• Title/Summary/Keyword: treatment patterns

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Treatment Patterns and Outcomes of Anastomotic Leakage after Esophagectomy for Esophageal Cancer

  • Hyo Won Seo;Yeong Jeong Jeon;Jong Ho Cho;Hong Kwan Kim;Yong Soo Choi;Jae Ill Zo;Young Mog Shim
    • Journal of Chest Surgery
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    • v.57 no.2
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    • pp.152-159
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    • 2024
  • Background: Anastomotic leakage (AL) following esophagectomy represents a serious complication that often results in prolonged hospitalization and necessitates repeated interventions, including nothing-by-mouth (NPO) restriction, endoscopic vacuum therapy (EVT), or surgical repair. In this study, we evaluated the patterns and outcomes of AL treatment. Methods: We retrospectively reviewed the medical records of patients who underwent esophagectomy for esophageal cancer at a single center between 2003 and 2020. Of 3,096 examined cases, 181 patients (5.8%) with AL were included in the study: 114 patients (63%) with cervical anastomosis (CA) and 67 (37%) with intrathoracic anastomosis (TA). Results: The incidence of AL was 11.9% in the CA and 3.2% in the TA group (p<0.001). Among patients with CA who developed AL, 87 (76.3%) were managed with NPO, 15 (13.2%) with EVT, and 12 (10.5%) with surgical repair. Over 90% of patients with cervical AL resumed an oral diet by the time of discharge, regardless of treatment method. Among patients with TA and AL, 36 (53.7%) received NPO, 25 (37.7%) underwent EVT, and 6 (9%) required surgery. Of these, 34 patients who were managed with NPO and 19 with EVT could resume an oral diet. However, only 2 patients who underwent surgery resumed an oral diet, and 2 patients required additional EVT. Conclusion: Although patients with CA displayed a higher incidence of AL, their rate of successful oral intake exceeded that of those with TA, regardless of treatment method. Among patients exhibiting AL with TA, EVT was more commonly employed than in CA cases, and it appears effective.

STUDY OF RECOGNITION OF MALOCCLUSION AND ORTHODONTIC TREATMENTS (부정교합과 교정치료에 대한 인식변화에 관한 연구)

  • Lee, SShin-Jae;Kim, Tae-Woo;Suhr, Cheong-Hoon
    • The korean journal of orthodontics
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    • v.24 no.1 s.44
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    • pp.193-198
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    • 1994
  • In this study, in order to survey the effect on public recognition in malocclusion and orthodontic treatment by brochures made by Korean orthodontic association, sample were divided into control and experimental group and a questionnaire was inguired and the results were as follows: 1. In the experimental group, frequency of recognition for the need of orthodontic treatment was high, and this indicates dental health behavior and recognition can be inspired by adequate giving of information. 2. Between the control and the experimental group, patterns of the negative opinion was different, and especially the demand for specific orthodontic treatment can be influenced by the content of brochures. 3. The brochures used in this study can call attention to develope the orthodontic aspect for the malocclusion, hereafter more systemic and active measures for development of public dental behavior and recognition should be needed.

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Improvement of Treatment Efficiency for the Korean Type Biofilter System in Cold Climates (한국형 Biofilter system의 동절기 처리효율 증진)

  • Kwun, Soon-Kuk;Son, Su-Keun
    • Proceedings of the Korean Society of Agricultural Engineers Conference
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    • 2001.10a
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    • pp.501-504
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    • 2001
  • The prototype biofilter was constructed in Suwon campus of Seoul National University and monitored for temperature and treatment efficiencies during a two-year programme. During the winter, daily influent wastewater temperature averages $7.7C^{\circ}$; without heating in 2000 experiment, the treatment efficiencies for BOD and SS droped down to 88.7% and 68.4%, respectively. However, as increased the influent wastewater by installting a heater tank before the biofilter tank in 2001 at the same period ($Feb.\;9{\sim}Mrach\;30$) of 2000 experiment, average daily influent temperature which was $7.2C^{\circ}$ increased to over $18.2C^{\circ}$. As a result, effluent quality remains excellent through the winter and even the post winter with BOD and SS values close to less than 10 mg/L. Nitrification follows temperature patterns. However, there was no improvement of treatment efficiency in total nitrogen (T-N) was observed by increasing temperature.

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ANTERIOR CROSSBITE CORRECTION FOLLOWING CRANIOFACIAL ORPHOLOGIC PATTERN IN THE EARLY DECIDUOUS DENTITION (악안면 형태학적 특성을 고려한 유치열기 반대교합의 치료)

  • Jin, Keun-Ho
    • The korean journal of orthodontics
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    • v.23 no.1 s.40
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    • pp.57-74
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    • 1993
  • Anterior crossbite is a common malocclusion in the early deciduous dentition. Even today, many these malocclusion patients are not treated until the mixed or permanent dentition. And the purpose here is to emphasize the need for early diagnosis and possible treatment for these anterior crossbite malocclusions and their associated facial patterns. Case histories of 4 patients selected from the author's practice are presented. Different methods of treatment are evaluated. Some improvement was achieved in all patients from an early interceptive regimen, although ultimately corrective orthodontic treatment may still be needed in some. It is concluded that early interception of deciduous anterior crossbite malocclusion should by attempted in patients ; there should be no delemma in reaching such a decision. And it is essential for diagnosis and treatment to determine exact variations in growth when some appliance are used, it is recommended that growth-related records be made as early as possible.

