• 대한한방내과학회지
• /
• 제44권5호
• /
• pp.1062-1070
• /
• 2023

Objectives: The purpose of this study is to report the case of a patient with functional dyspepsia after cholecystectomy whose discomfort after eating and upper abdominal pain improved with a combined Korean medicine treatment. Methods: A combination of treatments, including acupuncture, cupping, Chuna, and herbal medicine, was provided for 48 days to a patient with functional dyspepsia. Her progress was assessed with NRS, EQ5D, and GIS every 2 weeks, including before and after treatment. Results: The patient made significant improvements in NRS, EQ-5D, and GIS after treatment. No adverse events were observed in the patient. Conclusions: The findings indicate that combined Korean medicine treatment can be a safe and effective alternative to treating functional dyspepsia after cholecystectomy.

• 대한정형도수물리치료학회지
• /
• 제8권1호
• /
• pp.25-30
• /
• 2002

The main purpose of this article is to suggest a modified SNAGs manual method in based of Mulligan techniques. And this study aimed to resolve the back pain which has combined movement dysfunction in lumbar spine, in addition to upgrade of manual therapy technique in clinical field. The results of this study were as following; 1. The first introduction of SNAGs in Korea is the 'International Mulligan Concepts and Techniques Seminar' by Prof. Russell M. Woodman(Quinnipiac college, USA), 1998. SNAGs is defined a mobilization with movement manual therapy that facet joints of the lesion mobilized to anterior-superior direction according to the treatment plane in apophyseal joint of hypomobility. 2. A treatment mechanism of the SNAGs is, Mulligan say, HIVD which is the result of posterior disk bulging from a increased between intervertebral pressure due to hypo-mobile of facet joints in abnormal spine, so therapist should be necessary mobilization of zygophyseal joints especially in disk lesion. 3. Because Mulligan does not yet mentioned SNAGs techniques about a back pain with combined movements dysfunction, so we suggest a modified SNAGs method for manual therapy of back pain patients due to combined movement dysfunction at lumbar.

• Journal of Biosystems Engineering
• /
• 제21권1호
• /
• pp.52-59
• /
• 1996

In this study, the combined forces of electro-osmosis and compression were applied to cabbage dewatering and their effects were discussed. Nine treatments of combined forces consisting of three levels of voltage and compression were applied to chopped and macerated chinese cabbage placed in the experimental set-up consisted of cylinder-piston. The results showed that as both voltage and pressure increased the dewatering rates increased and the combined force of voltage and compression was a very effective means in the dewatering of chinese cabbage in which the largest dewatering rate difference, 72%, was found between the combined force of 30V with 68.2kPa and no voltage(0V) with 68.2kPa. However, no significant difference was found between the voltage of 0 and 10volts in 9.75kPa and the pressure of 68.2kP and 126.7kPa in 30volts. The maximum and minimum dewatering rate were 82% in the combined force of 30 volts of 126.7kPa and 8% in 0 volt of 9.75kPa, respectively. Within the experimental trials, it appeared that the best treatment combination would be pressure of 68.2kPa and voltage of 30V producing dewatering rate of 80ft in which the produced liquid contained about 1% solid. Employing this dewatering method as a pretreatment before drying process can contribute in considerable energy saving in agricultural wastes treatment.

• 동의생리병리학회지
• /
• 제19권4호
• /
• pp.1078-1081
• /
• 2005

Lung abscess is often ocuured by aspiration of infectious secretion in stroke patients that has symptom of dysphagia. So we studied the effects of combined eastern and western treatment in lung abscess patient combined with stroke. We performed both antibiotic therapy and herbal medication in a lung abscess patient. We compared a chest x-ray film of early stage of disease with a film of after stage of disease, also compared change of symptom-cough, sputum, flank pain, blood phlem. After dispending antibiotic therapy and herbal medication, a lung abscess patient improved symptoms and in result of chest x-ray. The above results suggest that combined eastern and western trearment can have good effects on improving symptoms of a lung abscess patient.

