• Title/Summary/Keyword: Recommended Treatment Order

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Compaction and strength behavior of lime-coir fiber treated Black Cotton soil

  • Ramesh, H.N.;Manoj Krishna, K.V.;Mamatha, H.V.
    • Geomechanics and Engineering
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    • v.2 no.1
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    • pp.19-28
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    • 2010
  • This paper describes the compaction and strength behavior of black cotton soil (BC soil) reinforced with coir fibers. Coir used in this study is processed fiber from the husk of coconuts. BC soil reinforced with coir fiber shows only marginal increase in the strength of soil, inhibiting its use for ground improvement. In order to further increase the strength of the soil-coir fiber combination, optimum percentage of 4% of lime is added. The effect of aspect ratio, percentage fiber on the behavior of the composite soil specimen with curing is isolated and studied. It is found that strength properties of optimum combination of BC soil-lime specimens reinforced with coir fibers is appreciably better than untreated BC soil or BC soil alone with coir fiber. Lime treatment in BC soil improves strength but it imparts brittleness in soil specimen. BC soil treated with 4% lime and reinforced with coir fiber shows ductility behavior before and after failure. An optimum fiber content of 1% (by weight) with aspect ratio of 20 for fiber was recommended for strengthening BC soil.

A Survey on the Need for Mobile Application Content for Self-Management of Patients with Osteoarthritis (골관절염 대상자의 자기관리 모바일앱 개발을 위한 콘텐츠 요구도 조사)

  • Park, Ju-Young;Son, Jung Tae
    • Journal of muscle and joint health
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    • v.27 no.3
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    • pp.211-218
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    • 2020
  • Purpose: This study aimed to identify and prioritize the content needs of patients with osteoarthritis (OA) for developing self-management mobile applications. Methods: A total of 126 participants with OA were recruited from two orthopedic hospitals. They completed the self-report questionnaires after providing written informed consent. The Borich needs assessment model was used to assess the perceived level of competence and perceived level of importance regarding 21 items for self-management of OA. The collected data were weighted and ranked in order of priority. Results: The top five content items needed by OA patients were 'How to avoid excessive use of the joints' (15.03); 'Lifestyle tips on the prevention and management of arthritis' (13.69); 'Exercise types and procedures for OA' (12.54); 'Good and bad exercises for the joints' (9.80); and 'Precautions for exercise (duration, frequency, safety)' (8.88). Need rankings related to causes and treatment of OA were relatively low. Conclusion: OA patients requested self-management competencies that should be practiced in daily activities to reduce the discomfort. The results of this study have practical implications for defining the content of self-management applications for patients with OA. Based on the results, developing a self-management intervention program for OA patients using a mobile is recommended.

Orthodontic Treatment of an Impacted Immature Tooth Using C-tube as a Skeletal Anchorage : Case Reports (C-tube를 골격성 고정원으로 이용한 매복된 미성숙 영구치의 교정적 치료 : 증례 보고)

  • Choi, Sooyeon;Kong, Eunkyung;Chung, Kyurhim;Baek, Kwangwoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.2
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    • pp.157-165
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    • 2014
  • Skeletal anchorage is recommended as an orthodontic treatment for an impacted immature permanent tooth. Among these methods, C-tube is relatively safe because it is fixed to the cortical bone of interdental and the lower part of the root with several short miniscrews, which causes less damage to the root in patients of early permanent dentition. As it can be easily bent, the traction direction can be adjusted to favorable bone density sites. However, patient cooperation is important and traction based on physiological force in order to gain root and dentoalveolar tissue development in immature permanent teeth is required. Periodic follow-ups should be mandatory.

The Consequence of Delayed Diagnosis of an Occult Hip Fracture (잠행 고관절 골절의 진단 지연의 결과)

  • Je, Sangbong;Kim, Hyejin;Ryu, Seokyong;Cho, Sukjin;Oh, Sungchan;Kang, Taekyung;Choi, Seungwoon
    • Journal of Trauma and Injury
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    • v.28 no.3
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    • pp.91-97
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    • 2015
  • Purpose: Occult hip fracture is not evident on radiographs and the diagnosis is often missed or delayed. This study was undertaken in order to identify the clinical characteristics and complications of patients with a delayed diagnosis of an occult hip fracture. Methods: We retrospectively reviewed patients with occult hip fracture who had normal findings on initial radiographs, the diagnosis was made on additional studies between August 2006 and February 2012. Patients who were diagnosed as having occult hip fractures at the first visit were categorized as non-delayed group and those who were not diagnosed at the first visit were categorized as delayed group. Results: Non-delayed group included 43 patients (86%). In the remaining 7 patients (delayed group), the diagnosis was delayed by a mean of 9.6 days (range 3~19 days). Patients who were diagnosed with an occult fracture on the initial visit presented later than those with a delayed diagnosis (41/43 .vs. 3/7, p=0.002). Other clinical features were no difference between the two groups. Patients in the delayed diagnosis group were more likely to have fracture displacement (4/7 .vs. 0/43)15patients in non-delayed group (34.9%) needed operative treatment, whereas all delayed patients (100%) needed operative treatment. Conclusion: A delayed diagnosis of occult hip fractures was associated with increased rate of displacement and operation. In patients suspected of having occult hip fractures, additional studies should be recommended.

