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1.
Journal of Korean Medical Science ; : e146-2023.
Article in English | WPRIM | ID: wpr-976967

ABSTRACT

Background@#While the importance of mental health is well-recognized in the field of occupational health, implementation of effective strategies in the workplace has been limited by gaps in infrastructure, program comprehensiveness, coverage, and adherence. The authors developed a Screening, Brief Intervention, and Referral to Treatment (SBIRT) model based occupational mental health intervention, and implemented in a web-based format with a smartphone application. @*Methods@#The SBIRT-based intervention was developed by a multidisciplinary team, including occupational health physicians, nurses, psychiatrists, and software developers. The following mental health areas were included, based on outcomes of an epidemiological survey conducted: insomnia, depression, anxiety, problematic alcohol use, and suicidal risk. The viability of the two-step evaluation process utilizing a combination of the brief version and the full-length version of the questionnaire was examined using responses from the survey. The intervention was adjusted according to the survey results and expert opinions. @*Results@#The epidemiological survey included 346 employees who completed the long-form version of mental health scales. These data were the used to confirm the diagnostic value of using a combination of short-form and long-form version of the scales for screening in the SBIRT model. The model uses a smartphone application for screening, provision of psychoeducation, and for surveillance. The universal methods of the model ensure it can be implemented by all occupational managers, regardless of their specialization in mental health. In addition to the two-step screening procedure to identify employees at-risk for mental health problems, the model includes a stepped care approach, based on risk stratification, to promote mental health education, management, and follow-up for continuous care. @*Conclusion@#The SBIRT model-based intervention provides an easy-to-implement approach for the management of mental health in the workplace. Further studies are required to examine the effectiveness and feasibility of the model.

2.
Annals of Coloproctology ; : 281-290, 2021.
Article in English | WPRIM | ID: wpr-913407

ABSTRACT

Purpose@#Proctectomy for the treatment of rectal cancer results in inevitable changes to bowel habits. Symptoms such as fecal incontinence, constipation, and tenesmus are collectively referred to as low anterior resection syndrome (LARS). Among the several risk factors that cause LARS, anastomotic leakage (AL) is a strong risk factor for permanent stoma formation. Therefore, the purpose of this study was to investigate the relationship between the severity of LARS and AL in patients with rectal cancer based on the LARS score and the Memorial Sloan Kettering Cancer Center (MSKCC) defecation symptom questionnaires. @*Methods@#We retrospectively analyzed patients who underwent low anterior resection for rectal cancer since January 2010. Patients who completed the questionnaire were classified into the AL group and control group based on medical and imaging records. Major LARS and MSKCC scores were analyzed as primary endpoints. @*Results@#Among the 179 patients included in this study, 37 were classified into the AL group. After propensity score matching, there were significant differences in the ratio of major LARS and MSKCC scores of the control group and AL group (ratio of major LARS: 11.1% and 37.8%, P<0.001; MSKCC score: 67.29±10.4 and 56.49±7.2, respectively, P<0.001). Univariate and multivariate analyses revealed that AL was an independent factor for major LARS occurrence and MSKCC score. @*Conclusion@#This study showed that AL was a significant factor in the occurrence of major LARS and defecation symptoms after proctectomy.

3.
Journal of Minimally Invasive Surgery ; : 158-164, 2021.
Article in English | WPRIM | ID: wpr-900340

ABSTRACT

Purpose@#Drain insertion after proctectomy is common in clinical practice, although the effectiveness of drains has been questioned. However, drains are commonly displaced after surgery. We hypothesized that drain displacement is associated with clinical outcomes and aimed to assess differences in clinical outcomes, such as overall morbidity, including anastomotic leakage (AL), reintervention rates, length of hospital stay, and mortality rates, between patients who experienced displaced drains and those who did not. @*Methods@#Rectal cancer patients who underwent proctectomy at a single institution between January 2015 and December 2020 were retrospectively reviewed. Clinical characteristics were compared between patients who experienced displaced drains and those who did not. The primary endpoint was the occurrence of reintervention in patients with AL. The secondary endpoints were overall morbidity rates, AL rates, length of hospital stay, and mortality within 30 days. @*Results@#Among 248 patients who underwent proctectomy, 93 (37.5%) experienced displaced drains. A higher proportion of patients who experienced displaced drains required reintervention due to AL than those who did not experience displaced drains (odds ratio, 3.61; 95% confidential interval, 1.20–10.93; p = 0.016). However, no significant difference was found in the overall morbidity rate, mortality, and length of hospital stay between the groups. @*Conclusion@#Drain displacement does not worsen outcomes such as overall morbidity rate, mortality, and length of hospital stay after proctectomy but is associated with an increase in the need for reintervention in patients with AL.

