• Title/Summary/Keyword: Treatment need

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A Study on Dietary Habits and Lifestyle of Girls with Precocious Puberty

  • Heo, Jae-Seong;Moon, Hyeok-Soo;Kim, Mi-Kyeong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.19 no.2
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    • pp.130-138
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    • 2016
  • Purpose: This study was conducted to analyze the change in the obesity index in girls receiving a gonadotropin-releasing hormone agonist (GnRHa), based on treatment duration, and to aid in nutritional counseling by investigating dietary habits and lifestyle. Methods: Anthropometric examinations were conducted on 62 girls treated with GnRHa from January 2010 through July 2014. Parents were asked to fill out questionnaires on patient dietary habits and lifestyle. Results: The group taking GnRHa for over 1 year had a higher rate of obesity increase than the group taking GnRHa for less than 1 year, but they had common habits related to obesity, which should be corrected. In addition, 69.2% of the normal weight group taking GnRHa for over 1 year gained weight, and needed more intensive programs, which include physical exercise and nutritional education. Although girls with precocious puberty showed a decrease in the intake of high-calorie foods with nutritional intervention regardless of treatment duration, they still had problems that needed improvement, such as shorter meals and lack of exercise. Conclusion: Girls with precocious puberty and their parents should emphasize maintenance of proper body weight, especially when treatment for over 1 year is anticipated. Consistent education in nutrition, ways to increase intensity and duration of physical activity, and the need to slow down mealtimes are important in managing obesity; doctors need to perform regular checkups and provide nutritional counseling.

Failure Analysis and Countermeasures of SCM435 High-Tension Bolt of Three-Step Injection Mold

  • Yun, Seo-Hyun;Nam, Ki-Woo
    • Journal of the Korean Society of Industry Convergence
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    • v.23 no.4_1
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    • pp.531-539
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    • 2020
  • When injection mold is repeatedly used for mass production, fatigue phenomenon due to cyclic stress may occur. The surface and interior of structure might be damaged due to cyclic stress or strain. The objective of this study was to analyze failure of SCM435 high-tension bolts connecting upper and lower parts of a three-stage injection molding machine. These bolts have to undergo an accurate heat treatment to prevent the formation of chromium carbide and the action of dynamic stresses. Bolts were fractured by cyclic bending stress in the observation of ratchet marks and beach marks. Damaged specimen showed an acicular microstructure. Impurity was observed. Chromium carbide was observed near the crack origin. Both shape parameters of the Vickers hardness were similar. However, the scale parameter of the damaged specimen was about 20% smaller than that of the as-received specimen. Much degradation occurred in the damaged specimen. Bolts should undergo an accurate heat treatment to prevent the formation of chromium carbide. They must prevent the action of dynamic stresses. Bolts need accurate tightening and accuracy of heat treatment and screws need compression residual stress due to peening.

Case Study of Vision Therapy (시기능 교정의 임상사례)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.1
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    • pp.35-41
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    • 2006
  • I performed the refraction and binocular test for study of binocular abnormalities. The problems of the accommodation and binocular on subjects was need to the correction of the refractive error. also the subjects was need to a specific treatment for each of the problems. On two patients who had convergence excess, The full corrections of eyeglasses or (+)ADD for near vision were prescribed and the subjects trained for 4 weeks. After 4 weeks, the unconvenience of near vision have more decrease, and the objective test have good results. On clinical, If the optical correction and vision therapy was applied the treatment for binocular abnormalities. The continuous research of vision training in binocular abnormalities will be good results for treatment of several binocular abnormalities in the future.

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Foreign body aspirations in dental clinics: a narrative review

  • Huh, Jin-Young
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.3
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    • pp.161-174
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    • 2022
  • Foreign body aspiration can produce a medical emergency. Obstruction of the airways can be life-threatening, and complications may develop in less-severe cases if it is left untreated. Although it is more prevalent in children by approximately three times, adults can still experience it, and it is more frequently related to healthcare in adults. Objects used in dental treatment are usually placed in the oral cavity and can be ingested or inhaled by accident. Dental treatment has been identified as an important cause of the misplacement of foreign bodies in the airway. However, few reports have been published on dentistry-related foreign body aspiration. This paper discusses the disease course, management, and clinical outcomes of foreign body aspiration, especially those associated with dentistry. The patient must be examined for respiratory distress. If the patient is unstable, urgent airway management and the maneuvers for removal should be performed. Radiographs and computed tomography can help identify and locate the object. The treatment of choice is often bronchoscopy, and both flexible and rigid endoscopes can be used depending on the situation. Preventive measures need to be implemented to avoid inhalation accidents given the potential consequences. Though the incidence is rare, healthcare levels need to be enhanced to avert morbidity and mortality. Radiological evaluation and bronchoscopy are vital for management.

