• Title/Summary/Keyword: Survival Rates

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Palliative Treatment of Advanced Cervical Cancer with Radiotherapy and Thai Herbal Medicine as Supportive Remedy - Analysis of Survival

  • Pesee, Montien;Kirdpon, Wichit;Puapairoj, Anucha;Kirdpon, Sukachart;Prathnadi, Pongsiri
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.1593-1596
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    • 2013
  • Background: To evaluate outcomes using a Thai herbal medicine, Vilac Plus (G716/45) with standard radiotherapy in comparison with historic controls from literature reports of the results of treatment in stage IIIB cervical cancer. Materials and Methods: Between March 2003 and June 2005, thirty patients with advanced cervical cancer stage IIIB-IV who had a poor performance status were treated by palliative radiotherapy along with an adjuvant daily dose of 15-30 ml of Thai herbal tonic solution (Vilac Plus G716/45) administered orally three times after meals as an additional supportive therapy. The results were analyzed from the aspect of the overall survival rates with curves estimated by the Kaplan-Meier method. Results:.The median follow -up time for stage IIIB was 4.2 years with a range of 7.9 months - 6.1 years. The overall 1, 3, and 5 year survival rates for stage IIIB were 88%, 60% and 52%. Conclusions: The overall 5 year survival rate for stage IIIB with a poor performance status was 52% when compared with 34-54.8% for historic controls. The combined complementary palliative radiotherapy (CCPR) had low rates of radiation morbidity. It was a simple technique and feasible for developing countries. The pilot study was limited by the small number of patients and further research will be necessary to assess interrelated and confounding factors in treatment of cervical cancer patients.

Prognostic Factors Influencing Survival and Success Rates of Autotransplanted Maxillary Canine (자가이식한 상악 견치의 생존율과 성공률에 영향을 주는 예후 인자 연구)

  • Kim, Dong-Hyun;Hyun, Hong-Keun;Kim, Young-Jae;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.3
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    • pp.317-326
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    • 2017
  • The aim of this study was to investigate the survival and success rates of autotransplanted maxillary canine at the artificially formed recipient socket and evaluate the factors that influence survival and success rates. A total of 28 children who had 37 impacted canines were reviewed over the mean observation time of 25.1 months. Tooth mobility, pathologic root resorption, vertical bone loss, periapical lesion and anklyosis of donor tooth were investigated clinically and radiographically. The survival rate was 100%. The success rate was 64.9%, because 13 teeth were evaluated as unsuccessful. Significant parameter in determining the success rate of autotransplantation was enlarged follicle size of donor tooth according to Cox proportional hazard regression model. The results provide information necessary for clinician to make a better treatment decision about autotransplantation at the artificially formed recipient socket.

Indoor Tank Culture of the Abalone Haliotis discus hannai I . Effects of tank shape and stocking density on the growth of young abalone (전복 Haliotis discus hannai의 육상수조사육에 관한 연구 I. 치패성장에 미치는 수조형태 및 사육밀도의 영향)

  • JEONG Seong-Chae;JEE Young-Ju;SON Pal-Won
    • Journal of Aquaculture
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    • v.7 no.1
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    • pp.9-20
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    • 1994
  • To find out suitable indoor rearing tank shape and stocking density of the abalone Haliotis discus hannai, young abalones were reared in the square or ellipse shape tanks with various stocking densities and were fed dried sea mustard, Undaria Pinnatifida HARVEY for three years. There were no significant differences between the square rearing tank and the ellipse one in growth rate and survival rate. With regard to vertical design of rearing tanks with three floors, the significant differences were not found among culture floors. However, the growth and survival rates of young abalones from the running water system were significantly higher than those of the abalones from the circulating system (P< 0.05). For the stocking density experiment with 1,000, 1,500 and 2,000 individuals of 20 mm young abalone, there was no significant differences in growth and survival rates among these groups. However, in that of 200-400 individuals of 40 mm abalone and 100-300 individuals of 50 mm abalone, the lower stocking density of young abalone showed the higher growth and survival rates. The lower stocking density and the smaller size of young abalones showed the higher daily feeding rate and feed efficiency.

