• 제목/요약/키워드: treatment patterns

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Patterns of care and treatment outcomes for primary thyroid lymphoma: a single institution study

  • Cha, Hyejung;Kim, Jun Won;Suh, Chang-Ok;Kim, Jin Seok;Cheong, June-Won;Lee, Jeongshim;Keum, Ki Chang;Lee, Chang Geol;Cho, Jaeho
    • Radiation Oncology Journal
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    • 제31권4호
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    • pp.177-184
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    • 2013
  • Purpose: The aim of this study was to analyze the patterns of care and treatment outcomes in patients with primary thyroid lymphoma (PTL) in a single institution. Materials and Methods: Medical records of 29 patients with PTL treated between April 1994 and February 2012 were retrospectively reviewed. Diagnosis was confirmed by biopsy (n = 17) or thyroidectomy (n = 12). Treatment modality and outcome were analyzed according to lymphoma grade. Results: The median follow-up was 43.2 months (range, 3.8 to 220.8 months). The median age at diagnosis was 57 years (range, 21 to 83 years) and 24 (82.8%) patients were female. Twenty-five (86.2%) patients had PTL with stage IEA and IIEA. There were 8 (27.6%) patients with mucosa-associated lymphoid tissue (MALT) lymphoma and the remaining patients had high-grade lymphoma. Patients were treated with surgery (n = 2), chemotherapy (n = 7), radiotherapy (n = 3) alone, or a combination of these methods (n = 17). Treatment modalities evolved over time and a combination of modalities was preferred, especially for the treatment of high-grade lymphoma in recent years. There was no death or relapse among MALT lymphoma patients. Among high-grade lymphoma patients, 5-year overall survival (OS) and 5-year progression-free survival (PFS) were 75.6% and 73.9%, respectively. Complete remission after initial treatment was the only significant prognostic factor for OS (p = 0.037) and PFS (p = 0.003). Conclusion: Patients with PTL showed a favorable outcome, especially with MALT lymphoma. Radiotherapy alone for MALT lymphoma and chemotherapy followed by radiotherapy for high-grade lymphoma can be effective treatment options for PTL.

Changes in fermentation pattern and quality of Italian ryegrass (Lolium multiflorum Lam.) silage by wilting and inoculant treatments

  • Liu, Chang;Zhao, Guo Qiang;Wei, Sheng Nan;Kim, Hak Jin;Li, Yan Fen;Kim, Jong Geun
    • Animal Bioscience
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    • 제34권1호
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    • pp.48-55
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    • 2021
  • Objective: This study was conducted to investigate the effects of wilting and microbial inoculant treatment on the fermentation pattern and quality of Italian ryegrass silage. Methods: Italian ryegrass was harvested at heading stage and ensiled into vinyl bags (20 cm×30 cm) for 60d. Italian ryegrass was ensiled with 4 treatments (NWNA, no-wilting noadditive; NWA, no-wilting with additive; WNA, wilting no-additive; WA, wilting with additive) in 3 replications, wilting time was 5 hours and additives were treated with 106 cfu/g of Lactobacillus plantarum. The silages samples were collected at 1, 2, 3, 5, 10, 20, 30, 45, and 60 days after ensiling and analyzed for the ensiling quality and characteristics of fermentation patterns. Results: Wilting treatment resulted in lower crude protein and in vitro dry matter digestibility and there were no significant differences in acid detergent fiber (ADF), total digestible nutrient (TDN), water-soluble carbohydrate (WSC), ammonia content, and pH (p>0.05). However, wilting treatment resulted in higher ADF and neutral detergent fiber content of Italian ryegrass silage (p<0.05), and the WNA treatment showed the lowest TDN and in vitro dry matter digestibility. The pH of the silage was higher in the wilting group (WNA and WA) and lower in the additive treatment group. Meanwhile, the decrease in pH occurred sharply between the 3-5th day of storage. The ammonia nitrogen content was significantly lower in the additive treatment (p<0.05), and wilting had no effect. As fermentation progressed, the lactic and acetic acid contents were increased and showed the highest content at 30 days of storage. Conclusion: The wilting treatment did not significantly improve the silage fermentation, but the inoculant treatment improved the fermentation patterns and quality of the silage. So, inoculation before ensiling is recommended when preparing high quality of Italian ryegrass silage, and when wilting, it is recommended to combine inoculation for making high quality silage.

