• Title/Summary/Keyword: Recommended Treatment Order

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Clinical Manifestations and Therapy of Tuberculous Cervical Lymphadenitis (경부 결핵성 림프절염의 임상양상과 치료)

  • 김상현;황동조;문준환;김정수
    • Korean Journal of Bronchoesophagology
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    • v.5 no.1
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    • pp.7-13
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    • 1999
  • Background and Objective: The tuberculous lymphadenitis of neck is one of the most common extra-pulmonary tuberculosis in Korea. Although the incidence of pulmonary tuberculo-sis has decreased recently, that of cervical tuberculous lymphadenitis has not decreased. In spite of great efforts and diversity of study, the exact criterias of diagnosis and optimal therapeutic methods of cervical tuberculous lymphadenitis have been the subject of much debate and still remain unclear. So we intend to enucleate clinical manifestations and suggest the optimal therapeutic manners. Material : The 483 cases, diagnosed as cervical tuberculous lymphadenitis by fine needle aspiration biopsy during the past 10 years from Jan. 1987 to Dec. 1996 Method : Retrospective study Results 1) The overall rate of tuberculous cervical lymphadenitis was 23.4% of neck mass. 2) Incidence ratio of male to female was 1:2.7 3) The frequent location of tuberculous lymphadenitis was posterior cervical area, supraclavicular area, jugular chain in order. 4) The response rate of medical treatment in tuberculous cervical lymphadenitis was 84.9%. 5) The duration of medical treatment in remissioned group was 18.6 months in average. 6) Surgical intervention was needed in 15.1%. 7) The duration of post operative medical treatment was 18.4 months in average. Conclusion : Tuberculous cervical lymphadenitis is prevalent in women, age of 20-40 years and mainly involve posterior cervical area. Fine needle aspiration biopsy is a very useful method for early detection of cervical tuberculous lymphadenitis. After diagnosis is made, anti-tuberculosis medication is recommended for more than 18 months. Unless the size of neck mass is decreases inspite of the thorough anti-tuberculosis medication for more than 1 month or if complication like as abscess or fistula occurs, surgery is needed with post operative medical treatment for more than 12 months.

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Effects of Final Heat Treatment on Corrosion and Mechanical Properties of Zr Alloy Strip Incorporating Nb (니오븀이 첨가된 Zr 합금 스트립의 부식 및 기계적 특성에 대한 최종열처리 영향)

  • Lee, Myung Ho;Jung, Yang Il;Choi, Byoung Kwon;Park, Sang Yoon;Kim, Hyun Gil;Park, Jeong Yong;Jeong, Yong Hwan
    • Korean Journal of Metals and Materials
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    • v.47 no.8
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    • pp.474-481
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    • 2009
  • The effects of final heat treatment on the mechanical and corrosion properties of a Zr alloy strip incorporating Nb were investigated. The chemical composition of the strip was Zr-1.49Nb-0.38Sn-0.20Fe-0.11Cr, and strip specimens were subjected to final heat treatment in a temperature range of $580{\sim}700^{\circ}C$. Tensile tests at room temperature and $316^{\circ}C$, along with corrosion tests in a simulated PWR loop and a 70 ppm LiOH solution environment at $360^{\circ}C$, were performed on the specimens. The mechanical properties of the strip were saturated when the specimens received final heat treatment at an elevated temperature of more than $640^{\circ}C$. However, the corrosion resistance of the strip in the simulated PWR loop and in the 70 ppm LiOH solution environment was improved with a decrease of the final annealing temperature. It is recommended that the alloy strip be finally heat-treated at a temperature of less than $620^{\circ}C$ for longer than 10 minutes in order to obtain fully recrystallized microstructures, and thereby attain enlarged tensile elongation, and to prevent the precipitation of ${\beta}-Zr$, which is known to deteriorate the corrosion resistance.

