• Title/Summary/Keyword: Response Cases

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Oral propranolol therapy in 23 infants with infantile hemangioma

  • Kim, Jaeyoon;Hong, Jong Won;Roh, Tai Suk;Lee, Won Jai
    • Archives of Plastic Surgery
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    • v.45 no.6
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    • pp.517-524
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    • 2018
  • Background Infantile hemangioma (IH) is a common vascular tumor in pediatric patients, and is commonly treated with propranolol. We describe our experiences with dosage, response to treatment, and side effects in 23 IH patients treated with propranolol. Methods For this nonrandomized comparative cohort study, the authors enrolled 23 patients treated with propranolol. Photographs were taken before propranolol administration and at 3, 6, 9, and 12 months after treatment. Treatment responses were objectively analyzed with a computer program. Results There were three male and 20 female patients. Common tumor locations were the head and neck (13 cases, 56.5%), trunk (four cases, 17.4%), extremities (three cases, 13.0%), and combined locations (three cases, 13.0%). The response to propranolol was significantly lower in patients with two or more lesions than in patients with a single lesion in terms of both color fading (P<0.001) and size reduction (P<0.001). In male patients ($42.2{\pm}3.9$), the change in a-values, indicating coloration, was higher than in female patients ($19.8{\pm}13.8$) (P<0.001). In patients who started treatment before 6 months after birth, the size reduction was greater than in their counterparts (62.3%; range, 3.0%-93.0% vs. 15.8%; range, 1.0%-79.0%; P<0.001). Conclusions Propranolol is an efficacious treatment with a good safety profile. In patients with a single lesion, the response to treatment was better in terms of color fading and size reduction. Furthermore, male patients responded better to propranolol treatment in terms of color fading than female patients, and starting treatment before 6 months after birth was more advantageous for size reduction.

Radiotherapy Result of Brain Stem Tumors (뇌간 종양의 방사선 치료 성적)

  • Kim, Il-Han;Yang, Mi-Gyoung;Park, Charn-Il
    • Radiation Oncology Journal
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    • v.7 no.2
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    • pp.189-196
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    • 1989
  • Twenty five patients with tumors of the brain stem were treated with radiotherapy between 1979 and 1987. Histological diagnosis could be obtained in 6 cases, and other 19 patients were diagnosed by neurologic findings and CT or MRI. Eighteen patients were treated by radical radiotherapy and 6 patients received both operation and radiotherapy, while 1 patient received chemotherapy after radiotherapy. Total dose ranged from 50 Gy to 55 Gy. By an clinical scoring scale at 2 months after radiotherapy, no complete response was obtained, but 16 cases achieved partial response, 2 cases were stable, and 4 cases were deteriorated. The overall survival rate at 3 years was $36\%$ Age, performance status at diagnosis, degree of cranial nerve involvement, CT pattern of post-contrast enhancement, and clinical responese by scoring scale were correlated with survival.

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Statistical Analysis of Chemical Substance Transporting Accidents (화학물질 운송 화학사고의 통계 특성 분석에 관한 연구)

  • Lee, Tae-Hyung;Lee, Sang-Jae;Shin, Chang-Hyun
    • Fire Science and Engineering
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    • v.30 no.6
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    • pp.23-30
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    • 2016
  • This study analyzed the characteristics of chemical accidents, including the accidents occurring each year according to status, type of accident, accident cause for chemical substance transporting accidents. The major aim of this study was to provide information on the chemical accidents that occurred involving chemical substance transporting accidents from 2013 to July - 2016. The total incidence of chemical transporting accidents was 77 cases; 74 cases occurred by the spill & leakage type. The main cause of the accidents analyzed was traffic accidents (41 cases). Forty-six accidents were related to hazardous chemical substances. Among the 46 hazardous chemical substances involved in transporting chemical accidents, 46% of the accident substances were hydrogen chloride. For the prevention and response to accidents occurring during the transportation of chemicals, it is necessary to complement the precautions for chemical accidents caused by transportation accidents and chemical spills and leaks of chemicals. In addition, when the chemical transport of an accident occurs, it is necessary to apply a chemical transport safety system for chemical transfer.

Surgical Treatment of Achalasia : A report of 13 cases (Achalasia 의 수술요법 -13례 보고-)

  • Jo, Dae-Yun;Yang, Gi-Min;Rho, Joon-Rhyang
    • Journal of Chest Surgery
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    • v.13 no.4
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    • pp.470-474
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    • 1980
  • Achalasia is a neurogenic esophageal disorder, characterized by incomplete relaxation of the gastroesophageal sphincter in response to deglutition and absence of peristalsis from the body of the esophaugs. Because there is no known method by which esophageal peristalsis can be restored, therapy is directed toward the relief of dital esophageal obstruction. During the period of June 1965 to September 1980, 13 cases of achalasia were operated at the Department of Thoracic SUrgery, Seoul Natonal University Hospital. 1. Among 13 cases, 5 were male and 8 were female. 2. Esophagomyotomy was performed in 12 cases, and 1 case was treated with transverse suture of lower esophagus after longitudinal incision. 3. There was no operative mortality, but 2 cases subsequently underwent esophagogastrostomy after esophagomyotomy. 4. One of 13 cases was combined with mongolism.

