• 제목/요약/키워드: treatment patterns

검색결과 1,856건 처리시간 0.029초

다기관 설문조사를 통한 국내 소아 음성질환 환자의 검사 및 치료 유형 연구 (Study on Assessment and Treatment Patterns of Speech-Language Pathologists in Pediatric Vocal Problem Through Multicenter Survey)

  • 이종근;방승환;전재민;이정규;김연;우정수;조재구
    • 대한후두음성언어의학회지
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    • 제30권1호
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    • pp.39-47
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    • 2019
  • Background and Objectives : Pediatric vocal health problems are relatively common. However, it is not yet well studied whether uniform diagnosis and treatment is done properly in South Korea. The purpose of this study was to investigate the methods that the Korean speech therapists use to diagnose and treat pediatric voice problem. Materials and Method : An anonymous online questionnaire was administered to 32 speech language therapists registered at the Korean laryngeal speech linguistics society detailing demographics, employment institution, general management of pediatric patients with vocal problem including assessment and treatment procedures. Results : Current practice patterns were analyzed on 32 speech language therapists providing services in South Korea mostly working at tertiary university hospital. One third of pediatric patients were assessed without proceeding to treatment. One fifth of patients were treated without assessment. Perceptual assessment was the main pretreatment assessment methods used. Treatment was done in the following order : Voice rest, SOVT, yawn-sigh and resonant voice. Post-treatment evaluation was used in the following order : Instrumental assessment, clinical judgment, and recording comparison. Conclusion : Speech language therapists practice in South Korea mostly follows the ASHA practice guidelines. However, there are still great amount of cases in which only the evaluation was done without appropriate treatment. Further research is needed to make SPLs more systematic and efficient for evaluating and treating pediatric vocal patients.

The reasonable timing of the adjuvant radiotherapy in the treatment of uterine carcinosarcoma according to the surgical intent: suggestion based on progression patterns

  • Yu, Jeong Il;Choi, Doo Ho;Huh, Seung Jae;Park, Won;Oh, Dongryul;Bae, Duk Soo
    • Radiation Oncology Journal
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    • 제31권2호
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    • pp.72-80
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    • 2013
  • Purpose: We designed this study to identify and suggest the reasonable timing of adjuvant radiotherapy in the treatment of uterine carcinosarcoma according to the surgical intent and patterns of progression. Materials and Methods: We retrospectively analyzed a total of 50 carcinosarcoma patients diagnosed between 1995 and 2010. Among these 50 patients, 32 underwent curative surgery and 13 underwent maximal tumor debulking surgery. The remaining five patients underwent biopsy only. Twenty-six patients received chemotherapy, and 15 patients received adjuvant radiotherapy. Results: The median follow-up period was 17.3 months. Curative resection (p < 0.001) and stage (p < 0.001) were statistically significant factors affecting survival. During follow-up, 30 patients showed progression. Among these, eight patients (16.0%) had loco-regional progression only. The patients who had received adjuvant radiotherapy did not show loco-regional progression, and radiotherapy was a significant negative risk factor for loco-regional progression (p = 0.01). The time to loco-regional progression was much earlier for non-curative than curative resection (range, 0.7 to 7.6 months vs. 7.5 to 39.0 months). Conclusion: Adjuvant radiotherapy in the treatment of carcinosarcoma might be related to a low loco-regional progression rate. Radiotherapy should be considered in non-curatively resected patients as soon as possible.

Genetic Study of Soybean Sudden Death Syndrome Pathogen(Fusarium solani f. sp. glycines) isolated from Geographically Different Fields based on RFLPs of Mitochondrial DNA

