• Title/Summary/Keyword: adjunct treatment

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Flower Induction in Greenhouse-grown Hybrid Larch Grafts and Field-grown European Larch Seedlings (온실(溫室)에서 자라는 낙엽송(落葉松)의 접목묘(接木苗)와 야외(野外)에서 자라는 실생묘(實生苗)로부터 개화(開花)의 유도(誘導))

  • Shin, Dongill
    • Journal of Korean Society of Forest Science
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    • v.85 no.3
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    • pp.532-538
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    • 1996
  • GA4/7 spray, injection and several cultural treatments were applied to the greenhouse-grown potted hybrid larch(Larix decidua${\times}$leptolepis) grafts and field-grown European larch seedlings to induce early flowering. A treatment consisting of repeat-ed GA4/7 sprays, alone, was the most effective flower induction treatment for greenhouse-grown, potted larch grafts. Root pruning as a adjunct treatment did not show synergistic effects. Injection for potted grafts with GA4/7 was not useful approach in this study and it resulted in increased mortality. In the field experiment with 10-Year-old larch seedlings, repeated GA4/7 sprays in combination with root pruning or with plastic mulching appears to be useful and practical means for inducing larch flowers:

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TREATMENT OF HEAVY MANDIBULAR BUCCAL FRENUM USING APICALLY POSITIONED FLAP UNDER DEEP SEDATION IN CHILDREN (소아환자의 깊은 진정요법 하에서 근단변위 판막술을 이용한 거대협소대의 치료)

  • Kim, Jong-Bin;Yoon, Hyung-Bae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.69-76
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    • 1999
  • The mandibular buccal frenum is defined as a fold of mucous membrane at the posterior labial vestibule and attaches the lips and the cheeks to the alveolar mucosa, gingiva, and underlying periosteum. The buccal frenum becomes a problem when its attachment is too close to the marginal gingiva. It may then pull on healthy gingiva, encourage plaque formation and interfere with tooth brushing. Especially, heavy buccal frenum mucogingivally results in insufficent attached gingiva, inadequate vestibular depth and high frenum attachment and also difficulty in eruption of mandibular premolar. Frenotomy, frenectomy and mucogingival surgery are used in treating heavy buccal frenum. Frenotomy with autogenous free gingival graft has been used popularly because of its stable result. But, it is difficult in younger children because of inadequate donor site, difficulty in making recipient site and behavior management. Frenotomy with apically positioned flap is considered as more efficient way for a very young child with heavy buccal frenum. Additionally, modified deep sedation with $N_2O-O_2$ can be used as an adjunct for the effective treatment outcome. Decrease in muscle pull, adequate width of attached gingiva and increased vestibular depth can be expected from this treatment approach.

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The Efficacy of Scalene Injection in Thoracic Outlet Syndrome

  • Lee, Gun-Woo;Kwon, Young-Ho;Jeong, Ju-Ho;Kim, Jung-Won
    • Journal of Korean Neurosurgical Society
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    • v.50 no.1
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    • pp.36-39
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    • 2011
  • Objective : To evaluate the efficacy of scalene injection in patients with thoracic outlet syndrome. Methods : We selected 142 patients diagnosed with thoracic outlet syndrome between January 2005 and October 2009. We performed a series of scalene injection with conservative treatment in all cases. Patients rated their pain degrees using a visual analogue scale. We also evaluated the time to return to everyday life and work, and patients' functional capacity. Results : There were no complications or instances of inadvertent somatic or sympathetic ganglionic blockade after scalene injection. Overall, 111 patients (76.5%) experienced improved symptoms after the first set of scalene injection and 128 patients (88.2%) improved after scalene injection followed by conservative treatment. Of the 68 patients who returned to work during the study period, 54 returned within 1 week, and 62 within 2 weeks. Of those who returned to work, 61 reported nearly full functional capacity. We found that scalene injection was more effective in cases of thoracic outlet syndrome related to trauma than in those related to work-related repetitive stress. Conclusion : In patients with thoracic outlet syndrome, scalene injection effectively reduces pain. We recommend scalene injection as an adjunct to conservative treatment.

Vagus Nerve Stimulation Treatment for Children with Refractory Epilepsy (Lennox-Gastaut Syndrome) (난치성 간질 환자에서 미주신경자극술 치료결과 분석(레녹스-가스토 증후군 환자))

  • Kim, Dae-Sik;Kim, Cheon-Sik
    • Korean Journal of Clinical Laboratory Science
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    • v.39 no.1
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    • pp.56-62
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    • 2007
  • Lennox-Gastaut syndrome(LGS) is a severe age-specific epilepsy syndrome that causes medication-resistant seizures in childhood. Vagal nerve stimulation (VNS) has been proposed as a possible way to improve the treatment of refractory epilepsy. We treated 9 patients with Lennox-Gastaut syndrome between the ages of 2 and 11 years (mean 5.8 years), by using the vagus nerve stimulation. The mean follow-up duration was 35 months. The mean reduction of seizure frequency compared with baseline before VNS was 52% after 6 months (range, 0% to 89%; P<0.011), and 58% after 1 year (range 0% to 89%; P<0.012). Seven patients showed improvements of quality of life (QOL) such as alertness, mood, and language skills. The most common side effects were transient hoarseness (6 patients) and drooling (1 patient). Our results suggest that the vagus nerve stimulation could be an effective and safe adjunct therapy for the treatment of Lennox-Gastaut syndrome.

