• 제목/요약/키워드: WHO grade II

검색결과 266건 처리시간 0.025초

봉약침요법의 면역반응에 관한 임상적 연구 (The Clinical Observation of Immune Response by Korean Bee Venom Therapy)

  • 권기록;고형균
    • Journal of Acupuncture Research
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    • 제17권1호
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    • pp.169-174
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    • 2000
  • The immune response of Bee Venom Therapy is commonly appear in clinics. It is whole body delayed allergy type and generally like fatigue. Therefore, in order to analysis the clinical form, we have observed immune response of 100 patients who visited Sangji University Oriental Medical Hospital and treated Bee Venom Therapy over 10 times from November 1998 to October 1999. The results were summarized as follows. 1. The distribution of Sex was 60 females, 40 males, and the average of patients age was $50.6{\pm}1.5years$. 2. The distribution of disease was degenerative arthritis, HIVD of L-spine, RA, etc. 3. The total treated time is 2765 and is observed 361 immume responses. 4. The average of keeping time in immume response is $11.8{\pm}0.6(hr)$, and the cases of over 24hrs is occupied 24.0%. 5. In the correlation between treated times and immume response is generally in inverse proportion. 6. The general aspect of immume response is chilling, heating, powerless, headache, dizziness, etc. 7. $M{\ddot{u}}ller$ Grade II-III was observed only 1%.

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개 슬개골 탈구 교정술에 있어서 활차구 성형술의 평가 (Evaluation of trochleoplasty for correction of patellar luxation in dogs)

  • 정언승;권오경;남치주
    • 대한수의학회지
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    • 제38권4호
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    • pp.936-945
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    • 1998
  • This study was performed to investigate the best surgical technique for normal stifle mobility by comparison with clinical signs and histopathological changes of articular cartilage after femoral trochleoplasty, trochlear chondroplasty and trochlear wedge recession. Twelve small mixed dogs who had grade I or II medial patellar luxation were used. The days that the dog had partial and full weight bearing were checked and histopathological changes 49 and 90 days after surgery were observed. The dogs had partial weight bearing in 3~6 days postoperatively and full weight bearing in 20~24 days. After femoral trochlepoplasty, the articular surface was irregular and rough, but smooth after trochlear chondroplasty and trochlear wedge recession. Histopathologic examination performed on the 49th and 90th days after femoral trochleoplasty revealed that articular surface was occupied by fibrocartilage but the hyaline cartilages are preserved after trochlear chondroplasty and trochlear wedge recession. In trochlear wedge recession, the wedges of all cases were firmly attached to underlying subchondral bone which were indicating complete healing. The results of this study suggested that the trochlear wedge recession was the best chondroplasty for correcting patellar luxation.

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Spontaneous Resolution of a Large Chronic Subdural Hematoma Which Required Surgical Decompression

  • Lee, Gun Seok;Park, Young Seok;Min, Kyung Soo;Lee, Mou Seop
    • Journal of Korean Neurosurgical Society
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    • 제58권3호
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    • pp.301-303
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    • 2015
  • We report on a case of an 87-year-old woman who showed spontaneous resolution of a large chronic subdural hematoma which required surgical decompression. She had suffered from confused mentality and right side weakness of motor grade II for 10 days. The initial brain CT scan showed a 22 mm thick low density lesion located in the left fronto-temporo-parietal region with midline shift (12 mm) which required emergency decompression. However, because she and her family did not want surgery, she was followed up in the outpatient clinic. Five months later, follow up brain CT showed that the CSDH had disappeared and the patient became neurologically normal. The reasons for spontaneous resolution of CSDH remain unclear. We discuss the possible relation between mechanisms of physio-pathogenesis and spontaneous resolution of a large chronic subdural hematoma (CSH) in an elderly patient.

