• 제목/요약/키워드: early treatment

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Approaches and considerations in the endoscopic treatment of T1 colorectal cancer

  • Yunho Jung
    • The Korean journal of internal medicine
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    • 제39권4호
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    • pp.563-576
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    • 2024
  • The detection of early colorectal cancer (CRC) is increasing through the implementation of screening programs. This increased detection enhances the likelihood of minimally invasive surgery and significantly lowers the risk of recurrence, thereby improving patient survival and reducing mortality rates. T1 CRC, the earliest stage, is treated endoscopically in cases with a low risk of lymph node metastasis (LNM). The advantages of endoscopic treatment compared with surgery include minimal invasiveness and limited tissue disruption, which reduce morbidity and mortality, preserve bowel function to avoid colectomy, accelerate recovery, and improve cost-effectiveness. However, T1 CRC has a risk of LNM. Thus, selection of the appropriate treatment between endoscopic treatment and surgery, while avoiding overtreatment, is challenging considering the potential for complete resection, LNM, and recurrence risk.

Estimation of Hazard Function and its Associated Factors in Gastric Cancer Patients using Wavelet and Kernel Smoothing Methods

  • Ahmadi, Azadeh;Roudbari, Masoud;Gohari, Mahmood Reza;Hosseini, Bistoon
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권11호
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    • pp.5643-5646
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    • 2012
  • Background and Objectives: Increase of mortality rates of gastric cancer in Iran and the world in recent years reveal necessity of studies on this disease. Here, hazard function for gastric cancer patients was estimated using Wavelet and Kernel methods and some related factors were assessed. Materials and Methods: Ninety-five gastric cancer patients in Fayazbakhsh Hospital between 1996 and 2003 were studied. The effects of age of patients, gender, stage of disease and treatment method on patient's lifetime were assessed. For data analyses, survival analyses using Wavelet method and Log-rank test in R software were used. Results: Nearly 25.3% of patients were female. Fourteen percent had surgery treatment and the rest had treatment without surgery. Three fourths died and the rest were censored. Almost 9.5% of patients were in early stages of the disease, 53.7% in locally advance stage and 36.8% in metastatic stage. Hazard function estimation with the wavelet method showed significant difference for stages of disease (P<0.001) and did not reveal any significant difference for age, gender and treatment method. Conclusion: Only stage of disease had effects on hazard and most patients were diagnosed in late stages of disease, which is possibly one of the most reasons for high hazard rate and low survival. Therefore, it seems to be necessary a public education about symptoms of disease by media and regular tests and screening for early diagnosis.

Fertility preservation for patients with breast cancer: The Korean Society for Fertility Preservation clinical guidelines

  • Kim, Hoon;Kim, Seul Ki;Lee, Jung Ryeol;Hwang, Kyung Joo;Suh, Chang Suk;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
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    • 제44권4호
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    • pp.181-186
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    • 2017
  • With advances in the methods of cancer treatment used in modern medicine, the number of breast cancer survivors has been consistently rising. As the number of women who wish to become pregnant after being diagnosed with breast cancer increases, it is necessary to consider fertility preservation in these patients. However, medical doctors may be unaware of the importance of fertility preservation among cancer patients because most patients do not share their concerns about fertility with their doctors. Considering the time spent choosing and undergoing treatment, an early referral to a reproductive specialist is the best way to prevent a delay in cancer treatment. Since it is not easy to make decisions on matters related to cancer diagnosis and fertility, patients should be provided with enough time for decision-making, and to allow for this, an early referral will provide patients with sufficient time to choose an appropriate method of fertility preservation. The currently available options of fertility preservation for patients with breast cancer include cryopreservation of embryos, oocytes, and ovarian tissue and gonadotropin-releasing hormone agonist treatment before and during chemotherapy. An appropriate method of fertility preservation must be selected through consultations between individual patients and health professionals and analyses of the pros and cons of different options.

