• 제목/요약/키워드: Recommended Treatment Order

검색결과 226건 처리시간 0.025초

노인 암 환자의 접근과 관리 원칙 (How we should approach and manage older patients with cancer)

  • 김지현
    • 대한두경부종양학회지
    • /
    • 제33권2호
    • /
    • pp.1-8
    • /
    • 2017
  • Cancer is the disease of aging and Korea is one of the fastest aging country in the world. Older patients have decreased organ function and stress tolerance, therefore are at high risk of functional decline and developing complication from cancer and cancer treatment. Before beginning cancer treatment, it is important to assess patients' life expectancy, whether the patient is likely to die of cancer or of other comorbidity, and also the risks with cancer treatment. In order to estimate patient's physiologic age, it is recommended to perform geriatric assessment and implement appropriate geriatric intervention together with meticulous supportive care, when planning cancer treatment for older patients. In a resource limited country such as Korea, two step approach of applying screening tool followed by geriatric assessment can be more efficient. Geriatric assessment is used to predict toxicity from cancer treatment such as surgery, radiotherapy, and chemotherapy, predict survival, and also to aid treatment decision. Number of randomized trials are ongoing to compare usual care versus oncogeriatric care, and with these results we expect to improve outcome of older patients with cancer.

난소암에서 $^{18}F-FDG$ PET의 임상 이용 (Clinical Application of $^{18}F-FDG$ PET in Ovarian Cancer)

  • 오소원;김석기
    • Nuclear Medicine and Molecular Imaging
    • /
    • 제42권sup1호
    • /
    • pp.91-100
    • /
    • 2008
  • Ovarian cancer is often fatal since it is difficult to diagnose early and recurrence is quite frequent despite successful implementation of cytoreductive surgery and chemotherapy, thus exact diagnosis and early detection of recurrence are crucial to patient management. For pre-treatment staging, FDG PET could be helpful in a limited patient group possessing high risks of ovarian cancer. Besides, FDG PET could be recommended to patients with a high suspicion of recurrence i.e. rise of CA-125, especially in cases of conventional diagnostic imaging modalities presenting no evidence of disease because FDG PET provides critical information for treatment planning such as recurrence site or pattern. In order to expand the use of FDG PET to general population at staging or routine surveillance of ovarian cancer, more investigation is needed. The usefulness of FDG PET in evaluating treatment response and prognosis of ovarian cancer has not yet been determined, but it has been reported that FDG PET could evaluate treatment response early and show a close relationship with overall survival. PET/CT has been actively adopted in management of ovarian cancer. Not only in detecting tumor recurrence and evaluating treatment response but also in pre-treatment staging, FDG PET/CT is expected to playa role due to available anatomical information.

Knowledge Based Recommender System for Disease Diagnostic and Treatment Using Adaptive Fuzzy-Blocks

  • Navin K.;Mukesh Krishnan M. B.
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • 제18권2호
    • /
    • pp.284-310
    • /
    • 2024
  • Identifying clinical pathways for disease diagnosis and treatment process recommendations are seriously decision-intensive tasks for health care practitioners. It requires them to rely on their expertise and experience to analyze various categories of health parameters from a health record to arrive at a decision in order to provide an accurate diagnosis and treatment recommendations to the end user (patient). Technological adaptation in the area of medical diagnosis using AI is dispensable; using expert systems to assist health care practitioners in decision-making is becoming increasingly popular. Our work architects a novel knowledge-based recommender system model, an expert system that can bring adaptability and transparency in usage, provide in-depth analysis of a patient's medical record, and prescribe diagnostic results and treatment process recommendations to them. The proposed system uses a set of parallel discrete fuzzy rule-based classifier systems, with each of them providing recommended sub-outcomes of discrete medical conditions. A novel knowledge-based combiner unit extracts significant relationships between the sub-outcomes of discrete fuzzy rule-based classifier systems to provide holistic outcomes and solutions for clinical decision support. The work establishes a model to address disease diagnosis and treatment recommendations for primary lung disease issues. In this paper, we provide some samples to demonstrate the usage of the system, and the results from the system show excellent correlation with expert assessments.

