• Title/Summary/Keyword: First-Year Experience

Search Result 532, Processing Time 0.025 seconds

Efficacy and Safety of First Line Vincristine with Doxorubicin, Bleomycin and Dacarbazine (ABOD) for Hodgkin's Lymphoma: a Single Institute Experience

  • Ozdemir, Nuriye;Dogan, Mutlu;Sendur, Mehmet Ali Nahit;Yazici, Ozan;Abali, Huseyin;Yazilitas, Dogan;Akinci, Muhammed Bulent;Aksoy, Sercan;Zengi, Nurullah
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.20
    • /
    • pp.8715-8718
    • /
    • 2014
  • Background: ABVD (doxorubicin, bleomycin, vinblastine (Vb) and dacarbazine) is the standard regimen in Hodgkin's lymphoma (HL).Vincristine (O) is a mitotic spindle agent like Vb. We aimed to evaluate the efficacy and safety of O as a part of ABOD in HL. Materials and Methods: Patients who had ABOD were enrolled. Stage I-II HL were evaluated for unfavorable risk factors according to NCCN. National Cancer Institute Common Toxicity Criteria was used for toxicity. Results: Seventy-nine HL patients in our center between 2003 and 2007 were evaluated retrospectively. Median follow-up was 54 months. Most of the patients were male in their third decade. Median ABOD cycles were 6 (2-8). Primary refractory disease rate was 17.7% whereas it was 5.1% for early relapse and 5.1% for late relapse disease. Response rates were as 82.3% for complete response, 11.4% for partial response, 5.1% for stable disease and 1.3% for progressive disease. Half of relapsed patients had autologous stem cell transplantation. Estimated 5-year failure-free survival was 71% and significantly longer in early stage patients without risk factors, bulky disease or radiotherapy (RT) (p=0.05, p<0.0001, p=0.02; respectively). Estimated 5-year overall survival was 74% and significantly longer in those who had no RT (p=0.001). Dose modification rate was 5.1% and chemotherapy delay rate was 19%. There were no toxicity-related deaths. Conclusions: ABOD seems to be effective with managable toxicity in HL, even in those with poor prognostic factors.

The Relationship Between Attitude Toward Pets and Elementary School Students' Empathy Ability (애완동물에 대한 태도와 초등학생의 공감능력과의 관계)

  • Han, A-Ram
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.17 no.2
    • /
    • pp.570-578
    • /
    • 2016
  • This study examined the relationship between the attitudes toward pets and elementary school students' empathy ability, and analysed the difference in the attitude toward pets and the level of elementary school students' empathy depending on gender, school year and rearing period. To carry out this study, data were collected by giving a test on the attitudes toward pets and a test in empathy ability to 220 elementary school students in Daejeon Metropolitan City, who had a pet rearing experience in the past. With regard to the data collected, correlation analysis, multiple regression analysis, t-test and analysis of variance were carried out using SPSS win23. As a result of the analysis, the following facts were revealed. First, the attitudes and the degree of empathy ability for pets showed relevance. Second, affection for pets, interaction, and the joy of having pets were closely related to the empathy ability. Third, there was a significant difference in the attitude toward pets depending on gender and rearing period. Finally, there was a significant difference in empathy ability depending on the gender and rearing period. However, there was no significant difference depending on the school year.

Distribution of Human Capital Across Korean Cities and Industries, and External Economies of Human Capital (인적자본의 지역별·산업별 분포 그 외부효과)

  • Jang, Soomyung;Lee, Bun Song
    • Journal of Labour Economics
    • /
    • v.24 no.1
    • /
    • pp.1-33
    • /
    • 2001
  • Public investment in education has been justified by assumed positive externalities of education. Using the 1995 10% Population and Housing Census and 1998 Korean Labor and Income Panel Study, this study first examines the distribution of human capital across Korean cities and industries, and second, investigates the sizes of external economies of education by exploring how the average schooling of workers in cities and industries affect an individual worker's hourly wage. Generally, the average schooling of workers in the capital region cities is much higher than in other cities and the average schooling of workers in high tech industries is much higher than in other industries. As the average years of schooling in a city increases by one year, workers with the same personal and job characteristics such as sex, education, experience, occupation, and firm size, earn about 3% more. Also as the average years of schooling of workers in an industry increases by one year, the workers with the same personal and job characteristics earns about 5~7% more.

