• Title/Summary/Keyword: After-treatment System

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Treatment Using the SpyGlass Digital System in a Patient with Hepatolithiasis after a Whipple Procedure

  • Harima, Hirofumi;Hamabe, Kouichi;Hisano, Fusako;Matsuzaki, Yuko;Itoh, Tadahiko;Sanuki, Kazutoshi;Sakaida, Isao
    • Clinical Endoscopy
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    • v.51 no.6
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    • pp.596-599
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    • 2018
  • An 89-year-old man was referred to our hospital for treatment of hepatolithiasis causing recurrent cholangitis. He had undergone a prior Whipple procedure. Computed tomography demonstrated left-sided hepatolithiasis. First, we conducted peroral direct cholangioscopy (PDCS) using an ultraslim endoscope. Although PDCS was successfully conducted, it was unsuccessful in removing all the stones. The stones located in the B2 segment were difficult to remove because the endoscope could not be inserted deeply into this segment due to the small size of the intrahepatic bile duct. Next, we substituted the endoscope with an upper gastrointestinal endoscope. After positioning the endoscope, the SpyGlass digital system (SPY-DS) was successfully inserted deep into the B2 segment. Upon visualizing the residual stones, we conducted SPY-DS-guided electrohydraulic lithotripsy. The stones were disintegrated and completely removed. In cases of PDCS failure, a treatment strategy using the SPY-DS can be considered for patients with hepatolithiasis after a Whipple procedure.

Heat Treatment Characteristics of Press Blanking Die by Using High Power Diode Laser (고출력 다이오드 레이저를 이용한 프레스 전단금형의 경화특성)

  • Hwang, Hyun-Tae;So, Sang-Woo;Hwang, Jae-Hyun;Kim, Jong-Do
    • Journal of the Korean Society for Heat Treatment
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    • v.23 no.5
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    • pp.257-262
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    • 2010
  • Recently, metal molding has become essential not only for automobile parts, but also mass production, and has greatly influenced production costs as well as the quality of products. Its surface has been treated by carburizing, nitriding and induction hardening, but these existing treatments cause considerable deformation and increase the expense of postprocessing after treatment; furthermore, these treatments cannot be easily applied to parts that requiring the hardening of only a certain section. This is because the treatment cannot heat the material homogeneously, nor can it heat all of it. Laser surface treatment was developed to overcome these disadvantages, and, when the laser beam is irradiated on the surface and laser speed is appropriate, the laser focal position is rapidly heated and the thermal energy of surface penetrates the material after irradiation, finally imbuing it with a new mechanical characteristic by the process of self-quenching. This research estimates the material characteristic after efficient and functional surface treatment using HPDL, which is more efficient than the existing CW Nd:YAG laser heat source.

Effect of Potassium Phosphonate on the Control of Potato Basal Stem Rot(Pythium myriotylum) in Hydroponics (아인산염을 이용한 감자 줄기기부썩음병 방제)

  • Hong, Soon-Yeong;Kang, Hyeong-Sik;Kang, Yong-Kil;Jee, Hyeong-Jin
    • Research in Plant Disease
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    • v.10 no.2
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    • pp.142-144
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    • 2004
  • Effect of potassium phosphonate on control of potato basal stem rot caused by Pythium myriotylum in hydroponics system was evaluated at spring and fall cultivation in Jeju island in 2001. Potassium phosphonate 200 ppm treatment, which was directly supplemented into the nutrient solution, showed 90.5%, and 100 ppm treatment showed 50.5% control value in spring cultivation. Fall cultivation, potassium phosphonate 200 ppm treatment showed 100%, and 100 ppm treatment showed 69.9% control value. Potassium phosphonate 200 ppm treatment, basal stem rot of potato started to develop 10 days ofter inoculation into the hydroponics system showed 8.0% in infection rate. Potassium phosphonate 100 ppm treatment, after 5 days showed 10.0%, and after 10 days showed 20.0% infection rate, but the non-treated was after 5 days showed 56.7%, and after 10 days showed 96.9% infection rate.

A Clinical Case Report of Severe Hematuria Patient after Ureterolith Lithotripsy (요관결석 쇄석술 후 심한 혈뇨 소견을 보인 환자 임상증례)

  • Lee, Sang Hyun;Jeong, Ju Yong;Cho, Myoung Rae
    • Korean Journal of Acupuncture
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    • v.32 no.3
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    • pp.144-150
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    • 2015
  • Objectives : The purpose of this study is to report the improvement after the Korean medical treatment about a severe hematuria patient after ureterolith lithotripsy. Methods : This study was carried out on 60 year-old female patient who suffered from severe hematuria. We diagnosed a severe hematuria patient after ureterolith lithotripsy as kidney deficiency and blood deficiency pattern in the symptom-differentiation system of Korean medicine and applied herbal medicine, acupuncture and moxibustion to the patient. Results : After Korean medical treatment, we observed improvement of the symptom process by Numeric Rating Scale (NRS), hematologic findings and urinalysis. Blood count of blood and urine had been in the normal range, and NRS of three symptoms had dropped below 0.5. Conclusions : We concluded that Korean medical treatment was an effective treatment for a hematuria patient after ureterolith lithotripsy.

