• Title/Summary/Keyword: treatment of choice

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Aneurysm of the Left Common Carotid Artery: Report of A Case (좌총경동맥루 1례 보고)

  • 이명희
    • Journal of Chest Surgery
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    • v.14 no.1
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    • pp.63-66
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    • 1981
  • True aneurysm of the carotid artery is relatively rare in comparison with the total number of aneurysms of the arterial system. The threat of rupture and embolization from mural thrombi are indications for treatment even though no symptoms may be present. Resection of the aneurysm and restoration of arterial continuity is the treatment of choice. A case of aneurysm of the Lt. common carotid artery of a 21 year-old male patient is presented. The confirmatory diagnosis was made by left carotid angiogram, and the aneurysmectomy & reconstruction with woven dacron vascular prosthesis was done, while cerebral circulation was maintained by internal shunt.

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Relative Toxicity of NeemAzal-T/S to the Predacious Mite, Amblyseius womersleyi(Acari: Phytoseiidae) and the Twospotted Spider Mite, Tetranychus urticae(Acari: Tetranychidae) (점박이응애와 긴털이리응애에 대한 NeemAzal-T/S의 독성)

  • 김도익;백채훈;박종대;김상수;김선곤
    • Korean journal of applied entomology
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    • v.39 no.1
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    • pp.53-58
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    • 2000
  • The effect of NeemAzal-T/S was tested by leaf disk method on fecundity, egg mortality, and preference of twospotted spider mite, Tetranychus urticae and its predator mite, Amblyseius womersleyi in the laboratory. Mortalities of T. urticae and A. womersleyi adults were 97.7% and 20.0%, in 100ppm treatment at 72 h after application, respectively. The mean number of eggs laid per T. urticae female adult were 0.0 and 18.5, and those of A. womersleyi were 1.6 and 2.9 at 100 ppm and 0 ppm concentrations, respectively. Hatchability of T. urticae eggs treated with 50 and 100 ppm were 52.8%, and 2.5%, respectively, and those of A. womersleyi eggs were 100% and 91.3%, respectively. Choice and no-choice tests revealed that T. urticae female preferred to alight and oviposit on untreated bean leaf disk with 13.8 to 18.2 eggs per female. In contrast, A. womersleyi female preferred on treated or untreated bean leaf equally. There was no significant differences in the number of consumption of T. urticae eggs by A. womersleyi on treated and untreated bean leaves, except 200 ppm. These results indicate that NeemAzal-TIS is highly toxic to T. urticae, and is less toxic to A. womersleyi. It may be concluded with these results that NeemAzal-T/S could be incorporated into integrated T. urticae management system.

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Leiomyoma of The Esophagus - Report of two cases - (식도 평활근종;2례 보고)

  • 임승현
    • Journal of Chest Surgery
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    • v.25 no.9
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    • pp.943-947
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    • 1992
  • Intramural leiomyoma is the most common benign esophageal tumor, but it is rare compared with carcinoma. Although the most common symptom is dysphagia, this tumor may not cause symptoms before attaining large size. Radiographic and endoscopic findings allow an accurate diagnosis to be made before operation in most patients. The treatment of choice is enucleation without mucosal encroachment. Recently, we experienced two cases of esophageal leiomyoma on the mid portion of esophagus and enucleation of tumors were done by blunt dissection with caution. In one case, postoperative chylothorax was complicated, but cured with conservative treatment. The tissue diagnosis was confirmed with pathological finding.

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Esophageal hemangioma-A case report (양성 식도 혈관종 -1례 보고-)

  • 김진국
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.994-997
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    • 1990
  • We are reporting a case of esophageal hemangioma, which is a very rare disease with only 24 cases having been reported. A 31-year-old male with dysphagia was shown to have a hemangioma of the upper thoracic esophagus and resection of the lesion cured this problem. Once diagnosed in symptomatic patient, treatment should be instituted because of followings; 1. growth potency to large size, 2. possible complications such as hemorrhage and obstruction, and 3. exclusion diagnosis of malignancy. Surgery is the treatment of choice due to its effectiveness and safety, but endoscopic removal may be possible for small tumors and those on a pedicle.

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SHEAR BOND STRENGTH BETWEEN TARGIS AND HUMAN DENTIN BY USING VARIOUS LUTING CEMEMTS (수종의 접착제를 이용한 Targis와 상아질간의 전단결합강도)

  • Lee, Jung;Yu, Mi-Kyung;Cho, Young-Gon;Lee, Kwang-Won
    • Restorative Dentistry and Endodontics
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    • v.24 no.3
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    • pp.519-527
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    • 1999
  • The purpose of this study was to estimate shear bond strength according to difference in luting cements and Targis surface treatment. 70 non-carious extracted human molars and Targis shade D210(Ivoclar, Liechtenstein) were used in the present study and they were randomly assigned into 7 experimental groups ; Group 1 : specimens were bonded with using vitremer(3M, U.S.A). Group 2, 4, 6 : specimens were not-treated with silane and bonded with Panavia 21(Kuraray Japan), Choice(Bisco, U.S.A.) and Variolink II(Vivadent, Liechtenstein) respectively Group 3, 5, 7 : specimens were treated with silane and bonded with Panavia 21, Choice and Variolink II respectively. After the surface treatment, the luting cement was mixed by manufacturer's recommendation and then applied between dentin and Targis and excess cement was removed by brush. All specimens were stored for 24 hrs in distiled water at $37^{\circ}C$. Shear bond strength for each group was then measured. To examine the failure patterns of targis to dentin, specimens were fabricated and observed under the SEM. The results were as follows ; 1. The mean shear bond strength of the groups using resin cements was significantly higher than that using resin-modified GI cements (P<0.05). 2. There is no significant difference in shear bond strength between Panavia 21 and Choice whether silane was used or not(P>0.05). However, bond strength for the groups using Variolink II was higher in the specimens not-treated with silane than the treated specimens (P<0.05). 3. There is no significant difference in bond strength among the groups using silane surface treatment and resin cement (group 3, 5, 7) (P<0.05). 4. The proportions of the specimens showing the mixed fracture failure were 20% in groups using Panavia 21 and Variolink II and 15% in group using Choice.