Recent Trends in Oriantal Medical Treatment for Tinnitus (이명(耳鳴)의 한방치료에 대한 최신 연구 동향)

  • Jung, Hyun-A
    • Journal of Haehwa Medicine
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    • v.20 no.1
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    • pp.143-151
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    • 2011
  • Objectives : This study is to research the trend of the oriantal medical treatment for tinnitus and to establish the hereafter direction for the study on oriantal medical treatment for tinnitus. Methods : We reviewed the domestic articles published last eleven years(2000- 2010). Results : We have searched 21 articles in 5 journals of korean oriental medical ophthalmology &dermatology, korean acupuncture & moxibustion, korean oriental medicine, oriental physiology & pathology, sasang constitutional medicine. 1. There were the most research done 2006. They have 5 articles. In other years there were 3 or less articles. 2. The pattern of study was as follow: the consideration of documents were 5, clinical trials were 6, case studies were 8 and the others were 2. the rate of case studies were increased. 3. After mid 2000s, there were more studies of new research method appearing. Conclusions : The oriental medical treatment already effective for tinnitus. But we need more studies about various kind of oriental medical treatment for tinnitus.

Study on the Improvement of Adhesion between Cu Laminate and PSR (동박과 PSR간의 접합력 향상에 관한 연구)

  • 김경섭;정승부;신영의
    • Journal of Welding and Joining
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    • v.17 no.2
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    • pp.61-65
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    • 1999
  • Because of the need for packages which accommodate high pin count, high density and high speed device, PBGA(plastic ball grid array) package gets more spotlight. But the substrate material which is used for PBGA package is in nature susceptible to moisture penetration. The objective of the study is to find out the path of delamination in the stacked structure of substrate. To increase the adhesion between the cooper laminate and PSR(photo solder resist) which is the weakest part, experiments were performed by changing parameters of printing pre-treatment and post-treatment process. As a result of experiments, the factor effects on the adhesion between the cooper laminate and PSR is caused by all of the pre-treatment and post-treatment condition. A considerable change was observed depending on the amount of UV irradiation after thermal cure which is typical of printing post-treatment condition rather than pre-treatment condition.

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Practice for preterm patent ductus arteriosus; focusing on the hemodynamic significance and the impact on the neonatal outcomes

  • Lee, Jin A
    • Clinical and Experimental Pediatrics
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    • v.62 no.7
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    • pp.245-251
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    • 2019
  • Hemodynamically significant preterm patent ductus arteriosus (PDA) affects mortality; comorbidities such as necrotizing enterocolitis, intraventricular hemorrhage, and bronchopulmonary dysplasia; and adverse long-term neurodevelopmental outcomes in preterm infants, particularly in very low birth weight infants. However, recent studies have indicated that there is no consensus on the causal relationship between PDA and neonatal outcomes, the benefit of PDA treatment, the factors guiding the need for treatment, and optimal treatment strategies. Such uncertainty has resulted in wide variations in practice for treating preterm PDA between units, regions, and nations. Nowadays, there has been a paradigm shift to more conservative treatment for preterm PDA, and suggestions regarding selective management of preterm PDA considering risk factors and hemodynamic significance are increasing. Neonatologist-performed echocardiography and advances in modalities to assess hemodynamic significance such as biologic markers and near-infrared spectroscopy also help improve the efficacy of selective treatment of preterm PDA.

