• Title/Summary/Keyword: Continuous Treatment System

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Development and Estimation of a Wireless Controlled Implantable Electric-stimulator for the Blood Pressure Regulation (혈압조절을 위한 모선 제어되는 체내 이식형 전기 자극기의 개발 및 체외 성능 평가)

  • Kim, Yoo-Seok;Park, Seong-Min;Shim, Eun-Bo;Choi, Seong-Wook
    • Journal of Biomedical Engineering Research
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    • v.31 no.5
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    • pp.395-400
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    • 2010
  • Hypertension is the chronic disease that the 16% of total population are suffering, and it needs to be studied to find alternative treatment because of the tolerance and side effect of medications that may bother some patients. in this paper, we verified practicality of implantable electrical stimulator that can readily change stimulus magnitude and frequency. And this device is possible to stimulate baroreflex or parasympathetic nerve. Therefore we performed in vitro tests and animal experiment for device's operating conditions. This device consist of implantable electrical stimulator and extracorporeal control/monitoring system. Stimulator was designed to make 1Hz~100Hz pulses and it can change continuous or periodic pulse train type. And this device can control stimulator's function and monitor stimulator's status and patients' blood pressure at exterior of body using ZigBee module as wireless telecommunication. We verified that stimulator have error rate under 5% at 50mm depth of organs and, stimulator makes high-efficiency energy with closer position of two electrodes. Also we can confirm the performance of device that decreasing blood pressure and heart rate of a rat by electrical stimulation.

Phosphorus Removal and Operating Performance of Mesh Filtration Bio-reactor with the Addition of Alum (Alum 주입 메쉬 침지 여과분리형 생물반응조의 운전 특성과 인 제거)

  • Jung, Yong-Jun;Min, Kyung-Sok
    • Journal of Korean Society on Water Environment
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    • v.21 no.5
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    • pp.458-463
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    • 2005
  • Considering the characteristics of a filtration bio-reactor equipped with a mesh filter module which can effectively maintain high concentration of biomass and enhanced solid-liquid separation performance, the hybrid process of filtration bio-reactor combined with coagulation was investigated to get improved filtration characteristics as well as water quality in this work. Two bio-reactors (Run-1 & Run-2) were operated under the following conditions: working volume of 25 L, continuous loading of a synthetic wastewater (BOD: 200 mg/L, T-N: 50 mg/L, T-P: 5 mg/L), where an appropriate amount of alum ($Al_2(SO_4)_3{\cdot}18H_2O$) was added once a day into the reactor (Run-2). In the system without using a alum (Run-1), the clogging of mesh filter module was observed two times through 85 days of whole operation. Meanwhile, the filter module did not clog even at higher MLSS concentration (6,000~12,000 mg/L) and the stable filtration (0.7 mid) was continued in the case of using a alum. Due to the stable formation of cake layers, BOD and SS were shown below 6 and 3 mg/L, respectively. T-P and pH of the effluent were changed because of the intermittent addition of the alum. In the case of Al/P=2.5, the average T-P removal efficiency per day was 85.2% and the average T-P concentration of the effluent was 0.3 mg/L. However, the removal efficiency of phosphate was influenced by pH in the reactor.

Segmental Analysis Trial of Volumetric Modulated Arc Therapy for Quality Assurance of Linear Accelerator

