• 제목/요약/키워드: Treatment need

검색결과 3,314건 처리시간 0.033초

민간종합검진 유소견자들의 치료기관 선택에 미치는 영향 (The Influence on Selecting the Medical Institute for Treatment by Patients Who Had Abnormal Findings through the Private Health Screening)

  • 정은주;황병덕
    • 보건의료산업학회지
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    • 제5권4호
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    • pp.1-13
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    • 2011
  • The purpose of this study is to analyze the medical care utilization behavior of patients to whom treatment (surgery) is recommended after they are diagnosed with abnormal findings on health screening and factors affecting the selection of the medical institute for treatment. The data was collected from 291 patients who need treatment or surgery, according to the abnormal findings on the additional examination such as cardiac CT, brain MRI, Gastroscopy and Colonoscopy since four diseases are suspected among of 2,752 people who receive health screening. The results are as follows. First, the most common disease of patients who have abnormal findings by the diagnosis through the results of first testing is colon disease based on through the additional examination. The most common disease of patients who will get treatment (surgery) based on final diagnosis by a doctor who determines the result of health screening on the basis of diagnosis from the first testing is cardiovascular disease. Second, in terms of diseases, patients with cardiovascular disease select the medical institute where they get the health screenings as a place for treatment. Patients with cerebrovascular disease select another medical institute for treatment. Finally, the affective factors of selectivity treatment facility on health screening satisfaction were human, facility, health screening and revisit factors.

마을하수도 운영실태 및 개선방안 (A study on the management status of public small-scale sewage treatment facilities and the improvement)

  • 신대윤;배철호
    • 환경위생공학
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    • 제23권4호
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    • pp.55-64
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    • 2008
  • In this study, the management and improvement of public small-scale sewage treatment facilities was investigated. In order to improve the effective management of the operation of small-scale sewage treatment facilities, treatment methods and the problems associated with sewage treatment were carefully addressed based on the data and literature. The investigation results showed that sewer pipes in rural areas should be repaired to prevent sewage from leaking and small-scale operations should be required to have effective management for pollutant loads less than 50%. Also, new methods should be developed for low concentrations of sewage. A law associated with FRP treatment facilities should be established and local governments need to supervise these operations to avoid insufficient and faulty construction. It is recommended that new facilities are built with advanced treatment techniques when the old facility can not comply with nitrogen and phosphorous discharge limits. Moreover, the study shows that nutrient and coliform treatment efficiency improves when abandoned facilities are renovated with the installation of nitrification/denitrification and disinfection processes or another advanced process.

돼지분뇨의 간이건조 처리법과 비료로서의 효과 (Sun Curing Effects and Utilization of Pig Excreta as Fertilizer)

  • 성경일;홍병주;이영철
    • 한국초지조사료학회지
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    • 제13권3호
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    • pp.228-233
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    • 1993
  • Method for the sun curing dehydration of pig excreta by using vinyl house was described. We determined effects of the dehydrated pig excreta on the yields of whole crop corn and proximate chemical composition of whole crop corn. Pig excreta were dehydrated upto 15% of moisture content by the 3-4 days of sun curing dehydration in vinyl house in the summer period. There was no significant difference between the dehydrated pig excreta treatment and the chemical fertilizer treatment on dry matter(DM) content, DM yield and crude protein contents of whole crop corn. Ca and Mg contents by the dehydrated pig excreta treatment were lower than those by thechemical fertilizer treatment. In the contrast, K content by the dehydrated pig excreta treatment was higher than those by the chemical fertilizer treatment. and dehydrated pig excreta treatments were higher in K/Ca+Mg ratio than chemical fertilizer treatment. These results suggested the availability of the sun curing dehydration of pig excreta in vinyl house in small-scale animal industry. In addition, the dehydrated pig excreta treatment showen similar effects to the chemical fertilizer treatment on dry matter yields and contents of chemical composition of whole crop corn. These results suggest that using the sun curing dehydration of pig excreta could reduce the chemical fertilizer cost. However, we need more study to the relationship between the unbalanced mineral contents and animal health.

