• Title/Summary/Keyword: Treatment goal

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Proposal of East-West Integrative Medicine Manual for Mild Cognitive Impairment in a Korean Medicine Hospital (일개 한의의료기관 내 경도인지장애의 의한협진 매뉴얼 제안)

  • Kim, Bomin;Jo, Hee-Guen;Kang, Hyung-Won;Choi, Sung-Youl;Song, Min-Yeong;Sul, Jae-Uk;Leem, Jungtae;Lee, Ga-Won;Son, Sung-Eun
    • Journal of Oriental Neuropsychiatry
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    • v.29 no.4
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    • pp.239-253
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    • 2018
  • Objectives: This is one of the manuals of East-West integrative medicine, which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. To support clinical decision making and communication in the East-West cooperative treatment of mild cognitive impairment. Methods: Drafting was based on literature review from the MEDLINE, EMBASE, OASIS, and CNKI databases using search terms such as 'mild cognitive impairment', 'mild neurocognitive disorder', 'acupuncture', 'herbal medicine' and 'traditional Chinese medicine'. An amendment reflecting the goal of consultation and detailed treatment contents was made by reviewing the draft and holding discussion with the rehabilitation specialist of western medicine. The committee then agreed to adopt the manual through the process of review and feedback in addition to face-to-face discussions. Results: This manual contains the diagnosis of mild cognitive impairment, the goal of consultation, and the cooperative treatment contents of the East-West medicine for mild cognitive impairment. Conclusions: This manual provides significant information about the decision making process and contents of treatment in one medical institution for East-West cooperative treatment of mild cognitive impairment.

Two treatment approach to skeletal class III : A case report on sisters (골격성 III급 부정교합 환자 자매의 치험례)

  • Lee, Yu-Hyun
    • The korean journal of orthodontics
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    • v.29 no.3 s.74
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    • pp.327-337
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    • 1999
  • Patients with skeletal class III can be succesfully treated by either orthognathic surgery or orthodontic treatment owing to unavoidable circumstances. Systers were treated , elder syster by orthognathic surgery and younger one by compromised treatment. For the ideal treatment goal, orthognathic surgery will be inevitable in skeletal problem case, but by the patient's private situations orthodontist cannot help doing compromised treatment. It could be another option if correct biomechanical approach is used.

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Assessment and Optimization of Granular Activated Carbon (GAC) Process in Water Treatment Process (입상활성탄 공정의 진단 및 효율적 운영방안: D 정수장을 중심으로)

  • Kim, Seong Su;Lee, Kyung Hyuk
    • Journal of Korean Society of Water and Wastewater
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    • v.19 no.6
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    • pp.781-790
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    • 2005
  • Granular Activated Carbon(GAC) is widely used in drinking water treatment. Many of the problems occurring in the GAC process are associated with the operation goal and performance. The purpose of this study were to evaluate the design, operation, and performance of granular activated carbon process in D water treatment plant. The optimal operation conditions of GAC process such as backwashing condition, granular activated carbon replacement time were discussed. The design, operation and performance of GAC process is influenced by their raw water characteristics and placement within the treatment process sequence. A critical analysis of plants experience and the information from the literature identifies the effectiveness of GAC process and indicates where modifications in design and operation could lead to improved performance. It would be useful to evaluate and optimize the GAC process in other treatment plant.

A Case Report of Molluscum Contagiosum in an Infant (전염성 연속종 환아 1례 보고)

  • Kim, Jang-Hyun;Hwag, Young-Jun
    • The Journal of Pediatrics of Korean Medicine
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    • v.20 no.2
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    • pp.93-100
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    • 2006
  • Objectives : The purpose of this study is to report Molluscum Contagiosum in an infant. Methods : We reported 5-year-old male patient who suffered from Molluscum Contagiosum. We treated him with Gami-Okbyungpung-tang. Results : After this treatment, the symptoms(papule on both thigh and gluteal sulcus region, itching) were improved. Conclusion : We had goal effects in oriental medical treatment on Molluscum Contagiosum. The further study is needed.

