• 제목/요약/키워드: treatment patterns

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Unveiling the Gastrointestinal Microbiome Symphony: Insights Into Post-Gastric Cancer Treatment Microbial Patterns and Potential Therapeutic Avenues

  • Chan Hyuk Park
    • Journal of Gastric Cancer
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    • 제24권1호
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    • pp.89-98
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    • 2024
  • This review delved into the intricate relationship between the gastrointestinal microbiome and gastric cancer, particularly focusing on post-treatment alterations, notably following gastrectomy, and the effects of anticancer therapies. Following gastrectomy, analysis of fecal samples revealed an increased presence of oral cavity aerotolerant and bile acid-transforming bacteria in the intestine. Similar changes were observed in the gastric microbiome, highlighting significant alterations in taxon abundance and emphasizing the reciprocal interaction between the oral and gastric microbiomes. In contrast, the impact of chemotherapy and immunotherapy on the gut microbiome was subtle, although discernible differences were noted between treatment responders and non-responders. Certain bacterial taxa showed promise as potential prognostic markers. Notably, probiotics emerged as a promising approach for postgastrectomy recovery, displaying the capacity to alleviate inflammation, bolster immune responses, and maintain a healthy gut microbiome. Several strains, including Bifidobacterium, Lactobacillus, and Clostridium butyricum, exhibited favorable outcomes in postoperative patients, suggesting their potential roles in comprehensive patient care. In conclusion, understanding the intricate interplay between the gastrointestinal microbiome and gastric cancer treatment offers prospects for predicting responses and enhancing postoperative recovery. Probiotics, with their positive impact on inflammation and immunity, have emerged as potential adjuncts in patient care. Continued research is imperative to fully harness the potential of microbiome-based interventions in the management of gastric cancer.

Changes in maximum lip-closing force after extraction and nonextraction orthodontic treatments

  • Choi, Tae-Hyun;Kim, So-Hyun;Kim, Cheul;Kook, Yoon-Ah;Larson, Brent E.;Lee, Nam-Ki
    • 대한치과교정학회지
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    • 제50권2호
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    • pp.120-128
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    • 2020
  • Objective: The aims of the present study were to evaluate the changes in the maximum lip-closing force (MLF) after orthodontic treatment with or without premolar extractions and verify the correlation of these changes with dentoskeletal changes. Methods: In total, 17 women who underwent nonextraction orthodontic treatment and 15 women who underwent orthodontic treatment with extraction of all four first premolars were included in this retrospective study. For all patients, lateral cephalograms and dental models were measured before (T0) and after (T1) treatment. In addition, MLF was measured at both time points using the Lip De Cum LDC-110R® device. Statistical analyses were performed to evaluate changes in clinical variables and MLF and their correlations. Results: Both groups showed similar skeletal patterns, although the extraction group showed greater proclination of the maxillary and mandibular incisors and lip protrusion compared to the nonextraction group at T0. MLF at T0 was comparable between the two groups. The reduction in the arch width and depth and incisor retroclination from T0 to T1 were more pronounced in the extraction group than in the nonextraction group. MLF in the extraction group significantly increased during the treatment period, and this increase was significantly greater than that in the nonextraction group. The increase in MLF was found to be correlated with the increase in the interincisal angle and decrease in the intermolar width, arch depth, and incisor-mandibular plane angle. Conclusions: This study suggests that MLF increases to a greater extent during extraction orthodontic treatment than during nonextraction orthodontic treatment.

이소플라본 보충이 폐경 후 여성에서 골밀도와 성호르몬에 미치는 영향 (Effects of Isoflavones Supplementation on Bone Mineral Density and Sex Hormones in Postmenopausal Women)

