• Title/Summary/Keyword: comparison of efficacy

Search Result 932, Processing Time 0.025 seconds

Evidence-Based Practice Guideline for Surgical Treatment of Gastroesophageal Reflux Disease 2018

  • Seo, Ho Seok;Choi, Miyoung;Son, Sang-Yong;Kim, Min Gyu;Han, Dong-Seok;Lee, Han Hong
    • Journal of Gastric Cancer
    • /
    • v.18 no.4
    • /
    • pp.313-327
    • /
    • 2018
  • The prevalence of gastroesophageal reflux disease (GERD) is increasing in Korea, and physicians, including surgeons, have been focusing on its treatment. Indeed, in Korea, medical treatment using a proton pump inhibitor is the mainstream treatment for GERD, while awareness of surgical treatment is limited. Accordingly, to promote the understanding of surgical treatment for GERD, the Korean Anti-Reflux Surgery Study Group published the Evidence-Based Practice Guideline for the Surgical Treatment of GERD. The guideline consists of 2 sections: fundamental information such as the definition, symptoms, and diagnostic tools of GERD and a recommendation statement about its surgical treatment. The recommendations presented 5 debates regarding fundoplication: 1) comparison of the effectiveness of medical and surgical treatments, 2) effectiveness of surgical treatment in cases of refractory GERD, 3) effectiveness of surgical treatment of extraesophageal symptoms, 4) comparison of effectiveness between total and partial fundoplication, and 5) effectiveness of fundoplication in cases of hiatal hernia. The present guideline is the first to demonstrate the efficacy of the surgical treatment GERD in Korea.

A Comparison of T Classification of the AJCC and Ho Staging Systems for Nasopharyngeal Carcinoma (비인강암에서 AJCC와 Ho 병기 결정법에 따른 T병기의 비교)

  • Lee Sang-Wook;Seo In-Seok;Kang Mee-Jeong;Cho Seok-Hyun;Kim Kyung-Rae;Lee Hyung-Seok
    • Korean Journal of Head & Neck Oncology
    • /
    • v.18 no.2
    • /
    • pp.179-183
    • /
    • 2002
  • Objective: A comparison of American Joint Committee on Cancer (AJCC) 1988 and 1997 nasopharyngeal carcinoma (NPC) classifications was made in terms of patient distribution and efficacy in predicting prognosis. Materials and Methods: Between Jan. 1981 and Dec. 1998, 60 cases of node negative nasopharyngeal carcinoma were retrospectively reviewed. The extent of disease each patients restaged according to the 4th and 5th AJCC system and Ho system, respectively. Results: The overall and disease free 5-year survival rates were 61.1% and 62.6%, respectively. Among T classifications of 4th AJCC, 5th AJCC and Ho staging system were not observed significantly different in disease-free survival rates, respectively. Conclusion: We observed a better patient distribution with AJCC 1997 comparing to AJCC 1988. The new classification also attained better statistical significances among stages in the overall survival and disease free survival rates was needed.

Comparison of Growth Performance and Whole-body Amino Acid Composition in Red Seabream (Pagrus major) Fed Free or Dipeptide Form of Phenylalanine

  • Kim, Sung-Sam;Rahimnejad, Samad;Song, Jin-Woo;Lee, Kyeong-Jun
    • Asian-Australasian Journal of Animal Sciences
    • /
    • v.25 no.8
    • /
    • pp.1138-1144
    • /
    • 2012
  • This study was conducted to evaluate the efficacy of the dipeptide form of phenylalanine as a new source of amino acid in terms of growth performance and whole-body amino acid composition in comparison to the free form for red seabream (Pagrus major). Fish ($1.46{\pm}0.001g$) were fed four isonitrogenous and isocaloric experimental diets containing 0.7 or 1.4% phenylalanine either in free or dipeptide form. A feeding trial was carried out in three replicates and the fish were fed to apparent satiation for six weeks. At the end of the feeding trial, feed intake of fish was influenced by both phenylalanine form and level and significantly higher values were obtained at an inclusion level of 0.7% and by the use of dipeptide form. However, the other growth parameters did not significantly differ among treatments. Whole-body amino acid compositions revealed no significant changes in concentrations of both essential and non-essential amino acids regardless of the increase in phenylalanine levels or the use of its different forms. The finding in this study indicates that juvenile red seabream can utilize dipeptide phenylalanine as efficiently as free form without any undesirable effects on growth performance or whole-body amino acid composition.

