• 제목/요약/키워드: Pressure treatment

Search Result 3,584, Processing Time 0.033 seconds

The literary review on the Treatment of Pressure Sore (褥瘡의 治療에 관한 문헌적 고찰)

  • Song, Jae-chul;Chung, Seok-hee;Lee, Jong-soo;Shin, Hyun-dae;Kim, Sung-soo
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
    • /
    • v.13 no.1
    • /
    • pp.237-252
    • /
    • 2000
  • Pressure sore is an area of ulceration and necrosis of the skin and underlying tissues usually occuring over the bony prominences of the body after prolonged or often repeated pressure. We reviewed and summarized the published articles and treatise on the treatment of pressure sore. The results were as follows : 1. Pressure sore occur due to prolonged or often repeated pressure. So it is better than decubitus ulcer that is called pressure sore. 2. The most common lesions of pressure sore are sacrum, ischial tuberosity, greater trochanter. 3. The cause of pressure sore are change of comprehension. urine, moisture, change of the ability of activity and exercise, shearing force. 4. The elements to influence on wound healing are collagen accumulation velocity, nutrition condition, Vitamine C, copper, iron. oxygen pressure, steroids, cell-toxic drug, radiation. 5. Non-operative treatments are managements of skin such as avoiding consistant pressure, dressing, preventing moisture, understanding patient and protecter, preventing spasm, improvement of systemic nutrition condition. 6. Operative treatements are debridement, suture, skin transplantation, muscle flap and musculaocutaneous flap surgery. Recently V-${\Gammer}$ advancement surgery in use of muscle and musculocutaneous flap is generally maded. 7. Complications of post-operation are wound rupture, infection, disappearance of transmitted skin, necrosis of flaps.

  • PDF

Case Report of Pressure Injury in Intracerebral Hemorrhage Patients Improved by Combining Radix Astragali Pharmacoacupuncture Solution during Antibiotic Treatment (항생제 치료 중 드레싱과 황기 약침액 도포를 병행하여 호전된 뇌출혈 환자 욕창 1례)

  • Geun Young Kim;Dabin Lee;Seon Uk Jeon;Han-Gyul Lee;Ki-Ho Cho;Sang-Kwan Moon;Woo-Sang Jung;Seungwon Kwon
    • The Journal of Internal Korean Medicine
    • /
    • v.44 no.2
    • /
    • pp.167-177
    • /
    • 2023
  • Background: Pressure injuries are localized areas of damage to the skin and/or underlying tissue, usually over a bony prominence due to pressure. Cerebrovascular disease increases the risk of pressure injuries due to the immobility caused by physical paralysis. The general approach to managing a patient with pressure injuries should include pain relief, the treatment of the infection, optimizing nutritional intake, proper positioning, and contamination prevention. Nonetheless, the duration of treatment for pressure injuries varies from person to person. Case report: An 80-year-old female intracerebral hemorrhage patient developed a pressure injury. To improve the injury faster, a Radix Astragali pharmacoacupuncture solution was applied to the pressure sore. The pressure injury's width, length, and depth was assessed using a ruler, and the exudate amount and tissue types were assessed. The treatment was performed for 35 days. The rate at which the size of the pressure sore lessened increased since the Radix Astragali pharmacoacupuncture solution was applied to the pressure sore. In addition, the tissue type of the pressure injury improved, and the exudates decreased. There was no significant difference in the Pressure Ulcer Scale for Healing Tool 3.0, since the Radix Astragali pharmacoacupuncture solution was applied to the pressure injury. Conclusion: This clinical case study suggests that the Radix Astragali pharmacoacupuncture solution might be effective in speeding up the healing of pressure injuries.

Enhancement of Microbial Immobilization on the Surface of a Reticulated PU-g-PAAc Foam prepared through Graft Copolymerization induced by Atmosoheric Pressure Plasma Treatment (대기압 플라즈마 유도 그라프트 공중합으로 합성된 망상형 PU-g-PAAc 폼의 미생물 고정화능 향상)

  • Myung Sung Woon;Jang Yung Mi;Nam Ki Chun;Choi Ho Suk;Cho Dae Chul
    • KSBB Journal
    • /
    • v.19 no.5
    • /
    • pp.399-405
    • /
    • 2004
  • A reticulated PU-g-PAAc foam was modified through the surface treatment of PU foam by one atmospheric pressure plasma. The synthesized PU-g-PAAc foam was prepared for the purpose of immobilizing microbial organisms. We also attempted different plasma treatment methods including simple plasma treatment, plasma induced grafting and plasma induced grafting followed by plasma re-treatment. The effect of grafting on equilibrium water content (EWC) of PU forms was examined by swelling measurements. Adhesion test was performed to investigate the effect of different plasma treatment methods on the improvement of microbial immobilization. Two foams modified by plasma induced grafting and plasma re-treatment after grafting showed 2.7 and 3.0 fold higher microbial immobilization than unmodified one, respectively. Meanwhile, simple plasma treatment showed a little enhancement. FT-IR analysis of each sample verified the contribution of surface functional groups on the enhancement of microbial immobilization. SEM observation confirmed microbial adherence.

