current Traditional Chinese Medical Journals- (뇌성마비의 침자(鍼刺) 치료에 대한 문헌적 고찰 -최근 중의잡지를 중심으로-)

  • Ha, Su-Yun;Min, Sang-Yeon;Kim, Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.23 no.1
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    • pp.205-228
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    • 2009
  • Objectives The purpose of this study is to investigate the current acupuncture therapy of cerebral palsy. Methods We investigated the Chinese clinical papers which were published in the last 10 years(from 1999 to 2008). We found these papers from the oriental medical library in university and we also used the China National Knowledge Infrastructure(CNKI) through the internet and selected 32 papers for analyzing. Results Most papers were described the effect of acupuncture or acupoint-injection. This is more effective way to treat than the general rehabilitation treatment such as the physical therapy, the occupational therapy, and the speech therapy. Acupuncture or acupoint-injection has overall $80{\sim}100%$ of rehabilitation rate. The younger the children were, the longer the treatment period was, and the more successful in treatment. The acupuncture was often used with the general acupuncture and scalp acupuncture. Commonly used major acupuncture points were sishencong(四神聰), bohui(百會), zusanli(足三里), yundongqu(運動區), pinghengqu(平衡區), quchi(曲池), and sanyinjiao(三陰交). Commonly used main meridian pathways were bladder, governor vessel, gallbladder, large intestine, stomach, small intestine meridian. Head is the common site for acupuncture. The main acupoint-injection points were zusanli(足三里), dazhui(大椎), shenshu(腎兪), yamen(啞門), neiguan(內關), and fengchi(風池). For the injection, brain activator, ganglioside M1, cerebroprotein hydrolysate, cytidine diphosphate choline, Vit B1, Vit B12, the salviae root, the safflower were commonly used. Conclusions Acupuncture and acupoint-injection have been shown as an effective treatment on cerebral palsy. The acupuncture was used often the general acupuncture and scalp acupuncture all together. Commonly used main acupuncture points were sishencong, bohui, zusanli, yundongqu, pinghengqu, quchi, sanyinjiao.

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Thoracic Sympathetic Ganglion Block for a Patient with Hyperhidrosis (흉부 교감 신경절 차단에 의한 다한증 치료 경험 -증례보고-)

  • Moon, Hyun-Seog
    • The Korean Journal of Pain
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    • v.8 no.1
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    • pp.139-143
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    • 1995
  • Hyperhidrosis is the state of abnormal sweating on the palm, sole and axillary region. The main treatment of hyperhidrosis are surgical sympathectomy and a thoracic sympathetic ganglion block with neurolytics. Among them, a thoracic sympathetic ganglion block is used in pain clinic for the treatment of hyperhidrosis. I have successfully performed a thoracic sympathetic ganglion block on a 21 year old female patients with pure alcohol. I concluded that the thoracic sympathetic ganglion block was one of the most effective treatment of hyperhidrosis.

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A Study on the Effect of Reclaiming-Fuel in Coement Kiln (시멘트 공장에서의 재생연료 사용효과 연구)

  • 김도겸;이장화
    • Proceedings of the Korea Concrete Institute Conference
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    • 1996.10a
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    • pp.37-43
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    • 1996
  • The high Temperatures and long residence times in the combustion zones of cement kiln can use to burn liquid and solid wastes, such as fuel-wastes, sludges and tire-wastes. To the lastest time, treatment methods of industrial waste are incineration treatment, ocean dumping and land dumping. These are the main methods, but all of them may cause vatious kinds of secondary pollution, including air pollution and water pollution. From this point of view, to reuse the Reclaiming-Fuel in Cement Kiln is the most outstanding waste treatment plant in the world and dose not cause any pollution at all.

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Research Trend of Traditional Chinese Medicine in the Treatment of Restless Legs Syndrome (하지불안증후군의 중의치료 연구 동향)

  • Kim, Tae-Heon;Jung, Jin-Hyung;Choi, Yun-Hee;Kim, Bo-Kyung
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.2
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    • pp.165-178
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    • 2014
  • Objectives: This study was conducted to assess how Traditional Chinese Medicine treats the medical condition of Restless Legs Syndrome (RLS). Methods: The authors searched for relevant articles through the CNKI (China National Knowledge Infrastructure-www.global.cnki.net) with the following keywords: The main search was for the term 'RLS,' with supportive words added such as 'Acupunture', 'Acupoint', 'Meridian', 'Moxibustion', 'Massage', 'Acupoint injection'. Our search yielded a total of 233 articles; there were a total of 71 articles related to clinical fields. We then analyzed the chosen articles using a number of criteria including the study type used, the treatment method utilized, and the main effect of the treatment. Results: The 71 analyzed articles utilized the following type of study design: 4 were classified as Quasi-randomised trial, 22 as Randomized Controlled Trial, and 45 as a case report. Regarding the treatment used for RLS, 25 studies examined a single treatment modality, while 46 studies examined a complex treatment modality. There were a total of 10 types of acupuncture treatment used in treating RLS; several massage and acupoint injection method were also found. Finally, there were a few studies that used Moxibustion, as well as several supportive treatments like Cupping, Moxibustion, Steam-Washing, TDP (Teding Dancibo Pu) were found. Conclusions: Traditional Chinese Medicine has used a variety of different study designs and treatments vis-a-vis RLS. These treatments are also used to treat the condition in South Korea.