자폐 스펙트럼 장애 환아 1례에 대한 증례 보고 (A Clinical Study of Treating Autism Spectrum Disorder in Childhood)

  • 신혜진;이보람;이지홍;장규태
    • 대한한방소아과학회지
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    • 제31권4호
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    • pp.49-60
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    • 2017
  • Objectives The purpose of this study is to report the effectiveness of Korean medicine on treating autism spectrum disorder (ASD) in childhood. Methods We treated an 8-years-old patient who was diagnosed with autism (grade II) with herbal medicine, acupuncture and electric moxibustion. Every 11 months, Korean-Childhood Autism Rating Scale (K-CARS) was used to assess the patient's symptom progression. Results After 21 months of Korean medicine treatment, the child's overall health was improved. Moreover, language ability, emotional control, memory and cognitive abilities got better, as well as anxiety, agitation, and aggressive behavior related to ASD were also decreased. K-CARS score at the initial stage of the treatment was 39.5 points, which can be considered as severe autism. After 11 months of the treatment, the K-CARS score was 34.5 points which is mild-moderate autism. Conclusions Korean medicine treatment can be effective in improving symptoms of ASD. However, further studies are needed to demonstrate the treatment benefits to ASD.

Anterior Lumbar Interbody Fusion with Pedicle Screw Fixation for Elderly Isthmic Spondylolisthesis

  • Lee, Dong-Yeob;Lee, Sang-Ho;Maeng, Dae-Hyeon;Jang, Jee-Soo
    • Journal of Korean Neurosurgical Society
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    • 제40권3호
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    • pp.175-179
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    • 2006
  • Objective : The surgical outcome of anterior lumbar interbody fusion[ALlF] with pedicle screw fixation for elderly isthmic spondylolisthesis was analyzed. Methods : Consecutive nineteen elderly patients [aged 65 years or more] with isthmic spondylolisthesis [Grade I or II] who underwent single level ALIF with pedicle screw fixation in 2002 were analyzed. Using clinical chart and mailed questionnaires, preoperative and postoperative Visual Analogue Scale[VAS] of back and leg pain and postopertive Macnab criteria were evaluated. Results : The mean age at the time of operation was 68.4 years [range 65 to 78 years]. Twelve patients underwent ALIF with percutaneous pedicle screw fixation. Seven patients underwent ALIF followed by posterior decompression and pedicle screw fixation. The postoperative complication rate was 10.5% [wound dehiscence in 1 patient and incisional hernia in 1 patient]. There was no postoperative major morbidity or mortality. At a mean follow-up duration of 30.7 months [range 25 to 35 months], 93.3% [14/15] of the patients showed excellent or good outcomes in terms of Macnab criteria. The mean VAS scores of back pain and leg pain significantly decreased after surgery. Conclusion : ALIF with pedicle screw fixation yielded favorable results for elderly isthmic spondylolisthesis in selected cases.

과학 연구 윤리 가치관 변화를 위한 초등 과학교육 프로그램의 개발 및 적용 (Development and Application of Elementary Science Education Programs for Changing Students' Scientific Research Ethical Views)

  • 이하얀;장신호
    • 한국초등과학교육학회지:초등과학교육
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    • 제29권2호
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    • pp.195-206
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    • 2010
  • The purposes of this study were to develop science education programs for changing students' science research ethical views, and to investigate the types and features of their views, and to examine their changes overtime. The subject of this study was one 6th grade class(41 students) at an elementary school located in Seoul. The scientific research ethical education programs developed in the study was applied through 8 lessons over 4 weeks. The results of this study show that 3 types of science research ethical views were appeared in elementary students participated in this study: 'human technology centered views', 'value ecology centered views' and the mixed views. The numbers of students, who changed their views from type I or type II to type III, were significantly increased. Students with type III appeared to actively involve in classroom activities aligned with science research ethical issues. The results imply that intended science ethical education program can affect students' ethical views on science. It is also important to aware that teacher's effective assistance and help contribute to students' meaningful changes on their traditional scientific ethical views. Educational implications on science education are discussed.

