• 제목/요약/키워드: treatment patterns

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소양인(少陽人) 치험례(治驗例)가 소양인(少陽人) 병리관(病理觀) 형성과정에 미친 영향에 대한 고찰 (The influence of accumulated clinical experience with Soyang-type patients on the conceptualization of the Soyang pathology)

  • 강미정;이지원;이준희;고병희;이의주
    • 사상체질의학회지
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    • 제23권3호
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    • pp.275-284
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    • 2011
  • 1. Objective: This literary review investigates Lee Jema's clinical experiences with Soyang-type patients and their influence on his conceptualization of the Soyang physiology and pathology. 2. Methods: 1) The case reports in "Soyang constitutional type: Spleen Cold-based Exterior-Cold disease" were compared before and after the Sinchuk revision to explore the temporal change in the Sasang medical concepts. 2) The texts in Donguisusebowon (Gabo edition) and Donguisusebowon (Sasangchobongwon) were analyzed to investigate the pathological concepts appearing before the completion of the Donguisusebowon (Gabo edition). 3) The texts in Donguisusebowon (Sinchuk edition) was analyzed to investigate the pathological concepts formed between the Gabo and Sinchuk editions of Donguisusebowon. 3. Results and Conclusions: 1) Gabo edition : The Gabo edition divided the External-origin Exterior disease into Cold-dominant (Heat-moderate) and Heat-dominant (Cold-moderate) patterns and differentiated the severity of Exterior-based Exterior disease and Interior-based Interior disease into mild, moderate, severe, and critical conditions. Cold-damage Delirium disease pattern was categorized as an Interior-based Interior disease, and the treatment protocol using Baekho-tang (Baihu-tang) was established. The stool condition and bowel movement reflecting the patient's defecation habits, the prime indicator of health in the Soyang constitutional type, were emphasized on their importance. 2) Sinchuk edition: The Delirium disease pattern was moved into the Exterior-cold disease, and the treatment protocol applying Jihwangbaekho-tang (Dihuangbaihu-tang) and Hyeongbangsabaek-san (Jingfangxiebai-san), with variational usage of Gypsum, was newly established. The Seong-Jeong and basal disease patterns were suggested as important factors in treating the patients. Also, it was proposed that the symptoms and signs reflecting the condition of the life-preserving energy be assessed to understand the patient's current condition. The importance of post-acute rehabilitation and aftercare as well as the most appropriate acute-stage treatment were emphasized.

Patterns of Esophageal Cancer in the National Cancer Institute at the University of Gezira, in Gezira State, Sudan, in 1999-2012

  • Gasmelseed, Nagla;Abudris, Daffalla;Elhaj, Ahmed;Eltayeb, Elgaylani A;Elmadani, Ahmed;Elhassan, Moawia M;Mohammed, Khadiga;Elgaili, Elgaili M;Elbalal, Moawia;Schuz, Joachim;Leon, Maria E
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권15호
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    • pp.6481-6490
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    • 2015
  • Background: Esophageal cancer (EC) is among the most common malignancies in Eastern Africa, but the occurrence of EC in Sudan has rarely been described in the scientific literature. This paper reports the results of a consecutive case series of all EC patients who visited one of the two public cancer treatment centers in the country in 1999-2012, providing a first description of this disease in a treatment center located in central Sudan. Materials and Methods: Clinical and demographic data for all EC patients who visited the Department of Oncology of the National Cancer Institute at the University of Gezira (NCI-UG) from 1999 to the end of 2012 were abstracted and tabulated by sex, tumor type and other characteristics. Results: A total of 448 EC patients visited NCI-UG in 1999-2012, and the annual number of EC cases increased steadily from 1999. Squamous cell carcinoma (SCC) was the predominant EC tumor type (90%), and adenocarcinoma (ADC) was reported in 9.4% of the EC cases. The overall male-to-female ratio for EC was 1:1.8, but the ratio was tumor type-dependent, being 1:2 for SCC and 2:1 for ADC. Only 20% of EC patients reported having ever used tobacco and/or alcohol, and the vast majority of these patients were male. At the time of EC diagnosis, 47.3% of the patients resided in Gezira State. Some EC patients from Gezira State seek out-of-state treatment in the national capital of Khartoum instead of visiting NCI-UG. Conclusions: The annual number of EC patients visiting NCI-UG has increased in recent years, approximately half of these patients being from Gezira State. Although this consecutive series of EC patients who visited NCI-UG was complete, it did not capture all EC patients from the state. A populationbased cancer registry would provide more complete data required to better understand EC patterns and risk factors.

