• Title/Summary/Keyword: treatment patterns

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Clinical Observation and Prognostic Analysis of Pemetrexed plus Platinum as First-line Treatment in Patients with Advanced Non-small Cell Lung Cancer

  • Wang, Ji-Ying;Cai, Yong
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6267-6271
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    • 2013
  • Objective: To determine clinical efficacy, safety and prognostic factors of pemetrexed plus platinum as first-line treatment in patients with advanced non-small cell lung cancer (NSCLC). Materials and Methods: Clinical characteristics, short-term efficacy, survival and adverse reactions of 47 advanced non-squamous NSCLC patients who had received pemetrexed plus platinum as first-line treatment in Shanghai Pulmonary Hospital from January 2009 to June 2011 were retrospectively analyzed. The Chi-squared test was applied to statistically analyze the overall response rate (ORR), disease control rate (DCR) and toxicity reactions in both groups, while survival data wereanalyzed by Kaplan-Meier and logrank methods, and the COX proportional hazards model was adopted for a series of multi-factor analyses. Results: Only two patients were lost to follow-up. The ORR, DCR, medium progression-free survival time (PFS) and medium overall survival (OS) were 31.9%, 74.5%, 5 months and 15.2 months, while 1- and 2-year survival rates were 63.8% (30/47) and 19.2% (9/47), respectively. Single-factor analysis showed that tumor pathological patterns and efficacy were in association with medium PFS (P<0.05), whereas tumor pathological patterns, smoking history and efficacy were closely connected with medium OS (P<0.05). Multi-factor analyses demonstrated that pathological patterns and efficacy were independent factors influencing OS (P<0.05). The rate of toxicity reactions in degree III/IV was low, including hematologic toxicity marked by decline in white blood cell count and decrease in the platelet count (PLT), and non-hematologic toxicity manifested by gastrointestinal reactions, such as nausea and vomiting. Conclusions: Pemetrexed plus platinum as first-line treatment has excellent efficacy and slight adverse reactions with favorable drug-tolerance in patients with advanced non-squamous NSCLC.

Expression patterns of innate immunity-related genes in response to polyinosinic:polycytidylic acid (poly[I:C]) stimulation in DF-1 chicken fibroblast cells

  • Jang, Hyun-Jun;Song, Ki-Duk
    • Journal of Animal Science and Technology
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    • v.62 no.3
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    • pp.385-395
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    • 2020
  • Polyinosinic:polycytidylic acid (poly[I:C]) can stimulate Toll-like receptor 3 (TLR3) signaling pathways. In this study, DF-1 cells were treated with poly(I:C) at various concentrations and time points to examine the comparative expression patterns of innate immune response genes. The viability of DF-1 cells decreased from 77.41% to 38.68% when cells were treated different dose of poly(I:C) from 0.1 ㎍/mL to 100 ㎍/mL for 24 h respectively. The expressions of TLR3, TLR4, TLR7, TLR15, TLR21, IL1B, and IL10 were increased in dose- and time-dependent manners by poly(I:C) treatment. On the contrary, the expression patterns of interferon regulatory factors 7 (IRF7), Jun proto-oncogene, AP-1 transcription factor subunit (JUN), Nuclear Factor Kappa B Subunit 1 (NF-κB1), and IL8L2 were varied; IRF7 and IL8L2 were increasingly expressed whereas the expressions of JUN and NF-κB1 were decreased in a dose-dependent manner after they were early induced. In time-dependent analysis, IRF7 expression was significantly upregulated from 3 h to 24 h, whereas JUN and NF-κB1 expressions settled down from 6 h to 24 h after poly(I:C) treatment although they were induced at early time from 1 h to 3 h. Poly(I:C) treatment rapidly increased the expression of IL8L2 from 3 h to 6 h with a plateau at 6 h and then the expression of IL8L2 was dramatically decreased until 24 h after poly(I:C) treatment although the expression level was still higher than the non-treated control. These results may provide the basis for understanding host response to viral infection and its mimicry system in chickens.

