• 제목/요약/키워드: Treatment Grade

검색결과 2,121건 처리시간 0.028초

무지외반증에서 종자골 전이 정도가 치료결과에 미치는 영향 (The Effect of Sesamoid Position on Results of Treatment for Hallux Valgus)

  • 유총일;이동호;김휘택
    • 대한족부족관절학회지
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    • 제8권2호
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    • pp.131-137
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    • 2004
  • Purpose: We evaluated the results of various surgical treatments for hallux valgus with and without attempting to correct sesamoid subluxation. Materials and Methods: Thirty-one cases in 26 patients were involved in this study: Group I (15 cases) - surgery performed only to correct the hallux valgus angle (HVA) and the first-second intermetatarsal angle (IMA) in AP view; Group II (16 cases) - surgery performed to correct HVA and IMA and also to reduce the subluxation of sesamoid. The degree of sesamoid subluxation was measured from a pre- and intraoperative sesamoid tangential views. For both groups, we analysed the status of the sesamoid in pre- and postoperative radiographs and performed clinical evaluation using the Mayo clinic forefoot scoring system. Results: The average amount of correction during postoperative period and loss of correction at last follow-up in the sesamoid tangential view were as follows: soft tissue procedures (5 cases) - group I: grade $1.0{\pm}0.4/1.5{\pm}0.3$ and group II: grade $2.0{\pm}0.9/0.5{\pm}0.08$; chevron osteotomy (12 cases) - group I: grade $1.0{\pm}0.5/1.2{\pm}0.3$ and group II: grade $2.2{\pm}0.7/0.9{\pm}0.2$; proximal metatarsal osteotomy (14 cases) - group I: grade $4.0{\pm}0.4/1{\pm}0.2$ and group II: grade $4.7{\pm}1.1/0.8{\pm}0.1$. In clinical evaluation, more than 93% of the feet had a good result in both groups. The analysis of these data for each treatment type did not show any statistically significant differences between groups I and II. Conclusion: The radiologic and clinical results did not validate our attempts to reduce the sesamoid during surgery.

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Anterior Choroidal Artery Aneurysm Surgery : Ischemic Complications and Clinical Outcomes Revisited

  • Lee, Young-Sup;Park, Jaechan
    • Journal of Korean Neurosurgical Society
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    • 제54권2호
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    • pp.86-92
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    • 2013
  • Objective : Surgical results for anterior choroidal artery (AChA) aneurysms have previously been reported as unsatisfactory due to inadvertent occlusion of the AChA, while the low incidence of AChA aneurysms hampers the accumulation of surgical experience. The authors reviewed their related surgical experience to document the ischemic complications and surgical outcomes. Methods : Identification of the AChA at its origin by rigorous visual scrutiny, careful microdissection, and meticulous clip placement to avoid the AChA origin are all crucial surgical maneuvers. A retrospective review of a surgical series of 62 consecutive cases of an AChA aneurysm between 2004 and 2012 was performed. Results : All patients, except for five (8.1%) with a small residual neck, showed complete aneurysm obliteration in postoperative angiographic evaluations. There was no incidence of procedure-related permanent AChA syndrome or oculomotor nerve palsy, while three (4.8%) patients suffered from transient AChA syndrome. The clinical outcomes [the 3-month modified Rankin Scale (mRS)] of the patients were related to their preoperative World Federation of Neurologic Surgeons (WFNS) grade. As regards the 3-month mRS, significant differences were found between patients with an unruptured aneurysm (WFNS grade 0; n=20), good-grade subarachnoid hemorrhage (WFNS grade 1-3; n=30), and poor-grade subarachnoid hemorrhage (WFNS grade 4-5; n=4). Conclusion : In surgical treatment of AChA aneurysms, a risk of AChA insufficiency can be minimized by taking every precaution to preserve the AChA patency and intraoperative monitoring. In addition, the surgical outcome is primarily determined by the preoperative clinical state.

