• 제목/요약/키워드: main treatment

검색결과 3,899건 처리시간 0.038초

좌주관상동맥 질환의 외과적 치료 (Surgical Treatment of Left Main coronary Artery Disease)

  • 민경석
    • Journal of Chest Surgery
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    • 제28권3호
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    • pp.253-257
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    • 1995
  • Forty-eight patients with significant left main coronary artery obstruction underwent coronary artery bypass graft between September,1989 and September,1993. They consisted of 29 males and 19 females with the mean age of 58 [range 33 - 78 . Seventeen patients[35% had stenosis in left main coronary artery only and twenty-nine[61% had associated lesions in other coronary artery systems as well.Two[4% had isolated left coronary ostial lesion. The operative mortality was 4.17% [2/48 which is comparable to the mortality of overall coronary artery bypass surgery cases during the same period[p >0.05 . Perioperative myocardial infarction was occurred in two patients[4.17% . And the infarction rates between the two groups also showed no difference[p >0.05 . The forty-six survivors showed significant improvement in exercise tolerance as well as symptomatology. We conclude that surgery for left main coronary artery disease can be done with no increased risk through careful anesthesia,surgery, and aggressive postoperative care in the critical period.

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전간(癲癎)의 병기(病機)에 대한 경락적(經絡的) 연구 (황제내경(黃帝內經)을 중심으로) (Meridian Study on Dianxian(癲癎, Epilepsy))

  • 조현석
    • 동의신경정신과학회지
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    • 제14권2호
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    • pp.27-34
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    • 2003
  • I studied connection between meridians and Dianxian(癲癎, Epilepsy). Dianxian is caused by Feun(風) based on the Blood-Deficiency(血虛) which is induced by Heart-deficiency(心虛). Therefore, when Heart and blood are in deficient condition(心血虛), Heart meridian(心經) and Pericardium meridian(心包經) can be easily affected by Feng(風), which is main cause of Dianxian. Furthermore, Liver heat(肝熱) is another main cause of Dianxian. It shows along Liver meridian(肝經) and affects Pericardium Meridian(心包經). Heart, Pericardium and Liver are main organs of human psychoconscious activities, and also are main pathological organs of Dianxian. Dianxian progresses in several ways and simtoms of Dianxian are variant according to the deficiency-exess state(虛實) of Stomach and Spleen meridians(脾胃經). So, I concluded that controling Heart, Pericardium, Liver, Stomach and Spleen meridians can make therapeutical effects on Dianxian. So I report it for the better treatment, and it shoud need further study.

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열처리 조건이 잉크젯 인쇄된 실버 패턴의 형상에 미치는 영향 (Effect of Thermal Treatment Conditions on Shapes of Inkjet Printed Silver Patterns)

  • 신권용;강경태;조영준;이상호
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2011년도 제42회 하계학술대회
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    • pp.1712-1713
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    • 2011
  • Inkjet technology have many merits in plenty of industrial applications. However, deposited droplet has a very critical issue that is coffee ring effect, for the application to an industrial manufacturing process. To remove the coffee ring effect, the effect of thermal treatment conditions on shapes of inkjet printed silver patterns were investigated in various surface condition. The surface changes were characterized by the contact angle measurement. Droplets from a 50 ${\mu}m$ nozzle were printed on the substrate after optimizing the ejection of individual droplets. Ink with a high boiling point of main solvent results in coffee ring effect. This result implies that the dominant factor that determines the shape of droplet is the drying conditions of main solvent of silver nanoparticle colloidal ink. As a results, selecting a proper thermal treatment conditions is very crucial for better shapes of inkjet printed silver nanoparticle colloidal patterns.

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말기 암 환자 가족이 경험하는 어려움에 관한 내용분석 (Content Analysis of Difficulties in Families with Terminal Cancer Patients)

  • 김신정;강경아
    • 지역사회간호학회지
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    • 제16권3호
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    • pp.270-281
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    • 2005
  • Purpose: The objective of this study was to understand the caring experience of families with terminal cancer patients. Method: This was designed to be an inductive and descriptive study. Forty-seven families with terminal cancer patients were interviewed in depth and collected data were examined through content analysis. Result: The main categories of difficulties found in this study were 'suffering of patient', 'emotional suffering of family', 'bereavement of patient', 'difficulties in coping', 'problems in treatment', 'incurable situation', 'family problems', 'relationship with other people', 'economic problems', 'spiritual problems', 'problems in the future', 'informing patients of their condition', 'preparing death', 'emotional unstability', 'meaninglessness', 'unkindness of medical teams', 'poor environment for treatment', 'difficulties in hospital environment' and 'economic burden'. Conclusion: The main point found from this result was that families taking care of terminal cancer patients are suffering emotionally from watching the patients' pains and had difficulties in coping with the patients' situation and treatment. In addition, they had negative experiences in medical teams' attitude and hospital environment. This result can be used as an important guide for nurses to assess families' needs in the terminal care setting.

