• Title/Summary/Keyword: Choice of Cause

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A Grounded Theory Approach of the Treatment Pattern of Patients with Arthritis (관절염 환자의 치료추구행위에 대한 근거이론적 접근)

  • Lee, Eun-Ok;Kang, Hyun-Sook;Lee, In-Sook;Eun, Young
    • Journal of muscle and joint health
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    • v.4 no.1
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    • pp.26-47
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    • 1997
  • The purpose of this study is to explore the treatment pattern of treatment of patients with arthritis. The grounded theory approach methodology was used in this study. The purposive sampling was conducted. 16 subjects who experienced RA, lived in middle sized city in Korea, and all women The results of this study were as follows : 1. The process of treatment was composed of the stage of symptom experience and the stage of sick role experience. The naming of the symptom was conducted in the stage of symptom experience through, the doctor shopping. The sick role experience was patterned by the choice of the treatment mode. 2. The treatment modes were roughly devided by western medicine and oriental or ethnic medicine. Several factors which affected the choice of the treatment mode were patient's economic state, educational level, religion, the acknowledgement of the cause of illness, duration of illness, lay referral system, the relationship of medical staff, and the acculturation of medical professionalism. The key component of the decision of the treatment was the level of the acculturation of medical professionalism. To enhance the acculturation of medical professionalism, we have to provide the information of cause and the prognosis of the disease to the patients and the variety of communication channel between medical staff and patients, and we should understand the medical culture according to the ages, gender, locations in Korea.

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Definitions of groove and hollowness of the infraorbital region and clinical treatment using soft-tissue filler

  • Lee, Ji-Hyun;Hong, Giwoong
    • Archives of Plastic Surgery
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    • v.45 no.3
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    • pp.214-221
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    • 2018
  • Clarification is needed regarding the definitions and classification of groove and hollowness of the infraorbital region depending on the cause, anatomical characteristics, and appearance. Grooves in the infraorbital region can be classified as nasojugal grooves (or folds), tear trough deformities, and palpebromalar grooves; these can be differentiated based on anatomical characteristics. They are caused by the herniation of intraorbital fat, atrophy of the skin and subcutaneous fat, contraction of the orbital part of the orbicularis oculi muscle or squinting, and malar bone resorption. Safe and successful treatment requires an optimal choice of filler and treatment method. The choice between a cannula and needle depends on various factors; a needle is better for injections into a subdermal area in a relatively safe plane, while a cannula is recommended for avoiding vascular compromise when injecting filler into a deep fat layer and releasing fibrotic ligamentous structures. The injection of a soft-tissue filler into the subcutaneous fat tissue is recommended for treating mild indentations around the orbital rim and nasojugal region. Reducing the tethering effect of ligamentous structures by undermining using a cannula prior to the filler injection is recommended for treating relatively deep and fine indentations. The treatment of mild prolapse of the intraorbital septal fat or broad flattening of the infraorbital region can be improved by restoring the volume deficiency using a relatively firm filler.

A CONSERVATIVE APPROACH FOR THE NON-INFLAMMATORY GINGIVAL RECESSION IN MIXED DENTITION (혼합치열기 아동의 비염증성 치은퇴축에 대한 보존적 접근)

  • Kim, Shin;Min, Yun-Kyung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.4
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    • pp.893-898
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    • 1996
  • The occlusal disharmonies resulted from labially protruded or malpositioned teeth can damage the periodontium and induce the non-inflammatory gingival recession. For these cases, a conservative approach was performed by improving oral hygiene and correcting the axial and positional status of the gingivally recessed teeth and removing the prematurely contacted areas. In some cases, rapid remission of tooth mobility and gradual decrease of gingival recession was observed just after start of treatment. In cases of gingival recession in permanent lower incisors of the children with mixed dentition, the treatment of choice is non-surgical conservative approaches. In cases when the gingival inflammation can be controlled through reinforcing the oral hygiene, when attached gingiva have a potential to increase in width through growth (not more than 1 year after eruption or not yet arrived at adult level), and when the recession can be corrected by moving the teeth from labial cortical plate through orthodontic treatment, the conservative measures would be the first choice. On the contrary, when recession has exceeded beyond the level of CEJ, when the gingival inflammation existed with the cause of poor oral hygiene, when the attached gingiva have little potential to increase (for example, more than 8 years after eruption), and when the conservative measures yielded no benefit after 4-8 weeks of treatment, the surgical approaches should be sought.

