• Title/Summary/Keyword: 치료성과

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Chitosan Derivatives for Target of Specific Tissue in the Body (생체 내 특정 조직의 표적을 위한 키토산 유도체)

  • Jang, Mi-Kyeong;Nah, Jae-Woon
    • Applied Chemistry for Engineering
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    • v.21 no.6
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    • pp.593-602
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    • 2010
  • Chitosan as a natural polymer has superior physicochemical properties such as biocompatibility, biodegradability and nontoxicity, but application of chitosan for therapy of cancer and gene related-disease has been limited by poor solubility in aqueous solution. Therefore, low molecular weight water-soluble chitosan (LMWSC) with high reactivity and strong positive charge can be applied as a delivery system having function to carry in the specific tissue the bioactive material like poor solubility drug, or therapeutic gene and developed as a therapeutic system having good therapeutic efficiency. The most important factor for therapy of various diseases is to reveal the antigen or receptor expressed in specific lesion tissue and the antibody and ligand which can bind with antigen is to introduce at the biomaterials for enhancement the therapeutic efficiency. The studies for cationic synthetic polymer as drug or gene delivery have been actively performed, but it has many problems such as toxicity in the body, therapeutic efficiency. From this point of view, this article demonstrated the introduction of functional groups to target the specific tissue and therapeutic strategy using the modification of LMWSC with free-amine group. The development of these delivery system will provide a positive vision for cancer therapy.

Associativity Among OTPF and the International Classification of Function, Disorder and Health : Focusing on the Activity and Participation Centered on Life Care (OTPF와 국제 기능·장애·건강 분류간의 연관성 : 라이프케어 중심의 활동과 참여 관점으로)

  • Bae, Seong-Hwan;Jang, Yeon-Sig;Kim, Hee-Dong;Baek, Ji-Young
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.623-632
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    • 2020
  • The purpose of this research was to identify the associativity between OTPF and ICF, present the relevance and difference of theoretical concept of OTPF-3 and ICF regarding of the participation and to identify if ICF can explain the professional area of occupational therapy. For this purpose, 4 experts of occupational therapy have made a comparative analysis of the subclassification codes of OTPF-3's work area subsection and of ICF activity and participation. As a result, connecting the most subclassification codes of OTPF-3's work area subsection and of ICF activity and participation, they demonstrated the conceptual similarity and difference. Through this, it is judged to explain the area of occupational therapy with ICF for non-expert and other experts, but it is considered to have limitation to the communication between the experts of occupational therapy. In order to overcome the difference between OTPF and ICF, it would be necessary to have much more researches of comparing widely OTPF and ICF from the perspective of occupational therapy.

Hypofractionated Radiation Therapy for Early Glottic Cancer - Preliminary Results - (초기 성문암 환자에서의 소분할 조사법을 이용한 방사선치료 - 예비적 결과 -)

  • Wu Hong-Gyun;Hong Semie;Shin Seong Soo;Park Charn Il
    • Radiation Oncology Journal
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    • v.19 no.4
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    • pp.301-305
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    • 2001
  • Purpose : This study was peformed for the evaluation of the feasibility and toxicity of hypofractionated radiation therapy for early glottic cancer Methods and Materials : From February 1999 to February 2000, 20 patients with Histologically confirmed Stage I, II glottic cancer were enrolled into this study. There were 18 males and 2 females, the median age of the patients was 59 years. The distribution of stage distribution was as fellows; T1aN0-16 patients, T1bN0-1 patient, T2N0-3 patients. Eighteen patients underwent laryngomicroscopic biopsy only, and two patients underwent laser cordectomy. All patients received radical radiation therapy (2.5 Gy per fraction, 24 fractions, total 60 Gy). Median duration of treatment was 36 days (range $31\~45\;days$). Results : Radiation therapy were well tolerated. Most common acute reactions were odynophagia and hoarseness, and these reactions resolved after radiation therapy. There were one case of RTOG grade 3 odynophagia $(5\%)$, six cases of grade 3 hoarseness $(30\%)$. Response of radiation therapy was evaluated one month after completion of treatment. All patients revealed complete response. During follow up, total three cases of treatment failure were detected. two cases were local recurrence in 10 and 13 months of radiation therapy and one case was local recurrence and distant metastasis in 2 months of radiation therapy. Conclusion : This hypofractionated radiation therapy schedule was feasible and effective for control of early glottic cancer But longer follow up time would be required to assess the long-term disease control and the late complication by shortening radiation therapy duration.