한국 소아청소년정신과 의사의 전문적 치료 현황 (A Practice Patterns of Child and Adolescent Psychiatrists in South Korea)

  • 정경희;안동현;김정유;김현정;방양원
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제25권1호
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    • pp.6-13
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    • 2014
  • Objectives : The aim of this study is to assess the career paths and practice patterns of child and adolescent psychiatrists in South Korea. Methods : A survey on demographic data, work environment, opinion on fellowship training program, and current practice patterns was conducted in 76/223 (34.0%) of all child and adolescent psychiatrists (N=223) were from 1980 to 2008. The survey data from the responders were analyzed. Results : More than half of those surveyed were women. The mean age of survey participants was 40.8 years; most were married, and lived in the Seoul National Capital Area. In general, the responders were very satisfied with their work. They worked in private practice, public sector, group practice, and as consultants. Up to 87% of the patients treated were children and adolescents. The most common treatment modalities were medication and parent psychoeducation. Social skills training and play therapy were applied mainly for children aged 4 to 12 years old. Cognitive behavioral therapy and counseling were preferred in adolescents. Conclusion : The current study used a database approach in order to define current practice patterns. These data may be helpful in consideration of future training programs, workforce issues in child and adolescent psychiatry in South Korea, and also in collaboration with other mental health providers.

The Circadian Rhythm Variation of Pain in the Orofacial Region

  • Kim, Moon Jong;Chung, Jin Woo;Kho, Hong-Seop;Park, Ji Woon
    • Journal of Oral Medicine and Pain
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    • 제40권3호
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    • pp.89-95
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    • 2015
  • All living organisms have a biological clock that orchestrates every biological process and function, and this internal clock operates following a circadian rhythm. This biological clock is known to influence various clinical indicators such as blood pressure and body temperature. Also, the fluctuation of signs and symptoms of diseases including pain disorders are affected by circadian rhythm. It has been reported that the pain intensity of various somatic and neuropathic pain disorders show unique pain patterns that depend on the passage of time. The generation of pain patterns could be explained by extrinsic (e.g., physical activity, tactile stimulation, ambient temperature) and also intrinsic factors (neural and neuroendocrine modulation) that are related to the circadian rhythm. It is important to recognize and identify the individual pain pattern in pain therapy to approve treatment outcome. Moreover, chronotherapeutics which considers pain patterns and pharmacokinetics in context of the circadian rhythm could produce greater analgesia in response to medication. However, only a limited number of studies handle the issue of pain patterns according to circadian rhythm and chronotherapeutics in the orofacial region. The present review intends to reflect on the most recent and relevant data concerning the bidirectional relation between pain disorders of the orofacial region and circadian patterns.

치매 환자의 임상증상에 대한 조사 연구 (A Clinical Survey Study on Clinical Symptoms of Dementia Patients)