Clinical Report about the Efficacy of Herbal Medicine in Comparison with Western Medication Mixed for an Acute Liver Injured CVA Patient (급성 간손상을 동반한 CVA환자에서 한약, 양약 복합투여 시와 한약 단독 투여 시의 간기능 개선 효과에 관한 증례 보고)

  • Lee, Yeon-Kyoung;Shin, Yoo-Jeong;Cho, Dong-Heu;Shin, Oh-Chul;Kang, Suk-Pong;Park, Chi-Sang
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.22 no.2
    • /
    • pp.502-506
    • /
    • 2008
  • This patient has been acute hepatic injured three times(2005.11.14-11.30, 2006.2.25-3.8, 2006.3.21-4.10) while he hadn't taken herb medicine or anything special. During these periods, his liver function tests showed a sharp elevation of AST, ALT and ALP level. The 1st period by western medication and herb medicine mixed and the 2nd, the 3rd by herb medicine only, he'd been treated. Each of it got significant results in short haul. It maybe means that herb medicine is not dangerous even for the acute hepatic injured person, moreover it can be more effective in comparison with western treatment.

Study of Variable Factors Affecting Couple's Marital Satisfaction : Focused on the Related Variable of Myself and Partner (결혼만족도에 영향을 미치는 변인에 관한 연구 : 본인 및 배우자 관련변인을 중심으로)

  • Kim, Hyo-Min;Park, Jeong-Yun
    • Journal of Families and Better Life
    • /
    • v.31 no.3
    • /
    • pp.125-140
    • /
    • 2013
  • In the study of married couples, there has been a great lack of analysis of the factors affecting the marital satisfaction of spouses until now. In this study, the subjects were couples living in Seoul or Gyeonggi Province. The data collection period was November 20 to December 20, 2009, and data ond 184 couples were collected and used for the analysis. The SPSS 17.0 program was used for the analysis. The main findings of this study are as follows: First, the husbands' marital satisfaction was higher than that of the wives. And the variables of spousal support, alternative comparison level and marital dissolution disability were also found to be statistically significant according to gender. Second, it was confirmed that the self-variables had a greater effect than partner variables on couples' marital satisfaction. Third, the influential factors of the marital satisfaction of husbands and wives depended on the individual resource variables (self-esteem, health of origin of family, parenting efficacy), the couple relationship variables (spousal support, spousal similarity, recovery attempts), and the level of marital alternatives.

Efficacy of Different Seed Kernels against Root Knot Nematode Meloidogyne incognita in Mulberry

  • Chowdary, N.B.;Mukherjee, Sanchayita
    • International Journal of Industrial Entomology and Biomaterials
    • /
    • v.6 no.2
    • /
    • pp.133-138
    • /
    • 2003
  • Five seed kernel namely, Neem (Azadirachta indica A. Juss.), Pongamia (Pongamia glabra L. Pierre), Tamarind (Tamarindus indica L.), Mahua (Madhuca indica Gmel.) and Shikakai (Acacia cancinna De.) were tested against hatching of eggs and larval mortality of Meloidogyne incognita causing root knot disease in mulberry along with Furadan (Carbofuran) and Bionema (a bioformulation developed from Verticillium chlamydosporium) for comparison. Results revealed that highest hush-up of hatching was observed in Neem (77.40%) and Pongamia (75.99%) seed kernel extracts at 100% concentration over the check. Similarly, highest larval mortality was observed in Neem and Pongamia by 76.00% and 74.50%, respectively at 100% concentration after 72 hrs of exposure period. Pot culture studies revealed that pre-application of seed kernel powders (20 days before inoculation of nematode) found to be more effective in controlling the root knot disease than post application. In pre application of seed kernel powders, maximum reduction of root knots was observed in case of Neem seed kernel powder (54.85%) followed by Pongamia (51.9%). Similar trend was also observed in reduction of egg masses/plant and nematode population /250 cc soil. Rest of the seed kernel extracts was found to be less effective in suppression of hatching, enhancing the larval mortality and controlling the root knot disease. However, application of Furadan and Bionema tested for the comparison were found to be more effective than seed kernel powders. The generated information seems to be useful in developing an ecofriendly integrated approach for the control of root knot nematode disease in mulberry.

The Management of Bilateral Interfacetal Dislocation with Anterior Fixation in Cervical Spine : Comparison with Combined Antero-Posterior Fixation

  • Kim, Ki-Hong;Cho, Dae-Chul;Sung, Joo-Kyung
    • Journal of Korean Neurosurgical Society
    • /
    • v.42 no.4
    • /
    • pp.305-310
    • /
    • 2007
  • Objective : Combined antero-posterior fixation has been a standard method for bilateral interfacetal dislocation in cervical spine. The purpose of this study is to evaluate the efficacy and complication of anterior cervical stabilization in treatment of bilateral interfacetal dislocation. Methods : A total of 65 cases of traumatic bilateral interfacetal dislocation in cervical spine who were managed in our institution, from Mar. 1997 to Feb. 2006, were included in this study. Closed reduction was tried in all cases before operation. If closed reduction was accomplished successfully, only anterior cervical fixation was performed (Group I), and attempted to place screws bicortically as possible with unicortical screws. If failed, posterior open reduction with fixation was first tried, followed by anterior cervical fixation (Group II). All patients were evaluated for neurological outcome and radiological evidence of healing. Results : The Group I included 47 patients and the Group II, 18 patients. The improvement of Frankel grade and increase of mean cervical lordosis angles were not statistically different between two groups. Screw-plate system used did not influence the outcome. On follow up, solid bone fusion was evident and there were no cases of instability in both groups. Conclusion : Our study demonstrated that anterior cervical fixation on BID is safe and effective in comparison with combined antero-posterior cervical fixation.