입원환자 본인부담액에 영향을 미치는 요인 (Factors Affecting Cost-Sharing Charges for Inpatients)

  • 안병기
    • 보건행정학회지
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    • 제22권3호
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    • pp.451-465
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    • 2012
  • In order to strengthen assurance of National Health Insurance, co-payment should be reduced. This can happen with collaborative efforts of patients, medical institutes, and government altogether at the same time. This research applied Dutton(1986)'s medical service research model with high R-square, and analyzed 2008 Korea Health Panel Data (Beta Version 1), that was examined by Korea Institute for Health and Social Affairs and National Health Insurance, in order to figure out influential variables on co-payment. In result of Multiple Linear Regression Analysis, R-square was 46.7%, the older the age, the patients who had surgery, the longer days of hospital treatment are, the higher gross income of a household is, the more hospitalized in upper grade general hospitals, and the more upper grade rooms and selecting a doctor are used. The results have statistical significance. When conducting research applying medical service research model, there is a need to apply Dutton(1986)'s medical service research model with high R-square. In order to strengthen assurance of National Health Insurance, first conditions should be that patients are hospitalized in upper grade general hospital, and at the same time, are patients who had surgery with long stay of hospitalization. In addition, if proven that patients used upper grade rooms and selecting a doctor due to lack of regular treatment and rooms, for certain number of days of such hospitalization, it is suggested to be provided with health care insurance in upper grade rooms and selecting a doctor in calculating co-payment limit.

Ascophyllum Nodosum Supplementation Strategies That Improve Overall Carcass Merit of Implanted English Crossbred Cattle

  • Anderson, M.J.;Blanton, J.R. Jr.;Gleghorn, J.;Kim, S.W.;Johnson, J.W.
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권10호
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    • pp.1514-1518
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    • 2006
  • English crossbred steers (n = 32) and heifers (n = 32) were fed a corn-based finishing diet and supplemented with 2% Ascophyllum nodosum on a DM basis to for various feeding stages of the 119 d feeding period determine the supplementation strategy that maximized intramuscular fat deposition as determined by quality grade. All cattle were implanted with Ralgro$^{(R)}$ on d 36 of the trial and re-implanted with Revalor-S$^{(R)}$ or Revalor-H$^{(R)}$ on d 92. Cattle were blocked by sex and divided into one control and three treatment groups receiving Ascophyllum nodosum. Treatment 1 (trt 1) received Ascophyllum nodosum from d 36 to 50 of the feeding period, trt 2 received Ascophyllum nodosum for the last 14 d of the feeding period, and trt 3 which received Ascophyllum nodosum for both d 36-50 and the last 14 d of the feeding period. Cattle were weighted initially ($385{\pm}4.53kg$) and every 28 d following until they reach an average BW of $554{\pm}7.46kg$. No effect for Ascophyllum nodosum supplementation was found on measured performance characteristics. All treatment groups supplemented with Ascophyllum nodosum had higher actual marbling scores (p<0.05) than controls. Trt 1 was found to have a highest marbling score (572.5; p<0.05), whereas the control group having the lowest marbling score (473.8). Trt 1 had a higher quality grade (5.25; p<0.05) than the control (3.94) group, but did not differ from trt 2 (4.56; p = 0.105) and trt 3 (4.75; p = 0.236) where high Select = 4, and low Choice = 5. Trt 2 did not differ from trt 3 (p = 0.655), or the control group (p = 0.140) for quality grade. However, trt 3 did tend to differ (p = 0.057) from the control group for quality grade. Control group animals graded 25% Choice, 62.5% Select; trt 1 graded 75% Choice, 18.8% Select; trt 2 graded 62.5% Choice, 25% Select and trt 3 graded 56.3% Choice and 31.2% Select. Overall, treatment groups had a 39.6% increase in Choice quality grade and a 37.5% decrease in Select quality grade when compared to the control animals.

