• Title/Summary/Keyword: early treatment

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Venous malformations of the head and neck: A retrospective review of 82 cases

  • Park, Hannara;Kim, Jin Soo;Park, Hyochun;Kim, Ji Yoon;Huh, Seung;Lee, Jong Min;Lee, Sang Yub;Lee, Seok Jong;Lee, Joon Seok;Lee, Jeong Woo;Chung, Ho Yun
    • Archives of Plastic Surgery
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    • v.46 no.1
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    • pp.23-33
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    • 2019
  • Background Venous malformations (VMs) are a common type of vascular malformation. However, their causes and management remain unclear, and few studies specific to VMs of the head and neck have been reported. This study describes our experiences with VMs of the head and neck. Methods This retrospective study included 82 patients who underwent treatment for head and neck VMs, among 222 who visited our vascular anomalies center. Medical records between 2003 and 2016 were reviewed to identify common features in the diagnosis and treatment. The diagnosis of suspected head and neck VMs was based on the results of imaging studies or biopsies, and the VMs were analyzed based on magnetic resonance imaging, computed tomography, and Doppler sonography findings. Results VMs were slightly more common in female patients (59.8%), and 45.1% of patients developed initial symptoms at the age of 10 or younger. Lesions were slightly more common on the right side (47.3%). The main sites involved were the cheek (27.7%) and lip area (25.5%). The muscle layer was commonly involved, in 98.7% of cases. Small lesions less than 5 cm in diameter accounted for 60.8% of cases, and well-defined types were slightly more prevalent at 55.4%. Improvement was observed in 77.1% of treated patients. Conclusions Early and accurate diagnosis and appropriate treatment according to individual symptoms are important for successful treatment of VMs. If treatment is delayed, the lesions can worsen, or recurrence becomes more likely. Therefore, VMs require a multidisciplinary approach for early and accurate diagnosis.

Survival Rate of Cancer Patients of National Merit (국가유공자 암환자의 생존율)

  • Park, Un-Je
    • Health Policy and Management
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    • v.31 no.1
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    • pp.35-45
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    • 2021
  • Background: As a descriptive study targeting 2,068 cancer patients as men of national merit in 2013, this study aims to provide the basic data for systematizing the early diagnosis and treatment of cancer by comparatively analyzing the 5-year survival rate. Methods: This study researched the survival of cancer patients through Electronic Medical Record and Patriots-Veterans Qualification Program, targeting 2,068 newly-diagnosed cancer patients verified in five veterans hospitals and consigned management system. This study verified differences between general characteristics of cancer patients as men of national merit and analyzed their survival rate. Results: The cancer patients as men of national merit were super-aged as their average age was 72.5. In the analysis of general characteristics of five major prevalent cancers, there were statistically significant differences according to age, region, cancer diagnostic path, differentiation, diagnostic method, treatment method, SEER stage, and survival period, except for the types of the man of national merit (p<0.001). The whole survival rate of cancer patients as men of national merit was 50%. The 5-year survival rates of predisposing cancers were shown as prostate cancer (79%), colorectal cancer (64%), gastric cancer (57%), liver cancer (32%), and lung cancer (12%). In the cancer diagnostic path, all the predisposing cancers showed the highest survival rate in medical examination. In the treatment method, the surgery showed the highest survival rate. The cancer patients as men of national merit showed a lower survival rate than the general cancer patients of Korea. Conclusion: It would be needed to guarantee the honorable and happy life through health recovery as special treatment of contribution and sacrifice of super-aged men of national merit by increasing the cancer survival rates through regular checkup, early diagnosis, and high-quality treatment system that could have important effects on the survival rate according to the occurrence of cancers.

Early Diagnosis and Intervention Are Needed for a Reasonable Prognosis of Thromboangiitis Obliterans

  • Miju Bae;Sung Woon Chung;Jonggeun Lee;Eunji Kim;Gayeon Kang;Moran Jin
    • Journal of Chest Surgery
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    • v.56 no.5
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    • pp.328-335
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    • 2023
  • Background: Thromboangiitis obliterans (TAO) poses a higher risk of amputation than atherosclerosis obliterans. It is characterized by onset at a relatively young age. There are currently no clear treatment guidelines for TAO other than smoking cessation. In this study, we aimed to identify factors that could influence a favorable prognosis of TAO. Methods: From January 2009 to December 2019, we retrospectively reviewed the initial symptoms, characteristics, treatments, and disease course of 37 patients (45 limbs) with TAO. Logistic regression analysis was performed to investigate factors affecting the course of symptoms that persisted or worsened despite treatment. Results: Patients' mean age was 37.2±11.4 years, and all patients were men. The mortality rate was 0% during the follow-up period (76.9±51.1 months). All patients were smokers at the time of diagnosis, and 19 patients (51.4%) successfully quit smoking during treatment. When comparing the Rutherford categories before and after treatment, 23 limbs (51.1%) showed improvement, the category was maintained in 11 limbs (24.4%), and 11 limbs (24.4%) worsened. Symptom persistence or exacerbation despite treatment was associated with a higher initial Rutherford category (odds ratio [OR], 1.59; 95% confidence interval [CI], 1.04-2.42; p=0.03) and a higher score of the involved below-knee artery at the time of diagnosis (OR, 2.26; 95% CI, 1.10-4.67; p=0.03). Conclusion: The degree of disease progression at the time of diagnosis significantly affected patients' prognosis. Therefore, early diagnosis and intervention are important to improve the course of TAO.