Adsorption Characteristics and Kinetic Models of Ammonium Nitrogen using Biochar from Rice Hull in Sandy Loam Soil

  • Choi, Yong-Su;Kim, Sung-Chul;Shin, Joung-Du
    • Korean Journal of Soil Science and Fertilizer
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    • v.48 no.5
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    • pp.413-420
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    • 2015
  • Objective of this study was to investigate adsorption characteristics and kinetic models of $NH_4-N$ to biochar produced from rice hull in respective to mitigation of greenhouse gases. $NH_4-N$ concentration was analyzed by UV Spectrophotometer. For the experiment, the soil texture used in this study was sandy loam soil, and application rates of chemical fertilizer and pig compost were $420-200-370kgha^{-1}$ (N-P-K) and $5,500kgha^{-1}$ as recommended amount after soil test for corn cultivation. Biochar treatments were 0.2-5% to soil weight. Its adsorption characteristic was investigated with application of Langmuir isotherm, and pseudo-first order kinetic model and pseudo-second order kinetic model were used as kinetic models. Adsorption amount and removal rates of $NH_4-N$ were $39.3mg^{-1}$ and 28.0% in 0.2% biochar treatment, respectively. The sorption of $NH_4-N$ to biochar was fitted well by Langmiur model because it was observed that dimensionless constant ($R_L$) was 0.48. The maximum adsorption amount ($q_m$) and binding strength constant (b) were calculated as $4.1mgg^{-1}$ and $0.01Lmg^{-1}$ in Langmuir isotherm, respectively. The pseudo-second order kinetic model was more appropriate than pseudo-first order kinetic model for high correlation coefficient ($r^2$) of pseudo-second order kinetic model. Therefore, biochar produced from rice hull could reduce $N_2O$ by adsorbing $NH_4-N$ to biochar cooperated in sandy loam soil.

Improvement of Herbicide Use in Crop Production w. Growth Responses of Soybean (Glycine max) Cultivars to Application Time of Metribuzin Herbicide (제초제의 사용법 개발에 관한 연구 제4보 Metribuzin 사용시간에 따른 대두품종의 생육반응)

  • 구자옥;정순주;이종영
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.26 no.2
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    • pp.179-184
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    • 1981
  • The study was conducted to know the differential growth responses of soybean cultivars as affected by various application stages of Metribuzin herbicide, at the University experimental farm of Chonnam Nat'l. Univ, Kwangjoo, 1980. Experimented soybean materials were six cultivars, as Kwanggyo, Dongbuktae, Bongui, Yukwoo 3, Suweon 85, and Suweon 86., . and Laid-out application stages were five as pre-sowing, Pre-emergence, Early Post-emergence, and Late Post-emergence treatment comparing with Control. Results obtained from the study were as follows: Among experimented soybean cultivars, no significantly tolerant cultivar was shown. Highly significant differences in phytotoxicities by Metribuzin treatments were detected among various application stages, and crop tolerances were recognized bigger in order as E. Post-emg. < L. Post-emg. $\ll$ Pre-emg. < Pre-sowing $\leq$ Control. The phytotoxic symptoms of all soybean cuitivars were severely recorded in order of Leaf No. /Plant < Plant height $\ll$ Branch No. /Plant. For the cultivation of most soybean cuitivars, the use of Metribuzin in Pre-sowing or Pre-emergence were recommended, and especially it is expected to follow of more detailed study on soil-incorporation method in Pre-sowing treatment, and rather the tank-mixture system of Metribuzin with others than the mono-application system for the safe-use and enlargement of weeding-spectrum.

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Nitrogen Recovery and Application Method in a Satsuma Mandarins Orchard (온주밀감 과원 토양에서 질소에 대한 시비방법과 시비수준에 따른 회수율)

  • Kang, Young-Kil;U, Zang-Kual;Kang, Bong-Kyoon
    • Korean Journal of Soil Science and Fertilizer
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    • v.31 no.2
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    • pp.143-150
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    • 1998
  • In order to evaluate the nitrogen (N) balance, from the different application methods and levels of $^{15}N$ applied to a satsuma mandarin orchard soils in spring, we surface-applied N as urea at the rates of 50 (water-dissolved), 100 (solid and water-dissolved) and 150% (solid) of the recommended rate ($180kg\;ha^{-1}$) in spring (lebeled N), summer (nonlebeled N) with application ratio of 5:2:3. Fruit yield and quality were not significantly affected by any treatment. Nitrogen contents of spring flush leaves in late August were 3.0% regardless of the treatments. The N recovery by parts of tree itself was in the order of leaves, fruits, roots, stems, and the highest recovery per tree was 22.3% in the 50% recommended water-dissolved surface broadcast while there were not much differences for N recovery (11.9 to 13.6%) among the other three treatments. Total N content in top 30cm of soils was 0.47% regardless of the treatments, but N proportion and total residual N from the fertilizer applied increased with increasing N rate while the N recovery in soils decreased. For the recommended N rate, N proportion and the residual N from the fertilizer applied were greater in the water-dissolved surface broadcast than those in soils surface broadcast. The highest total (tree + soils) N recovery was 70.9% in the 50% recommended water-dissolved surface broadcast, but tended to decrease to 52.2, 46.6, and 43.2% for the recommended water-dissolved surface broadcast, 100 and 150% of the recommended solid surface broadcast, respectively.

