• 제목/요약/키워드: Recurrence Method

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갑상선 재발암의 진단과 치료에 대한 고찰 (Diagnosis and Treatment of the Recurrent Thyroid Cancer)

  • 권오경;박성길;오성수
    • 대한두경부종양학회지
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    • 제16권1호
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    • pp.58-63
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    • 2000
  • Objectives: To demonstrate effective diagnostic method and proper management of recurrent thyroid cancer through to compare treatment and surveillance of $I^{131}$ scanning detected recurrence and clinically detected recurrence. Material and Methods: We retrospectively analyzed clinical information about 46 patients who has recurrent thyroid cancer of 298 patients who have been primarily operated due to thyroid cancer in PMC at the over 10 years between 1986 and 1995. We examine incidence of recurrence due to pathologic types, site of recurrence, disease free interval, detection method of recurrence, and also treatment and progression of recurrence. A patients in which the clinical examination was entirely negative and the $I^{131}$ scan demonstrated either a new area of $I^{131}$ uptake or an increased area of concentration, compared to the previous scan, was designated as a recurrence detected by $I^{131}$ scan only. Recurrences that were obviously by physical examination or chest x-ray, etc were considered clinically detected recurrence, regardless of the the results of the thyroid scan. Results: Mean of disease tree interval(DFI) is 36months. When mean DFI of $I^{131}$ scan detected recurrence is 28months, whereas mean DFI of clinically detected recurrence is 47months. In statiscal analysis, p-value is 0.043 as significantly. In progression of recurrent patient, NED is 28case, AWD is Sease, DOD is 13case. Among the 13case, scan detected recurrence is lease of 20 patients(5%), whereas clinically detected recurrence is l2case of 26 patient(46%). In statiscal analysis, p-value is 0.003 as significantly. Conclusion: Early detection of the recurrent thyroid cancer by $I^{131}$ scanning leads to good progress compare with detection by clinical examination. NED: No Evidence of Disease AWD : Alive With Disease DOD : Dead Of Disease DOC: Dead of Other Cause

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고분화성 갑상선 암종의 재발과 관련된 위험인자 분석 (Analysis of Risk Factors Related to the Recurrence of well Differentiated Thyroid Carcinoma)

  • 이상준;정필상;김영생;윤경섭
    • 대한두경부종양학회지
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    • 제23권2호
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    • pp.138-141
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    • 2007
  • Objectives : Well differentiated thyroid carcinoma(WDTC) has relatively good prognosis. But recurrence is associated with increased morbidity and mortality, and always results in reoperation. So it is important to evaluate the risk factors relative to the recurrence. The aim of this study is to evaluate the risk factors of recurrence. Materials and Method : Two hundred seventeen patients who had undergone thyroidectomy and proved as WDTC from January 1999 to December 2004 was included in the study. We reviewed patient-related and tumorrelated factors respectively and analyzed the correlation with tumor recurrence. Results : Fourteen patients from two hundreds seventeen had recurred. Recurrence rate was 6.5%, and average interval of recurrence was 28 month. Male, age over 45, multiple mass, and advanced TMN stage patient group show higher recurrence rate, but no statistical significance. However, the recurrence rate of lymph node metastasis, tumor size>1.5cm, and extracapsular invasion group were statistically high. Conclusion : Lymph node metastasis, tumor size and extracapsular invasion are significant risk factors related to the recurrence of WDTC.

A RECURRENCE RELATION FOR THE JONES POLYNOMIAL

  • Berceanu, Barbu;Nizami, Abdul Rauf
    • 대한수학회지
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    • 제51권3호
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    • pp.443-462
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    • 2014
  • Using a simple recurrence relation, we give a new method to compute the Jones polynomials of closed braids: we find a general expansion formula and a rational generating function for the Jones polynomials. The method is used to estimate the degree of the Jones polynomials for some families of braids and to obtain general qualitative results.

