http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Acupuncture effect on Chemotherapy-induced Vomiting and Nausea: A case series
Ryoo, Hun Mo,Kim, Dae-Jun The Society of Korean Medicine 2015 대한한의학회지 Vol.36 No.4
Objectives: We carried out an observational study of the effects of Nei Guan (P6) and Gong Sun (SP4) acupuncture for the treatment of CINV, preparing for further randomized controlled trial study. This is a case series to explore the changes in the incidence of CINV by acupuncture. Methods: Patients reported a Rhodex index indicating the severity of nausea and vomiting and loss of appetite, before acupuncture, after acupuncture and 1-week follow-up examination. Twelve patients with CINV participated in this study. We included patients receiving chemotherapeutic agents that might induce moderate or severe nausea and vomiting. We conducted 5 treatment sessions with P6 and SP4 acupuncture over the course of 5 days. Results: The median Rhodex score were decreased in 5 patients over time, while we observed loss of appetite of 6 patients were improved over time. During the study, the mean of Rhodex of total patients revealed a decrease of Day 1, Day 7, Day 14; 0.74, 0.68, 0.38, respectively, while the mean of loss of appetite showed a decrease of Day 1, Day 7, Day 14; 5.25, 4.08, 4.00, respectively. Conclusions: The study gives a preliminary data that manual acupuncture of P6 and SP4 may reduce the severity of CINV and loss of appetite, and justifies further study.
류헌모 ( Hun Mo Ryoo ) 대한내과학회 2011 대한내과학회지 Vol.81 No.3
The lung is a common site for metastasis of malignant tumors from other organs. The metastatic cascade is a complex process that involves a series of events. Tumors can spread to the lung through hematogenous or lymphangitic routes. In the absence of extrathoracic metastasis, complete resection is associated with increased survival, regardless of histology. With appropriate patient selection, life expectancy is often improved with pulmonary metastasectomy. Stereotactic body radiation therapy (SBRT) and radiofrequency ablation (RFA) are 2 approaches that have been increasingly reported for pulmonary tumors. Although these new therapies have yet to match the long-term success rates of surgical therapy, the techniques demonstrate good results in treating high-risk surgical candidates with metastatic lesions to the lungs that would otherwise be considered with resection. This review will focus on the role of local therapy in oligometastasis that arise in the lung. (Korean J Med 2011;81:289-299)
정헌모(Jung Hun-Mo),류재용(Ryoo Jae-Yong),이성희(Lee Seoung-Hui),김진호(Kim Jin-Ho),최성모(Choi Sung-Mo) 대한건축학회 2009 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.29 No.1(구조계)
With the trend in the construction using high-strength material and the increase in material production costs, the interest in the efficient use of material has intensified and the studies on composite construction have been conducted. CFT, the composite of steel and concrete, has received more and more attention in Korea and overseas and the studies including its practical use in construction field have been carried out. Double-Skin CFT structure reduces column weight depending on hollow ratio, features high flexural rigidity and energy absorption and excels in fire proofing. However, the studies on Double-Skin CFT have been dominated by foreign researchers. In this study to secure the technology for Double-Skin CFT structure, tests were conducted with the variables of width-thickness ratio, hollow ratio and sectional shape to identify the structural performance of double-skin CFT slender columns and to provide directions for further studies.
동종 골수이식 후 재발된 급성 림프구성 백혈병 환자에서 고식적 항암화학요법만으로 장기간 완전관해를 보이는 1례
류현모,이상엽,이경희,현명수 대한조혈모세포이식학회 2000 대한조혈모세포이식학회지 Vol.5 No.1
동종 골수이식 후 재발된 급성 백혈병의 치료에 대해서는 아직 확립된 표준요법은 없다. 골수이식 후 재발된 경우 일반적으로 시행하는 치료로서 고용량 화학요법 및 2차 골수이식을 들 수 있으며 최근 골수성 백혈병 특히 만성 골수성 백혈병에 효과가 있는 공여자 림프구 주입(Donor lymphocyte infusion, DLI)에 의한 이식편대 백혈병 효과(graft-versus-leukemia effect, GVL effect)를 얻고자 시도해 보지만 결과는 만족스럽지 못한 실정이다. 동종 골수이식 이후 이식편대 숙주질환이 발생한 경우 재발률이 낮다는 사실이 여러 연구에서 확인되어 이식편대 숙주질환이 항백혈병 효과가 있다는 사실이 증명되었다. 저자들은 동종골수이식 후 9개월 후 재발된 급성 림프구성 백혈병 환자에서 고식적 항암화학요법 1회 시행 후 동종골수이식 후에는 관찰할 수 없었던 간과 피부를 침범한 이식편대 숙주질환이 발생하였고 이 후 장기간 무병상태로 유지되는 1례를 경험하였기에 보고하는 바이다. 본 증례는 mixed chimerism 상태에서 고식적 항암화학요법으로 선택적으로 환자의 백혈세포나 림프구를 억압하거나 사망시켜 공여자의 T-cell이 우세하여 GVHD가 발생하면서 얻은 GVL 효과로 장기간의 관해 상태가 유지되는 것으로 사료된다. Graft-versus-host disease (GVHD) remains a major immunological complication after allogeneic bone marrow transplantation (allo-BMT), but also favors development of the beneficial graft-versus-leukemia (GVL) effect. A patient with ALL is described, who was given non-myeloablative remission reinduction therapy for leukemic relapse diagnosed on day 270 after HLA-compatible sibling BMT. On day 300, a clinical syndrome suggestive of acute GVHD had developed. Skin biopsy confirmed the clinical diagnosis of GVHD. The patient has since remained in complete remission with an excellent performance status for more than 3 years without an further chemotherapy. The case indicates that intensive non-myeloablative chemotherapy can cure AML relapsing after allo-BMT. The therapeutic effect in this case probably involved a direct pharmacological suppression of the leukemic clone followed by a GVL effect initiated by donor-derived alloreactive T lymphocytes.
백상아 ( Sang Ah Baek ),류헌모 ( Hun Mo Ryoo ),배성화 ( Sung Hwa Bae ),조윤영 ( Yoon Young Cho ),김성규 ( Seong Gyu Kim ),김가영 ( Ga Young Kim ),김민근 ( Min Keun Kim ) 영남대학교 의과대학 2015 Yeungnam University Journal of Medicine Vol.32 No.2
Polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome is a monoclonal plasma cell disorder. Patients with POEMS syndrome also have various clinical manifestations including generalized edema, pleural effusion, ascites, papilledema, and sclerotic bone lesions. These manifestations can lead to a misdiagnosis or delayed diagnosis. We recently experienced a 51-year-old male patient with POEMS syndrome whose sclerotic bone lesion was misdiagnosed as malignant bone metastasis of papillary thyroid carcinoma. We reassessed the patient and found polyneuropathy, hepatosplenomegaly, hypothyroidism, partial hypopituitarism, immunoglobulin G lambda-type monoclonal gammopathy, hypertrichosis, ascites, and multiple sclerotic bone lesions, all of which led us to a diagnosis of POEMS syndrome. Treatment with thalidomide and dexamethasone resulted in clinical and radiological improvement. The patient has remained in remission after peripheral blood stem cell transplantation.