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A Study on Developing a Patient Gown for Spinal Surgery Patients - Focusing on Female Patients - (척추 수술 환자를 위한 환자복 개발에 관한 연구 - 여성 환자들을 중심으로 -)

  • Park, Jeong-Eun;Nam, Young-Ran;Choi, Hei-Sun
    • Journal of the Korean Society of Costume
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    • v.62 no.7
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    • pp.205-219
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    • 2012
  • The purpose of this study is to develop comfortable patient gown for spinal surgery patients. The results of the survey confirmed inconveniences and problems with the current gown, and a new gown style was recommended. The recommended changes addressed design, pattern, and materials. The final experimental design for the top of the new patient gown is a wrap style that moves the center opening of the gown to the side and enables patients to control the length of the sleeves by attaching two snaps. The cutting line is aligned with the back brace location, and the issue of repeated bunching of the gown material by the brace was solved by substituting 100% knitted structure fiber. The sleeve length can be adjusted with snaps on the sleeve cap and hem. When lifting up the gown for treatment on specific areas of the body, doctors open the edge of the right side of the gown in order to lift up the top. The bottom of the new patient gown was made from 100% cotton knitted structure fiber, and it enables patients to control the length of pants by attaching two snaps on the side. The results of an on-site dressing suitability evaluation and a flexibility evaluation with respect to dressing/undressing indicated that the new patient gown was much better received than the existing gowns (A and B). Our hypothesis regarding new patient gowns was supported in both the fit and design categories.

Therapeutic Effect of Ten case Treated with Scalp and Do-ma acupuncture related with Governer Vessel and Bladder Meridian on Acute Low Back Pain (두부(頭部) 독맥경(督脈經), 족태양방광경(足太陽膀胱經) 경혈(經穴)의 도마침법(倒馬鍼法)을 시행한 급성(急性) 요부(腰部) 염좌(捻挫) 환자 10례(例)에 대한 임상고찰(臨床考察))

  • Lee, Jun-Sung;Kim, Young-Il
    • Journal of Haehwa Medicine
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    • v.14 no.2
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    • pp.177-187
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    • 2005
  • Objective : This study is designed in order to evaluate the therapeutic effect of Scalp Acupuncture and Do-ma Acupuncture related with Governer Vessel(Dok) and Bladder Meridian(Chok-taeyang) on acute low back pain Methods : We investigated 10 patients suffering from acute low back pain were treated from Mach. 1st 2005 to Jun. 30th 2005. 10 patients, were diagnosed only straightened curvature on lateral view of lumbar spine X-ray and get Scalp acupunture related with Governer Vessel(Dok) and Bladder Meridian(Chok-taeyang) and Do-ma acupuncture. Pain rating score(PRS) was used to assess the pain for its intensity, frequency, duration, and aggravating factors. And visual analog scale(VAS) was used, too. Results : Both Scalp acupunture related with Governer Vessel(Dok) and Bladder Meridian(Chok-taeyang) and Do-ma acupuncture therapy showed good effect on acute low back pain. It was proved by the difference between PRS and VAS checked before treatment and what checked after treatment. In the evaluation of treatment effect, Exellent was 2(20%), Good was 5(50%), Moderate was 3(30%), Poor was 0(0%). Conclusion : The therapeutic effect of Scalp Acupuncture and Do-ma Acupuncture on acute low back pain can be recommended as a useful therapy to treat acute low back pain.

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Mouse Single Oral Dose Toxicity Test of Scutellariae Radix Aqueous Extracts (황금의 마우스 단회 경구투여 독성시험)