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The Correlations Between Job-Stress And Job-Relation Feature in Occupational Therapist Working in Nursing Home Facility (노인요양시설에 근무하는 작업치료사의 근무관련 특성과 직무스트레스와 상관성 연구)

  • Choi, Jeong-Sil;Song, Byung-Nam
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.2
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    • pp.51-60
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    • 2012
  • Objective : This study investigates correlations between job-stress and job-relation feture in occupational therapists in nursing home. Method : For this study, self-reported questionnaires were distributed by online and offline survey to 237 occupational therapist from May to June in 2012. Fifty two of the questionnaires were returned, acceptable 46 survey responses were analyzed, expect 6 unclearly answered. Result : The results correlations between the 6 job-stress factors(confliction of professional role, lack of professional knowledge and skills, problem of personal relationship, disagreement with predecessor(manager, chief, etc), limitation of medical system, inappropriate salary) and 4 job-relation feature(period of job, annual salary, work out of therapy, job stability). Conclusion : This study demonstrates correlations between job-stress factors and job-relation feature in occupational therapist working in nursing home. Job-stress average 3.52points of 5points contributes more affecting the stress. Further research is necessary to more sample occupational therapist in nursing home.

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A Study on the Application of Qualitative Research Methods in the Field of Family Therapy (가족치료 분야에서의 질적 연구방법의 적용에 관한 연구)

  • Moon, Sung-Ho
    • Korean Journal of Social Welfare
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    • v.35
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    • pp.157-177
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    • 1998
  • The purpose of this paper is to examine the important characteristics of the qualitative research methods and to analyze application of these methods in the field of family therapy. First, general characteristics of qualitative research methods and typical features of qualitative research designs are described. Second, contents related with meanings, adequacy, and application process of qualitative research methods in the field of family therapy are discussed. Third, cardinal issues that could hinder the development of qualitative family therapy research are reviewed. Qualitative research methods provide a scientific and systematic way of looking at family therapy holistically. These methods may add new dimensions to qualitative research in the field of family therapy and thus increase its diversity. The versatility of qualitative research methods is a good match for examining the complexity and the diversity of family forms and experience. Therefore, qualitative research methods has the potential to advance the science and practice of family therapy and that family therapy researchers have the potential to advance qualitative research methods. Implications for the development of qualitative research methods in the field of family therapy in Korea are suggested.

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Present Status and Future Aspects of Radiation Oncology in Korea (방사선 치료의 국내 현황과 미래)

  • Huh, Seung-Jae
    • Radiation Oncology Journal
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    • v.24 no.4
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    • pp.211-216
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    • 2006
  • $\underline{Purpose}$: An analysis of the infrastructure for radiotherapy in Korea was performed to establish a baseline plan in 2006 for future development. $\underline{Materials\;and\;Methods}$: The data were obtained from 61 radiotherapy centers. The survey covered the number of radiotherapy centers, major equipment and personnel. Centers were classified into technical level groups according to the IAEA criteria. $\underline{Results}$: 28,789 new patients were treated with radiation therapy in 2004. There were 104 megavoltage devices in 61 institutions, which included 96 linear accelerators, two Cobalt 60 units, three Tomotherapy units, two Cyberknife units and one proton accelerator in 2006. Thirty-five high dose rate remote after-loading systems and 20 CT-simulators were surveyed. Personnel included 132 radiation oncologists, 50 radiation oncology residents, 64 medical physicists, 130 nurses and 369 radiation therapy technologists. All of the facilities employed treatment-planning computers and simulators, among these thirty-two percent (20 facilities) used a CT-simulator. Sixty-six percent (40 facilities) used a PET/CT scanner, and 35% (22 facilities) had the capacity to implement intensity modulated radiation therapy. Twenty-five facilities (41%) were included in technical level 3 group (having one of intensity modulated radiotherapy, stereotactic radiotherapy or intra-operative radiotherapy system). $\underline{Conclusion}$: Radiation oncology in Korea evolved greatly in both quality and quantity recently and demand for radiotherapy in Korea is increasing steadily. The information in this analysis represents important data to develop the future planning of equipment and human resources.

The Role of Postoperative External Irradiation for the Incompletely Resected Meningiomas (불완전절제된 수막종에서 수술 후 방사선치료의 역할)

