• Title/Summary/Keyword: 유지요법

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The Effects of Auricular Acupressure on Sleep Disorder in The Elderly: A Systematic Review and Meta-analysis (이압요법이 노인의 수면 장애 개선에 미치는 효과에 대한 체계적 문헌고찰 및 메타분석)

  • Jang, Minjin;Park, Hyojung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.116-126
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    • 2020
  • This study analyzed the effects of auricular acupressure on improving sleep disorders of the elderly. The data was collected from domestic and foreign databases. The keywords were 'auricular,' 'sleep,' 'insomnia, and so on. RoB and RoBANS were used to evaluate the risk of bias in the selected literature. Meta-analysis was performed using RevMan 5.3. Seven of 386 studies were selected. Regarding the sleep score, those studies with an intervention period of less than four weeks showed WMD of 25.66 (95% CI; 20.18 to 31.14), which was significantly higher than that of the control group. Similarly, the studies with an intervention period longer than four weeks had significantly higher WMD than that of the control group, and the former exhibited WMD of 8.59 (95% CI: 6.26 to 10.92). In contrast, sleep satisfaction was significantly higher in the studies with a maintenance period of three days or less, which resulted in SMD of 13.37 (95% CI: 5.29 to 21.45). The score in the studies with a maintenance period longer than four days was significantly higher than that of the control group with SMD of 2.27 (95% CI: 1.82 to 2.72). Auricular acupressure was effective in alleviating sleep disorders among the elderly in terms of both sleep quality and sleep satisfaction.

Plasma Progestin Concentration In Artificially Maintained Pregnancy (인공적으로 임신을 유지시킨 동물에 있어서 Plasma Progestin의 농도)

  • Kwun, Jong-Kuk;Lee, Young-So
    • Clinical and Experimental Reproductive Medicine
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    • v.3 no.2
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    • pp.29-34
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    • 1976
  • The changes of the plasma progestin concentations in normal pregnancy and artificially maintained pregnancy of the rabbits by hormonal replace therapy after induced ovulation and insemination on Day 1, followed by ovariectomy on Day 2, were checked by direct measurement, competitive protein-binding assay, from the time of mating through to parturition. The results obstained in this experiment can be summarized as follows: (i) The mean concentration of progestin in normally pregnant rabbits increased from $1.7{\sim}2.7$ ng/ml on Day 1 to $19.8{\sim}25.3$ ng/ml on Days $13{\sim}15$ and declined slowly thereafter until term. (ii) The progesterone levels in artificially maintained pregnancy by hormonal replacement therapy showed quite a similar pattern to that in normally pregnant rabbits.

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A Study for Activities to Improve Ability to Perform Intravenous Injection Chemotherapy Medication Safety Management of Nurses - Using 6 Sigma Techniques - (병원간호사의 항암화학요법 제제 정맥주사 투약안전 수행능력 향상 활동을 위한 연구 -6시그마 기법을 적용하여-)

  • Kim, Mi-Ran
    • Journal of Digital Convergence
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    • v.10 no.11
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    • pp.467-475
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    • 2012
  • This study aims to analyze chemotherapy medication safety management system and formulate efficient methods to solve problems in the medication safety practices through application of 6 sigma techniques. From the results of analysis conducted, targeting nurses, such 3 factors as process-related factor, nurse-related factor and environment-related factor were identified as problems of the chemotherapy medication safety management. Through analyzing the prior knowledge about chemotherapy mediation safety and level of performance of nurses, the educational performance to complement deficiencies were selected as the final improvement plan, and the improvement activities were completed through drawing out management plans that specify management methods and countermeasures in the event of problems.