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Expression and Localization of Heat Shock Protein 70 in Frozen-thawed IVF and Nuclear Transferred Bovine Embryos

  • Chung, K.S.;Choi, Y.J.;Song, S.J.;Do, J.T.;Yoon, B.S.;Kim, Y.J.;Lee, H.T.
    • Korean Journal of Animal Reproduction
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    • v.26 no.4
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    • pp.311-320
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    • 2002
  • The objective of this study was to assess the developmental potential in vitro produced embryos frozen-thawed with the various containers, and also examined expression and localization of heat shock protein 70 at these embryos. For the vitrification, 2-cell, 8-cell and blastocyst stage embryos produced by in vitro fertilization (IVF) and nuclear transfer (NT) were exposed the ethylene glycol 5.5 M freezing solution (EC 5.5) for 30 sec, loaded on each containers such EM grid, straw and cryo-loop, and then immediately plunged into liquid nitrogen. Thawed embryos were serially diluted in sucrose solution, each for 1 min. and cultured in CRI-aa medium. Survival rates of the vitrification production were assessed by re-expanded, hatched blastocysts. There were no differences in the survival rates of IVF using EM grid and cryo-loop. However, survival rates by straw were relatively lower than other containers. The use of cryo-loop resulted in only survival of nuclear transferred embryos (43.7%). Also, there embryos after IVF or NT were analysed by semi-quantitive reverse transcription-polymerase chain reaction (RT- PCR) methods for hsp 70 mRNA expression. Results revealed the expression of hsp 70 mRNh were higher thawed embryos than control embryos. Immunocytochemistry used to localize the hsp 70 protein in embryos. Two and 8-cell embryos derived under control condition was evenly distributed in the cytoplasm but appeared as aggregates in some frozen-thawed embryos. However, in the control, blastocysts displayed aggregate signal while Hsp70 in frozen-thawed blastocysts appeared to be more uniform In distribution. Therefore, this result suggests that the exploiting Hsp 70 in the early embryos may be role for protection of stress condition for increase viability of embryos within IVF, NT and there frozen-thawed embryos.

Clinical outcomes in patients treated with radiotherapy after surgery for cervical cancer

  • Yang, Kyungmi;Park, Won;Huh, Seung Jae;Bae, Duk-Soo;Kim, Byoung-Gie;Lee, Jeong-Won
    • Radiation Oncology Journal
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    • v.35 no.1
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    • pp.39-47
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    • 2017
  • Purpose: The purpose of this study was to analyze clinical outcomes from cervical cancer and stratify patients into risk groups for prognostic factors for early-stage disease. Materials and Methods: We retrospectively reviewed patients with stage IB or IIA cervical cancer treated with adjuvant radiotherapy (RT) or concurrent chemoradiotherapy (CCRT) following primary surgery at Samsung Medical Center from 2001 to 2011. Adjuvant RT was added for patients with intermediate-risk factors, and adjuvant CCRT was performed on high-risk patients after surgery. Results: We reviewed 247 patients-149 in the high-risk group and 98 in intermediate-risk group. The median follow-up was 62 months. Loco-regional failure (LRF) alone occurred in 7 patients (2.8%), distant metastasis alone in 37 patients (15.0%) and LRF with DM in 4 patients (1.6%). The 5-year disease-free survival (DFS) and overall survival (OS) rates for both groups were 79.7% and 87.6%, respectively. In the high-risk group, the 5-year DFS and OS probabilities were 72.5% and 81.9%, respectively. Histologic type, pathologic tumor size, and the number of pelvic lymph node (PLN) metastasis were significant prognostic factors for DFS and OS. We suggest a scoring system (0-3) using these prognostic factors to predict poor prognosis in high-risk patients. Using this system, patients with higher scores have higher recurrence and lower survival rates. Conclusion: In the high-risk cervical-cancer group who received primary surgery and adjuvant CCRT, non-squamous type, large tumor size and the number of PLN metastasis were significant prognostic factors, and the number of these factors was associated with survival rates.

