• Title/Summary/Keyword: team treatment

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Role of Dedicated Subspecialized Radiologists in Multidisciplinary Team Discussions on Lower Gastrointestinal Tract Cancers

  • Sun Kyung Jeon;Se Hyung Kim;Cheong-il Shin;Jeongin Yoo;Kyu Joo Park;Seung-Bum Ryoo;Ji Won Park;Tae-You Kim;Sae-Won Han;Dae-Won Lee;Eui Kyu Chie;Hyun-Cheol Kang
    • Korean Journal of Radiology
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    • v.23 no.7
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    • pp.732-741
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    • 2022
  • Objective: To determine the impact of dedicated subspecialized radiologists in multidisciplinary team (MDT) discussions on the management of lower gastrointestinal (GI) tract malignancies. Materials and Methods: We retrospectively analyzed the data of 244 patients (mean age ± standard deviation, 61.7 ± 11.9 years) referred to MDT discussions 249 times (i.e., 249 cases, as five patients were discussed twice for different issues) for lower GI tract malignancy including colorectal cancer, small bowel cancer, GI stromal tumor, and GI neuroendocrine tumor between April 2018 and June 2021 in a prospective database. Before the MDT discussions, dedicated GI radiologists reviewed all imaging studies again besides routine clinical reading. The referring clinician's initial diagnosis, initial treatment plan, change in radiologic interpretation compared with the initial radiology report, and the MDT's consensus recommendations for treatment were collected and compared. Factors associated with changes in treatment plans and the implementation of MDT decisions were analyzed. Results: Of the 249 cases, radiologic interpretation was changed in 73 cases (29.3%) after a review by dedicated GI radiologists, with 78.1% (57/73) resulting in changes in the treatment plan. The treatment plan was changed in 92 cases (36.9%), and the rate of change in the treatment plan was significantly higher in cases with changes in radiologic interpretation than in those without (78.1% [57/73] vs. 19.9% [35/176], p < 0.001). Follow-up records of patients showed that 91.2% (227/249) of MDT recommendations for treatment were implemented. Multiple logistic regression analysis revealed that the nonsurgical approach (vs. surgical approach) decided through MDT discussion was a significant factor for patients being managed differently than the MDT recommendations (odds ratio, 4.48; p = 0.017). Conclusion: MDT discussion involving additional review of radiology examinations by dedicated GI radiologists resulted in a change in the treatment plan in 36.9% of cases. Changes in treatment plans were significantly associated with changes in radiologic interpretation.

Stable expression of N-terminal 3X-FLAG tagged human 5a-reductase type II in 293 cells: a new tool for protein purification & inhibitor screening

  • Lee, Chang-Hoon;Park, Won-Seok;An, Su-Mi;Nam, Gae-Won;Kim, Kwang-Mi;Kim, Seung-Hoon;Lee, Byeong-Gon;Jang, Ih-Seop
    • Proceedings of the PSK Conference
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    • 2002.10a
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    • pp.324.1-324.1
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    • 2002
  • Human 5-reductase type II(5AR2) is an important target for the treatment of benign prostatic hyperplasia. In this study we describe the establishment of cell line which stably expressed 3X FLAG tagged human 5AR2. We used this cell line as a cell based assay tool and source for 5AR2 enzyme. First a plasmid (3XFLAGpCMVl0-5AR2) for the expression of 5AR2 was constructed by the use of the vector 3XFLAGpCMV10 and transfected into the HEK 293. By selection with G418 sulfate. ten HEK 293 single cell clones were obtained of which three stably exhibited high 5AR2 activity. (omitted)

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Degradation of Ion-exchange Soda-lime Glasses Due to a Thermal Treatment (이온강화 소다라임 유리의 열처리에 따른 강화 풀림현상)

  • Hwang, Jonghee;Lim, Tae-Young;Lee, Mi Jai;Kim, Jin-Ho
    • Journal of the Korean Ceramic Society
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    • v.52 no.1
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    • pp.23-27
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    • 2015
  • Recently, the use of ion-exchange strengthened glass has increased sharply, as it is now used as the cover glass for smart phone devices. Therefore, many researchers are focusing on methods that can be used to strengthen ion-exchange glass. However, research on how the improved strength can be maintained under thermal environment of device manufacturing is still insufficient. We tested the degradation of the characteristics of ion-exchange soda-lime glass samples, including their surface compressive stress characteristics, the depth of the ion-exchange layer (DOL), flexural strength, hardness, and modulus of rupture (MOR) values. Degradation of the characteristics of the ion-exchange glass samples occurred when they were heat-treated at a temperature that exceeded $350^{\circ}C$.