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아동의 의복과 체형이 인상형성에 미치는 영향(제2보) -체형에 따른 의복변인의 영향을 중심으로- (The Effect of Garment Formality, Yin-Yang Level , and Body Type on Impression Formation (Part II))

  • 이미숙;김재숙
    • 한국의류학회지
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    • 제21권4호
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    • pp.718-726
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    • 1997
  • The purpose of the study was to investigate the interaction effect of garment formality, Yin -Yang level, and body type of children on impression formation. The experimental materials developed for the study were a set of stimuli (8 color photographs) and a response scale (34 bipolar adjectives) and the subjects were 267 elementary school teachers in Taejon area who were responsible for the first grade students. Results were as follows; The 3 independent variables showed significant effects on impression of the 4 factors (sociability, potency, dynamics, cooperation) of impression. Since body type had interaction effects with garment formality and subject's gender, the two body types were separately analyzed. For the normal body type, only the garment formality affected on impression of cooperation factor But for the large body type, garment formality affected on impression of potency dimension, garment Yin-Yang level affected on social and dynamics dimension, and subject's gender affected on social and cooperation dimensions. The body type was the most salient variables and clothing effects for the large body type was significantly different for the normal body type. It is concluded that the results support the cognitive categorization theory on impression formation.

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Three Cases of Intracranial Clear Cell Meningioma

  • Kim, Yeon-Seong;Kim, In-Young;Jung, Shin;Lee, Min-Cheol
    • Journal of Korean Neurosurgical Society
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    • 제38권1호
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    • pp.54-60
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    • 2005
  • The clear cell meningioma[CCM] is a rare and recently described as a histologic variant of meningioma. It has been identified and included in new World Health Organization[WHO] classification of the Central Nervous System[CNS] tumors recently. The CCMs are histologically characterized by sheets of spindled to polygonal cells with clear cytoplasm, which is the expression of high glycogen concentration. The CCMs occur in younger patients and usually are located in the spinal canal and posterior fossa. The most interesting aspect of CCM is the high recurrence rate and aggressiveness. Poor outcome has been shown in intracranial and spinal tumor location, but the indicators that predict outcome have not been established. Until now 22 intracranial CCM cases had been reported in English literature and 3 cases in Korean. The authors report two cases of CCM located at cerebral convexity and one at cavernous sinus those were totally removed [Simpson Grade $I{\sim}II$] by subfrontal, frontal and orbitocranial approaches. The clinical, radiological, histopathological, and neurosurgical features of these cases are discussed with the relevant literatures.

이식 건 고정 시 슬관절 위치가 자가 슬괵건을 이용한 관절경적 전방 십자 인대 재건술 후 결과에 미치는 영향 (Effects of Knee Position during the Graft Fixation of the Arthroscopic Anterior Cruciate Ligament Reconstruction with Autogenous Hamstring Graft)