토양중 석탄회(石炭灰) 시용이 수수의 생육에 미치는 영향 (Effects of Fly Ash Application to Soil on Growth of Sorghum)

  • 김재정
    • 한국토양비료학회지
    • /
    • 제28권4호
    • /
    • pp.334-339
    • /
    • 1995
  • 석탄회의 농업적 활용 방안을 모색하기 위하여 포트에 수수를 재배하였다. 토양은 무연탄회와 유연탄회로 각각 0, 6, 12, 18, 24% 처리되었다. 생육시기중 초장과 줄기의 마디수는 무처리 보다 석탄회처리에서 그리고, 무연탄회보다 유연탄회처리에서 효과가 더 좋았다. 석탄회처리는 24%까지 수수의 생육에 좋은 영향을 미쳤다. 성숙기의 고엽화(枯葉化)율은 석탄회처리에서 현저히 심하였고 석탄회의 농도가 증가할수록 그 율이 증대되었다. 줄기와 잎을 포함한 전수확량은 무처리보다 석탄회처리에서 그리고, 무연탄회보다 유연탄회처리에서 더 높았다. 알곡수량은 무처리보다 석탄회처리에서 그리고, 무연탄회보다 유연탄회처리에서 효과가 더 좋았다. 일반적으로 석탄회처리는 12%까지 수량이 증가되었다. 수수 생육은 pH가 높은 토양에서 왕성하므로 유연탄회 처리는 권장될 수 있다.

  • PDF

경피적 관상동맥 중재술을 받은 환자의 금연교육이 흡연에 미치는 효과 (Effects of Smoking Cessation Education for Patients with Percutaneous Coronary Intervention)

  • 전원희;윤현숙
    • 성인간호학회지
    • /
    • 제24권3호
    • /
    • pp.274-283
    • /
    • 2012
  • Purpose: The purpose of this study was to investigate the effects of a smoking cessation education for patients with percutaneous coronary intervention. Methods: The study was a quasi-experimental study with a non-equivalent control group non-synchronized design. The Sixty subjects were assigned to either the treatment group. The treatment intervention was a onetime program during hospitalization. Data were collected during several time periods: before treatment, immediately after treatment, two weeks later, and one month after the treatment. Data were analyzed with the SPSS 14.0 program with an independent t-test, $x^2$ test, repeated measures ANOVA. Results: There were significant differences between the two groups in terms of knowledge and attitude. The significance was absent for the testing two weeks post group intervention and then one month later the significance was again detected in the amount of smoking and smoking behavior. Conclusion: The results of this study suggest that smoking cessation education could be utilized for inpatients with percutaneous coronary intervention as nursing intervention in hospitals effectively. Further research is recommended in order to understand the change in significance in the different time periods.

임상가를 위한 특집 1 - 구치부 맹출 장애의 진단과 치료 (Diagnosis and Treatment of the Eruption Disturbance of posterior teeth)

  • 양연미
    • 대한치과의사협회지
    • /
    • 제50권6호
    • /
    • pp.304-311
    • /
    • 2012
  • Eruption of the teeth can be disturbed by crowding, ectopic eruption path, retention for pathologic condition of follicle and periodontal ligament, local disturbances in the innervation, and delayed eruption for overlying obstacles in the eruption path. Eruption disturbance of permanent posterior teeth is taken with diverse therapeutic approaches according to the patient age, cooperation of patient, tooth position and maturity, degree of impaction, clinical features, and repercussion on the neighboring teeth. However, delayed treatment usually results in less favorable outcomes. Therefore, In order to prevent this situation, periodically radiographic examinations during the early mixed dentition period and early diagnosis of eruption disturbances of permanent posterior teeth are recommended.

환경을 고려한 선진국의 지.판지 포장재 적용 추세 (Application of Paper and Paperboard Packaging for the Environmental Issues in U.S.A and E.U)

  • 김재능
    • 한국포장학회지
    • /
    • 제3권2호
    • /
    • pp.33-42
    • /
    • 1996
  • The portion of the recycled paper and paper board packaging material has been the highest in recycled municipal solid waste since 1960 but still the portion of the discarded paper and paper board packaging material is the highest (32.3%) in whole discarded municipal solid waste in USA. In order to reduce more the discarded paper and paper board, the common municipal solid waste treatments were compared and recycling treatment was still recommended for the the discarded paper and paper board rather than of the waste treatments, landfill, incineration, and source reduction. In this paper, the obstacled of recycling treatment of the paper and paper board in municipal solid waste and new application of recycled paper and paper board packaging material are discussed.