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Clinical Effectiveness of Cefoperazone(Cefobid) in Obstetrics-Gynecological Infection (부인과감염증(婦人科感染症)에 대(對)한 Cefoperazone(Cefobid)의 임상효과(臨床效果))

  • Park, S.K.;Lim, J.K.
    • The Korean Journal of Pharmacology
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    • v.16 no.2 s.27
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    • pp.71-75
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    • 1980
  • A total of 30 cases of gynecological infection were treated with Cefoperazone at the Department of Ob-Gy, Seoul Baik Hospital, Seoul, Korea from Sept. 1979 to Aug. 1980. Cefoperazone sodium was administered in a dose of 2g/day intramusculary or intravenously for 6 to 13 days. The effective rates of Cefoperazone based on clinical and bacteriological response were 100% in 9 cases of acute non-gonorrheal PID, 5 cases of postpartum endometritis, 2 cases of recurrent non-gonorrheal PID and 80% in acute gonorrheal PID(8 out of 10 cases). A case of recurrent gonorrheal PID and 2 out of 3 cases of postoperative infection responded also satisfactorily to Cefoperazone treatment. There were no drug-related abnormal findings in urinalysis, hematology and blood chemistry. Any particular side effects, except for one case of fever and rash which disappeared spontaneously without any treatment or discontinuation of the drug, were not noted during or after the treatment.

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Clinical Trials of Cofrel for Cough in Infants and Young Children (유유아(乳幼兒)의 기침에 대(對)한 Cofrel 사용경험(使用經驗))

  • Kim, Sang-Hyeup
    • The Korean Journal of Pharmacology
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    • v.13 no.2
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    • pp.61-65
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    • 1977
  • We tried $Cofrel^{\circledR}$ ($Pyrexyl^{\circledR}$ 1-(2-benzyl phenoxy)-2-piperidino-propane phosphate) which is non-narcotic, to evaluate its clinical effect on cough due to respiratory tract diseases-35 cases. 1) Thirty two cases among 35 cases disclosed remarkable effectiveness (91.4% of efficacy) 2) It was almost equally effective in dry cough, productive cough and barking cough. 3) Speed of response was very rapid in 21 cases(60.0) moderately rapid in 12 cases(34.3%). 4) Palatability were excellent in all cases and side effect was not observed. It is very difficult to evaluate effectiveness of anti-tussive drug. However, we concluded that Cofrel is a quite effective medicament for cough in respiratory diseases in children.

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A Graphical Method for Evaluating the Effect of Blocking in Response surface Designs Using Cuboidal Regions

  • Sang-Hyun Park;Dae-Heung Jang
    • Communications for Statistical Applications and Methods
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    • v.5 no.3
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    • pp.607-621
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    • 1998
  • When fitting a response surface model, the least squares estimates of the model's parameters and the prediction variance will generally depend on how the response surface design is blocked. That is, the choice of a blocking arrangement for a response surface design can have a considerable effect on estimating the mean response and on the size of the prediction variance even if the experimental runs are the same. Therefore, care should be exercised in the selection of blocks. In this paper, we prognose a graphical method for evaluating the effect of blocking in a response surface designs using cuboidal regions in the presence of a fixed block effect. This graphical method can be used to investigate how the blocking has influence on the prediction variance throughout the entire experimental region of interest when this region is cuboidal, and compare the block effect in the cases of the orthogonal and non-orthogonalblockdesigns, resfectively.

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Structural Optimization for Non-Linear Behavior Using Equivalent Static Loads (I) (선형 등가정하중을 이용한 비선형 거동 구조물의 최적설계 (I) - 알고리듬 -)

  • Park Ki-Jong;Park Gyung-Jin
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.29 no.8 s.239
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    • pp.1051-1060
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    • 2005
  • Nonlinear Response Optimization using Equivalent Static Loads (NROESL) method/algorithm is proposed to perform optimization of non-linear response structures. The conventional method spends most of the total design time on nonlinear analysis. The NROESL algorithm makes the equivalent static load cases for each response and repeatedly performs linear response optimization and uses them as multiple loading conditions. The equivalent static loads are defined as the loads in the linear analysis, which generates the same response field as those in non-linear analysis. The algorithm is validated for the convergence and the optimality. The proposed algorithm is applied to a simple mathematical problem to verify the convergence and the optimality.

Evaluation of Response Modification Factore for Earthquake Resistant Design of Moment-Resisting Steel Frames (모멘트-연성 강구조물의 내진설계를 위한 반응수정계수의 평가)

  • 송종걸
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 1997.10a
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    • pp.201-208
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    • 1997
  • In most seismic codes such as the Uniform Building Code(UBC), the response modification factor(or the force reduction factor)is used to reflect the capability of a structure in dissipating energy through inelastic behavior. The response modification factor is assigned according to structural system type. Ductile systems such as special moment-resisting steel frames are assigned larger values of the response modification factor, and are consequently designed for smaller seismic design forces. Therefore, structural damage may occur during a severe earthquake. To ensure safety of the structures, the suitability of the response modification factor used in aseismic design procedures shall be evaluated. The object of this study is to develop a method for the evaluating of the response modification factor. The validity of the evaluating method has been examined for several cases of different structures and different earthquake excitations.

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