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자동차회사 근로자를 대상으로 한 근골격계 자각증상과 moire 영상 진단과의 관계 연구 (Research on the Relation between Musculoskeletal symptoms and Diagnosis using Moire Topography among Workers at an Automobile Manufacturing Plant)

  • 천은주;이영길;장두섭;이기남;송용선
    • 대한예방한의학회지
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    • 제5권2호
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    • pp.69-92
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    • 2001
  • The purposes of this study were to offer foundation making more certain standards of musculoskeletal disorder diagnosis, We researched musculoskeletal symptoms degrees, frequencies, and cares and then examined relation between musculoskeletal symptoms and diagnosis of musculoskeletal conditions using moire topography among workers at an automobile manufacturing plant. Therefore we propose the possibility of moire topography as diagnosing utilities of musculoskeletal disorders. Methods: This study was to examine the general characteristics, complaints of musculoskeletal symptoms, and work-related musculoskeletal disorder rates of cervicobrachial and lumbar area by survey among 435 workers at an automobile manufacturing plant and then to show each frequency and percentage, In the diagnosis using moire topography, we studied pain control necessity of cervicobrachial and lumbar area, 435 subjects were classified by 5 levels: A(no symptoms), B(need management), C(need treatment) and then more divided by B1(light symptoms)/B2(heavy symptoms), C1(light symptoms)/C2(heavy symptoms), And musculoskeletal areas were divided by 2 parts, cervicobrachial area(neck, shoulder, arm&elbow, and wrist&hand) and lumbar area, Then, frequency and percentage of each musculoskeletal areas(cervicobrachial and lumbar area) were appeared. At last, Pearson's chi-square test analysis was utilized to observe the relation between diagnosis using moire topography and general characteristics and the relation between diagnosis using moire topography and work-related complaint of musculoskeletal symptoms of cervicobrachial and lumbar area, Results: The subjects employed for this research were categorized into; by gender, all of them were males(l00%): by age, under 35 years 12 %, 36-40 years 56.3%, 41-45 years 26.3 %, and above 46 years 5.3% with 36-40 years accounting for most of it. By living location, owned houses represented 69.7%, rented houses 23.4%, monthly-rented 1.6%, the others 5.3%; by education, middle school and lower represented 3.0%, high school 89.4%, and junior college and higher 7.6% with high school occupying most of the group. By marital status, married represented 95.2%, unmarried 4.1%, and the others 0.7% with most of them married; by alcohol, drinking represented 81.8% and non-drinking 18.2%; by smoking status, smoking represented 53.6%, non-smoking 46.4% with no big difference between them. By working time(hours/week), below 50 represented 26.9%, 50-60 67.6%, above 60 5.5%; by working time(hours/day), below 9 represented 21.6%, 10-12 73.1%, above 13 5.3%; by job tenure(years), below 10 represented 25.1%, 11-15 54.3%, 16-20 15.2%, above 21 5.5%. By personal income per year, below 30 million won represented 11.0%, 30-40 84.8%, above 40 4.1%; by sleeping hours, below 6 hours represented 26.7%, 7-8 hours 69.9%, above 9 hours 3.4%. Complaint rates of musculoskeletal symptoms and work-related musculoskeletal disorder rates were 63.9% and 54.9% with shoulder area occupying most of both them. By pain degree of musculoskeletal symptoms, shoulder area represented $2.73{\pm}0.84$, lumbar area $2.66{\pm}0.86$, wrist and hand area $2.59{\pm}0.86$, neck area $2.55{\pm}0.74$, and arm and elbow area $2.48{\pm}0.71$. By cares about musculoskeletal symptoms, taking medication or care represented 34.4%-46.7%, absence or leave 15.4%-28.7%, and job transfer 6.3%-11.5%. So experienced cases more than one thing among cares about musculoskeletal symptoms represented 39.6%-54%. In the diagnosis using moire topography, pain control necessity of cervicobrachial area was shown below; A(no symptoms) 20.7%, B1(need management/light symptoms) 64.6%, B2(need management/heavy symptoms) 11.5%, C1(need treatment/light symptoms) 3.0%, C2(need treatment/heavy symptoms) 0.2%. By lumbar area, A(no symptoms) 8.7%, B1(need management/light symptoms) 52.2%, B2(need management/heavy symptoms) 30.3%, C1(need treatment/light symptoms) 8.7%, C2(need treatment/heavy symptoms) was none. In the relation between pain control necessity and general characteristics, age(P=0.013), education(P=0.000), and job tenure(P=0.012) with pain control necessity showed differences with significance. The relation between pain control necessity and complaint of musculoskeletal symptoms of cervicobrachial and lumbar area showed no difference with significance; in cervicobrachial area represented P=0.708, lumbar area P=0.318 Conclusions: This study for musculoskeletal symptoms on workers at automobile manufacturing plant showed that complaint rates of musculoskeletal symptoms for cervicobrachial and lumbar area were so high, 63.9%. But Pearson's chi-square test analysis was utilized to study the relation between musculoskeletal symptoms and the diagnosis using moire topography, showed no differences with significance. They have no differences with significance, but the prevalence rates of diagnosis using moire topography for cervicobrachial and lumbar area were more higher than complaint rates of musculoskeletal symptoms; complaint rates of musculoskeletal symptoms were 52.4%, 34.5% and the diagnosis using moire topography were 79.3%, 91.3% for cervicobrachial and lumbar area. The results of this study indicate that the diagnosis using moire topography can find weak musculoskeletal disorders that an individual can not feel, not be judged work-related musculoskeletal disease. Therefore, this study has an important meaning that diagnosis using moire topography can predict and control own physical condition complete musculoskeletal disorders beforehand, since oriental medicine theory considers that prevention is important.