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Breast Cancer Prevention Information Seeking Behavior and Interest on Cell Phone and Text Use: a Cross-sectional Study in Malaysia

  • Akhtari-Zavare, Mehrnoosh;Ghanbari-Baghestan, Abbas;Latiff, Latiffah A.;Khaniki, Hadi
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.4
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    • pp.1337-1341
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    • 2015
  • Background: Breast cancer is the most common cancer and the second principal cause of cancer deaths among women worldwide, including Malaysia. This study focused on media choice and attempted to determine the communication channels mostly used and preferred by women in seeking information and knowledge about breast cancer. Materials and Methods: A cross sectional study was carried out to examine the breast cancer prevention information seeking behavior among 450 students at one private university in Malaysia. Results: The mean age of respondents was $25{\pm}4.3years$. Common interpersonal information sources were doctors, friends, and nurses and common channel information sources were television, brochure, and internet. Overall, 89.9% used cell phones, 46.1% had an interest in receiving cell phone breast cancer prevention messages, 73.9% used text messaging, and 36.7% had an interest in receiving text breast cancer prevention messages. Bivariate analysis revealed significant differences among age, eduation, nationality and use of cell phones. Conclusions: Assessment of health information seeking behavior is important for community health educators to target populations for program development.

A Study on a Reasonable Choice of Simulation Model for Rainfall-Runoff in the Prior Review System on Disaster Effect (사전재해영향성검토 시 합리적인 홍수유출 모의모형 선정에 관한 연구)

  • Lee, Jung-Min;Yun, Jeong-Ran;Kim, Young-Jin;Jin, Kyu-Nam;Han, Hyung-Geun
    • Land and Housing Review
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    • v.1 no.1
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    • pp.75-82
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    • 2010
  • Urban development is a cause of expansion of impervious area. A permanent storage is operated as a method of reducing runoff of watershed. The purpose of study is to propose reasonable choice of simulation model for rainfall-runoff in the prior review system on disaster effect. First, we indicated problem about concentration time choice in the flood simulation. To test the adequacy of a rainfall-runoff simulation model, We analyzed characteristics of rainfall-runoff about urban and natural watersheds. A simulation model was calibrated with the storm of july 7 to July 9 in 2009. From the result, we proposed that SWMM and kinematic wave method as the flood simulation models for urban and natural watersheds. A simulation model and design method of a permanent storage for flood that is proposed in this study will be useful for practical design of flood simulation. The hydrologic analysis method of the study can be used for capacity evaluation of permanent storage plan.

The Diagnosis and Treatment of Bruxism (이갈이의 진단 및 치료)

  • Jeong-Seung, Kwon;Jung, Da-Woon;Kim, Seong-Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.1
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    • pp.87-101
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    • 2012
  • Bruxism is extensively defined as a diurnal or nocturnal parafunctional habit of tooth clenching or grinding. The etiology of bruxism may be categorized as central factors or peripheral factors and according to previous research results, central factors are assumed to be the main cause. Bruxism may cause tooth attrition, cervical abfraction, masseter hypertrophy, masseter or temporalis muscle pain, temporomandibular joint arthralgia, trismus, tooth or restoration fracture, pulpitis, trauma from occlusion and clenching in particularly may cause linea alba, buccal mucosa or tongue ridging. An oral appliance, electromyogram or polysomnogram is used as a tool for diagnosis and the American Sleep Disorders Association has proposed a clinical criteria. However the exact etiology of bruxism is yet controversial and the selection of treatment should be done with caution. When the rate of bruxism is moderate or greater and is accompanied with clinical symptoms and signs, treatment such as control of dangerous factors, use of an oral appliance, botulinum toxin injection, pharmacologic therapy and biofeedback therapy may be considered. So far, oral appliance treatment is known to be the most rational choice for bruxism treatment. For patients in need of esthetic correction of hypertrophic masseters, as well as bruxism treatment, botulinum toxin injection may be a choice.

Carotid Cavernous Sinus Fistula with Abducens Nerve Palsy after Le Fort I Osteotomy : A Case Report (상악골절단술 후 외전신경마비를 동반한 경동맥 해면정맥동루)

  • Lee, Won-Hak;Kim, Dong-Ryul;Hong, Kwang-Jin;Lee, Jeong-Gu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.2
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    • pp.243-248
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    • 2000
  • Carotid cavernous sinus fistula(CCSF) is an abnormal communication at the base of the skull between the internal carotid artery and the cavernous sinus. Fistula is almost associated with extensive facial trauma as a result of direct or indirect forces. Most fistulas of traumatic origin develop as a result of fractures through the base of the skull, which cause the laceration of the internal carotid artery near the cavernous sinus. The signs and symptoms of CCSF are pulsating exophthalmosis, orbital headache, pain, orbital or frontal bruit, loss of visual acuity, diplopia and ophthalmoplegia. Angiography reveals a definite CCSF and a detachable balloon embolization is known to be the treatment of choice. Even though carotid cavernous sinus fistula is an uncommon complication after orthognathic surgery, several cases of CCSF due to congenital anomalies, pre-existing aneurysms and abnormally thickened maxillary posterior wall have been reported in the literature. We have experienced a case of CCSF after Le Fort I osteotomy for maxillary advancement in skeletal class III patient and the cause, pathogenesis, diagnosis and treatment of this case.