  • Cho, Joon-Hyeong;J. C. Rupe
    • 한국작물학회지
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    • 제45권2호
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    • pp.143-149
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    • 2000
  • From the soils of soybean fields in Cotton Branch Station (CBS) and Pine Tree Station (PTS), Arkansas, USA, various single spore isloates of sudden death syndrome (SDS) pathogen were obtained on modified Nash & Snyder's medium (MNSM) with dilution plating technique and transferred to potato dextrose agar (PDA) medium to identify the cultural colony shape. The colony shapes of these isolates resembled F. solani isolate 171 which was white and chalky shaped on MNSM and most of them had unique form of morphology which produced white margin and blue center colony on PDA. Although, some of these isolates had more dark blue or showed slightly different color, all isolates that were selected randomly for green-house inoculation assay produced typical foliar symptoms on leaves of soybean, Hartz 6686. To determine the genetic differences among the isolates, mitochondrial DNA restriction fragment length polymorphism (RFLP) was conducted with fourty isolates from both fields, using mtDNA probes, 2U18 and 4U40, derived from Colletotrichum orbiculare. We obtained distinctive RFLPs in each treatment of restriction enzyme, EcoRI and HaeⅢ. Isolates, 11-2-5 and 14-3-1-1, from CBS and isolates, 104-3-1-2 and 701-1-5-1, from PTS showed different band patterns from 171 in both or in either treatment of restriction enzymes. Even if some of these isolates showed heterogeneous, they were more closer to 171 than PN603. And, also, rest of the thirty-six isolates had exactly same polymorphisms as 171 in each treatment of restriction enzyme. Although, some of the isolates showed the different morphological shape on PDA and slightly different band patterns on RFLPs, all of the isolates selected on MNSM due to their distinctive colony shape from other fungi produced the typical foliar symptoms on soybean leaves in greenhouse inoculation assay. It might be suggested that these isolates were not genetically different from check isolate 171 and they were unique strain of F. solani.

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Correlation between Sestrin-2 and PERK Signaling in Matured Porcine Oocytes according to ER-stress during In Vitro Maturation

  • Park, Hyo-Jin;Kim, In-Su;Kim, Jin-Woo;Yang, Seul-Gi;Kim, Min-Ji;Koo, Deog-Bon
    • 한국동물생명공학회지
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    • 제34권3호
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    • pp.212-221
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    • 2019
  • Sestrin-2 (SESN2) as a stress-metabolic protein is known for its anti-oxidative effects as a downstream factor of PERK pathways in mammalian cells. However, the expression patterns of SESN2 in conjunction with the UPR signaling against to ER stress on porcine oocyte maturation in vitro, have not been reported. Therefore, we confirmed the expression pattern of SESN2 protein, for which to examine the relationship between PERK signaling and SESN2 in porcine oocyte during IVM. We investigated the SESN2 expression patterns using Western blot analysis in denuded oocytes (DOs), cumulus cells (CCs), and cumulus-oocyte complexes (COCs) at 22 and 44 h of IVM. As expected, the SESN2 protein level significantly increased (p < 0.01) in porcine COCs during 44 h of IVM. We investigated the meiotic maturation after applying ER stress inhibitor in various concentration (50, 100 and 200 μM) of tauroursodeoxycholic acid (TUDCA). We confirmed significant increase (p < 0.05) of meiotic maturation rate in TUDCA 200 μM treated COCs for 44 h of IVM. Finally, we confirmed the protein level of SESN2 and meiotic maturation via regulating ER-stress by only tunicamycin (Tm), only TUDCA, and Tm + TUDCA treatment in porcine COCs. As a result, treatment of the TUDCA following Tm pre-treatment reduced SESN2 protein level in porcine COCs. In addition, SESN2 protein level significantly reduced in only TUDCA treated porcine COCs. Our results suggest that the SESN2 expression is related to the stress mediator response to ER stress through the PERK signaling pathways in porcine oocyte maturation.

항암화학요법을 받는 부인암환자의 기능상태와 사회심리적 적응 (Functional Status and Psychosocial Adjustment in Gynecologic Cancer Patients Receiving Chemotherapy)

  • 정재원;김문정;이미현;도혜경
    • 여성건강간호학회지
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    • 제11권1호
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    • pp.58-66
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    • 2005
  • Purpose: The purpose of this study was to identify the patterns of activities of daily living (ADL) functional status and to examine the relationships between sense of coherence(SOC), depression, and uncertainty in gynecologic cancer patients who were receiving chemotherapy. Method: A prospective, longitudinal design with repeated measures was utilized. Women reported depression, SOC, and uncertainty at the beginning of the first cycle of chemotherapy, and they recorded ADL functional status everyday for two consecutive treatment cycles. the The instruments used were the Karnofsky Performance Status Index, Orientation to Life Questionnaire, Beck Depression Inventory, and Mishel Uncertainty in Illness Scale-Adult Form. Result: Data from 42 women showed that the ADL functional status during the second cycle was better than that of the first cycle with significant improvement each week. However, it did not completely recover to the baseline level even three weeks after the treatment ended in both cycles. SOC was correlated with depression(r=-.64, p<.001) and uncertainty(r=-.62, p<.001). Uncertainty was related to depression (r=.66, p<.001) and to functional status during the second cycle(r=-.45, p<.05), while the scores of the functional status during the two cycles were not related. Conclusion: Changing patterns and level of functional status during the treatment phase would be useful information for cancer patients to prepare coping strategies for positive health outcomes.