The Effect of the Anti-corrosion by$CHF_3$ Treatment after Plasma Etching of Al Alloy Films (Al 합금막의 식각후 $CHF_3$ 처리에 의한 부식억제 효과)

  • 김창일;권광호;윤용선;백규하;남기수;장의구
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.11 no.7
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    • pp.517-521
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    • 1998
  • After etching Al-Cu alloy films using $SiCl_4/Cl_2/He/CHF_3$ plasma, a corrosion phenomenon on the metal surface has been studied with XPS(X-ray pheotoelectron spectroscopy) and SEM (Scanning electron microscopy). In Al-Cu alloy system, the corrosion occurs rapidly on the etched surface by residual chlorine atoms. To prevent the corrosion, $CHF_3$ plasma treatment subsequent to the etch has been carried put. A passivation layer is formed by fluorine-related compounds on the etched Al-Cu surface after $CHF_3$ treatment, and the layer suppresses effectively the corrosion on the surface as the $CHF_3$treatment in the pressure of 300m Torr.

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AN ELECTROMYOGRAPHIC STUDY ON THE TREATMENT OF BRUXISM AND TEMPOROMANDIBULAR JOINT DYSFUNCTION PATIENTS (Bruxism과 악관절(顎關節) 기능장애자(機能障碍者)의 치료(治療)에 관(關)한 근전도학적(筋電圖學的) 연구(硏究))

  • Ro, Chang-Sup;Choi, Boo-Byung
    • The Journal of Korean Academy of Prosthodontics
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    • v.22 no.1
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    • pp.85-94
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    • 1984
  • The purpose of this study was to investigate treatment effectiveness of TENS and bite plane for bruxism and TMJ dysfunction patients. The electromyograms were made on males aged 23 to 25 with sound stomatognathic system, 5 males bruxism aged 24 to 27, and 1 male and 4 females TMJ dysfunction patients (right TMJ pain) aged 14 to 33. The electromyographic study was limited to the middle of masseter muscle and anterior temporal muscle. The electromyographic study was carried out with 8-channel EM2 (Myotronics Research Inc.) and was taken 5 mandibular positions of clinical rest position, clench intercuspal position, clench protruded, cluch right, clench left. The 2 pairs of surface electrodes were used exactly, with the ear lobe as reference point. The recording were subjected to determine the mean voltage. The results were as follows; 1. In the clinical rest position, the muscle activities of bruxism and TMJ dysfunction patients were higher than those of normal at the before treatment, but that were lower or similar to those of normal at the TENS after and after bite plane wearing. 2. In the clench I.C.P., the muscle activities of TMJ dysfunction patients were decreased as the order of the before treatment, after TENS, after occlusal bite plane wearing, but those of bruxism were irregular. 3. In the clench right and the clench left, the muscle activities of the middle of masseter muscle of the non-working side of bruxism were higher than those of the working side at the before treatment and after TENS, but the muscle activities of after occlusal bite plane wearing were similar to those of the normal. 4. In the clench right and the clench left, the muscle activities of the middle of masseter muscle and anterior temporal muscle of the working side of TMJ dysfunction patients were higher than those of non-working side as like the normal at the before treatment, after TENS, and after occlusal bite plane wearing.

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Experiences of Life-Sustaining Treatment Decisions among Patients with Terminal Cancer

  • Kim, Yoon Sun
    • Journal of Hospice and Palliative Care
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    • v.24 no.2
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    • pp.97-108
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    • 2021
  • Purpose: The purpose of this study was to examine the life-sustaining treatment decisions of terminal cancer patients. Methods: Data on 10 terminal cancer patients who decided to withhold or withdraw from treatment were collected using in-depth interviews conducted from February 8 to October 30, 2019. Data were collected until saturation was reached and then analyzed using Colaizzi's phenomenological method. Results: In this study, six thematic clusters were identified: "having complicated feelings", "making choices to protect everyone", "accepting and preparing for death", "feeling distress", "pursuing spiritual wellbeing", and "evaluating the new system". Conclusion: When facing death, terminal cancer patients often made choices to protect their family and their dignity with uneasiness of mind when deciding to withdraw from life-sustaining treatments. Though many patients had accepted and prepared for death, they experienced distress about leaving children behind after death. They also pursued spiritual well-being to find peace after deciding to withdraw from life-sustaining treatment. In addition, participants evaluated the new system of policies pertaining to decisions on life-sustaining treatment. Thus, various approaches regarding acceptance and preparation for death, communication with family, hope, and spiritual comfort should be taken in educational interventions to assist terminal cancer patients as they decide whether to withdraw from life-sustaining treatment.