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태음인(太陰人)의 천식(喘息)을 마황정천탕(麻黃定喘湯)을 사용하여 치료한 치험 1례 (A Clinic Study of the Treatment for Asthma in Taeumin with RBBB(Right Bundle Branch Block))

  • 김달래;서영광;김선형
    • 사상체질의학회지
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    • 제19권3호
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    • pp.293-299
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    • 2007
  • 1. Objectives The main ingredient of ephedra is ephedrine which affects on autonomic nervous system induce some adverse effects just like vasoconstriction, hypertension, tachycardia, miosis, insomnia, dizziness, headache, and etc. and heart disease. If we use Mahuang according to the Sasang constitution classification in clinic, we could not only may minimize the anxiety but maximize the potential curative value in Asthma Treatment. 2. Methods On a day three times in Mahangjungchentang taken patients who with Ventricular septal defect in the aftermath of the RBBB. We are observed that the main symptoms of change, vital sign, sleep, stool, urine, heart disease. 3. Results Teaumin with asthma, the effect of Mahuang, and the side effects are fewer. The individual effects of herbs are important. but Sasang constitutional effects are important too. 4 Conclusions Mahuang can increase heart disease. But there was a difference among Sasang constitution classification. This has no side effects from Teaumin than other constitutions. If we use Mahuang according to the Sasang constitution classification in clinic. We have an excellent effect on the treatment of asthma.

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"동의보감(東醫寶鑑)" 중 도인(桃仁)이 주약(主藥)으로 배오(配伍)된 방제(方劑)의 활용(活用)에 대한 고찰(考察) (Application of Persicae Semen Main Blended Prescriptions In Dongueibogam)

  • 이치웅;국윤범
    • 대한한의학방제학회지
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    • 제17권1호
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    • pp.85-98
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    • 2009
  • In the oriental medicine, the Persicae Semen is a useful material for promoting blood circulation through removement of the extravasated blood in a blood vessel. This study is based on Dongueibogam, which has been widely used for herbal clinic in Korea. And this study is investigated to make sure of the range of Persicae Semen treatment, the nature of disease, the pathology and the dosage of it in Dongueibogam. The following conclusions were reached through investigations on the main prescriptions that used in Dongueibogam as a key ingredient. 1. The prescriptions of blending with the Persicae Semen are utilized in 25 fields of treatments such as feces, uterus, blood diseases, etc. 2. The Persicae Semen is used in the treatment of constipation, removement of blood stasis of gynecology. 3. The average mass of the Persicae Semen is 0.352g, the standard limited range of adding the Persicae Semen to medical prescription is 0.5$\sim$40g or 6$\sim$40pieces per dose. But, in most case of treatment medicines, an typical and regular adding dose is the range of 2$\sim$4g. 4. The Persicae Semen is one of basic materials for a fundamental prescription among several herbal remedies for the pathology.

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스테인리스 강판(SUS420)의 냉간단조용 금형개발에 관한 연구 (A Study on the Development of Cold Forging Dies for Stainless Steel Sheet (SUS420))

  • 김엽래;김세환;유헌일
    • 대한기계학회논문집
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    • 제19권3호
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    • pp.877-885
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    • 1995
  • Cold forging die for metal scissor is made by electric discharge machine. The impression of female die is made by electric discharge machine, the heat treatment is applied, and the impression is polished. When we forge goods by using this kind of die, the abrasion is severe and the crack occurs after forging about 240 strokes. Because the die should be frequently produced in the case, the cost rises, the work is delayed, and the precesion of goods is not good. Therefore, the electric discharge machine was not used in this study. Main die was produced by making hob, installing the hob to cold hobbing press, indenting the die material, and cold hobbing the impression. The die life was increased to 5,000-6,000 strokes in this case. In the future study, the die life will be increased to 10,000 strokes by changing the following : (1) the pre-treatment of slug, (2) the structure of die block, (3) the heat treatment of die material