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Usefulness of Ultrasonography-Assisted Closed Reduction for Nasal Fracture under Local Anesthesia

  • Kim, Dae-Hyun;Kim, Kyung-Sik
    • Archives of Craniofacial Surgery
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    • v.16 no.3
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    • pp.151-153
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    • 2015
  • Closed reduction is the treatment of choice for most nasal bone fractures. In this technique, the nasal bone cannot be directly visualized, proper reduction is confirmed by palpation of the bony contour. This confirmation-via-palpation is in most cases too uncomfortable or painful for patients, and this is the reason why most closed reductions of nasal bone fractures are performed under general anesthesia. Recently, ultrasonography has been adopted as a useful diagnostic method and operative adjunct. In this report, we report the use of ultrasonography as a means to provide palpation-less confirmation of proper reduction, which in turn allows for nasal bone reduction under local anesthesia.

Measurements of fractional exhaled nitric oxide in pediatric asthma

  • Hahn, Youn-Soo
    • Clinical and Experimental Pediatrics
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    • v.56 no.10
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    • pp.424-430
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    • 2013
  • Exhaled nitric oxide (NO) has been extensively investigated as a noninvasive marker of airway inflammation in asthma. The increased NO expression induced by inflammatory mediators in airways can be monitored easily in exhaled air from asthmatic children. Based on the relationship between the increased NO expression and eosinophilic airway inflammation, fractional exhaled nitric oxide (FeNO) measurements become an important adjunct for the evaluation of asthma. In addition, the availability of portable devices makes it possible to measure FeNO more easily and frequently in the routine pediatric practice. Despite various confounding factors affecting its levels, FeNO can be applicable in diagnosing asthma, monitoring treatment response, evaluating asthma control, and predicting asthma exacerbations. Thus, although pulmonary function tests are the standard tools for objective measurements of asthmatic control, FeNO can broaden the way of asthma monitoring and supplement standard clinical asthma care guidelines.

A Case Study on Cervical Spondylotic Myelopathy (척수성 경수증에 대한 증례연구)

  • Lee, Young-Hwa;Kwon, Won-An
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.3
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    • pp.331-339
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    • 2010
  • Purpose : Cervical spondylotic myelopathy is a varied clinical syndromes and the most serious condition of cervical spondylosis. Spinal cord dysfunction is often caused by the compression on spinal cord. The purpose of this report was to describe physical examination and the process of disorders on cervical spondylotic myelopathy(CSM). Methods : Three cases with cervical myelopathy were presented with magnetic resonance image(MRI), Nurick's grade and Japanese Orthopaedic Association(JOA) score. Results : This studies showed a variable clinical course with gradual neurological deterioration in two cases. but one case was improved by operation and a regular aerobic exercise. MRI, Nurick's grade, JOA score are a useful adjunct for CSM evaluation. Conclusion : The state of CSM is variable, which may affect conservative treatments and surgery. It is needed to be a carefull approach and studies for a conservative treatment and management on CSM.

Extended Application of Total Circulatory Arrest in Non-cardiac Diease (완전순환정지술의 심장질환 이외의 임상적 적용)

  • Won, Yong-Sun;Baek, Wan-Ki;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.27 no.10
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    • pp.854-857
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    • 1994
  • Hypothermia and circulatory arrest is efficatious adjunct in the surgical treatment of conventionally difficult or otherwise inoperable lesion. This technique was utilized in 5 patients, 3 with membraneous obstruction of inferior vena cava[MOVC] and 1 with giant middle cerebral artery aneurysm and 1 with renal cell carcinoma invading inferior vena cava. All membraneous obstruction of inferior vena cava patients had excellent results but the others died of operative complications. The rationale for the use of complete cardiac arrest with hypothermia is reviewed and the use of these technique in selected patients is warrented.

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Use of Hypnosis in the Management of Patients with Burn Pain (최면을 이용한 화상 환자의 동통 조절)

  • Park, Hee-Gwan
    • Korean Journal of Psychosomatic Medicine
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    • v.5 no.2
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    • pp.218-222
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    • 1997
  • Before the dressing and debridement of the wounds, patients received hypnosis and were taught self-hypnosis. They were instructed to let the burn areas being worked on "become relaxed and numb" in the trance. The author encouraged them to imagine wound-healing. Result of this hypnoanalgesia as an adjunct treatment for burn pain proved it most effective and facilitative. Theoretical and practical implications and future research directions were discussed.

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Biological Response Modifiers Influence Structure Function Relationship of Hematopoietic Stem and Stromal Cells in a Mouse Model of Leukemia

  • Basu, Kaustuv;Mukherjee, Joydeep;Law, Sujata;Chaudhuri, Samaresh
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2935-2941
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    • 2012
  • Biological response modifiers (BRMs) can alter interactions between the immune system and cancer cells to boost, direct, or restore the body's ability to fight disease. Mice with ethylnitrosourea- (ENU) induced leukemia were here used to monitor the therapeutic efficacy of lipopolysaccaride (LPS), Bacillus Calmette Guerin (BCG) and sheep erythrocytes (SRBC). Flow cytometry based CD34+ positivity analysis, clonogenicity, proliferation and ultrastructure studies using scanning electron microscopy (SEM) of stem cells in ENU induced animals with and without BRMs treatment were performed. BRMs improved the stem-stromal relationship structurally and functionally and might have potential for use as an adjunct in human stem cell therapy.