  • 이철우;유재두;노권재;박성필
    • 대한관절경학회지
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    • 제9권2호
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    • pp.143-147
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    • 2005
  • 목적: 슬개 건을 이용한 전방 십자 인대 재건술 시, 이식 건을 경골 쪽에서 고정할 때 일반적으로 슬관절의 굴곡 각도는 신전 위치에서 시행한다. 저자들은 슬괵 건을 이용한 전방 십자 인대 재건술 시, 이식 건을 고정 할 때 슬관절의 굴곡 각도가 수술 후 슬관절 안정성과 운동 범위에 미치는 영향을 알아보고자 하였다. 대상 및 방법: 2002년 5월부터 2003년 1월까지 슬괵 건을 이용한 전방 십자 인대 재건술 시, Rigidfix system(Mitek Product, Johnson and Johnson, USA)와 intrafix를 이용하여 고정하였다. 전방 십자 인대 재건술을 시행 받은 39명 중 추시 관찰이 되지 않은 2명을 제외한 37명의 환자를 대상으로 하였다. 평균 추시 기간은 14개월(범위: $13{\sim}25$개월) 이었다. 완전 신전 위 또는 20도 굴곡 위의 슬관절 굴곡 각도의 결정은 수술 순서에 따라서 교대로 선택하였다. 내측 반월상 연골의 절제 2예, 내측 반월상 연골의 봉합 2예 외측 반월상 연골의 봉합 1예에서 시행하였다. 임상적 평가는 이학적 검사인 Lachman검사, Pivot shift검사와 재건술 후의 Lysholm점수, IKDC( international knee documentation committee)평가 기준, KT-1000관절 계측 결과를 이용하였다. 결과: 최종 추시 상 수술 후 Lysholm 점수는 93.1점(범위: $65{\sim}98$점), IKDC 평가 기준에 의한 최종 평가 상 정상(A) 26예, 거의 정상(B) 10예, 비정상(C) 1 예이었으며, 심한 비정상은 (D)은 없었다. 최종 추시 상 KT-1000 관절계를 이용한 최대 도수 부하 검사 상 건 측 과의 차이는 평균 2.5 mm 이였다. 술 후 시행한 Lachman 검사상 정상 32예, 1 등급 4예, 2 등급 II 1예 이었고, Pivot shift 검사 상 정상 34예, 1 등급 2예, 2 등급 1예 이었다. KT-1000 관절계를 이용한 최대 도수 부하 검사 상 건 측 과의 차이는 20도 고정을 한 경우는 평균 2.3 mm, 완전 신전 위에서 고정한 경우는 평균 2.7 mm이였다(P<0.05). 수술 후 1년 슬관절의 운동 범위는 20도 굴곡 위에서 고정한 경우에 1례 에서 5도의 굴곡 구축이 있었고, 신전 위에서 고정한 경우는 2례 에서 건측 보다 10도의 굴곡 제한이 있었다. 결론: 자가 슬괵 건을 이용한 전방 십자 재건술 시, 경골 부의 고정 시 슬관절의 굴곡 각도 따른 슬관절의 전방 안정성에 차이는 없었으나, 신전 위에서 고정하는 것이 과도한 이식 건의 장력으로 인한 슬관절 굴곡 구축을 예방하는데 도움이 될 것으로 사료된다.

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다양한 표상활동 중심 분수학습이 분수의 이해 및 수학적 태도에 미치는 효과 (The Effect of the Fraction Comprehension and Mathematical Attitude in Fraction Learning Centered on Various Representation Activities)

  • 안지선;김민경
    • 한국수학교육학회지시리즈E:수학교육논문집
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    • 제29권2호
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    • pp.215-239
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    • 2015
  • 본 연구는 다양한 표상활동을 중심으로 한 분수학습이 분수의 이해 및 수학적 태도에 미치는 영향을 알아보기 위한 것으로서 서울 소재 B초등학교 4학년 33명 전체학생을 대상으로 실시하였다. 활동적, 영상적, 상징적 표상활동으로 이루어진 분수학습을 6주간 15차시에 걸쳐 진행한 결과 관계적 이해에 도달한 학생들의 비율이 증가하였으며, 분수 학업성취도 검사 I, II, III에서 평균 90점 가까이 또는 그 이상의 높은 성취도를 보였다. 수학적 태도 변화를 알아보기 위해서 두 종속표본 t검정을 실시한 결과, 유의수준 .01에서 통계적으로 유의미한 차이가 있는 것으로 나타났다. 결론적으로 다양한 표상활동 중심의 분수학습은 학생들의 관계적 이해도와 분수 이해력을 향상시키고, 학생들의 학습지향성, 자기통제, 흥미, 가치인식, 자신감을 높이며, 불안감을 감소시키는 등의 수학적 태도면에서도 긍정적 영향을 미쳤다고 할 수 있다.