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비고령 성인환자의 만성폐쇄성폐질환 약물사용 현황과 영향인자 (Prescription Patterns and Factors Related to the Number of Medications in Chronic Obstructive Pulmonary Disease in Non-elderly Adults)

  • 문채원;나현오;이정연
    • 한국임상약학회지
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    • 제26권4호
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    • pp.298-305
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    • 2016
  • Background: This study is to investigate the prescription patterns and factors related to the number of medications treating chronic obstructive pulmonary disease (COPD) in patients under 65 years old according to GOLD guidelines. Methods: We retrospectively analyzed the medical records of patients aged 40-64 years with a diagnosis of COPD from January to March 2016. Patients were classified by combined assessment of COPD (grades A, B, C, D) using spirometry, exacerbation history, mMRC, and/or CAT results. We analyzed prescribed medications, treatment options and factors related to the numbers of COPD medications. Results: The total number of prescriptions were 251. About 35.5% of patients were classified as GOLD A, 34.2% as GOLD B, 17.1% as GOLD C and 13.2% as GOLD D. Inhaled bronchodilator was prescribed for 86.9% of patients and the most frequent COPD medication was long-acting muscarinic antagonist (LAMA) followed by inhaled corticosteroids/long acting beta agonist (ICS/LABA). The majority of low risk patients (GOLD A/B) were prescribed a monotherapy with LAMA or LABA. For high risk patients (GOLD C/D), combination treatment with ICS+LAMA+LABA was mostly prescribed. The 21.2% of patients in GOLD D received systemic corticosteroid. The average number of medications per prescription was 3.7, and this number increased with increasing COPD grade, COPD duration and lung function reduction ($FEV_1$, $FEV_1/FVC$). Conclusion: Generally high adherence to GOLD guideline recommendations was reported. Given the progressive nature of the disease, results suggest that closer attention to respiratory symptoms for early detection, diagnosis, and appropriate treatment of COPD is warranted.

주상복합아파트 거주자의 질병자료 내용 분석 (Contents Analysis on Medical Reports of High-Rise Condominium Residents)

  • 강인호;최병숙
    • 한국주거학회논문집
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    • 제19권5호
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    • pp.57-65
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    • 2008
  • The purpose of this study is to figure out the relationship between the residence stories in high-rise condominium and residents' disease patterns throughout the dweller's medical reports. Research basic data are obtained from medical fee request of National Health Insurance Corporation. Data are limited to 'A' high-rise condominium and a medical treatment time to 3 years (2004. 1-2006, 12). Data for analysis are composed of total 346,286 medical records, 43,159 disease records, and 8,999 personal records. Data are stored by sex, age, building story, residence story, visiting year and month, treatment days, main disease type (KCD-4). Treatment number, disease type and asthma in disease records and personal records are statistically analyzed by residence story considering age. Findings are as follows: 1) Women have more medical treatments than men, 40-50 age group is more treated, and the residents of 6-25 stories are more received medical treatments. According to KCD-4, diseases of the respiratory system and diseases of the eye and adnexa are relatively treated higher than other diseases. 2) The diseases of he respiratory system, the eye and adnexa, the skin and subcutaneous issue, the ear and mastoid process, and the asthma have not relation to the high-storied residence through the data of disease records and personal records. But the analysis on the data of children, age 7 and less, showed a significant relation. to conclude, there is no relationship between the residence of high-stories in the condominium and residents' disease patterns, but there is a little probable to the relationship in the pre-school child.