  • PDF

Epidermoid Carcinoma of the Larynx - Twenty-year Experience with 263 Cases - (후두(候頭) 유표피암(類表皮癌) - 20년간(年間) 263 치험례(治驗例)를 중심(中心)으로 -)

  • Park Yoon-Kyu;Yoo Bong-Ok;Seel David J.;Lee Young-Sik;Chun Kyung-Doo
    • Korean Journal of Head & Neck Oncology
    • /
    • v.3 no.1
    • /
    • pp.15-24
    • /
    • 1987
  • This study is limited to epidermoid carcinoma arising in the larynx. The 623 patients in this series comprised 1.6% of all malignant neoplasms seen during the 20-year period .from 1965 to 1984 ; it comprised 13.2% of all cancers of the head and neck registered during this period. The male: female ratio was 11:1, and the highest incidence was in the fifth decade of life. Analysis by anatomical site revealed that 51.7% were supraglottic, 36.1% glottic, and 6.8% subglottic in oriain. One-hundred eighty-nine(79%) were clinically Stage III or Stage IV lesions at the time of the first visit. Of the total of 263 cases, 113 refused treatment, 4 definite radiation for $T_1$. lesion,21 underwent palliative therapy only, and 125 underwent surgical management with intent to cure. This surgical category included 53 patients who had surgical treatment only and 72 who underwent combined therapy(preoperative radiation, postoperative radiation, or inductive chemotherapy followed by surgery and postoperative radiation). The surgical management varied from partial laryngectomy to widefield laryngectomy and ipsilateral neck dissection. In 14.4% pathologically positive node or nodes were found in the clinically negative contralateral neck nedes. Such contralateral spread was most common in supraglottic site of origin(222%). Combined modality of management was compared to single therapy. Although results at three years showed no difference in determinate disease-free survival between patients treated by surgery only and those treated by surgery followed by postoperative radiation therapy at 5 years a statistically significant difference emerged, only 36% of those receiving surgery alone surviving as compared to 65.4% in the surgery with radiation group.

  • PDF

Experience with Conventional Radiofrequency Thermorhizotomy in Patients with Failed Medical Management for Trigeminal Neuralgia

  • Singh, Sarita;Verma, Reetu;Kumar, Manoj;Rastogi, Virendra;Bogra, Jaishree
    • The Korean Journal of Pain
    • /
    • v.27 no.3
    • /
    • pp.260-265
    • /
    • 2014
  • Background: To evaluate the results of conventional radiofrequency thermorhizotomy (CRT) for trigeminal neuralgia (TN) in patients with failed medical management. Methods: Patients with Trigeminal neuralgia who were referred to us for 'limited intervention' during the time frame July-2011 to Jan-2013 were enrolled for this study. CRT was administered by the Sweet technique. Pain relief was evaluated by the principle investigator. Results: Eighteen patients were enrolled and completed a mean follow-up of 18.0 months. Pain relief was observed in 14 of 18 (77.8%) patients on the post-operative day, 14 of 18 (77.8%) at 1-month follow-up, 14 of 17 (82.4%) at 3-months follow-up, 12 of 15 (80%) at 6-months follow-up, 7 of 11 (63.6%) at 1-year follow-up and 2 of 6 (33.3%) 1.5 years of follow-up. Four patients required a repeat cycle of CRT; two at six months of follow-up and two at one year of follow-up. One patient was transferred for surgical intervention at six months of follow-up. Side-effects included facial hypoesthesia (n = 6); nausea/vomiting (n = 2), diminished corneal reflex (n = 13) and difficulty in chewing (n = 11). Severity of adverse effects gradually diminished and none of the patients who are beyond 6 months of follow-up have any functional limitation. Conclusions: CRT is an effective method of pain relief for patients with Trigeminal neuralgia. Successful outcome (excellent or good) can be expected in 66.7% of patients after first cycle of CRF. The incidence and severity of adverse effects is less and the procedure is better tolerated by the patients.

