• 건강소식
• /
• v.27 no.9 s.298
• /
• pp.18-19
• /
• 2003

• Korean Architects
• /
• no.12 s.296
• /
• pp.22-53
• /
• 1993

• Journal of Digestive Cancer Research
• /
• v.4 no.1
• /
• pp.21-28
• /
• 2016

Hepatocellular carcinoma (HCC) is rather unique. Most of HCC patients have underlying chronic liver diseases with or without cirrhosis and the prognosis of HCC depends on the liver function, as well as the tumor extent. Non-invasive diagnosis of HCC can be made with certain risk factors and specific imaging findings (e.g. hypervascularity). Patients with HCC can receive surgical resection, radiotherapy, and systemic chemotherapy as other solid malignancies. HCC has more treatment options such as liver transplantation, transarterial chemoembolization (TACE) and radiofrequency ablation (RFA). A variety of practice guidelines for HCC has been published by many academic societies. Different healthcare systems and availability of resources also affect the practice guidelines; therefore, practice guidelines have similarities and dissimilarities. Herein, we review the current status of practice guidelines for HCC and future perspectives for the improvement of guidelines are also discussed.

• Journal of Korean Traditional Oncology
• /
• v.26 no.1
• /
• pp.17-27
• /
• 2021

Objective: This study aimed to evaluate which information of cancer patients should be collected for the Korean medicine cancer registry in order to assess the efficacy and safety of Korean medicine (KM) treatment and to identify Korean medical prognostic predictors. Methods: A total of fifteen Korean medical specialists completed an online survey questionnaire including items about general characteristics of cancer patients and clinical practice patterns. Results: The four main types of cancer at Korean medical hospitals were breast, lung, stomach, and colorectal cancer. The majority of patients with cancer at Korean medical hospitals were in the advanced or metastatic stage (50.0%). The prominent purposes of KM treatment were to alleviate cancer-related symptoms, reduce the side effects of conventional therapy, and improve quality of life. The major options for treatment were traditional herbal medicine (THM), acupuncture, moxibustion, thermotherapy, pharmacoacupuncture, and meditation, with THM being the most frequently used (35.7%). Almost all Korean medical specialists (93.9%) used syndrome differentiation in clinical practice and identified over half the cancer patients as deficiency syndrome (57.2%). Conclusion: Physicians considered the primary goal of KM treatment for cancer patients to be symptom management since advanced or metastatic stage patients were the majority at Korean medical hospitals. THM were the most common treatment option and syndrome differentiation was used by almost all physicians. Further research is needed to monitor and ensure optimal KM treatment for patients with cancer.

• Journal of Digestive Cancer Research
• /
• v.3 no.1
• /
• pp.35-38
• /
• 2015

62-year-old patient who had past history of endoscopic submucosal dissection for early gastric cancer at September 2008, underwent endoscopic submucosal dissection of esophagus for early esophageal cancer at mid esophagus during health screening service. Because there was a high risk of lymph node metastasis at biopsy results, concurrent chemoradiotherapy was added to endoscopic submucosal dissection. There was a metachronous cancer at mid-esophagus at March 2013. He underwent endoscopic mucosal resection and photodynamic therapy. Concurrentchemoradiotherapy after endoscopic submucosal dissection is an effective treatment method.

• Journal of Hospice and Palliative Care
• /
• v.12 no.1
• /
• pp.5-13
• /
• 2009

Purpose: This exploratory study was undertaken to analyze the information needs of family members of terminal cancer patients, collected through the telephone counselling service by National Cancer Information Center. Methods: The study included 113 family members of terminal cancer patients who had enrolled at the National Cancer Information Center for the period from June, 2007 through March, 2008 and had agreed to the survey. Results: The subjects (n=113) consisted of grown-up children (n=82) and spouses (n=8) of patients'. Those in their 40's (n=40) and 30's (n=36) accounted for the majority of the sample. The questions raised most were about the information on treatment methods (n=117), management of terminal cancer patients (n=46), terminal cancer patients' life (n=27), deathbed and prediction of remaining life (n=18), hospitalization (n=16), and financial support (n=15). Most of the subjects were satisfied with the telephone counseling services, and 69% of the subjects had come to know about the telephone counseling service via Internet, and 10.6% of them stated that the PR for the service was poor. Conclusion: It is deemed essential for the government to use the mass media for PR of the hospice services, since family members of terminal cancer patients' are less aware of the hospice conducive to enhancement of patients' remaining quality of life, being involued too deeply in their treatment.

• Korean Journal of Social Welfare Studies
• /
• v.40 no.2
• /
• pp.123-143
• /
• 2009

To investigate the reliability, validity of posttraumatic growth among Korean cancer caregiver, 295 participants were asked to complete a Korean posttraumatic growth inventory, translated from the Posttraumatic Growth Inventory (PTGI; J Trauma Stress 1996; 9: 455.471), together with the Caregiver burden scale, life style interruption scale, economic burden scale and positive adaptation scale, social support scale and questions about religious and demographic factors. Cronbach's alpha was 0.95 for the K-PTGI, indicating sufficient internal consistencies. Construct and Criterion validity were also supported. K-PTGI appeared to be a sound measure for the experience of posttraumatic growth in cancer caregivers and this study result will be able to contribute to facilitate future research.

