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A Case Report of One Non-specific Polyneuritis Patient Treated with Korean & Western Medical Methods - Including Joint Mobilization Chuna Technique (한방 및 양방 복합치료를 병행한 비특이성 다발성 신경염 치험 증례보고 1례)

  • Lee, Soo-Hwan;Kim, Soon-Joong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.1
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    • pp.61-76
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    • 2019
  • Objectives : The purpose of this study was to report the clinical results of various medical methods (including Chuna joint mobilization) used to treat a single patient with polyneuritis. Methods : We treated a 46 year-old female patient diagnosed with polyneuritis using various methods, including acupuncture, moxibustion, infrared therapy, herbal medication, Western medication, Chuna manual therapy, and physical therapy. We evaluated the results using the numeric rating scale (NRS), manual muscle test (MMT), active range of motion (ROM), modified barthel index (MBI). Other evaluation scale included Deep tendon reflex and thickness of muscle especially forearm and lower leg. Results : Following treatment using a combination of the above methods, the general overall condition of the patients was significantly improved. Furthermore, the NRS, MMT, MBI, and the active ROM scores were numerically improved. Conclusions : In this case, a single patient with polyneuritis was treated using a combination of Korean and Western medical methods. Although this study provides useful insight into treatment methods, further studies are required to determine the treatment effects of Korean medicine, specifically Chuna manual therapy, in patients with polyneuritis.

EWIS Reliability Analysis of Aging Fighter Aircraft through Teardown Inspection (완전분해 점검을 통한 장기운영 전투기 전기배선시스템의 신뢰성분석)

  • Lee, Hoyong
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.26 no.4
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    • pp.116-121
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    • 2018
  • According to the incresement of aging aircraft, Republic of Korea Air Force (RoKAF) conducted a teardown inspection of aircraft's EWIS (electrical wiring interconnection system) to determine the status of deterioration and the influence of failure occurrences due to it. The inspected aircraft were the retired fighter jets that had been used for more than 40 years. By analyzing defect type and the defect tendency, RoKAF can establish the necessary measures for the usage extension of their fleet and furthermore, the analysis results can be used as a basic data for the preparation of it's aircraft aging. EWIS inspection was done throughout careful visual inspection technique by removing all the ducts and pipes located in the fuselage and wings. For the aircraft wiring where no damage was found, the elongation tests were performed to determine the deterioration of wiring according to the location of the aircraft. The connectors, which is the main cause of intermittent failure, were completely disassembled and inspected for internal damage such as corrosion, abrasion, and traces of foreign objects. The detected defects were classified into 4 severity levels based on the type of damage, and the classified defects were weighted according to the criticality which may affects to it's system to establish the action plan.

Improved Symptoms of Peripheral Facial Nerve Palsy in ChAdOx1 nCoV-19 Vaccine Recipients Following Complex Korean Medicine Treatment

  • Jang, Woo Seok;Jang, Jung Eun;Jung, Chan Yung;Kim, Kyung Ho
    • Journal of Acupuncture Research
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    • v.39 no.2
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    • pp.139-144
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    • 2022
  • Peripheral facial nerve palsy is a neurological condition/disease characterized by unilateral paralysis of the facial muscles. We report the effects of complex Korean medicine treatment in 2 patients diagnosed with Bell's palsy who developed symptoms 3-4 days following vaccination with ChAdOx1 nCoV-19 and who received oral steroids and antiviral medications. Complex Korean medicine treatments including acupuncture, electroacupuncture, bee venom acupuncture, cupping therapy, herbal medicine, and physical therapy were performed. Symptom improvement was evaluated daily using the Numerical Rating Scale, House-Brackmann Grade, and Yanagihara's Score. Patient 1 was hospitalized for 22 days and Patient 2 visited the outpatient clinic 20 times. In both cases, postauricular pain caused by Bell's palsy disappeared, and symptoms of facial paralysis improved following completion of treatment. These findings could suggest that combined Korean medicine treatment may improve symptoms of peripheral facial nerve palsy.

Probabilistic Q-system for rock classification considering shear wave propagation in jointed rock mass

  • Kim, Ji-Won;Chong, Song-Hun;Cho, Gye-Chun
    • Geomechanics and Engineering
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    • v.30 no.5
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    • pp.449-460
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    • 2022
  • Safe underground construction in a rock mass requires adequate ground investigation and effective determination of rock conditions. The estimation of rock mass behavior is difficult, because rock masses are innately anisotropic and heterogeneous at different scales and are affected by various environmental factors. Quantitative rock mass classification systems, such as the Q-system and rock mass rating, are widely used for characterization and engineering design. The measurement of rock classification parameters is subjective and can vary among observers, resulting in questionable accuracy. Geophysical investigation methods, such as seismic surveys, have also been used for ground characterization. Torsional shear wave propagation characteristics in cylindrical rods are equal to that in an infinite media. A probabilistic quantitative relationship between the Q-value and shear wave velocity is thus investigated considering long-wavelength wave propagation in equivalent continuum jointed rock masses. Individual Q-system parameters are correlated with stress-dependent shear wave velocities in jointed rocks using experimental and numerical methods. The relationship between the Q-value and the shear wave velocity is normalized using a defined reference condition. This relationship is further improved using probabilistic analysis to remove unrealistic data and to suggest a range of Q-values for a given wave velocity. The proposed probabilistic Q-value estimation is then compared with field measurements and cross-hole seismic test data to verify its applicability.