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INTRAMUSCULAR MIDAZOLAM SEDATON IN AUTISM PATIENT FOR CARIES TREATMENT : CASE REPORT (미다졸람 근주요법을 이용한 자폐증 환자의 우식치료 : 증례보고)

  • Bae, Youngeun;Noh, Taehwan;Kim, Bomi;Jeong, Taesung
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.1
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    • pp.17-20
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    • 2015
  • Autism is a life-long neurodevelopmental disorder characterized by qualitative abnormalities in reciprocal social interactions and patterns of communication. Patients with autism are difficult to manage during dental treatment. Thus they need special consideration like physical restraint, conscious sedation or general anesthesia. A 5-year-old male dental patient with autism was reffered to dental treatment under conscious sedation using intramuscular midazolam that creats anterograde amnesia. Dental procedure using midazolm which cause anterograde amnesia can be effective treatment strategy in autism patient.

The Effect of Solution Treatment on Intergranular Corrosion Resistance of a New Type Ultra Low Carbon Stainless Steel

  • Julin, Wang;Nannan, Ni;Qingling, Yan;Lingli, Liu
    • Corrosion Science and Technology
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    • v.6 no.3
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    • pp.140-146
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    • 2007
  • In the paper, with corrosion velocity measurement and metallographic observation on specimens after sulfuric acid/ferric sulfate boiling experiment, intergranular corrosion tendency of the new type ultra low carbon stainless steel developed by ourselves which experienced solution treatment at different temperatures was evaluated. A VHX 500 super depth field tridimensional microscope was used to observe corrosion patterns on the sample surfaces. The depth and width of grain boundary corrosion groove were measured by the tridimensional microscope, which indicated that the corrosion degrees of the samples which received solution treatment at different temperatures are quite different. Transgranular corrosion at different degree occurred along with forged glide lines. After comparison it was proved that the stainless steel treated at $1100^{\circ}C$ performs very well against intergranular corrosion.

Characteristics of Metal Surface Heat Treatment by Diode Laser (다이오드 레이저를 이용한 금속 표면 열처리 특성)

  • Choi, Seong-Dae;Cheong, Seon-Hwan;Kim, Gi-Man;Yang, Seung-Cheol;Kim, Jam-Gyu
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.6 no.3
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    • pp.16-23
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    • 2007
  • An experimental investigation with diode laser system was carried out to study the effect of surface heat treatment on the die materials(SM45C, SKD11, SK3). The surface heat treatment characteristics of the laser beam are evaluated using hardness tests, optical microscopy, X-ray diffraction and energy dispersive X-ray spectroscopy(EDS). Results indicated that the beam size, focal length, feed rates are changed surface hardened characteristics. SM45C is higher hardness than other materials and composed to martensite grain at hardened zone, whereas other materials(SKD11, SK3)are low hardness than expected and composed to austenite and allayed martensite at hardened zone. The intensive X-ray diffraction patterns of (110)-(200)-(211) is detected hardened surface and the hardened surface distributed plenty of carbon density than metal zone.

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Current Progress in the Treatment of Metaplastic Breast Carcinoma

  • Hu, Qing;Chen, Wei-Xian;Zhong, Shan-Liang;Li, Jian;Luo, Zhou;Tang, Jin-Hai;Zhao, Jian-Hua
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6221-6225
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    • 2013
  • Metaplastic breast cancer (MBC) is a rare type of breast carcinoma, characterized by various combinations of mesenchymal, adenocarcinoma and other epithelial components. MBC often manifests as a large mass, with low axillary lymph node involvement and poor prognosis. Knowledge and treatment patterns about MBC demographics, presentation and tumor characteristics are very limited. In clinical practice, MBC is usually treated based on the guidelines developed for infiltrating ductal carcinoma (IDC). The ideal treatment paradigm for MBC is unknown due to its low incidence and pathological variability, so potential predictors of treatment efficacy need to be explored. This review summarizes the current models and strategies for MBC according to the published literature.

Technical Development for the Circulating Fluidized Bed Combustor of firing Korean Low Grade Anthracite Coals (Particle Flow Patterns in a Circulating Fluidized-Bed with an internal Nozzle and a Partition Wall) (한국산 저질무연탄 연소용 순환식유동층 연소로 개발(간막이벽과 내부노즐을 설치한 순환유동층내에서의 유체거동))

  • Khee, Kwan-Seok
    • Journal of the Korean Society for Heat Treatment
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    • v.6 no.4
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    • pp.243-248
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    • 1993
  • A Circulating Fluidized-Bed (CFB) with an internal nozzle and a partition wall was proposed. The technique of fluidization is related to operations first used commercially in the fields of metallurgical and mechanical engineering such as the heat treatment of metals and power station combustors. In the modified CFB, an internal nozzle and a partition wall were additionally set in the main bed. This cold mode CFB apparatus made of acrylic resin; the main bed is 1,500mm high and 100mm in the inner diameter, the internal nozzle is 130mm high and 10mm in the inner diameter, and the partition wall is 7mm thick and 100mm in the diameter. Glass beads of $89{\mu}m$ in the mean diameter were employed as bed materials.

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The Effect of Mat Activities in PNF on Improvement of Balance Performance in Stroke Patients (PNF 매트 운동이 뇌졸중 환자의 균형수행력 향상에 미치는 효과)

  • Song, Ju-Min;Kim, Soo-Min
    • PNF and Movement
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    • v.5 no.2
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    • pp.11-19
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    • 2007
  • Purpose : The purpose of this study was to investigate the effect of mat activities in PNF on improvement of balance performance in stroke patients. Methods : Included 12 persons with stroke who were living in the community. They participated in exercise class for 60minutes duration three times a week for 6 weeks. Mat activities in PNF program was modified PNF patterns and techniques on various posture. Balance indexes were measured at pre-treatment, post-treatment and follow-up by K.A.T.3000. Results : Balance index scores had larger improvements after 6 weekends of treatment(p<.05) than pre-treatment, also follow-up test(p<.05). Conclusion : The result of this study showed that PNF mat activities intervention can improve balance performance in disabled persons after stroke.

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