The Low Temperature Deposition of CrN Films by the AIP Method (아크 이온플레이팅법에 의한 저온 CrN 합성)

  • Cho, Yong K.;Kim, Sang K.;Lee, Won B.;Kim, Sung W.
    • Journal of the Korean Society for Heat Treatment
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    • v.20 no.2
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    • pp.78-83
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    • 2007
  • CrN coatings were deposited by cathodic arc ion plating method on the SKD11 steel substrates. Atmosphere temperature of $350^{\circ}C$, arc current of 90 A, nitrogen partial pressure of 1.0-5.3 Pa, and negative bias voltage of 30-135 V were selected. The characteristics of microstructure were investigated with XRD. Hardness, adhesion and friction coefficient measured by microhardness tester, scratch tester, and ball on disk tribometer. Microstructures depended on nitrogen partial pressure and bias voltage. The preferred orientation of the films was changed from (200) to (111) with decreasing pressure and increasing bias voltage. Adhesion properties related with microstructure, but microstructure changes slightly influenced on hardness and friction properties. The critical load.($Lc_1$) and hardness of CrN films deposited at 5.3 Pa, -30 V condition were 55 N(HF1), $2157{\pm}47\;Hk_{0.025}$. The friction coefficient were about 0.5 under dry condition.

Hepatic Gene Expression Analysis of 1, 1-Dichloroethylene Treated Mice

  • Yoon, Seok-Joo;Oh, Jung-Hwa;Park, Han-Jin;Kim, Yong-Bum
    • Molecular & Cellular Toxicology
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    • v.3 no.2
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    • pp.119-126
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    • 2007
  • 1, 1-dichloroethylene (DCE) is well known hepatotoxicant as a model acute hepatotoxicity and selectively injure the bile canalicular membrane of centrilobular hepatocytes. In this study, we investigated hepatic gene expression and histopathological changes in response to DCE treatment. DCE was administered once daily at 20 mg/kg up to 14 days via intraperitoneal injection. Five mice were used in each test group and were sacrificed at 1, 7, and 14 days. Serum biochemical and histopathological analysis were performed for evaluation of hepatotoxicity level. Direct bilirubin and total bilirubin activities were slightly elevated in treated group at 7 days. DCE treatment for 7 days resulted in centrilobular hepatocyte hypertrophy and hepatocyte vacuolation, and mild hepatocyte vacuolation and high hepatocyte basophilia were observed in 14 days treated group. One hundred twenty three up-regulated genes and 445 down-regulated genes with over 2-fold changes between treated and control group at each time point were used for pathway analysis. These data may contribute in understanding the molecular mechanism DCE-induced hepatotoxicity.

Evaluation of Hydrides Effects on Corrosion and Tensile Properties of Stress-relieved Zirconium Claddings (응력이완 열처리된 지르코늄 피복관의 부식 및 인장특성에 미치는 수소화물 영향 평가)

  • Bang, Je-Geon;Baek, Jong Hyuk;Lee, Myung Ho;Jeong, Yong Hwan
    • Journal of the Korean Society for Heat Treatment
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    • v.17 no.6
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    • pp.356-364
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    • 2004
  • The hydrides in cladding affect the corrosion and tensile properties. In this study corrosion and tensile properties were evaluated with varying the hydrogen concentration. The charged hydrogen contents were ranged from 200 to 1000 ppm. The corrosion rate in water and LiOH solution increases with the hydrogen concentration. The hydride did not affect the corrosion mechanism in the pre-transition region, but in the post-transition region the corrosion rate was accelerated. Cladding E contained higher Niobium content was slowly accelerated compared with other claddings. The yield and ultimate strengths were independent on the hydrogen content. However, the total elongation decreased gradually with increasing the hydrogen content. SEM observation of fracture surface showed that an average of depth of voids decreased with increasing the hydrogen content and small secondary crack are observed.