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비치(鼻痔)(Nasal polyp)의 외치법(外治法)에 대한 문헌적(文獻的) 고찰(考察) (A Literature study on the external treatment of Nasal Polyps)

  • 한나영;서형식
    • 한방안이비인후피부과학회지
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    • 제22권3호
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    • pp.208-219
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    • 2009
  • Object : Understanding the importance of the external treatment of nasal polyps and let know the necessity of development of the effect of herb medicine to use in these days. Method : I investigated about 12 oriental medical texts which recorded the external treatment of nasal polyps. I separated them to three part (prescription, herb medicine, the way of making the external application) and check the frequency. Also compared the external treatment of oriental medicine and western medicine. Result : 1. Prescription: There are 48 prescriptions -Nyosasan is used 4 cases, Gwajungsan is used 2 cases and others only 1 case each. 2. Herb-med: There are 67 herb medicines - Herba Asari(細辛) is used 15 cases, Pedicellus Melo (瓜蔕) is used 11 cases, Alunite(白礬) is used 10 cases, Realgar(雄黃)is used 9 cases. 3. The way of making the external application: obstructive method is used 19 cases, attaching method is used 9 cases, blowing method is used 8 cases, plaster method is used 7 cases, pouring method is used 3 cases. 4. The treatment takes about 1day to 15days and the soften nasal polyps like a water can be expect the positive prognosis. Conclusion: The external treatment is very important to treat nasal polyps. So we need to research more on eliminating the toxicity of the herb medicine and develop the convenient way of using the external treatment.

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상악암에 대한 병용요법의 효과 (EFFECTS OF MULTIMODAL TREATMENT FOR THE MAXILLARY CANCER)

  • 김용각;유선열
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제27권1호
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    • pp.54-60
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    • 2001
  • 상악암의 치료에는 일반적으로 수술요법과 방사선요법이 단독 또는 복합적으로 시행되어 왔다. 항암화학요법과 면역요법의 발전과 더불어 병용요법이 소개되었으며, 상악암에 대한 병용요법은 수술요법과 방사선요법 및 국소동주 화학요법을 병행하고 있다. 본 연구에서는 상악암에 대한 병용요법의 효과를 알아보기 위하여, 상악암으로 진단된 환자에서 Morita법을 약간 변형한 병용요법으로 치료하고 추적관찰이 가능하였던 24례를 대상으로 임상적 및 병리조직학적으로 비교 분석하였다. 병용요법에 의해 5년생존율이 66%로 향상되었으며, 상악전적출술의 필요성이 감소되었다. 상악암에 대한 병용요법은 기존의 광범위한 수술적 치료방법과는 달리 악안면의 형태 및 기능 보존을 목적으로 선택될 수 있는 치료방법의 하나인 것으로 생각된다.

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골절의 한의학적 치료 및 연구에 관한 논문 고찰 - 국내 논문을 중심으로 (Reviewing Research on the Treatment and Study of Fracture in Korean Journals Objective - Focus on Domestic Thesis)

  • 배길준;정지원;정민영;김선종
    • 한방재활의학과학회지
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    • 제25권3호
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    • pp.27-36
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    • 2015
  • Objectives The aim of this review is to analyze research trends on the Korean medical treatment and study of fracture. Methods We searched 38 studies related treatment of fracture via Korean medicine web databases. We classified these studies by three types (experimental reports, case reports and retrospective reports) and researched how to treat the patient of fracture. Results 38 studies were published since 1993 and published every year since 2004 to 2013. There were 8 experimental reports, 20 case reports and 10 retrospective reports. Most of these studies were effective to treat of fracture. Bee venom treatment and Hua-Tuo-Jia-Ji-Xue acupuncture treatment were more effective than general treatment. Conclusions These results suggest that Korean medicine is effective treatment to fracture and we need continuously agonize and research more effective therapy method.