Effect of Parotid Saliva Secretion on Dry Forage Intake in Goats

  • Sunagawa, Katsunori;Nakatsu, Yoshifumi;Nishikubo, Yoriko;Ooshiro, Takeshi;Naitou, Kouta;Nagamine, Itsuki
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.8
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    • pp.1118-1125
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    • 2003
  • Research was carried out to clarify whether a suppression of dry forage intake during the early stages of feeding in ruminants is caused by feeding induced hypovolemia which is produced by the accelerated secretion of parotid saliva. Goats with a parotid fistula were fed roughly crushed alfalfa hay cubes, commercial ground concentrate feed and $NaHCO_3$ twice daily (10:00-12:00, 16:00-18:00). The animals were free access to drinking water all day prior to, during and after experiments. The animals were intraruminally infused every day prior to the morning feeding period with parotid saliva collected from the parotid fistula over a 24 h period. The present experiment consisted of two treatments, non-infusion (RNI) and intraruminal infusion of parotid saliva (RSF). In the RSF treatment, 4-5 kg of parotid saliva (280-290 mOsm/l) collected over a 24 h period was intraruminally infused 1 h prior to the commencement of the morning feeding. During feeding, eating and parotid saliva secretion rates were measured. Blood samples were also periodically collected from the jugular vein. During and after 2 h feeding, water intakes were measured, respectively. These measurements were used to define thirst levels. It is thought that rumen fill in the RSF treatment was higher than the RNI treatment. Plasma osmolality in the RSF treatment increased in the first half of the 2 h feeding period due to the intraruminal infusion of parotid saliva. Therefore, parotid saliva secretion rates in the RSF treatment were lower than the RNI treatment for 30 min period from 30 to 60 min after the commencement of feeding. On the other hand, plasma total protein concentration and hematocrit in the RSF treatment decreased by 3.2 and 3.3% prior to the commencement of feeding due to the intraruminal infusion of parotid saliva. In the first half of the 2 h feeding period, plasma total protein concentration and hematocrit in the RSF treatment showed a tendency to decrease compared to the RNI treatment. Thirst level in the RSF treatment during feeding was approximately 31.3% less than the RNI treatment. Upon the completion of the 2 h feeding period, cumulative feed intake in the RSF treatment was significantly larger (19.7%) than the RNI treatment. The results suggest that a suppression of dry forage intake during the early stages of feeding in goats is partly caused by feeding induced hypovolemia, which is produced by the accelerated secretion of parotid saliva.

Effects of GA3 Dipping Treatment on the Spike Growth and Fruit Quality at Harvest of 'Campbell Early' Grapevine ('캠벨얼리' 포도의 화수(花穗) 생장과 과실품질에 미치는 GA3의 영향)

  • Lee, Y.C.;Moon, B.W.;Nam, K.W.;Moon, Y.J.
    • Journal of Practical Agriculture & Fisheries Research
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    • v.15 no.1
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    • pp.85-93
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    • 2013
  • This study has been conducted to investigate the effect of GA3 solution dipping treatment after 1 days full bloom on spike growth and fruit quality at harvest of 'Campbell Early' grapevine. The fruit cluster growth(weight, length, width) and fruit stalk(diameter, length) at harvest were increased significantly by GA3 10 mg·L-1 solution dipping treatment compared to control and another concentration. The berry growth (berry No, weight, length, diameter) at harvest showed no difference by treatment GA3 concentration different. Spike weight was increased by GA3 5, 10, 20, mg·L-1 treatment compared to control, but no difference GA3 40 mg·L-1 treatment. The degree of compact berry, bloom, skin color and SSC at harvest by GA3 solution dipping treatment were not significantly different from those of control. but increased seedlessness induction by GA3 10 mg·L-1 treatment. The occurrence percent of berry cracking by GA3 5, 10, 20, 40 mg·L-1 treatment significantly decreased. The bitter rot of berry harvest showed no difference by treatment GA3 concentration different. Total spike length was increased by GA3 5, 10 mg·L-1 treatment compared to control and GA3 20, 40 mg·L-1 treatment. The spike length of 1st from 15th to position increased by GA3 10 mg·L-1 treatment.

