• Title/Summary/Keyword: Treatment difficulty

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Posterior Instability of the Shoulder (견관절 후방 불안정성)

  • Jeong, Jin-Young
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.1
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    • pp.4-7
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    • 2011
  • Rotator cuff disease is one of the most common shoulder problems. When dealing with patients suffering from rotator cuff disease, whether to perform surgery or not is the most common difficulty faced by the outpatient clinic. Choosing the adequate operation time as well as the method of operation is important when deciding to perform surgery. Selecting the type of non-surgical treatment is an important issue when opting not to perform surgery. This review article will focus on the decision-making process involved in the treatment of rotator cuff disease.

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Rotator cuff tears: Operate when? What happens if not? (회전근 개 파열: 언제 수술하나? 안 하면 어떻게 하나?)

  • Park, Hyung-Bin;Sung, Chang-Meen
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.1
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    • pp.8-12
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    • 2011
  • Rotator cuff disease is one of the most common shoulder problems. When dealing with patients suffering from rotator cuff disease, whether to perform surgery or not is the most common difficulty faced by the outpatient clinic. Choosing the adequate operation time as well as the method of operation is important when deciding to perform surgery. Selecting the type of non-surgical treatment is an important issue when opting not to perform surgery. This review article will focus on the decision-making process involved in the treatment of rotator cuff disease.

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A Survey of the Outpatient General Anesthesia and Dental Treatment in Chungnam Dental Clinic for the Disabled (충남장애인구강진료센터에서 시행된 외래전신마취와 치과치료에 대한 조사연구)

  • You, Yon-Sook;Kim, Jong-Su;Kim, Seung-Oh
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.11 no.2
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    • pp.133-140
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    • 2011
  • Background: Dental treatment under outpatient general anesthesia is an option for disabled person, children and dentally disabled person who have the difficulty of cooperating voluntary with dental care. The aim of this study was to access the patients who had dental management under general anesthesia at Chungnam dental clinic for the disabled. Methods: This survey is consisted of 114 severely disabled and dentally disabled person who undergone dental treatment under general anesthesia from January to June 2011. Data were collected by individual dental and anesthesia records. Results: Of the 114 patients studies, the 45 patients was the dentally disabled and the 69 patients was the severely disabled. Rate of dental treatment among male patients was higher than among female patients. The dentally disabled was an similar age distribution. In the severly disabled, above 13-year-old was higher than below 12-year-old. The most popular induction method of general anesthesia was sevoflurane inhalation after induced sedative effect of nitrous oxide inhalation. The severly disabled who had definitely negative behavior was applied inhalation of high concentration sevoflurane. Conclusions: Chungnam Dental clinic for the disabled provide dental management for the disabled and the dentally disabled.

Case of Combined Eastern-Western Medicine Treatment on a Patient Diagnosed with Benign Paroxysmal Positional Vertigo after Acute Vestibular Neuritis (양성 돌발성 체위 현훈으로 이행된 급성 전정신경염 환자의 한양방 협진 치료 1례)

  • Park, Young-hwa;Lim, Bo-ra;Ok, Hyo-joon;Sun, Jong-joo;Park, Joon-ha
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.273-282
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    • 2016
  • Objective: This clinical study was performed with a female patient to evaluate the effects of combined Eastern-Western medicine treatment on benign paroxysmal positional vertigo after acute vestibular neuritis.Method: We used acupuncture, herbal medication, Western medication, fluid therapy, and the canalith repositioning maneuver to treat a female patient suffering from dizzy spells. The vertigo scale was checked to assess any improvement in symptoms.Results: The patient had originally recovered from acute vestibular neuritis, but after the first discharge, she came down with benign paroxysmal positional vertigo and had to be rehospitalized. She eventually got better, however, and her score on the vertigo scale improved.Conclusion: This study demonstrates that combined Eastern-Western medicine treatment may be an effective option for treating benign paroxysmal positional vertigo after acute vestibular neuritis, despite the difficulty of the treatment in this case.

Wastewater Treatment Plant Control Strategies

  • Ballhysa, Nobel;Kim, Soyeon;Byeon, Seongjoon
    • International journal of advanced smart convergence
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    • v.9 no.4
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    • pp.16-25
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    • 2020
  • The operation of a wastewater treatment plant (WWTP) is a complex task which requires to consider several aspects: adapting to always changing influent composition and volume, ensuring treated effluents quality complies with local regulations, ensuring dissolved oxygen levels in biological reaction tanks are sufficient to avoid anoxic conditions etc. all of it while minimizing usage of chemicals and power consumption. The traditional way of managing WWTPs consists in having employees on the field measure various parameters and make decisions based on their judgment and experience which holds various concerns such as the low frequency of data, errors in measurement and difficulty to analyze historical data to propose optimal solutions. In the case of activated sludge WWTPs, parts of the treatment process can be automated and controlled in order to satisfy various control objectives. The models developed by the International Water Association (IWA) have been extensively used worldwide in order to design and assess the performance of various control strategies. In this work, we propose to review most recent WWTP automation initiatives around the world and identify most currently used control parameters and control architectures. We then suggest a framework to select WWTP model, control parameters and control scheme in order to develop and benchmark control strategies for WWTP automation.

