• 제목/요약/키워드: Postgraduate

검색결과 446건 처리시간 0.043초

Is Surgical Treatment Necessary after Non-curative Endoscopic Resection for Early Gastric Cancer?

  • Lee, Ji-Ho;Kim, Jae-Hun;Kim, Dae-Hwan;Jeon, Tae-Yong;Kim, Dong-Heon;Kim, Gwang-Ha;Park, Do-Yoon
    • Journal of Gastric Cancer
    • /
    • 제10권4호
    • /
    • pp.182-187
    • /
    • 2010
  • Purpose: Additional surgery is commonly recommended in gastric cancer patients who have a high risk of lymph node metastasis or a positive resection margin after endoscopic resection. We conducted this study to determine factors related to residual cancer and to determine the appropriate treatment strategy. Materials and Methods: A total of 28 patients who underwent curative gastrectomy due to non-curative endoscopic resection for early gastric cancer between January 2006 and June 2009 were enrolled in this study. Their clinicopathological findings were reviewed retrospectively and analyzed for residual cancer. Results: Of the 28 patients, surgical specimens showed residual cancers in eight cases (28.6%) and lymph node metastasis in one case (3.8%). Based on results of the endoscopic resection method, the rate of residual cancer was significantly different between the en-bloc resection group (17.4%) and the piecemeal resection group (80.0%). The rate of residual cancer was significantly different between the diffuse type group (100%) and the intestinal type group (20%). The rate of residual cancer in the positive lateral margin group (25.0%) was significantly lower than that in the positive vertical margin group (33.3%) or in the positive lateral and vertical margin group (66.7%). Conclusions: We recommended that patients who were lateral and vertical margin positive, had a diffuse type, or underwent piecemeal endoscopic resection, should be treated by surgery. Minimal invasive procedures can be considered for patients who were lateral margin positive and intestinal type through histopathological examination after en-bloc endoscopic resection.

Clinical and radiographic characteristics of pycnodysostosis: A systematic review

  • Amanda Katarinny Goes Gonzaga;Carla Samily de Oliveira Costa;Hannah Gil de Farias Morais;Brazm da Fonseca Neto;Leao Pereira Pinto;Wagner Ranier Maciel Dantas;Patricia Teixeira de Oliveira;Daniela Pita de Melo
    • Imaging Science in Dentistry
    • /
    • 제54권1호
    • /
    • pp.13-24
    • /
    • 2024
  • Purpose: Pycnodysostosis (PYCD), an autosomal recessive syndrome, is characterized by an imbalance in bone remodeling that produces various clinical and radiographic craniofacial manifestations. This review represents a systematic examination of these manifestations, as well as oral features associated with PYCD. Materials and Methods: A systematic review was conducted across 8 databases from February to March 2023. The search strategy focused on studies reporting cases of PYCD that examined the clinical and radiographic craniofacial and oral characteristics associated with this syndrome. Results: The review included 84 studies, encompassing a total of 179 cases of PYCD. More than half of the patients were female (55.3%), and the mean age was 14.7 years. Parental consanguinity was reported in 51.4% of the cases. The most common craniofacial clinical manifestation was a prominent nose, observed in 57.5% of cases. Radiographically, the most frequently reported craniofacial characteristics included the presence of an obtuse mandibular angle (84.3%) and frontal cranial bosses(82.1%). Clinical and radiographic examinations revealed oral alterations, with micrognathia present in 62.6% of patients and malocclusion in 59.2%. Among dental anomalies, tooth agenesis was the most commonly reported, affecting 15.6% of patients. Conclusion: Understanding the clinical and radiographic craniofacial features of PYCD is crucial for dental professionals. This knowledge enables these clinicians to devise effective treatment plans and improve patient quality of life.