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Radical Thymectomy in the Treatment of Myasthenia Gravis (중증 근무력증의 치료에 있어서 종격동내 조직의 광범위 절제술)

  • 손영상
    • Journal of Chest Surgery
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    • v.22 no.5
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    • pp.806-810
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    • 1989
  • There has been arguing in the proper surgical treatment of myasthenia gravis. But the ultimate goal of operation is complete removal of thymic tissues. In view of previous surgical-anatomic studies that there are frequently thymic tissues from the level of thyroid gland to the diaphragm and from hilum to hilum, en bloc resection of thymus, mediastinal fat including both sheets of pleura and pericardium is reasonable. We experienced four myasthenic patients with radical thymectomy from 1989. As compared to the result of previous simple thymectomy group, the 23 patients who were operated from 1976 to 1988[Group I ], excellent surgical outcome was obtained in radical thymectomy group[Group II ].

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The Effect of Behavior Based Safety Program on Safe Behaviors of Bus Drivers and Passengers: A Field Case Study (행동기반 안전관리(Behavior Based Safety: BBS) 프로그램이 버스 기사 및 승객의 안전행동에 미치는 효과 검증: 현장 사례 연구)

  • Noh, Kaeun;Oah, Shezeen;Moon, Kwangsu
    • Journal of the Korean Society of Safety
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    • v.33 no.1
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    • pp.109-117
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    • 2018
  • This study examined the effect of Behavior Based Safety(BBS) program on safe behaviors of bus drivers and passengers. Four male bus drivers working at a H transportation company situated in Seoul participated in this study. BBS program consisted of education, prompts, and self-monitoring with goal setting. Dependent variables were the percentage of two safe driving behaviors of bus drivers (departure after stopping for 3 seconds, announcement for holding bus handles) and the percentage of one safe behavior of passengers getting on the busses those drivers drove (holding bus handles). A primary observer and two trained assistant observers measured two safe behaviors of the bus drivers with behavior checklists by riding on the busses and the passengers' safe behavior was observed by CCTV installed on each bus. An ABC multiple baseline design across participants was adopted. After baseline(A), education and prompts(B) and self-monitoring with goal setting(C) were introduced sequentially to each participant. The results showed that BBS program was effective to increase both bus drivers' and passengers' safe behaviors. Especially self-monitoring with goal setting was more effective in improving safe behaviors of bus drivers than education/prompts. These results suggest that education/prompts and self-monitoring with goal setting would be an alternative treatment technique to improve safety for lone workers such as bus drivers.

Treatment of Benign Paroxysmal Positional Vertigo (양성돌발성 체위현훈의 치료)

  • Kim, Chul-Seung
    • Korean Journal of Clinical Laboratory Science
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    • v.40 no.2
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    • pp.135-141
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    • 2008
  • Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities encountered in a dizziness clinic. Treatment of this disease, canalith repositioning procedures, have been reported to be successful in 44-90%. Treatment requires only one treatment visit in most patients. However, there are significant numbers of patients who require multiple treatment visits for relief. The goal of this study is to identify variables that may be associated with these difficult to treat cases. Retrospective review was performed for the patients diagnosed as BPPV at St. Carollo dizziness center. Variables for statistical analysis included age, sex, involved canal, presence of bilateral disease, presence of recent head trauma, presence of chronic otitis media, history of middle ear surgery, history of otologic surgery, unilateral vestibular loss, underlying disease such as hypertension or diabetes, change of involved canal during treatment course and number of treatment visits. Two hundred patients with BPPV who received treatment were identified from JAN. 2006 to JUN. 2007. 87% required one treatment visit, 5% required second treatment visit, and 95% were successfully treated after three treatment visits. Variables such as bilateral disease, post-traumatic BPPV, duration of symptom before treatment and change of involved canal during treatment were significantly related with number of treatments. Patient's with bilateral BPPV or with recent head trauma or longer duration of symptom are more likely to require multiple visits for canalith repositioning.