Clinical Study of Contralateral Inguinal Hernia Development in Children with Unilateral Inguinal Hernia (일측 서혜탈장 환아에서 반대측 서혜탈장 발생에 대한 임상적 연구)

  • Kwon, Yong-Jin;Rhim, Si-Youn;Jung, Poong-Man
    • Advances in pediatric surgery
    • /
    • v.13 no.2
    • /
    • pp.187-193
    • /
    • 2007
  • Contralateral exploration in children with unilateral inguinal hernia is controversial. This study was done to identify risk factors for the development of contralateral inguinal hernia in patients with unilateral inguinal hernia. The clinical experience of 4,206 inguinal hernias repaired by one pediatric surgeon on 3,358 children at HanYang University Hospital from September 1979 to December 2002 was analyzed. 1,868 (55.6%) hernias occurred on right side, 1,190 (35.4%) on left side, and 300 (8.9%) were bilateral. 2,702 children were boys and 656 were girls (M:F = 4.1:1). 170 children of 3,058 children with unilateral hernias (5.6%) developed contralateral inguinal hernia at 1 day to 95 months after herniotomy. 146 children were boys and 24 were girls (M:F = 6.1:1). The patients who had had herniotomy before 1 year of age developed contralateral hernia in 17.4%, compared with 5.6% overall average. The earlier the first herniotomy was performed, the more frequently contralateral hernia developed. The occurrence of contralateral inguinal hernia was more frequent in boys (146 of 2,460, 5.9%) than girls (24 of 598, 4.0%) and more frequent after left herniotomy (80 of 1,190, 6.7%) than after right herniotomy (90 of 1,868, 4.8%), but statistically not significant. 52.9% of contralateral inguinal hernia developed within 1 year after hernia repair, and 87.6% developed within 3 years. Routine exploration on contralateral side in children is not necessary.

  • PDF

A Clinical Experience of Mitral Valve Replacement (승모판막 치환술의 임상적 고찰)

  • 김종원;황수희
    • Journal of Chest Surgery
    • /
    • v.29 no.12
    • /
    • pp.1347-1353
    • /
    • 1996
  • To assess the long-term results of mitral valve replacement, we reviewed our cases of the 374 patients undergoing mitral valve replacement between March 1982 to February 1992 There were 159 male and 215 female and mean age was 37.8 years. There were 24 hospital deaths(6.4%);the most commonly from low cardiac output syndrome(12 deaths). We used 314 mechanical valves and 60 tissue valves. Most of all were anticoagulated with coumadin maintaining target level of 1.5~3.0 INR of prothrombin time. Follow up was 94% complete(2270 patient-years). There were 12 late deaths 3 due to hemorrhage, 3 due to cerebral embolism and 6 from Overall actuarial survival including hospital mortality, was 82.3% after 10 years of operation Linealized rates of late complication events are follows thromboembolism, 1.3% per patient-year; anti coagulant related hemorrhage, 0.5% per patient year. We analyzed the factors of favorable effect to postoperative course were preoperat ve clinical status including NYHA class, first operation, valve apparatus preservating operation technique, not biggest size of prosthetic valve.

  • PDF

Clinical Experience of the Brushite Calcium Phosphate Cement for the Repair and Augmentation of Surgically Induced Cranial Defects Following the Pterional Craniotomy

