• 제목/요약/키워드: further treatment

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폐쇄성 수면 무호흡증에 대한 포괄적 치료 - 수면 클리닉에서 치과의 역할 (COMPREHENSIVE TREATMENT OF OBSTRUCTIVE SLEEP APNEA - THE ROLE OF DEPARTMENT OF DENTISTRY IN SLEEP CLINIC)

  • 권대근;조용원;안병훈;황상희;남기영
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제30권2호
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    • pp.150-156
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    • 2004
  • The etiology of the obstructive sleep apnea includes the various factors such as anatomical abnormality in upper airway, craniofacial structure, obesity and personal habit. To establish reasonable treatment plan, multi-department approach is should be emphasized because the treatment modality is depend on the result of analysis for degree & site of obstruction and various behavioral factors. In Sleep Clinic in Keimyung University Medical Center, the standard of care for sleep apnea patient was established according to the Standard of practice committee of Americal Sleep Disorders Association. After one year experience of comprehensive approach for sleep apnea we could achieve following recommendation for the treatment. 1) The multi-department examination and diagnosis could prevent unnessesary treatment because the treatment plan could be established under comprehensive discussion. 2) Determination of the site of obstruction is important for treatment planning. However, no single determinant could be found. We expect multi-department approach can reduce the mistake in detection of obstruction. 3) Further evaluation of treatmet outcome should be succeeded to establish Korean standard of care for sleep apnea treatment.

우리나라 하수처리장 방류수 수질현황 및 특성 (Survey of the Secondary Effluents from Municipal Wastewater Treatment Plants in Korea)

  • 김영철;안익성;강민기
    • 한국물환경학회지
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    • 제21권2호
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    • pp.158-168
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    • 2005
  • In this study, the discharging effluents from have been 9 municipal wastewater treatment plants surveyed for 1 year-period. Statistics including probability distribution, cumulative occurrence concentration and other statistical parameters were presented. In addition, treatment performance and its stability were also discussed. Most of the plants, have an operational problem of high soluble organic content in the secondary effluent which may be associated with the integrated treatment of human and livestock manures. Nitrogen concentration in the effluents were usually higher during the period of summer and winter. It was found that this is mainly due to lack of the proper C/N ratio during the summer, or/and the effects of low temperature and less dilution by dry weather during the winter. Phosphorus concentration is sharply increased in June. Discussion with plant operators told that it is due to the dissolution of phosphate from the sludge accumulated in the primary settling tanks from the early spring to june. During this period, usually, sludge treatment line is highly overloaded with flush-outs of the sediments also stored in the bottom of combined sewer due to the low flow during winter season. Most of the plants can meet new effluent discharge limits of the nitrogen and phosphorus, and total coliform without further treatment.

가미팔미환(加味八味丸)의 elastase 유도성 A549 세포사멸에 대한 보호효과 (Protective Effects of Gamipalmi-hwan on Elastase-induced Apoptosis of A549 Cells)

  • 오지석;박양춘
    • 대한한의학회지
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    • 제31권2호
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    • pp.137-148
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    • 2010
  • Objective: This study aimed to evaluate the protective effects of Gamipalmi-hwan (GPH) on elastase-induced lung cell injury. Materials and Methods: As an in vitro model of emphysema, the current study was performed to investigate potential activity of GPH in regulating injury responses of A549 human type II cell line mediated by elastase treatment. Results: GPH treatment increased the number of A549 cells which was reduced by elastase digestion. Elastin protein level, which was reduced by elastase treatment, was increased by GPH treatment. Labeling intensity with caspase 3 protein in elastase-treated cells was reduced by GPH treatment. Both Erk1/2 and Cdc2 protein levels, which were decreased by elastase treatment, were increased to a level similar to that of the normal cells. mRNA levels encoding IL-$1{\beta}$ and TNF-$\alpha$ were increased by elastase and then down-regulated by GPH. Conclusion: The present data suggest that A549 cells are subjected to inflammatory damage by elastase and can be recovered by GPH treatment. Further studies examining the protective activity of GPH in elastase-treated lung tissue would be useful for therapeutic strategies of emphysema treatment.