교정력이 치조골의 효소활성에 미치는 영향 (EFFECT OF ORTHODONTIC FORCE ON THE ENZYME ACTIVITIES IN ALVEOLAR BONE)

  • 김형수;남동석
    • 대한치과교정학회지
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    • 제22권2호
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    • pp.297-308
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    • 1992
  • The effect of orthodontic force on the collagenase and phosphatase activities of the adjacent alveolar bone was evaluated. Maxillary canines of male cats were treated orthodontically with closed coil spring so as to exert about 80g force. Sixteen cats were equally divided into one control group and seven experimental groups (12 hrs, 24 hrs, 36 hrs, 2 days, 3 days, 5 days and 7 days after orthodontic treatment). After sacrificing all animals on experimental intervals, collagenase, acid phosphatase (ACP) and alkaline phosphatase (ALP) activities were determined in the pressure and tension sides of alveolar bones. ACP activities increased in both the pressure and tension sides, but significantly increased in the pressure side continuously. ALP activities increased in the tension side at early stage (1-2 days after treatment), but changed small amount in the pressure side. Collagenase activities increased in the pressure side, especially at late stage (5-7 days after treatment). These results suggest that (1) orthodontic fore force increases the ACP, ALP and collagenase activities generally and (2) activities of ACP and collagenase increase in the pressure side, but that of ALP in the tension side and (3) activities of ACP and ALP increase at early stage, but that of collagenase at late stage after orthodontic treatment. Therefore it is shown that there are time differences in the formation and destruction of organic and inorganic components in the bone metabolism of alveolus with application of the orthodontic forces.

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동상의 임상적 분석 (Clinical Analysis of Frostbite)

  • 최장규;김현철;신홍경
    • Journal of Trauma and Injury
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    • 제28권3호
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    • pp.158-169
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    • 2015
  • Purpose: Frostbite can affect still soldiers. Initial clinical manifestations are similar for superficial and deep frostbite, so early treatment is identical. It is under-estimated by physicians. We try to identify the challenges of managing these complex tissue injuries. Methods: A retrospective analysis of 84 patients hospitalized at AFCH from 2009 to 2015 was conducted. We investigated differences of epidemiological characteristics, identification of soft tissue injury, treatment and complications between superficial (SF: 43; 51.2%) and deep (DF: 41; 48.8%) frostbite. Results: The major (94.0%) developed frostbite in dry circumstances (89.3%). Wet circumstances (66.7%) were more susceptible to DF rather than dry (46.7%). The 38 (45.2%) arrived to specialist within 7days. Most prone sites were feet, followed by hands. Toes had more deep injuries. DF presented more increased levels of ALT, CPK, CKMB, CRP. The bone scan of W+S+ was 48.3%, 87.1% and W+S- was 20.7%, 12.9%, respectively. The treatment resulted in improved or normalized perfusion scan with matching clinical improvement. It was a good tool to assess treatment response. Eighteen normal and 8 stenotic type of PCR resulted in normal with matching clinical improvement. One continuous obstructive waveform led to minor amputation. Twelve underwent both PCR and MRA. Among 6 normal PCR, 5 showed normal and one stenosis in MRA. All 5 stenosis and one obstruction showed the same findings in MRA. It was a good tool to evaluate vascular compromise. They were treated with rapid rewarming (11.6%, 22.0%), hydrotherapy (16.3%, 29.3%), respectively. Six (14.6%) underwent STSG, 2 (4.9%) had digital amputation in DF. Berasil, Ibuprofen, Trental were commonly administered. PGE1 was administered selectively for 6.8, 10.8 days, respectively. Raynaud's syndrome (16.3%), CRPS (4.7%), LOM (14.6%) and toe deformity (4.9%) were specific sequelae. Conclusion: We should recommend intensive foot care education, early rewarming and evacuation to specialized units. The bone scanning and PCR should allow for a more aggressive and active approach to the management of tissue viability.