  • PDF

Air Circulating Oven-drying Characteristics of Hollowed Round-post for Korean Main Conifer Species - Part 2: For Korean red pine hollowed round-post -

  • Lee, Nam-Ho;Zhao, Xue-Feng;Shin, Ik-Hyun;Lee, Chang-Jin
    • Journal of the Korean Wood Science and Technology
    • /
    • 제40권2호
    • /
    • pp.61-70
    • /
    • 2012
  • In this study the effect of heartwood-coating (HCO), vapor-dam (VD), bark-remaing (BR) and bark-remaining- coating (BRC) treatments were evaluated during air circulating oven-drying of hollowed round-post of Korean red pine. Hollowed round-post could be dried from the green condition to approximately 6% MC within 84 to 156 hours for the UC, HCO and VD specimens and it took 72 to 240 hours to about 8% MC, which is recommended as the indoor in-use MC. The temperatures in the hole of the Control (UC) and HCO specimens constantly showed a higher-leveled distribution pattern than those inside wood. The vapor pressure in the hole of the UC, HCO and BR specimens was higher than that inside wood and showed difference as highest value of about 20 mbar. The surface checks of all specimens were mild and were observed in increasing order of BRC, BR, UC, VD and HCO specimens.

멸균법이 atrazine의 분해과정에 미치는 영향 (Influence of Sterilization Methods on Atrazine Assimilation)

  • 정규혁;오승민
    • 한국환경보건학회지
    • /
    • 제23권1호
    • /
    • pp.1-7
    • /
    • 1997
  • We investigated the influence of various known sterilization methods on atrazine assimilation. The present study was designed to investigate the effect of autoclaving, sodium azide and mercuric chloride treatment on the assimilation of atrazine in soil and sediment. The sterilization reactor treated with sodium azide resulted in $^{14}CO_2$ generation and atrazine was rapidly disappeared from reactor through chemical reaction with sodium azide. These findings seem to indicate that sodium azide sterilization is not recommended for atrazine studies. In sample reactors autoclaved or treated with mercuric chloride, $^{14}CO_2$ generation was not detected and most of the disappeared atrazine was found to exist as hydroxyatrazine. These results suggested that autoclaving or mercuric chloride treatment could be effective sterilization methods. However, chemical properties(pH and redox potential) of soil and sediment were altered by any of the sterilization methods applied. So it was suspected that these altered properties could affect distribution and mineralization of atrazine in soil and sediment. In addition, both autoclaving and mercuric chloride treatment have altered $K_d$ values of hydroxyatrazine more significantly than those of atrazine. Consequently, although autoclaving and mercuric chloride treatment are effective sterilization methods, one must be careful in using them in practice as these methods may cause chemical degradation of both of atrazine and its metabolites and changes in chemical properties of soil and sediment. In conclusion, careful assessment of sterilization methods must be made for the degradation studies of chemicals in soil and sediment in order to minimize possible undesirable chemical degradation of sample and/or changes in physico-chemical properties of soil and sediment by the selected sterilization methods.

  • PDF

Air Circulating Oven-drying Characteristics of Hollowed Round-post for Korean Main Conifer Species Part 3: Effects of Water-vapor Dam and Heartwood Coating Treatments

  • Lee, Nam-Ho;Zhao, Xue-Feng;Shin, Ik-Hyun;Lee, Chang-Jin
    • Journal of the Korean Wood Science and Technology
    • /
    • 제42권2호
    • /
    • pp.101-111
    • /
    • 2014
  • In this study the effect of heartwood-coating (HCO), vapor-dam (VD), bark-remaining (BR) and bark-remaining-coating (BRC) treatments on the air circulating oven-drying characteristics of Japanese larch hollowed round-post was evaluated. The drying times of the hollowed round-posts for control, VD, HCO and BR specimens were 72, 168, 204 and 240 hours, respectively, from the initial MC to about 8% MC, which was recommended as the indoor in-use MC. The temperature in the hole of the VD specimen was lower than that of wood and the difference between air temperature in the hole and wood temperature became large during drying period. The vapor pressure of air in the hole was higher than that of inside wood for all specimens except VD specimen. The surface checks on all specimens were observed in increasing order of BR, BRC, UC, HCO and VD specimens.