• Title/Summary/Keyword: Treatment principles

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Considerations in dental management and medication for the medically compromised patients (임상가를 위한 특집 2 - 전신질환을 가진 환자의 치과처치 및 약물처방시 주의할점)

  • Nam, Jeong-Hun
    • The Journal of the Korean dental association
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    • v.48 no.1
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    • pp.27-37
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    • 2010
  • Current trend of aging society suggests that many patients are at risk for various preoperative preparations and postoperative complications during and following invasive dental procedures, due to an acquired medically compromised conditions from systemic disease and/or from medications. The medical history is critical for the identification of patients potentially at risk for medically compromised and old aged patients' factors from dental treatment. The proper dental management requires an understanding of certain principles of pathophysiology for these medical conditions and some standard laboratory tests. Polypharmacy in old age, besides representing a risk in and of itself, points to the potential risk the underlying diseases that necessitated the drugs can present in the dental office. These diseases and medications can also present a risk to oral health. A sequence for categorizing drugs in a medication list is presented here to aid in the identification of potential risks in the dental treatment and management of patients with complex medical histories and drug regimens. Specific patient populations, such as pediatric, may have specific drugs or additional criteria that need to be considered. Practitioners must use the health history and the medication list in concert, using one to make sense of the other and utilizing all the information available from reviewing each one carefully in order to manage their increasingly complex patients safely and effectively.

Measure of the Associations of Accupoints and Pathologies Documented in the Classical Acupuncture Literature (고의서에 나타난 경혈과 병증의 연관성 측정 및 시각화 - 침구자생경 분석 예를 중심으로 -)

  • Oh, Junho
    • Korean Journal of Acupuncture
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    • v.33 no.1
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    • pp.18-32
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    • 2016
  • Objectives : This study aims to analyze the co-occurrence of pathological symptoms and corresponding acupoints as documented by the comprehensive acupuncture and moxibustion records in the classical texts of Far East traditional medicine as an aid to a more efficient understanding of the tacit treatment principles of ancient physicians. Methods : The Classic of Nourishing Life with Acupuncture and Moxibustion(Zhenjiu Zisheng Jing; hereinafter ZZJ) was selected as the primary reference book for the analysis. The pathology-acupoint co-occurrence analysis was performed by applying 4 values of vector space measures(weighted Euclidean distance, Euclidean distance, $Cram\acute{e}r^{\prime}s$ V and Canberra distance), which measure the distance between the observed and expected co-occurrence counts, and 3 values of probabilistic measures(association strength, Fisher's exact test and Jaccard similarity), which measure the probability of observed co-occurrences. Results : The treatment records contained in ZZJ were preprocessed, which yielded 4162 pathology-acupoint sets. Co-occurrence was performed applying 7 different analysis variables, followed by a prediction simulation. The prediction simulation results revealed the Weighted Euclidean distance had the highest prediction rate with 24.32%, followed by Canberra distance(23.14%) and association strength(21.29%). Conclusions : The weighted Euclidean distance among the vector space measures and the association strength among the probabilistic measures were verified to be the most efficient analysis methods in analyzing the correlation between acupoints and pathologies found in the classical medical texts.

A Study on the inhibition of metastasis and recurrence of neoplasm (종양(腫瘍)의 전이(轉移) 및 재발(再發) 억제(抑制)에 관(關)한 고찰(考察))

  • Kim, Jong-Dae;Cho, Chong-Kwan
    • The Journal of Internal Korean Medicine
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    • v.18 no.2
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    • pp.53-64
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    • 1997
  • Many types of cancer, current therapy other than surgery and/or radiotherapy was of only limited efficacy. At the basic chinese traditional medicine(TCM) there was increased understanding of the additional basic and clinical neoplasm treatment research. The metastasis and recurrence of neoplasm was the basis of yudu(餘毒) on remained neoplasm cell and stagnation of blood, thermotoxo, phlegm, asthenia of healthy enerngy, stagnation of vital energy. The principles therapy of neoplasm on metastasis and recurrence was based on knowledge of the method of support the healthy energy and strengthen the body resistance, promote blood circulation to remove blood stasis, clear away heat and toxic materials, dissipate phlegm and disperse the accumulation of evils, regulate vital energy and disperse the depressed vital energy. But the major clinical features of neoplasm was to be considered in developing a treatment plan include (1) distinguish between clinical and pathologic staging - acute and chronic, (2) classification of pathologic pattern, and (3) distinction of body situation : for examples asthenia - sthenia etc. It was most important to distinguish between supporting the healthy and eliminating the evil factors and to treat differently at the root and the branch cause of a neoplasm. This paper's results indicate that identification and effective use of TCM medicines inhibited netastasis and decreased recurrence and then we were able to expect increasing survival rate.

