• Childhood Kidney Diseases
• /
• 제28권1호
• /
• pp.27-34
• /
• 2024

Purpose: The ability to concentrate urine becomes an important index in determining nocturnal enuresis (NE) treatment. The aim of our study was to investigate first-morning urine osmolality (Uosm) changes at the end of treatment compared to before treatment in children with NE. Methods: A total of 71 children with NE were divided into two groups according to the level of first-morning Uosm before treatment: high group (≥800 mOsm/kg) and low group (<800 mOsm/kg). Baseline parameters were obtained from uroflowmetry, frequency volume charts for at least 2 days, and a questionnaire for lower urinary tract symptoms. All patients were basically treated with standard urotherapy and medication. The first-morning Uosm was measured twice, before treatment and at the end of treatment. Results: The response rate was higher in the low group after 3 months of treatment than in the high group (P=0.041). However, there was no difference between the two groups at the end of the treatment. In the high group, the first-morning Uosm at the end of treatment did not show a significant change compared to before treatment. In contrast, the first-morning Uosm increased in the low group at the end of treatment (P<0.001). However, it was still lower than that of the high group (P=0.007). Conclusions: The ability to concentrate nocturnal urine improved at the end of treatment compared to before treatment in the low Uosm NE children. In addition, NE improved faster in the low Uosm group before treatment than in the high group.

• Journal of Chest Surgery
• /
• 제24권8호
• /
• pp.765-772
• /
• 1991

Between 1985 and 1990, 41 patients underwent treatment of the tracheal stenosis. Nineteen patients underwent resection and end-to-end anastomosis including three cases of the subglottic stenosis. Other patients had had treatment such as LASER therapy, bronchoscopic removal, insertion of the Montgomery silastic T-tube or stent insertion Nineteen patients which underwent resection and end-to-end anastomosis were excellent result from three years to sixth months. Other patient were followed at OPD for the other complication or restenosis. There were no hospital death but one patient was managed by bronchoscopic removal of the granulation tissue and other one patient had underwent reoperation for the dehiscence at the anastomotic site.

• Clinics in Shoulder and Elbow
• /
• 제18권3호
• /
• pp.162-166
• /
• 2015

Clavicle medial end fracture is rare, and it has not been studied extensively. Although there is debate regarding its treatment methods, because of the complications of conservative treatment, surgical treatment has been considered more than conservative treatment. This study describes a surgical method using double-plate fixation for treatment of clavicle medial end fractures in which plates were used on each anterior and superior border according to the anatomical structure of the clavicle. In addition, we report operative results of three patients treated by double-plate fixation.

• Journal of Hospice and Palliative Care
• /
• 제23권2호
• /
• pp.85-92
• /
• 2020

Purpose: In 2018, the Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life was implemented and the scope of official recognition for terminally ill patients was expanded. The purpose of this study was to investigate the decisions made by patients with end-stage liver disease about their life-sustaining treatment in a clinical setting. Methods: The subjects of this study were patients with end-stage liver disease hospitalized at a tertiary hospital in Seoul, Korea who wrote physician orders for life-sustaining treatment (POLST). Data collection was done using patients' electronic medical records, and a retrospective analysis of POLST was conducted. Results: Among 101 patients, 18.8% were female and 81.2% were male, and their mean age was 61.8 (±10.61) years. Sixty-three patients (62.4%) wrote their POLST by themselves. Three patients withdrew the POLST, of whom two did so for liver transplantation, and one did so for chemotherapy. Conclusion: This study shows that sufficient consideration of liver transplantation is needed for end-stage liver disease patients before making decisions on life-sustaining treatment. The self-determination of patients must be respected and effective guidelines are urgently needed.

• 한국가금학회지
• /
• 제24권1호
• /
• pp.29-37
• /
• 1997

An experiment was conducted for 20 days( from July 21 to August 10, 1996) to investigate the differences in thickness of eggshell and eggshell membrane in Korean native chicken. All the eggs were purchased from a farm located in Chinju area. All eggs were categorized into Treatment I (34.89~51.39 g), H (53.32~60.70 g), and III (34.89~60.70 g) according to their weights. Eleven items were measured in all three treatments, i.e., egg weight, egg length, egg width, breaking strength, eggshell thickness of large end(STLE), eggshell membrane thickness of large end(SMTL), eggshell thickness of small end (STSE), eggshell membrane thickness of small end(SMTS), eggshell thickness of middle part(STMP), and eggshell membrane thickness of middle part(SMTM). Correlation coefficients between egg weight and eggshell weight, among eggshell thickness of large end, small end and middle end and eggshell weight were significant (P<0.01). Correlation coefficients between egg weight and large eggshell membrane were nega-tively significant(P<0.01). Breaking strengths were higher in Treatment I than in Treatment H. Correlation coefficients among thickness of eggshell and eggshell membrane at each point at 3 parts of large end, small end and middle end were not significant.

