• Title/Summary/Keyword: Treatment Efficacy

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Control of clonorchiasis by repeated treatments with praziquantel

  • Hong, Sung-Tae;Rim, Han-Jong;Min, Duk-Young;Li, Xueming;Xu, Jingxian;Feng, Zheng;Lee, Soon-Hyung
    • Parasites, Hosts and Diseases
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    • v.39 no.4
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    • pp.285-292
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    • 2001
  • The present study aimed to evaluate control efficacy of clonorchiasis by two schemes of repeated treatment with praziquantel at two endemic villages in China. Residents of one village at Guangxi Autonomous Region were treated and examined 6-monthly and of another at Liaoning Province 12-monthly, In residents that took 25 mg/kg x3 (total 75 mg/kg) of Praziquantel every 6 months for one Year the e99 Positive rate showed a significant drop from 69.0% to 17.1%. In contrast, a group of same praziquantel medication once showed a slight marginal decrease in the egg rate from 18.9% to 12.2% after one year Of 39 subjects examined 3 times, 56.4% were cured, 7.7% persistently positive, one (2.6%) reinfected after cure or newly infected, but 25.6% were persistently negative. The present finding suggests that 6-monthly medication with 75 mg/kg of praziquantel should effectively lower the prevalence but incomplete for control of clonorchiasis in heavy endemic areas.

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Reconstruction of Lower Extremities using Anterolateral thigh Perforator Free Flaps (전외측 대퇴부 천공지 유리피판을 이용한 하지 재건)

  • Kim, Tae Gon;Kang, Min Gu
    • Journal of Trauma and Injury
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    • v.20 no.2
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    • pp.119-124
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    • 2007
  • Purpose: Management of the soft tissue defect in the lower extremity caused by trauma has always been difficult. Coverage with local and free muscle flaps after complete surgical excision of necrotic soft tissue and bone is a major strategy for treatment. There is no doubt that muscle provides a good blood supply, thus improving bone healing and increasing resistance to bacterial inoculation. However, accompanying problems are seen in cases with shallow dead space. This research was conducted to assess the efficacy of raising anterolateral thigh flaps and transferring them to the defect after complete debridement of non-viable, infected, and scar tissue as an alternative way to use local or free muscle flaps. Methods: From March 2005 to October 2007, 18 cases of soft tissue defect on lower extremities were re-surfaced with an anterolateral thigh perforator free flap. Results: The follow-up period ranged from 1 to 31 months with a mean of 15.9 months. All flaps survived completely. Satisfactory aesthetic and functional results were achieved. Under a two-point discrimination test, 13 patients had sensory recovery from 11 mm to 20 mm after 6 months postoperatively. Conclusion: Reconstruction of the lower extremity with anterolateral thigh perforator free flaps after appropriate debridement is a good alternative way to use local or free muscle flaps.

Microwave Drying of Persimmon Lumbers for Golf Club Head (I) - Drying Curves and Temperature Distribution of 30mm Thick Lumbers - (Golf Club Head용 감나무재의 Microwave 건조 (I) - 30mm 판재의 건조경과와 온도변화 -)

  • Kang, Ho-Yang
    • Journal of the Korean Wood Science and Technology
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    • v.23 no.1
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    • pp.35-41
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    • 1995
  • Persimmon boards of 30mm thick were dried, their temperatures were monitored during drying with 490 and 200watt microwave, and the drying efficacy and problems were investigated. The effects of pretreatments such as presteaming and prefreezing were also examined. The persimmon green lumbers of 80% moisture content were dried to 10% for only 50~60 and 110 minutes with 49watt and 200watt microwave, respectively. Severe internal checks were, however, found in all boards. The presteamed boards collapsed on their surfaces earlier than the controls. It may attribute to the high temperature inside boards during microwave drying and the decrease of their internal tensile strength caused by the presteaming treatment. To increase the internal tensile strength of the pretreated boards and to reduce their internal checks, they were air-dried at room temperature. The air-dried boards could be dried to 10% moisture content clearly and free from defects with 200watt microwave. The heating efficiency were also calculated with the maximum weight loss per minute of 490watt and 200watt.