Concurrent Chemoradiotherapy in Nasopharyngeal Carcinoma (비인강암의 동시 항암화학방사선치료)

  • Chung, Eun-Ji;Kim, Yong-Tai;Hong, Hyun-Jun;Hong, Won-Pyo
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.2
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    • pp.169-173
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    • 2008
  • Purpose:This is a retrospective study to evaluate the results of concurrent chemoradiotherapy in nasopharyngeal carcinoma. Material and Methods:From Mar 2000 to June 2005, 18 patients with nasopharyngeal carcinoma completed planned concurrent chemoradiotherapy. Stages were I in 1 patients, II in 2 patients, III in 7 patients and IV in 8 patients. Pathologic type was squamous cell carcinoma(WHO type 1) in 2 patients, non-keratinizing type(WHO type 2) in 8 patients and undifferetiated carcinoma(WHO type 3) in 8 patients. The follow up period ranged from 30 months to 95 months with a median of 56 months. Follow up was possible in all patients. Results:Response to concurrent chemoradiation therapy was a complete response in all patients. Patterns of failure were as follows:local recurrence in only one patient(5.6%) and distant metastases in three patients with N3 diseases(16.7%). The overall 5 year survival rates were 88.5%, the 5 year disease free survival rate was 77% and these were very good results. There were no significant differences in the local control and survival rates between the clinical stages and pathologic types. Conclusion:The outcome of the nasopharyngeal carcinoma treated with concurrent chemoradiotherapy was very good, even though most of the patients(15/18=83.3%) were in stage III and IV diseases. We concluded that concurrrent chemoradiotherapy in nasopharyngeal carcinoma showed the good local control and survival rates without significant complications. In the patients with N3 disease, we have to consider the more effective and strong chemotherapeutic regimens to prevent distant metastases.

Results of Conventional Radiotherapy in Hypopharyngeal Cancer (하인두암의 방사선 치료 성적)

  • Nam, Taek-Keun;Park, Seung-Jin;Ahn, Sung-Ja;Chung, Woong-Ki;Nah, Byung-Sik
    • Radiation Oncology Journal
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    • v.13 no.2
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    • pp.143-148
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    • 1995
  • Purpose: We tried to evaluate the role of conventional radiotherapy alone or with neoadjuvant chemotherapy in the hypopharyngeal cancer by retrospective analysis. Materials and Methods: Between Jul.1985 and Sep.1992, 42 patients of hypopharyngeal cancer were treated by conventional radiotherapy alone or combined with neoadjuvant chemotherapy. The male to female ratio was 20:1 with a median age of 58 years, Twelve Patients were treated by conventional radiotherapy alone and 30 patients were treated by neoadjuvant chemotherapy and radiotherapy. Results: Seven Patients were Stage I,II and the patients with stage III and IV were 10 and 25, respectively at the time of presentation. The overall survival and disease-specific survival rates at 24 months were $12.9\%$ and $15.5\%,$respectively Two-year survival rates of stage I+II and III+IV patients were $50\%$ and $6.3\%,$ respectively(p(0.05). Sixteen Patients$(38\%)$ revealed CR and 26 patients$(62\%)$ revealed less than CR at the end of radiotherapy and their 2-year survival rates were $31.3\%\;and\;0\%,$ respectively(p(0.05). On univariate analysis, stage, T-stage, N-stage and treatment response were the significant prognostic factors, but only stage and treatment response were significant on multivariate analysis Conclusion : This conventional radiotherapy alone or with neoadjuvant chemotherapy does not seem to be sufficient in the treatment of most advanced hypopharyngeal cancer Therefore other treatment modalities such as hyperfractionation or concurrent chemoradiotherapy should be considered.

