• 제목/요약/키워드: Treatment goal

검색결과 778건 처리시간 0.028초

The Coating Performance of UV Curable Urethane Acrylate Coatings for Fancy Veneer Overlayed Plywood Flooring

  • Lee, Byoung-Hoo;Kim, Hyun-Joong;Lee, Young-Kyu
    • Journal of the Korean Wood Science and Technology
    • /
    • 제32권6호
    • /
    • pp.23-35
    • /
    • 2004
  • The goal of study was to investigate the influence of the acrylated urethane oligomer on mechanical properties, the chemical resistance and thermal resistance of the UV curable urethane acrylate coatings for fancy veneer overlayed plywood flooring. The pencil hardness and abrasion resistance of the coated fancy veneer overlayed plywood floorings increased with increasing the acrylate functionality of the acrylated urethane oligomer. In the case of the UV cured film containing hexa-functional acrylated aliphatic urethane oligomer, high discoloration of the coated fancy veneer overlayed plywood flooring was observed near the cracks at the beginning of the chemical treatment. In this study, it was found that the degradation of the UV cured film caused by an alkaline reagent was higher than that of the UV cured film caused by an acidic treatment.

Nutritional Assessment and Nutritional Management for GI Cancer Patients

  • Mi Hyang Um;Yoo Kyoung Park
    • Journal of Digestive Cancer Research
    • /
    • 제2권1호
    • /
    • pp.15-20
    • /
    • 2014
  • Cancer, especially GI cancer itself and any associated treatments have profound effect on the patient's nutritional status. It is therefore very important to understand various nutritional issues in GI cancer patients for the cure and for increasing the compliance during the course of the treatment. Screening and identification of nutritional risk for the GI cancer patients is very essential and is plays a critical part of the treatment to help improve patient outcomes. Maintaining optimal nutritional status is an important goal in the management of individuals diagnosed, treated with cancer. Maintenance of adequate nutritional intake is important whether patients are undergoing active therapy, recovering from cancer therapy, or are in remission and striving to avoid cancer recurrence. The goals of nutrition therapy are to prevent or reverse nutrient deficiencies, preserve lean body mass, help patients better tolerate treatments and minimize nutrition-related side effects and complications, etc. Recent interest in clinical settings is also in maximizing quality of life of the patients which can also be modulated by appropriate nutrition.

  • PDF

Home mechanical ventilation in children with chronic respiratory failure: a narrative review

  • Soyoung Kwak
    • Journal of Yeungnam Medical Science
    • /
    • 제40권2호
    • /
    • pp.123-135
    • /
    • 2023
  • Advances in perinatal and pediatric intensive care and recent advances in mechanical ventilation during the last two decades have resulted in an exponential increase in the number of children undergoing home mechanical ventilation (HMV) treatment. Although its efficacy in chronic respiratory failure is well established, HMV in children is more complex than that in adults, and there are more considerations. This review outlines clinical considerations for HMV in children. The goal of HMV in children is not only to correct alveolar hypoventilation but also to maximize development as much as possible. The modes of ventilation and ventilator settings, including ventilation masks, tubing, circuits, humidification, and ventilator parameters, should be tailored to the patient's individual characteristics. To ensure effective HMV, education for the parent and caregiver is important. HMV continues to change the scope of treatment for chronic respiratory failure in children in that it decreases respiratory morbidity and prolongs life spans. Further studies on this topic with larger scale and systemic approach are required to ensure the better outcomes in this population.

암성통증관리지침 적용 전후 긴급진료실 내원 환자의 통증관리 비교 (Comparison of Pain Management between before and after the Application of Guidelines in Cancer Emergency Room)

  • 원영화;김연희;박정윤
    • 종양간호연구
    • /
    • 제12권3호
    • /
    • pp.230-236
    • /
    • 2012
  • Purpose: This study was to investigate the effect of the application of cancer pain management guidelines on pain management among patients in Cancer Emergency Room. Methods: This study was a retrospective descriptive study. Before application, data were collected by analyzing the Electronic Medical Record in Cancer Emergency Room in September, 2011, and after application in February, 2012. The subjects of this study consisted of 231 patients (pre-application group 83, post-application group 148), who stayed over 24 hours and complained of pain higher than Numeric Rating Scale score 4. The post-test was conducted after educating the nurses about the application of the pain management guidelines in the Electronic Medical Record. Results: This survey showed that, as the cancer pain management guidelines were applied for cancer patients with above moderate pain, the pain intensity decreased, the number of patients reaching the treatment goal score increased. Furthermore, the estimated time to reach the treatment goal decreased significantly. Conclusion: Pain intensity of the cancer patients was decreased through regular pain assessments by nurses and the medication of analgesics according to the cancer pain management guidelines. Therefore, it is necessary to develop the pain management program and to provide the physicians and nurses with intensive education about the pain management guidelines for systematic and effective pain management.