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Current Updates in Treatment of Osteochondral Lesions of the Talus (거골 골연골 병변 치료에 대한 최신 지견)

  • Park, Young Hwan;Kim, Jae Young;Kim, Hak Jun
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.2
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    • pp.43-51
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    • 2019
  • Despite the increasing number of osteochondral lesions of the talus, there are a lack of definite evidence-based treatment protocols. Several types of treatments are available, each having their advantages and disadvantages. First-line therapy consists of well-conducted conservative treatment. Surgical treatment is the second choice. Treatments are chosen based on the size of the lesion, location, chronicity, and the condition of the neighboring cartilage. This article reviews the current updates in the treatment of osteochondral lesions of the talus to help clinicians use the available treatment strategies more efficiently.

Overview of Anti-Rheumatoid Drugs

  • Satoh, Tetsuo
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 2001.11a
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    • pp.35-36
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    • 2001
  • According to the recent epidemiological data, the numbers of patients of Reumatoid Arthritis(RA) in the world are reported to be 350mi11ion and 700,000 in the world and in Japan, respectively For the treatment of RA, NASIDs as the first choice drug have been widely used worldwide, and more than 50 NSAIDs have been in market up to today in Japan. Early 1990s, DMARDs as the new drug for RA treatment came into market, and the number of DMARDs has been increased every year. These drugs are recognized to have several advantages in treatment of RA, however, disadvantages are also reported, i.e., (1) high incidence of side effects, (2) high non-responder population, (3) decreased efficacy in chronic treatment, and (4) slow starting of the efficacy. For example, Methotrexate which has been widely used as the immunosuppressant has been recently used for treatment of Reumatoid. However, this drug has several disadvantages such as 60-70% improvement of the disease, 80% incidence of side effects, and 2-4 weeks to recognize the efficacy after treatment. In addition to these two.

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Surgical Treatment for Trigeminal Neuralgia

  • Park, Chang Kyu;Park, Bong Jin
    • Journal of Korean Neurosurgical Society
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    • v.65 no.5
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    • pp.615-621
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    • 2022
  • Various treatments for trigeminal neuralgia (TN) are known to yield initial satisfactory results; however, the surgical treatment has excellent long-term outcomes and a low recurrence rate. Surgical treatment addresses the challenge of vascular compression, which accounts for 85% of the causes of TN. As for surgical treatment for TN, microvascular decompression (MVD) has become the surgical treatment of choice after Peter J. Jannetta reported the results of MVD surgery in 1996. Since then, many studies have reported a success rate of over 90% for the initial surgical treatment. Most MVDs aim to separate (decompress) the culprit vessel from the trigeminal nerve. To increase the success rate of surgery, accurate indications for MVD and management of the offender vessels without complications are critical. In addition, if there is no vascular compression, partial sensory rhizotomy or internal neurolysis can be performed to improve surgical outcomes.

Management of Displaced Intra-articular Calcaneal Fracture (전위된 관절 내 종골 골절의 치료)

  • Lee, Jun Young;Na, Woong Chae
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.4
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    • pp.137-141
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    • 2015
  • Recently, open reduction and internal fixation has been the treatment of choice for displaced intra-articular calcaneal fractures for many orthopaedic surgeons. However controversy still surrounds the optimal treatment with regard to whether displaced intra-articular calcaneal fractures should be treated operatively or conservatively. Conservative treatments include use of splint, rest, leg elevation, icing, use of analgesics and early mobilization. Operative treatment is open reduction and internal fixation, performed through an extensile lateral approach with interfragmentary screws and application of a neutralization plate. We reviewed the question of whether operative treatment by open reduction and internal fixation provides a benefit compared with conservative treatment for displaced intra-articular calcaneal fractures.

Neoadjuvant Treatment for Gastric Cancer

  • Schuhmacher, Christoph;Reim, Daniel;Novotny, Alexander
    • Journal of Gastric Cancer
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    • v.13 no.2
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    • pp.73-78
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    • 2013
  • Surgery is still considered to be the mainstay for the treatment of localized gastric cancer with negative margins (R0-resection) and an adequate lymph-node-dissection (D2-lymphadenectomy). Unfortunately, most cases of gastric cancer are only diagnosed at an advanced stage due to frequent recurrences after primary resection in curative intent. In order to improve prognosis after curative resection, in the recent past, patients with locally advanced tumors were subjected to a pre-, peri-, or postoperative treatment. Interestingly, postoperative chemotherapy has significantly improved survival after gastric resection in Asia, adjuvant radiochemotherapy is favored in North America and perioperative chemotherapy is considered as a treatment of choice in Europe indicating region specific approach towards the treatment. Recently there has also been growing evidence of positive outcomes of neoadjuvant radiochemotherapy on patient survival. In the present article, we discuss the concepts of neoadjuvant treatment approach and provide recommendations to surgeons based on current evidence.