• 제목/요약/키워드: After 2017

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비정상 자궁 출혈에 대한 익위승양탕가감방(益胃升陽湯加減方)을 포함한 한방 치험 6례 (Six Cases of Abnormal Uterine Bleeding with Korean Medical Treatment including Yikwiseungyang-tang-gagambang)

  • 조수연;김동철
    • 대한한방부인과학회지
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    • 제30권4호
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    • pp.222-232
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    • 2017
  • Objectives: This paper aim to report the effects of korean medical treatment including Yikwiseungyang-tang-gagambang on patients with abnormal uterine bleeding. Methods: From 2012 August to 2017 June, six outpatient with abnormal uterine bleeding came to the clinic. The patients took Yikwiseungyang-tang-gagambang and got acupuncture and warm needle therapy. We assessed the patients' bleeding period and bleeding amount. Results: All patients' abnormal uterine bleeding stopped after they took Yikwiseungyang-tang-gagambang in 2~40 days. One patient restart slight bleeding, the bleeding stopped after continual korean medical treatment. Conclusions: Korean medical treatment including Yikwiseungyang-tang-gagambang is effective on patients with abnormal uterine bleeding.

Near-Infrared Spectroscopy of SN 2017eaw in 2017: Carbon Monoxide and Dust Formation in a Type II-P Supernova

  • Rho, Jeonghee
    • 천문학회보
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    • 제43권2호
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    • pp.51.5-52
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    • 2018
  • The origin of dust in the early Universe has been the subject of considerable debate. Core-collapse supernovae (ccSNe), which occur several million years after their massive progenitors form, could be a major source of that dust, as in the local universe several ccSNe have been observed to be copious dust producers. Here we report nine near-infrared (0.8 - 2.5 micron spectra of the Type II-P SN 2017eaw in NGC 6946, spanning the time interval 22 - 205 days after discovery. The spectra show the onset of CO formation and continuum emission at wavelengths greater than 2.1 micron from newly-formed hot dust, in addition to numerous lines of hydrogen and metals, which reveal the change in ionization as the density of much of the ejecta decreases. The observed CO masses estimated from an LTE model are typically 0.0001 Msun during days 124 - 205, but could be an order of magnitude larger if non-LTE conditions are present in the emitting region. The timing of the appearance of CO is remarkably consistent with chemically controlled dust models of Sarangi & Cherchneff.

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Bowel Perforation Due to Immobilization after Resurfacing Thumb with Anterolateral Thigh Free Flap in an Elderly Diabetic Woman

  • Park, Seong Hoon;Kim, Joo Hyun;Suh, In Suck;Kim, Kwang Yong;Jeong, Hii Sun
    • Archives of Reconstructive Microsurgery
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    • 제26권1호
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    • pp.18-22
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    • 2017
  • Inevitable immobilization after surgery on lower extremities can induce chronic constipation. Elderly diabetic women usually express ambiguous gastrointestinal symptoms and signs. We present here a case of panperitonitis developed from severe fecal impaction in an elderly diabetic woman after hand reconstruction using material harvested from the lower extremities. A 68-year-old diabetic female underwent anterolateral thigh free flap and wound revision twice on the left thumb. Three weeks after surgery, she complained about mild abdominal pain though she had daily defecation. Despite encouraging ambulation, her compliance was low. Resection of the sigmoid colon and colostomy were performed after diagnosis with bowel perforation. However, the patient went into septic shock and died with multiorgan failure after the guardians issued a DNR (do not resuscitate) order. For preventing bowel perforation, increased uptake of dietary fiber and early ambulation postoperatively should be encouraged, after even hand surgeries.

LOST TIME: WHEN GIANTS ROAMED THE EARTH

  • Rowan-Robinson, Michael
    • 천문학논총
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    • 제32권1호
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    • pp.1-4
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    • 2017
  • Some after-dinner thoughts on the giants of infrared space astronomy. I here describe important events in infrared astronomy starting from 1964 when I started working on my PhD. Here I describe how I became involved in IRAS, Infrared Space Observatrory (ISO), Herschel, Spitzer and AKARI, together with important events that led to these great missions.

