• Title/Summary/Keyword: loss severity

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A Case of Granulomatosis with Polyangiitis with IgG4-Related Disease Expressed by Facial Paralysis and Hearing Loss (안면 마비와 난청으로 진단된 면역글로불린 G4 연관질환 동반 육아종성 다발 혈관염 1예)

  • Kim, Hyung-sik;Doo, Jeon Gang;Yeo, Seung Geun;Kim, Sang Hoon
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.240-244
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    • 2018
  • Granulomatosis with polyangiitis (GPA) and Immunoglobulin (Ig) $G_4$-related disease ($IgG_4$-RD) are rare diseases and early diagnosis and proper management are imperative to prevent multi-organ damage. The authors present a case of a 60 years old woman who had facial paralysis and hearing loss. Lt intact canal wall tympanomastoidectomy, Lt facial nerve decompression and ossiculoplasty with partial ossicular replacement prosthesis (PORP) was done. During operation, middle ear tissue was biopsied and GPA with $IgG_4$-RD was diagnosed. After methyl prednisolone (MPD) pulse therapy and azathioprine therapy, the severity of paralysis was improved. We present this case because common otologic symptoms like facial palsy and hearing loss could be initial symptoms of rare systemic disease.

A Case Report: Effect of Korean Medicine Including Distilled Form of Bosaeng-tang Gagambang on Moderate to Severe Hyperemesis Gravidarum.

  • Kim, Hae-Won;Baek, Seon-Eun;Yoo, Dong-Youl;Yoo, Jeong-Eun
    • The Journal of Korean Medicine
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    • v.41 no.4
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    • pp.120-132
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    • 2020
  • Objectives: Hyperemesis gravidarum (HG) is defined as severe nausea and vomiting during pregnancy (NVP) with weight loss, ketonuria, and electrolyte imbalance. Many NVP or HG patients get hard to take herbal medicine since the smell and taste of it. Therefore, the distilled herbal medicines are often used in clinical practice. A 32-year-old, 14-week pregnant female was admitted for 3 weeks at a Korean medicine hospital. She was experiencing HG accompanied by 19.61% (10 kg) weight loss, ketonuria, and electrolyte imbalance. The patient received Bosaeng-tang gagambang in its distilled form, acupuncture, electro-acupuncture, sticker needles, cupping, moxibustion, and hydration during admission. The severity and frequency of NVP, weight loss, and ketonuria significantly improved without any side effects. Before the therapy, she admitted to two obstetrics and gynecology hospitals, 1 week each, with no improvement. This case presents the therapeutic potential of Korean medicine including herbal medicine in its diluted form for HG and NVP.

Protective Effect of Atractylodes macrocephala and Taraxacum spp. Combination Treatment in Balb/c Mice with Dextran Sulfate Sodium-Induced Ulcerative Colitis

  • Lee, Donghun;Kim, Hocheol
    • The Korea Journal of Herbology
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    • v.32 no.3
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    • pp.79-87
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    • 2017
  • Objectives : This study aimed to investigate the protective effects of an herbal mixture of Atractylodes macrocephala and Taraxacum spp. (ATC) on ulcerative colitis. We have previously screened traditional medicinal herbs to discover the effective candidate by the animal model. A. macrocephala and T. spp were identified as one of the effective herbs in the screening process. Methods : Experimental colitis was induced in male Balb/c mice by administering drinking water containing dextran sulfate sodium, which mimics the clinical and histological features of ulcerative colitis in human. ATC at doses of 30, 100 or 300 mg/kg were orally administered to mice twice per day for 10 consecutive days. To evaluate the damage from experimentla ulcerative colitis, body weight, colon length, disease activity index, myeloperoxidase and histological changes were measured and analyzed. Results : The administration of dextran sulfate sodium with drinking water resulted in markedly reduced colon length, severe body weight loss, increased levels of myeloperoxidase activity and histological damages in mice. ATC treatment significantly ameliorated the colon shortening, histological damage, body weight loss and disease activity index score in a dose-dependent manner. ATC also attenuated the colonic myeloperoxidase activity which reflects the severity and extent of inflammatory damage of colon. Conclusions : ATC exerts protective effects against inflammatory colonic structural damage induced by epithelial barrier integrity impairment. ATC also inhibits weight loss and related symptoms of UC which can be considered as the functional recovery of colon.