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Rice Growth Response and Soil Quality by Domestic Wastewater Irrigation on Rice Paddy Field - Lysimeter experiment - (하수종말처리장 방류수를 논 관개용수로 처리시 벼 생육 및 토양환경 영향 조사 - 라이시미터 재배실험 -)

  • Cho, Jae-Young;Park, Seung-Woo;Son, Jae-Gwon;Park, Bong-Ju;Li, Long-Gen
    • Journal of Korean Society of Rural Planning
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    • v.12 no.2 s.31
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    • pp.49-56
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    • 2006
  • The application of domestic wastewater on rice paddies results in the accumulation of sodium(Na$^+$) to the soil. Excessive concentration of sodium may cause the deterioration of the physical characteristics of the soil, change in the osmosis of the soil, destruction of soil aggregates as well as ion toxicity due to sodium accumulation. Using domestic wastewater as irrigation water should be preceded by measures to prevent or control the soil salinization caused by sodium. Agricultural reuse of domestic wastewater were found not to cause serious problems with food safety due to heavy metals. However, pre-treatment using ultraviolet or ozone is recommended to reduce the number of bacteria and gem and for public health reasons. Using domestic wastewater has shown that reducing the standard application of chemical fertilizers by as much as 50% reduced the harvesting index by only 10%. This study has shown that it is feasible to reuse domestic wastewater on rice paddies. In order to facilitate the application, it is deemed necessary to establish wastewater treatment technologies in the future, to review criteria for recycling domestic wastewater for agricultural purposes such as conditions of soil and cropping system and to resolve conflicts with farmers and public health issues.

Additional Data for the Folate Database for Foods Common in Korea (한국인 상용식품의 엽산함량 분석에 의한 식품영양가표의 보완)

  • Yon, Mi-Yong;Hyun, Tai-Sun
    • Journal of Nutrition and Health
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    • v.38 no.7
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    • pp.586-604
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    • 2005
  • A reliable nutrient database is a prerequisite for accurate calculation of dietary intakes. The folate database currently available in Korea, however, is not reliable because the values were obtained from published data in other countries using ineffective methods to extract folates from the food matrix. The purpose of this study was to complement the folate database by analyzing folate content in foods using a more effective method to extract food folates (trienzyme treatment). Folate content per unit weight was highest in laver, fermented soybeans, soybean, spinach, black soybeans, crown daisy, mung beans, and quail's egg in descending order. Legumes, leafy greens, eggs, and seaweeds were rich in folate, and meats, chicken, fish, and some fruits contained less folate. Some of the analyzed values were 10 times higher than those in the currently available database. Folate values of 423 foodcodes out of 2,932 foodcodes ($14.4\%$) in the database in the 7th revision in the Recommended Dietary Allowances for Koreans can be replaced by those analyzed in this study. Since folate values of rice and Kimchi, which are core dishes of Koreans, in the newly established database are higher than those in the current database, folate intake assessed using our data will be higher than that using the current available database. Folate content in more foods commonly consumed in Korea are needed to update the folate database. Meanwhile, folate values presented here can be used to assess dietary folate intake of the Korean population.

Use of Complementary and Alternative Medicine in Patients with Gynecologic Cancer: a Systematic Review

  • Akpunar, Dercan;Bebis, Hatice;Yavan, Tulay
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.17
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    • pp.7847-7852
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    • 2015
  • Purpose: Research carried out with gynecologic cancer patients using CAM was reviewed to provide a source for discussing which CAM method is used for which purpose, patients' perceptions on the effects/side effects occurred during/after using CAM and their sources of information regarding CAM. Materials and Methods: This literature review was carried out for the period between January 2000 and March 2015 using Scopus, Dynamed, Med-Line, Science Dırect, Ulakbim, Research Starters, Ebscohost, Cinahl Complete, Academic Onefile, Directory of Open Access Journals, BMJ Online Journals (2007-2009), Ovid, Oxford Journal, Proquest Hospital Collection, Springer-Kluwer Link, Taylor & Francis, Up To Date, Web Of Science (Citation Index), Wiley Cochrane-Evidence Base, Wiley Online Library, and Pub-Med search databases with "complementary and alternative medicine, gynecologic cancer" as keywords. After searching through these results, a total of 12 full length papers in English were included. Results: CAM use in gynecologic cancer patients was discussed in 8 studies and CAM use in breast and gynecologic cancer patients in 4. It was determined that the frequency of CAM use varies between 40.3% and 94.7%. As the CAM method, herbal medicines, vitamins/minerals were used most frequently in 8 of the studies. When the reasons why gynecologic cancer patients use CAM are examined, it is determined that they generally use to strengthen the immune system, reduce the side effects of cancer treatment and for physical and psychological relaxation. In this review, most of the gynecologic cancer patients perceived use of CAM as beneficial. Conclusions: In order that the patients obtain adequate reliable information about CAM and avoid practices which may harm the efficiency of medical treatment, it is recommended that "Healthcare Professionals" develop a common language.