  • Kim Tae-Hyun;Yang Dae-Sik;Kim Chul-Young;Choi Myung-Sun
    • Radiation Oncology Journal
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    • v.18 no.2
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    • pp.85-91
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    • 2000
  • Purpose : The aim of this study is to look for the possible efficacy of postoperative external irradiation for incompletely resected meningiomas. Methods and Materials : From August 198: to January 1997, forty-four patients with intracranial meningioma were treated by postoperative external irradiation. Of the 44 meningiomas, 18 transitional, 13 meningotheliomatous, 6 hemangiopericytic, 4 atypical, 2 fibroblastic and 1 malignant meningioma were identified. We classified all patients into two groups by the histology. The benign group was consisted of the meningotheliomatous, transitional and fibroblastic types. The malignant group was consisted of the atypical, hemangiopericytic and malignat types. In the means of surgery, 37 patients were resected incompletely and 7 patients were managed by biopsy only. After surgery, all patients were received postoperative external irradiation. Radiotherapy was deliverd using Co-60 or 4 MV photon beam to a total dose of 50 to 65 Gy (mean dose 57.4 Gy) with a 1.8 to 2 Gy per fraction. The median follow-up was 48 months (range : 21 $\~$ 101 months). Multivariate analysis of the Influence by age, sex, location, histology and radiation dose on local control has been done using Cox's proportional hazard model. Results : 5-year local control rate was 93.8$\%$ for the benign histology and 51.8$\%$ for the malignant histology (p=0.0110) and overall local control rate at 5 years was 87.4$\%$. The analysis of the prognostic factors, such as age, sex, location, and radiation dose were not significant except for the histology. Conclusion : Adjuvant postoperative external irradiation appears to be significantly improved local control in the patients with incompletely resected meningiomas.

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Overview of Helicobacter pylori and Treatment Options (헬리코박터 파일로리(Helicobacter pylori) 감염 및 치료법 개요)

  • Song, Young Goo
    • Economic and Environmental Geology
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    • v.48 no.3
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    • pp.241-246
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    • 2015
  • Helicobacter pylori is an important transmissible human pathogen found on the luminal surface of the gastric epithelium. The organism can persist in the stomach indefinitely and causes gastroduodenal inflammation that may proceed to atrophic gastritis, peptic ulcer, gastric MALT lymphoma, and gastric cancer. Standard triple therapy which consists of proton pump inhibitor (PPI) plus two antibiotics (amoxicillin and clarithromycin) is now generally used in Korea, however, eradication rates of H. pylori has been decreasing due to increasing antibiotic resistance. In this review, current second-line treatment regimens, difficult problems on treatment, necessity of local target therapy, applicability of clay minerals as a drug delivery system (DDS), and a new therapeutic strategy and its study plans will be discussed.

Sequential Combination Chemotherapy and Radiotherapy of an Isolated Non-Hodgkin's Lymphoma of the Larynx - Report of A Case - (병합 항암 요법 및 방사선 치료를 이용한 원발성 후두 림프종 치험 1례보고)

  • Shin, Sei-One;Kim, Myung-Se;Kim, Sung-Kyu;Shim, Young-Ran
    • Journal of Yeungnam Medical Science
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    • v.14 no.2
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    • pp.443-450
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    • 1997
  • 전신적인 침범없이 후두에만 국한되는 악성 림프종은 매우 드믄 예로서 일반적으로 두경부에만 국한된 방사선 치료로 근치 가능하다. 그러나 때때로 급성 호흡 곤란을 초래하여 응급 기관 절개와 복합 항암제를 투여해야 되는 경우를 간혹 경험하게 된다. 본 증례는 수 개월간 지속되어온 애성과 최근에 갑자기 심해진 호흡 곤란으로 급성 후두염이란 임상 진단명으로 보존적인 치료를 하였으나 증상이 호전되지 않아서 후두조직 검사 결과에서 비 호즈킨 림프종으로 확진되어 6회의 복합 항암제를 투여한 다음 남아있는 병변에 대한 45 Gy의 외부 방사선 치료후 촬영한 전산화 단층 촬영에서 완전 관해를 보였으며 진단후 10개월이 지난 현재 무병 상태를 보이는 환자를 경험하였기에 간단한 문헌 고찰과 함께 보고한다.

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Microcapsules Containing Self-Healing Agent with Red Dye (빨간 색소를 함유한 자가치료제 마이크로캡슐)

  • Guang, Yang;Lee, Jong Keun
    • Polymer(Korea)
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    • v.37 no.3
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    • pp.356-361
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    • 2013
  • Microcapsules of two different self-healing agents, 5-ethylidene-2-norbornene (ENB) and ENB with a crosslinker, surrounded by a melamine-urea-formaldehyde shell were manufactured. In this work, a red dye was incorporated into the self-healing agents as a tracer for better visual observations. It revealed that the incorporation of a red dye into self-healing agents did not disturb the formation of microcapsules from the examination of thermal resistance, particle size/size distribution and morphology of the resulting microcapsules. Releasing of self-healing liquid into the induced crack from ruptured microcapsules and filling between crack planes were observed using an optical microscope. Also observed was the reaction of filled healing agent with embedded Grubbs' catalyst in an epoxy coating layer.