• 제목/요약/키워드: Form of management and treatment

검색결과 231건 처리시간 0.026초

폐 Aspergillosis (Pulmonary aspergillosis 10 cases report)

  • 김범식
    • Journal of Chest Surgery
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    • 제19권3호
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    • pp.381-384
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    • 1986
  • Pulmonary aspergillosis is a relatively rare disease in Korea. Immune suppressive patients, resulting from misuse or long term therapy of antibiotics, steroid and anticancer chemotherapeutics tend to be vulnerable to pulmonary aspergillosis. This study is made to illustrate the clinical features, preoperative diagnosis and surgical role in the management is this diseases. In retrospective study of operative cases from May 1980 through July 1986, 10 cases were analysis. Hemoptysis and blood tinged sputum were the most common chief complaints. Major underlying pathology was cavitary lesion or bronchiectasis caused by pulmonary tuberculosis [5 cases]. 2 cases were disseminated form due to immune suppression. Anatomic location of lesion was in the upper lobe in half case. Systemic antifungal agent is helpful for invasive aspergillosis and Resection is the treatment of choice for localized fungus balls and symptomatic localized forms.

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하악 과두하 골절시 후하악 접근법에 의한 수술 후 발생한 이하선 누공 형성과 이에 대한 치료 증례 (Retromandibular approach for the management of subcondylar fractures, followed by treatment of parotid gland fistulae: Case report)

  • 노재찬;김주원;양병은
    • 대한치과의사협회지
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    • 제55권10호
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    • pp.696-705
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    • 2017
  • Condylar fractures account for one-third of all mandibular fractures. There are many surgical methods for the open reduction of condylar fractures, such as the transoral, submandibular, preauricular, and retromandibular approaches. Two patients suffering from condylar fractures, a 45-year-old man and a 25-year-old man, were admitted to our hospital. Both patients' condylar fractures were positioned too high for us to use the transoral approach. Therefore, we employed the retromandibular method to expedite the approach to the fracture site and minimize the size of the incision. After the surgical procedures in both cases, we experienced complications in the form of parotid gland fistulae, which rarely result from the retromandibular approach. A combination of botulinum toxin injection and amitriptyline medication was effective for the management of these parotid gland fistulae. Here, we report these two cases and offer a review of the literature on this article.

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인산질비료 장기연용 논토양에서 유효인산 변동 (Change in Available Phosphate by Application of Phosphate Fertilizer in Long-term Fertilization Experiment for Paddy Soil)

  • 김명숙;김석철;윤순강;박성진;이창훈
    • 한국환경농학회지
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    • 제36권3호
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    • pp.141-146
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    • 2017
  • BACKGROUND: Phosphorus(P) is a vital factor for rice but excess input of phosphorus fertilizer can cause environmental risk and waste of fertilizer resources. We studied to assess the change of available phosphate, P balance, critical concentration of available phosphate under a rice single system. METHODS AND RESULTS: The changes of available phosphate of paddy soil were examined from long-term fertilization experiment which was started in 1954 at the National Academy of Agricultural Science. The treatments were no phosphate fertilization(No fert., and N), phosphate fertilization(NPK, NPKC, and NPKCLS). The available phosphorus concentrations in treatments without phosphate fertilizer (No fert. and N) were decreased continuously. But, after 47 years, available phosphate content in phosphate fertilizer treatment (NPK, NPKC, and NPKCLS) reached at the highest ($245{\sim}331mg\;kg^{-1}$), showing a tendency to decrease afterward. The mean annual P field balance in these treatments (NPK, NPKC, and NPKCLS) had positive values that varied from 16.6 to $17.5kg\;ha^{-1}year^{-1}$, and ratio of residual P were increased. These showed that phosphate fertilizer in soil were converted into the form of residual phosphorus which was not easily extracted by available phosphate extractant. Also, It was estimated that the critical value of available phosphate for rice cultivation was $120mg\;kg^{-1}$ using Cate-Nelson equation. CONCLUSION: We concluded that no more phosphate fertilizer should be applied in rice single system if soil available phosphate is higher than the critical P value.