A Survey on the Difference in Perceptions on Educational Need in Patients with Epilepsy and Medical Personnel (간질 환자와 의료인이 인지하는 간질 환자를 위한 교육 요구도 비교조사)

  • 최미리;김연희;소연자;윤선무;이근숙;임상순;김금순;최스미
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1400-1410
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    • 2000
  • Purpose : To determine whether there is a discrepancy between the medical professions perception of what patients should know and that of the patients themselves, we studied patients need to be informed about different aspects of epilepsy and compared findings with medical personnels perceptions of the issue. Methods : Our study population consisted of 39 patients with epilepsy from the inpatient epilepsy unit, and 51patients from the outpatients clinic of the S. University Hospital between July and November 1997. However, the patients who declined to participate or who were not able to understand the directions and content of the questionnaire were excluded. The medical personnel participated in this study were 56 residents or nurses who were working in either Neurology or Neuro surgery Units. The questionnaire with 5 indicating the highest need. The data were analyzed with descriptive statistics, students t-tests, and chi-square. Results : Of the 90 patients and 56 medical personnel studied, the need for lifestyle information such as smoking, drinking, sleep, driving, employment, and marriage was significantly higher from medical personnel than that of the patients(p=0.00). Regarding medical knowledge about epilepsy, the patients group had higher scores in the need for information on the structure of the brain (p=0.00), whereas medical personnel had higher scores on the symptoms of epilepsy. There was no correlation between the length of epilepsy and the need for information on every item on the questionnaire. The patients had higher rank regarding diet, although it was not significantly different from the medical personnel. Regarding antiepileptic drugs and what to do when there is an attack, medical personnel scored higher. The items on which the patients group scored higher than 4.5 were the possibility of inheritance, the factors that might reduce the number of attacks, the period of usage of AED, and the food they have to avoid or the food they have to take to reduce seizure attacks. Conclusions : Our study indicates that the patients group requires higher educational need in the structure of the brain, diet, and surgical treatment, but less in lifestyles and what to do when there is an attack. The educational program for the patients with epilepsy should emphasize medical knowledge with regard to brain anatomy, what to eat and what to avoid, and details of surgical treatment.

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Application of Sewage Treatment Processes to a System Design for Water Resource Production 1. Analysis and Assessment of Sewage Treatment Process Efficiency (하수처리공정의 물 자원 생산 시스템 설계에 대한 적용 1. 하수처리공정의 처리효율 분석 및 평가)

  • Shin, Choon Hwan
    • Journal of Environmental Science International
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    • v.25 no.8
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    • pp.1155-1163
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    • 2016
  • The treatment efficiencies of domestic sewage treatment processes were analysed and assessed to suggest and design a suitable technology for coal seam gas (CSG) water treatment. Two sewage treatment plants (S and G in Busan) were selected. The former operates with standard activated sludge and modified Ludzak Ettinger processes while the later uses the combination of $A_2/O$ and gravity fiber filtration. For both plants, the concentrations of BOD, $COD_{Mn}$, T-N and T-P were about 5.0, 19.0, 5.0, 11.0 and 1.0 ppm, respectively, which satisfy the discharge standards. Therefore, although sewage treatment processes seems to be applicable for CSG water treatment, additional processes to remove total dissolved solids and ionic compounds (i.e. bicarbonate) need to be introduced to produce fit-for-purpose water resources for beneficial use (in accordance with Water ACT 2013). This, for the CSG treatment process design, it is necessary to align the operating conditions with merging methods of combinable unit technology obtained from sewage treatment processes.

Research About Necessity of Visiting Home Physical Therapy (방문물리치료 필요성에 관한 연구)

  • Son, Kyung-Hyun;Kim, Eun-Kyung;Kim, Sun-Min
    • Journal of Korean Physical Therapy Science
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    • v.19 no.1
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    • pp.27-38
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    • 2012
  • Background : In-home physical therapy program as a result of a study of the need for in-home physical therapy, most patients were needed. This study of patients who received physical therapy were surveyed, and patients need physical therapy for what I have found that factors. The purpose of this study is the in-home physical therapy program for patients to determine that how much needs were investigated. Methods : In this study, 469 people were involved with the patients who received physiotherapy. Surveys were returned to the questionnaire. The collected data was analyzed by Chi-square and one-way ANOVA. Results : The need for in-home physical therapy to 31 to 60 years suggests that the highest. In this paper, the female respondents was higher, the damaged parts Many times patients with musculoskeletal injuries, duration of treatment was 3-1 months there. 469 people need physical therapy visits of respondents that respondents were 423 people. qualification standards of physical therapy visits and asked questions of the state or local government public agencies or public health wad the highest with 40.3%, eligibility criteria for physical therapy visits a physical therapist trained in the regular 43.3%, per visit, treatment 10,000won 43.5% less than the cost of investigation into the health insurance coverage and should apply to questions about whether the response was 50.1%. Conclusion : Further, the study of in-home physical therapy services were the patient's perspective. This information, visit the home physical therapy program will contribute to the legalization.

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