• Proceedings of the Korea Contents Association Conference
• /
• 2014.11a
• /
• pp.419-420
• /
• 2014

본 연구는 대장암 환자들의 암으로 진단받은 당시의 생활습관 실태를 암 병력이 없는 일반 성인들과 비교해봄으로써 대장암의 발생에 영향을 미치는 위험요인을 규명하고자 실시되었다. 연구 설계: 대장암 환자의 생활습관 실태를 파악하고, 대장암 발생에 영향을 미치는 인자를 확인하기 위하여 대장암 환자와 암 진단을 받지 않은 건강인을 대상으로 시도된 후향적 비교 조사연구(retrospective comparison survey study). 연구 대상자는 2011년 10월부터 2012년 8월까지 대장암으로 진단된지 1년 이내로 J대학교병원 내의 암전문연구센터에 내원한 대장암 환자 107명과 동 시기에 동 병원을 방문한 암환자 아닌 환자의 보호자 중 암진단을 받지 않은 일반 성인을 대상으로 빈도 짝찟기를 통해 연령, 성별 및 배우자 상태 등이 동질한 124명이었다. 연구 도구는 김화영(2011)의 생활습관 측정도구(Content Validity Index [CVI], Mean expert proportion=0.98) 를 저자의 승인 하에 사용하였으며, 관련문헌을 참조하여 수정 보완한 후 식습관, 음주 및 흡연 습관, 휴식 및 활동 습관, 스트레스 관리 및 정기검진습관 등의 5개 하위영역으로 측정하였다. 연구결과 인스턴트식품 섭취여부, 스트레스 해소정도, 육류 익힌정도(살짝 익힘/탈정도로 익힘) 및 평소 주로 먹는 음식(채식/육식 여부)이 대장암 발생에 유의한 영향을 미치는 요인으로 나타났다. 대장암환자군과 건강인군의 생활습관을 비교한 본 연구의 결과를 토대로 하여, 평소 식습관에서 인스턴트식품 등의 가공식품의 섭취를 줄이고, 스트레스가 발생(인지)될 때 이를 효과적으로 조절할 수 있도록 하며, 육류섭취 시 살짝 익혀서 먹는 습관이 실천되어야 할 것이다. 또한 평소에 육류 섭취를 줄이고 섬유질이 많은 채식 위주로 식사하도록 권장해야 할 것이다.

• Health and Mission
• /
• s.17
• /
• pp.24-27
• /
• 2009

지난 6.29일자 중앙일보에 보도에 의하면 창원파티마병원은 2005년에 이어 2008년에도 보건복지가족부 주관 전국의료기관평가서 최우수병원으로 선정되었다. 의료서비스 및 환자만족도 등 20개 부문 중 19개 부문에서 A등급을 받아 평가 대상 의료기관 중 최고의 성적을 거두었다. 창원파티마병원은 1969년 마산시 대성동에서 4개 진료과, 10개 병상의 마산파티마병원에서 출발하여 2002년 창원으로 이전, 진료를 시작한 이래 응급환자의 진료에 만전을 기하기 위해 응급의료센터를 개설하고, 보건복지가족부 지정 중증외상 및 응급뇌질환 특성화후보센터를 운영하고 있다. 말기 암 환자를 위한 호스피스 병동을 지역최초로 개설하였고, 전신 암 조기진단장비인 PET-CT 등 첨단 장비를 지속적으로 보강하여 보다 질 높은 의료서비스 제공을 위해 노력하고 있다. 또한 온생명 Care 캠페인을 통해 지구의 환경을 보전하기 위한 환경 운동을 전개하는 한편 다문화 가정 지원사업, 환자와 보호자를 위한 사랑의 음악회, 찾아가는 시민강좌 등 다양한 사회공헌 활동을 하고 있다.

• Korean Journal of Head & Neck Oncology
• /
• v.34 no.2
• /
• pp.1-9
• /
• 2018

With the emerging knowledge about tumor biology specific for human papillomavirus (HPV)-related head and neck cancers, the classical understanding about the curative surgery in head and neck cancers are starting to progress, customized for their HPV-associations and ultimately specific for tumor biologic characteristics. The common rule for surgery should reflect the biologic characteristics of target tumors, but still, multi-institutional large-scale data could be scarce, due to the subjective feature of surgical treatment itself. However, the impact of HPV for margin determination is now being questioned by multiple groups, and typical example is European Cooperative Oncology Group (ECOG)-3311 study. Here, we review the impact of viral association for surgical decision and its biological background and implications.