• 제목/요약/키워드: Internal Organ

검색결과 526건 처리시간 0.026초

국소 진행성 구강암에서 선행 항암 화학 요법의 효과 (The Therapeutic Effect of Neoadjuvant Chemotherapy in Locally Advanced Oral Cavity Cancer)

  • 조요한;최인실;이근욱;오도연;김병수;이대호;김태유;방영주;우홍균;성명훈;이철희;김광현;허대석
    • 대한두경부종양학회지
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    • 제17권2호
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    • pp.179-184
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    • 2001
  • Objective: The role of chemotherapy in locally advanced head and neck cancer has been established in nasopharynx and larynx as definitive therapy and organ preserving therapy, respectively. Oral cavity cancers are relatively uncommon and local recurrence is the main cause of treatment failure. We planned this retrospective study to evaluate the role of neoadjuvant chemotherapy in locally advanced oral cavity cancer patients. Materials and Methods: From 1988 March to 2001 February, locally advanced, previously untreated oral cavity cancer patients who received neoadjuvant chemotherapy were examined. Chemotherapy had been done in the following patients: Histologically proven squamous cell or poorly differentiated carcinoma, stage 3 or 4, and performance state 0-2 patients. Chemotherapy regimen consisted of cisplatin and infusional 5-fluorouracil. Response was evaluated after 2 cycles and in case of no response, definitive local therapy was done; otherwise 3 cycles was done before local treatment. Results: 48 patients were treated and 47 patients were evaluable for responses. Complete response rate was 6.4%(3/47) and partial response 80.0%(38/47), scoring overall response rate of 87.2%. Median time to progression was 27.0 months (95% CI : 0-58months) and overall 5 year survival was 54.8%. 5-year disease-free survival in the patients in remission after local treatment was 51.9%. In multivariate analysis, contributing factor to the survival were response to neoadjuvant chemotherapy and local treatment modalities. Extensive surgery was done in 10 patients and 25 patents (52.1%) was followed up with preserved function. With median follow-up of 57.0 months, 19 recurrences were detected, most of which were local or regional type. Conclusion: Neoadjuvant chemotherapy followed by local treatment in oral cavity cancer showed high response rate and was thought to be effective therapeutic approach especially in view of organ preservation.

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단치소요산(丹梔逍遙散)의 항(抗)스트레스 효과(效果)에 대한 실험적(實驗的) 연구(硏究) (The Experimental Studies on the Anti-Stress Effects of Danchisoyosan(丹梔逍遙散))

  • 심문기;박세기;김동우;한양희;전찬용;박종형
    • 대한한방내과학회지
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    • 제19권2호
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    • pp.278-299
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    • 1998
  • This study was aimed to evaluate the anti-stress effect of danchisoyosan on the rats stressed by immobilization. The experimental animals were immobilized in the stress box($5{\times}5{\times}20cm$) for 12 hours in a day during 3 days, and administered $500mg/5m{\ell}/g$ of Danchisoyosan extract for 14 days before stress. There were measured the change of body weight and organ weight under immobilized-stress. The norepinephrine, epinephrine, dopamine, serotonine contents were measured by HPLC method in rat brain. There were measured the GOT, GPT contents in serum and tissue lipid peroxidation in the brain, liver, spleen, adrenalgland, pancreas, testes, thymus, heart. The following results were obtained: 1. The change of organ weight was significantly lower in control than normal group. Sample group inhibited decreased weight from stress comparing to control group. 2. Lipid peroxidation in the liver was significantly higher in control than normal group. Sample group shows significant decrease comparing to control group. 3. Lipid peroxidation in the kidney was significantly higher in control than normal group. Sample group shows significant decrease comparing to control group. 4. GPT contents in serum was significantly higher in control than normal group. Sample up shows significant decrease comparing to control group. 5. Dopamine contents in the brain was significantly higher in control than normal group. Sample group shows significant decrease comparing to control group. 6. Serotonine contents in the brain was significantly higher in control than normal group. Sample group shows significant decrease comparing to control group.

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호흡에 의한 내부 움직임의 영향이 있는 간에서의 실험적 선량 측정 (Dose perturbation measurements during the liver treatment with internal organ motion: Mathematical modeling and Experimental simulation)

  • 정진범;김연래;정원균;서태석
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2004년도 제29회 추계학술대회 발표논문집
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    • pp.115-118
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    • 2004
  • 우리의 연구는 호흡에 의해 움직임의 영향을 받는 장기 및 종양에 대해서 조사된 선량분포를 측정하는 것이다. 이 연구를 수행하기 위해, 사전연구로 이전에 발표된 논문을 토대로 호흡에 의해 장기 및 종양의 움직임 변위를 조사하였다. 그리고 조사된 데이터를 활용하여 호흡에 따른 움직임을 구동 시스템을 적용하여 구현하였다. 내부 움직임에 의한 선량분포의 변화를 측정하기 위해서 이 구동 팬톰 시스템을 사용하였다. 이 결과로부터 호흡에 환자의 조사되는 선량분포의 부정확 정도를 평가할 수 있었다.