Maternal Identity in Mothers of Premature Infants admitted in NICU (NICU에 입원한 미숙아 어머니의 모성정체성)

  • Shin Hee-Sun
    • Child Health Nursing Research
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    • v.10 no.1
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    • pp.117-125
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    • 2004
  • Purpose: The research was conducted to investigate the experience of maternal role attainment of mothers of premature infants admitted in NICU and to conceptualize the phenomena. Method: The grounded theory method was utilized for data collection and analysis. 8 mothers of premature infants were selected and in-depth interview was performed. Paradigm model was utilized for data analysis and presentation. Result: The central category was 'unstable maternal identity'. The properties of the core phenomena was 'ambivalent feeling to baby' 'negative emotion' 'commitment to baby'. The loss of control due to premature delivery was the causal condition. contextual condition was the 'perceived threats' due to severity of the premature infant and uncerainty of the baby's life. The mother's health status, economic status, and familial and social support was recognized as intervening conditions during the process of maternal role attainment. The strategic action/interactions were emotion-focused coping, reappraisal of the situation, problem-focused coping, and information seeking. The consequence was the maternal role attainment with competence and expectation. Conclusion: The process of maternal role attainment was affected by threats due to severity of the baby and intervening factors and interaction strategy. Further research is recommended to develop adequate intervention method during the process of maternal role attainment.

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A study on the attitude affecting the preventive behavior for hearing conservation (청력보존을 위한 예방 행위에 영향을 미치는 태도 분석)

  • Rhee, Kyung-Yong;Yi, Kwan-Hyung
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.2 s.53
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    • pp.371-384
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    • 1996
  • The purpose of this study is to investigate attitude factor related to hearing conservation and to find attitude affecting the preventive behavior for hearing conservation. The research method used in this study was self-administered questionnaire. Samples of the study were composed of 353 workers exposed noise selected randomly in 10 ship-building manufacturing companies. Authors extracted following 9 factors related hearing conservation from 26 attitude propositions prepared from previous study results and health belief model; (1) general perceived susceptibility, (2) relative perceived susceptibility compared with colleagues, (3) concern to the personal protective devices, (4) perceived severity and concern to the hearing capacity, (5) concern to the hearing and noise assessment, (6) concern to the control noise and hearing conservation, (7) group pressure and reason of wearing protective devices, (8) apathy of hearing loss from noise, (9) knowledge about hearing conservation. Attitude factors affecting the preventive health behavior were general perceived susceptibility, concern to the noise control and hearing conservation, and concern to the personal protective devices in the case of wearing personal protective devices. But in the case of avoiding noise exposure as preventive health behavior, perceived severity and concern to the hearing capacity was a significant attitude factor with knowledge about hearing conservation.

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6 Cases of Atopic Dermatitis Female Adolescent Patients for Hospitalization Program (캠프 형식의 입원 치료를 받은 여중생 아토피피부염 환자 6례)

  • Oh, Jin-Ah;Shin, Mi-Ran
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.4
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    • pp.404-418
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    • 2015
  • Objectives This study investigated the effect of camping style Hospitalization program for atopic dermatitis female adolescent patients. 6 patients, 12-14 year old female adolescent, admitted for camping style hospitalization program.Methods 6 patients were admitted for camping style hospitalization program (2014.08.13~2014.08.16). The program included acupuncture, herbal medicine, examination, education, psychotherapy, dressing, exercise. The patients were analyzed by Severity Scoring Atopic Dermatitis(SCORAD) index and measured skin pH value(pH). Also, patients evaluated themselves by writing an atopic dermatitis diary which consists of diet, emotion, severity of pruritus, and sleep loss, and checked questionnaires which consist of atopic dermatitis, self treatment methods and degree of satisfaction of each program.Results Most of subjective symptoms which patients complained were improved and also SCORAD index total scores were decreased by sasang constitutional medication.Conclusions We expect that the camping style hospitalization program based on sasang constitutional medicine could be helpful for female adolescent patient of atopic dermatitis.