A Study on the Optimal Control Algorithms for the Advanced Wastewater Treatment Process with Variable Hydrodynamic Flow Patterns (유로 변경식 고도하수처리 공정의 최적 제어 알고리즘에 관한 연구)

  • Kang, Seong-Wook;Cho, Wook-Sang;Huh, Hyung-Woo
    • Applied Chemistry for Engineering
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    • v.16 no.2
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    • pp.217-225
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    • 2005
  • Because of the limitation of controllable operation variables for the wastewater treatment process with variable hydrodynamic flow patterns, it may preclude the use of this type of nutrient removal activated sludge process. As the operation variables, only temperature and dissolved oxygen (DO) have been used to operate the process. This study made an effort to improve treatment efficiency and operability of the process by the following methodologies: 1) process and operation data analysis using process simulation, 2) determination of optimal control logic or algorithm using a pilot-scaled experimental apparatus and its operations, and 3) application of experimental and simulation results to find the optimal process operation modes. In this study, it was found that the optimal operation mode named 'save mode' in the basis of process variables, such as the ammonia-nitrogen concentration of inlet flow, temperature and flow rate, can reduce the operation cost comparing with the present normal operation mode. And the stable conditions in nitrification were also shown by the proportional control of DO with the inlet air flow rate of blower and the mixing rate of mechanical aeration.

Treatment Patterns of Osteoporosis and Factors Affecting the Prescribing of Bone-forming Agents: From a National Health Insurance Claims Database (건강보험 청구자료를 이용한 골다공증 치료제의 처방 양상과 골형성촉진제 처방에 미치는 영향요인)

  • Jeong, Jihae;Shin, Ju-Young
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.1
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    • pp.27-34
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    • 2021
  • Objective: To analyze osteoporosis treatment patterns and teriparatide prescription-associated factors in Korea by using a national health insurance claims database. Methods: We utilized the Health Insurance Review & Assessment Service National Patients Sample claims database to identify patients (aged ≥50 years) with at least one osteoporosis claim (International Classification of Disease 10th revision code: M80, M81, M82) and at least one prescription for osteoporosis medication (antiresorptive agents: bisphosphonates, selective estrogen receptor modulators, denosumab, and calcitonin; bone-forming agent: teriparatide) in 2018. Demographic characteristics and healthcare utilization patterns were analyzed. Factors associated with teriparatide prescriptions were assessed using a multivariate logistic regression model. Results: Records showed that 44,815 patients were prescribed osteoporosis medications in 2018; the percentage of patients prescribed each treatment was as follows: 86.6% bisphosphonates, 13.9% selective estrogen receptor modulators, 3.1% calcitonin, 2.1% denosumab, and 0.7% teriparatide. A greater proportion of patients prescribed teriparatide were ≥75 years (53.4% vs. 33.8%) and had fractures (63.9% vs. 12.8%) compared to the same for antiresorptives (p<0.001). Patients prescribed teriparatide had higher Charlson comorbidity index values (1.2±1.3 vs. 0.9±1.2) and were more frequently hospitalized (0.8±1.3 vs. 0.1±0.5) than those prescribed antiresorptives (p<0.001). Elderly patients (≥75 years old; adjusted OR=1.66; 95% CI 1.16-2.38) and those with fractures (adjusted OR=6.23; 95% CI 4.76-8.14) were more likely to be prescribed teriparatide than antiresorptives. Conclusion: Patients prescribed teriparatide were older and more likely to have severe osteoporosis than those prescribed antiresorptives.