초기 자궁경부암의 방사선치료 성적 (Radiotherapy Results of Early Uterine Cervix Cancer)

  • 최두호;허승재
    • Radiation Oncology Journal
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    • 제14권1호
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    • pp.33-39
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    • 1996
  • 목적 : 초기 자궁경부암은 수술과 방사선치료 모두 가능하며 결과도 비슷하다고 알려져있다. 이에 근치적 방사선치료를 받은 초기 자궁경부암 환자의 생존율, 실패율, 부작용등을 다른 결과와 비교하기 위하여 후향적 분석을 시행하였다. 대상 및 방법 : 근치적 방사선치료를 시행한 자궁경부암 IB 48명과 IIA 32명을 대상으로 하였다. 1985년 11월 부터 1993년 5월 까지 등록된 환자들로 최소 추적기간은 2년이었다. 외부전골반 방사선치료를 40-50Gy 시행후 3가지 다른 1회 조사량으로 고선량 강내치료를 시행후, 추적조사하여 생존율, 실패양상과 합병증등을 분석하였다. 결과 : 5년 생존율과 5년 무병 생존율은 각각 $72.3\%,\; 72.8\%$였으며 예후인자는 병기 병소의 크기, 병리조직 (선암), 방사선치료의 반응이었다. 19명의 치료실패가 있었으며 대부분 24개월이내에 발생하였다. Grade 2이상의 만성합병증은 방광이 $8.8\%$, 직장이 $15\%$, 모두 $17.5\%$ 였으며 발생율과 심한 정도는 강내치료 1회 조사량과 총 선량에 유의한 상관관계가 있었다. 결론 : 초기 자궁암의 방사선치료는 수술의 결과와 비슷하였으며 예후가 나쁜환자는 결과가 안좋아서 더 적극적인 치료방법이 필요하며 만성 합병증을 줄이기 위해서는 적절한 질 packing 등으로 주위조직의 방사선 피폭량을 줄이고 고선량 강내치료시 적절한 1회 조사량의 선택이 필요한 것으로 생각된다.

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Modified FR-4의 임상적용례 (CLINICAL APPLICATION OF MODIFIED FR-4)

  • 송재혁;이긍호;최영철
    • 대한소아치과학회지
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    • 제28권2호
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    • pp.323-328
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    • 2001
  • 전치부 개교합은 상 하악 전치부가 폐구 시 절단 기능에 필수적인 수직피개가 결여되어 있는 상태를 말한다. 일반적인 원인으로는 손가락 빨기, 혀 내밀기, 유아성 연하, 비호흡 부전, 골격성장의 이상 또는 이들이 복합적으로 작용되어 나타날 수 있으며, 어떤 종류의 부정교합과도 함께 나타날 수 있다. 전치부 개교합을 위한 치료 방법은 다양하지만, Rolf Fr$\"{a}$nkel에 의해 고안된 Fr$\"{a}$nkel appliance(FR-4)는 골격성 I급 혹은 II급 부정교합과 함께 나타난 개교합의 치료에 특히 효과적인 것으로 알려져 있다. 서양인에서는 골격성 II급 부정교합이 높은 빈도로 나타나고, 개교합도 이와 함께 나타나는 경우가 많다. 그러나 동양인에서는 골격성 III급 부정교합의 빈도가 높고, 개교합 또한 이와 같은 골격형태와 함께 나타나는 경우가 흔히 있다. 이러한 문제점을 갖는 환자에 있어서 전통적인 FR-4의 사용이 개교합의 교정에 도움이 되었을지라도, 골격성 III급 부정교합을 악화시키는 것으로 나타났다. 두 가지 문제점을 동시에 교정하기 위하여, labial bow를 하악 전치부에, labial pads를 상악 전치부에 위치시킨 modified FR-4를 고안하게 되었다. 다음의 임상례는 전치부 개교합을 동반한 골격성 III급 부정교합을 보이는 환자를 대상으로, 전통적인 FR-4와 modified FR-4를 이용하여 치료한 결과를 비교한 것이다. 첫 번째 임상례는 전통적인 FR-4를 사용한 경우로서, 전치부 개교합은 개선되었으나 골격성 III급 부정교합의 형태가 심해졌다. 그러나 두 번째와 세 번째 임상례에서는 modified FR-4를 사용한 결과, 전치부 개교합과 III급 부정교합이 동시에 개선된 것으로 나타났다.