Standardized surgical strategy for the treatment of preauricular sinus to reduce recurrence

  • Hannara Park;Jaemin Seong;Hyouchun Park;Hyeonjung Yeo
    • 대한두개안면성형외과학회지
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    • 제24권5호
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    • pp.223-229
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    • 2023
  • Background: Preauricular sinus (PAS) is a common congenital anomaly, and complete excision is recommended to prevent recurrence. However, PAS has a high recurrence rate as a result of incomplete removal due to the high variability of the sinus ramifications, making its treatment challenging. In this study, we standardized the surgical procedure to reduce the complications and recurrence rate and compared the postoperative results between the non-standardized and the standardized groups. Methods: This retrospective study included 97 patients (120 ears) who had undergone PAS excision by a single surgeon between October 2014 and September 2022 and underwent at least 6 months of follow-up. After October 2018, all patients were treated using the standardized method, which comprised the use of magnifying glasses, exploration with a lacrimal probe, the use of methylene blue staining, and excision of a piece of surrounding normal tissue and related cartilage in continuity with the specimen. There were 38 patients (45 ears) in the non-standardized group and 59 patients (75 ears) in the standardized group. Results: Recurrence was observed in six of 120 ears, indicating an overall recurrence rate of 5.0%. Recurrence occurred in five ears (11.1%) in the non-standardized group and one ear (1.3%) in the standardized group. The standardized group had a significantly lower recurrence rate (p= 0.027) than the non-standardized group. Conclusion: We defined a standardized sinectomy protocol and used it for the surgical treatment of PAS. With this standardized method, we were able to reduce the rates of complications and recurrence without the use of a long incision.

뇌졸중 환자의 재발염려에 영향을 미치는 요인 (Factors related to Fear of Recurrence in Stroke Patients)

  • 정지원;김정희
    • 기본간호학회지
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    • 제22권2호
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    • pp.190-197
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    • 2015
  • Purpose: Recently, the number of post-stroke survivors has increased. The physical deficits following stroke have been well studied, but there is little information on fear of recurrence in stroke patients. Objective: The purpose of this study was to investigate the health risk behaviors, health motivation and sense of control on fear of recurrence after a stroke. Method: Data were collected through a questionnaire that included items on general characteristics. Participants were recruited from the convalescent centers and outpatients clinics. Participants completed the mastery scale, health motivation scale, and a fear of stroke recurrence scale. The data were analyzed using hierarchial multiple regressions analysis with SPSS version 18.0. Results: Levels of fear of recurrence, health motivation and sense of control were moderate with means of 19.76(SD=5.15), 26.85(SD=5.10), and 16.69(SD=4.65), respectively. Health motivation and sense of control contributed to fear of recurrence. The variables explained 30.5% of variance in fear of recurrence. Conclusions: Results indicate that interventions for fear of recurrence management after stroke should take into account health motivation and sense of control.

유우의 제4위 좌측전위증의 수술적인 교정방법에 따른 재발 (Observational Study on the Recurrences of Left Abomasal Displaement after, Surgical Correction)

  • 김두
    • 한국임상수의학회지
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    • 제5권2호
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    • pp.95-99
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    • 1988
  • An observational study on the recurrences of left abomasal displacement after surgical correction was conducted in 178 Holstein cows. The correction methods were right flank omentopexy (A), right ventral paramedian abomasopexy (B) and left flank abomasopexy (C). Four(5.4) out of 74 cows by method A, 2(2.0) out of 101 cows by method B and 1(33.3%) out of 3 cows by method C had the recurrence of the disease after the first operation. As for the method A, 3 cows and a cow recurred 13-18 months and 27 months after the first operation, respectively. As for the method B, recurrence of the disease in two cows occurred 14 and 19 days after surgery, respectively. In a cow which had been indicated by method C, the recurrence was recurred 14 months after the operation.