4.
Journal of Minimally Invasive Surgery ; : 158-164, 2021.
Article in English | WPRIM | ID: wpr-892636

ABSTRACT

Purpose@#Drain insertion after proctectomy is common in clinical practice, although the effectiveness of drains has been questioned. However, drains are commonly displaced after surgery. We hypothesized that drain displacement is associated with clinical outcomes and aimed to assess differences in clinical outcomes, such as overall morbidity, including anastomotic leakage (AL), reintervention rates, length of hospital stay, and mortality rates, between patients who experienced displaced drains and those who did not. @*Methods@#Rectal cancer patients who underwent proctectomy at a single institution between January 2015 and December 2020 were retrospectively reviewed. Clinical characteristics were compared between patients who experienced displaced drains and those who did not. The primary endpoint was the occurrence of reintervention in patients with AL. The secondary endpoints were overall morbidity rates, AL rates, length of hospital stay, and mortality within 30 days. @*Results@#Among 248 patients who underwent proctectomy, 93 (37.5%) experienced displaced drains. A higher proportion of patients who experienced displaced drains required reintervention due to AL than those who did not experience displaced drains (odds ratio, 3.61; 95% confidential interval, 1.20–10.93; p = 0.016). However, no significant difference was found in the overall morbidity rate, mortality, and length of hospital stay between the groups. @*Conclusion@#Drain displacement does not worsen outcomes such as overall morbidity rate, mortality, and length of hospital stay after proctectomy but is associated with an increase in the need for reintervention in patients with AL.

5.
Journal of Minimally Invasive Surgery ; : 134-138, 2020.
Article | WPRIM | ID: wpr-836152

ABSTRACT

Purpose@#Hand-eye discordance during laparoscopic colon surgery is an obstacle to the assistant. We evaluated the usefulness of a 180° rotatable laparoscopic monitor for the colorectal surgery assistant to overcome hand-eye discordance. @*Methods@#Twenty-six residents of the department of surgery (novice group, n=13; experienced group, n=13) participated in this study. They performed grasping a ring and transferring it to standing bars on a laparoscopic training kit under the conventional view and a 180° rotated monitor view. We defined successful performance when this procedure was completed in 3 minutes. @*Results@#The number of successful performance was higher under the 180° rotated monitor view than under the conventional view monitor (6.88±2.79 vs. 0.92±0.80, p<0.01). Under the 180° rotated monitor view, the experienced group had a higher number of successful performances than the novice group (8.31±2.59 vs. 5.46±2.26, p=0.009). However, no statistically significant difference was found between the two groups under the conventional view (1.23±0.93 vs. 0.62±0.51, p=0.091). @*Conclusion@#This study shows the usefulness of a 180° rotated monitor view to overcome hand-eye discordance, which adversely affects the laparoscopic performance of the colorectal surgery assistant.

6.
Journal of Korean Academy of Oral Health ; : 158-165, 2020.
Article | WPRIM | ID: wpr-835860

ABSTRACT

Objectives@#The purpose of this study was to analyze the relations between general health status, oral health behavior, oral health status, and quality of life, as well as the mediating effects of oral health behavior and oral health status. @*Methods@#Subjects aged ≥19 years participated in a health questionnaire in the third year of the Japanese National Health and Nutrition Examination Survey (2015). @*Results@#Analysis of the overall path of periodontal disease showed that respiratory and circulatory diseases and oral health behaviors had statistically significant indirect effects on quality of life through the mediation of oral health behavior and oral health conditions, while analysis of the overall trend of the decayed, missing, and filled teeth (DMFT) index showed significant indirect effects on quality of life through mediation between oral and oral health conditions. As a result of these analyses, the association of general health status with quality of life, and its effect thereon, were confirmed through the intermediary of oral health behaviors and oral health conditions. @*Conclusions@#Therefore, further research is needed on the relation of general diseases to oral health management. Special oral health departments need to be established in both general and university hospitals, and dental hygienists in charge of oral care need to be deployed to improve oral health for general diseases. Manuals and systems for oral health management and oral health promotion need to be developed for certified dental hygienists in Japan, specifically for each systemic disease. For example, hygienists should have guidance on the oral health practices that help in the prevention of diabetes.

