• Title/Summary/Keyword: Treatment Options

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Treatment of Otitis Media in Cleft Palate (구개열 환자에 있어 중이염의 치료)

  • Pang, Kang-Mi;Ji, Young-Min;Kim, Seong-Min;Myoung, Hoon;Choi, Jin-Young;Lee, Jong-Ho;Choung, Pil-Hoon;Kim, Myung-Jin;Hwang, Soon-Jung
    • Korean Journal of Cleft Lip And Palate
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    • v.10 no.2
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    • pp.89-96
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    • 2007
  • Otitis media with effusion is known to be very common among children with cleft palate and is the common cause of acquired hearing loss in childhood. The purpose of the present study was to examine the anatomic variances, incidence and treatment of middle ear disease in children with cleft palate. In Korea, before 4-year-old age, the prevalence of otitis media was as high as 91.7%. Common treatments for otitis media were conservative or surgical treatment. The medical treatment options include the use of decongestants, antihistamines, antibiotics and mucolytics. Surgical treatment options include grommet insertion, myringotomy. Unlike the case for children without clefts, cleft patient has a higher incidence of recurrence, so surgical treatment between the age of 3 month and 6 month was recommended. The effect of palatoplasty on middle ear disease has remained controversial. Early and periodic evaluation on the symptomatic infection or significant of hearing loss was recommended.

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A Study on Environmental and Economic Analysis for Each Treatment of Sewage Sludge(I) - Results of Precision Monitoring - (하수슬러지 처리방법별 환경성 및 경제성 분석에 대한 연구(I) - 정밀모니터링 분석 중심으로 -)

  • Lee, Dongjin;Lee, Suyoung;Kwon, Younghyun;Bae, Jisu;Cho, Yuna
    • Journal of the Korea Organic Resources Recycling Association
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    • v.24 no.2
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    • pp.3-13
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    • 2016
  • This study investigated the environmental and economical assessment for sewage sludge treatment options including biogasification, incineration, carbonization, drying, and solidification. Additionally it is also investigated the economical feasibility of the current guidelines (Digestion efficiency for organic waste = 45 %, Moisture content of sludge = 95 and 93 %) and it aimed to suggest the scientific informations for a policy-making. For the economical feasibility the 30 plants with anaerobic digestion treatment and the 17 plants without anaerobic digestion treatment were investigated. The result of the comparison of sewage sludge treatment options showed that anaerobic digestion+incineration was the most economically feasible considering incineration and drying. For smaller treatment capacity, solidification was the most economically feasible considering carbonization and solidification and anaerobic digestion+carbonization was the most economically feasible considering carbonization and solidification.

Efficacy of arthrocentesis and lavage for treatment of post-traumatic arthritis in temporomandibular joints

  • Park, Joo-Young;Lee, Jong-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.3
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    • pp.174-182
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    • 2020
  • Objectives: Joint injuries frequently lead to progressive joint degeneration that causes articular disc derangement, joint inflammation, and osteoarthritis. Such arthropathies that arise after trauma are defined as post-traumatic arthritis (PTA). Although PTA is well recognized in knee and elbow joints, PTA in the temporomandibular joint (TMJ) has not been clearly defined. Interestingly, patients experiencing head and neck trauma without direct jaw fracture have displayed TMJ disease symptoms; however, definitive diagnosis and treatment options are not available. This study will analyze clinical aspects of PTA in TMJ and their treatment outcomes after joint arthrocentesis and lavage. Materials and Methods: Twenty patients with history of trauma to the head and neck especially without jaw fracture were retrospectively studied. Those patients developed TMJ disease symptoms and were diagnosed by computed tomography or magnetic resonance imaging. To decrease TMJ discomfort, arthrocentesis and lavage with or without conservative therapy were applied, and efficacy was evaluated by amount of mouth opening and pain scale. Statistical differences between pre- and post-treatment values were evaluated by Wilcoxon signed-rank test. Results: Patient age varied widely between 20 and 80 years, and causes of trauma were diverse. Duration of disease onset was measured as 508 post-trauma days, and 85% of the patients sought clinic visit within 2 years after trauma. In addition, 85% of the patients showed TMJ disc derangement without reduction, and osteoarthritis was accompanied at the traumatized side or at both sides in 40% of the patients. After arthrocentesis or lavage, maximal mouth opening was significantly increased (28-44 mm on average, P<0.001) and pain scale was dramatically decreased (7.8-3.5 of 10, P<0.001); however, concomitant conservative therapy showed no difference in treatment outcome. Conclusion: The results of this study clarify the disease identity of PTA in TMJ and suggest early diagnosis and treatment options to manage PTA in TMJ.

