• 제목/요약/키워드: Treatment difficulty

검색결과 779건 처리시간 0.025초

An implant-supported removable partial denture for a patient with post-inflammatory scar contracture caused by burn complications: a clinical report

  • Kim, Jee-Hwan;Lee, Jae-Hoon
    • The Journal of Advanced Prosthodontics
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    • 제4권1호
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    • pp.57-59
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    • 2012
  • The scars and contracture around the oral-facial region may cause difficulty in prosthodontic treatment to restore esthetics and function for the patients, who suffered severe burns. This article presents a technique that uses a fixed partial denture prepared with a conventional milling technique and an attachment to support anterior cantilever removable partial denture, thereby providing a more esthetically acceptable and functional result.

PARK Formula Can Replace "Guide to Medical Certificate" Published by Korean Medical Association in Deciding the Treatment Duration

  • Park, Chan Yong;Yeo, Kwang Hee;Ahn, Sora
    • Journal of Trauma and Injury
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    • 제31권2호
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    • pp.58-65
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    • 2018
  • Purpose: Many doctors have difficulty in deciding the treatment duration in trauma patients to write in the casualty medical certificate. We tried to find a solution for this problem by using abbreviated injury scale (AIS). Methods: A total of 39 patients treated in our regional trauma center who requested an author to write treatment duration on casualty medical certificate from January 2014 to April 2017 were included. And the treatment duration was decided based on the PARK Formula (AIS). PARK Formula $(AIS)=(AIS{\times}2){\sim}([AIS{\times}2]+2)$ Results: Among 39 patients included and 36 (92.3%) had treatment duration on casualty medical certificate within the range of treatment duration calculated by PARK Formula (AIS). Compared to the PARK Formula (AIS), the mean value was 0.13 week (0.90 day) smaller. Comparing the treatment duration between Korean Medical Association (KMA) guideline and PARK Formula (AIS), only 22 patients (56.4%) showed agreement. The mean value was 1.02 week (7.18 days) smaller in KMA guideline. Conclusions: For the decision of the treatment duration in trauma patients, utilizing worldwide used AIS scoring system is very efficient. Using PARK Formula (AIS), doctors can document the treatment duration in the casualty medical certificate with ease. KMA should provide more practical 'treatment duration of each diagnosis in writing casualty medial certificate' for the doctors. We recommend PARK Formula (AIS) as a good alternative for KMA guide.

초등학교 자연 수업에서 브이도와 조절적 메타인지 학습 전략의 효과 (The Instructional Influences of Vee Diagram and Regulative Metacognitive Learning Strategies in Elementary School Science Course)

  • 노태희;장신호
    • 한국과학교육학회지
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    • 제19권2호
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    • pp.229-238
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    • 1999
  • 본 연구에서는 초등학교 6학년 자연 수업에 브이도와 조절적 메타인지 학습 전략을 적용하여, 학업 성취도, 수업 곤란도, 자아효능감, 학습 접근 방식에 대한 교수 효과를 조사하였다. 본 연구에서 사용한 브이도와 메타인지 학습 전략은 예비 연구 결과에 근거하여 개발하였다. 사전에 성취도 검사를 실시하여 이를 구획 변인으로 사용하였으며, 다른 사전 성취도 점수는 사후 성취도에 대한 공변인으로 사용하였다. 또한 수업 곤란도, 자아 효능감, 학습 접근 방식 검사를 실시하여 이를 사후 점수의 공변인으로 사용하였다. 사후에 연구자가 제작한 학업 성취도 및 위 변인들에 대한 검사를 실시하였다. 이원 공변량 분석 결과, 전체 학업 성취도에서는 집단 간의 차이가 나타나지 않았으나, 적용 영역에서는 통제 집단에 비하여 두 처치 집단의 점수가 유의미하게 높았다. 수업 곤란도와 학습 접근 방식에서는 세 집단 간의 차이가 나타나지 않았으나, 자아 효능감에서는 브이도와 조절적 메타인지 전략을 함께 사용한 집단의 점수가 유의미하게 높게 나타났다. 브이도를 사용한 학생들의 인식을 조사하였다.