A basic study on the development of alternative bait for octopus pots (문어 통발용 대체 미끼 개발을 위한 기초연구)

  • AN, Young-il
    • Journal of the Korean Society of Fisheries and Ocean Technology
    • /
    • v.56 no.3
    • /
    • pp.202-212
    • /
    • 2020
  • In order to replace sardine baits for octopus pot, an efficacy experiment to lure with alternative bait (fermented skate or chicken skin in artificial crab or northern clam) pots and sardine pot were conducted in a circular water tank. The soaking time of the sardine bait was divided into two categories: six days or less and seven days or more. The behavioral response of octopus to the artificial bait pots and sardine pot were investigated. In the comparison of the luring effects between pots with fermented skate inside artificial crab or northern clam and sardine pot, the pot with artificial crab + fermented skate had better results than the other pots in the section distribution (31.6%) and the number of times the pot was entered into (20.0%) (p > 0.05). In the comparison of the luring effects between pots with chicken skin inside artificial crab or northern clam and sardine pot, the pot with northern clam + chicken skin had better results than the other pots in the section distribution (22.6%) and number of times the pot was entered into (55.6%) (p < 0.05). The results were also better compared to those of pot with artificial crab + fermented skate. From these results, it seems that in the luring effect aspect, sardine bait can be replaced with artificial bait consisting of chicken skin inside northern clam.

Preparation and Evaluation of Cubic Liquid Crystalline Phase Gel and Cubosome containing Polyethoxylated Retinamide (폴리에톡시레이티드레틴아마이드를 함유한 입방상 액정 젤 및 큐보좀의 제조 및 평가)

  • Kyong, Kee-Yeol;Jee, Ung-Kil;Cho, Wan-Goo
    • Journal of Pharmaceutical Investigation
    • /
    • v.37 no.2
    • /
    • pp.85-94
    • /
    • 2007
  • The objective of this study is to prepare a stable delivery systems containing polyethoxylated retinamide(PERA) - derivatives of retinoic acid, effective anti-wrinkle and anti-acne agent. Cubic liquid crystalline phase gel (CLCPG) and cubosomes containing various concentrations of PERA were prepared to investigate the physicochemical properties. Furthermore, stability and transdermal absorption efficacy of the CLCPG containing PERA were investigated in comparison with oil-in-water (O/W) emulsions which are predominantly used as a topical formulation. CLCPG increase the stability of PERA in comparison with O/W emulsion. For tropical application, CLCPG containing PERA shows higher moisturizing effect than that of O/W emulsion. In skin permeation test, CLCPG shows higher PERA deposit on epidermis. With its specific physicochemical property caused by the glyceryl oleate, CLCPG itself could be used for stabilizer of various actives and applied as an effective delivery system for topical application. Cubosome, nano-sized dispersed CLCPG, is also expected to be applied in a various field of industry like food, cosmetics and pharmaceuticals.

DentalVibe reduces pain during the administration of local anesthetic injection in comparison to 2% lignocaine gel: results from a clinical study

  • Joshi, Sagar;Bhate, Kalyani;Kshirsagar, Kapil;Pawar, Vivek;Kakodkar, Pradnya
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • v.21 no.1
    • /
    • pp.41-47
    • /
    • 2021
  • Background: This study was designed to compare the efficacy of DentalVibe against 2% lidocaine gel in reducing pain during the administration of local anesthetic injection in the adult population. Methods: This was a split-mouth open-label, randomized, controlled clinical study conducted in the Department of Oral and Maxillofacial Surgery of a dental institute. Fifty patients who were scheduled for bilateral dental extractions requiring an inferior alveolar nerve block were enrolled in the study. Site A (n = 50) was coated with 2% lidocaine gel followed by a local anesthetic injection, and DentalVibe with local anesthetic injection was used for Site B (n = 50). The primary outcome was pain, which was recorded immediately after the administration of anesthetic injection using the Visual Analogue Scale [VAS 0 - 10]. Results: The VAS pain scores ranged from 4 to 10 for site A and 0 to 6 for site B. Comparison between the two sites showed a statistically significant difference [Mann-Whitney U test value = 51.50, P < 0.001] favoring site B. Conclusion: This study showed that DentalVibe reduces pain during injection of local anesthesia compared to topical anesthetic gel.