수자원 보전을 위한 유역통합관리 방안에 관한 연구(II) - 오십천 수계의 수질모델링 및 수질 예측 - (Study in the integrated watershade management for conservation of water resources (II) - Water quality modeling and simulation of Oship stream -)

  • 허인량;정의호;권재혁
    • 한국환경보건학회지
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    • 제28권2호
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    • pp.61-69
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    • 2002
  • Oship stream is located nearby south eastern coasts. This study was performed to find out waters quality modeling and then to predict water quality of Oship stream. Based on survey data, BOD, T-N, T-P calibration and verification result were in good agreement with measured value within mean coefficient variance(MSE) value, which were 13.9%, 9.0%, 26.5% and 19.5%, 12.0%, 16.5%, respectively. Sectional water quality predictions of the main stream of Oship stream are executed on the basis of the following cases 1) with sewage treatment of Dogye-eup 2) reduction of mine wastewater treatment of 80% in th basin. As a result, BOD, T-P improvement rates at down stream of Oship stream, case 1) were appeared 12.2%, 22.2%, case 2) maximum sulfate ion and conductivity reduction removal rate of Oship stream were 58%, 68%. The main pollution sources of Oship-stream were almost domestic wastewater and mine wastewater discharged from Dogye-eup which located in uppers stream. The large effects will appear after the construction of Dogye sewage water treatment plant which remove the organic matter and nutrients in these sewage water. The waste water from mine can not easily to treat for characteristics of effluence and economic problems. However, to achieve the goal of water quality in Oship-stream water system, treatments of those are necessary.

Hepatitis C Viral Infection in Children: Updated Review

  • El-Guindi, Mohamed A.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제19권2호
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    • pp.83-95
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    • 2016
  • Hepatitis C virus (HCV) infection is a major medical challenge affecting around 200 million people worldwide. The main site of HCV replication is the hepatocytes of the liver. HCV is a positive enveloped RNA virus from the flaviviridae family. Six major HCV genotypes are implicated in the human infection. In developed countries the children are infected mainly through vertical transmission during deliveries, while in developing countries it is still due to horizontal transmission from adults. Minimal nonspecific and brief symptoms are initially found in approximately 15% of children. Acute and chronic HCV infection is diagnosed through the recognition of HCV RNA. The main objective for treatment of chronic HCV is to convert detected HCV viremia to below the detection limit. Children with chronic HCV infection are usually asymptomatic and rarely develop severe liver damage. Therefore, the benefits from current therapies, pegylated-Interferon plus ribavirin, must be weighed against their adverse effects. This combined treatment offers a 50-90% chance of clearing HCV infection according to several studies and on different HCV genotype. Recent direct acting antiviral (DAA) drugs which are well established for adults have not yet been approved for children and young adults below 18 years. The most important field for the prevention of HCV infection in children would be the prevention of perinatal and parenteral transmission. There are areas of focus for new lines of research in pediatric HCV-related disease that can be addressed in the near future.

Al-Zn-Mg-Cu-(Sc) 합금의 석출특성 (Precipitation Behavior of Al-Zn-Mg-Cu-(Sc) Alloy)

  • 최갑송;문호정;우기도
    • 열처리공학회지
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    • 제19권5호
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    • pp.257-261
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    • 2006
  • Scandium(Sc) in Al-Zn-Mg-Cu based Al alloy on precipitation phenomenon was compared to a 7001(Al-7.2%Zn-3.2%Mg-1.8%Cu) Al alloy. GP zone and ${\eta}^{\prime}$ phases were the main strengthening phases at low aging temperature under $100^{\circ}C$, but ${\eta}^{\prime}$ and $Al_3Sc$ phases were the main strengthening phases at high aging temperature above $1600^{\circ}C$ in Sc added 7000(Al-7.7%Zn-2.0%Mg-1.9%Cu-0.1%Zr) Al alloy. With the addition of 0.1%Sc in 7000 Al alloy, the activation energy for the GP zone, ${\eta}^{\prime}$ and ${\eta}$ phase decreased compared to the 7001 Al alloy. This result indicates that the Sc accelerated the precipitation for the GP zone, ${\eta}^{\prime}$ and ${\eta}$ phases in 7000 Al alloy. Al-7.7%Zn-2.0%Mg-1.9%Cu-0.1%Zr-0.1 Sc alloy has higher strength than 7001 Al alloy, which has high strength.