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Effects of Dysphagia Treatment Applied to Infants with Pierre Robin Syndrome - Single Subject Research Design

  • Kim, Mikyung;Kim, Deokju
    • International Journal of Advanced Culture Technology
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    • 제8권1호
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    • pp.1-12
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    • 2020
  • Pierre Robin syndrome is characterized by micrognathia, glossoptosis, and cleft palate. Infants with Pierre Robin syndrome causes feeding difficulty, upper airway obstruction, and other symptoms. This study aims to examine the effects of applying dysphagia treatment to infants with Pierre Robin syndrome. The study participant was an infant who was born four weeks premature and referred for dysphagia treatment approximately 100 days after birth. At the initial assessment, the infant showed oral sensory sensitivity, a high level of facial and masticatory muscle tension, and a low stability of the chin and cheeks with almost no normal "sucking-swallowing-breathing" pattern. We set the baseline period and intervention period using the AB design. During the baseline period, non-nutritive sucking training using a rubber nipple was conducted without implementing an oral stimulation intervention. During the intervention period, non-nutritive sucking training and an oral stimulation intervention were performed. After the intervention period, the infant's daily oral intake and oral intake per time significantly increased compared to that during the baseline period. We observed that the oral intake time of the infant decreased during the intervention period compared to that in the baseline period, which indicated an improvement in control over the chin, tongue, and lip movements, a change in muscular tension, and stabilization of the "sucking-swallowing-breathing" pattern. We provided dysphagia treatment before breastfeeding, it was positive effects such as normal development of the infant, transition from tube feeding to bottle feeding, and enhancement of overall oral motor function.

폐 FRP 선박 처리시설 입지선정문제 (Location Problem on the Treatment Facility of Waste FRP Ships)

  • 박현지;신재훈;김기동
    • 산업기술연구
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    • 제38권1호
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    • pp.9-13
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    • 2018
  • FRP(Fiber Reinforced Plastic) ships are easy to manufacture and repair. Also they are more durable and cheaper than steel wires and neck lines. Therefore FRP ships are widely used in small ships. In Korea, the amount of waste FRP ships is increasing. It is expected that a large amount of waste FRP ships will be generated. Waste FRP ships are emerging as a social problem, such as the difficulty in preserving the marine environment. To improve this, a waste FRP ship melting process system has been developed. In order to construct an effective waste FRP ship processing system, it is necessary to study the treatment facilities location problem. In this paper, we suggest mathematical model to solve optimal location problem of waste FRP Ships and discuss on results by applying it to nine regions selected as candidates for treatment facilities.

신경인성 방광 환자 치험 2례 (Clinical Report on the Patients Suffering from Neurogenical Bladder)

  • 유병찬;한영주;채은영;윤담희;이남헌;조충식;김철중;이지영
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.677-683
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    • 2004
  • The following case studies illustrate the application of oriental medical treatment of patients diagnosed with neurogenical bladder. The outstanding symptoms of two cases were general weakening and voiding difficulty, urinary retention and lack of urine sense. In one case, neurogenical bladder was caused by an operation on the femur, and in the other case, by diabetes and anemia. Western medical treatment didnot have any effect in these cases, but after oriental medical treatment, self-voiding was possible. These resu1t suggest that oriental treatment should be considered for patients with neurogenical bladder.

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위암 치료에 대한 한방 임상 가이드라인 (Clinical Practice Guidelines of Korean Medicine for Gastric Cancer)

  • 김효린;정혜련;백동기;원진희;문구
    • 대한암한의학회지
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    • 제19권1호
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    • pp.1-24
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    • 2014
  • Objectives : The purpose of this study was to present the clinical guidelines for gastric cancer. Methods : The literature on Western and Oriental medical treatment of gastric cancer were collected, analyzed and summarized from the Google Scholar, KIOM OASIS and PUBMED from 1993 to 2014. Results : Gastric cancer is the second most common cancer in Korea. In recent studies, applying integrative oriental and western medicine can suppress the tumor, improve the survival, the immune system, and the quality of life in gastric cancer. But there isn't still a unified protocol for gastric cancer treatment, so we have difficulty in clinical application. This study will be helpful for understanding and building systems for integrative gastric cancer treatment. Conclusion : Further studies on integrative gastric cancer treatment are needed to improve the survival of gastric cancer patients and build the clinical practice guidelines of gastric cancer.