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Fracture patterns in the maxillofacial region: a four-year retrospective study

  • Park, Kyung-Pil;Lim, Seong-Un;Kim, Jeong-Hwan;Chun, Won-Bae;Shin, Dong-Whan;Kim, Jun-Young;Lee, Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제41권6호
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    • pp.306-316
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    • 2015
  • Objectives: The facial bones are the most noticeable area in the human body, and facial injuries can cause significant functional, aesthetic, and psychological complications. Continuous study of the patterns of facial bone fractures and changes in trends is helpful in the prevention and treatment of maxillofacial fractures. The purpose of the current clinico-statistical study is to investigate the pattern of facial fractures over a 4-year period. Materials and Methods: A retrospective analysis of 1,824 fracture sites was carried out in 1,284 patients admitted to SMG-SNU Boramae Medical Center for facial bone fracture from January 2010 to December 2013. We evaluated the distributions of age/gender/season, fracture site, cause of injury, duration from injury to treatment, hospitalization period, and postoperative complications. Results: The ratio of men to women was 3.2:1. Most fractures occurred in individuals aged between teens to 40s and were most prevalent at the middle and end of the month. Fractures occurred in the nasal bone (65.0%), orbital wall (29.2%), maxillary wall (15.3%), zygomatic arch (13.2%), zygomaticomaxillary complex (9.8%), mandibular symphysis (6.5%), mandibular angle (5.9%), mandibular condyle (4.9%), and mandibular body (1.9%). The most common etiologies were fall (32.5%) and assault (26.0%). The average duration of injury to treatment was 6 days, and the average hospitalization period was 5 days. Eighteen postoperative complications were observed in 17 patients, mainly infection and malocclusion in the mandible. Conclusion: This study reflects the tendency for trauma in the Seoul metropolitan region because it analyzes all facial fracture patients who visited our hospital regardless of the specific department. Distinctively, in this study, midfacial fractures had a much higher incidence than mandible fractures.

대구근대역사관 소장 인력거 보존처리 (Conservation Treatment of the Rickshaw in the Daegu Modern History Museum Collection)

  • 서연주;이의천;박정혜;이영주;김수철
    • 박물관보존과학
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    • 제29권
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    • pp.33-46
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    • 2023
  • 근·현대문화재란 우리나라의 근·현대기(개항기 무렵~현대)에 생산된 유형의 역사·문화적 자산을 총칭하는 개념으로 정의되고 있다. 그 중 인력거는 개항기 이후 약 40년간 우리나라 주요 교통수단으로 사용된 만큼 우리나라 근대 생활상을 보여주는 유물이다. 인력거 보존처리는 '몸체부', '덮개부', '바퀴부'로 나누어 진행하였으며, 상태조사 및 금속, 목재, 섬유, 도료에 대한 재질 분석값을 참고해 보존처리 과정을 수립하였다. 보존처리는 건식·습식세척, 접합, 안정화처리, 결손부 보강 및 복원 과정으로 진행하였고, 보존처리 결과, 육안적으로 관찰되지 않던 금속 문양 및 발판의 문양(꽃, 당초무늬 모양 등)을 노출 및 대상 유물의 안정성을 부여하였으며, 또한, 안전한 전시를 위해 전시용 지지대를 제작하였다.