Characteristics of Gastric Carcinomas in Two Extreme Age Groups (약년층과 노령층 위암 환자의 비교)

  • Chung, Ho-Young;Yu, Wan-Sik
    • Journal of Gastric Cancer
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    • v.2 no.4
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    • pp.200-204
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    • 2002
  • Purpose: The aim of this study was to compare the clinicopathological characteristics and postoperative prognosis of two age groups with gastric cancer in order to establish the proper treatment strategy in these groups of patients. Materials and Methods: Among patients with gastric cancer who underwent a gastrectomy between 1990 and 1996 at the Department of Surgery, Kyungpook National University, the clinicopathological characteristics, including the postoperative survival, of patients younger than 40-years old were compared with those of patients over 69-years old. Results: During that period 1,125 gastric cancer patients underwent a gastrectomy. Among them, 111 patients ($9.9\%$) were less than 40-years old, and 96 patients ($8.5\%$) were over 69-years old. In the young group, 79 patients ($71.2\%$) had a poorly differentiated adenocarcinoma, and 59 patients from the elderly group ($61.5\%$) had a well- or moderately differentiated adenocarcinoma (P<0.05). Curative surgery was performed for 88 ($79.3\%$) patients in the young group and 78 ($81.3\%$) patients in the elderly group. This difference was not statistically significant. There was no statistically significant difference in the 5-year survival rates between the young and the elderly ($66.3\%\;vs.\;47.2\%$) groups, but the 5-year survival rate of the young group was significantly higher than that of the elderly group after a curative resection ($83.2\%\;vs.\;53.3\%$; P<0.05). Also the 5-year survival rate of the elderly group was significantly higher than that of the young group after a non-curative resection ($20.4\%\;vs.\;4.6\%$; P<0.05). Conclusions: For young patients, more efforts are needed to detect gastric cancer in its early stages so that a curative surgery can be performed. However, for the elderly, surgical treatment is recommended at any stage because of the relatively high survival rate, even after non-curative surgery.

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Malignant mesothelioma mistaken for tuberculous pleurisy (결핵성 흉막염으로 오인된 악성중피종)

  • Yang, Ji-Young;Song, Min-Joo;Park, So-Jung;Cheon, Jaekyung;Yoo, Jung-Wan;Choi, Chang-Min;Kim, Yong Hee
    • Journal of Yeungnam Medical Science
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    • v.32 no.1
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    • pp.50-54
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    • 2015
  • Malignant mesothelioma is a common, primary tumor that can invade pleura, and is associated with previous exposure to asbestos. However, it poses considerable difficulties regarding its diagnosis and treatment, and thus, accurate history taking with respect to exposure to asbestos, and radiologic and pathologic examinations are essential. In addition, the involvement of a multidisciplinary team is recommended in order to ensure prompt and appropriate management using a framework based on radiotherapy, chemotherapy, surgery, and symptom palliation with end-of-life care. Because lymphocyte-dominant, exudative pleural effusion can occur in malignant mesothelioma, adenosine deaminase values may be elevated, which could be mistaken for tuberculous pleurisy, and lead to an incorrect diagnosis and suboptimal treatment. The authors describe a case of malignant mesothelioma initially misdiagnosed as tuberculous pleurisy. As evidenced by the described case, malignant mesothelioma should be considered during the differential diagnosis of patients with lymphocyte-dominant, exudative pleural effusion with a pleural lung lesion.

A Study for Determining the Rehabilitation Method Group using NHPCI on Asphalt Concrete Pavement of National Highway (국도 아스팔트 포장의 NHPCI(National Highway Pavement Condition Index)를 활용한 보수공법그룹 결정에 관한 연구)

  • Son, Hyeon Jang;Kwon, Soo-Ahn;Lee, Jae Jun;Baek, Cheolmin;Lim, Jae Kuy;Sin, Hyun Jin
    • International Journal of Highway Engineering
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    • v.15 no.2
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    • pp.1-9
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    • 2013
  • PURPOSES : The PMS(Pavement Management System) has been utilized in order to efficiently allocate the limited budget for the maintenance of national highway system. In the PMS of national highway, surface pavement condition is evaluated by using the VI (Visual Index). However, the VI is determined only by considering the cracking rate (%) and rut depth (mm), which is not reflecting the IRI (International Roughness Index) that is known as an important factor of pavement performance. In this study, the NHPCI (National Highway Pavement Condition Index) which includes the cracking rate (%), rut depth (mm), and IRI (m/km) is suggested for determining the rehabilitation methods group. METHODS : First, the rehabilitation methods performed between 2008 and 2010 on the national highway is classified and then, NHPCI is determined for each rehabilitation method. Next, the NHPCI for each rehabilitation method is grouped through the interval estimation of the population mean and T-test analysis. RESULTS : According to NHPCI range, the rehabilitation methods are divided into four categories: Not Required, Preventive Maintenance, Overlay Treatment (with or without cutting), and Full-scale Treatment (i.e., reconstruction). CONCLUSIONS : Based on this study, it is recommended that the appropriate NHPCI range should be determined through the combination of the rehabilitation categories and Decision Procedure of Pavement Distress Condition Visual Index.