  • Lee, Jin-Won;Jung, Yu-Sun;Jung, Tae-Young;Kim, Jong-Dae;Choi, Hae-Yun
    • The Journal of Internal Korean Medicine
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    • v.34 no.1
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    • pp.46-58
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    • 2013
  • Objectives : The object of this study was to obtain acute information (single oral dose toxicity) of Scutellariae Radix Aqueous Extracts (SR; yield = 27.20%) which traditionally have been used in Korean medicine for treating various diseases including inflammatory diseases. Methods : In order to observe the 50% lethal dose ($LD_{50}$), approximate lethal dosage (ALD) and target organs, SR Aqueous Extracts were once orally administered to female and male ICR mice at dose levels of 2,000, 1,000, 500 and 0 (control) mg/kg (body weight.) according to the recommendation of KFDA Guidelines. The mortality and changes on body weight, clinical signs and gross observation were monitored during 14 days after single oral treatment of SR according to KFDA Guidelines with organ weights and histopathological observations of 14 types of principle organs. Results : After single oral treatment of SR, we could not find any mortality and toxicological evidences up to 2,000 mg/kg treated group, the limited dosages in rodents, on the body and organ weights, clinical signs, gross and histopathological observations, except for some accidental findings. Conclusions : The results obtained in this study suggest that the $LD_{50}$ and ALD of SR in both female and male mice after single oral treatment be considered as over 2,000 mg/kg because no mortalities were detected up to 2,000 mg/kg that was the highest dose recommended by KFDA and OECD, and can be safely used in clinics.

Antiviral Activity of Ascorbic Acid Against Herpes Simplex Virus

  • Yoon, Joo-Chun;Cho, Jeong-Je;Yoo, Seung-Min;Ha, Youn-Mun
    • The Journal of the Korean Society for Microbiology
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    • v.35 no.1
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    • pp.1-8
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    • 2000
  • In order to explore the potential of ascorbic acid supplementation for the prevention and treatment of herpes simplex viral diseases, plaque reduction assays were performed. Ascorbic acid as well as copper chloride/ferric chloride were added to wells containing Vero cells infected with herpes simplex virus type 1 (HSV-1), and the infectivity of HSV-1 was determined. Since copper and iron are major transition metals in human plasma, near the normal human plasma concentrations of them were used for experiments. When Cu(II) and Fe(III) were applied, there were no significant differences between virus control and Cu(II)/Fe(III)-treated groups. But, when appropriate concentrations of ascorbic acid were added to wells, meaningful differences between control and ascorbate-treated groups were found. In the presence of Cu(II)/Fe(III) at $5.8/3.7\;{\mu}M$, 72-h treatment with ascorbate at $50\;{\mu}M$ reduced HSV-1 infections to $10.77%{\pm}4.25%$ (P < 0.001) and $500\;{\mu}M$ did to $3.06%{\pm}1.62%$ (P < 0.001). Moreover, the cytotoxicities for Vero cells at those concentrations were insignificant (P > 0.05). Current recommended dietary allowance (RDA) of ascorbic acid is 60 mg/day, and the oral intake of 60 mg/day of ascorbic acid yields plasma ascorbic acid at 45 to $58\;{\mu}M$ in a healthy adult man. Therefore, the results of this study suggest that the maintenance of appropriate level (more than $50\;{\mu}M$) of ascorbic acid in human plasma by appropriate amount (more than the RDA) of ascorbic acid supplementation may be helpful for the prevention and treatment of diseases caused by HSV -1 in an adult man. In addition, this study also suggests that ascorbic acid may be useful for the prophylaxis of fatal HSV-1 infections in neonates and the prevention of HSV-1 reactivation in immunocompromised hosts.

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A Plan for Utilizing the Buffering Vegetation based on the Land use Type (토지이용 특성에 어울리는 완충식생 활용 계획)

  • An, Ji Hong;Lim, Chi Hong;Lim, Yun Kyung;Nam, Kyeong Bae;Pi, Jung Hun;Lee, Chang Seok
    • Journal of Korean Society on Water Environment
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    • v.32 no.5
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    • pp.465-474
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    • 2016
  • Since Gyungan stream is included in the protected zone of the water supply source of the Metropolitan area in Korea, the water quality needs to be continuously managed. Therefore, a measure is required that can inhibit the flow of water pollutant into the water body and facilitate the ecological restoration of riparian vegetation. A field survey was conducted on the hydrological characteristics of the landscape elements established on the downstream catchment of the Gyungan stream, the result of which showed that the paddy field and urbanized area can be regarded as point pollution sources. The upland field can be regarded as a non-point pollution source. In order to improve the water quality in the Paldang lake, we first recommended creating a riparian vegetation belt. We also suggested introducing a treatment wetland and an artificial plant island to places in which the creation of a riparian vegetation belt is not ensured. We recommend creating a treatment wetland equipped with diverse functional groups. For creating the plant island, we recommend Zizania latifolia and Typha orientalis, which showed the highest productivity among aquatic plants. The former could be introduced around the outlet of a paddy field and the estuary of tributaries, while the latter could be introduced to a water body directly sourced from mountainous land.