자율신경실조증 한의표준임상진료지침 개발을 위한 한의임상 실태조사 (A Survey on Korean Medicine Treatment of Autonomic Dysfunction: Preliminary Research for Clinical Practice Guidelines)

  • 박희영;송금주;이현우;박찬;윤석인;박정환;정선용;김종우
    • 동의신경정신과학회지
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    • 제34권4호
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    • pp.335-347
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    • 2023
  • Objectives: The study aimed to understand the current treatment patterns in Korean medicine to develop clinical practice guidelines for autonomic dysfunction in Korean medicine. Methods: This study sent an online survey vai text message to 25,900 Korean medicine doctors whose contact information was registered with the Association of Korean Medicine. A total of 1,410 Korean medical doctors completed the online survey. Results: When autonomic treating dysfunction clinically, 77% of the cases included only a description without entering a diagnosis code. The most commonly used information to diagnose o autonomic dysfunction was history-taking and symptoms (79%), and the main symptoms of autonomic dysfunction were palpitations, dizziness, sleeping difficulties, anxiety/nervousness, and depression/lethargy. The most frequently mentioned cause of autonomic dysfunction was mental problems (54%). The most commonly used Korean medicine treatment method for autonomic dysfunction was herbal medicine (70%), and Soyo-san/Gamisoyo-san is the most frequently used herbal medicine preparation. Liver qi depression used to indicate the most often mentioned Korean medicine pattern identification used to indicate autonomic dysfunction (31%). When asked whether cardiac neurosis in Chinese medicine can be considered autonomic dysfunction, opinions for and against it are determined almost equally. Conclusions: Our results serve are a foundation for developing clinical practice guidelines for autonomic dysfunction in Korean medicine and are expected to catalyst promoting future clinical research on autonomic dysfunction.

만성 알코올 섭취시 2-Acetylaminofluorene 투여가 흰쥐 간 미토콘드리아 ATPase 활성도와 막지질 조성에 미치는 영향 (Effect of Chronic Alcohol Feeding and 2-Acetylaminofluorene Treatment on Hepatic Mitochondrial ATPase Activity and Membrane Lipid Composition in Rats)

  • 김정희;류선영
    • 한국식품영양과학회지
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    • 제24권6호
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    • pp.867-873
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    • 1995
  • 만성적인 알코올 섭취가 미토콘드리아의 지질조성 및 ATPase 활성도에 미치는 영향을 조사하고 아울러 간의 발암물질인 2-AAF를 토여하여 간 미토콘드리아의 기능에 미치는 상호 효과를 조사하기 위하여 120~125g 숫쥐에게 열량의 35%를 알코올로 공급하여 6주간 사육하였으며 알코올 섭취 4주 후에 2-AAF를 3일 간격으로 2회 복강투여하여 실험한 결과를 요약하면 다음과 같다. 1. 체중 증가, 식이 섭취량 및 식이효율에 대한 알코올의 효과는 유의적인 차이를 보였으나, 2-AAF에 의한 유의적인 효과는 관찰할 수 없었다. 알코올 섭취군이 대조군 보다 체중은 유의적으로 감소하였다. 2. 미토콘드리아 ATPase 활성도는 알코올 섭취에 의해 유의적으로 감소되었고, 2-AAF 투여에 의해서는 유의적이지 않으나 감소되는 경향을 보였다. 따라서 대조군(C)에 비하여 알코올 섭취와 2-AAF투여군(EA)에서 ATPase 활성도가 29.3%의 감소를 나타냈다. 3. 간 미토콘드리아 콜레스테롤 함량은 알코올 섭취에 의해 유의적으로 증가하였으며 미토콘드리아 총 인지질량은 알코올과 2-AAF에 의한 상호작용에 의해 알코올 투여군에서만 2-AAF 투여시 유의적인 증가 효과를 보여주었다. C/PL 비율은 알코올 섭취와 2-AAF 투여 보두에서 유의적인 효과는 보이지 않았으나 군간 비교시 알코올군(E)이 대조군(C) 보다 유의적으로 증가하였다. 4. 간 미토콘드리아의 CL량은 알코올군에서 감소하는 경향을 보였고 PS와 PI량은 차이가 없었다. 알코올 섭취로 PC량은 유의적으로 증가하였으나 PE량은 차이가 없엇으며, 2-AAF 투여시 PC량은 유의적인 감소를 보였고 PE량은 유의적으로 증가하였다. PE/PC 비율은 알코올 투여에 의해 유의성은 없었으나 감소경향을 나타냈으며, 2-AAF 투여에 의해서는 유의적인 증가 효과가 나타났다. 5. 알코올 섭취시 미토콘드리아의 지방산 조성은 palmitic acid가 유의적으로 감소하였고, stearic acid는 유의적으로 증가함을 보였다. UFA/SFA와 UI는 알코올군에서 유의적이지는 않으나 증가되는 경향을 보였다. 2-AAF 투여에 의해서도 linoleic acid는 감소되고 arachidonic acid는 증가되는 경향을 보여 UI값이 증가되는 경향이 있었다. 따라서 본 실험에서 나타난 ATPase 호라성도 변화는 비토콘드리아의 콜레스테롤변화, C/PL 비율, 인지질 조성이나 지방산 조성의 변화 등 막지질 조성의 변화에 기인하는 것으로 생각된다.