Efficacy and safety of growth hormone treatment for children born small for gestational age

  • Hwang, Il Tae
    • Clinical and Experimental Pediatrics
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    • 제57권9호
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    • pp.379-383
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    • 2014
  • Recombinant growth hormone (GH) is an effective treatment for short children who are born small for gestational age (SGA). Short children born SGA who fail to demonstrate catch-up growth by 2-4 years of age are candidates for GH treatment initiated to achieve catch-up growth to a normal height in early childhood, maintain a normal height gain throughout childhood, and achieve an adult height within the normal target range. GH treatment at a dose of $35-70{\mu}g/kg/day$ should be considered for those with very marked growth retardation, as these patients require rapid catch-up growth. Factors associated with response to GH treatment during the initial 2-3 years of therapy include age and height standard deviation scores at the start of therapy, midparental height, and GH dose. Adverse events due to GH treatment are no more common in the SGA population than in other conditions treated with GH. Early surveillance in growth clinics is strongly recommended for children born SGA who have not caught up. Although high dose of up to 0.067 mg/kg/day are relatively safe for short children with growth failure, clinicians need to remain aware of long-term mortality and morbidity after GH treatment.

유기성 폐기물의 자원화 방법에 대한 경제성 평가 (Economic Evaluation for Recycling of Organic Waste)

  • 유혜영;정다위;윤철우;강준구;박기학;김기헌;신선경
    • 유기물자원화
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    • 제24권4호
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    • pp.11-20
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    • 2016
  • 천연자원의 고갈과 온실가스의 감축은 우리가 당면하고 있는 현안이다. 이러한 이유로 폐기물의 재활용은 국제사회적으로도 큰 관심사이며, 국내에서도 비용 대비 효과적인 처리 및 재활용 기술의 개발이 지속적으로 이루어져야 하는 과제를 안고 있다. 본 연구에서는 유기성 폐기물의 처리 및 재활용에 따른 비용원단위 등을 비교 분석 함으로써 효과적인 자원화 방안에 대하여 고찰하였다. 본 연구에서 조사된 유기성 폐기물은 폐수처리오니류, 공정오니, 동 식물성 잔재물 등이며, 해당 폐기물을 배출하는 80개 사업장을 대상으로 처리현황 및 처리비용을 조사하였다. 유기성 폐기물의 경제성 있는 적정 처리방법은 퇴비화와 시멘트 부원료로 사용되는 것으로 나타났다. 유기성 폐기물의 성상, 유해물질 등에 따라 경제성 분석이 다를 수 있겠지만, 조사대상 업체로부터 현실적인 폐기물의 처리결과를 바탕으로 분석하였다. 특히, 유기성 폐기물을 퇴비화 제품으로 재활용한다면, 비료의 원료가격 등이 상승됨에 따라 비료가격은 증가 추세로 보이기 때문에 경제적인 효과가 있을 것으로 판단된다. 유기성 폐기물의 안정적인 처리 및 재활용을 위해서는 폐수처리오니 등 유해특성을 갖고 있는 폐기물과 유기성 폐기물의 재활용 처리시 기술적 어려운 점인 악취, 침출수, 이물질에 대한 기술적인 노력을 기울여야 할 것이다.

임상가를 위한 특집 3 - 치과진료에서 악관절 골관절염의 중요성 (Clinical importance of TMJ Osteoarthritis in Dental Practice)

  • 태일호;송윤헌;김연중
    • 대한치과의사협회지
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    • 제51권2호
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    • pp.92-98
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    • 2013
  • Osteoarthritis is one of the most common degenerative disease in the temporomandibular joints(TMJ). Structural changes in the osseous structure is associated with destructive changes such as erosion, flattening and other bony changes. Destructive degenerative changes quite often cause shortening of the condyles which eventually produces the changes in the occulsion and the facial profile which require orthorgnathic surgery and/or orthodontic treatment by the dental professional. The dentists need to understand the nature and the pathophysiology of the osteoarthritis in the TMJ for the better dental treatment, especially in orthodontic and prosthodontic treatment. The possibility of serious complication can not be avoided after any dental treatment is given to the patient if osteoarthritic changes in the TMJ is under progression as undiscovered.