7.
Annals of Coloproctology ; : 417-420, 2020.
Article in English | WPRIM | ID: wpr-896736

ABSTRACT

Actinomycosis is a rare chronic bacterial infection primarily caused by Actinomyces israelii. A 47-year-old woman presented to our clinic with a 1-week history of lower abdominal pain. Preoperative imaging studies revealed multiple peritoneal and pelvic masses suggestive of malignancy. The primary tumor could not be identified despite further endoscopic and gynecological evaluation. On exploration for tissue confirmation, excisional biopsies from multiple masses were performed because complete excision was not possible. Histopathological examination confirmed actinomycosis with multiple abscesses, and the patient was treated with antibiotics. We present a case of disseminated peritoneal actinomycosis that mimicked malignant peritoneal carcinomatosis on imaging studies.

8.
Annals of Coloproctology ; : 417-420, 2020.
Article in English | WPRIM | ID: wpr-889032

ABSTRACT

Actinomycosis is a rare chronic bacterial infection primarily caused by Actinomyces israelii. A 47-year-old woman presented to our clinic with a 1-week history of lower abdominal pain. Preoperative imaging studies revealed multiple peritoneal and pelvic masses suggestive of malignancy. The primary tumor could not be identified despite further endoscopic and gynecological evaluation. On exploration for tissue confirmation, excisional biopsies from multiple masses were performed because complete excision was not possible. Histopathological examination confirmed actinomycosis with multiple abscesses, and the patient was treated with antibiotics. We present a case of disseminated peritoneal actinomycosis that mimicked malignant peritoneal carcinomatosis on imaging studies.

9.
Journal of Korean Academy of Oral Health ; : 56-62, 2019.
Article in Korean | WPRIM | ID: wpr-764710

ABSTRACT

OBJECTIVES: The purpose of this study was to investigate the correlation of periodontitis with metabolic syndromes and menopause status. METHODS: The 2013 Korea National Health and Nutrition Examination Survey data of 645 postmenopausal and 663 premenopausal women were analyzed using the Pearson's chi-squared test and multiple regression analysis with the Statistical Package for the Social Sciences (PASW statistics) software version 21.0. Metabolic syndromes and community periodontal index (CPI) were analyzed. RESULTS: CPI 3, CPI 4 (P<0.001), and the prevalence of periodontal disease were significantly higher in the postmenopausal group (P<0.001). Periodontal disease was significantly higher (P<0.001) in postmenopausal women not using dental floss (2.69 times), hypertensive postmenopausal women (1.60 times), and premenopausal women with high blood glucose levels (1.67 times). In the multiple logistic regression analysis, after adjusting for age, smoking habit, and alcohol consumption, significant risk factors for periodontal disease were the lack of dental floss use (odds ratio [OR]: 1.83; 95% confidence interval [CI]: 1.26–2.67), menopause (OR: 1.71; 95% CI: 1.22–2.41), and number of metabolic syndromes (when 1 or 2, OR: 2.22 and 95% CI: 1.50–3.29; when 3 or more, OR: 2.22 and 95% CI: 1.58–3.13). CONCLUSIONS: In summary, menopause status is associated with periodontal disease. Therefore, oral health programs for middle-aged women with menopause and metabolic syndromes should be conducted to improve their oral health-related quality of life.


Subject(s)
Female , Humans , Alcohol Drinking , Blood Glucose , Dental Devices, Home Care , Korea , Logistic Models , Menopause , Nutrition Surveys , Oral Health , Periodontal Diseases , Periodontal Index , Periodontitis , Prevalence , Quality of Life , Risk Factors , Smoke , Smoking , Social Sciences
10.
Annals of Surgical Treatment and Research ; : 93-102, 2019.
Article in English | WPRIM | ID: wpr-762686