  • 이다홍;김미현;윤미은;승정자;이행신
    • Journal of Nutrition and Health
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    • 제35권8호
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    • pp.863-869
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    • 2002
  • Soy isoflavones have been hypothesized to exert hormonal effects and to enhance bone mineral density in postmenopausal women. To test this hypothesis, we studied the effects of soy isoflavones supplements on bone mineral density and sex hormones (serum estradiol, sex hormone-binding globulin and testosterone) in 47 postmenopausal women. There were 24 participants in the treatment group and 23 in the control group. The treatment group consumed the isoftavones extract capsule daily (which contained 90 mg of soy isoflavones) for 12 weeks. The study compared pre- and post-isoflavones intake in the following areas: physical examination, diet survey, bone mineral density and serum sex hormone levels. The average age of the treatment group was 64.63 years and that of the control group was 66.48 years. There were no significant differences between the two groups in terms of height, weight, and body mass index. Both groups maintained regular diet patterns in terms of their average daily nutrient intake. There was no significant difference between the treatment group (18.49 mg) and the control group (21.27 mg) in terms of daily isoflavones intake based on diet. The 12-week analysis of bone mineral density change after taking isoflavones supplements demonstrated no significant differences in the following : lumbar spine BMD (0.82 g/$\textrm{cm}^2$ in pre versus 0.81 g/$\textrm{cm}^2$ in post), femoral neck BMD (0.58 g/$\textrm{cm}^2$ in pre versus 0.57 g/$\textrm{cm}^2$ in post) in the treatment group. There was no significant difference in serum estradiol in the isoflavones treatment group. The subjects indicated no significant difference in serum testosterone in the isoflavones treatment group. But the subjects indicated a significant difference in sex hormone-binding globulin (60.04 nmol/L in pre versus 52.39 nmol/L in post) in the isoflavones treatment group at the levels of p < 0.05. The significant decrease in sex hormone-binding globulin did indicate the need for long-term study on isoflavones supplementation as well as its positive effect on bone mineral density.

전남대학교 치과병원 소아치과와 광주장애인구강진료센터에서 시행된 진정법과 외래전신마취에 대한 실태조사 (A Survey of the Sedation or Outpatient General Anesthesia in Department of Pediatric Dentistry, Chonnam National University Dental Hospital and Gwangju Dental Clinic for the Disabled)

  • 안하나;김선미;최남기
    • 대한치과마취과학회지
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    • 제13권3호
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    • pp.95-102
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    • 2013
  • Background: Sedation or outpatient general anesthesia is a necessary method for a successful dental treatment for children and the disabled who have a difficulty of cooperation. The aim of this study was to assess the patients who had dental treatment under sedation or outpatient general anesthesia at department of pediatric dentistry, Chonnam national university dental hospital and Gwangju dental clinic for the disabled. Methods: 875 patients who had sedation from January 2009 to September 2013 and 88 patients who had outpatient general anesthesia after May 2011 were assessed for this study. Patient's distribution and treatment patterns were examined. Results: The number of patients has been increasing in both sedation and outpatient general anesthesia. In case of sedation, the proportion of male patients was higher and 4-6 years age group was the highest. Most patients have resided in Gwangju buk-gu and the percentage of restorative treatment was the highest. In case of outpatient general anesthesia, the proportion of male patients was higher than that of sedation. Two groups, 10-19 and 20-29 years age, consisted most of patient. Most patients have resided in Gwangju buk-gu and Jeollanam-do, and the percentage of periodontic and preventive treatment was the highest. Conclusions: Sedation or outpatient general anesthesia for dental treatment has been increasing for children and the disabled who have a difficulty of cooperation. Therefore, it is important to improve treatment environment under sedation and general anesthesia through continuous research and studies.

계지가갈근탕(桂枝加葛根湯)을 투여한 이명 증례 1례 (A Case Report of Tinnitus Treated by Gyejigagalgeun-tang)

  • 이성준;허주
    • 대한상한금궤의학회지
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    • 제7권1호
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    • pp.15-20
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    • 2015
  • Objective : This study is aimed to report the outcomes of the treatment of a patient with tinnitus during 6 month. Methods : Basic patient's data was analyzed as a CARE guideline. And related symptom was measured with VAS. Results : The symptom of tinnitus reduced from 10 to 2 on VAS. And the symptom of feeling cold get lower. Conclusions : Gyejigagalgeun-tang improved the symptom of tinnitus on this study.

기관에 발생한 악성 섬유성 조직구종 1례 (A Case of Malignant Fibrous Histiocytoma of Trachea)

  • 이석기;김경봉;임길채;김상윤
    • 대한기관식도과학회지
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    • 제7권1호
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    • pp.46-49
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    • 2001
  • Fibrous histiocytoma is the soft tissue tumor of histiocytic origin that have a variety of histological patterns. Although cases of malignant fibrous histiocytoma in the head and neck have been reported increasing frequency in recent years, they are rare conditions. We reporeted a case of malignant fibrous histiocytoma of the trachea in which the Patient had been given laryngomicrosurgical biopsy for subglottic mass. Prognosis of malignant fibrous histiocytoma, the use of radiation as primary treatment, and its role in the development of secondary primary tumors in the head and neck region are reviewed.