Waelz Kiln 슬래그로부터 고품위 철 농축산물의 생산을 위한 최적 물리적 처리공정 (The Optimal Physical Treatment Process for Production of High-grade Iron Concentrate from Waelz Kiln Slag)

  • 한요셉;김성민;한성수;김영재
    • 자원리싸이클링
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    • 제32권2호
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    • pp.3-11
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    • 2023
  • 본 연구에서는 Waelz Kiln(WK) 공정에 의해 발생되는 슬래그로부터 물리적 처리에 의해 60% 이상의 품위를 가지는 철 농축산물을 얻고자 하였다. 대상 WK 슬래그는 수 mm 크기의 조립자로서 슬래그의 T-Fe 함량은 40.24%, ZnO 함량은 1.03%으로 확인되었다. WK 슬래그는 실험실 로드밀을 이용하여 다양한 분쇄시간 동안 분쇄하였으며, 분쇄된 시료는 우선 저자력(0.05 T) 세기에서 선별되었다. 그 결과, 10분 분쇄된 시료에서 가장 높은 철 품위를 나타내었으며, 20분 분쇄시료를 대상으로 자력세기에 따라 실험한 결과, 보다 고자력인 0.8 T에서 가장 높은 품위 및 최고 수준의 회수율이 관측되었다. 앞선 결과들을 바탕으로 본 연구에서는 최적의 관련 물리적 처리공정을 제안하였으며, 최적 공정에 의해 얻어진 철 농축산물의 품위 그리고 농축율은 각각 61.34% 그리고 1.52으로 평가되었다.

Dyeing Fastness and Functional Properties of Cotton Dyed with Astringent Persimmon Juice

  • Jung, Jin-Soun
    • International journal of advanced smart convergence
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    • 제8권3호
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    • pp.27-38
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    • 2019
  • I reviewed about dyeing fastness and functional properties of the non-mordant dyed cotton and iron mordant dyed cotton with astringent persimmon juice. In the UV-VIS spectrum of astringent persimmon juice, the maximum absorption wavelength of the juice was 272.0 nm, which was a characteristic peak of tannin. In dyeing fastness, light fastness of the non-mordant dyed cotton was a little low at grade 2~3. But by the iron mordant treatment, the light fastness was good at grade 4. Dry cleaning fastness to discoloration and contamination was excellent at grade 4~5 for both the non-mordant dyed cotton and iron-mordant dyed cotton. Their rub fastness were grade 3 and grade 2~3 respectively, in the dry condition, and grade 2~3 and grade 3 respectively, in the wet condition. In the perspiration fastness of the non-mordant dyed cotton, the discoloration from acidity and alkalinity was grade 3~4 and grade 3, respectively, and contamination from acidity and alkalinity was relatively good at grade 4. Meanwhile, in the perspiration fastness of the non-mordant dyed cotton, discoloration from acidity and alkalinity was fair, both recording grade 3~4, and contamination from acidity and alkalinity was very good, both recording grade 4~5. In the ultraviolet protection effect of the non-mordant dyed cotton and iron-mordant dyed cotton, the ultraviolet protection factor was both 50+, both of which showed an excellent ultraviolet blocking effect. And the protection rate of UV-A appeared 98.4% and 99.1%, respectively, and the protection rate of UV-B showed 98.7% and 99.2, respectively. In addition, both exhibited an excellent deodorization rate over 99.9% or more, irrespective of the passage of time. Also, both showed an excellent antimicrobial activity over 99.9% or more against Staphylococcus aureus and Klebsiella pneumoniae.

Vascular Dementia에 관(關)한 한의학적(韓醫學的) 임상연구(臨床硏究) (A clinical study of the effects of Oriental medical treatment on Vascular Dementia)

  • 현경철;김종우;황의완
    • 동의신경정신과학회지
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    • 제10권1호
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    • pp.147-157
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    • 1999
  • In order to confirm the efficiency of Oriental medical treatment on Vascular dementia, 24 probable and possible vascular dementia patients diagnosed by ADDTC criteria, were chosen and followed among the patients who had visited KOMC from April, 1996 to March, 1997. They were given herbal and acupuncture therapy, mainly focused on circulating qi(順氣)and removing phlegm(治痰) which is generally applied in early stage of cerebro-vascular disease, and then assessed by the improvement of stage according to the level of impairment, as proposed by APA. The results were as followed. 1. Out of 25 cases, 8 patients showed 2 grade improvement(++), 15 patients showed 1 grade improvement(+), and 1 patient showed no change. 2. The efficiency of treatment is higher when they're given treatment earlier. 3. The efficiency of treatment is higher when their symptoms are lighter. In conclusion, this study shows meaningful effect of Oriental medical treatment on vascular dementia and also shows that It's more effective in the case of short onset and mild symptom.