Evaluation of brine reuse on salting of chinese cabbage using electrochemical process (전기화학적 처리에 의한 배추 절임염수 재이용 가능성 평가)

  • Jung, Heesuk;Lee, Eunsil;Han, Seongkuk;Han, Eungsoo
    • Journal of Korean Society of Water and Wastewater
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    • v.28 no.5
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    • pp.541-548
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    • 2014
  • The pickling brine generated from the salting process of kimchi production is difficult to treat biologically due to very high content of salt. When pickling brine is treated and discharged, it cannot satisfy the criteria for effluent water quality in clean areas, while resources such as the salt to be recycled and the industrial water are wasted. However, sterilization by ozone, UV and photocatalyst is expensive installation costs and operating costs when considering the small kimchi manufacturers. Therefore there is a need to develop economical process. The study was conducted on the sterilization efficiency of the pickling brine using electrochemical processing. The electrochemical treatment of organic matters has advantages over conventional methods such as active carbon absorption process, chemical oxidation, and biological treatment because the response speed is faster and it does not require expensive, harmful oxidizing agents. This study were performed to examine the possibility of electrochemical treatment for the efficient processing of pickling brine and evaluated the performance of residual chlorine for the microbial sterilization.

A Study on the Manufacturing and Properties of Hightech Easycare Wool (고감성 Easycare Wool의 제조 및 특성 연구)

  • Han Tae Sung;Park Jun Ho;Park Sang Woon;Jeon Byong Dae
    • Textile Coloration and Finishing
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    • v.17 no.6 s.85
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    • pp.51-59
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    • 2005
  • To manufacture hightech easycare wool, there are several methods which use strong oxidising agent or the resin treatment, however, neither are environmentally friendly methods. Moreover it may deteriorate the handle. The aim of this study is to manufacture the hightech easycare wool using the modified Fenton method which can be formed by hydrogen peroxide and ferric sulfate and enzyme treatment. The method was pretreated by ferric sulfate on the wool surface and then the surface of wool scale was selectively removed by ferric ion catalyst. Subsequently the Enchiron which is one of the proteolytic enzymes was treated on the wool surface. The treated wool had the result of having optimum weight loss and excellent whiteness and good handle. Therefore implications of these results suggest that this method using the modified Fenton method and enzyme treatment may be one way of manufacturing the hightech easycare wool.

Effect of Final Annealing and Stress on Creep Behavior of HANA Zirconium Fuel Claddings (HANA 지르코늄 핵연료피복관의 크립거동에 미치는 최종 열처리 및 응력의 영향)

  • Kim, H.G.;Kim, J.H.;Jeong, Y.H.
    • Journal of the Korean Society for Heat Treatment
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    • v.18 no.4
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    • pp.235-241
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    • 2005
  • Thermal creep properties of the advanced zirconium fuel claddings named by HANA alloys which were developed for high burn-up application were evaluated. The creep test of HANA cladding tubes was carried out by the internal pressurization method in temperature range from 350 to $400^{\circ}C$ and in the hoop stress range from 100 to 150 MPa. Creep tests were lasted up to 800 days, which showed the steady-state secondary creep rate. The creep resistance of HANA fuel claddings was affected by final annealing temperature and various factors, such as alloying element, applied stress and testing temperature. From the results the microstructure observation of the samples before and after creep test by using TEM, the dislocation density was increased in the sample of after creep test. The Sn as an alloying element was more effective in the creep resistance than other elements such as Nb, Fe, Cr and Cu due to solute hardening effect of Sn. In case of HANA fuel claddings, the improved creep resistance was obtained by the control of final heat treatment temperature as well as alloying element.