난소암 치료에 대한 한의 임상 가이드라인 (Clinical Practice Guideline for Korean Medicine for Ovarian Cancer)

  • 김경순;최홍식;김승모;유화승
    • 대한암한의학회지
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    • 제21권2호
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    • pp.37-50
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    • 2016
  • Ovarian cancer is the tenth most common cancer in Korean female, and the third most common cancer of female reproductive organ after breast cancer and uterine cervical cancer. In spite of develop of conventional treatment, high modality of ovarian cancer comes from difficulty of an early diagnosis. Recent studies revealed that combining conventional and integrative medical treatment can reduce the adverse effect of surgical operation, chemotherapy and radiotherapy. Also it can improve survival rate, quality of life. However there isn't still a systemic clinical protocol for ovarian cancer in Korean medicine. This study will be helpful to establish clinical practice guidelines of Korean Medicine for ovarian cancer. And further studies on integrative ovarian cancer treatment are needed to build the clinical practice guidelines of ovarian cancer.

University Virtual Environment for Attention Enhancement

  • Kang, Dong-Ju;Kim, Sun-I.
    • 대한의용생체공학회:의공학회지
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    • 제23권2호
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    • pp.155-163
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    • 2002
  • Attention Deficit Hyperactivity Disorder(ADHD) is a childhood syndrome characterized by short attention span. impulsiveness, and hyperactivity, which often leadㄴ to learning disabilities and various behavioral problems. For the treatment of ADHD, medication and cognitive-behavior therapy is applied in recent yearn Although psycho-stimulant medication has been widely used for many rears. current findings suggest that, as the sole treatment for ADHD, it is an inadequate form of intervention in that parents don't want their child to use drug and the effects are limited to the period in which the drugs are physiologically active. On the other hand, EEG biofeedback treatment studies for ADHD have reported promising results not only in significant reductions in hyperactive, inattentive, and disruptive behaviors, but also improvements in academic performance and IQ scores. However it is too boring for children to finish the whole treatment. The recent increase in computer usage in medicine and rehabilitation has changed the way health care is delivered. Virtual Reality technology provides specific stimuli that can be used in removing distractions and providing environments that get the subjects'attention and increasing their ability to concentrate. VR technology can hold a patient's attention for a longer period of time than other methods can, because VR is immersive, interactive and imaginal. Based on these aspects, we developed Attention Enhancement System (AES) using VR technology, EEG biofeedback, and cognitive training method for enhancing attention and made a clinical trial to people who have attention difficulty and behavioral problems.

선천성 사경 환자에 대한 임상적 고찰 (A Clinical Study of Congenital Muscular Torticollis)

  • 권춘숙
    • The Journal of Korean Physical Therapy
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    • 제4권1호
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    • pp.19-25
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    • 1992
  • The purposes of this study is to survey the clinical findings of congenital muscular torticollis. The subjects were 44 congenital muscular torticollis patients who were treated at physical therapy department of rehabilitation medicine, presbyterian medical center during the period Jan. Dec. 1991 The results were as follows : 1. Patients were evenly divided by gender(22 bodys, 22 girls). Left-sided involvement was found in 27 cases$(61.4\%)$, and right side in 17 cases$(38.6\%)$. 2. Abnormal delivery was 29 cases$(65.9\%)$. Those included resarean section, breech presentation with vaginal delivery and difficulty delivery. 3. Most of torticollis were primipara infant 33 cases$(75\%)$ 4. Associated congenital anomalies were noted in 12 cases, the most common cases were central co-ordination disturbance. 5. Patients was most commonly referred form the department of pediatrics. 6. Sternocleidomastoid fibrotic nodules were noted in 32 cases$(72.7\%)$. 7. Four cases had excision of the sternocleidomastoid fibrotic nodules in infancy and average at which operation was twelve months of life(range from nine months to fourteen months). 8. Facial asymmetry was noted in 13 cases at the begining of treatment, and the asymmetry was corrected after treatment in 10 cases. 9. The average duration of treatment was 3 months when the treatment was started in 3 weeks old. 10. The result was good in 22 cases$(50\%)$, fair in 12 Cases$(27.3\%)$.

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