  • 서현욱;조성훈;정선용;김종우
    • 동의신경정신과학회지
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    • 제22권1호
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    • pp.13-23
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    • 2011
  • Objectives : The aim of this survey study is to analysis clinical symptoms and patterns of dementia patients. The results of this study will be used to support development of the oriental herbal medicine for dementia. Methods : Clinical data were collected from 41 dementia patients and 20 aged persons who have no cognitive impairment in 3 sites including 2 hospitals and 1 sanatorium. 'The instrument of oriental medical evaluation for dementia' is used to evaluate clinical symptoms and patterns of all subjects. Results : 1. Subjects of deficiency syndrome patterns were nearly three times more than subjects of excess syndrome patterns. 2. In dementia patient group, the average rate for 4 clinical symptoms, related with treatment principle of clear heat, was 26.9%. 3. The average rate for 4 clinical symptoms, related with condition of urine and feces, was 15.6%. 4. The average rate for 5 clinical symptoms, related with anger, irritation, anxiety and restlessness, was 40.0%. Conclusions : 1. It is needed to develop new herbal medicine for dementia focuing on clear heat, anger, irritation, anxiety, restlessness, and condition of urine and feces. 2. 'The instrument of oriental medical evaluation for dementia' has strong tendency that excessively reflects general geriatric symptoms, related to deficiency syndrome patterns. so, more clinical symptoms of excess syndrome should be added in this tool.

현대 중의학 관점의 고혈압 연구동향 분석 (Recent Research Trends on Hypertension in Traditional Chinese Medicine)

  • 김창석;송미영;양창섭;김영은;예상준;김철
    • 한국의사학회지
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    • 제26권1호
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    • pp.107-132
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    • 2013
  • Objectives : This study was performed to investigate the research trends of hypertension in Traditional Chinese Medicine(TCM), and it aims to promote hypertension research in Korean Medicine. Methods : We first collected more than 1,900 papers about hypertension research, and finally selected 108 papers related to this study. They were analyzed by the annul situation, the subject of the study, the perspective of TCM, the study stream, the research fields, the diagnostic patterns, and the distinguishing treatments of TCM. Results : The first review about hypertension in TCM was performed in 1963, and the number of studies has increased since 2000s. Doctors and researchers in China tried various diagnostic patterns to treat the patient because the diagnostic patterns were not unified. For this reason, most researches were reported to the diagnostic patterns and the treatments. Also we have discovered the diversity in treatments methods such as not only the typical herbal medicine, acupuncture, and Qigong but also specific treatments like Chuna, herbal acupoints stimulation, footbath, and pillow. Conclusions : Based on the results of this study, it can be proposed as follows : First, the various approach about hypertension in Korean Medicine is required. Second, the domestic research is needed to be extended to the external treatments as the distinguishing treatments of TCM.

Clinical courses and degradation patterns of absorbable plates in facial bone fracture patients

  • Kim, Young Min;Lee, Jong Hun
    • 대한두개안면성형외과학회지
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    • 제20권5호
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    • pp.297-303
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    • 2019
  • Background: Absorbable plates are widely used in open reduction and internal fixation surgeries for facial bone fractures. Absorbable plates are made of polyglycolic acid (PGA), polylactic acid (PLA), polydioxane (PDS), or various combinations of these polymers. The degradation patterns of absorbable plates made from different polymers and clinical courses of patients treated with such plates have not been fully identified. This study aimed to confirm the clinical courses of facial bone fracture patients using absorbable plates and compare the degradation patterns of the plates. Methods: A retrospective chart review was conducted for 47 cases in 46 patients who underwent open reduction and internal fixation surgery using absorbable plates to repair facial bone fractures. All surgeries used either PLA/PGA composite-based or poly-L-lactic acid (PLLA)/hydroxyapatite (HA) composite-based absorbable plates and screws. Clinical courses were confirmed and comparisons were conducted based on direct observation. Results: There were no naturally occurring foreign body reactions. Post-traumatic inflammatory responses occurred in eight patients (nine cases), in which six recovered naturally with conservative treatment. The absorbable plates were removed from two patients. PLA/PGA compositebased absorbable plates degraded into fragments with non-uniform, sharp surfaces whereas PLLA/HA composite-based absorbable plates degraded into a soft powder. Conclusion: PLA/PGA composite-based and PLLA/HA composite-based absorbable plates showed no naturally occurring foreign body reactions and showed different degradation patterns. The absorbable plate used for facial bone fracture surgery needs to be selected in consideration of its degradation patterns.