Effect of Mulligan SNAGs on Pain, Neck Dysfunction, and Depression in patients with Cervicogenic headache (멀리건 SNAGs 기법이 경추성 두통 환자의 통증, 경부 기능 장애 및 우울증에 미치는 영향)

  • Park, Jae-myoung;Shin, Eui-joo;Hong, Hyun-pyo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.2
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    • pp.25-34
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    • 2022
  • Background: Cervical headache (CGH) is a common condition that causes serious damage. Mulligan described a sustained natural apophyseal glides (SNAGs) as a manual therapy approach to treat this dysfunction. Although there have been several case studies to evaluate the effectiveness of SNAG, the efficacy of SNAG for cervical headaches is still controversial. Therefore, this study examined the effects of Mulligan's SNAG technique on cervical headache and pain intensity to present basic clinical data. Methods: Thirty-two subjects participated in this study, 16 each in the experimental and control groups. The experimental group applied Mulligan's SNAGs technique and the control group applied the placebo SNAGs technique. Results: Significant differences (p<.05) in the changes in pain, neck disability index (NDI) and Hamilton rating scale for depression (HRSD) were observed between the two groups. Conclusion: The application of Mulligan's SNAG technique to patients with cervical headaches effectively reduced headache, depression, and neck dysfunction. Based on this study, Mulligan's SNAGs technique can be used as an objective research method for additional studies targeting cervical headache patients in the future.

Effect of Cytoskeletal Manual Therapy, a Novel Soft Tissue Mobilization Technique, on Axillary Web Syndrome after Axillary Lymph Node Dissection: A Case Report

  • Hyun-Joong Kim;Seong-Hyeok Song;Seungwon Lee
    • Physical Therapy Rehabilitation Science
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    • v.11 no.4
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    • pp.464-470
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    • 2022
  • Objective: Axillary web syndrome (AWS) is a condition comprising fibrous band-like cords that appear in the axilla of patients after axillary lymph node dissection (ALND) during breast cancer surgery and result in pain and reduced mobility. The cords appearing with AWS are hardened veins or lymphatic vessels. Manual therapy and stretching are recommended for pain control and mobility improvement. Therefore, this study investigated the effect of cytoskeletal manual therapy (CMT), which is a new soft tissue mobilization technique. Design: A case report Methods: A 41-year-old woman with AWS after breast cancer surgery and ALND visited a physical therapy clinic because of shoulder pain, decreased function, and decreased mobility. The cords were palpable and pain occurred 2 weeks after surgery. CMT was performed three times per week for a total of 6 weeks. Her pain intensity, range of motion (ROM), and shoulder function were measured. Results: Measurements were performed after 2 weeks and 6 weeks of CMT and evaluated using the numeric pain rating scale (NPRS). Her pain intensity largely decreased after 2 weeks (4-point score reduction) and after 6 weeks (5-point score reduction) of CMT. After CMT, her full ROM was restored and her shoulder function was improved (7-point score reduction). Conclusions: CMT is effective for pain control, mobility improvement, and functional improvement of patients with AWS.

An Alternative Method to Evaluate Resistance to Pear Scab (Venturia nashicola)

  • Kyungho Won;Eu Ddeum Choi;Keumsun Kim;Hae Won Jung;Il Sheob Shin;Seongsig Hong;Cecile Segonzac;Young Jin Kim
    • The Plant Pathology Journal
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    • v.39 no.2
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    • pp.228-233
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    • 2023
  • Two pear cultivars with different degrees of resistance to Venturia nashicola were evaluated on the basis of a disease severity rating for pear scab resistance under controlled environmental condition. Two inoculation techniques were tested: the procedure for inoculation by dropping conidia suspension of V. nashicola; the procedure by deposition of agar plug on the abaxial surface of pear leaves. All tested cultivars resulted in blight symptoms on the inoculated leaves and became spread to uninoculated region or other leaves. Although both methods provide satisfactory infection of V. nashicola on pear leaves, the mycelial plug method of inoculation was more reliable than the spray inoculation method for the evaluation of pear scab disease resistance. The incubation period of V. nashicola in the resistant pear cultivar, Greensis was longer than that in the susceptible cultivar, Hwasan.