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Study on Application of the Herbal Medicines Mentioned in ${\ulcorner}$Sanghanron${\lrcorner}$, ${\ulcorner}$GeumGweyoryak${\lrcorner}$ with Regards to the abdominal Diagnoses Impressions of Epigastric Fullness and Rigidity (심하부 복진 소견과 연관된 상한론, 금궤요략 수재 약물, 처방의 응용에 관한 연구)

  • Choi, Myong-Hee;Kim, June-Ki
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.6
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    • pp.1375-1387
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    • 2006
  • Through abdominal diagnoses, deficiency and excess, and cold and heat of the eight principles for differentiating syndromes can be determined, pathogens such as fluid retention, dry stool, retention of undigested food, abdominal mass, blood stagnation, stagnation of Gi, deficiency of Kidney Yang, and, spermatorrhea can be identified, nature and stages of the symptoms can be understood and then pathogenesis analyzed. Abdominal diagnosis can be one of primary factors in deciding treatment, expecting prognosis and treatment effect, and choosing herbal prescriptions. Representative herbs for epigastric stuffiness/fullness are Radix Ginseng, Pericarpium Citri, etc; for fullness of epigastrium, Rhizoma Pinelliae, Pericarpium Citri, Rhizoma Rhei, etc.; for severely rigid epigastrium, Radix Glycyrrhizae, Radix Ginseng, etc.; for epigastric pain, Rhizoma Pinelliae, Pericarpium Citri, etc.; for epigastric fullness and rigidity, Rhizoma Coptidis, Radix Ginseng, etc.; for feeling of obstruction in the epigastirum, Radix Bupleuri, Radix Ginseng, etc.; for palpitation in the epigastrium, Radix Glycyrrhizae, Ramulus Cinnamomi, etc. It is essential to rightly diagnose through comprehensive analysis of the data gained by the four methods of diagnosis, and in doing this, further studies on how to utilize abdomen diagnosis for clinical practice.

Spinal Deformity Surgery : It Becomes an Essential Part of Neurosurgery

  • Hyun, Seung-Jae;Jung, Jong-myung
    • Journal of Korean Neurosurgical Society
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    • v.61 no.6
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    • pp.661-668
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    • 2018
  • Among the spinal disorders, the treatment approach for spinal deformities has been discussed least among department of neurosurgery. But nowadays, more and more neurosurgeons are interested in spinal deformities as well as complex spinal disorders and are doing not a few surgeries for these kinds of disease. Nevertheless, it is mandatory to understand the course of spinal deformity, principles of treatment, and surgical outcomes and complications. Understanding of the biology, biomechanics and metallurgy of the spine and instrumentation are also required for successful spinal deformity surgery. We need senior mentors and good surgical and neurophysiologic monitoring team. Knowledge of spinal deformity may be augmented with spine fellowships and surgical experience. Step by step training such as basic knowledge, orthopedic as well as neurosurgical disciplines and surgical skills would be mandatory. Neurosurgeons can have several advantages for spinal deformity surgeries. By high-level technical ability of the spinal cord handling to preserve neurological function and familiarity with microscopic surgery, better synergistic effect could be expected. A fundamental understanding of pediatric spinal deformity and growing spine should be needed for spinal deformity surgery.

Use of Ionizing Radiation as a Phytosanitary Treatment for Postharvest Disease Control

  • Jeong, Rae-Dong
    • Journal of Radiation Industry
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    • v.8 no.2
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    • pp.97-104
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    • 2014
  • Postharvest diseases cause considerable losses to harvested fruits and vegetables worldwide. Fresh produce suspected of harboring postharvest disease must be treated to control any pathogens present. Although there are various treatments to control postharvest losses by pathogens, the current community is eager to take safer and more eco-friendly alternatives to help with human health and reduce environmental risks. Ionizing irradiation is a promising phytosanitary treatment that has a significant potential to control postharvest diseases in use worldwide. Although almost 19000 metric tons of sweet potatoes and various fruits are irradiated each year in six countries to control postharvest disease, irradiation continues to be a debate, with slow acceptance by industries. Irradiation alone is not effective as a fungicide, and an over dose affects the physical properties of irradiated products. A combination of irradiation with other treatments such as heating, biocontrol agents, chlorination, and nano Ag particles is to enhance their effectiveness. Challenges to the use of phytosanitary irradiation are an avoidance of irradiated postharvest and cost of the irradiation facilities, and thus consumers still need to be educated on the principles and benefits of irradiation and prepare an optimum economy of scale for commercial use. In this review, we evaluated the current phytosanitary irradiation, and combination with various other treatments to minimize the postharvest losses.

Advancements in craniofacial prosthesis fabrication: A narrative review of holistic treatment

  • Jazayeri, Hossein E.;Kang, Steve;Masri, Radi M.;Kuhn, Lauren;Fahimipour, Farahnaz;Vanevenhoven, Rabecca;Thompson, Geoffrey;Gheisarifar, Maryam;Tahriri, Mohammadreza;Tayebi, Lobat
    • The Journal of Advanced Prosthodontics
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    • v.10 no.6
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    • pp.430-439
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    • 2018
  • The treatment of craniofacial anomalies has been challenging as a result of technological shortcomings that could not provide a consistent protocol to perfectly restore patient-specific anatomy. In the past, wax-up and impression-based maneuvers were implemented to achieve this clinical end. However, with the advent of computer-aided design and computer-aided manufacturing (CAD/CAM) technology, a rapid and cost-effective workflow in prosthetic rehabilitation has taken the place of the outdated procedures. Because the use of implants is so profound in different facets of restorative dentistry, their placement for craniofacial prosthesis retention has also been widely popular and advantageous in a variety of clinical settings. This review aims to effectively describe the well-rounded and interdisciplinary practice of craniofacial prosthesis fabrication and retention by outlining fabrication, osseointegrated implant placement for prosthesis retention, a myriad of clinical examples in the craniofacial complex, and a glimpse of the future of bioengineering principles to restore bioactivity and physiology to the previously defected tissue.