차세대 메모리 디바이스Gap-Fill 공정 위한 공간 분할 PE-ALD개발 및 공정 설계 (Development of Space Divided PE-ALD System and Process Design for Gap-Fill Process in Advanced Memory Devices)

  • 이백주;황재순;서동원;최재욱
    • 한국표면공학회지
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    • 제53권3호
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    • pp.124-129
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    • 2020
  • This study is for the development of high temperature ALD SiO2 film process, optimized for gap-fill process in manufacturing memory products, using a space-divided PE-ALD system equipped with an independent control dual plasma system and orbital moving unit. Space divided PE-ALD System has high productivity, and various applications can be applied according to Top Lid Design. But space divided ALD system has a limitation to realize concentric deposition map due to process influence due to disk rotation. In order to solve this problem, we developed an orbit rotation moving unit in which disk and wafer. Also we used Independent dual plasma system to enhance thin film properties. Improve productivity and film density for gap-fill process by having deposition and surface treatment in one cycle. Optimize deposition process for gap-fill patterns with different depths by utilizing our independently controlled dual plasma system to insert N2and/or He plasma during surface treatment, Provide void-free gap-fill process for high aspect ratio gap-fill patterns (up to 50:1) with convex curvature by adjusting deposition and surface treatment recipe in a cycle.

열처리(熱處理)가 인삼(人蔘)사포닌의 안정성(安定性)에 미치는 영향 (Effect of the Heating Treatment on the Stability of Saponin in White Geinseng)

  • 성현순;양재원
    • 한국식품영양과학회지
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    • 제15권1호
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    • pp.22-26
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    • 1986
  • 인삼엑기스의 추출온도와 추출시간, 그리고 열처리가 인삼엑기스의 사포닌과 순수분리 조제된 조사포닌의 양적 변화와 패턴변이에 미치는 영양을 조사하기 위하여 물을 추출용매로 하고 추출 조건별로 인삼엑기스와 조사포닌을 조제하고 조제된 조사포닌을 다시 열처리하여 그 변이여부를 HPLC법으로 측정비교하여 본 결과 순수분리된 조사포닌이 인삼엑기스중의 사포닌 경우보다 열처리에 의한 변이차가 더 컸으며 패턴별로는 ginsenoside-Rd가 비교적 내열성이었고 ginsenoisde-Re, -Rc, $-Rb_1$$-Rb_2$가 비교적 비내열성인 것으로 나타났다. 인삼엑기스 조제시 사포닌의 패턴과 양적인 변이는 추출온도가 높고 추출시간이 길수록 컸으며 $100^{\circ}C$이상에서 특히 심하였다. 따라서 인삼엑기스중의 사포닌 함량과 ginsenoside별로 안정을 유지하기 위한 추출조건으로는 $80^{\circ}C$이하에서 40시간내외로 처리하는 것이 가장 합리적인 것으로 판단된다.

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알레르기성 비염(鼻炎)의 침구치료에 관한 문헌적 고찰 (Literal Study of Acupuncture and Moxibustion Treatment about Allergic Rhinitis)

  • 최원구;염승철;이건목
    • 동의생리병리학회지
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    • 제20권4호
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    • pp.807-813
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    • 2006
  • The purpose of this study is to investigate the acupuncture points and the The Meridians and Collaterals which are often applicable to Allergic Rhinitis treatment and to help us do a clinical diagnosis. In my discretion, to study Allergic Rhinitis, investigating rhinitis, syuffy nose and nasal mucus is essential. And 1 investigated the acupuncture points and The Meridians and Collaterals and dialectic patterns which are useful for the acupuncture and moxibustion treatment. 1 also investigated the correlation of the acupuncture points, and The Meridians and Collaterals and other dialectic patterns. The order of frequency in use of The Meridians and Collaterals is The Governor Vessel, The Large Intestine Meridian of Hand-Yangming, The Bladder Meridian of Foot-Taiyang and the order of frequency in moxibustion is The Governor Vessel, The Large Intestine Meridian of Hand-Yangming. In the acupuncturation of stuffy nose, there are 33 points, and the order of frequency in use is LU2O, GV23, LU4, GBI 5, GV2O, BL7, GV22. In the acupuncturation of nasal mucus, there are 21 points, and the order of frequency in use is LU2O,, GV23, GVl6, GV26, BLl2, GV2O, GB2O. It is thought that acupuncture points LU2O, GV23, LU4 can go through the nasal cavity and remove wind fever. And those are used for the face and the five sensory organs diseases. It means that those acupuncture points have similar efficacy. It is thought that The Meridians and Collaterals of The Governor Vessel, The Large Intestine Meridian of Hand-Yangming, The Bladder Meridian of Foot-Taiyang go on a patrol near nose and cure nose disease.