ABSTRACT

PURPOSE: ATP-based chemotherapy response assay (ATP-CRA) is a well-documented and validated technology that can individualize chemotherapy. This study was undertaken to assess the usefulness of ATP-CRA in advanced colorectal cancer (CRC) patients receiving adjuvant chemotherapy. METHODS: A total of 136 patients with curative resection between January 2006 and April 2014 were evaluated using ATP-CRA. Patients received either the FOLFOX or Mayo clinic regimen chemotherapy following assay results. The sensitive-group (S-group) was defined as a drug-producing ≥ 40% reduction in ATP, and the resistant-group (R-group) as an ATP reduction of < 40%. These 2 groups were further subdivided to produce 4 subgroups: the FOLFOX sensitive subgroup (the FS subgroup [n = 65]), the Mayo sensitive subgroup (the MS subgroup [n = 40]), the FOLFOX resistant subgroup (the FR subgroup [n = 10]), and the Mayo resistant subgroup (the MR subgroup [n = 21]). Clinical responses and survival results were compared for both treatment regimens. RESULTS: The FS and MS subgroups showed a better disease-free survival rate (29% vs. 40%, 35% vs. 47.6%) and overall survival rate (92.3% vs. 80.0%, 87.5% vs. 76.2%) than FR and MR subgroups. The FS and MS subgroups showed a longer time to relapse (20.2 months vs. 9.5 months, 17.6 months vs. 16.4 months) than the FR and MR subgroups. CONCLUSION: ATP-CRA tailored-chemotherapy has the potential to provide a survival benefit in resectable advanced CRC.


Subject(s)
Humans , Adenosine Triphosphate , Adenosine , Chemotherapy, Adjuvant , Colorectal Neoplasms , Disease-Free Survival , Drug Screening Assays, Antitumor , Drug Therapy , Recurrence , Survival Rate
11.
Journal of Korean Academy of Oral Health ; : 97-97, 2018.
Article in Korean | WPRIM | ID: wpr-740576

ABSTRACT

The authors confirm that the author name and the title were incorrect in the last isuse of the journal.

12.
Journal of Korean Academy of Oral Health ; : 40-45, 2018.
Article in Korean | WPRIM | ID: wpr-740572

ABSTRACT

OBJECTIVES: This study aimed to contribute to the development of an oral health education program on organized professional toothbrushing by determining its effects on plaque control in patients undergoing orthodontic treatment. METHODS: The subjects in the experimental group participated in the professional toothbrushing and oral health education weekly for 4 weeks, and those in the control group participated in the same program without professional toothbrushing education. RESULTS: The difference in knowledge, attitude, and behaviors on oral health was higher among the experimental group who underwent professional toothbrushing and oral health education program than those in the control group. The effects of toothbrushing time on the plaque index were significantly lower in experimental group than those in the control group. CONCLUSIONS: It is suggested that adequate oral health and professional toothbrushing education program should be implemented to improve oral health.


Subject(s)
Humans , Education , Oral Health , Toothbrushing
13.
Journal of Korean Academy of Oral Health ; : 16-23, 2018.
Article in Korean | WPRIM | ID: wpr-740566

ABSTRACT

OBJECTIVES: The purpose of this study was to investigate the reasons for unmet dental needs in Korea and to find ways to improve dental care accessibility by using data from the 6th National Health and Nutrition Survey. METHODS: This study was performed using data collected from the 6th National Health and Nutrition Examination Survey (KNHANES). A total of 2,251 subjects were selected for the study. Statistical analysis was performed using SPSS 21.0 on data files obtained according to complex sampling design, and a significance level of 0.05 was used. General characteristics of the subjects, oral health status, and unmet dental needs were examined for a complex sampling frequency analysis, and the differences in distribution were analyzed using chi-square analysis. Relevant factors were determined using logistic regression analysis. RESULTS: According to the logistic regression analysis, in Model 1, gender, household income, employment status, and subjective health status were found to be significantly related to unmet dental needs (P<0.05). In Model 2, subjective health status, subjective oral health status, and chewing difficulty were significantly related to unmet dental needs (P<0.001). Model 3 showed a significant relationship between subjective health status, subjective oral health status, chewing difficulty, periodontal disease, and unmet dental needs (P<0.001). CONCLUSIONS: We conclude that the reasons for the unmet dental needs in Korea are socioeconomic status, general health status, and oral health status. In the future, economic barriers to obtaining dental care need to be overcome through improvements in health insurance policies and systems and diversification of private insurance. Oral health should be improved through oral health education, which can create awareness and provide motivation for maintaining oral health.


