• Title/Summary/Keyword: Treatment goal

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A Case Study of Myofascial Trigger Point Syndrome (근막 동통증후군 환자의 4례 -증례보고-)

  • Chung, Nack-Su
    • Journal of Korean Physical Therapy Science
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    • v.2 no.1
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    • pp.413-422
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    • 1995
  • The trigger point phenomenon is an extremely common syndrome in physical therapy room. The symptoms created by these syndromes may be interpreted as originating in discogneic disease, nerve entrapment syndromes, viscerosomatic pain, and certain myalgic pain of unknown etiology. Injuries, viral or bacterial infections, immobilization, psychogenic stress, and other environment factors can preciptate and perpetuate these syndromes, which may occur in any of the voluntary muscles of the human body and thus lead to a multitude of myofascial pain syndromes. Obviously symptomatic treatment can meet with only partial success. Knowledge of the trigger point phenomenon will aid the diagnostician in understanding otherwise in explicable symptom. The trigger point are $2{\sim}5mm$ in diameter, hyperirritable palpable taut in a tissue, when compressed, is locally tender, if sufficiently hypersensitive, give rise to referred pain and tenderness, and sometimes to referred automatic phenomena and distortion of proprioception. The treatment of myofascial trigger point pain syndrome is not difficult once the source of the problem has been determined. Where as many modalities may be used, two of the most effective are spray-and stretch and TP injection. These can be followed by deep massage, specific, manual resistive exercise, and an exercise program which the patient can follow at home. The goal of management is to inactivate the TPs and to restore shortened and stretch resistent muscles to their full range of motion. The purpose of this case study was to know about the pathophysiologic mechanism of the trigger point and will enable to physical therapist to direct his treatment to the real source of trouble.

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Study in the integrated watershade management for conservation of water resources (II) - Water quality modeling and simulation of Oship stream - (수자원 보전을 위한 유역통합관리 방안에 관한 연구(II) - 오십천 수계의 수질모델링 및 수질 예측 -)

  • 허인량;정의호;권재혁
    • Journal of Environmental Health Sciences
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    • v.28 no.2
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    • pp.61-69
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    • 2002
  • Oship stream is located nearby south eastern coasts. This study was performed to find out waters quality modeling and then to predict water quality of Oship stream. Based on survey data, BOD, T-N, T-P calibration and verification result were in good agreement with measured value within mean coefficient variance(MSE) value, which were 13.9%, 9.0%, 26.5% and 19.5%, 12.0%, 16.5%, respectively. Sectional water quality predictions of the main stream of Oship stream are executed on the basis of the following cases 1) with sewage treatment of Dogye-eup 2) reduction of mine wastewater treatment of 80% in th basin. As a result, BOD, T-P improvement rates at down stream of Oship stream, case 1) were appeared 12.2%, 22.2%, case 2) maximum sulfate ion and conductivity reduction removal rate of Oship stream were 58%, 68%. The main pollution sources of Oship-stream were almost domestic wastewater and mine wastewater discharged from Dogye-eup which located in uppers stream. The large effects will appear after the construction of Dogye sewage water treatment plant which remove the organic matter and nutrients in these sewage water. The waste water from mine can not easily to treat for characteristics of effluence and economic problems. However, to achieve the goal of water quality in Oship-stream water system, treatments of those are necessary.

One Case Report of Non-small Cell Lung Cancer Patients Treated with Allergen Removed Rhus Verniciflua Stokes(aRVS) (알러젠 제거 옻나무 추출물 투여로 삶의 질 개선과 생존기간 연장을 보인 비소세포성 폐암 환자 1례)

  • Yu, Seung-Min;Eo, Wan-Kyu;Yoon, Seoung-Woo
    • Journal of Korean Traditional Oncology
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    • v.13 no.1
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    • pp.63-69
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    • 2008
  • Non-small cell lung cancer (NSCLC) is the leading cause of cancer-related mortality worldwide. Standard treatment such as chemotherapy, radiotherapy, and surgery have many limitations in the treatment of this disease. Therefore, new molecular-targeted therapies needed and being developed. Patients with advanced NSCLC have a short life expentancy; therefore, in addition to increasing their survival, improving their quality of life (QoL) is also an important treatment goal. In this case report, we introduce NSCLC patient treated with Allergen Removed Rhus Verniciflua Stokes(aRVS). In this case, survival time incresed as traditional korean medicine using aRVS. And the general condition of the patient became better. Further case study will be needed in order to determine the effects of aRVS on NSCLC.