Cost-Effectiveness Analysis of Glimepiride or Pioglitazone in Combination with Metformin in Type-2 Diabetic Patients (제2형 당뇨병 환자에 대한 메트포르민-글리메피리드 병합요법과 메트포르민-피오글리타존 병합요법의 비용-효과분석)

  • Lim, Kyung-Hwa;Shin, Hyun-Taek;Sohn, Hyun-Soon;Oh, Jung-Mi;Lee, Young-Sook
    • Korean Journal of Clinical Pharmacy
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    • v.19 no.2
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    • pp.96-104
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    • 2009
  • 배경: 당뇨병 환자에게 관상동맥심질환은 생존률, 건강 상태 유지 및 삶의 질에 주요한 영향을 미치는 합병증이며 적극적인 당뇨병 치료는 이러한 심혈관 합병증을 예방할 수 있으나 당뇨병의 적극적 치료와 관리에는 많은 비용이 소요된다. 목적: 제2형 당뇨병 환자를 대상으로 메트포르민과 글리메피리드 병합요법과 메트포르민과 피오글리타존 병합요법의 비용-효과성을 비교하고자 하였다. 연구방법: 마르코프 코호트 프로세스(Markov Cohort Process Model) 모형을 이용하여 비용-효과분석을 실시하였다. 연장된 수명 (life years gained, LYG)과 삶의 질(quality)을 보정하여 증가된 QALYs를 주요 효과 지표로 측정하였고, 총비용으로는 직접의료비용과, 환자와 가족의 교통비를 직접비의료비용으로 고려하였고 환자와 가족의 시간비용을 간접비용으로 포함하였다. 연구결과: 비용-효과분석 결과, 메트포르민과 글리메피리드 병합요법의 경우 총 비용은 5,962,288원, 효과는 7.94LYG, 6.43QALY이었다. 반면 메트포르민과 피오글리타존 병합요법은 총 비용 10,982,243원, 효과 8.62LYG, 6.99QALY으로, 점증적 비용-효과비(ICER)는 7,402,663원/LYG과 8,934,546원/QALY 이었다. 결론: 우리 사회의 연장된 수명(LYG)에 따른 지불의사가 700만원 이하인 경우는 메트포르민과 글리메피리드 병합요법이 비용-효과적인 대안이며 700만원 이상인 경우에는 메트포르민과 피오글리타존 병합요법이 비용-효과적인 대안이 될 수 있다.

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나에게 맞는 열량과 운동량

  • Kim, Mi-Ran
    • The Monthly Diabetes
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    • s.206
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    • pp.13-14
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    • 2007
  • 당뇨병환자의 식사요법은 단순히 음식을 줄이거나 제한하는 것이 아니라 정상적인 활동을 하면서 자신에 맞는 칼로리에 따라 알맞은 영양소를 골고루 섭취하는 것이다. 그렇다면 나는 하루에 몇 칼로리를 먹고 얼마나 움직여야 적절한 체중을 유지하고 혈당조절에 도움이 될까? 나의 열량과 움직임을 계산해보자.

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The Effect of Heat Therapy on Cutaneous Blood Flow and Skin Temperature at Pre-auricular Region (온열요법이 전이부의 표층부 혈류량과 피부 온도에 미치는 영향)

  • Kim, Su-Beom;Kim, Young-Jun;Kim, Cheul;Park, Moon-Soo
    • Journal of Oral Medicine and Pain
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    • v.30 no.4
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    • pp.401-410
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    • 2005
  • The purpose of this study was to assess the effect of heat therapy on cutaneous blood flow and skin temperature at pre-auricular region. Moist heat therapy and ultrasound therapy were applied to 20 healthy subjects(male: 10, female: 10). Cutaneous blood flow and skin temperature before and after heat therapy were measured with laser doppler flowmetry and thermocouple. The results were as follows ; 1. Cutaneous blood flow and skin temperature were significantly increased after moist heat therapy and ultrasound therapy. 2. In application of moist heat therapy, cutaneous blood flow and skin temperature were more increased and maintained longer than in ultrasound therapy. 3. Before heat therapy, cutaneous blood flow and skin temperature were higher in male. 4. There was no significant gender difference in changes of cutaneous blood flow and skin temperature after heat therapy. In conclusion, both moist heat therapy and ultrasound therapy increased cutaneous blood flow and skin temperature significantly, and moist heat therapy was more effective to increase cutaneous blood flow and skin temperature and to maintain increased cutaneous blood flow and skin temperature. There was no significant gender difference in the effect of heat therapy on cutaneous blood flow and skin temperature.