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포도주 품질에 미치는 알코올 발효전 포도 전처리 효과 (Effect on Wine Quality of Pre-treatment of Grapes prior to Alcohol Fermentation)

  • 장은하;정석태;노정호;윤해근;박교선;최종욱
    • 한국식품저장유통학회지
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    • 제15권6호
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    • pp.824-831
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    • 2008
  • 본 연구는 국내 주요 포도 품종인 캠벨얼리(Campbell Early)를 이용하여 발효전 원료의 전처리방법(열처리, CM처리)이 포도주 품질에 미치는 영향을 파악하고자 수행되었다. 총산에 있어서 CM처리를 할 경우 대조구나 열처리구에 비해 포도주의 총산이 낮아지는 결과를 보였다. 총안토시아닌과 탄닌 함량에 있어서, 열처리한 후 발효시킨 포도주가 대조구에 비해 높은 함량을 보인반면 CM처리의 경우는 대조구나 열처리에 비해 낮아지는 결과를 보였다. 적색도는 안토시아닌이나 탄닌이 높은 열처리구에서 높게 나타나는바, 폴리페놀류 함량이 와인의 적색도와 상관이 높은 것으로 생각된다. 이상의 결과에서와 같이 발효전 원료의 전처리 방법이 포도주 품질에 큰 영향을 미치는 것으로 나타났다. 따라서 이러한 전처리 기술은 원료 포도의 단점을 극복하는 유용한 수단이라고 생각된다.

갈근이 뇌허혈 손상 흰쥐의 뇌해마 c-Fos와 c-Jun 발현에 미치는 영향 (Effect of Puerariae Radix on c-Fos and c-Jun Expressions in Ischemic Damaged Hippocampus of Rats)

  • 조규칠;김연섭
    • 동의생리병리학회지
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    • 제18권2호
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    • pp.538-543
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    • 2004
  • Objective : This study investigated a neuroprotective effect of Puerariae Radix on cerebral ischemia. Method : The global cerebral ischemia was induced by bilateral common carotid arteries occlusion under hypotension (40mmHg) in Sprague-Dawley rats. After the treatment of Puerariae Radix extract, changes of c-Fos and c-Jun expressions, immediate early genes expressed by cerebral ischemia, in the hippocampus were observed immunohistochemically. Result: The results obtained are as follows; The significant increases of c-Fos and c-Jun expressions were observed in the hippocampus of the ischemic damaged rat brains. Then Puerariae Radix treatment demonstrated significant decreases of c-Fos and c-Jun expressions in CA1 region and dentate gyrus as compared with control group. On the upregulated c-Fos expression induced by cerebral ischemia, Puerariae Radix treatment demonstrated significant decreases of c-Fos expressions in CA1 region (P<0.01) and dentate gyrus (P<0.05) as compared to the control group, but there were not a significant changes in CA2 and CA3 regions of the hippocampus. On the upregulated c-Jun expression induced by cerebral ischemia, Puerariae Radix treatment demonstrated significant decrease of c-Jun expression in CA1 region (P<0.05) as compared to the control group, but there were not a significant changes in CA2, CA3, and dentate gyrus of the hippocampus. Conclusion : These results suggested that Puerariae Radix reveals the neuroprotective effect through the reduction of immediate early genes, c-Fos and c-Jun, induced by cerebral ischemia.

Mycorrhiza 및 Rhizobium 접종이 알팔파에 의한 질소와 인의 이용성 및 성장에 미치는 영향 (Effects of Inoculation of Mycorrhiza and Rhizobium on N, p utilization and Vegetative Growth of Alfalfa (Medicago sativa L.))

  • 정우진;이복례;김길용;정순주;김태환
    • 한국초지조사료학회지
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    • 제20권4호
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    • pp.275-284
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    • 2000
  • To investigate the effect of Mycorrhiza (Glomus intradics) and Rhizobium inoculation on the N, P utilization and the growth of Alfalfa (Medicago sativa L.), four treatments (non-inoculation, control ; Mycorrhiza inoculation, M ; Rhizobiurn inoculation, R and Mycorrhiza and Rhizobium inoculation, M+R) were applied. The associated analyses were carried out on the early vegetative growth stage (DAS 56, 56 days after seeding) and on the early flowering stage (DAS 126). The decreased rate of total N and P content in soil, with advancing plant growth, was relatively higher in the mycorrhiza andor rhizobium treatments than control. The content of available phosphorus in soil at DAS 126 increased by about 40 % in M and M+R treatment compared to control (141.0 mg PzOg'kg DM), while non-significant changes was observed in R treatment. Total N uptake and P uptake in the control at DAS 126 were 33.91 mglplant and 2.42 mdplant, respectively, about 21, 50 and 51 % of increases in total N uptake and 30, 11 and 47 % of increases in total P uptake were estimated in M, R and M+R treatment. Comparing to control, dry matter yield significantly increased by 8, 27 and 28 %, and crude protein yield also by 21, 42 and 39 %, respectively, in M, R and M+R treatment. The present data indicated that mycorrhiza orland rhizobium inoculation improved N, P utilization, and consequently increased the yield of alfalfa. (Key words : Alfalfa, Mycorrhiza, Rhizobium, N and P Utilization, Growth, Yield)