Development of Design Method on High Pressure Vessel of 100L-700MPa Grade (100L-700MPa급 초고압 용기 설계 기술 개발)

  • Park, Bo-Gyu;Lee, Ho-Joon;Lee, In-Jun;Park, Si-Woo;Cho, Kyu-Shang
    • Journal of the Korean Society of Manufacturing Process Engineers
    • /
    • v.18 no.8
    • /
    • pp.67-73
    • /
    • 2019
  • An ultra-high pressure treatment device is a device used for increasing the shelf life of food by sterilizing it by applying hydrostatic pressure to solid or liquid food. The ultrahigh pressure treatment system developed in this study is a pressure vessel with a processing capacity of 100 L and a maximum pressure of 700 MPa. Pressure vessels for ultrahigh-pressure processing equipment are manufactured using wire-winding techniques. The design formula for making ultra-high pressure vessels with wire windings is given in ASME Section VIII - Division 3. In this study, the ratio of the cylinder to the winding area that can be applied in a wire-winding application was analyzed using a finite element analysis. Furthermore, the relationship between the variation of the residual stress in the vessel and the ratio of the winding area due to the variation of the winding tension was analyzed, and a design guide applicable to the actual product design was developed. Finally, the design equation was modified by presenting the coefficients to correct the difference between the finite element analysis and the design equation.

Effects of Aromatherapy on Stress Responses, Autonomic Nervous System Activity and Blood Pressure in the Patients Undergoing Coronary Angiography: A Non-Randomized Controlled Trial (아로마요법이 관상동맥조영술 대상자의 스트레스, 자율신경계, 혈압에 미치는 효과: 비무작위 대조군설계)

  • Song, Eun Jeong;Lee, Mi Young
    • Journal of Korean Academy of Nursing
    • /
    • v.48 no.1
    • /
    • pp.1-11
    • /
    • 2018
  • Purpose: The purpose of this study was to examine the effects of aromatherapy on stress responses, autonomic nervous system (ANS) activity, and blood pressure in patients hospitalized to receive coronary angiography (CAG). Methods: A non-equivalent control group with a pretest-posttest design was used. The subjects were patients admitted to the day angiography room to receive CAG at E University Hospital (34 in the experimental group and 30 in the control group). The experimental group treatment was inhalation of the aroma oil blended with lavender, ylang-ylang, and neroli at a ratio of 4:2:1 twice before and after CAG. The measurements of stress index, ANS activity, and blood pressure were performed 5 times as follows: at admission, at pre-CAG after treatment I, at post-CAG, 2 hours after treatment II, and 4 hours after treatment II. The data were analyzed using the Mann-Whitney U Test and repeated-measures analysis of variance. Results: Significant interactions in the high frequency of ANS (F=5.58, p=.005) were observed between group and time. Stress index (z=2.14, p=.016), systolic blood pressure (z=4.14, p<.005), and diastolic blood pressure (z=3.28, p=.001) were significantly different between the experimental and control groups after 4 hours of treatment II. Conclusion: The findings showed that aromatherapy was not effective before CAG, but was effective after CAG. Therefore, aromatherapy can be used as a nursing intervention for patients receiving CAG.

The Knowledge, Attitude and Practice of Blood Pressure Management from the Patient's Viewpoint: A Qualitative Study (고혈압 환자들의 관점에서 본 혈압관리에 대한 지식, 태도, 실천: 질적연구)

  • Lee, Sok-Goo;Jeon, So-Youn
    • Journal of Preventive Medicine and Public Health
    • /
    • v.41 no.4
    • /
    • pp.255-264
    • /
    • 2008
  • Objectives: This study adopted a qualitative method to explore the layman's beliefs and experience concerning high blood pressure and its management in order to develop a strategy to increase adherence to proper medical treatment. Methods: Semi-structured interviews that focused on personal experiences with hypertension and its management were conducted with 26 hypertensive patients. The participants were selected according to a BP above 140/90 mmHg (hypertension stage 1), based on the seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure (JNC-VII). The interviews lasted for approximately 30 minutes (range: 20-60 minutes). The resulting questions were formulated into open-ended questions. The interview questionnaire was composed 17 items to examine non-adherence to treatment and 19 items to examine adherence to treatment. Results: Most participants recognized that the direct cause of high blood pressure was unhealthy behavior rather than inheritance. Thus, the hypertensive patient believed they could recover their blood pressure to a normal level through removing the direct cause of hypertension (weight reduction, diet, exercise) instead of taking drugs. The reasons for these statements were that the drugs for controlling hypertension are not natural or they are artificial, and they may have side effects, and drugs are not treatment for the root cause of hypertension. Most of the hypertensive patients chose to manage their behaviors as soon as they knew their blood pressure was high. Therefore, we should not divide the subjects into two groups according to their taking drugs or not, but they should be divided into two groups according to their willingness or not to manage their condition. Conclusions: For developing a strategy for an individual approach to hypertension management, we need to develop a client-centered attitude and strategy. That is, we need to tailor our approach to individual cases to avoid generalizations and stereotyping when developing an adherence increasing strategy.