  • Rahman, Mohammad Mahfujur;Kim, Chan Hyeong;Huh, Hyun Do;Kim, Seonghoon
    • Progress in Medical Physics
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    • v.30 no.4
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    • pp.128-138
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    • 2019
  • Purpose: Segmental analysis of volumetric modulated arc therapy (VMAT) is not clinically used for compositional error source evaluation. Instead, dose verification is routinely used for plan-specific quality assurance (QA). While this approach identifies the resultant error, it does not specify which machine parameter was responsible for the error. In this research study, we adopted an approach for the segmental analysis of VMAT as a part of machine QA of linear accelerator (LINAC). Methods: Two portal dose QA plans were generated for VMAT QA: a) for full arc and b) for the arc, which was segmented in 12 subsegments. We investigated the multileaf collimator (MLC) position and dosimetric accuracy in the full and segmented arc delivery schemes. A MATLAB program was used to calculate the MLC position error from the data in the dynalog file. The Gamma passing rate (GPR) and the measured to planned dose difference (DD) in each pixel of the electronic portal imaging device was the measurement for dosimetric accuracy. The eclipse treatment planning system and a MATLAB program were used to calculate the dosimetric accuracy. Results: The maximum root-mean-square error of the MLC positions were <1 mm. The GPR was within the range of 98%-99.7% and was similar in both types of VMAT delivery. In general, the DD was <5 calibration units in both full arcs. A similar DD distribution was found for continuous arc and segmented arcs sums. Exceedingly high DD were not observed in any of the arc segment delivery schemes. The LINAC performance was acceptable regarding the execution of the VMAT QA plan. Conclusions: The segmental analysis proposed in this study is expected to be useful for the prediction of the delivery of the VMAT in relation to the gantry angle. We thus recommend the use of segmental analysis of VMAT as part of the regular QA.

Childhood Hypersomnia and Sleep Apnea Syndrome (소아수면과다증과 수면무호흡)

  • Sohn, Chang-Ho;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.3 no.2
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    • pp.65-76
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    • 1996
  • Natural sleep pattern and its physiology in childhood are much different from those in adulthood. Several aspects of clinical evaluation for sleepiness in childhood are more difficult than in adulthood. These difficulties are due to several factors. First, excessive sleepiness in childhood do not always develop functional impairments. Second, objective test such as MSLT may not be reliable since it is hard to be certain that the child understand instructions. Third, sleepiness in children is often obscured by irritability. paradoxical hyperactivity, or behavioral disturbances. Anseguently, careful clinical evaluation is needed for the sleepy children. Usual causes of sleepiness in children are the disorders that induce insufficient sleep such as sleep apnea syndrome, schedule disorder, underlying medical and psychiatric disorder, and so forth. After excluding such factors, we can diagnose the hypersomnic disorders such as narcolepsy, Kleine-Levin syndrome, and idiopathic central nervous system hypersomnia. Among the variety of those causes of sleepiness, I reviewed the clinical difference of narcolepsy and obstructive sleep apnea syndrome in childhood compared with in adulthood. Recognition of the childhood narcolepsy is difficult because even severely sleepy children often do not develop pathognomic cataplexy and associated REM phenomena until much later. Since childhood narcolepsy give srise to many psychological, academical problem. Practicers should be concerned about these aspects. Childhood obstructive sleep apnea syndrome is different from adult obstructive sleep apnea syndrome too. Several aspects such as pathophysiology. clinical feature, diagnostic criteria, complication, management, and prognosis differ from those in the adult syndrome. An important feature of childhood obstructive sleep apnea syndrome is the variety of severe complications such as behavioral disorders, cognitive impairment, cardiovascular symptoms, developmental delay, and ever death. Fortunately, surgical interventions like adenotosillectomy or UPPP are more effective for Childhood OSA than adult form. CPAP is a "safe, effective, and well-tolerated" treatment modality too. So if early detection and proper management of childhood OSA were done, the severe complication would be prevented or ever cured.

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The Burden in Women with Hysterectomy (자궁절제 여성의 부담감에 관한 연구)

  • Seong, Mi-Hye
    • Women's Health Nursing
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    • v.3 no.2
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    • pp.180-191
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    • 1997
  • When women are removed with their matrix which is a emotionally significant organ of symbol in psychologically adapting themselves to mother and woman, that is threatened and injured with woman role decisively. The nursing for women with hysterectomy is limited to medical treatment and the nursing related to troubles in psychology, emotion they experience in general situation due to operations is hardly realized. New basis for nursing can be realized when we both have relation with lived human experience related th health and become to be a part of it. We need to catch their experience due to the loss of matrix to understand women with hysterectomy. The subjects of the study were nine patients who were admitted to a gynecological ward of a hospital in Seoul, suffering from vaginal bleeding, back pain, abdominal pain and so on and diagnosing as non-cancer. The data were collected from April to May 1997 by listening to the subjects' expression of their experience and by participant observation of the subjects' reactions. A tape-recorder was used under the permission of the subjects, to prevent the loss of spoken information. The result of the study was as follows : The data on burden content from the interview were categorized as psych-emotional, physical, personal interaction, financial burden and maternal role burden. The factors which have influence on the burden of the subjects are an offer of information, support system, age, occupation, economic situation, family history, character, season, the existence of ovary and religion. In conclusion, since we ascertained that the nursing in the process of recovery decide the quality of life, though women with hysterectomy undergo various burden experience and adapt to it in the end, it is necessary to give them enough information and educate husband, having on important effect on the burden experience, to be a good supporter. And technically skilled nurses of consultant are thought to be able to contrive better qualitative life of women with hysterectomy as an important bridge between the subjects and their required information, since the nurses have their well-formed position of relationship of confidence through continuous contact with patients and their family.