영국의 NHS 병원약사 수련 현황 (NHS Hospital Pharmacist Training Programme in UK)

  • 김윤정
    • 한국임상약학회지
    • /
    • 제25권4호
    • /
    • pp.209-215
    • /
    • 2015
  • The aim of the research was to explore post-registration training opportunities for NHS hospital pharmacists which contributes to promote structural reform of the professional development and lifelong learning for Korean hospital pharmacists. In UK, all pharmacists are required to complete at least 9 Continuing Professional Development (CPD) entries per each year to maintain their professional registration. Types of accredited postgraduate qualification (part-time) in Pharmacy Practice available for hospital pharmacists are Postgraduate Certificate (PgCert, year 1), Postgraduate Diploma (PgDip, year 2), Master of Science (MSc year 3), and Professional Doctorate in Pharmacy programme (DPharm, 4-5 years or more). Clinical pharmacy diploma is more likely to become a minimum qualification in order to progress whilst working for the NHS. Pharmacy independent prescribers are allowed to prescribe all medications except cocaine, dipipanone, and diamorphine for the purpose of treating addiction within their competencies. NHS pharmacists are also classified by band point system depending on their practical/clinical knowledge and skills which starting from band 5 (Pre-registration pharmacist) up to band 9. Various learning and development options are also offered including teaching sessions, conferences and local forums.

Cardioprotective effect of Argyreia speciosa (Burm. f) Boj. extracts against Isoproterenol- induced myocardial infarction in rats

  • Thakker, Shalin;Biradar, S.M.;Habbu, P.V.;Mahadevan, K.M.;Thippeswamy, B.S.;Veerapur, V.P.
    • Advances in Traditional Medicine
    • /
    • 제10권4호
    • /
    • pp.278-287
    • /
    • 2010
  • The present study was undertaken to evaluate the protective effect of ethanol (EtAS), ethyl acetate (EAAS) and aqueous (AQAS) extracts of Argyreia speciosa (AS) roots against Isoproterenol (ISO)-induced myocardial infarction in rats. The animals were exposed to isoproterenol (200 mg/kg. s.c) twice at an interval of 24 hrs. Cardioprotective effect was assessed by observing ECG parameters, serum marker enzymes and histopathology of the heart. Pretreatment of EAAS, and EtAS (200 mg/kg) resulted in a significant (P < 0.001) increase in P wave, QRS complex and R-R interval, whereas heart rate, QT interval and cardiac cycle were maintained near to normal values. EtAS and EAAS showed significant (P < 0.05; P < 0.001) reduction in all the tested diagnostic markers compared to ISO treated group. Histological studies on the structural changes of heart tissue supported the protective activity of AS. The result suggest that treatment of AS prior to ISO has a significant role in protecting the animals from ISO induced myocardial infarction.

External pancreatic ductal stenting in minimally invasive pancreatoduodenectomy: How to do it?

  • Ram Prakash Gurram;Harilal S L;Senthil Gnanasekaran;Satyaprakash Ray Choudhury;Biju Pottakkat;Kalayarasan Raja
    • 한국간담췌외과학회지
    • /
    • 제27권2호
    • /
    • pp.211-216
    • /
    • 2023
  • It has been shown that external pancreatic ductal stenting (EPDS) can reduce the incidence of clinically relevant postoperative pancreatic fistula. Although studies have described EPDS in open pancreaticoduodenectomy (PD), EPDS in minimally invasive PD has not been reported yet. Thus, the objective of this study was to describe the technique of EPDS in minimally invasive PD. The procedure was performed either laparoscopically or using a robot. Once PD was completed, key steps included triple enterotomy, threading of silk-suture through all enterotomies and exteriorization, completing posterior layer of pancreaticojejunostomy (PJ), railroading stent through preplaced silk-suture, intubation of stent into the pancreatic duct, completion of PJ, followed by hepaticojejunostomy and parietalization of jejunum at the stent exit site. EPDS in PD through a minimally invasive approach can be performed safely in selected cases with either a small-sized pancreatic duct or a soft pancreas.