  • Ji, Cheol;Ahn, Jae-Geun
    • Journal of Korean Neurosurgical Society
    • /
    • v.47 no.3
    • /
    • pp.180-184
    • /
    • 2010
  • Objective : To prevent temporal depression after the pterional craniotomy, this study was designed to examine the safety and aesthetic efficacy of the brushite calcium phosphate cement (CPC) in the repair and augmentation of bone defects following the pterional craniotomy. Methods : The brushite CPC was used for the repair of surgically induced cranial defects, with or without augmentation, in 17 cases of pterional approach between March, 2005 and December, 2006. The average follow-up month was 20 with range of 12-36 months. In the first 5 cases, bone defects were repaired with only brushite CPC following the contour of the original bone. In the next 12 cases, bone defects were augmented with the brushite CPC rather than original bone contour. For a stability monitoring of the implanted brushite CPC, post-implantation evaluations including serial X-ray, repeated physical examination for aesthetic efficacy, and three-dimensional computed tomography (3D-CT) were taken 1 year after the implantation. Results : The brushite CPC paste provided precise and easy contouring in restoration of the bony defect site. No adverse effects such as infection or inflammation were noticed during the follow-up periods from all patients. 3D-CT was taken 1 year subsequent to implantation showed good preservation of the brushite CPC restoration material. In the cases of the augmentation group, aesthetic outcomes were superior compared to the simple repair group. Conclusion : The results of this clinical study indicate that the brushite CPC is a biocompatible alloplastic material, which is useful for prevention of temporal depression after pterional craniotomy. Additional study is required to determine the long-term stability and effectiveness of the brushite calcium phosphate cement for the replacement of bone.

Characteristics of Industrial Accident Deaths by Year and Industry (연도별, 업종별 업무상 사고사망자 특성)

  • Jung, Hye-Sun;Kwak, Su-Jin;Kwon, Eun-Jung;Baek, Eun-Mi
    • Korean Journal of Occupational Health Nursing
    • /
    • v.30 no.4
    • /
    • pp.186-195
    • /
    • 2021
  • Purpose: The current status and rationale of industrial accidents needs to be examined to develop scientific and systemic preventive measures. Methods: The aim of this study is to analyze the current data on industrial accidents provided by the Ministry of Employment and Labor and categorize work-related deaths by types of industries and annual report. Results: First, the highest number of deaths occurred in industries that had less than 50 people. Second, in the manufacturing industry, the highest death rate was found in workers in the age group 50-59 years. In the construction industry, workers aged 50 and above had the highest number of deaths. In other industries, workers aged 60 and above had the highest number of deaths. Third, the highest number of deaths occurred in workers with less than one year of experience in any industry Fourth, in most industries, the highest work-related deaths occurred during weekdays (Monday~Friday). In 2015, the warehouse delivery industry had 33% higher work-related deaths on the weekends (Saturday and Sunday) as compared to other industries. Fifth, in most industries, the highest work-related deaths occurred from 8 AM to 6 PM. The warehouse delivery industry had higher work-related deaths from 10 PM to 8 AM as compared to other industries. Conclusion: In order to increase the efficacy of industrial accident prevention, it is necessary to establish an effective health management system and apply strict safety management activities.

The Influence of a Math-Based Artificial Intelligence Curriculum on Middle School Students' Perceptions (수학에 기반한 인공지능 수업을 통한 중학생 인식변화)

  • Semin Oh;Da Woon Jung;Sangkon Han;Dong Hwa Kim;Jeongmin Ha
    • East Asian mathematical journal
    • /
    • v.40 no.4
    • /
    • pp.435-450
    • /
    • 2024
  • This study analyzed the effects of a math-based AI curriculum on middle school students' computational thinking, perception of the practical value of AI, and appreciation of the value of mathematics as a subject. We developed an AI education program based on mathematics for the 5th and 6th grades of elementary school and the first semester of the 1st year of middle school. The program was taught to 146 1st-year students in eight middle schools in Metropolitan City B from March to June 2023 under a free semester system. A pre- and post-survey was conducted to analyze changes in the perception of participating students. The developed AI education program improved students' computational thinking, perceptions of the practical value of AI, and perceptions of mathematics education. Korean students need more instrumental motivation to learn mathematics than their high mathematical literacy. Recognizing the practicality of mathematics can contribute to the formation of instrumental motivations for learning mathematics. This research suggests introducing an AI education program based on mathematics is necessary. Such an educational program allows students to experience practical aspects of mathematics, enhancing their understanding of AI and recognizing the value of mathematics subjects. Therefore, this study is meaningful to improve students' instrumental motivation for learning mathematics.