Subject(s)
Adult , Humans , Dental Care , Diagnostic Self Evaluation , Education , Employment , Family Characteristics , Information Storage and Retrieval , Insurance , Insurance, Health , Korea , Logistic Models , Mastication , Motivation , Nutrition Surveys , Oral Health , Periodontal Diseases , Social Class
14.
Journal of Korean Academy of Oral Health ; : 90-95, 2017.
Article in Korean | WPRIM | ID: wpr-194236

ABSTRACT

OBJECTIVES: This study aimed to investigate the correlation between oral health behaviors of workers by examining the oral health awareness and the need for oral health education. METHODS: After the institutional review board approval, we surveyed industrial workers in Seoul, Gwangju, Changwon, and Goksung, in Korea, from July 19 to August 29, 2016. The final questionnaires (287 in total) were assessed using the SPSS 24.0 software for Windows (SPSS Inc. Chicago, IL, USA). The data were analyzed using frequency analysis, average, standard deviation, t-test, and the Pearson's correlation coefficient. RESULTS: Through the response of “yes” for the question, “oral health education experience,” we can see the respondents have high level of interest (P<0.001). And through the response of “yes” for the question, “Periodic oral Examination” and “regular scaling” and “oral care product use” we can see the respondents have high level of interest (P<0.001) and high importance (P<0.001), there was a statistically significant difference. On analyzing the correlations between workers, there was positive correlation oral health ‘Interest’ and ‘Importance’ (r=0.598, P<0.001). Of the 287 participants, 80.1% indicated that they did not receive any previous oral health education, while 85.4% indicated a willingness to attend oral health education programs in the future. Of the 80.1% of participants with no prior oral health education, 60.0% indicated lack of oral health education because of few opportunities to participate in such programs. They most prefer “Oral Hygiene Management” 64.8% for education contents and choose “Direct-education by inviting Expert” as the best education method 75.6%. CONCLUSIONS: It is necessary to develop oral health education programs suitable for the industrial field characteristics for people in workplace, and to enhance and expand oral health education services in the workplace in order to maintain interest in oral health.


Subject(s)
Education , Ethics Committees, Research , Health Education , Hygiene , Korea , Methods , Oral Health , Seoul , Surveys and Questionnaires
15.
Journal of Korean Academy of Oral Health ; : 36-42, 2017.
Article in Korean | WPRIM | ID: wpr-19267

ABSTRACT

OBJECTIVES: The purpose of this study was to evaluate the relationship between smoking and periodontal diseases in Korean middle-aged men based on data from the Korea National Health and Nutrition Examination Survey, 2013-2015. METHODS: The study subjects were 708 men aged 40 years and over and whose data included oral health behavior (status), community periodontal index, and smoking status. The statistical analyses were conducted by applying a complex sample analysis technique. RESULTS: In terms of the relationship between smoking and periodontal status, the risk of periodontitis was 1.99-fold higher in those aged 50 years and over. It was also 1.17-fold higher for the chewing problem “Average,” 2.877-fold higher for the chewing problem “Poor,” and 1.862-fold higher for smoking. CONCLUSIONS: These results suggest that the need for smoking cessation should be widely publicized in order to promote public oral health.


Subject(s)
Humans , Male , Korea , Mastication , Nutrition Surveys , Oral Health , Periodontal Diseases , Periodontal Index , Periodontitis , Smoke , Smoking Cessation , Smoking
16.
Korean Journal of Otolaryngology - Head and Neck Surgery ; : 588-592, 2016.
Article in Korean | WPRIM | ID: wpr-651647