Mimicking Odontogenic Pain Caused by Burkitt's Lymphoma: A Case Report

  • Kim, Eui-Joo;Kim, Soung-Min;Park, Hee-Kyung
    • Journal of Oral Medicine and Pain
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    • v.42 no.3
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    • pp.85-88
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    • 2017
  • Burkitt's lymphoma is a malignant monoclonal proliferation of early B-lymphocyte. Since Burkitt's lymphoma is a highly aggressive disease, early detection is a crucial. This disease often involves jaw and mandibular mass or swelling may also be seen, but in the early phase of Burkitt's lymphoma these symptoms cannot be observed. A rare case of Burkitt's lymphoma without any mandibular mass and the general symptoms was present. The excruciating toothache led the patient to visit the dental clinic and misdiagnosis of chronic periodontal abscess was made initially. Dentists should consider the oral manifestations of systemic disease when the multiple periodontal ligament space widening is observed and the dental treatment for mimicking odontogenic pain has no effect.

Early Traffic Opening-Capable Continuous Multi-Layer Asphalt Pavement Maintenance Method Using Electric Arc Furnace Slag Aggregate and Emulsified Asphalt (전기로슬래그 혼합골재를 이용한 조기교통개방이 가능한 연속 적층식 상온 아스팔트포장 유지보수 공법)

  • Kim, Wan-Sang;Lee, Suck-Hong;Kwon, Mun-Hyun;Choi, Do-Sun
    • 한국방재학회:학술대회논문집
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    • 2007.02a
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    • pp.117-120
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    • 2007
  • The main purpose of this paper is to introduce the early traffic opening-capable continuous multi-layer asphalt pavement maintenance method using electric arc furnace slag aggregate and emulsified asphalt to the actual construction sites. As well known, the previous surface treatment method of emulsified asphalt mixture have various shortcomings such as long work-time, traffic congestions, plastic deformation and poor evenness. Thus, the proposed method has enabled tile early traffic opening by utilizing the optimized emulsified asphalt after consideration of the climate and road conditions in Korea. The application of the electric furnace slag with $6\;{\sim}\;18\;mm$ thickness is helpful to become a environment-friendly construction method. And also, it has been improved enough to accommodate night-time works of mechanized construction activities for wearing course and control course.

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International Caries Detection and Assessment System (ICDAS) (최신 치아우식 진단기준 : International Caries Detection and Assessment System (ICDAS))

  • Choi, Youn-Hee
    • The Journal of the Korean dental association
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    • v.49 no.8
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    • pp.451-460
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    • 2011
  • Dental caries has been widely prevalent with presence of cavitation on teeth. For the last several decades, the prevalence of dental caries in developed countries has rapidly decreased so there has been needed a new and detailed diagnostic guideline to differentiate the severity of dental caries, especially for early status of caries. The cariology specifically requires the development of an integrated definition of dental caries and uniform systems for measuring the caries process in the fields of clinical diagnosis and treatment, epidemiological researches, and dental education and so forth. The international Caries Detection and Assessment System (ICDAS) optically measures the enamel surface changes and potential histological depth of carious lesions by relying on surface characteristics of teeth. ICDAS is a visual classification system that was developed to diagnose the subtle changes of enamel surface, predict the progress direction of early caries, allow standardized data collection in relation to caries in different settings, and to enable better comparison of oral health between countries worldwide and research studies.

Osteoporosis: New Biomedical Engineering Aspects

  • Singh, Kanika;Lee, Sung-Hak;Kim, Kyung-Chun
    • Journal of Mechanical Science and Technology
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    • v.20 no.12
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    • pp.2265-2283
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    • 2006
  • There is tremendous interest of research which surrounds the concept of 'osteoporosis,' as shown by the intense and growing research activity in the field. The urgency to advance knowledge in this area is motivated by the need to understand not only the causes, diagnosis and treatment but also need for early identification or detection of this silent disease. Despite the various researches work is going on, important issues remain unresolved. In this paper, Osteoporosis has also been discussed with respect to biological, engineering, biochemical and physical aspects. The diagnostic and therapeutic techniques have been described for osteoporosis, for better health care. The novelty of the review paper lies in clarifying several myths, explaining the disease in details with biomedical engineering aspects and focuses on the several detection techniques, providing a new direction for early diagnosis of this deadly disease and gives new directions for the POCT device for Osteoporosis.

Nonsurgical interventions for treating peri-implantitis and prognosis (임상가를 위한 특집 1 - 임플란트 주위염의 비외과적 치료 방법과 예후)

  • Park, Se-Hwan;Lee, Jae-Kwan
    • The Journal of the Korean dental association
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    • v.52 no.7
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    • pp.396-401
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    • 2014
  • Peri-implantitis is an inflammatory disease of the peri-implant tissue by bacterial infection or other factors, which results in peri-implant bone loss. Many nonsurgical treatments were tried on initial to moderate peri-implantitis lesion to reduce the inflammation. Some of these treatments made effective results, however, they were not definitively predictable. To prevent peri-implantitis and further peri-implant bone loss, early intervention is the most important. Early detection of peri-implant infection through the regular maintenance care can make it possible to do early nonsurgical intervention. Nonsurgical intervention is effective on peri-implant mucositis and can also be effective on initial peri-implantitis lesion. If the peri-implantitis is not resolves by nonsurgical treatment, surgical approach should be considered.