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급성 폐부종으로 발현된 특발성 과호산구성 증후군 1예 (A Case of Idiopathic Hypereosinophilic Syndrome Presenting Acute Pulmonary Edema)

  • 유경술;김연재;서향은;윤혜진;도윤경;이병기;김원호
    • Tuberculosis and Respiratory Diseases
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    • 제52권2호
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    • pp.166-173
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    • 2002
  • 저자들은 급성 호흡부전으로 발현되어 특별한 원인 없이 말초혈액의 호산구 증가와 골수의 호산구 증식, 그리고 심장 및 폐장의 침범 소견이 있는 환자에서 부신 피질호르몬 치료로 호전을 보였던 특발성 과호산구성 증후군 환자를 경험하였기에 보고하는 바이다.

ICR 마우스를 이용한 전호의 단회경구투여 독성 실험 (Single Dose Oral Toxicity Test of Peucedani Radix in ICR Mice)

  • 권다혜;김민영;황보현;지선영;박철;최영현;홍수현
    • 대한한방내과학회지
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    • 제39권4호
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    • pp.676-685
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    • 2018
  • Objectives: The aim of this study was to estimate the single oral toxicity of Peucedani Radix (PR) ethanol extracts. PR is one of the important herbs for removal of phlegm, the viscous turbid pathological product that can accumulate in the body and cause a variety of diseases. However, research on the pharmacologic toxicity of PR is lacking. Methods: In this study, PR was orally administered to 5-week-old male ICR mice at an oral dose of 2,000, 3,000, or 5,000 mg/kg. After a single-dose administration, the mortality and behavioral changes were observed daily and body weights were measured every two days. After 14 days, the organ weight, organ index, macroscopy, hematological analysis, and serum biochemistry analysis were determined. Results: No mortality, body weight changes, abnormal behavioral changes, or anatomical signs of toxicity were found. The organ weight, organ index, hematological analysis, and serum biochemistry analysis were also within the normal ranges. Conclusions: These results suggest that the 50% lethal dose of PR is more than 5,000 mg/kg. This could indicate that PR is a safe drug without acute toxicity and side effects.

낙지(Octopus minor)에서의 브롬계화합물(Polybrominated diphenyl ethers, PBDEs)의 잔류농도와 조성특성 (Concentration of Polybrominated Diphenyl Ethers and Their Composition in Octopus minor Collected from Seosan Intertidal Zone)

  • 이효진;김기범
    • 한국해양환경ㆍ에너지학회지
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    • 제13권1호
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    • pp.68-74
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    • 2010
  • 충남 서산군 조간대에서 채집되어진 저서성 두족류 낙지(Octopus minor)에서 브롬계화합물(Polybrominated diphenyl ethers, PBDEs)을 측정하였다. 낙지 외투장과 내장에서의 PBDEs 농도 범위는 각각 29.6~109.3 ng/g lipid wt(평균53.7 ng/g lipid wt), 11.5~89.0 ng/g lipid wt(평균 48.0 ng/g lipid wt)로 나타났다. 낙지 내장에서의 PBDEs 농도는 살오징어 간에서의 농도에 비해 약 2.5배 가량 낮게 나타났으며, 퇴적물 및 이매패류 시료와 PBDEs 농도를 비교한 결과 낙지에서 상대적으로 낮은 농도를 나타내었다. PBDEs의 조성비를 보면 낙지 외투장에서는 BDE 206, 203/200이 각각 72.3%, 11.8%로 총 PBDEs 농도의 80%이상을 차지하여 nona-, octa-BDE가 외투장에서 PBDEs의 주요 화합물로 나타났으며, 낙지 내장 시료에서는 BDE 206, 47이 각각 49%, 18.3%로 상대적으로 높은 조성비를 나타내었다.

"소문(素問).해론(欬論)"의 임상적용(臨床適用)) (Clinical application of 『HwangjenaegyeongSomun.Haelon』)

  • 유정아;정창현
    • 대한한의학원전학회지
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    • 제24권1호
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    • pp.95-105
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    • 2011
  • The cough is generally known as a symptom occurred from Lung. But it was descriptive of the symptom every internal organs can cause in "HwangjenaegyeongSomun Haelon". The reason is that, when a pathogenic Gi attack human body, the body skin which have the relationship to Lung is attacked firstly. But the internal organs preside over each seasons of the year, so the season's presiding organ is ultimately attacked. And in "Somun Haelon" the partner symptoms of five solid organs cough and six hollow organs cough are being described, so we can distinguish between each internal organs coughs. Clinically, the cough is most common symptom and one of the most difficult symptom. In my opinion, the origin organ of cough is very various, but the doctor fix their thinking to the Lung, so the cough became a most difficult symptom. This thesis describe pathogenesis and partner symptoms of five solid organs cough and six hollow organs cough. And illustrate clinical examples and some medical prescriptions. Intend to show that various treatment after differentiation of syndromes[辨證施治] surely needed for effective curing of a cough.