ABSTRACT

BACKGROUND AND OBJECTIVES: Obstructive sleep apnea syndrome is one type of sleep disorder breathing. During sleep, in respiration, nasal obstruction causes negative pressure, which in turn causes the pharyngeal airway to collapse during inspiration. We investigated how nasal surgery affects patients who have undergone OSA surgery but still suffer from the remaining symptoms of snoring and sleep disorder breathing. SUBJECTS AND METHOD: We reviewed 24 patients, who had undergone obstructive sleep apnea (OSA) surgery only to show no enhancement in snoring and qualities of sleep; they showed nasal septal deviation or inferior turbinate hypertrophy. Septal surgery or inferior turbinoplasty was performed by the same otolaryngologist. Over the period between preoperation and 1, 3, 6, 12 months after operation, we evaluated Apnea-Hypopnea Index (AHI) and oxygen saturation by polysomnography, degree of snoring by Visual Analogue Sacle (VAS) score, satisfaction for quality of sleep by Epworth Sleepiness Scale (ESS), minimal cross section area and volume of nasal cavity by acoustic rhinometry, respectively. RESULTS: After nasal surgery, the volume of nasal cavity and MCA increased. There were significant improvements of AHI, oxygen saturation, VAS and ESS score. CONCLUSION: As for OSA surgery, the evaluation of nasal cavity is an indispensible factor for improving the quality of sleep and snoring. When treating OSA patients who have nasal obstruction, nasal surgery including septoplasty and inferior turbinoplasty should be considered.


Subject(s)
Humans , Hypertrophy , Methods , Nasal Cavity , Nasal Obstruction , Nasal Surgical Procedures , Oxygen , Polysomnography , Respiration , Rhinometry, Acoustic , Sleep Apnea Syndromes , Sleep Apnea, Obstructive , Sleep Wake Disorders , Snoring , Turbinates
17.
Journal of Korean Academy of Oral Health ; : 165-170, 2016.
Article in Korean | WPRIM | ID: wpr-161439

ABSTRACT

OBJECTIVES: The purpose of this study was to use the components of the European Quality of Life-5 dimension (EQ-5D) scale to investigate the oral health status and health-related quality of life of adults in order to collect basic data on how to improve quality of life. METHODS: This study was conducted in 2014. Data from the 6th Korean National Health and Nutrition Examination Survey (sixth term; 2 years) were analyzed by utilizing the raw information from the disease management headquarters. The 2,805 subjects were 19 to 59-year-old adults who were not missing values of the main missing value of oral health status in variables and the EQ-5D. Statistical analysis was performed by frequency analysis and chi-squared (χ2) and t-tests. Analysis of variance was performed using multiple regression analysis. The significance level was determined to be 0.05. RESULTS: Dental pain and mobility (P<0.005), pain and discomfort (P<0.005), chewing problems and speaking discomfort, anxiety and depression (P<0.05), subjective oral health awareness, mobility (P<0.001), self-care (P<0.05), usual activities (P<0.05), pain and discomfort (P<0.005) were significantly related. In the effect on the components of the EQ-5D by logistic regression analysis, gender, age, education level, household income, chewing problems, and periodontal disease prevalence were significant variables in the quality of health-related life. CONCLUSIONS: The results showed that oral health status significantly influenced the quality of life in adults. Through the recognition of the impact of oral health on health-related quality of life, we expect that the data from this study will help promote the development of oral health and oral health education programs for the maintenance and promotion of adult health.


Subject(s)
Adult , Humans , Middle Aged , Anxiety , Depression , Disease Management , Education , Family Characteristics , Logistic Models , Mastication , Nutrition Surveys , Oral Health , Periodontal Diseases , Prevalence , Quality of Life , Self Care
18.
Annals of Coloproctology ; : 58-65, 2016.
Article in English | WPRIM | ID: wpr-215148

ABSTRACT

PURPOSE: Mucinous cells (MUCs), signet-ring cells (SRCs), and poorly differentiated cells (PDCs) are uncommon histologic types and have been associated with advanced tumor stage and poor prognosis. However, MUCs, SRCs, and PDCs are commonly observed in cancers with high microsatellite instability (MSI), which have favorable outcomes compared with cancers with microsatellite stability (MSS). The purpose of this study was to evaluate the prognostic impact of high-MSI in patients with sporadic colorectal cancer presenting with MUCs, SRCs, and/or PDCs. METHODS: Between January 2006 and December 2012, 176 with proven microsatellite status who also presented with MUCs, SRCs, and PDCs were selected for this study and were divided into 2 groups, high-MSI and MSS; their outcomes were analyzed. RESULTS: Of the 176 patients, 56 and 120, respectively, had high-MSI and MSS cancers. High-MSI cancers had larger tumors, proximal tumor location, and a lower TNM stage. The recurrence rate was lower in the high-MSI group (13.7% vs. 35.4%, P = 0.006). Common patterns of distant metastasis for MUC, SRC, PDC cancers were peritoneal spread (46.9%) and hematogenous metastasis (46.4%). The 5-year CSS rates were 88.2% and 61.2% for patients with high-MSI and MSS cancers, respectively (P < 0.0001). In the multivariate analysis, except for stage-IV cancer, MSI status was an independent risk factor for cancer-specific survival (MSS: hazard ratio, 4.34; 95% confidence interval, 1.68-11.21). CONCLUSION: In patients with colorectal cancer presenting with MUCs, SRCs, and/or PDCs, those with high-MSI cancers had better outcomes.