• Journal of Korean Neurosurgical Society
• /
• 제66권5호
• /
• pp.552-561
• /
• 2023

Objective : A chronic subdural hematoma (CSDH) is a collection of bloody fluid located in the subdural space and encapsulated by neo-membranes. An inner subdural hygroma (ISH) is observed between the inner membrane of a CSDH and the brain surface. We present six cases of CSDH combined with ISH treated via endoscopy. Methods : Between 2011 and 2022, among the 107 patients diagnosed with CSDH in our institute, six patients were identified as presenting with CSDH combined with ISH and were included in this study. Preoperative computerized tomography (CT) and magnetic resonance imaging (MRI) were performed simultaneously, and endoscopic surgery for aspiration of the hematoma was performed in all cases of CSDH combined with ISH. Results : The mean age of patients was 71 years (range, 66 to 79). The patients were all male. In two cases, the ISH was not identified on CT, but was clearly seen on MRI in all patients. The inner membrane of the CSDH was tense and bulging after draining of the CSDH in endoscopic view due to the high pressure of the ISH. After fenestration of the inner membrane of the CSDH and aspiration of the ISH, the membrane was sunken down due to the decreasing pressure of the ISH. There was one recurrence in post-operative 2-month follow up. The symptoms improved in all patients after surgery, and there were no surgery-related complications. Conclusion : CSDH combined with ISH can be diagnosed on imaging, and endoscopic surgery facilitates safe and effective treatment.

• Journal of Chest Surgery
• /
• 제7권1호
• /
• pp.123-126
• /
• 1974

The incidence of myasthenia gravis in patients with thymomas has been reported from 10 to 50 percent, and the controversy ranges from 8-15 percent. This is the report of myasthenia grayis combined with benign thymoma and obtained relatively good result through surgical treatment at the department of thoracic surgery, National Medical center. The thymoma was mixed type and benign nature. Post operatively this patient was developed myasthenia crisis, and treated with mechanical respirator, and recurred the symptoms about 2months later, but well controlled with medical treatment.

• 유기물자원화
• /
• 제24권2호
• /
• pp.41-49
• /
• 2016

P시에서는 음폐수 처리를 위해 병합처리시설을 설치하였으나, 음폐수 발생량 대비 처리용량이 부족한 실정이다. 또한 병합처리시설 방류수는 인근 바다로 직방류 되고 있어 환경적 문제가 발생할 수 있다. 따라서 본 연구에서는 P하수처리장을 대상으로 P시 발생 음폐수 처리 초과 분량 및 병합처리시설 방류수 연계처리 가능성을 검토하였다. 예상 가능한 4개의 시나리오를 세운 후, 각각의 최대 음폐수 및 병합처리시설 방류수 허용 투입량을 산정 하고, 투입 후 P하수처리장 유입수 성상 변화및 시나리오별 예상 처리비용을 비교 하였다. 검토된 모든 시나리오에서 환경부의 음폐수 병합처리 업무지침을 준수하면서 음폐수 및 병합처리시설 방류수 대부분을 P하수처리장에 연계 처리 가능하며 하수처리장 부하에도 큰 영향을 주지 않을 것으로 산정 되었다.

• Journal of Korean Neurosurgical Society
• /
• 제57권5호
• /
• pp.315-322
• /
• 2015

Intracranial germ cell tumors (ICGCT) occur in 2-11% of children with brain tumors between 0-19 years of age. For treatment of germinoma, relatively low radiation doses with or without chemotherapy show excellent 10 year survival rate of 80-100%. Past studies showed that neoadjuvant chemotherapy combined with focal radiotherapy resulted in unacceptably high rates of periventricular tumor recurrence. The use of generous radiation volume which covers the whole ventricular space with later boost treatment to primary site is considered as standard treatment of intracranial germinomas. For non-germinomatous germ cell tumors (NGGCT), 10-year overall survival rate is still much inferior than that of intracranial germinoma despite intensive chemotherapy and high-dose radiotherapy. Craniospinal radiotherapy combined with cisplatin-based chemotherapy provides the best treatment outcome for NGGCT; 60-70% of overall survival rate. There is a debate on the surgical role whether surgery can contribute to improved treatment outcome of NGGCT when added to combined chemoradiotherapy. Because higher dose of radiotherapy is required for treatment of NGGCT than for germinoma, it is tested whether whole ventricular irradiation can replace craniospinal irradiation in intermediate risk group of NGGCT to minimize radiation-related late toxicity in the recent studies. To minimize the treatment-related neural deficit and late sequelae while maintaining long-term survival rate of ICGCT patients, optimized administration of chemotherapy and radiotherapy should be selected. Use of technically upgraded radiotherapy modalities such as intensity-modulated radiotherapy or proton beam therapy is expected to bring an improved neurocognitive outcome with longitudinal assessment of the patients.