A Study of The Database System Design for The Ear Reflex Therapy Utilization

  • Choung, Hye-Myoung
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.3
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    • pp.43-50
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    • 2020
  • In this paper, we propose an efficient dynamic workload balancing strategy which improves the performance of high-performance computing system. The key idea of this dynamic workload balancing strategy is to minimize execution time of each job and to maximize the system throughput by effectively using system resource such as CPU, memory. Also, this strategy dynamically allocates job by considering demanded memory size of executing job and workload status of each node. If an overload node occurs due to allocated job, the proposed scheme migrates job, executing in overload nodes, to another free nodes and reduces the waiting time and execution time of job by balancing workload of each node. Through simulation, we show that the proposed dynamic workload balancing strategy based on CPU, memory improves the performance of high-performance computing system compared to previous strategies.

An Experimental Study on the Effect of Combined X-ray and Microwave Hyperthermia on the Rectum and Urinary Bladder of Rats (흰쥐의 직장과 방광에 X-선 조사와 마이크로파 온열요법의 효과에 관한 실험적 연구)

  • Lee, Kyung-Ja;Rhee, Chung-Sik
    • Radiation Oncology Journal
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    • v.4 no.2
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    • pp.115-128
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    • 1986
  • Hyperthermia can enhance the radiation effect as a synergistic reaction in combined X-ray irradiation and hyperthermia; hyperthermia sensitize radioresistant S-phase cells and inhibit cellular recovery from sublethal damage. We fabricated 100 watts, 2450 MHz microwave applicator for hyperthermia and planned the method and condition of heating and measured the temperature by using Agar phantom as a preliminary test. For biological examination, 102 rats were divided into 4 groups as hyperthermia, X-ray irradiation (6Gy-15Gy), combined X-ray and hyperthermia, and normal control groups. Microscopic examination of the rectum and bladder was done and the results were as followings: 1. The microwave generator with 100 watts, 2450MHz magnetron could be heating up to $40^{\circ}{\sim}50^{\circ}C$ for one hour in living tissue. 2. The thermal distribution in tissue equivalent phantom with microwave can be maintained at $40^{\circ}{\sim}44^{\circ}C$ in area of 3cm in depth and 2-10cm in diameter. 3. In Hyperthermia alone group, there was submucosal edema of the rectum but no histologic change in the urinary bladder was seen. 4. The minimal necrosis of the mucosa was appeared in the rectum and bladder after 15 days of 6 Gy and 8 Gy irradiation respectively. The minimal necrosis of the muscle layer of rectum and bladder was appeared after 15 days of 8Gy and 60days of 10Gy irradiation respectively. 5. In combined group of radiation and hyperthermia, thermal enhancement ratio (calculated at necrosis of mucosa and muscle layer) of rectum and bladder was 1.0, and it suggest that there is no change of tolerance dose of normal rectum and bladder.

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The Effect of Soru Massage Therapy on Pain of the Head and Neck of Elderly (소루마사지요법이 노인의 두경부 통증에 미치는 영향)

  • Han, Chae-Yeon;Shin, Ji-Hoon;Lee, Mi-Ja
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.8
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    • pp.1265-1270
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    • 2013
  • This study was aimed to analyse the effect of Soru massage therapy on pain of the head and neck of 46 seniors aged over 65. The therapy was given twice a week for eight weeks and a total of 16 sessions for 30 minutes. The results revealed that the pain average on the head and neck of the male and female subjects was statistically significant. For the test group who had a random test, the average of pain on the head and neck of the subjects was statistically significant. Based on the results, Soru massage therapy showed positive results for pain on the head and neck of elderly persons, which indicates that it can improve their health and quality of living. Therefore, this study is an arbitrary alternative therapy which can be applied for the elderly who have pain on the head and neck caused by muscular tension.