• 제목/요약/키워드: Treatment success

검색결과 884건 처리시간 0.028초

2002년 제주도 폐결핵 등록환자의 관리실태 조사 (A Survey of the Controlling System for the Pulmonary Tuberculosis in Jejudo, 2002)

  • 김유옥;양원현;배종면
    • Tuberculosis and Respiratory Diseases
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    • 제56권4호
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    • pp.356-363
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    • 2004
  • 2002년도 제주도내 폐결핵 발생자로 등록된 262명에 대한 조사를 실시한 결과 보건소의 관리실태와 비교해 볼 때, 의원급의 진단 및 추구검사 시행이 제대로 되지 않고 있는 것을 확인하였다. 이런 상황에서 의원 및 병원의 치료 성공률은 각각 38.5%, 63.3%로, 이를 합친 민간의료기관에서의 치료 성공률은 59.8%로 조사되어 보건소의 치료 성공률 80%에 비하여 낮은 수준을 보였다. 민간의료기관에서 치료 실패의 주 원인은 임의의 치료중단 이라는 점에서, 현재 국가결핵관리사업의 이원화된 체계 하에서 민간의료기관에 대한 시급한 시스템보완이 필요하다.

임상가를 위한 특집 2 - 심미 수복 - 같은 결과, 다른 접근 세라믹을 이용한 전통적인 접근법 (Traditional approach with ceramic)

  • 이승규
    • 대한치과의사협회지
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    • 제51권11호
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    • pp.595-603
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    • 2013
  • The requirements for the successful treatment of all-ceramic restorations are not so different from the ones of conventional restorations. "The provisional restoration followed by an adequate tooth reduction and the accurately fitting prostheses with corresponding to final impression" can be the examples of them. Nevertheless, the one which all-ceramic restorations are distinguished from conventional restorations is the additional procedure of so called "bonding". In addition to the application of resin cement between "inner surface of restoration and outer surface of abutment", bonding technology can be also applied to the treatment process of "Post and Core" in particular if the abutments are non-vital teeth. Core build-up for all-ceramic crown is conducted with fiber post and tooth colored composite by considering the properties of the restorations transmitting light. We know well that a vital abutment is easier than a non-vital one to get the targeted goals for clinical success in connection with esthetics and structure. The creation of "Post and Core" with bonding technique is a decisive factor for a long-term success if the abutment is non-vital tooth with dentinal collapse. I would like to share my clinical experience about "post & core build-up and all-ceramic restoration bonding" out of several success strategies of all-ceramic crown with this presentation.

Hopf-bifurcation Analysis of a Delayed Model for the Treatment of Cancer using Virotherapy

  • Rajalakshmi, Maharajan;Ghosh, Mini
    • Kyungpook Mathematical Journal
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    • 제62권1호
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    • pp.119-132
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    • 2022
  • Virotherapy is an effective method for the treatment of cancer. The oncolytic virus specifically infects the lyse cancer cell without harming normal cells. There is a time delay between the time of interaction of the virus with the tumor cells and the time when the tumor cells become infectious and produce new virus particles. Several types of viruses are used in virotherapy and the delay varies with the type of virus. This delay can play an important role in the success of virotherapy. Our present study is to explore the impact of this delay in cancer virotherapy through a mathematical model based on delay differential equations. The partial success of virotherapy is guarenteed when one gets a stable non-trivial equilibrium with a low level of tumor cells. There exits Hopf-bifurcation by considering the delay as bifurcation parameter. We have estimated the length of delay which preserves the stability of the non-trivial equilibrium point. So when the delay is less than a threshold value, we can predict partial success of virotherapy for suitable sets of parameters. Here numerical simulations are also performed to support the analytical findings.

금연이침(禁煙耳鍼)에 대한 임상적(臨床的) 고찰(考察)(니코틴 의존도에 따른 금연 여부를 중심으로) (A Clinical Research of the Auricular Acupuncture Treatment on Stop-Smoking)

  • 박원태;송민주;소웅룡;이순호;원영호
    • Journal of Acupuncture Research
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    • 제19권4호
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    • pp.16-26
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    • 2002
  • Objective : This study was designed to evaluate the decreasing or stop-smoking effect of smoking patients who were given to the auricular acupuncture treatment. Methods : We investigated the smoking patients who serviced Korea Power Engineering Company from March 2002 to April 2002. And one month later we investigated result. Results : In the success rate of low nicotine dependence group, stop-smoking was 28.2%, Above good effect was 57.7%. In the success rate of high nicotine dependence group, stop-smoking was 12.5%, Above good effect was 23.1%. Conclusion : We found that the auricular acupuncture treatment has the decreasing or stop-smoking effect of smoking patients specially to low nicotine dependence group.

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Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report

  • Woo, Won Gi;Joo, Seok;Lee, Geun Dong;Haam, Seok Jin;Lee, Sungsoo
    • Journal of Chest Surgery
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    • 제49권3호
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    • pp.185-189
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    • 2016
  • Background: For treatment of pneumothorax in Korea, many institutions hospitalize the patient after chest tube insertion. In this study, a portable small-bore chest tube (Thoracic Egg; Sumitomo Bakelite Co. Ltd., Tokyo, Japan) was used for pneumothorax management in an outpatient clinic. Methods: Between August 2014 and March 2015, 56 pneumothorax patients were treated using the Thoracic Egg. Results: After Thoracic Egg insertion, 44 patients (78.6%) were discharged from the emergency room for follow-up in the outpatient clinic, and 12 patients (21.4%) were hospitalized. The mean duration of Thoracic Egg chest tube placement was 4.8 days, and the success rate was 73%; 20% of patients showed incomplete expansion and underwent video-assisted thoracoscopic surgery. For primary spontaneous pneumothorax patients, the success rate of the Thoracic Egg was 76.6% and for iatrogenic pneumothorax, it was 100%. There were 2 complications using the Thoracic Egg. Conclusion: Outpatient treatment of pneumothorax using the Thoracic Egg could be a good treatment option for primary spontaneous and iatrogenic pneumothorax.