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Efficacy of Curcumin in the Modulation of Anxiety Provoked by Sulfite, a Food Preservative, in Rats

  • Noorafshan, Ali;Vafabin, Masoud;Karbalay-Doust, Saied;Asadi-Golshan, Reza
    • Preventive Nutrition and Food Science
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    • v.22 no.2
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    • pp.144-148
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    • 2017
  • Sulfites are used as food preservatives and excessive sulfite might disturb the body systems including the brain. Curcumin shows protective effects on the nervous system toxicity. The present study aimed to evaluate the protective role of curcumin in sulfite-induced anxiety in rats. Male rats were divided into five groups. The rats in groups I to V received distilled water (vehicle of sulfite, 1 mL/d), olive oil (vehicle of curcumin, 1 mL/d), curcumin (100 mg/kg/d), sulfite (25 mg/kg/d), and sulfite+curcumin, respectively, by daily gastric gavage for 8 weeks. At the end of 8 weeks the rats were tested in the elevated plus-maze for anxiety. The results showed that concomitant treatment of curcumin during sulfite consumption prevented the reduction of the time spent in the open arm and entrance to the open arm (the indexes of anxiety). Besides, an increase was found in motor activity of the rats in the sulfite+curcumin group compared to the sulfite-treated animals. Exposure of sulfite in rats can induce anxiety, and curcumin can act as an anti-anxiety agent.

Current Status and Future Direction of Artificial Intelligence in Healthcare and Medical Education (의료분야에서 인공지능 현황 및 의학교육의 방향)

  • Jung, Jin Sup
    • Korean Medical Education Review
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    • v.22 no.2
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    • pp.99-114
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    • 2020
  • The rapid development of artificial intelligence (AI), including deep learning, has led to the development of technologies that may assist in the diagnosis and treatment of diseases, prediction of disease risk and prognosis, health index monitoring, drug development, and healthcare management and administration. However, in order for AI technology to improve the quality of medical care, technical problems and the efficacy of algorithms should be evaluated in real clinical environments rather than the environment in which algorithms are developed. Further consideration should be given to whether these models can improve the quality of medical care and clinical outcomes of patients. In addition, the development of regulatory systems to secure the safety of AI medical technology, the ethical and legal issues related to the proliferation of AI technology, and the impacts on the relationship with patients also need to be addressed. Systematic training of healthcare personnel is needed to enable adaption to the rapid changes in the healthcare environment. An overall review and revision of undergraduate medical curriculum is required to enable extraction of significant information from rapidly expanding medical information, data science literacy, empathy/compassion for patients, and communication among various healthcare providers. Specialized postgraduate AI education programs for each medical specialty are needed to develop proper utilization of AI models in clinical practice.

Retrospective Study of Adjuvant Chemotherapy Effects on Survival Rate after Three-Field Lymph Node Dissection for Stage IIA Esophageal Cancer

  • Chen, Hua-Xia;Wang, Zhou
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.13
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    • pp.5169-5173
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    • 2015
  • To determine the efficacy of postoperative adjuvant chemotherapy with paclitaxel plus cisplatin (Taxol + DDP, TP therapy) for stage IIA esophageal squamous cell carcinoma (ESCC) and to investigate the expression of RUNX3 in lymph node metastasis-negative esophageal cancer and its relationship with medical prognosis, a retrospective summary of clinical treatment of 143 cases of stage IIA esophageal squamous cell carcinoma patients was made. The patients were divided into two groups, a surgery alone control group (52 patients) and a chemotherapy group that received postoperative TP therapy (91 patients). The disease-free and 5 year survival rates were compared between the groups and a multivariate analysis of prognostic factors was performed. The same analysis was performed for cases classified as RUNX3 positive and negative, with post-operative specimens assessed by immunohistochemistry. Although the disease-free and 5 year survival rates in control and chemotherapy groups did not significantly differ and there was no significance in RUNX3 negative cases, postoperative adjuvant chemotherapy in the chemotherapy group was shown to improve disease-free and 5 year survival rate compared to the control group in RUNX3 positive cases. On Cox regression multivariate analysis, postoperative adjuvant chemotherapy (P<0.01) was an independent prognostic factor for RUNX3 positive cases, suggesting that postoperative TP may be effective as adjuvant chemotherapy for stage IIA esophageal cancer patients with RUNX3 positive lesions.