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배독요법을 통한 아토피환자 2례에 대한 임싱적 고찰 (Clinical study of Atopic Dermatitis patient treated with Poison Extraction Method)

  • ;홍권의
    • 대한약침학회지
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    • 제10권2호통권23호
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    • pp.107-117
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    • 2007
  • Objectives : This study is desinged in order to evaluate the Poison extraction method for the Atopic dermatitis. Methods : The authors observed the two cases of Atopic dermatitis patients who previously used steroid-based ointment. for treating the Poison Extraction Method. Conclusions : 1. In case 1, the patient with mild case of Atopic dermatitis in face is treated with the Poison extraction method. Rash symptoms intensed for first few days. As sweating appeared in the local area from the seventh day, all the symptoms was disappeared rapidly. No recurrence was found. 2. In case 2, the patient with severe case of Atopic dermatitis in whole body is treated with the Poison extraction method. The symptoms intensed after two months and all the symptoms of itchiness, rash, scaly letter dissapeared in the third and fourth months. No recurrence was found. 3. In both cases of mild and severe cases of Atopic dermatitis. all the symptoms were disappeared and no recurrence was found with the Poison Extraction Method.

Skoog씨 변법을 이용한 액취증의 치료 (The Treatment of Osmidrosis Axillae by Use of Modified Skoog's Method)

  • 임영민;최종우;김기호
    • Archives of Plastic Surgery
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    • 제32권2호
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    • pp.245-249
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    • 2005
  • Various surgical procedures have been described for treating osmidrosis axillare. Elimination of the apocrine glands is prime goal. Optimal operative procedure is characterized as follows: minimal axillary scar(which has cosmetic merits), less complications such as hematoma and seroma, short and less painful recuperating period, minimal damage to the skin and low recurrence rate. Three types of incision technique in subdermal shaving method have beeb commoly used. First, single incision method has an advantage of minimal scarring but more recurrence due to incomplete removal of apocrine glands may occur. Second, double incision technique(Bipedicled flap) has advantages of complete excision, low recurrence rate and relatively minimal scarring, but it could cause frequent necrosis of skin and folding of skin flap. Skoog's method is the third method, which makes four flaps by offset cruciate incisions. It is a better technique in aspect of complete excision of apocrine glands and low recurrence rate but has disadvantages such as development of hypertrophic scar or scar contracture in the line that lies perpendicular to natural axillary skin crease. We used a modified procedure which has shorter length in vertical and transverse incision compared with the classic Skoog's method. We dissected further subcutaneous tissue through the diamond-shaped incision and utilize wide operation field that provide adequate excision of subdermal tissue and proper hemostasis. Between 1999 and 2004, we operated 160 osmidrosis axillare in 80 patients in this technique. Most patients obtained satisfactory result with very low complications. Hematoma or seroma 3.1% Infection 0.6% Partial wound disruption 10% Recurrence 1.2%. Modified Skoog's method for treating osmidrosis axillae could be a optimal technique providing wide operation field for adequate excision of apocrine glands and proper hemostasis and leaving relatively inconspicuous scar and low incidence of scar contracture.

연대측정자료를 이용한 단층활동주기 산정 방법 (Method of Recurrence Interval Estimation for Fault Activity from Age Dating Data)

  • 최원학
    • 한국지진공학회:학술대회논문집
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    • 한국지진공학회 2001년도 춘계학술대회 논문집
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    • pp.74-80
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    • 2001
  • The estimation of recurrence interval for fault activity and earthquake is an important input parameter for seismic hazard assessment. In this study, the methods of recurrences interval estimation were reviewed and tentative calculation was performed for age dating data which have uncertainty. Age dating data come from previous studies of Ulsan fault system which is a well developed lineament in the southeastern part of korean Peninsula. Age dating for fault gouges, parent rocks, Quaternary sediments and veins were carried out by several researchers through various methods. Recurrence interval for fault activity was estimated on the basis of the age dating data of minor fault gouge and sediments during past 3Ma. The estimated recurrence interval was about 430-500 ka. Exact estimation of recurrence interval for fault activity need to compile more geological data and fault characteristics such as fault length, amount of displacement, slip rate and accurate fault movement age. In the future, the methods and results of fault recurrence interval estimation should be considered for establishing the criteria for domestic active fault definition.

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