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A Study on the 2-stage dry and pyrolysis system for reduction of sewage sludge (하수슬러지 감량화를 위한 one구동 2단형 열풍건조/열분해에 관한 연구)

  • Ha, Sang-An;Kim, Seung-Ho
    • Journal of the Korea Organic Resources Recycling Association
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    • v.12 no.2
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    • pp.52-60
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    • 2004
  • The basic approach to sewage sludge is organic waste minimization, promotion of energy recovery; volume and weight reduction by final treatment, and environmentally final disposal of natural circulation. Dry and pyrolysis of maize was experimentally investigated in full-scale rotary kiln in semi-continuous operation. The operational parameters varied are the operating temperature $160{\sim}175^{\circ}C$ of dry and $450{\sim}800^{\circ}C$ of pyrolysis, the solids residence time 9 min for pyrolysis. Important parameters studied include the running time, water content of sewage sludge, solids amount of sewage sludge(TS%) by the varied temperature. Also, with the increasing of temperature, how the yield of oil and char product change was observed, and the distribution of gas production components was observed. The gas of $C_1{\sim}C_3$ yield increased and oil of $C_4{\sim}C_6$ yield decreased along with pyrolysis temperature of $670^{\circ}C$ by the run time of 9 min.

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Study on Simple Repetitive Work and the Risks of Musculoskeletal Injuries (단순반복 작업유형별 근골격계 질환 발생특성과 예방 대책에 관한 연구)

  • 임완희
    • Journal of Korea Society of Industrial Information Systems
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    • v.9 no.1
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    • pp.24-35
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    • 2004
  • According to the results of this study, we found through preliminary research that most of the workers studied suffered from some sort of musculoskeletal injury, but did not obtain hospital treatment, which shows that although their work was the source of injury, they did not realize the significance of their injury. In addition, there were some subjects that did not even know what musculoskeletal injuries were and in order to solve such problems, companies need to educate their workers about musculoskeletal injuries and show the significance of the injuries. Also, there was a difference in rates of musculoskeletal injuries in different occupations, with higher rates of injury in esthetics, driving and packaging positions. This calls for the use of automated machinery and alteration of the working environment to make it more ergonomic according to the recommended improvement plan, and continuous effort and support on the part of the company in order to reduce the risk of musculoskeletal injuries.

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Antinociceptive and neuroprotective effects of bromelain in chronic constriction injury-induced neuropathic pain in Wistar rats

  • Bakare, Ahmed Olalekan;Owoyele, Bamidele Victor
    • The Korean Journal of Pain
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    • v.33 no.1
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    • pp.13-22
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    • 2020
  • Background: The continuous search for a novel neuropathic pain drug with few or no side effects has been a main focus of researchers for decades. This study investigated the antinociceptive and neuroprotective effects of bromelain in sciatic nerve ligation-induced neuropathic pain in Wistar rats. Methods: Forty-eight Wistar rats randomly divided into eight groups comprised of six animals each were used for this study. Peripheral neuropathy was induced via chronic constriction of the common sciatic nerve. Thermal hyperalgesic and mechanical allodynia were assessed using a hotplate and von Frey filaments, respectively. The functional recovery and structural architecture of the ligated sciatic nerve were evaluated using the sciatic functional index test and a histological examination of the transverse section of the sciatic nerve. The neuroprotective effects of bromelain were investigated in the proximal sciatic nerve tissue after 21 days of treatment. Results: Bromelain significantly (P < 0.05) attenuated both the thermal hyperalgesia and mechanical allodynic indices of neuropathic pain. There were improvements in sciatic function and structural integrity in rats treated with bromelain. These rats showed significant (P < 0.05) increases in sciatic nerve nuclear transcription factors (nuclear factor erythroid-derived-2-related factors-1 [NrF-1] and NrF-2), antioxidant enzymes (superoxide dismutase and glutathione), and reduced membranelipid peroxidation compared with the ligated control group. Conclusions: This study suggest that bromelain mitigated neuropathic pain by enhancing the activities of nuclear transcription factors (NrF-1 and NrF-2) which increases the antioxidant defense system that abolish neuronal stress and structural disorganization.