Subject(s)
Humans , Colorectal Neoplasms , Microsatellite Instability , Microsatellite Repeats , Mucins , Multivariate Analysis , Neoplasm Metastasis , Prognosis , Recurrence , Risk Factors
19.
Korean Journal of Otolaryngology - Head and Neck Surgery ; : 177-181, 2015.
Article in Korean | WPRIM | ID: wpr-654263

ABSTRACT

BACKGROUND AND OBJECTIVES: Vertigo is an illusion of environmental movement due to various causes, thus it is hard for medical doctors to determine the exact kind of dizziness in the final diagnosis. Recently, cervical vertigo was reported from several vertigo cases. Cervical vertigo is defined as sensation of rotation, resulting from an alteration of the neck proprioceptive afferents of the upper cervical spine. The aim of our study is to document the clinical features and the treatment outcomes in vertigo patients with myofascial pain syndrome (MPS). SUBJECTS AND METHOD: A total of 488 patients, excluding 18 patients who received other diagnosis, were examined to investigate the reasons for dizziness. We evaluated 34 patients, who were diagnosed with cervical vertigo by questionnaire after MPS treatments. Clinical evaluations for cervical vertigo were performed on all subjects, and vestibular function tests were also performed in patients with vertigo symptoms. All patients received a total of 4 treatments including trigger point injection, physical therapy or medication, and then followed up, respectively. The symptom changes of dizziness, patient satisfaction and cervical pain were checked before and treatment 1, 2, 4 times by Visual Analogue Scale (VAS) score. RESULTS: There were significant improvement in the VAS score of dizziness, patient satisfaction and cervical pain after treatment for MPS. CONCLUSION: Treatment for MPS could improve dizziness in cervical vertigo with MPS patients, but further study is needed to clearly confirm the cervical vertigo with MPS for improving patient's quality of life.


Subject(s)
Humans , Diagnosis , Dizziness , Facial Neuralgia , Illusions , Myofascial Pain Syndromes , Neck , Neck Pain , Patient Satisfaction , Quality of Life , Surveys and Questionnaires , Sensation , Spine , Trigger Points , Vertigo , Vestibular Function Tests
20.
Journal of Korean Academy of Oral Health ; : 180-185, 2015.
Article in Korean | WPRIM | ID: wpr-18589

ABSTRACT

OBJECTIVES: The purpose of this study was to analyze the OHIP-14 (Oral Health Impact Index) and EQ-5D (health-related quality of life) scores for women in some areas, and to provide basic data as the basis for oral health and systemic health-related quality of life methods improving. METHODS: The subjects included 418 women aged 20-65 years, living in Busan and Gyeongnam between July 20 and September 30, 2014. RESULTS: OHIP-14 and EQ-5D scores increased with age and educational level; scores were lower in subjects with systemic disease and those with a non-professional occupation. Increased oral health awareness and recognition are both bad health, menopause oral health in one person was related to quality of life, and health-related quality of life scores were significantly lower (P<0001). When considering the oral care OHIP-14 score for more than a year and a time in the scaling 56.07 points, if not receiving was found as a factor affecting the OHIP-14 with 53.33 points (P<0.05), OHIP-14. Higher EQ-5D indicated a significant difference (P<0.001). The OHIP-14 score for factors affecting oral health behavior, depression score, menopause, dry mouth, monthly income, presence of systemic disease, and dentures showed a significant difference for body weight (P<0.01). Significant differences in EQ-5D scores were found for systemic diseases, subjective general health, depression score, and menopause score (P<0.01). CONCLUSIONS: OHIP-14 and EQ-5D will be helpful in the development of oral care and oral health education programs for women.


Subject(s)
Female , Humans , Body Weight , Dentures , Depression , Education , Menopause , Mouth , Occupations , Oral Health , Quality of Life
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