진본성 확보를 위한 전자기록물 관리방안 (Management of Electronic Records to Ensure the Authenticity)

  • 송병호
    • 한국비블리아학회지
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    • 제16권2호
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    • pp.43-59
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    • 2005
  • 전통적인 종이기록물은 그대로 보존하여야 진본이 유지된다. 그러나 전자기록물은 포맷과 메타데이터가 수정 변환되어야 하기 때문에 그 변환이 적법한지에 대한 증명과 적법하지 않은 변경은 없었다는 증명이 모두 필요하다. 이를 위해서는 전자기록물을 획득한 시점에서부터 진본임을 확인하고, 보존기간동안 유실을 방지하여야 하며 진본임을 증명할 방법이 있어야 하고 진본이 아님이 판명 났을 때의 사후 대처방안이 마련되어야 한다. 본 논문에서는 전자기록물 진본성의 취약성을 설명하고 필요기능을 파악하였으며 이를 실현할 방안들에 대하여 제안하고 그 결과 전체적인 전자기록물 관리 방안에 대하여 제시하였다.

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노년기 비만군과 정상 체중군 간의 우울 성향 비교 (A Comparison of the Depressive Predisposition between Obese and Non-Obese Elderly)

  • 문준식;이용호;전세일;서호석
    • 대한불안의학회지
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    • 제3권2호
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    • pp.128-133
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    • 2007
  • Objective : Obesity has been considered to be associated with numerous physical, mental and psychological diseases. Depression, which is a major psychological factor affecting occurrence and treatment of obesity, can be a cause of obesity as well as can be triggered by obesity. This study aimed to find out the need of positive consideration to the existence of depressive mood in the management of obesity. Methods : A total of 101 subjects were enrolled among those who were 60 years old and over at one local clinic. Obese group (n=49) was defined as BMI${\geqq}$25 and normal weight group (n=52) as 20$5.2{\pm}2.5$) was significantly higher than that of the normal weight group ($3.8{\pm}1.7$)(p<0.05). In male subjects, there was no significant difference in the mean GDSSF-K score between both groups, but in female subjects, the mean GDSSF-K score of the obese group, $6.4{\pm}2.6$ was significantly higher than that of the normal weight group ($4.0{\pm}1.8$)(p<0.05). Conclusion : The elderly obese group showed higher depressive scale score than elderly normal weight group, especially in female elderly. Since the elderly obese female group had a depressive predisposition, comprehensive management including mental and psychological approach is required in obesity control programs.

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Adverse Effect of Superovulation Treatment on Maturation, Function and Ultrastructural Integrity of Murine Oocytes

  • Lee, Myungook;Ahn, Jong Il;Lee, Ah Ran;Ko, Dong Woo;Yang, Woo Sub;Lee, Gene;Ahn, Ji Yeon;Lim, Jeong Mook
    • Molecules and Cells
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    • 제40권8호
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    • pp.558-566
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    • 2017
  • Regular monitoring on experimental animal management found the fluctuation of ART outcome, which showed a necessity to explore whether superovulation treatment is responsible for such unexpected outcome. This study was subsequently conducted to examine whether superovulation treatment can preserve ultrastructural integrity and developmental competence of oocytes following oocyte activation and embryo culture. A randomized study using mouse model was designed and in vitro development (experiment 1), ultrastructural morphology (experiment 2) and functional integrity of the oocytes (experiment 3) retrieved after PMSG/hCG injection (superovulation group) or not (natural ovulation; control group) were evaluated. In experiment 1, more oocytes were retrieved following superovulation than following natural ovulation, but natural ovulation yielded higher (p < 0.0563) maturation rate than superovulation. The capacity of mature oocytes to form pronucleus and to develop into blastocysts in vitro was similar. In experiment 2, a notable (p < 0.0186) increase in mitochondrial deformity, characterized by the formation of vacuolated mitochondria, was detected in the superovulation group. Multivesicular body formation was also increased, whereas early endosome formation was significantly decreased. No obvious changes in other microorganelles, however, were detected, which included the formation and distribution of mitochondria, cortical granules, microvilli, and smooth and rough endoplasmic reticulum. In experiment 3, significant decreases in mitochondrial activity, ATP production and dextran uptake were detected in the superovulation group. In conclusion, superovulation treatment may change both maturational status and functional and ultrastuctural integrity of oocytes. Superovulation effect on preimplantation development can be discussed.