The Utilization of Dental Hygienists in Oral Healthcare Exchanges between the South and North Korea

  • Ahn, Eunsuk;Han, Ji-Hyoung;Kang, Kyung-Hee;Jang, Young-Eun;Jeon, Ki-Ha;Park, Jeong-Ran
    • Journal of dental hygiene science
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    • v.21 no.1
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    • pp.63-69
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    • 2021
  • Background: This study aimed to identify the role of dental hygienists in exchanges between North and South Korea to lower gaps in the level of dental healthcare between the two countries by conducting a Delphi survey with specialists and identifying alternative policies regarding the utilization of dental hygienists in such exchanges. Methods: Two Delphi surveys were conducted with the participation of nine specialists, and descriptive statistical analyses including mean and standard deviation were performed on the collected data. Results: Among methods of exchange and cooperation regarding oral healthcare under the current North Korean medical system, the issue considered most urgent was the "establishment of oral healthcare infrastructure." The most important short-term strategy was identified as the "selection and formation of partnerships in the field of inter-Korean oral health exchange and cooperation." The mid-term strategy was identified as the "establishment of cooperation in the dental industry, centered on educational cooperation projects." The long-term strategy included "joint R&D projects, oral health surveys, and business development." In order to determine how best to use dental hygienists during inter-Korean exchanges and cooperation, the respondents placed urgency on the "establishment of joint cooperation projects for oral health promotion and early examination and the treatment of dental diseases and planning of community research projects" and "the role of oral health education and media development for residents." Conclusion: Cooperation is necessary regarding the preparation of oral healthcare exchanges that aim to encourage unity between North and South Korea and reduce the gaps between the North and South regarding oral health conditions. Therefore, continuous and reasonable discussions and research are needed regarding the utilization of dental hygienists in such exchanges.

Gamitaeeumjowee-tang for Weight Loss in Post-Menopausal Obese Women: A Retrospective Chart Review (폐경 후 비만 여성의 체중감량을 위한 가미태음조위탕의 임상적 활용: 후향적 차트 리뷰)

  • Yun-Jin Lee;Jeong-In Kang;Yun-Ha Kim;Eun-Chae Min;Young-Woo Lim;Eunjoo Kim
    • The Journal of Korean Medicine
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    • v.45 no.1
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    • pp.65-79
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    • 2024
  • Objectives: The purpose of this study is to evaluate weight change and analyze adverse events in post-menopausal obese women with Gamitaeeumjowee-tang for weight loss. Methods: A retrospective chart review was conducted for medical records of 115 post-menopausal obese women (body mass index, BMI≥25 kg/m2) who were administered with Gamitaeeumjowee-tang for 12 weeks for the purpose of weight loss. Weight, skeletal muscle ratio and BMI changes were compared before and after the program. Adverse events were evaluated by causality, severity and system-organ classes. Results: A total of 115 patients were included in this study. The average total weight loss in post-menopausal women was 5.72±2.04kg(p<0.001) and the average weight loss rate was 8.06±2.70%(p<0.001). After the 12-week program, the body fat rate was significantly decreased(3.76±2.20%)(p<0.001) and the skeletal muscle ratio was significantly increased(2.07±1.24%)(p<0.001). There were no significant differences in weight loss, skeletal muscle ratio change and body fat rate change depending on the number of hospital visits. Insomnia was frequently reported throughout the period, and no serious adverse events were reported. Conclusions: This study showed the potential that weight management treatment with Gamitaeeumjowee-tang could be a good way to lose weight of post-menopausal obese women without serious adverse events. Continuous well designed clinical studies are needed.