Relationship between Energy Consumption and Operational Variables at Wastewater Treatment Plant (상관분석 및 의사결정나무분석을 통한 하수처리시설의 에너지 소비량과 운영인자의 관계 분석)

  • Jung, Yong-Jun;Kim, Ye-Jin
    • Journal of Korean Society on Water Environment
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    • v.32 no.3
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    • pp.253-260
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    • 2016
  • To reduce energy consumption in wastewater treatment plants (WWTPs), renewable energy applications such as small hydropower, solar energy, and wind energy are popular. However, it should be noticed that energy originated from operation of wastewater treatment process can be reduced through optimized operation based on analysis of factors affecting energy. In this research, the relationship to the various operational variables and influent factors was explored using correlation analysis and decision tree algorithm. Due to the non-linear characteristics of the process, it was difficult to find clear linear patterns through correlation analysis. However, decision tree algorithm showed its usefulness in uncovering hidden patterns that consume energy. As operational factors, influent flowrate, the amount of aeration, nitrate recycling pumping rate, and sludge wasting pumping rate were selected as important factors. For environmental factors associated with influent compositions and removal rate, BOD and T-N removal rate were selected as significant factors.

Effects of PNF Patterns Exercise on Pain, Functional Disability and Fear Avoidance Belief in Chronic Low Back Pain Patients (PNF 패턴 운동이 만성 요통 환자의 통증과 기능 장애 및 공포 회피 반응에 미치는 효과)

  • Kim, Kyung;Kim, Eun-Kyung;Lee, Dong-Kyu
    • The Journal of Korean Physical Therapy
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    • v.26 no.2
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    • pp.110-116
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    • 2014
  • Purpose: The purpose of study was to investigate the effects of combination patterns exercise of Proprioceptive Neuromuscular Facilitation (PNF) on unstable surfaces on pain, functional disability, and fear avoidance belief in patients with chronic low back pain. Methods: Twenty four patients were assigned to either the experimental group (n=12) or the control group (n=12). Patients in the experimental group performed combination patterns exercise of PNF on unstable surfaces. Patients in the control group performed combination patterns exercise of PNF on stable surfaces. Both exercises were performed for five days per week, for a period of six weeks. Pain was measured by the Visual Analogue Scale (VAS) and University of Alabama at Birmingham (UAB). Functional disability was measured using the Oswestry Disability Index (ODI) and Roland Morris Disability Questionnaire (RMDQ). Fear avoidance belief was measured using the Fear Avoidance Beliefs Questionnaire (FABQ). A paired t-test was used for determination of differences before and after treatment, and an independent t-test was used for determination of differences between treatment groups. Results: In within group comparison, the experimental group showed statistically significant difference for all variables (p<0.05). In comparison between two groups, the experimental group showed relatively greater significant difference for all variables (p<0.05). Conclusion: Based on such results, it can be said that combination patterns exercise of PNF on unstable surfaces has an effect on pain, functional disability, and fear avoidance belief in patients with chronic low back pain.

The relations between dental care compliance and service satisfaction of patients depending on dental hygienists' communication patterns perceived by patients (환자가 인식한 치과위생사의 의사소통유형에 따른 치료지시이행과 치과서비스 만족도의 관계)

  • Kim, Seon-Yeong
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.5
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    • pp.943-955
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    • 2017
  • Objectives: This study aims to suggest the future direction to improve dental hygienists' competencies to communicate with patients to increase the compliance and dental service satisfaction, based on the analysis of survey data given to patients on dental hygienists' communication patterns with patients. The findings of this research is aimed to serve as the basic data for future researches on related area. Methods: A survey was conducted to ordinary people with experiences of receiving dental treatment in Gwangju and Jeonnam from July 29th 2017 to September 10th 2017. 224 copies of the questionnaire were used for final analysis. Results: The scores of each communication pattern (informative, friendly, and authoritative patterns) of dental hygienists perceived by research subjects were as follows: $3.76{\pm}0.76$, $3.47{\pm}0.62$, and $2.64{\pm}0.70$ respectively. In the effects of communication patterns on the compliance of patients, it was found that the informative communication pattern (${\beta}=0.227$, p=0.008) and friendly communication pattern (${\beta}=0.216$, p=0.012) had positive (+) effects. Conclusions: Thus, the results of this study verified that dental hygienists' communication patterns are important elements affecting patients' compliance and their satisfaction. For the smooth patient-centered bilateral communications, it will be necessary to continuously develop educational programs related to dental hygienists' communication, and also to have continuous researches targeting patient groups for the comparison to meet dental service satisfaction.