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An experimental study on the Performance Evaluation of High Performance Polyurea Resins (고성능 폴리우레아 수지의 기본적 물리/화학적 성능평가에 관한 실험적 연구)

  • Kim, Yun-Ho;Choi, Eun-Kyu;Seo, Hyun Jae;Oh, Sang-Keun
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2011.11a
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    • pp.43-45
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    • 2011
  • As technologies evolve, building large concrete structures ever built, but due to lack of maintenance after completion of concrete corrosion, leaks, and preparedness from the problem that is an urgent need. In particular, water-resistant variety of concrete structures. How the concept applies to the most important public drinking water purification and drinking water that is draining the production and storage, and distribution as the structure cause damage to the structure when the contaminated water is supplied to each home that can harm the health of citizens is the cause. Therefore, the correct choice of materials, and thorough a lot of investment in construction and maintenance should have. In this study, unlike conventional water-proof materials, methods, and in other reactions easily than conventional poly-urea resins have good physical performance and chemical resistance, high performance polyurea resin performance review of the physical infrastructure of the country for the longevity of would like to make long-term durability.

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Scientific Evidence for the Addictiveness of Tobacco and Smoking Cessation in Tobacco Litigation

  • Roh, Sungwon
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.1
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    • pp.1-5
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    • 2018
  • Smokers keep smoking despite knowing that tobacco claims many lives, including their own and others'. What makes it hard for them to quit smoking nonetheless? Tobacco companies insist that smokers choose to smoke, according to their right to self-determination. Moreover, they insist that with motivation and willpower to quit smoking, smokers can easily stop smoking. Against this backdrop, this paper aims to discuss the addictive disease called tobacco use disorder, with an assessment of the addictiveness of tobacco and the reasons why smoking cessation is challenging, based on neuroscientific research. Nicotine that enters the body via smoking is rapidly transmitted to the central nervous system and causes various effects, including an arousal response. The changes in the nicotine receptors in the brain due to continuous smoking lead to addiction symptoms such as tolerance, craving, and withdrawal. Compared with other addictive substances, including alcohol and opioids, tobacco is more likely to cause dependence in smokers, and smokers are less likely to recover from their dependence. Moreover, the thinning of the cerebral cortex and the decrease in cognitive functions that occur with aging accelerate with smoking. Such changes occur in the structure and functions of the brain in proportion to the amount and period of smoking. In particular, abnormalities in the neural circuits that control cognition and decision-making cause loss of the ability to exert self-control and autonomy. This initiates nicotine dependence and the continuation of addictive behaviors. Therefore, smoking is considered to be a behavior that is repeated due to dependence on an addictive substance, nicotine, instead of one's choice by free will.

증(證)의 표준화(標準化) 문제(問題)에 대한 한 견해(見解)

  • Ji, Gyu-Yong
    • Journal of The Association for Neo Medicine
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    • v.1 no.1
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    • pp.37-44
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    • 1996
  • This study has surveyed the problems raised through the standardization process of differentiation system and searched its solution, reaching the following conclusion. 1. The most serious problem is, most frequently occurred, an wilful application of differentiation system or constitutive classification for disease. 2. To overcome this wilfulness, we must make a definite understanding of the origin and its applicative limit of the theory. 3. And it must be preceded for a correct and objective differentiation to standardize in all choice of the differential diagnostics and its applicative condition. 4. To establish such a corresponding diagnostic scheme, it must be generally agreed on an individuality and inevitability of the suitability to differentiation principles. 5. And, though we can make a prescription through the frequency, degree, and clarified cause of the symptom, its flexibility of application must not be necessarily, ignored. 6. As this study for standardizing the disharmony between liver and pancreas(肝脾不調) shows, accordingly, we must begin by scrutinizing and defining what the chief cause, head, and inevitable symtoms are and discern them from its affinities, making necessarily a great deal attention to minute feelings and degree about its individual symptoms. On the ground of these recognition, we must go further to establish a general standardization and try to get a specific study series.

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