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Physical Therapy of Conversion Disorder - Case Report - (전환장애의 물리치료 - 증례보고 -)

  • Oh, Duck-Won;Jung, Nak-Su
    • Physical Therapy Korea
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    • v.5 no.1
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    • pp.51-62
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    • 1998
  • Conversion disorder is defined as a specific and enduring sensorimotor dysfunction that contradicts known neurological or musculoskeletal pathology or physical findings. The patient with conversion symptoms unconsciously adopts these symptoms to convert their psychological stress to a physical phenomenon. Conversion disorder often involves the mimicry of organic symptoms similar to those experienced by a relative or an acquaintance. Because conversion symptoms are produced by psychological stress, specific treatment strategy and reinforcement program are needed for treatment. Treatment comprises avoiding unnecessary medical tests and removing symptoms by using graded exercises given by physical therapists. Clinical therapists must maintain a continuous and detailed follow-up to completely recover from conversion symptoms. The goal of treatment is to emphasize health rather than disease, to resolve physical symptoms, and to prevent recurrence. This study looks into the case reports of 4 patients diagnosed with conversion disorder.

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The Effect of Voice Therapy Applying Self-Regulation Concepts on Dysphonia Patients (자기 조절 개념을 적용한 음성치료 기법이 발성장애 환자에게 미치는 효과)

  • Lee, Chang-Yoon;An, Soo-Youn;Son, Hee Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.30 no.1
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    • pp.15-20
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    • 2019
  • Background and Objectives : The goal of this study is to present a strategy for improving the self-regulation (SR) ability and facilitating the change of vocal behavior by applying voice therapy using the SR concept to the patients with vocal cord nodule and muscle tension dysphonia. Materials and Method : The subjects were 80 patients and 80 patients who were diagnosed with muscle tension dysphonia and vocal nodules. As a control group, the results were compared among patients with the same dysphonia without using SR strategies. The concept of SR before voice therapy was explained to the patients, and the treatment was divided into three stages according to the goal of voice therapy. The treatment stages consist of 1) skill acquisition, 2) habit formation, and 3) habit changes. voice therapy was performed by applying SR strategies such as goal implementation intentions and a less routine behavior. Patient's dropout rates were measured to compare the adherence of voice therapy. Results : Significant improvement was seen in all groups receiving voice therapy. However, in the group using the SR strategy, the voice analysis results showed a relatively low dropout rate of voice therapy. In the generalization confirmation stage, patients who applied SR concept showed better results. SR strategy did no longer be necessary to maintain newly adopted vocal behavior. Conclusion : The results of this study show that SR is one of the cognitive factors that can have a significant impact on the outcome of voice therapy, and also has a positive impact on the acquisition and generalization of new skills. A better understanding of SR and the development of therapeutic strategies using it will play an important role in solving voice problems in clinical settings.

Recent Development of Drinking Water Quality Standard and its Application (음용수질 기준과 관리방안)

  • 권숙표
    • Journal of environmental and Sanitary engineering
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    • v.7 no.2
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    • pp.83-94
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    • 1992
  • Recently water demand is increasing as the industry prospers. The increase of water demand is followed by the increase of wastewater discharge which pollutes rivers and ground water extensively. These rivers, reservoirs and ground water are sources for drinking water and their contamination affects the quality of water supply and other potable water. In Korea there are 776 water treatment plants which supply drinking water from main rivers or reservoirs. Rivers are the biggest water source for drinking water is being contaminated, the innovation of treatment process is needed. The construction and operation of water supply facilities is under the control of the Ministry of Construction and the water supply offices of cities and provinces. However, drinking water quality is under the control of the bureau of sanitation in the Ministry of Health and Social Affairs. There are 33 items in drinking water quality standards of Korea. Trihalomethanes, Selenium, Diazinone and other three of pesticides have been included lately, The Ministry of Health and Social Affairs is planning to enhance. the level of $VOC_S$(Vola-tile Organic Compounds) standard. Drinking water quality standard is the goal to protect the quality of supply water and ground water. In order to protect the source water from domestic or industrial water, technological improvement and adequate investment should be urgently made. The ultimate goal of drinking water quality is safety and health of consumers. The more stringent the standard are, the better the water quality will be. As the drinking water quality standards become more stringent this year, various and positive solutions by the authorities concerned must be prepared.

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