The Effect of the Contingent Liabilities Caused by Project Financing of the Domestic Construction Firms

  • Kang, Namhee;Kim, Hyunjung;Choi, Jaehyun
    • International conference on construction engineering and project management
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    • 2015.10a
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    • pp.683-684
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    • 2015
  • Project Financing (PF) is the long-term financing of infrastructure and industrial projects based upon the projected cash flows of the project rather than the balance sheets of its sponsors. However, the financial institution, the subject of financing in the case of PF in Korea, the lack of validation system of business, rather than to assess the feasibility of the project, requested a credit reinforcement to the construction company, the fact is Construction Company on loans of the employer is the guarantor or debt argument commitments accordingly. As a result, PF contingent liabilities, which are indirect debt, are triggered in the construction company, not included in the financial statements, along with the disclosure standards established according to 2009 PF contingent liabilities, and major can be a management item. In this study, PF contingent liabilities is of Pearson of the index and the PF debt ratio showing the main financial ratios and risk by classifying the credit rating and contractors Ranking of construction companies in order to analyze the impact on the financial condition of the company was performed correlation analyzes, through the Pearson correlation coefficient analysis indicated quantitative or negative relationship to derive the explicit indication.

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Improvement of Dyspnea and Palpitations of Cardiac Origin Using Comprehensive Traditional Korean Medicine Treatment Including Bangibokryeong-tang (Fangji Fuling Decoction) : A Case Report (심장성 원인의 호흡곤란 및 두근거림을 방기복령탕가미방(Fangji Fuling Decoction)을 포함한 복합 한의치료로 호전시킨 증례 1례 - 증례보고)

  • Jumin Kim;Dasol Park;Hyeryun Lee;Jungtae Leem
    • The Journal of Internal Korean Medicine
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    • v.45 no.1
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    • pp.100-110
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    • 2024
  • This case report demonstrates the effect of modified Bangibokryeong-tang (Fangji Fuling Decoction), a traditional herbal prescription in treating dyspnea and palpitations, symptoms that often lead to anxiety and reduced quality of life of cardiac patients. A female patient in her late 70s with congenital valve malformation and atrial fibrillation presented with dyspnea and palpitations, each rated at a severity of 8 on a numeric rating scale (NRS). After voluntarily discontinuing Western medication, she received modified BGBRT for 25 days, leading to significant symptom relief and NRS improvement to 0-2. The patient reported maintaining an improved condition and showed a significant increase in vitality. This improvement was sustained for 7 months, but the symptoms recurred; thus, modified BGBRT was restarted. Modified BGBRT showed substantial effects on persistent cardiac-origin dyspnea and palpitations. Thus, this TKM has the potential to manage symptoms and enhance the quality of life of cardiac patients.

Clinical Characteristics and Treatment Effects of Shoulder Pain Patients Admitted to a Korean Medicine Hospital Based on MRI Findings (한방병원에 입원한 견통 환자들의 MRI소견에 따른 임상적 특징, 한방치료 효과에 대한 비교고찰)

  • Lim, Su Jin;Jun, Jae Yun;Lee, Chong Whan;Kim, Hae Sol;Kim, Ho Sun;Bae, Young Hyun;Ahn, Ji Hoon
    • Journal of Acupuncture Research
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    • v.31 no.4
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    • pp.109-119
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    • 2014
  • Objectives : The aim of this study is to observe clinical characteristics and treatment outcomes of inpatients admitted to a Korean medicine hospital for shoulder pain based on magnetic resonance imaging(MRI) findings. Methods : 28 patients with MRI data were included. Data on MRI findings, duration of pain, and treatment effects were collected. To measure treatment outcomes, verbal numerical rating scale(VNRS), range of motion(ROM), and a clinical condition grading system were used. Results : 1. The patient population was 75.0 % female and 39.3 %(n=11) belonged to the 51~60-year-old age group. In the under 40 population, 1 or less MRI findings were found. 2. As for the type of disorder, 82.1 % of the patients were diagnosed with 'Supraspinatus lesion', 39.3 % with 'subacromial-subdeltoid(SA-SA) bursitis', and 28.6 % with 'Adhesive capsulitis' 3. Numerous correlations could be made between duration of pain and MRI findings. 'rotator cuff full thickness tear' was more prevalent in acute shoulder pain patients, and 'Adhesive capsulitis' in chronic patients. 4. VNRS and ROM at the time of discharge had significantly improved as compared to VNRS and ROM at the time of admission. 5. As for correlation between MRI findings and clinical condition grade, patients diagnosed with 'rotator cuff partial tear' reported to be in 'good' condition or better whereas those with 'rotator cuff full thickness tear' reported to be in 'fair' condition or worse. Conclusions : Patients admitted to a Korean Medicine hospital for shoulder pain had varying degrees of severity as shown on MRI. Almost all lesions responded well to Korean medicine treatment.