금연 자기효능감 증진 프로그램이 흡연 급성관상동맥증후군 환자에게 미치는 효과 (Effects of the Smoking Cessation Self-efficacy Improvement Program on Smoking Patients after Acute Coronary Syndrome)

  • 윤경순;조숙희
    • 근관절건강학회지
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    • 제24권1호
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    • pp.37-46
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of the program to improve on smoking patients' after acute coronary syndrome (ACS) smoking cessation rate, smoking cessation related self-efficacy, carbone monoxide (CO), nicotine dependence, and pain sense. Methods: This study used a non-equivalent control group pretest-posttest design. The participants of this study were 60 ACS patients: experimental group (30), control group (30), who received percutaneous coronary intervention. The study lasted from Aug 16, 2016 to Jan 13, 2017. Smoking cessation rate, smoking cessation related self-efficacy, CO, nicotine dependence, and pain sense were measured using the structured questionnaires and CO monitor Results: An examination of the effects of this program revealed the experimental group to have a significant increase in smoking cessation rate, smoking cessation related self-efficacy than the control group, and a significant decrease in CO, nicotine dependence and pain sense than in the control group. Conclusion: The findings indicate that this smoking cessation self-efficacy improvement program is effective for hospitalized patients after ACS.

의료기관 인증 후 요양병원 종사자의 만족도가 환자의 안전과 질 향상에 미치는 영향 (The Effect of Satisfaction Among Convalescent Hospital Staff Members on Patient Safety and Quality of Care After Medical Institution Certification)

  • 정연자;최성우;박종;한미아
    • 보건의료산업학회지
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    • 제13권3호
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    • pp.39-51
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    • 2019
  • Objectives: This study aimed to investigate the effect of satisfaction among convalescent hospital staff members on patient safety and quality of care after the certification of the medical institution. Methods: A survey was conducted on seven convalescent hospitals in Gwangju, South Jeolla Province, and North Jeolla Province, which were certified as medical institutions for convalescent hospitals by the end of May 2017, The study period lasted from July 24, 2017 to August 22, 2017. Results: There was a statistically significant correlation between staff member satisfaction and patient safety and quality of care (r = 0.586, p<0.001). Regression analysis showed that staff member satisfaction (${\beta}=0.531$, p<0.001) had a statistically significant effect on patient safety and quality of care and showed 46.9% explanatory power. Conclusions: The satisfaction of the convalescent hospital staff after the certification of the medical institution positively affected patient safety and quality of care.

Kinematic Analysis for Improving the Starting Technique in 500-m Speed Skating

  • Song, Joo-Ho;Seo, Tae-Beom;Kim, Jin-Sun
    • 한국운동역학회지
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    • 제28권3호
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    • pp.151-158
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    • 2018
  • Objective: In this study, we analyzed kinematic changes in the start phase of speed skating before and after physical training. Method: We introduced a new strength training program (2017) that was improved in terms of exercise type and intensity [%, one repetition maximum (1RM)] compared with the previous strength training program (2016). The new program was applied to elite speed skating athletes (four males and four females). To determine the improvement in starting technique, we recorded race images during the start phase of the 500-m race held in 2016 and 2017. The race images were collected using five high-speed cameras and kinematic characteristics of the start phase were analyzed by three-dimensional image analysis. Results: The 1RMs were improved by 11% on an average after the strength training. In 2017, records of four out of the eight athletes were shortened in terms of the initial lap time (100 m), and 500-m records were shortened in six athletes. The time to nine strokes was shortened in five athletes, and the ratio of correct kinetic chain was increased or maintained at a high level in six athletes. Conclusion: In this study, the new strength training program (2017), applied to elite speed skating athletes, showed a positive effect on starting technique and reduced the record times.