A comprehensive optimization model for integrated solid waste management system: A case study

  • Paul, Koushik;Chattopadhyay, Subhasish;Dutta, Amit;Krishna, Akhouri P.;Ray, Subhabrata
    • Environmental Engineering Research
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    • v.24 no.2
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    • pp.220-237
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    • 2019
  • Solid waste management (SWM) is one of the poorly rendered services in developing countries - limited resources, increasing population, rapid urbanization and application of outdated systems leads to inefficiency. Lack of proper planning and inadequate data regarding solid waste generation and collection compound the SWM problem. Decision makers need to formulate solutions that consider multiple goals and strategies. Given the large number of available options for SWM and the inter-relationships among these options, identifying SWM strategies that satisfy economic or environmental objectives is a complex task. The paper develops a mathematical model for a municipal Integrated SWM system, taking into account waste generation rates, composition, transportation modes, processing techniques, revenues from waste processing, simulating waste management as closely as possible. The constraints include those linking waste flows and mass balance, processing plants capacity, landfill capacity, transport vehicle capacity and number of trips. The linear programming model integrating different functional elements was solved by LINGO optimization software and various possible waste management options were considered during analysis. The model thus serves as decision support tool to evaluate various waste management alternatives and obtain the least-cost combination of technologies for handling, treatment and disposal of solid waste.

Comprehensive review of membranoproliferative glomerulonephritis: spotlighting the latest advances in revised classification and treatment

  • Jeong Yeon Kim
    • Childhood Kidney Diseases
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    • v.27 no.2
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    • pp.64-69
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    • 2023
  • Membranoproliferative glomerulonephritis (MPGN) is a complex group of renal diseases characterized by a specific pattern of glomerular injury that includes thickening of the capillary wall and mesangial expansion, leading to a heterogeneous group of conditions. This review article offers a comprehensive overview of MPGN, its new classification, pathophysiology, diagnostic evaluation, and management options.

Interventional Radiology Treatment for Postoperative Chylothorax

  • Jun, Hoyong;Hur, Saebeom
    • Journal of Chest Surgery
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    • v.53 no.4
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    • pp.200-204
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    • 2020
  • Postoperative chylothorax is a rare occurrence after various thoracic surgical procedures, but it poses a substantial risk of morbidity and mortality. Thoracic duct embolization (TDE) is currently deemed the optimal treatment due to its safety and efficacy. This review offers an introduction to interventional options in this setting, detailing the steps of TDE for the edification of those engaged in postoperative care.

Treatment of chronic bronchopleural fistula and recurrent empyema using a latissimus dorsi myocutaneous flap: a case report and literature review

  • Kang, Byungkwon;Myung, Yujin
    • Archives of Plastic Surgery
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    • v.48 no.5
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    • pp.494-497
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    • 2021
  • Bronchopleural fistula is a severe complication with a high mortality rate that occurs after pulmonary resection. Several treatment options have been suggested; however, it is a challenge to treat this condition without recurrence or other complications. In this case report, we describe the successful performance of a pedicled latissimus dorsi myocutaneous flap transfer, with no recurrence or donor site morbidity.

Lumbar foraminal neuropathy: an update on non-surgical management

  • Choi, Young Kook
    • The Korean Journal of Pain
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    • v.32 no.3
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    • pp.147-159
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    • 2019
  • Lumbar foraminal pathology causing entrapment of neurovascular contents and radicular symptoms are commonly associated with foraminal stenosis. Foraminal neuropathy can also be derived from inflammation of the neighboring lateral recess or extraforaminal spaces. Conservative and interventional therapies have been used for the treatment of foraminal inflammation, fibrotic adhesion, and pain. This update reviews the anatomy, pathophysiology, clinical presentation, diagnosis, and current treatment options of foraminal neuropathy.