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Can Breast Asymmetry Following the Treatment of Juvenile Idiopathic Scoliosis with Growing Rod Be Prevented? : A Preliminary Analysis

  • Atici, Yunus;Polat, Baris;Erdogan, Sinan;Gurpinar, Tahsin;Demiroz, Serdar
    • Journal of Korean Neurosurgical Society
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    • 제63권2호
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    • pp.228-236
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    • 2020
  • Objective : It can be assumed that the progression of scoliosis in the juvenile period will increase the asymmetry in the rib cage, and thus will contribute to an increase in the breast asymmetry (BA) in the future. We are looking for answers to the questions; "How will the breasts look with respect to each other and what is the possibility of developing BA in the early follow-up period following the early surgical treatment and final fusion surgery of juvenile idiopathic scoliosis (JIS)?" For this reason, in this study, we aimed to evaluate the breast asymmetries of patients in the period after the final fusion. Methods : Following growing rod treatment, final fusion was achieved in 12 females with JIS. We used the anthropomorphic measurement of the modified BREAST-V formula to assess whether there was an asymmetry between the breasts after an average of 4.8 years (2-11) following final fusion. Results : In comparison, the mean volume of the left breast (222.4 mL [range, 104.1-330.2]) was larger than the mean volume of the right breast volume (214.5 mL [range, 95.2-326.7]) (p=0.034). The left breast was larger in 75% of the patients. BA was observed in 50% of the patients. No correlation was detected between the Cobb angle of the patient after final fusion and BA (p=0.688). Conclusion : In the late follow-up period, BA was detected in 50% of the patients with JIS who achieved final fusion after treatment with growing rod. In majority of the patients, left breast was larger. The patients with JIS and their families can be informed prior to the operation about the probability of BA seen in the follow-up period after fusion.

Effect of Charcoal on Germination and Early Growth of Barley Sprouts

  • Salitxay, Timnoy;Kim, Yeon Bok;Chang, Kwang Jin;Kalam, Azad Obyedul;Cho, Dong Ha;Park, Cheol Ho
    • 한국자원식물학회:학술대회논문집
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    • 한국자원식물학회 2018년도 추계학술대회
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    • pp.133-133
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    • 2018
  • The aim of this study was to evaluate the effect of charcoal on germination and early growth of barley sprouts. Five treatments were employed based on different amount and treatment method along with control. Barley seeds were soaked in water for 8 hours. Two types of topping treatment were applied such as, charcoal: 100 g (designated as T1) and charcoal: 200 g (T2). Three kinds of mixing treatment were as follows: barley seeds were mixed with 100g of charcoal (designated as M1), with 200g of charcoal (M2), and with 300g of charcoal(M3). The control did not have any charcoal. In our finding, germination rates were observed 53.3% (control), 26.3%(T1), 36.3%(T2), 67.3%(M1), 81.7%(M2), and 79.7%(M3) at three days after inoculation (DAI). Length of radicle was found at 0.90 cm (control), 0.88 cm (T1), 0.99 cm (T2), 1.03cm (M1), 1.66 cm (M2), and 0.70 cm (M3) in 3 DAI. In addition, sprout length was found 4.5 cm (control), 10.4 cm (T1), 11.9 cm (T2), 5.7 cm (M1), 6.3 cm (M2), and 2.1 cm (M3) in 14 DAI. Fresh weight of sprouts were 0.78g (control), 1.03g (T1), 1.07g (T2), 0.96g (M1), 1.07g (M2), and 0.95g (M3). Among the treatment, topping of seeds on 200g of charcoal (T2) showed longest sprout length and fresh weight. Mixing treatments showed higher germination rates and sprout fresh weight. The results may be attributed to difference in micro-climate conditions (mostly temperature and humidity) in the growth boxes in different treatments.

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