• 한국도로학회논문집
• /
• 제10권1호
• /
• pp.123-134
• /
• 2008

국내에 설치되고 있는 가드레일의 단부처리시설(end treatments)은 차량의 관통이나 전복을 유발할 수 있는 형상을 하고 있어 사고 시 탑승자가치명상을 입을 가능성이 매우 높다. 실제로 차량이 가드레일의 단부에 충돌하였을 경우, 가드레일이 차량내부를 관통하여 탑승자에게 직접적인 상해를 입히는 경우가 발생되고 있다. 본 연구에서는 미국과 유럽의 성능평가기준(performance evaluation criteria)에 근거하여 국내 실정에 적합한 단부처리시설에 관한 성능평가기준(안)을 제시하였다. 또한 외국의 설치사례 및 연구사례를 조사하여 단부처리시설의 mechanism을 파악하고 국내 도로환경 에 적합한 단부처리시설을 제안하였다. LS-DYNA 프로그램을 이용한 컴퓨터 시뮬레이션을 통해 제안된 단부처 리시설에 대한 성능을 검증한 결과 성능평가기준(안)에 모두 만족한 결과를 보였으며, 개발 단부처리시설에 대한 실물차량 충돌시험을 수행한 결과 성능평가기준(안)의 탑승자 보호성능, 단부처리시설의 거동, 충돌 후 차량의 거동을 모두 만족하였다. 국내 최초로 탑승자의 안전을 고려하여 개발된 단부처리시설이 고속도로나 국도에 설치된다면 단부충돌사고의 심각성을 감소시켜 도로의 안전성을 향상시킬 수 있을 것으로 사료된다.

• Journal of the Korean Wood Science and Technology
• /
• 제35권1호
• /
• pp.17-26
• /
• 2007

본 연구에서는 수증기댐처리 또는 횡단면 코팅처리 등이 오동나무 장고용 초갈이재의 송풍오븐건조 특성에 미치는 영향을 구명코저하였다. 건조개시 직후의 중량감소량은 무처리(C-NC treatment), 엔드코팅처리(C-CO treatment), 수증기댐처리(V-NC treatment), 수증기댐-엔드코팅처리(V-CO treatment)재의 순으로 크게 나타났다. V-CO처리재는 V-NC처리재와 비교하여 전(全)건조기간에 걸쳐 더 완만한 온도경사를 보였으며 내층과 외층간에 온도경사가 거의 존재하지 않았다. C-CO처리재의 경우 C-NC처리재와 비교하여 건조중기까지는 외층과 내층의 수증기압 모두가, 그리고 건조중기 이후에는 내층의 수증기압이 더 높게 나타났다. V-CO처리재의 경우 건조초기에는 V-NC처리재와 유사한 분포를 보였으나, 건조초기 이후 통공, 외층, 내층의 순으로 절대수증기압이 큰 분포를 보이면서 V-NC처리재와는 전혀 다른 분포모형이 관찰되었다. 재면할렬과 윤할은 모든 처리재에서 전혀 발생하지 않았으나 엔드코팅을 실시하지 않은 C-NC와 V-NC에서는 횡단면할렬이 심하게 발생하였다.

• Journal of Hospice and Palliative Care
• /
• 제23권2호
• /
• pp.93-102
• /
• 2020

Purpose: The Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life came into force in February 2018 in Korea. This study reviews the practices of end-of-life care for patients who withdrew or withheld life-sustaining treatment at a tertiary care hospital, addresses the limitations of the law, and discusses necessary steps to promote patient-centered self-determination. Methods: We retrospectively analyzed the medical records of patients who died after agreeing to withhold life-sustaining treatment in 2018 at our university hospital. The cause of death, the intensity of end-of-life care, and other characteristics were reviewed and statistically analyzed. Results: Of a total of 334 patients, 231 (69%) died from cancer. The decision to stop life-sustaining treatment was made by family members for 178 patients overall (53.3%) and for 101 (43.7%) cancer patients, regardless of the patient's wishes. When the patient decided to stop life-sustaining treatment, the time from the authorization to withhold life-sustaining treatment to death was longer than when the decision was made by family members (28.7±41.3 vs 10.5±23.2 days, P<0.001). Conclusion: In many cases, the decision to discontinue life-sustaining treatment was made by the family, not by the patient. In order to protect human dignity based on the patients' self-determination, it is necessary for patients to understand their disease based on careful explanations from physicians. Ongoing survey-based research will be necessary in the future.

• Journal of Hospice and Palliative Care
• /
• 제25권1호
• /
• pp.42-49
• /
• 2022

As population aging increases the burden of cancer, the quality of death of patients with cancer is emerging as an important issue alongside their quality of life. To improve the quality of death, it is necessary to prepare for death, allowing patients to die comfortably and with dignity at the end. Considering these issues, I aim to discuss the practical aspects of notifying the patient of the terminal phase of cancer and planning for end-of-life care (i.e., advance care planning). When cancer treatment that can extend the patent's lifespan becomes difficult, the patient enters a treatment transition period. Treatment is shifted from life-prolonging care to life-enhancing care, and end-of-life care must be well planned. Medical providers often worry too much about whether the patient will be disappointed or psychologically traumatized when notified of the terminal phase of their cancer, thus delaying plans for end-of-life care. In fact, patients can accept their condition and prepare for end-of-life care better than we expect. During the treatment transition period, notification of terminal status should be given, and a well-prepared advance care plan should be established early when the patient has decision-making ability. In addition to conveying information, it is always necessary to be sensitive to whether the patient and caregiver understand the information and respond to their emotions.

• 대한치과의사협회지
• /
• 제55권8호
• /
• pp.556-564
• /
• 2017

Endodontic surgery is a procedure to treat apical periodontitis or abscess in cases that did not heal after nonsurgical treatment or retreatment. This might include situations with persistent intracanal infection after root canal treatment. Other reasons might be found in extraradicular infection, such as bacterial biofilm on the apical root surface or bacteria within the lesion. For many years, the treatment standard was the traditional approach with surgical burs and amalgam for root-end filling. Endodontic microsurgery is the most recent step in the evolution of endodontic surgery, applying not only ultrasonic tip and biocompatible filling materials but also incorporating high-power magnification and illumination. Although many studies have been published that advocate the use of modern technique, the traditional techniques are still widely used in the surgery community. The purpose of this study was to demonstrate the endodontic microsurgery procedure including the root-end preparation and filling with the use of a surgical operating microscope.