6 Cases of Atopic Dermatitis Children Patients for Hospitalization Program (캠프 형식의 입원 치료를 받은 소아 아토피피부염 환자 6례)

  • Shin, Mi-Ran;Oh, Jin-Ah;Lee, Dong-Nyung
    • The Journal of Pediatrics of Korean Medicine
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    • v.28 no.2
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    • pp.40-55
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    • 2014
  • Objectives This study investigated the effect of camping style Hospitalization program for atopic dermatitis children patients. Methods 6 patients were admitted for camping style hospitalization program. The program includes acupuncture, herbal medicine, examination, education, psychotherapy, dressing, exercise. The patients were analyzed by Severity Scoring Atopic Dermatitis (SCORAD) index and measured skin pH value (pH). Also, patients evaluated themselves by writing an atopic dermatitis diary which consists of diet, emotion, severity of pruritus, and sleep loss. Checked questionnaires which consists of atopic dermatitis, self treatment methods and each program satisfaction. Results After 7 days of hospitalization program, the patient's SCORAD index scores were decreased and most of the patient's symptoms were improved. Conclusions The hospitalization program could be helpful for atopic dermatitis children patients.

On-demand Evidence Collection of Host Infringement based on the Analysis of Severity levels (위험도 분석에 기반한 On-demand 방식의 호스트 침해 증거 자료 수집 방안)

  • Choi, Yoon-Ho;Park, Jong-Ho;Kim, Sang-Kon;Seo, Seung-U;Kang, Yu;Choi, Jin-Gi;Moon, Ho-Gun;Lee, Myung-Su
    • Proceedings of the IEEK Conference
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    • 2006.06a
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    • pp.33-34
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    • 2006
  • Computer Forensics is a research area which finds the malicious users by collecting and analyzing the intrusion or infringement evidence of the computer crime. Many research about Computer Forensics has been done. But those research have focussed on how to collect the evidence after receiving the damage reports from computer users or network administrators. This paper describes about collecting the evidence of good quality at the time of infringement occurrence by the malicious user. By calculating Infringement severity of observable and protective hosts and referring to this value, we collect the evidence at the time of infringement occurrence to minimize the information modification of the evidence. We can reduce also the amount of logs that we use to analyze the infringement and can minimize the loss of the evidence.

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A STUDY OH THE MOVEMENT STATE OF THE ADJACENT TOOTH INTO THE EDENTULOUS AREA (치아결손부(齒牙缺損部)에 인접(隣接)된 치아(齒牙)의 이동상태(移動狀態)에 관(關)한 연구(硏究))

  • Kim, Jun-Yeon
    • The Journal of Korean Academy of Prosthodontics
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    • v.13 no.1
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    • pp.11-22
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    • 1975
  • This study is to determine the severity and direction of the movement of the adjacent tooth into the created space by tooth or teeth loss. The random samples 387 cases (upper; 121 cases, lower; 266 cases) were selected with surveying record under some criteria. Edentulous area is grouped into the free end type and the tooth borne type. The following results were obtained. In the tooth borne type, slight distal movement of the adjacent tooth into the edentulous space was obtained. And the tooth distal to the edentulous space moved into the space in proportion to the duration of the edentulous state. Elongation of the opposing tooth of the free end type was more severe than that of the tooth borne type. And no inter-relationship between the severity of the elongation and the duration of the edentulous state In general, adjacent teeth had normal and mesial inclination. Lower teeth migrated mesially and lingually (especially in the distal tooth to the edentulous space in the tooth borne type). Upper adjacent teeth usually moved into the normal direction.

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A new damage index for detecting sudden change of structural stiffness

  • Chen, B.;Xu, Y.L.
    • Structural Engineering and Mechanics
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    • v.26 no.3
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    • pp.315-341
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    • 2007
  • A sudden change of stiffness in a structure, associated with the events such as weld fracture and brace breakage, will cause a discontinuity in acceleration response time histories recorded in the vicinity of damage location at damage time instant. A new damage index is proposed and implemented in this paper to detect the damage time instant, location, and severity of a structure due to a sudden change of structural stiffness. The proposed damage index is suitable for online structural health monitoring applications. It can also be used in conjunction with the empirical mode decomposition (EMD) for damage detection without using the intermittency check. Numerical simulation using a five-story shear building under different types of excitation is executed to assess the effectiveness and reliability of the proposed damage index and damage detection approach for the building at different damage levels. The sensitivity of the damage index to the intensity and frequency range of measurement noise is also examined. The results from this study demonstrate that the damage index and damage detection approach proposed can accurately identify the damage time instant and location in the building due to a sudden loss of stiffness if measurement noise is below a certain level. The relation between the damage severity and the proposed damage index is linear. The wavelet-transform (WT) and the EMD with intermittency check are also applied to the same building for the comparison of detection efficiency between the proposed approach, the WT and the EMD.