Successful use of a mesocaval shunt to treat refractory ascites in a chronic pancreatitis induced portal vein thrombosis

  • Souradeep Dutta;Bishal Pal;Duvuru Ram;Sreevathsa Kadaba Shyamprasad;Vishnu Prasad Nelamangala Ramakrishnaiah
    • 한국간담췌외과학회지
    • /
    • 제26권2호
    • /
    • pp.204-209
    • /
    • 2022
  • The state of intense peripancreatic inflammation in chronic pancreatitis can give rise to various vascular complications such as venous thrombosis and arterial pseudoaneurysms. Due to its intimate location with the pancreas, spleno-mesenteric-portal axis suffers the greatest blunt of thrombotic complications. Treatment modalities for such cases of chronic portal vein thrombosis have always been controversial and challenging. Medical management with anticoagulants is both risky and unsatisfactory due to presence of varices, hypersplenism, and persistence of the inflammatory pathology. Although endovascular techniques have been tried in various case reports, there are definite anatomical challenges in cases of long segment porto-mesenteric thrombosis with massive ascites. Surgical shunts have been historically described for cirrhotic and non-cirrhotic portal hypertensive patients. However, its use in patients with refractory ascites due to chronic pancreatitis induced portal vein thrombosis has not been reported in the medical literature. Here, we present a case of an extensive portal vein thrombosis with massive refractory ascites in a patient with alcohol-induced chronic pancreatitis successfully treated with a surgical mesocaval shunt using an interposition small diameter graft.

A comparative analysis of domestir vs. overseas postgraduate education in science and technology

  • Kim, Ji-Soo
    • 한국경영과학회지
    • /
    • 제10권2호
    • /
    • pp.65-74
    • /
    • 1985
  • Domestic versus overseas postgraduate education in science and engineering has its own advantages and disadvantages. One of the issues involved in developing countries is the problem of brain drain. This study deals with the cost and benefit of domestic and foreign education, problems in brain drain and the social and private rate of return analysis in postgraduate science and technology education in Korea.

  • PDF

뮤지컬 애니메이션 영화의 영상미학적 특성에 대한 탐구 - '겨울왕국(Frozen)'을 중심으로 - (A Study on Visual Aesthetic Characteristics of Musical Animation film - Focusing on 'Frozen' -)

  • 이해라;류총;이현석
    • 한국콘텐츠학회:학술대회논문집
    • /
    • 한국콘텐츠학회 2014년도 추계 종합학술대회 논문집
    • /
    • pp.173-174
    • /
    • 2014
  • 최근 월트 디즈니의 애니메이션 '겨울왕국 (Frozen, 2013)'은 주제곡 'Let it go'와 함께 전 세계적 열풍을 일으켰다. 뮤지컬 애니메이션 장르로 제작된 '겨울왕국'의 특성을 고찰하기 위해 '겨울왕국'을 소재로 제작된 뮤지컬, 무비컬, 뮤지컬 애니메이션을 사례로 하여 사례비교 분석코자 한다. 이를 통해 뮤지컬 애니메이션의 영상매체적 기능과 영상미학적 특성을 살펴볼 수 있는 연구라 사료된다.

  • PDF

Phototrophic Bacteria as Fish Feed Supplement

  • Banerjee, S.;Azad, S.A.;Vikineswary, S.;Selvaraj, O.S.;Mukherjee, T.K.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제13권7호
    • /
    • pp.991-994
    • /
    • 2000
  • Single cell of an indigenous phototrophic bacterium, Rhodovulum sulfidophilum, was incorporated in commercial fish feed for Oreochromis niloticus. The bacterial cell was analyzed for nutritional value and tested for toxicity and acceptability as an aquaculture feed supplement. The results showed higher survival rate and significantly higher growth rate (p<0.001) in O. niloticus fed with the bacteria incorporated fish feed. It is suggested that R sulfidophilum can be utilized as an aquaculture feed supplement.