Movement Patterns from Supine to Standing Position of Hemiplegic patients (편마비 환자의 누운자세에서 일어서기 운동형태)

  • Kwon Mi-Ji;Chung Hyung-Kuk;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.15-21
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    • 2000
  • Rising from a supine position to erect stance is an important milestone in treatment of patients with neurologic dysfunction. The purposes of this study wed to describe the movement patterns that hemiplegic patients use when rising to a standing. position and to investigate whether movement patterns that an proposed to treat of functional activity, Seventeen patients were videotaped performing three trials of rising. Movement patterns were described with three body components : upper extremities, head-trunk, lower extremities. Subjects rose most commonly using a push and reach pattern of the upper extremities-symmetrical interrupted by rotation pattern in the head-trunk-an asymmetrical squat pattern in the lower extremities and a push and reach pattern of the upper extremities-symmetrical interrupted by rotation pattern in the head-trunk-an symmetrical squat with balance step pattern in the lower extremities.

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Overview of relations between concepts of sub-health(Mibyung) and Korean medicine patterns (한의학의 미병 개념 및 변증과의 연관성에 대한 고찰)

  • Lee, Jae-Chul;Kim, Sang-Hyuk;Lee, Young-Seop;Jang, Eun-Su;Lee, Si-Woo
    • Journal of Society of Preventive Korean Medicine
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    • v.16 no.2
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    • pp.31-39
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    • 2012
  • Objectives : This work is aimed to reveal the relations between concepts of subhealth(mibyung) and Korean medicine patterns. Methods : We carried out a literature searching on Oasis, RISS, DBpia, Pubmed to summarize concepts of Mibyung. CNKI Searching also was performed with keyword related to mibyung(未病), subhealth(亞健康) and syndrome. Results : Korea, China and Japan have different concepts of mibyung. China's mibyung concept is relatively broader and wide which includes healthy, subhealth, development of disease and recurrence avoid. In contrast, Korea and Japan's mibyung concepts are focused on China's subhealth. Though Mibyung's patterns are varied widely depends on studies, China's studies of subhealth and TCM patterns showed that Deficiency patterns are diagnosed at high frequency in clinical study and literature study. Conclusions : This work could contribute to further study of subhealth(mibyung) and their relations to patterns, diagnostic methods and treatment efficacy.

Studies on the Standard Measure of Compound Patterns of Eight Principles for Rapid Pattern Differentiation against Epidemic Contagious Diseases (전염성 감염병에 대한 신속변증 시행을 위한 팔강복합증형 표준안 연구)

  • Gyoo Yong, Chi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.5
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    • pp.147-154
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    • 2022
  • In order to secure practising rapid pattern(證, zheng) differentiation against acute infectious diseases like corona virus disease-19(COVID-19) showing rapid variation and contagion, a simplified classification of stages centering on the exterior-interior pattern identification with 2 step-subdivision by cold, heat, deficiency, excess pattern and pathogens is proposed. Pattern differentiation by compound patterns of 8 principles is made for the non-severe stage of general cold and the early mild stage of epidemic disease. Compound pattern's names of 8 principles about external infectious diseases are composed of three stages, that is disease site-characters-etiology. Based on early stage symptoms of fever or chilling etc., exterior, interior and half exterior and half interior patterns are determined first, and then cold, heat, deficiency, excess patterns of exterior and interior pattern respectively are determined, and then more concrete differentiation on pathogens of wind, dryness, dampness and dearth of qi, blood, yin, yang accompanied with constitutional and personal illness factors. Summarizing above descriptions, 4 patterns of exterior cold, exterior heat, exterior deficiency, exterior excess and their secondary compound patterns of exterior cold deficiency and exterior cold excess and so on are classified together with treatment method and available decoction for a standard measure of eight principle pattern differentiation.