Functional Improvement after the Gross Motor Function Measure-88 (GMFM-88) Item-Based Training in Children with Cerebral Palsy

  • Ko, Jooyeon
    • The Journal of Korean Physical Therapy
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    • 제29권3호
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    • pp.115-121
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    • 2017
  • Purpose: The aim of this study was to investigate applicability of the GMFM-88 in planning intervention for CP children. Specifically, this study assessed functional improvement after a four-week GMFM-88 item-based training in CP children divided into three age groups (${\leq}24$ months, 25-48 months, and >48 months) and five levels of the gross motor function classification system (GMFCS). Methods: Subjects were 264 children with CP (mean age 32.90 months) recruited from one CP clinic. The GMFM-88 item-based training was planned for each child, after an interview with its caregiver. To investigate functional improvement after the intervention, minimum important difference (MID) and MID proportion for the change in scores of GMFM-88 were calculated. Results: The GMFM-88 scores increased after the interventions in all three age groups (p<0.05). In particular, children with CP aged ${\leq}24$ months and at the GMFCS level II showed greater functional improvement after training. Conclusion: This study found that the GMFM-88 item-based training would be used to plan activity-oriented intervention both in clinic and home in each CP child.

경피적 관상동맥중재술 후 간호중재 알고리즘 개발 (Development of Algorithm for Nursing Interventions after Percutaneous Coronary Intervention)

  • 지혜림;김동희
    • 기본간호학회지
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    • 제24권1호
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    • pp.18-29
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    • 2017
  • Purpose: The purpose of this study was to develop an algorithm for nursing care after percutaneous coronary intervention in order to improve patients' safety and prevent complications, because percutaneous coronary intervention is becoming a common treatment for coronary artery diseases. Methods: By reviewing related literatures and interviewing nurses, items and paths that were to be used in the algorithm for nursing care after percutaneous coronary intervention were drawn up and a draft algorithm was developed. The final algorithm was determined based on the results of the evaluation performed after clinical application. Results: According to the outcome after allowing nurses to apply the revised algorithm with 11 patients, suitability on items composing the algorithm were highly rated whereas promptness was lowly rated. Although the patients (n=11) to whom the algorithm was applied complained of less back pain (p=.001) and discomfort (p=.026) compared to the patients (n=17) to whom the algorithm was not applied, no significant difference in bleeding complication was found. Conclusion: The findings in the study support the clinical utilization of the algorithm for nursing care after percutaneous coronary intervention as the use of this algorithm reduced back pain and discomfort without increasing bleeding complications at the femoral puncture site.

테이핑과 극초단파를 적용 후 가상현실 운동 프로그램이 기능적 발목 불안정성 균형에 미치는 효과 (Effects of Virtual Reality Exercise Program after Applying Taping and Microwave on Balance with Functional Ankle Instability)

  • 정찬주;김기종;양회송;유영대
    • 대한통합의학회지
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    • 제5권3호
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    • pp.63-70
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    • 2017
  • Purpose : The purpose of this study was to investigate the effects of the virtual reality exercise program on ankle balance with ankle taping or microwave. Methods : This study was performed on 18 subjects. Eighteen subjects were divided into two groups; conducted virtual reality exercises with taping (n=9), and performed virtual reality exercises after microwave application (n=9). Both groups performed the exercise three times a week for four weeks. The data was analyzed by the Wilcoxon signed-rank test for comparing before and after changes of factors in each group and performed the Mann-Whitney test for comparing groups. Result : Taping and microwave groups were increased dynamic balance after virtual reality exercises (p<.05). There was no significant difference in balance after applying taping and microwave for virtual reality exercises (p<.05). Conclusion : Reducing the frequency of recurrent ankle sprain in functional ankle subjects, it is recommended to perform virtual reality exercise after applying taping and microwave.