탈모의 한의학적 치료에 대한 국내 현황 : 증례보고를 중심으로 (The Current Status of Korean Medicine Treatment of Alopecia : Focusing on Case Reports)

  • 권소현;홍석훈
    • 한방안이비인후피부과학회지
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    • 제32권3호
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    • pp.164-185
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    • 2019
  • Objectives : This study is carried out to analyze the use of Korean medical treatments on alopecia in Korean medicine clinical studies published in South Korea. Methods : Based on OASIS and KTKP with the keyword 'alopecia', published in 1996-2019.4.23., total 23 studies have been found and analyzed. We analyzed Korean medical treatment used in each cases, and investigated the tendency of use for each treatment. Results : 369 cases in 23 research papers were selected. Herbal medicine, acupuncture, pharmacopuncture, external medicine and other therapy were used as treatment for Alopecia. Herbal medicine with a cooling effect was mainly used. The acupoints mainly used were GV20, ST8, GB5, ST36, HT8, PC6, BL66. Pharmacopunctures used to treat alopecia were CF, HP, HH, BV, etc. The average duration of Korean medicine treatment was 144 days. After Korean medicine treatment, 292 cases presented improvement or complete recovery. Conclusions : According to the results, we were able to discover the current status of Korean medicine treatment of alopecia. Based on this result, further studies will be needed to establish the primary treatment direction of alopecia.

소아 특발성 관절염의 한약치료에 대한 문헌 고찰 (Literature Review of Clinical Studies for Herbal Medicine Treatment on Juvenile Idiopathic Arthritis (JIA))

  • 김미연;정민정
    • 대한한방소아과학회지
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    • 제32권4호
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    • pp.24-41
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    • 2018
  • Objectives The purpose of this study is to investigate the clinical studies on the effect of herbal medicine in JIA and to seek better approach of herbal medicine to treat JIA. Methods This study researched randomized controlled trials through various databases in the world about herbal medicine treatments in JIA. Results 11 out of 414 studies were selected and analyzed. All studies were conducted in China. Most of the studies were using herbal medicines, as an adjunctive treatment to the main regimen, and the total effective rate was higher in the treatment group than in the control group. One study was comparing the herbal oriental medicine treatment to the western medicine treatment, and it showed that treatment group was more effective than control group. 5 out of 11 studies reported treatment cases from a single herbal medicine; most of them used Total glucosides of Paeonia (TGP). Clematidis Radix et Rhizoma (威靈仙) were also commonly used, as well as medicinal herbs belong to Eliminating wind-dampness medicine (祛風濕藥) and Activating blood resolving stasis medicine (活血祛瘀藥). Conclusions Based on this study, herbal medicines for JIA treatment will be effective even if used alone or in conjunction with other medicines. To apply clinically, further studies are needed.

The Application of Auriculotherapy to the Treatment of Chronic Spontaneous Urticaria: A Systematic Review and Meta-analysis