Recovery of ammonia from wastewater by liquid-liquid membrane contactor: A review

  • Jang, Yoonmi;Lee, Wooram;Park, Jaebeom;Choi, Yongju
    • Membrane and Water Treatment
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    • v.13 no.3
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    • pp.147-166
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    • 2022
  • Liquid-liquid membrane contactor (LLMC), a device that exchanges dissolved gas molecules between the two sides of a hydrophobic membrane through membrane pores, can be employed to extract ammoniacal nitrogen from a feed solution, which is transported across the membrane and accumulated in a stripping solution. This LLMC process offers the promise of improving the sustainability of the global nitrogen cycle by cost-effectively recovering ammonia from wastewater. Despite recent technological advances in LLMC processes, a comprehensive review of their feasibility for ammonia recovery is rarely found in the literature. Our paper aims to close this knowledge gap, and in addition to analyze the challenges and provide potential solutions for improvement. We begin with discussions on the operational principles of the LLMC process for ammonia recovery and membrane types and membrane configurations commonly used in the process. We then assess the performance of the process by reviewing publications that demonstrate its practical application. Challenges involved in the implementation of the LLMC process, such as membrane fouling, membrane wetting, and chemical requirements, are presented, along with discussions on potential strategies to address each. These strategies, including membrane modification, hybrid process design, and process optimization based on cost-benefit analysis, guide the reader to identify key areas of future research and development.

Editorial for Vol. 30, Issue 2 (편집자 주 - 30권 2호)

  • Kim, Young Hyo
    • Korean journal of aerospace and environmental medicine
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    • v.30 no.2
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    • pp.51-53
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    • 2020
  • In commemoration of Vol. 30, Issue 2, our journal prepared three review articles, two original papers, and a case report. The first review analyzed aircraft accidents caused by pilots' fatigue and presented a protocol to measure their fatigue, such as primary background survey, subjective drowsiness/arousal evaluation, sleep and activity log, sleep data, and performance measurement. The second review analyzed shift work patterns and work characteristics that may affect the fatigue of aviation mechanics. Also, desirable work principles for aviation mechanics (restrictions on working hours, appropriate rest hours, and night shift restrictions) were presented. The third review discussed the effects that allergic rhinitis can have on pilots (drowsiness and decreased arousal) and introduced a safe treatment method that can prevent these adverse effects. In the first original article, the ratio of 'incompatible (non-fit)' result in aerospace medical examination among Korean aircraft pilots for the past five years was investigated by age group and the common causes of nonconformity were analyzed. In the second original article, the prevalence, mortality, prevalence according to age groups, and regional characteristics of severe febrile thrombocytopenia syndrome were compared and analyzed in Korea and Japan for the past five years. Finally, in the case report, the cases of a patient diagnosed as gastrointestinal stromal tumors who received surgical treatment and chemotherapy were discussed, and the results of the judgment were presented.

Technical Advancements Needed for the Introduction of Distributed Water Infrastructure to Urban Wastewater Management Systems (분산형 물 인프라의 도시 하수관리 시스템 도입을 위한 기술적 발전방안)

  • Yongju Choi;Wooram Lee
    • Journal of Korean Society on Water Environment
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    • v.39 no.1
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    • pp.76-86
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    • 2023
  • We are on the verge of paradigm shift for the design and operation of our urban water systems from treatment- and efficiency-based to recirculation- and sustainability-based. One of the most frequently suggested alternatives to embody this paradigm shift is to decentralize the currently highly centralized urban water infrastructure. However, claims for water infrastructure decentralization are often criticized due to poor economic feasibility, unstable performance, and unprofessional operation and maintenance. The current study critically reviews the literature to discuss the technical advancement needs to overcome such challenges. Firstly, decentralized water infrastructure was briefly defined and the rationale for the proposal of its introduction to the next-generation urban water systems was laid down. The main discussion focused on the following water technologies, which require special attention when working with decentralized water infrastructure: i) material collection, storage, and transport; ii) easily scalable water treatment; iii) sensor, information, and communications; and iv) system optimization. The principles, current development status, and challenges were discussed for each of the water technologies. The discussion on the water technologies has enabled the identification of future research needs for their application to the next-generation urban water systems which will be designed following decentralized water infrastructure. This paper will significantly improve the current understanding on water infrastructure decentralization and provides insight on future direction of water technology development.