Stricturing Crohn's disease: what is the role of endoscopic stenting? A systematic review

  • Giorgia Burrelli Scotti;Roberto Lorenzetti;Annalisa Aratari;Antonietta Lamazza;Enrico Fiori;Claudio Papi;Stefano Festa
    • Clinical Endoscopy
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    • 제56권6호
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    • pp.726-734
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    • 2023
  • Background/Aims: Endoscopic stenting for stricturing Crohn's disease (CD) is an emerging treatment that achieves more persistent dilatation of the stricture over time than endoscopic balloon dilatation (EBD). We aimed to explore the efficacy and safety of stenting for the treatment of CD strictures. Methods: A systematic electronic literature search was performed (PROSPERO; no. CRD42022308033). The primary outcomes were technical success, efficacy, complication rate, and the need for further interventions due to reobstruction. The outcomes of partially covered self-expanding metal stents (PCSEMS) with scheduled retrieval after seven days were also analyzed. Results: Eleven eligible studies were included in the review. Overall, 173 patients with CD were included in this study. Mean percentage of technical success was 95% (range, 80%-100%), short-term efficacy was 100% in all studies, and long-term efficacy was 56% (range, 25%-90%). In patients with a scheduled PCSEMS retrieval, the long-term efficacy was 76% (range, 59%-90%), the mean complication rate was 35% (range, 15%-57%), and the major complication rate was 11% (range, 0%-29%). Conclusions: Endoscopic stenting with scheduled PCSEMS retrieval may be considered a feasible second-line treatment for short CD strictures to postpone surgery. However, larger head-to-head prospective studies are needed to understand the role of stenting as an alternative or additional treatment to EBD in CD.

임상가를 위한 특집 3 - 현미경을 이용한 비외과적 근관치료 (Dental microscope in Nonsurgical Endodontics)

  • 김진우
    • 대한치과의사협회지
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    • 제51권10호
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    • pp.556-564
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    • 2013
  • Modern endodontics has essentially changed following the introduction of the dental microscope since 1990's. One of main advantage of using dental microscope in nonsurgical endodontic treatment is enhancing clinician's ability and quality of treatment through illumination and magnification. Scopes of dental microscope in nonsurgical endodontics are finding a missed or additional root canal and a tooth crack, management of procedural errors, and others. These improvements in technology will result in greater confidence in treatment and better success in clinical practice.

Microbial etiology of endodontic treatment failure

  • Kum, Kee-Yeon
    • 대한치과보존학회:학술대회논문집
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    • 대한치과보존학회 2003년도 제120회 추계학술대회 제 5차 한ㆍ일 치과보존학회 공동학술대회
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    • pp.606-606
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    • 2003
  • There have been many studies that have evaluated success and failure of endodontic treatment (Nair, Sjogren), but there is remarkably limited information concerning the specific microorganisms that are involved in the teeth with treatment failure. Microorganisms that survive root canal treatment to cause a persistent infection must possess specific characteristics to avoid the host defense. These can be broadly classified as; 1. Sequestration:A physical barrier between the microbe and the host. 2. Cellular evasion:Microorganisms avoid leukocyte dependent antibacterial mechanisms. 3. Humoral evasion:Extracellular bacteria avoid the hosts antibodies and complement.(omitted)

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Blocking the 1st Cleavage in Mud Loach, Misgurnus mizolepis

  • Yoon Kwon Nam;Gyeong Cheol Choi;Dong Soo Kim
    • 한국양식학회지
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    • 제12권3호
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    • pp.167-173
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    • 1999
  • Blocking the 1st mitotic cleavage was performed in mud loach (Misgurmus mizolepis) using UV-irradiated cyprinid loach (M. anguillicaudatus) sperm and ternal shocks Optimum UV range for inactivation of cyprinid loach sperm and thermal shocks. Optimum UV range for inactivation of cyprinid loach sperm was between 3,150 to 4,050 ergs/m$m^2$. Heat shock treatment ($41^{\circ}C$ for 3mins) with various treatment initiation times ranged from 22 to 50 min post insemination resulted wide range of success for induced gynogenesis. Best result was obtained when haploid egges were shocked at 28 min after insemination (corresponding to metaphase division of the 1st cleavage); 26% of total eggs inseminated were viable diploid gynogens. The hatching success and early survival of the both meiotic and mitotic gynogenetic groups were significantly lower than those of control crosses (P<0.05). Maternal origin of induced gynogenetic mud loach was verified by multi-locus DNA fingerprinting.

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Occlusion for implant-supported fixed dental prostheses in partially edentulous patients: a literature review and current concepts

  • Yuan, Judy Chia-Chun;Sukotjo, Cortino
    • Journal of Periodontal and Implant Science
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    • 제43권2호
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    • pp.51-57
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    • 2013
  • Implant treatment has become the treatment of choice to replace missing teeth in partially edentulous areas. Dental implants present different biological and biomechanical characteristics than natural teeth. Occlusion is considered to be one of the most important factors contributing to implant success. Most literature on implant occlusal concepts is based on expert opinion, anecdotal experiences, in vitro and animal studies, and only limited clinical research. Furthermore, scientific literature regarding implant occlusion, particularly in implant-supported fixed dental prostheses remains controversial. In this study, the current status of implant occlusion was reviewed and discussed. Further randomized clinical research to investigate the correlation between implant occlusion, the implant success rate, and its risk factors is warranted to determine best clinical practices.