Patients with Spontaneously Ruptured Hepatocellular Carcinoma Benefit from Staged Surgical Resection after Successful Transarterial Embolization

  • Zhang, Dong-Zhi;Zhang, Ke;Wang, Xiao-Peng;Cai, Hui
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.315-319
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    • 2015
  • Background: Surgical resection of spontaneously ruptured hepatocellular carcinoma (HCC) after successful transarterial embolization (TAE) remains controversial. The aim of this study was to investigate its efficacy in a series of cases. Materials and Methods: We retrospectively examined ruptured HCC cases from Jan 2000 to Dec 2008; all of these 126 cases received TAE as the initial therapy. Subsequently, 74 cases received staged surgical resection, and the remaining 52 cases underwent repeated TACE. The baseline demographic data, tumor characteristics, and long term survival were recorded and compared. Results: The demographic and baseline characteristics were comparable between the hepatic resection and TACE groups; furthermore, no significant difference in the tumor characteristics was detected between the two groups. The differences in in-hospital, 30-day and 90-day mortality between the two groups were not significant (P>0.05). However, the 1-, 3-, and 5-year overall survival rates were 85.1%, 63.5%, and 37.8%, respectively, in the hepatic resection group, which were significantly higher than those in the TACE group (69.2%, 46.2%, and 17.3%, respectively, P=0.004). Univariate and multivariate analyses indicated that these patients benefitted from hepatic resection compared with TACE with respect to long-term outcomes. Conclusions: Staged hepatic resection after TAE is an effective treatment that results in superior long-term survival to repeated TACE.

Expression of Bcl-2 and Caspase-3 Proteins Related to Apoptosis in Human Leukemia K-562 Cells

  • Chang Jeong-Hyun;Kwon Heun-Young
    • Biomedical Science Letters
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    • v.11 no.3
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    • pp.281-287
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    • 2005
  • Although actinomycin D (AMD) is known to induce apoptotic cell death to various cell lines, the mechanism of apoptosis induced by AMD is still unclear. Understanding this mechanism may improve its therapeutic efficacy. The present study has been performed to elucidate expression of Bcl-2 and Caspase-3 proteins related to apoptosis in human leukemia K-562 cells. Five different assays were performed in this study; DNA fragmentation analysis by agarose gel electrophoresis, quantitative assay of fragmented DNA, morphological assessment of apoptotic cells, quantification of apoptosis by annexin V (AV) and propidium iodide (PI) staning, and expression of Bcl-2 and Caspase-3 proteins by the western blot analysis. The number of apoptotic cells and amount of fragmented DNA in this cell line treated with AMD was increased at 6 hour. DNA ladder pattern was also appeared at 6 hour. The expression of Bcl-2 was decreased, and disappeared from 12 hours after AMD treatment. Precursor of Caspase-3 was degraded, and 20 kDa cleavage products were detected. These results suggest that AMD induced apoptosis of K-562 cells is Caspase-3-dependent fashion, and this apoptosis is related to the degradation of Bcl-2 proteins.

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The Effects of Daesiho-Tang on Body Weight and Biochemical Changes of Rats Fed High Diet (대시호탕이 고지방식이로 유발한 비만 흰쥐의 체중 및 생화학적 변화에 미치는 영향)

  • Han, Moo-Gyu;Seo, Hae-Gyoung;Kim, Eun-Ha
    • The Journal of Korea CHUNA Manual Medicine
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    • v.2 no.1
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    • pp.177-186
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    • 2001
  • Objectives : We experimented with Daesiho-tang in order to investigate the effects on the weight of obesity. Methods : We fed a control group of rats a high fat diet and administerd normal saline for 6 weeks. And we fed an experimental group of rats a high fat diet and administered an extracted of Daesiho-tang for 6 weeks. Results : Daesiho-tang suppressed the increasing amount of body weight in comparison with control group. The serum total cholesterol level, free fatty acid level in Daesiho-tang group showed a significant decrease in comparison with control group. The serum triglyceride, total lipid level in Daesiho-tang group showed a decrease in comparison with control group, but this result showed no efficacy. Conclusions : We concluded that the clinical application of Daesiho-tang can help the treatment of obesity.

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A Clinical Four Case Studies on Chronic Low Back Pain Treated by Needle Embeeding Therapy (매선요법 단독치료로 호전된 만성 요통 환자 4례 임상증례보고)

  • Jang, Hong-Gyu;Woo, Chang-Hun;Ahn, Hui-Duk;Kwon, Hun-Joon
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.2
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    • pp.45-55
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    • 2014
  • Objectives : The aim of this study was to evaluate clinical effects of Needle embeeding therapy on Chronic low back pain. Methods : The patients have been treated only with Needle embeeding therapy for once a week for 4 weeks. To estimate the efficacy of Needle embeeding therapy and functional changes of patients we have checked VNRS and ODI every week. Results : The Needle embedding therapy reduced VNRS and ODI score. Conclusion : The result suggests Needle embeeding therapy can be effective treatment on patients with Chronic low back pain.

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