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The Effect of IEEIA Instruction on Responsible Environmental Behavior and Associated Variables in High School Student (IEEIA 수업이 우리나라 고등학생의 환경행동 및 관련변수에 미치는 효과)

  • Choi, So-Young;Nam, Young-Sook
    • Hwankyungkyoyuk
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    • v.17 no.1
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    • pp.90-100
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    • 2004
  • This study has the goal to modify ‘Investigating and Evaluating Environmental Issues and Actions’(IEEIA) instruction in the sense of Korean ecological sociocultural characteristics and ‘ecology and environment' curriculum and to assess the effects of modified IEEIA instruction on responsible environmental behavior and associated variables in high school student. A modified pre- and post-test nonequivalent control group design was utilized with 4 intact classes from J-high school at Seo-cheon, Chungcheongnamdo. Pre- and post-test data were collected on the following variables: responsible environmental behavior, knowledge of and skill in using environmental actions strategies, in-depth knowledge about issues, and locus of control. Analysis of t-test was used to compare pretest with posttest means of treatment group and control group. In treatment group, statistically significant differences between pretest and posttest were found with all variables. The treatment was found to be more effective than the control in increasing the variables of responsible environmental behavior, knowledge of and skill in using environmental actions strategies, and locus of control.

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Antimicrobial effect of calcium hydroxide as an intracanal medicament in root canal treatment: a literature review - Part I. In vitro studies

  • Kim, Dohyun;Kim, Euiseong
    • Restorative Dentistry and Endodontics
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    • v.39 no.4
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    • pp.241-252
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    • 2014
  • The goal of endodontic treatment is the prevention and control of pulpal and periradicular infections. Calcium hydroxide ($Ca(OH)_2$) has been widely used in endodontics as an intracanal medicament to eliminate the remaining microorganisms after chemomechanical preparation. The purpose of this article is to review the antimicrobial properties of $Ca(OH)_2$ as an intracanal medicament in root canal treatment. The first part of this review details the characteristics of $Ca(OH)_2$ and summarizes the results of in vitro studies related to its antimicrobial effect. The antimicrobial effect of $Ca(OH)_2$ results from the release of hydroxyl ions when it comes into contact with aqueous fluids. $Ca(OH)_2$ has a wide range of antimicrobial effects against common endodontic pathogens, but is less effective against Enterococcus faecalis and Candida albicans. The addition of vehicles or other agents might contribute to the antimicrobial effect of $Ca(OH)_2$.

A Review of Recent Research in Treatment Approaches of Mucopolysaccharidosis (MPS)

  • Yang, Aram;Kim, Jinsup;Cho, Sung Yoon;Jin, Dong-Kyu
    • Journal of mucopolysaccharidosis and rare diseases
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    • v.3 no.2
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    • pp.37-40
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    • 2017
  • Mucopolysaccharidosis (MPS) is caused by accumulation of the glycosaminoglycans in all tissues due to decreased activity of the lysosomal enzyme. Patients exhibit multisystemic signs and symptoms in a chronic and progressive manner, especially with changes in the skeleton, cardiopulmonary system, central nervous system, cornea, skin, liver, and spleen. In the past, treatment of MPS was limited to enzyme replacement therapy (ERT). The outcome for affected patients improved with the introduction of new technologies as hematopoietic stem cell transplantation, relegated to specific situations after ERT became available. Intrathecal ERT may be considered in situations of high neurosurgical risk but still it is experimental in humans. New insights on the pathophysiology of MPS disorders are leading to alternative therapeutic approaches, as gene therapy, inflammatory response modulators and substrate reduction therapy. In this paper, we will highlight the recent novel treatment and clinical trials for MPS and discuss with the goal of fostering an understanding of this field.

Sepsis: Early Recognition and Optimized Treatment

  • Kim, Hwan Il;Park, Sunghoon
    • Tuberculosis and Respiratory Diseases
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    • v.82 no.1
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    • pp.6-14
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    • 2019
  • Sepsis is a life-threatening condition caused by infection and represents a substantial global health burden. Recent epidemiological studies showed that sepsis mortality rates have decreased, but that the incidence has continued to increase. Although a mortality benefit from early-goal directed therapy (EGDT) in patients with severe sepsis or septic shock was reported in 2001, three subsequent multicenter randomized studies showed no benefits of EGDT versus usual care. Nonetheless, the early administration of antibiotics and intravenous fluids is considered crucial for the treatment of sepsis. In 2016, new sepsis definitions (Sepsis-3) were issued, in which organ failure was emphasized and use of the terms "systemic inflammatory response syndrome" and "severe sepsis" was discouraged. However, early detection of sepsis with timely, appropriate interventions increases the likelihood of survival for patients with sepsis. Also, performance improvement programs have been associated with a significant increase in compliance with the sepsis bundles and a reduction in mortality. To improve sepsis management and reduce its burden, in 2017, the World Health Assembly and World Health Organization adopted a resolution that urged governments and healthcare workers to implement appropriate measures to address sepsis. Sepsis should be considered a medical emergency, and increasing the level of awareness of sepsis is essential.