A qualitative research on the needs for oral care according to the subjective oral health status of the elderly (노인의 주관적인 구강건강상태에 따른 구강관리 요구도에 관한 질적연구)

  • Sang-Eun Moon;Sun-Hwa Hong;Bo-Ram Lee
    • Journal of Korean society of Dental Hygiene
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    • v.23 no.4
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    • pp.311-321
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    • 2023
  • Objectives: The purpose of this study was conducted an in-depth analysis of the subjective oral status and oral care needs according and problems of the elderly. Methods: A phenomenological research method was from April 13 to 30, 2023, 15 elderly people aged 65 or older in Gwangju and Jeolla regions were surveyed. Results: He was experiencing oral changes such as difficulty chewing, dry mouth and indigestion, sensitive teeth, smell of fear and feeling sensitive when eating sweet or cold food. They were burdened by the financial difficulties of dental treatment costs, the inconvenience caused by frequent visits, and the pain experienced during treatment. Realized the need for necessity of oral care education, and their confidence was restored through dental treatment. It was necessary the image recovery of dentistry, and they wanted to maintain oral health through the expansion of treatment health insurance. Conclusions: Consequently, it is necessary to develop a practical oral health management program for the elderly based on social communication regarding of the elderly and to expand health insurance coverage.

Parenting Experience of Parents with a Disabled Child (장애자녀를 둔 부모의 양육경험)

  • Lee, Ki-Young;Park, In-Sook;So, Hee-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.11 no.1
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    • pp.32-40
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    • 2008
  • Purpose: This study used a phenomenological method, which is a qualitative study, in order to understand the vivid experience of parents who have a disabled child. Methods: The number of participants was 10. The subjects of this study were parents who are raising their disabled child who attends a special school or normal middle or high schools in D city. The period for collecting materials was from September 2005 to July 2007. The phenomenological analysis method suggested by Giorgi was used. Results: The meanings of the child parenting experience of parents with a disabled child are (1) feeling of frustration of the delayed treatment, (2) difficult to accept the diagnosis of disability, (3) having eyes centered on her child, (4) accepting the disabled child, (5) giving all his energy to his disabled child, (6) making efforts for his family's unity, (7) recognizing the difficulty of parenting disabled child, (8) recognizing the difficulty of education for disabled child, (9) feeling pitiful for his their normal children, (10) planning for disabled child's future. Conclusions: All the programs for disabled child should be programed for their entire life. It is necessary to provide physical, psychological, emotional, social and economic nursing intervention to relieve or reduce the burden of parents with disabled children.

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Oral health indicators for Korean Elderly (우리나라 노인의 구강건강 주요지표)

  • Jung, Hoi In
    • The Journal of the Korean dental association
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    • v.58 no.1
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    • pp.45-49
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    • 2019
  • Korean society is experiencing a very rapid change in population aging. Oral diseases, including dental caries and periodontal disease, are usually cumulative and make oral health worse with age. Preventing tooth loss through the prevention and treatment of caries and periodontal diseases are essential for retaining oral function later in life. This study aimed to identify the trend in oral health status among elderlies over 65 years old, using major oral health indicators of Health Plan 2020. The fifth, sixth, and seventh Korea National Health and Nutrition Examination Survey (KNHANES V, VI, VII) were used in the present study to estimate the number of remaining natural teeth, the rate of 20 or more natural teeth, the rate of chewing difficulty, and the rate of oral health check-up of elderly. The number of remaining natural teeth increased from 15.6 in 2010 to 17.1 in 2015, and the rate of 20 or more natural teeth also increased from 45.8% in 2010 to 53.7% in 2015. The rate of chewing difficulty was similar but declined a little from 44.3% in 2010 to 42.9% in 2017. Finally, the rate of oral health check-ups of the elderly increased significantly from 12.2% in 2010 to 21.1% in 2017.

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Tingling Sensation and Difficulty in Daily Living of Clients Treated FOLFOX Chemotherapy after Colon Resection (FOLFOX 항암화학요법을 받는 대상자의 저림감과 일상생활 어려움)

  • Lee, Hye-Seon;Kim, Myung-Hee;Kang, Eun-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.13 no.2
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    • pp.97-104
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    • 2010
  • Purpose: This study was to investigate difficulties in daily activities and tingling from patients having treatment of FOLFOX chemotherapy after colon resection. Method: This study included 103 patients hospitalized for FOLFOX chemotherapy in one of the university affiliated hospital from August 1, 2008 through September 30, 2009. Data were collected using the questionnaire comprised general symptoms, tingling, difficulties in daily activities and coping behavior. Using the SPSS 14.0 program, data analytic methods include Chi-Square test, ANOVA, Scheffe's test. Results: The tingling sensation occurred in hands, feet, mouth, throat. Contacts with cold objects and the number of chemotherapy cycle worsen tingling sensation. Patients experienced difficulties in daily activities such as personal hygiene, kitchen work, eating cold food, sleeping cold, using fine motors like button up, writing, or using knife. The coping behavior included drinking warm water, sleeping warm, using gloves and socks, wearing comfortable shoes, massaging hands and getting help from supporters. Conclusion: An educational guideline for promoting coping behavior to relieve tingling sensation and difficulty in daily living in patients with FOLFOX chemotherapy is needed.

A Case of Thyroid Cartilage Fracture with Vocal Cord Paralysis (갑상연골 골절로 인한 성대마비의 치험례)

  • 조진규;차창일;안회영;조중생;홍남표
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.14.2-14
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    • 1983
  • Complications and sequelae of the laryngeal trauma are respiratory difficulties, edema or swelling, cellulitis or abscess, fistula, perichondrium and chondritis, chronic laryngeal stenosis, vocal cord paralysis, decannulation difficulty, and impaired voice production etc. Generally, the treatment of laryngeal injuries consists of initial tracheostomy for adequate airway and later surgical intervention for its complications and sequelae. Recently, authors experienced a case of closed laryngeal injury with thyroid cartilage fracture, left vocal cord paralysis, swallowing difficulty and right clavicular fracture owing to automobile accident. With reconstructive surgery for thyroid cartilage fracture, we established an adequate airway, improved swallowing function and better voice production.

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