Assessment of Household Catastrophic Total Cost of Tuberculosis and Its Determinants in Cairo: Prospective Cohort Study

  • Ellaban, Manar M.;Basyoni, Nashwa I.;Boulos, Dina N.K.;Rady, Mervat;Gadallah, Mohsen
    • Tuberculosis and Respiratory Diseases
    • /
    • 제85권2호
    • /
    • pp.165-174
    • /
    • 2022
  • Background: One goal of the End tuberculosis (TB) Strategy is to see no TB-affected households experiencing catastrophic costs. Therefore, it is crucial for TB-elimination programs to identify catastrophic costs and their main drivers in order to establish appropriate health and social measures. This study aimed to measure the percent of catastrophic costs experienced by Egyptian TB patients and to identify its determinants. Methods: We conducted a prospective cohort study with 151 Egyptian TB patients recruited from two chest dispensaries from the Cairo governate from May 2019 to May 2020. We used a validated World Health Organization TB patient-cost tool to collect data on patients' demographic information, household income, and direct and indirect expense of seeking TB treatment. We considered catastrophic TB costs to be total costs exceeding 20% of the household's annual income. Results: Of the patients, 33% experienced catastrophic costs. The highest proportion of the total came in the pre-treatment stage. Being the main breadwinner, experiencing job loss, selling property, and the occurrence of early coronavirus disease 2019 lockdown were independent determinants of the incidence of catastrophic costs. Borrowing money and selling property were the most-often reported coping strategies adopted. Conclusion: Despite the availability of free TB care under the Egyptian National TB Program, nearly a third of the TB patients incurred catastrophic costs. Job loss and being the main breadwinner were among the significant predictors of catastrophic costs. Social protection mechanisms, including cash assistance and insurance coverage, are necessary to achieve the goal of the End TB Strategy.

싱가포르 오염준설토 정화 후 생태 독성 변화 (Changes in the Ecological Toxic Effects of the Contaminated Sediment of Singapore after Treatment)

  • 조은혜;윤성호;황선경;이성종;김홍석;채희훈
    • 한국지하수토양환경학회지:지하수토양환경
    • /
    • 제22권5호
    • /
    • pp.82-88
    • /
    • 2017
  • Contaminated sediment can be treated in order to reuse the treated sediment. Even though the chemical criteria are satisfied, the treated sediment could still impose toxic effects. Therefore, this study investigated the changes in the ecological toxic effects of the contaminated sediment from the J region in Singapore after treatment. The contaminated sediment was subject to sequential soil washing and thermal treatment, followed by pH neutralization. Toxic effects of the contaminated and treated sediments were determined by using Vibrio fischeri ($Microtox^{(R)}$), Triticum aestivum (wheat), and Eisenia foetida (earthworm). After treatment, the concentrations of total petroleum hydrocarbons and heavy metals were decreased by 98% and 59-93%, respectively, and satisfied the Industrial Maximum Values of the Dutch Standard, which were used as the remedial goal. The bioluminescence reduction of V. fischeri decreased significantly, and the earthworm survival increased from 0% to 90% after treatment. The germination rate increased from $0{\pm}0%$ to $75{\pm}13%$ after treatment, but the treated sediment may need additional treatment such as nutrient addition for better plant growth. Overall, this study showed that the treatment of the contaminated sediment satisfactorily removed mixed contaminants, and this led to reduction in toxic effects, suggesting improved potentials for reuse of the treated sediment.

공황장애 치료에 대한 한국형 알고리듬 개발(1) - 배경, 조직구성, 알고리듬 개발의 원칙, 개발계획, 개발방법 (Development of the Treatment Algorithm for Panic Disorder(1) - Background, Organization, Principles, Future Plan and Methods of Algorithm Development)

  • 이상혁;유범희;김찬형;윤세창
    • 대한불안의학회지
    • /
    • 제3권2호
    • /
    • pp.77-90
    • /
    • 2007
  • In this special article, we presented the organization of the work group, basic principles of the algorithm, future plan and methods for developing a treatment algorithm for panic disorder in Korea. The psychiatrist work group from the Korean Association of Anxiety Disorders began to develop a treatment algorithm designed to improve the management of Korean patients with panic disorder by incorporating better evaluation techniques and treatment procedures. We have reviewed the treatment guidelines and algorithms for panic disorder published thus far, including the Practice Guideline for the Treatment of Patients with Panic Disorder established by the American Psychiatric Association, the Management of Anxiety (Panic Disorder, with or without Agoraphobia, and Generalized Anxiety Disorder) in Adults in Primary, Secondary and Community Care established by the National Institute for Clinical Excellence, and the Clinical Practice Guidelines established by the Canadian Psychiatric Association. We developed the basic materials to be used in the treatment algorithm for the management of panic disorder in Korea. Therefore, in this special article, we intro-duce the goal of the algorithm and the details of the algorithm development.