  • Zhu, Libing;Kim, Yunjin;Yang, Zongbao
    • Journal of Acupuncture & Meridian Studies
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    • 제11권6호
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    • pp.343-354
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    • 2018
  • Auriculotherapy has been extensively used for chronic spontaneous urticaria in China. However, the evidence of its effectiveness and safety for the treatment of chronic spontaneous urticaria is insufficient. Hence, we conducted this study to compare auriculotherapy or auriculotherapy joint treatment with Western medicine for the cure of chronic spontaneous urticaria. This meta-analysis of seven randomized controlled trials showed that auriculotherapy or auriculotherapy joint treatment was significantly superior to Western medicine in curing clinical signs and symptoms of chronic spontaneous urticaria [odds ration (OR), 2.61; 95% confidence interval (CI), 1.54-4.43; p = 0.0004) and also better in total effect rate (OR, 3.81; 95% CI, 2.07-7.01; p<0.0001). But, auriculotherapy or auriculotherapy joint treatment was similar to Western medicine in improving clinical signs and symptoms of chronic spontaneous urticaria (OR, 0.74; 95% CI, 0.35-1.56; p = 0.42). Auriculotherapy or auriculotherapy joint treatment was safer than Western medicine for curing chronic spontaneous urticaria (OR, 0.26; 95% CI, 0.09-0.80; p = 0.02). Auriculotherapy alone or auriculotherapy joint treatment appears to be more effective and safer than Western medicine that contains antihistamines in the treatment of chronic spontaneous urticaria. However, these findings should be interpreted with caution due to the unclear risk bias of methodological quality, and further studies with large-scale, better, and more rigorously designed protocol are necessary to prove these findings.

공황장애의 한의학적 치료에 대한 임상연구 동향 분석: 국내 증례보고를 중심으로 (A Literature Review of Clinical Studies on Korean Medicine Treatment on Panic Disorder: Focused on Domestic Case Reports)

  • 서지인;이윤재;정혜인;김경한
    • 대한예방한의학회지
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    • 제25권2호
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    • pp.61-83
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    • 2021
  • Objectives : This study was conducted to analyze the Korean medicine treatment on panic disorder in Korean clinical studies. Methods : The literatures were searched from 4 Korean databases(OASIS, SCIENCEON, KISS, RISS). We analyzed the publication year, study type, type of panic disorder, demographic information of participants, treatment periods, intervention type and details, outcome measurements and treatment results of selected studies. Results : 19 studies have been collected. 'Series of Ondam-tang', acupuncture at 'LI4·PC6', Moxibustion at 'ST36·CV4·CV12', 'Li-Gyeung-Byun-Qi' and 'Breathing Retraining' were most commonly used in treatment on panic disorder. 'Beck Depression Inventory(BDI)' and 'Subjective Investigator's Assessment(IA)' were most commonly used in outcome measurements. Most of the studies showed that Korean medicine treatment could improve the symptoms of panic disorder. Conclusions : We analyzed the research trends of Korean medicine treatment on panic disorder. Further studies are needed to establish the evidence for the treatment.

금속-도재 보철용 합금의 열처리가 소성과정 중 경도 변화에 미치는 영향 (Effects of special heat treatment on changes in the hardness of a metal-ceramic alloy during the firing process)

  • 김성민
    • 대한치과기공학회지
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    • 제45권3호
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    • pp.55-60
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    • 2023
  • Purpose: This study aimed to evaluate the effects of a special heat treatment on Pd-Au-Ag metal-ceramic alloy after degassing treatment and on changes in the hardness of the alloy during the firing process. Methods: Specimen alloys were cast and subjected to degassing at 900℃ for 10 minutes. These specimens were then subjected to a special heat treatment at 600℃ for 15 minutes in a dental porcelain furnace. Further, the specimens were subjected to simulated firing in the porcelain furnace. The resulting specimens were then tested for hardness, and changes in the microstructure were observed. Results: There was a decrease in the hardness of the alloy during the simulated firing of the cast alloy due to the coarsening of the particles. Meanwhile, additional heat treatment after degassing was found to play a crucial role in preventing a decrease in hardness. This treatment effectively suppressed the coarsening of the precipitates during repeated firing at high temperatures. Conclusion: Specific heat treatment of the Pd-Au-Ag metal-ceramic alloy prevented a decrease in its hardness and extended the lifespan of the metal-ceramic prosthesis.