• Journal of Acupuncture Research
• /
• 제24권4호
• /
• pp.69-80
• /
• 2007

Objective : This study was designed to evaluate the effect of combined Silver Spike Point Therapy and Electroacupuncture on symptoms with Peripheral Facial Paralysis. Methods: We investigated 112 cases of patients with Peripheral Facial Paralysis. The patients were divided into two groups. Group A and B were both treated with basic oriental medicine treatment including Electroacupunctre and Group B was treated with Silver Spike Point Therapy additionaly. We evaluated the tratment effect of each group by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System before treatment, after 2weeks and 4weeks treatment and Changing Point -period from onset of Peripheral Facial Paralysis to the day which the change begins to be seen at the face-. Results: 1. In Changing point, two groups showed significant differences. 2. As a results of evaluation by using Gross Grading system of House-Brackmann, Yanagihara's Unweighed Grading System, treatment scores showed significant difference over time in each group. 3. After 4weeks treatment, Group B showed significant difference on Gross Grading system of House-Brackmann, Yanagihara's Unweighed Grading System compared with Group A. 4. After 2weeks and 4weeks treatment, the Improvement Indexes of Group B were higher than those of Group A and statistically significant. And after 2weeks and 4weeks treatment, Ratio of Group B on mean of Improvement Index was 1.47 times and 1.34 times as large as those of Group A. Conclusions : Combined Silver Spike Point Therapy on Peripheral Facial Paralysis was more efficacious than the only use of basic oriental treatment including Electroacupuncture.

• Radiation Oncology Journal
• /
• 제9권1호
• /
• pp.73-79
• /
• 1991

1980년 1월부터 1988년 9월사이에 연세대학병원, 연세암센터 치료방사선과 및 이비인후과에서 치료받았던 68예의 T3, T4병기의 성문암 환자를 대상으로 후향적분석을 하였다. 이 중 34명은 방사선 치료 단독으로 치료하였고 34명은 성문절제술후 방사선치료를 하였으며 이들 환자의 최소 추적기간은 2년이었고 54명 $(79\%)$에서 5년 추적조사가 가능하였다. 치료후 국소관해율은 방사선치료 단독군에서는 $51\%$, 수술 및 수술후 방사선치료군에서는 $79\%$이었고 임파절 음성군에서는$72\%,\;76\%$였으며 임파절 양성군에서는$31\%,\;81\%$이었다. 이들의 치료실패요인은 대부분 국소 국한적 이었고 30명 $(44\%)$에서 관찰되었다. 치료에 따른 5년 생존율은 방사선치료 단독군에서는 $37\%$, 수술 및 수술후 방사선치료군에서는 $76\%$로서 T3, T5병기의 성문암환자에 있어서 수술시 행후 방사선치료를 병용하는 복합요법 이 더 좋은 치료결과를 얻을 수 있음을 알았다. 그러나 임파절 음성군에서는 방사선치료 단독군과 수술 및 수술 후 방사선치료군을 비교해 본 결과 5년 생존율이 $55\%$와 $73\%$로 통계학적으로 유의한 차이를 보이지는 않았다. 따라서 본 저자들은 T3, T4병기의 성문암치료시 수술 및 방사선치료 병용요법이 더 좋은 치료결과 를 얻을 수 있지만 임파절 음성군에서는 기능적인 보존측면에서 방사선치료가 일차적 차료방법으로서 효과적이리라 사료된다.