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장애인 환자의 전신마취 하 치과 치료 후 정기검진 패턴에 따른 치과치료 결과 비교 (Comparison of Dental Outcomes after General Anesthesia According to the Follow-up Pattern in Special Health Care Needs Patients)

  • 김지현;남옥형;김미선;이효설;최성철
    • 대한소아치과학회지
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    • 제43권2호
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    • pp.145-150
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    • 2016
  • 장애인 환자는 구강질환의 높은 유병률과 그 심각성으로 인하여 치료 후 정기적인 검진을 통한 관리가 필요하다. 본 연구의 목적은 전신마취하에 치과치료를 받은 장애인환자의 정기검진 패턴에 따른 결과를 평가하고자 함이다. 2006년부터 2014년까지 경희대학교 치과병원 소아치과를 초진 내원한 장애인 환자 중 전신마취하에 치과 치료 시행 후 재내원한 환자 총 53명을 대상으로 재내원 패턴에 따라 정기적 그룹 33명과 비정기적 그룹 20명으로 나누어 검진 기간 동안 시행된 치과 치료를 조사하였다. 그 결과, 비정기적으로 재내원한 그룹에서 치수치료, 보철치료, 발치치료와 같이 상대적으로 침습적인 치료가 많이 시행되었다(p < 0.05). 또한, 전신마취하에 치과 치료를 재시행 받은 환자군은 모두 비정기적 그룹에 해당하였다(p < 0.05). 본 연구의 결과는 정기적인 검진의 중요성을 제시하며, 치과의사들의 보호자와 환자 교육에 대한 책임감을 강조하고 있다.

우리나라에서의 천식 및 만성폐쇄성폐질환 치료제 처방 양상 (Drug Prescribing Patterns for the Treatment of Asthma and Chronic Obstructive Pulmonary Disease in Korea)

  • 장진경;김해숙;손현순;박찬미;김주상;정복현;지은희;조정환;신현택
    • 한국임상약학회지
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    • 제24권1호
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    • pp.26-32
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    • 2014
  • Purpose: The aim of this study was to investigate drug prescription patterns for the treatment of asthma and chronic obstructive pulmonary disease (COPD) patients in Korea. Methods: Ambulatory adult patients who were diagnosed and received treatment for the asthma (ICD-10 code J45) or COPD (ICD-10 code J44) from January 2009 to September 2011 in two independent secondary hospitals in Korea were enrolled in this study. Prescribed drug lists were generated based on the evidence-based guidelines and prescribed drug dosage forms were identified from the patient medical records and computerized drug prescription databases of the study centers. Results: Total numbers of asthma and COPD patient enrolled in this study were 2,432 and 2,615, respectively. Individual prescription-based accumulated numbers of patient were 12,021 for asthma and 16,584 for COPD. The most commonly prescribed three drugs were oral predisolone, oral formoterol and oral montelukast for asthma and oral formoterol, oral doxofylline and inhaled tiotropium for COPD. Frequencies of oral drugs were 83.4% and 63.3% while inhalers were 16.4% and 30.2%, for asthma and COPD, respectively. Conclusion: The oral treatment was prescribed more in asthma and COPD patients than inhalers. To enhance the compliance of evidence-based guidelines for these chronic airway diseases, more realistic and specific strategies to increase the use of inhalers recommended as primary treatment options for asthma and COPD would be required.

근치적수술과 술후방사선치료를 받은 이하선 악성종양 환자의 치료실패 양상 - 병리학적 유형에 따른 결과를 중심으로 - (Patterns of Failure after Combined Surgery and Radiation Therapy for Malignant Tumors of the Parotid Gland - Analysis of Treatment Results According to Pathologic Type -)

  • 이상욱;장세경;김귀언;서창옥;성진실;이창걸;금기창;박정수;최은창
    • 대한두경부종양학회지
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    • 제15권2호
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    • pp.182-188
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    • 1999
  • Purpose: To investigate the treatment results' and patterns of failure according to the pathologic type of the parotid malignancy who were treated with radical sugery and postoperative radiation therapy. Materials and Methods: Fifty-two patients with various type of the parotid malignancy, who were treated with combined radical surgery and post-operative irradiation at Yonsei Cancer Center, between 1981 and 1995, were retrospectively reviewed after completion treatment, all but one patients were follow up with the median follow up period of 49 months. Results: We found that pathologically confirmed neck node metastasis rate was 28.8% all case and level II was most common site. Overall failure rate was 26.9%, local recurrence rate was 13.5%, node failure rate was 7.7%, and distant failure rate was 5.8%. Five-year disease free survival rate was 70.9%, and overall survival rate was 73.8%. Recurrence rate was low in adenoid cystic carcinoma and acinic cell carcinoma. However distant metastasis was very high in undifferentiated carcinoma. Local recurrence was main pattern of failure in mucoepidermoid carcinoma and nodal failure was frequently observed in adenocarcinoma. Conclusion: Individualized treatment plan may be required to improve a treatment outcome by pathologic subtype of the parotid malignancy.

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