병원관리에서 의료보험 입원진료비의 병원자체심사 결과의 분석 연구 - 일 대학병원의 퇴원전 심사를 중심으로 (Analytic Study of the Hospital Self Inspection Results with the Medical Insurance Inpatient Fee on the View-point of the Hospital Management. -based on the University hospital Pre-discharge inspection-)

  • 문선순
    • 대한간호
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    • 제32권5호
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    • pp.78-92
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    • 1994
  • The purposes of this study were to evaluate the results of the hospital self inspection with the medical insurance and to offer basic materials to the medical insurance inspection and the education of medical insurance. The study was undertaken with 4,730 cases among the total 13,810 medical insurance in patients from Jan. 1990 to Dec. 1990 at one university hospital in Pusan. The major contents of the inspection were the omission of diagnosis and medical fee, curtailment, application mistake, the rates of inclusion, subtraction and total accumulation. The data were collected using patients charts and bills. The results of the paper analysis were as follows. 1. From the pre-discharge hospital self inspection, major omission were treatment and material fee but medication fee were moderately high and high curtailment was operation fee. 2. Decreasing order of operation fee adjustment were digestive(22.4%) muscular(22%) and neuro system operation(21.4%). Majority of the medication fee adjustments were injection form of medication(95.7%). 50% of the treatment fee adjustments were composed of injection fee(27.9%) and dressing or post-operative dressing fee(22.3%). 74.7% of material costs were composed of oxygen(30.6%), blood and the blood composed materials(44.1%). 3. Pre-discharge inspection showed 6% adjustment rate, 4.3% addition and 2.1% curtailment rate. Most of the adjustment were omission(66.1%). 4. Omission were divided by event omission(92.6%)and application mistake(7.4%). The decreasing order of omission fee were operation(21.84%), treatment(18.71 %) diagnosis(18.68%), medication (14.53%) and material costs(10.84%). So operation and treatment part were the major part of the total omission fee(40.55%). 5. The average omission of diagnosis were 1,800 per month.

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양돈농가의 경영관리 및 분뇨처리실태 분석 (Analysis of Current Situation for Management Skill and Manures Treatment in Pig Farms)

  • 김계웅;인광교;신연호
    • 한국축산시설환경학회지
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    • 제18권1호
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    • pp.35-44
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    • 2012
  • 본 조사연구는 충남의 번식돈과 비육돈 농장을 포함한 전업규모 100개 양돈장을 대상으로 경영관리 실태와 분뇨처리 시스댐을 조사 분석하여 합리적인 경영관리 지표설정과 적정 분뇨처리시스템 모델 개발에 필요한 기초척 자료를 얻고자 실시한 결과를 요약하면 다음과 같다. 첫째는, 양돈장 경영관리중 평균 전문컨설팅 참여는 1년에 "4.56회"를 받는 것으로 조사되었고, 농장별 및 경력층간에는 유의한 차이없이 비슷한 수준으로 교육참여횟수를 보였다. 백신예방접종프로그램은 5점 만점 중 "3.86점"으로 보통이상 수준이었다. 번식돈과 비육돈 농장간에는 유의한 차이를 보였는데, 번식돈 농장이 4.13점으로 비육돈 농장 3.63점 보다 유의하게(p<0.01) 우수한 성적을 보였다. 방역위생관리는 평균 "3.27점"으로 보통수준으로 관리되고 있으며, 농장간에는 번식돈농장이 3.50점으로 비육돈 농장 3.07점 보다 유의하게(p<0.01) 양호한 관리상태를 보였다. 자금관리는 평균 "2.82점"으로 보통 이하 수준으로 운영되고 있어 사업계획이나 자금경영관리를 연간수요에 따라 집행되어야 할 것이다. 그리고 기술력 보유수준은 평균 "3.21점"으로 보통이상의 수준으로 평가 되었는데, 장차 축산국가와의 FTA 등에 대비한 기술 경쟁력확보에 최선을 다해야 할 것으로 생각된다. 둘째는, 양돈장에서 경쟁력 강화분야로는 "돼지의 질병과 치료"를 가장 희망하였고(43.4%), 그 다음은 친환경 생산관리(37.4%) 기술을 더욱 강화해야 할 것으로 뽑고 있었다. 셋째는, 양돈장의 분뇨수거시스템은 대부분의 농장에서 "슬러리시스템(44.0%)과 스크래퍼법(43.0%)"으로 돼지분뇨를 수거하는 것으로 조사되었는데, 농장여건에 따라 적절한 수거 시스템을 설치하여 활용하는 것이 바람직 할 것으로 사료된다. 넷째는, 돼지 분뇨처리는 많은 농장에서 "수거후 경지환원"을 가장 많이 이용(32.3%)하는 것으로 나타나, 분뇨의 저장기간, 온도, 방법 등 효율적인 처리방법과 적정 작목선정을 통한 경지환원이 이루어져야 할 것으로 판단된다. 앞으로는 친환경 자연순환시스템으로 경지에 환원하여 지력보전과 함께 우량 경종작물이 성장 할 수 있도록 자연순환형 분뇨처리와 이용 시스템이 구축되어야 할 것으로 생각된다.