Effects of Pb Aaddition on Microstructur and Texture in High Temperature Plane Strain Compression of Magnesium Alloys (마그네슘 합금의 고온 평면변형 압축에서 Pb 첨가에 따른 미세조직 및 집합조직 변화)

  • Yebeen Ji;Jimin Yun;Kwonhoo Kim
    • Journal of the Korean Society for Heat Treatment
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    • v.37 no.1
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    • pp.23-28
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    • 2024
  • As global warming accelerates, the transportation industry is increasing the use of lightweight materials with the goal of reducing carbon emissions. Magnesium is a suitable material, but its poor formability limits its use, so research is needed to improve it. Rare-earth elements are known to effectively control texture development, but their high cost limits commercial. In this study, changes in microstructure and texture were investigated by adding Pb, which is expected to have a similar effect as rare-earth elements. The material used is Mg-15wt%Pb alloy. Initial specimens were obtained by rolling at 773 K to a rolling reduction of 25% and heat treatment. Afterwards, plane strain compression was performed at 723 K with a strain rate of 5×10-2s-1 and a strain of -0.4 to -1.0. As a result, recrystallized grains were formed within the microstructure, and the main component of the texture changed from (0,0) to (30,26). The maximum axial density was initially 10.01, but decreased to 4.23 after compression.

A STUDY ON KOREA ORIENTAL NURSES' ROLE (한방간호사(韓方看護師)의 역할(役割)에 대한 연구(硏究))

  • Ok, Do-Hoon;Park, Chan-Kuk;Shin, Soon-Shik
    • Korean Journal of Oriental Medicine
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    • v.5 no.1
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    • pp.27-53
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    • 1999
  • The goal of this study is to review and define the role of nurses' who are engaged in Korea Oriental medical treatments in oriental medical hospitals. We think this study can contribute to the development of 'Korea Oriental medical science & nursing science' and 'Public health care'. A large portion of nurses's role in Korea Oriental Medicine(KOM. 한방/한의학) is assistance to doctors treatment. But besides of these role, we think there are many things that are riskless for nurses to do alone. But in present situation, few nurses in KOM. have enough knowledge to treat these medical treatments alone. So we believe this study will provide a way for nurses to participate more actively in KOM. public health care. With the goal of this study, we checked all medical treatments that have been practiced in oriental medical hospitals, and classified these treatments with some groups. And we organized a inquiry. At this inquiry, we ask 'What is the adequate role of nurses in Korea Oriental medical treatment? & What kind of treatment can nurses do?' We got 58 responses from nationwide 121 hospitals. From these response, more than half of them said nurses can do following medical treatment in the oriental medical hospital: 1. starting and ending part of following treatments; External treatments by instrument, by hydrotheraphy, by herb, by suction, moxibustion, Manipulative therapies on soft structure, Living and mind-body therapies. 2. pulling out Acupuncture. 3. boiling herb, judgement on dosing temperature, assisting in dosing, 4. assisting Diet, 5. operating from Living and mind-body therapies. 6. leading Physical training However, these results are coming out from present situation. So, after well-oriented instructions for nurses, this study will be need to carry out again. From this study, we suggest a desirable curriculum for students who study 'Korea Oriental Nursing Science.' That is to say, at basic course students take 4 subject for 6 credits. And at as an expert course, it should be dividend into Clinical Nursing Specialist in KOM., Self-care Nursing Specialist, Regimen Nursing Specialist and take 17 credits per each course.

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Traditional Asian Medicine Treatment for Childhood Cancer - Review of Controlled Clinical Studies (소아암의 한의약치료 임상 동향 - 대조군 임상연구를 중심으로)

  • Kim, Younhwan;Kim, Hanseul;Oh, Jeongmyeong;Lee, Hyeyoon;Min, Yuri;Yun, Youngju
    • Journal of Society of Preventive Korean Medicine
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    • v.24 no.2
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    • pp.17-30
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    • 2020
  • Objectives : To find treatment techniques and design clinical studies, this study reviewed controlled clinical studies on traditional Asian medicine treatment for childhood cancer. Methods : Literature searches were performed on four databases, such as NDSL, OASIS, PubMed, and CNKI. Studies were categorized and analyzed according to the treatment goal and we also assessed the quality of the randomized controlled trials (RCT) using Van Tulder Scale. Results : Twenty-seven studies met our inclusion criteria: 21 RCTs, 4 controlled trials, 2 Cohort studies, however only 6 among the 21 RCTs got the scores of high quality. Various interventions were used, such as herbal medicine, acupuncture, acupressure, and chuna. 7 studies were focused on cure of leukemia or solid cancer. 11 studies were performed to alleviate chemotherapy induced nausea and vomiting. 9 studies were focused on other complications of chemotherapy. Conclusions : Most of the studies reported significant effectiveness of traditional medicine treatment compared to controlled group. However we could not made a definite conclusion because of the low quality and heterogeneity of the studies included. More studies should be performed to introduce traditional Asian medicine to childhood cancer treatment.