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Experimental Planting of the Seedlings for the Restoration of Abies koreana forest in Hallasan (한라산 구상나무림 복원을 위한 묘목식재시험)

  • 김갑태;추갑철;고정군
    • Korean Journal of Environment and Ecology
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    • v.15 no.3
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    • pp.207-212
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    • 2001
  • To seek for restoration method of Abies koreana forest with planting seedlings, Abies koreana seedlings(2, 3 and 5 year old) were planted by date(spring and summer) and surface treatment (coir-mat, coir-net and control) at Janggumok area in Hallasan. Survival rate and shoot growth of the seedlings were measured and compared by planting date, seedling age and surface treatments. For summer planting, survival rates of the seedlings are increased with increasing seedling ages, and those are not differed between surface treatments. For spring planting, survival rates of the seedlings are increased with decreasing seedling ages, and those are not differed between surface treatments. For summer planting, shoot growth of the seedlings are significantly differed between surface treatments. Shoot growth of the seedlings was the highest value 2.11mm at coir-matted plot, and the lowest value 1.49mm at control B)lot. Shoot growth of the seedlings are not differed between the seedling ages, but the highest shoot growth was 2.26mm at coir-matted and 3-year old plot. For spring planting, survival rates and shoot growth of the seedlings are not differed between seedling ages and surface treatments.

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Six-year clinical performance of lithium disilicate glass-ceramic CAD-CAM versus metal-ceramic crowns

  • Ahmed Aziz;Omar El-Mowafy
    • The Journal of Advanced Prosthodontics
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    • v.15 no.1
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    • pp.44-54
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    • 2023
  • PURPOSE. To assess the clinical performance of monolithic CAD-CAM lithium disilicate glass-ceramic (LDGC) crowns and metal-ceramic (MC) crowns provided by predoctoral students. This study also assessed the effects of patient and provider-related factors on their clinical performance as well as patient preference for these types of crowns. MATERIALS AND METHODS. Twenty-five patients who received 50 crowns (25 LDGC CAD-CAM and 25 MC) provided by predoctoral students were retrospectively examined. LDGC CAD-CAM crowns were milled in-house using the CEREC Bluecam system and cemented with either RelyX Unicem or Calibra Esthetic resin cements. MC crowns were cemented with RelyX Unicem cement. Clinical assessment of the crowns and the supporting periodontal structures were performed following the modified California Dental Association (CDA) criteria. Patients' preference was recorded using a visual analog scale (VAS). The results were statistically analyzed using log-rank test, Pearson Chi-squared test and Kaplan-Meier survival analysis. RESULTS. Twelve complications were observed in the MC crown group (9-esthetic, 2-technical and 1-biological). In comparison, 2 complications in the LDGC CAD-CAM crown group were observed (1-technical and 1-esthetic). The 6-year cumulative survival rates for MC crowns and LDGC CAD-CAM were 90.8% and 96%, respectively, whereas the success rates were 83.4% and 96%, respectively. Overall, patients preferred the esthetic outcomes of LDGC CAD-CAM crowns over MC crowns. CONCLUSION. The high survival and success rates, low number of complications, and the high level of patients' acceptance of monolithic LDGC CAD-CAM crowns lend them well as predictable and viable alternatives to the "gold standard" MC crowns.

Survival Rates of Larval Abalone by Direct Attack of Pfiesteria and Pfiesteria-like Species (피스테리아와 피스테리아 유사종의 전복 유생 섭식 특성과 생존을 연구)

  • Kim, Jae-Seong;Lee, Chang-Won;Lee, Hee-Mahn;Jeong, Hae-Jin
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.14 no.3
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    • pp.189-194
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    • 2009
  • To investigate the difference in the ecological niches between Pfiesteria piscicida and Pfiesteria-like species (Cryptoperidininopsis brodyi and Stoeckeria algicida), we have observed the feeding behavior of three potential predators on abalone larvae and measured the survival rates of abalone larvae as a function of initial predator concentration. When the predators were mixed with abalone larvae, P. piscicida and C. brodyi became active and exhibited attacking behavior on abalone larvae within a few seconds. They could ingest whole soft body of abalone larvae using a peduncle. In contrast, feeding and attacking behavior were not observed from S. algicida. Survival rates in abalone larvae decreased with an increase of the initial concentration of P. piscicida and C. brodyi. These results indicate that Pfiesteria and Pfiesteria-like species displaying the very same shape and size have different ecological niche in the marine food webs, which implies that identification to species level is definitely important to understand and discriminate the ecological roles of them.