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Influence of Cadmium on Rubisco Activation in Canavalia ensiformis L. Leaves

  • Lee, Kyong-Ro;Roh, Kwang-Soo
    • Biotechnology and Bioprocess Engineering:BBE
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    • 제8권2호
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    • pp.94-100
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    • 2003
  • We studied the effect of cadmium on chlorophylls and rubisco activation in Canavalia ensiformis L. leaves. Chlorophyll levels were reduced by 5.0 ${\mu}$M Cd. Rubisco activity at 5.0 ${\mu}$M Cd was significantly smaller than that at no treatment. Rubisco Content showed patterns of change similar to rubisco activity. These data suggest that rubisco activity was associated with an amount of rubisco protein, and that the activation and induction of rubisco is inhibited by Cd. The degree of intensity of 50 and 14.5 kD polypeptides identified as the large and small subunit of rubisco by SDS-PAGE analysis at 5.0 ${\mu}$M Cd was significantly lower than that at control, indicating Cd had a e f-fect on both subunits. Under the assumption that effects of Cd on rubisco may be r elated to rubisco activase, in addition to, its activity and content we re determined . The rubisco activase activity at 5.0 ${\mu}$M Cd was more decreased than the control. A similar change pattern was also observed in content of rubisco activase. Remarkable differences in the intensitiy of both the 45 kD and 41 kD band were found between at control and Cd-treatment. These results suggest that the change in the levels of rubisco activase leads to a subsequent alter action of rubisco levels.

Digital Subtraction Radiography를 이용한 근관치료 후 골회복의 정량적평가에 관한 연구 (A QUANTITATIVE STUDY OF BONE REPAIR AFTER ENDODONTIC THRAPY ON DIGITAL SUBTRACTION RADIOGRAPHY)

  • 김재덕
    • 치과방사선
    • /
    • 제27권2호
    • /
    • pp.15-25
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    • 1997
  • This study was performed to prepare the quantitative method of judging the sensitive prognosis of chronic apical periodontitis as early as possible. The subjects were 25 cases with periapical radiolucencies of which were treated with endodontic treatment. Serial radiographs were taken by standardized method longitudinally. The density slice function of digital radiographic system were employed for quantitative and longitudinal assessment of the radiolucent area and the condensing osteitis simultaneously. Obtained results were as follows: 1. The amount of bone repair after endodontic treatment could be detected quantitatively by the density slice function of digital radiographic system. 2. Within the 6-week period after root canal filling, the prognosis could be evaluated by assessment both radiolucent area and condensing osteitis on digital radiographic system. 3. The pattern of bone repair showed peripheral type in most cases from the 6th week after root canal filling. 4. In longitudinal change, bone repair showed two patterns; the succeeding reduction of radiolucent area showing the increase of condensing osteitis in size till 6th week and following by static state or reduction tendency and the reduction following the initial increase of both areas. 5. Cases with pulpitis by trauma showed initial increase of condensing osteitis at 2nd week, marked reduction of radiolucent area and condensing osteitis at 6th week, and approximately normal bone state at 8th week after root canal filling.

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