Cost-Effectiveness Analysis in Comparing Alginate Silver Dressing with Silver Zinc Sulfadiazine Cream in the Treatment of Pressure Ulcers

  • Chuangsuwanich, Apirag;Chortrakarnkij, Peerasak;Kangwanpoom, Jupaporn
    • Archives of Plastic Surgery
    • /
    • v.40 no.5
    • /
    • pp.589-596
    • /
    • 2013
  • Background The treatment of pressure ulcers is complicated, given the various wound dressing products available. The cost of different treatments varies and the cost-effectiveness of each product has not been thoroughly evaluated. We compare two wound dressing protocols-alginate silver dressing (AlSD) and silver zinc sulfadiazine cream (AgZnSD) with regard to wound healing and cost-effectiveness Methods Patients with grade III or IV sacral or trochanteric pressure ulcers were eligible for this prospective, randomized controlled trial. The patients were randomized to receive one of the two dressings for an eight-week period. The criteria of efficacy were based on the Pressure Ulcer Scale for Healing (PUSH) scoring tool. The cost of treatment was also assessed. Results Twenty patients (12 women and 8 men) were randomly assigned to receive either AlSD (n=10) or AgZnSD cream (n=10). The demographic data and wound characteristics were comparable in the two groups. The two groups showed no significant difference in the reduction of PUSH score, wound size, or volume of exudate. The tissue type score was significantly lower in the AlSD group ($3.15{\pm}0.68-1.85{\pm}0.68$ vs. $2.73{\pm}0.79-2.2{\pm}0.41$; P=0.015). The cost of treatment was significantly lower in the AlSD group (377.17 vs. 467.74 USD, respectively; P<0.0001). Conclusions Alginate silver dressing could be effectively used in the treatment of grade III and IV pressure ulcers. It can improve wound tissue characteristics and is cost-effective.

Scanning Electron Microscopy Studies of Saccharomyces cerevisiae Structural Changes by High Hydrostatic Pressure Treatment

  • Bang, Woo-Suk;Swanson, Barry G.
    • Food Science and Biotechnology
    • /
    • v.17 no.5
    • /
    • pp.1102-1105
    • /
    • 2008
  • The structural change and leakage of cellular substances of Saccharomyces cerevisiae attributed by high hydrostatic pressure (HHP) treatment were observed with scanning electron microscopy (SEM). S. cerevisiae (ATCC16664) was inoculated in apple juice for 10 min at $23^{\circ}C$ and the apple juice treated at 138, 207, 276, 345, and 414 MPa pressure for 30 sec at $23^{\circ}C$. Increased of roughness, elongation, wrinkling, and pores on yeast cell surfaces, the yeast cell walls were severely damaged by HHP treatment from 276 to 414 MPa. Inactivation of S. cerevisiae by HHP is dependent on structural changes on the cell walls observed with SEM.

Development of High Performance Low Pressure Carburizing System (Batch type 가스침탄 열처리로 국산화개발)

  • Kim, Won-Bae;Dong, Sang-Keun;Jang, Byoung-Lok;Han, Hyoung-Ki;Kim, Han-Suck;Cho, Han-Chang
    • Journal of the Korean Society for Heat Treatment
    • /
    • v.19 no.5
    • /
    • pp.262-269
    • /
    • 2006
  • The development of eco-friendly low pressure carburizing system with high pressure gas quenching(LPC-GQ, 500kg/charge) led to new stage in the fundamental case-hardening treatments. This is due to its ability to provide tighter tolerances on the carburizing process with notable reductions in distortion of the carburized and hardened workpiece. This system is characteristics by high uniformity and reproducibility of heat treatment results, absence of an intergranular oxidation layer, carburizing of complex shapes, reduced cycle time, low operating costs, simplified production, eliminate post washing, and reduced grinding costs.

The review of literature;Treatment of a clavus with Fructus mume(烏梅) (("오매(烏梅)의 티눈치료(治療)" 에 관(關)한 문헌고찰(文獻考察))

  • Pang, Jong-Ki
    • Journal of the Korean Institute of Oriental Medical Informatics
    • /
    • v.14 no.1
    • /
    • pp.43-54
    • /
    • 2008
  • The term keratosis covers a variety of growths such as warts and pressure-induced callosities. Warts develop in the absence of pressure, and often clear up again after a certain period, usually without treatment. Clavi can develop as a result of wearing poorly fitting shoes, but also deformed toes or other anatomical deformities affecting the foot. The resulting non-anatomical stressing leads to the formation of pressure callosities and even to pressure sores. It confronts hereupon, it searched the cure against the clavus with fructus mume(烏梅) and it arranged. The possibility of getting the result regarding the clavus treatment with fructus mume(烏梅) from the oriental medicine it was.

  • PDF