Traditional Korean Medicine Treatment for Sequelae After Surgery in Prostate Cancer Patients: Two Case Report (전립선암환자의 수술 후 발생한 후유증에 대한 한방치료 2례)

  • Jang, Kwon-jun;Yang, Jung-min;Hwang, Woo-seok;Lee, Beom-joon
    • The Journal of Internal Korean Medicine
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    • v.43 no.5
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    • pp.795-808
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    • 2022
  • Objectives: The purpose of this study is to report two cases of prostate cancer patients whose side effects after surgery were treated with traditional Korean medicine. Methods: Two prostate cancer patients underwent robot-assisted laparoscopic prostatectomy, and both patients were treated with traditional Korean medicine. Subjective discomfort symptoms were evaluated using the Numerical Rating Scale. Adverse events were evaluated using the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0. Daily life vitality was evaluated by the Eastern Cooperative Oncology Group. Results: After treatment with traditional Korean medicine, discomfort symptoms that occurred after surgery, such as frequent urination, nocturia, insomnia, and depression, all gradually improved, and Eastern Cooperative Oncology Group scores also improved from two points to one point. Additionally, there were no hematologic side effects from the traditional Korean medicine treatment. Conclusions: This case study suggests that traditional Korean medicine may contribute to the improvement of side effects caused by robot-assisted laparoscopic prostatectomy, quality of life, and immunity.

A QUANTITATIVE STUDY OF BONE REPAIR AFTER ENDODONTIC THRAPY ON DIGITAL SUBTRACTION RADIOGRAPHY (Digital Subtraction Radiography를 이용한 근관치료 후 골회복의 정량적평가에 관한 연구)

  • Kim Jae-Duk
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.2
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    • pp.15-25
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    • 1997
  • This study was performed to prepare the quantitative method of judging the sensitive prognosis of chronic apical periodontitis as early as possible. The subjects were 25 cases with periapical radiolucencies of which were treated with endodontic treatment. Serial radiographs were taken by standardized method longitudinally. The density slice function of digital radiographic system were employed for quantitative and longitudinal assessment of the radiolucent area and the condensing osteitis simultaneously. Obtained results were as follows: 1. The amount of bone repair after endodontic treatment could be detected quantitatively by the density slice function of digital radiographic system. 2. Within the 6-week period after root canal filling, the prognosis could be evaluated by assessment both radiolucent area and condensing osteitis on digital radiographic system. 3. The pattern of bone repair showed peripheral type in most cases from the 6th week after root canal filling. 4. In longitudinal change, bone repair showed two patterns; the succeeding reduction of radiolucent area showing the increase of condensing osteitis in size till 6th week and following by static state or reduction tendency and the reduction following the initial increase of both areas. 5. Cases with pulpitis by trauma showed initial increase of condensing osteitis at 2nd week, marked reduction of radiolucent area and condensing osteitis at 6th week, and approximately normal bone state at 8th week after root canal filling.

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Effects of Sperm Activators on Sperm Penetration of Hanwoo Oocytes Following In Vitro-Inseminationi II. Effects of Sperm Activators on Sperm Penetration, In Vitro Development and Offspring Production in Hanwoo Oocytes (정자활성물질의 첨가가 한우난자의 체외수정율에 미치는 영향 II. 정자침입, 체외발육율 및 산자생산에 미치는 영향)

  • 이병천;김정태;김계성;황우석
    • Journal of Embryo Transfer
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    • v.15 no.1
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    • pp.95-102
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    • 2000
  • Techniques for manipulation of spermatozoa and oocytes have been widely used for in vitro production(IVP) of Hanwoo. This study was conducted to examine the effects of theophylline and heparin on frozen-thawed Hanwoo sperm for enhancing the efficiency of IVP technique. Oocytes were inseminated with forzen bull semen treated with either theophylline or heparin for examining the effect of each substance on fertilization and subsequent development. More (P<0.05) oocytes formed pronucleus and develop to the morula and blastocyst stages after inseminated with sperm treated with heparin than after inseminated with sperm treated with theophylline. The pregnancy rate after embryo transfer was higher after heparin treatment than after theophylline treatment, but did not differ significantly. There was no significant difference of offspring delivery between two groups. In conculsion, theophylline and heparin can be used for enhancing the efficiency of IVP system for Hanwoo. Considering characteristics of these substance, theophylline may be useful in the artificial insemination system, which requires vigorous sperm motility. While, heparin supporting sperm viability in vitro can be effectively used for improving in vitro-fertilization system.

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