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경추증성 척수증 환자 1례에 대한 임상적 고찰 (Clinical Study on a Case of Cervical Myelopathy)

  • 이옥자;윤민영;김홍훈;조남근
    • Journal of Acupuncture Research
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    • 제20권4호
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    • pp.220-229
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    • 2003
  • Objective : Cervical myelopathy is one of the most severe disease, as well as a common diesaes. However, its clinical study and report about efficiency of oriental treatment are absolutely insufficient. Therefore, we report the treatment about 1 case of Cervical myelopathy like followings. Methods : From November 27th, 2002 to January 11th, 2003, we observed patient hospitalized because of cervical myelopathy, and for its valuation, JOA score(Japanese Orthopedic Association score), Nutric grading, VAS(visual analog scale), and D.I.T.I(Digital Infrared Thermal Imaging)were used. Results : After being hospotalized for 50 days, the patients' JOA score, Nuric grading system, and VAS were improved each from 7 to 13, from grade IV to grade II, and from 8 to 2. Conclusions : We considered that oriental treatment has an useful effect on cervical myelopathy patients' treatment and recovery. But continuous studies, such as comparative studies accompanied by more treatment case.

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피부 치료 시스템이 성인 아토피 피부염에 미치는 영향에 대한 조사 연구 (A Study of the Effects of Systemic Skin Care as a Adjunct Treatment for Adult Atopic Dermatitis)

  • 송다해
    • 한국패션뷰티학회지
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    • 제3권3호
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    • pp.41-47
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    • 2005
  • This study was conducted with 60 adult males who visited the Atomi Cooperative Clinic(Atomi Dermatology/Pediatrics/Oriental Clinic) in Seoul between May 2003 and December 2004; they were divided into three groups, each of which consisted of 20 persons, according to the level of erythma and then each group was subdivided to consist of ten according to whether they received skin treatment and care. The standard care provided to two groups involved topical steroids and oriental medicines prescribed by a dermatologist and a oriental doctor, respectively. 5th-grade topical steroid ointment was applied to the face and 3rd-grade to the limbs; a oriental medicine was administered in a lukewarm state half an hour after meals three times a day. To determine how special and systematic skin treatment and care was helpful in treating atopy, a skin treatment system was applied to the experimental group while the control group was provided with standard care alone. By using Mexameter(MX18) manufactured by ck-mpa as a measuring tool, the inflammation level was observed at the right antecubital space during each visit to the clinic. In view of the re suits, introduction of the systemic skin care for A. D to legitimate treatment provided by a medical institution is expected to be an appropriate supplementary treatment for adult patients who suffer from frequent recurrence of atopic dermatitis.

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양하지 소력을 주소로 하는 길랑-바레 증후군 환자에 대한 한방치료 증례보고 1례 (A Clinical Case Study on Guillain-Barre Syndrome Complaining Both Lower Extremity Weakness with Oriental Medical Treatment)

  • 김고운;김성수;이종수;정석희
    • 척추신경추나의학회지
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    • 제6권1호
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    • pp.27-33
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    • 2011
  • This study was performed to report the effectiveness of oriental medical treatment on a patient with Guillain-Barre syndrome complaining both lower extremity weakness. The patient was diagnosed as Guillain-Barre syndrome and treated with acupuncture, electroacupuncture, physical therapy and herbal medicine. We have evaluated the efficacy of oriental medical treatment by measuring changes of motor grade and ambulatory condition according to period of hospitalization. After treatment, motor grade and ambulatory condition were improved. These results suggest that oriental medical treatment was effective on the patient with Guillain-Barre syndrome.

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