Study on Efficiency improvement of OLEDs by surface treatment of $UV/O_3$ ($UV/O_3$ 표면처리에 따른 OLEDs 효율 향상에 관한 연구)

  • Jang, Yoon-Ki;Kim, Byoung-Sang;Kwon, Oh-Kwan;Kwon, Young-Soo
    • Proceedings of the KIEE Conference
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    • 2005.11a
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    • pp.142-144
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    • 2005
  • Main purpose of this study is a improved efficiency of Organic light emitting diodes(OLEDs) concerning $UV/O_3$ treatment. We investigated the efficiency of OLEDs by $UV/O_3$ treatment of ITO surface. We measured current density-voltage, luminance-voltage characteristics in different $UV/O_3$ treatment time and observed ITO surface roughness by using AFM(Atomic Force Microscope). The fundamental structure of the OLEDs was $ITO/NPB/Alq_3/LiF/Al$. We performed $UV/O_3$ treatment and found that $UV/O_3$ treatment enhanced the performance of OLEDs. We also found that change of surface roughness according to difference time a $UV/O_3$ treatment

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Effect of Aftertreatments for Washing on Mechanical Properties of Knitted Fabrics (세탁수처리제가 편성물의 역학적 특성치에 미치는 영향)

  • Kim, Hee-Eun
    • Fashion & Textile Research Journal
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    • v.3 no.2
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    • pp.174-179
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    • 2001
  • This study investigated the effect of aftertreatments such as using the softener or starch on the mechanical properties of knitted fabrics. The mechanical properties of fabrics, hand value(HV) and total hand value(THV) were measured and calculated by the KES-F system. The main results are as follows: The values of tensile energy(WT), coefficient of friction(MIU) and geometrical roughness(SMD) were increased by softener but decreased by starch treatment. However, the values of tensile linearity(LT), bending(B, 2HB), thickness(T) and weight(W) were increased by starch but decreased by softener treatment. Tensile resilience(RT) was increased not only by softener but also by starch treatment. It showed that the levels of FUKURAMI, NUMERI and SOFUTOSA were increased by the treatment of softener and the levels of KOSHI and SHARI were increased by the treatment of starch. Total hand value(THV) was lower in fabric with starch treatment than fabric with none treatment.

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A Case Report: the Traditional Korean Medical Treatment of a Patient with Recurrent Endometriosis after Hormone Therapy (자궁내막증의 호르몬요법 이후 재발된 환자의 한의학적 치료에 대한 증례보고)

  • Jung, Myung-Ju
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.3
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    • pp.87-96
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    • 2015
  • Objectives To report the clinical effectiveness of the Traditional Korean medical treatment on a patient with recurrent endometriosis after hormone therapy. Methods The patient in this case was diagnosed with endometriosis and had been on hormone therapy for one year. We ascertained the recurrent of endometriosis by ultrasonography. The main symptom of dysmenorrhea has been worsened. The patient was treated by the Traditional Korean medical treatment. The symptom of the patient complained was improved. Results After the Traditional Korean medical treatment, dysmenorrhea of endometriosis was improved. The treatment was terminated and after 3 months the patient was maintained an improved state. Conclusions This case report shows that the Traditional Korean medical treatment was effective for treating endometriosis.

Management of Water Quality of Embayments in Daechong Reservoir (대청호 정체수역의 수질예측과 관리)

  • Lee, Jong-Ho
    • Journal of Environmental Impact Assessment
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    • v.3 no.2
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    • pp.33-45
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    • 1994
  • Water quality of Chongju and Daejeon Water Intake Tower Region, embayments in Daechong Reservoir was found to be worse than that of main lake after analysis of water which were sampled during April, July, October in 1993. Concentration of COD and SS at those two water intake tower sites were 2.8-5.6 mg/l and 2.2-3.2 mg/l, higher than that of main lake. T-N concentration of those two sites was 1.1-1.9 mg/l similar to that of main lake, and T-P concentration of those two sites was 0.14-0.18 mg/l, higher than that of main lake. This study used water quality model of embayment which can analyse pollutant loads from stream and surrounding land use, advection, decay, and diffusion transport between embayment and main lake. The model can predict water quality of embayment according to the change of pollutant load, water elevation of embayment, quantity of water intake in order to suggest water quality management. This study suggests embayment water quality management alternatives, 1) construction of waste water treatment facilities at embayment and main lake for the decrease of pollutant loading, 2) water intake at main lake less polluted or eutrophicated than embayment, and 3) outflow elevation selection for polluted hypolimnion water outflow during stratification.

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