환자의 적극적 이동을 유도하기 위한 스마트 포스터간 운동세션정보 전송프로토콜 (Session Information Transfer Protocol for Exercise between Smart Posters for the Patient's Active Movements)

  • 이병문
    • 한국멀티미디어학회논문지
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    • 제20권8호
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    • pp.1439-1446
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    • 2017
  • Steady exercise or walking exercise is helpful for the treatment of chronic diseases or cancers. In this paper, I presented a smart poster to enable the patients to exercise while moving between the smart posters, dynamically, in order to provide better exercise effect to them. It can be a new form of exercise prescription that combines exercise with walking using smart posters. The personalized exercise prescription is downloaded from the management server in real time when the patient approaches, and induces the patient's exercise and walking. In addition, the smart poster helps patient to move to other posters in order to induce more walking exercise. To achieve this, I proposed a transfer protocol that autonomously exchanges session information between smart posters in this paper. Moreover, the smart poster based on Raspberry was implemented to verify validity of this protocol, and an experiment was conducted to measure the request and response time between smart posters in the implemented environment. In the experiment, when the other poster sent the message requesting the exercise session 100 times and received the response message, the 95 percentage of received messages had the response time within 0.05 seconds.

LIMITED OXIDATION OF IRRADIATED GRAPHITE WASTE TO REMOVE SURFACE CARBON-14

  • Smith, Tara E.;Mccrory, Shilo;Dunzik-Gougar, Mary Lou
    • Nuclear Engineering and Technology
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    • 제45권2호
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    • pp.211-218
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    • 2013
  • Large quantities of irradiated graphite waste from graphite-moderated nuclear reactors exist and are expected to increase in the case of High Temperature Reactor (HTR) deployment [1,2]. This situation indicates the need for a graphite waste management strategy. Of greatest concern for long-term disposal of irradiated graphite is carbon-14 ($^{14}C$), with a half-life of 5730 years. Fachinger et al. [2] have demonstrated that thermal treatment of irradiated graphite removes a significant fraction of the $^{14}C$, which tends to be concentrated on the graphite surface. During thermal treatment, graphite surface carbon atoms interact with naturally adsorbed oxygen complexes to create $CO_x$ gases, i.e. "gasify" graphite. The effectiveness of this process is highly dependent on the availability of adsorbed oxygen compounds. The quantity and form of adsorbed oxygen complexes in pre- and post-irradiated graphite were studied using Time of Flight Secondary Ion Mass Spectrometry (ToF-SIMS) and Xray Photoelectron Spectroscopy (XPS) in an effort to better understand the gasification process and to apply that understanding to process optimization. Adsorbed oxygen fragments were detected on both irradiated and unirradiated graphite; however, carbon-oxygen bonds were identified only on the irradiated material. This difference is likely due to a large number of carbon active sites associated with the higher lattice disorder resulting from irradiation. Results of XPS analysis also indicated the potential bonding structures of the oxygen fragments removed during surface impingement. Ester- and carboxyl-like structures were predominant among the identified oxygen-containing fragments. The indicated structures are consistent with those characterized by Fanning and Vannice [3] and later incorporated into an oxidation kinetics model by El-Genk and Tournier [4]. Based on the predicted desorption mechanisms of carbon oxides from the identified compounds, it is expected that a majority of the graphite should gasify as carbon monoxide (CO) rather than carbon dioxide ($CO_2$). Therefore, to optimize the efficiency of thermal treatment the graphite should be heated to temperatures above the surface decomposition temperature increasing the evolution of CO [4].