팔미환 가감방을 포함한 한의 복합 치료로 호전된 폐경 후 과민성 방광 1례 : 증례 보고 (A Improved Case Report of Postmenopausal Woman with Overactive Bladder by Korean Medicine Treatment including Palmi-whan-gagam)

  • 이희윤;김영은;박장경;윤영진
    • 대한한방부인과학회지
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    • 제37권3호
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    • pp.121-132
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    • 2024
  • Objectives: The purpose of this study is to report the clinical effectiveness of Korean medicine treatment on postmenopausal woman with overactive bladder. Methods: The patient with overactive bladder was treated with Korean medicine treatment including herbal medicine, acupuncture and moxibustion during 5 days of hospitalization. The effect of treatment on overactive bladder was evaluated through the Numeric Rating Scale (NRS) and questionnaires. Results: After the treatment, the overactive bladder symptoms of urinary frequency, urinary urgency and nocturia were improved. This was proven through subjective symptoms complained of by patients and objective measures such as questionnaires. Conclusions: This case report proved that the Korean medicine treatment may be effective for improving overactive bladder. However, further clinical studies with large number of subjects are needed to prove the effectiveness of Korean medicine treatment for overactive bladder.

한국의 호수 수질관리의 문제점 (Problems of lake water management in Korea)

  • 김범철;전만식;김윤희
    • 한국환경생태학회:학술대회논문집
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    • 한국환경생태학회 2003년도 추계학술논문발표회 논문집
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    • pp.105-126
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    • 2003
  • In Korea most of annual rainfall is concentrated in several episodic heavy rains during the season of summer monsoon and typhoon. Because of uneven rainfall distribution many dams have been constructed in order to secure water supply in dry seasons. The Han River system has the most dams among Korean rivers, and the river is a series of dams now. Reservoirs need different strategy of water quality control from river water. Autochthonous organic matter and phosphorus should be the major target to be controlled in lakes. In this Paper some problems are discussed that makes efforts of water quality improvement ineffective in lakes of Korea, even after the substantial investment to wastewater treatment facilities.1) Phosphorus is the key factor controlling eutrophication of lakes and the reduction ofphosphors should be the major target of water treatment. However, water quality management strategy in Korea is still stream-oriented, and focused on BOD removal from sewage. Phosphorus removal efficiency remains as low as 10-30%, because biological treatment is adopted for both secondary treatment and advanced treatment. The standard for TP concentration of the sewage treatment plant effluent is 6 mgP/l in most of regions, and 2 mg/l in enforced region near metropolitan water intake point. TP in the effluents of sewage treatment plants are usually 1-2 mg/1, and most of plants meet the effluent regulation without a further phosphorus removal process. The generous TP standard for effluents discourages further efforts to improve phosphorus removal efficiency of sewage treatment. Considering that TP standard for the effluent is below 0.1 mg/l in some countries, it should be amended to below 0.1 mg/l in Korea, especially in the watershed of large lakes.2) Urban runoff and combined sewer overflow are not treated, even though their total loading into lakes can be comparable to municipal sewage discharges on dry days. Chemical coagulation and rapid settling might be the solution to urban runoff in regard of intermittent operation on only rainy days.3) Aggregated precipitation in Korea that is concentrated on several episodic heavyrains per year causes a large amount of nonpoint source pollution loading into lakes. It makes the treatment of nonpoint source discharge by methods of other countries of even rain pattern, such as retention pond or artificial wetland, impractical in Korea.4) The application rate of fertilizers in Korea is ten times as high as the average ofOECD countries. The total manure discharge from animal farming is thought to be over the capacity of soil treatment in Korea. Even though large portion of manure is composted for organic fertilizer, a lot of nutrients and organic matter emanates from organic compost. The reduction of application rate and discharge rate of phosphorus from agricultural fields should be encouraged by incentives and regulations.5) There is a lot of vegetable fields with high slopes in the upstream region of the HanRiver. Soil erosion is severe due to high slopes, and fertilizer is discharged in the form of adsorbed phosphorus on clay surface. The reduction of soil erosion in the upland area should be the major preventive policy for eutrophication. Uplands of high slope must be recovered to forest, and eroded gullies should be reformed into grass-buffered natural streams which are wider and resistant to bank erosion.

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