배드민턴화의 미끄럼방지 아웃솔 부착 유무에 따른 생체역학적 요인 패턴비교 (Comparison of Biomechanical Factors on Badminton shoes between Anti-slip outsole and Non anti-slip outsole)

  • 이재훈;장영관;하종규;기재석
    • 대한안전경영과학회지
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    • 제15권4호
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    • pp.153-160
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    • 2013
  • The purpose of this study was to compare biomechanical factors on badminton shoes between anti-slip outsole and non anti-slip outsole. Six subjects participated in this experiment. For three-dimensional analysis, eight cameras (Oqus 3series, Qualisys) were used to acquire raw data, and then the parameters were calculated and analyzed with Visual-3D. In conclusion, the patterns of spent time during side step, and maximum velocities of CoGs were consistent without joint angles of lower extremities in spite of small differences. Those of GRFs, and moment of lower extremities were absolutely consistent. This trend of biomechanical factors was that Y shoe (ante-treatment) was much greater and PS shoe (treatment) was greater than Y shoe (treatment). (That was, Y shoe (ante-treatment) > PS shoe (treatment) >Y shoe (treatment)). The findings of this study showed that anti-slip outsole was effective and brought increasing performance and decreasing injuries. It is suggested that further study of these phenomena will help understand many aspects of human locomotion, including work, performance, fatigue and possible injuries.

Characteristics of Greenhouse Gas Emission in the Upland Soil Applied with Agricultural Biomass

  • Park, Woo-Kyun;Kim, Gun-Yeob;Lee, Sun-Il;Shin, Joung-Du;Jang, Hee-Young;So, Kyu-Ho
    • 한국토양비료학회지
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    • 제47권5호
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    • pp.381-389
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    • 2014
  • $NH_4$-N contents in the soil treated were relatively high in the initial stages, but rapidly decreased at 124 days after treatment. $NO_3$-N contents were shown to be opposite patterns of $NH_4$-N contents. $CO_2$ emissions in the non-treatment and Carbonized rice hull treatment with application of NPK fertilizers decreased by 43.7 and 21.9% relative to the non-application of NPK fertilizer plot except 5.4% increasement in the pig manure compost treatment. $N_2O$ emissions of the non-application, the Expander rice hull application, and bio-char treatment increased by 90, 25, and 21.4%, respectively, but decreased by 54.2% in the pig manure compost treatment applied with NPK fertilizers compared with the NPK fertilizer non-application plot.

Ginsenoside Changes in Red Ginseng Manufactured by Acid Impregnation Treatment

  • Kim, Mi-Hyun;Hong, Hee-Do;Kim, Young-Chan;Rhee, Young-Kyoung;Kim, Kyung-Tack;Rho, Jeong-Hae
    • Journal of Ginseng Research
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    • 제34권2호
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    • pp.93-97
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    • 2010
  • To enhance the functionalities of ginseng, an acid impregnation pre-treatment was applied during red ginseng processing. Acetic, ascorbic, citric, malic, lactic, and oxalic acid were used for the acid impregnation treatment, and total and crude saponin concentrations and ginsenoside patterns were evaluated. Total and crude saponin contents of red ginseng pre-treated by acetic, ascorbic, and citric acid were similar to those of red ginseng without pre-treatment, whereas lactic, malic, and oxalic acid pre-treatment caused a reduction of total and crude saponin in red ginseng. From the high performance liquid chromatography analysis of ginsenosides, increased $Rg_3$ density was shown in red ginseng pre-treated by acetic, ascorbic, and citric acid impregnation. In the case of lactic, malic, and oxalic acid pre-treatment, increased $Rg_1$ density was observed in red ginseng. Increased $Rg_1$ and $Rg_3$ contents due to acid impregnation during red ginseng processing may contribute to improving bioactive functionalities of red ginseng.