A Review of Organ Dose Calculation Methods and Tools for Patients Undergoing Diagnostic Nuclear Medicine Procedures

  • Choonsik Lee
    • Journal of Radiation Protection and Research
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    • 제49권1호
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    • pp.1-18
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    • 2024
  • Exponential growth has been observed in nuclear medicine procedures worldwide in the past decades. The considerable increase is attributed to the advance of positron emission tomography and single photon emission computed tomography, as well as the introduction of new radiopharmaceuticals. Although nuclear medicine procedures provide undisputable diagnostic and therapeutic benefits to patients, the substantial increase in radiation exposure to nuclear medicine patients raises concerns about potential adverse health effects and calls for the urgent need to monitor exposure levels. In the current article, model-based internal dosimetry methods were reviewed, focusing on Medical Internal Radiation Dose (MIRD) formalism, biokinetic data, human anatomy models (stylized, voxel, and hybrid computational human phantoms), and energy spectrum data of radionuclides. Key results from many articles on nuclear medicine dosimetry and comparisons of dosimetry quantities based on different types of human anatomy models were summarized. Key characteristics of seven model-based dose calculation tools were tabulated and discussed, including dose quantities, computational human phantoms used for dose calculations, decay data for radionuclides, biokinetic data, and user interface. Lastly, future research needs in nuclear medicine dosimetry were discussed. Model-based internal dosimetry methods were reviewed focusing on MIRD formalism, biokinetic data, human anatomy models, and energy spectrum data of radionuclides. Future research should focus on updating biokinetic data, revising energy transfer quantities for alimentary and gastrointestinal tracts, accounting for body size in nuclear medicine dosimetry, and recalculating dose coefficients based on the latest biokinetic and energy transfer data.

향사양위탕(香砂養胃湯)이 Propylthiouracil로 유발된 Rat 갑상샘기능저하성 웅성 생식기 손상에 미치는 영향 (Favorable Effects of Hyangsayangyi-tang on the Hypothyroidism related Rat Male Reproductive Organ Damages induced by Propylthiouracil)

  • 최홍식
    • 대한본초학회지
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    • 제28권6호
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    • pp.59-70
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    • 2013
  • Objectives : Hyangsayangyi-tang (香砂養胃湯) is a polyherbal formula, has been used as one of the representative So-eumin (少陰人) prescriptions in Sasang-medicine (四象醫學), a famous Korean medicinal theory. The aqueous extract of Hyangsayangyi-tang (HSYYT) was evaluated for its possible ameliorative effect in the regulation of hypothyroidism related reproductive organ damages in propylthiouracil (PTU)-induced rat model. Methods : HSYYT aqueous extracts were administered, once day for 42 days from 2 weeks before start of PTU treatment as an oral dose of 500, 250 and 125 mg/kg (bodyweight), and hypothyroidism was induced by daily subcutaneous treatment of PTU 10 mg/kg for 28days. Results : PTU induced hypothyroidism and related male reproductive organ (testis, epididymis and prostate) damages were favorably and dose-dependently inhibited by treatment of HSYYT 500 and 250 mg/kg, and they also effectively regulated the PTU-induced abnormal antioxidant defense system changes in the testis. No effective or any harmful changes on the PTU induced hypothyroidism and related male reproductive organ damages were observed in HSYYT 125 mg/kg treated rats as compared with PTU control in this experiment. Conclusions : The results obtained in this study suggest that oral administration of 500 and 250 mg/kg of HSYYT showed favorable effects on the hypothyroidism and related reproductive organ damages through augmentation of antioxidant defense system in the testis, and it is considered that HSYYT may be help to ameliorate the hypothyroidism and related organ damages in clinics.

개합추(開闔樞) 기능에 관한 연구(硏究) (A study on the function of Gae-Hap-Chu (開闔樞))

  • 조용주;김진주
    • Korean Journal of Acupuncture
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    • 제25권1호
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    • pp.19-37
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    • 2008
  • The aim of this study was to understand the function & the character of meridians through the theory of Gae-Hap-Chu (開闔樞). Methods : First, We researched the meaning of Gae-Hap-Chu from Internal Classic (內經). Then, We investigated the theory of Gae-Hap-Chu (開闔樞) comparing with the principle of Oriental studies. The last, we considered the function & the character of Gae-Hap-Chu (開闔樞). Results & Conclusions : Gae-Hap-Chu represents distributing-gathering-controlling of meridians and suggests the place of meridians acting. Gae-Hap-Chu is true to the principle of Sam-Jae (三才原理) and interrelationship of Jang-Bu organ (臟腑相關) is also true to the study of Sang-Su (象數學). Descending & ascending meridians make a interrelationship of Jang-Bu organ individually. The function of gathering & distributing is expanded on Yang meridians. Heart & Gallbladder Meridians control Hap (闔) and Kidney& Triple Energizer meridians control Gae (開).

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