  • PDF

대학생의 일반적 특성 및 교정치료에 따른 자존감 비교연구 - 대구, 경북지역 대학생을 중심으로 - (A Comparative Study of University Student's Self-Esteem According to General Characteristics and Orthodontic Treatment)

  • 김홍식;송재상;임병철
    • 대한치과기공학회지
    • /
    • 제34권4호
    • /
    • pp.381-390
    • /
    • 2012
  • Purpose: The goal of this study is to investigate the correlation of orthodontic treatment with self-esteem and how orthodontic treatment has an effect on university student's self-esteems by investigating and analyzing the difference in self-esteem of each general characteristic and the difference in self-esteem according to the existence or nonexistence of malocclusion and orthodontic treatment for adult university students. Methods: This study conduced a survey for 420 university students including dental related department, department of health and department of non-dental health in two universities located in Taegu, Gyeongbuk-do province from May 15, 2012 to May 30, 2012, and in 420 questionnaires of the investigated 420 target students, total 400(95.2%) questionnaires except for the questionnaires with falsely or erroneous responses were used for study analysis. Results: In the relations of general characteristic with self-esteem, for self-esteem by each gender, male student showed higher, for self-esteem by residential area, the university student residing at metropolitan area showed higher, for self-esteem by financial status, high class and middle class students in home financial status showed higher, for self-esteem by face shape, the student with triangular face shape showed higher, and in the relation of self-esteem with orthodontic treatment, the university student who is getting orthodontic treatment showed higher self-esteem statistically significantly. Conclusion: For gender, male university student, for residential area, the university student residing at metropolitan area, the high class university student in financial status, the university student with triangular face shape, and the university student who is getting orthodontic treatment showed statistically significantly higher self-esteem.

Effects of Gypenosides on Dopaminergic Neuronal Cell Death in 6-Hydroxydopamine-lesioned Rat Model of Parkinson's Disease with Long-term L-DOPA Treatment

  • Shin, Keon Sung;Zhao, Ting Ting;Park, Hyun Jin;Kim, Kyung Sook;Choi, Hyun Sook;Lee, Myung Koo
    • Natural Product Sciences
    • /
    • 제22권3호
    • /
    • pp.187-192
    • /
    • 2016
  • The goal of this study was to determine whether gypenosides (GPS) exert protective effects against dopaminergic neuronal cell death in a 6-hydroxydopamine (OHDA)-lesioned rat model of Parkinson's disease (PD) with or without long-term 3,4-dihydroxyphenylalanine (L-DOPA) treatment. Rats were injected with 6-OHDA in the substantia nigra to induce PD-like symptoms; 14 days after injection, groups of 6-OHDA-lesioned animals were treated for 21 days with GPS (25 or 50 mg/kg) and/or L-DOPA (20 mg/kg). Dopaminergic neuronal cell death was assessed by counting tyrosine hydroxylase (TH)-immunopositive cells in the substantia nigra and measuring levels of dopamine, norepinephrine, 3,4-dihydroxyphenylacetic acid (DOPAC), and homovanillic acid (HVA) in the striatum. Dopaminergic neuronal cell death induced by 6-OHDA lesions was ameliorated by GPS treatment (50 mg/kg). L-DOPA treatment exacerbated 6-OHDA-induced dopaminergic neuronal cell death; however, these effects were partially reversed by GPS treatment (25 and 50 mg/kg). These results suggest that GPS treatment is protective against dopaminergic neuronal cell death in a 6-OHDA-lesioned rat model of PD with long-term L-DOPA treatment. Therefore, GPS may be useful as a phytotherapeutic agent for the treatment of PD.

고관절 인공관절 치환술 환자의 보행능력 증진을 위한 문제해결 접근: ICF Tool을 적용한 단일사례연구 (The Problem-Solving Approach for Improving Walking Ability in Patient with Total Hip Replacement: Applied ICF Tool for Case Study)

  • 송현승;김선엽
    • 대한정형도수물리치료학회지
    • /
    • 제21권2호
    • /
    • pp.63-71
    • /
    • 2015
  • Background: The purpose of the study, using the ICF Tool in the process of rehabilitation of artificial joint replacement surgery of the hip joint, goal setting and understanding of the problem, through the process of creating intervention strategies, useful clinical practical course for rehabilitation I try to present the data. Methods: Fracture was the left total hip replacement (THR) surgery due to women of 76 years old. I proceed in order screening, evaluation, diagnosis, prognosis, treatment planning and intervention, re-screening. Needs of the patient was walking short distances for using the toilet. In order to improve was carried out arbitration, after you have created a list of issues that limit the ability to walk short distances. Results: It was revealed improved results in self-paced walk test (SPWT) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to examine whether the goals. In addition, MMT VAS, DGI, and TUG is a detailed goal was improved. Conclusions: It can be shown objectively the results of interventions performed for the purpose of solving the problem which is grasped through clinical Practical course for short-range walking ability enhance patient THR. I considered practical clinical course using the ICF Tool would be useful.

  • PDF