• Title/Summary/Keyword: internal evaluation

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Clinical Study of Scalp Acupuncture Effects on Patients with Broca Aphasia (두침요법을 이용한 브로카 실어증 치험례)

  • Park, Sae-Wook;Lee, Min-Goo;Lee, Seung-Eon;Kim, Yong-Jeong;Ryu, Hyun-Hee;Lee, Yun-Jae;Rhim, Eun-Kyung;Lee, Ju-Hee;Kim, Hyun-Gi;Lee, In;Moon, Byung-Soon;Yun, Jong-Min
    • The Journal of Internal Korean Medicine
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    • v.25 no.4
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    • pp.167-176
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    • 2004
  • Objectives : This study was designed to report the clinical effects of scalp acupuncture on patients who suffered from broca aphasia caused by cerebral hemorrhage, Methods : Scalp acupuncture therapy was applied on the above patients for several weeks, For the evaluation of improvement, language field was monitored by aphasia test(RISS) and speech field was monitored by phonetic analysis in the computerized speech lab. Results : According to the above evaluation items, the treatment was beneficial. The score of most items rose in the language field. And scalp acupuncture affected VOT, TD and articular error patterns positively in the speech field. Conclusions : The above results suggest that scalp acupuncture has good effects on the patients with broca aphasia caused by cerebral hemorrhage.

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Safety Evaluation of Clearance of Radioactive Metal Waste After Decommissioning of NPP (원전해체후 규제해제 대상 금속폐기물에 대한 자체처분 안전성 평가)

  • Choi, Young-Hwan;Ko, Jae-Hun;Lee, Dong-Gyu;Hwang, Young-Hwan;Lee, Mi-Hyun;Lee, Ji-Hoon;Hong, Sang-Bum
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.18 no.2_spc
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    • pp.291-303
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    • 2020
  • The Kori-Unit 1 nuclear power plant, which is scheduled to be decommissioned after permanent shutdown, is expected to generate large amounts of various types of radioactive waste during the decommissioning process. Among these, nuclear reactors and internal structures have high levels of radioactivity and the dismantled structure must have the proper size and weight on the primary side. During decommissioning, it is important to prepare an appropriate and efficient disposal method through analysis of the disposal status and the legal restrictions on wastes generated from the reactors and internal structures. Nuclear reactors and internal structures generate radioactive wastes of various levels, such as medium, very low, and clearance. A radiation evaluation indicates that wastes in the clearance level are generated in the reactor head and upper head insulation. In this study, a clearance waste safety evaluation was conducted using the RESRAD-RECYCLE code, which is a safety evaluation code, based on the activation evaluation results for the clearance level wastes. The clearance scenario for the target radioactive waste was selected and the maximum individual and collective exposure doses at the time of clearance were calculated to determine whether the clearance criteria limit prescribed by the Nuclear Safety Act was satisfied. The evaluation results indicated that the doses were significantly low, and the clearance criteria were satisfied. Based on the safety assessment results, an appropriate metal recycle and disposal method were suggested for clearance, which are the subject of the deregulation of internal structures of nuclear power plant.

Internal Impingement of the Shoulder (내적 충돌 증후군)

  • Kim, Yang-Su
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2007.11a
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    • pp.153-161
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    • 2007
  • 견관절의 ABER position에서 posterosuperior rotator cuff 가 posterior glenoid에 contact 하여 internal impingement가 일어나는 현상은 운동선수가 아닌 일반인에게도 발생하는 physiologic phenomenon이며 과도한 반복 동작으로 인하여 증상이 발현한다. Internal impingement는 증상이 모호할 뿐만 아니라 견관절 내 여러 병소가 함께 존재하기 때문에 각각의 pathology에 대한 자세하고 정확한 evaluation이 필수적이다. 아직 controversy가 있지만 internal impingement의 pathologic factors로서는 anterior capsular laxity (true anterior laxity), posteroinferior capsular tightness (pseudo anterior laxity)와 이로 인한 glenohumeral internal rotation deficit (GIRD), 그리고 SICK scapula syndrome (scapular dyskinesis) 등으로 요약할 수 있다. 진단은 주로 병력 청취와 신체 검사로 내려지며 ultrasonogram, MRA등으로 확진한다. Sleeper stretching exercise 등과 같은 보존적 치료에 반응이 좋지만 6개월간의 재활 치료에도 호전이 없다면 증상과 직접 관련된 주 병소(appropriate pathology)를 찾아 이에 대한 적절한 수술이 이루어져야 한다.

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A Case Report of Gastrointestinal Symptoms in Gastric Ulcer Treated with Gamchosasim-tang (감초사심탕(甘草瀉心湯)을 이용한 위궤양 환자에서 나타난 위장관 증상 치험 1례)

  • Kim, Kyong-lim;Jung, Yu-jin;Kim, Kyoung-min
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.878-887
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    • 2019
  • Objective: The purpose of this case report was to report the effect of Gamchosasim-tang in patients with gastrointestinal symptoms due to gastric ulcer. Methods: We treated a patient suffering from epigastric pain, sucking sensations in the epigastrium, and nausea using Gamchosasim-tang (甘草瀉心湯) for 35 days. The patient's symptoms were charted and evaluated using a visual analogue scale (VAS) and a gastrointestinal symptom rating scale (GSRS). Results: After treatment, the symptoms related to gastric ulcer were decreased and evaluation using the VAS and GSRS showed improvement in the patient. Conclusion: This study shows that Korean medicine treatment with Gamchosasim-tang may be valuable for relieving gastric ulcer symptoms.

Role of Hospital Medicine in Perioperative Patients: Surgery 101 (수술 전후 환자를 진료하는 내과입원전담전문의를 위한 기초 외과학)

  • Han Sung Lee;Sung Woo Moon
    • The Korean Journal of Medicine
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    • v.99 no.4
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    • pp.192-198
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    • 2024
  • Due to their increasing role, many hospitalists will in the future encounter perioperative patients, either through surgical co-management or when an admitted patient requires surgery. If given the responsibility, hospitalists should focus not only on assessing and addressing daily acute issues related to medical comorbidities, but also possess basic knowledge of the typical physiological responses after surgery, prediction, evaluation, and management of perioperative bleeding, and identification of postoperative complications. Understanding these topics may help mitigate complications and improve the management of perioperative patients.