• 제목/요약/키워드: national treatment

검색결과 29,925건 처리시간 0.057초

Does oral doxycycline treatment affect eradication of urine vancomycin-resistant Enterococcus? A tertiary hospital study

  • Kim, Yoonjung;Bae, Sohyun;Hwang, Soyoon;Kwon, Ki Tae;Chang, Hyun-Ha;Kim, Su-Jeong;Park, Han-Ki;Lee, Jong-Myung;Kim, Shin-Woo
    • Journal of Yeungnam Medical Science
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    • 제37권2호
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    • pp.112-121
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    • 2020
  • Background: Vancomycin-resistant Enterococcus (VRE) has become more common in nosocomial infections, especially in urine samples. However, until now, no treatment regimen has been proven to effectively eradicate urine VRE colonization. Therefore, to evaluate the efficacy of doxycycline in eradicating urine VRE and shortening VRE isolation period, we compared VRE colony detection period between doxycycline-treated and untreated patients. Methods: A retrospective cohort study of 83 patients with VRE colonization in urine cultures was conducted at a tertiary academic hospital from January 2011 to February 2018. Kaplan-Meier survival analysis was used to evaluate eradication rates in the treatment and non-treatment groups. Factors affecting urine VRE colonization persistence were analyzed by multiple logistic regression analysis. Results: The overall rate of VRE eradication during the entire hospital stay was higher in the doxycycline treatment group (90.5%) than in the non-treatment group (58.1%, p=0.014). Survival analysis showed that the 5-, 10-, and 20-day cumulative eradication rates were 78.3%, 100%, and 100% in the doxycycline treatment group, and 18.5%, 45.7%, and 67.8% in the non-treatment group, respectively, thereby indicating that eradication rates were higher in the doxycycline treatment group than in the non-treatment group (p<0.001). Only doxycycline treatment was shown to affect urine VRE colonization persistence in multivariate logistic regression analysis. Conclusion: Doxycycline treatment enhanced the eradication rate of urine VRE colonization and appeared to be useful in shortening VRE isolation period.

Analysis of Treatment Response in Patients with Oral Lichen Planus

  • Ju, Hye-Min;Kim, Kyung-Hee;Jeon, Hye-Mi;Ahn, Yong-Woo;Ok, Soo-Min;Jeong, Sung-Hee
    • Journal of Oral Medicine and Pain
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    • 제46권2호
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    • pp.41-48
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    • 2021
  • Purpose: To evaluate compliance by analyzing and comparing treatment duration, degree of improvement after treatment and treatment response of oral lichen planus (OLP) patients according to characteristics of them and the severity of the lesion. Methods: According to treatment process, 132 subjects with OLP who first visited the Department of Oral Medicine at the Pusan National University Dental Hospital from January 2017 to December 2020were classified into three groups: Treatment completed (CT) group, Under treatment (UT) group, and Dropped out during follow-up (DT) group. The reticulation/keratosis, erythema, and ulceration (REU) scoring system was used to assess the severity of OLP. The degree of improvement after treatment was evaluated in CT group. Results: There were 53 (40.15%) CT, 27 (20.45%) UT and 52 (39.39%) DT. In CT group, according to initial REU score there was a statistical difference in the degree of improvement, but not in the length of time to complete treatment. There was no statistical difference between the days it took for patients to feel symptom relief, and the days of entire treatment among three groups. However, there was a positive correlation between the REU score of gingiva and duration of treatment in DT group. In the CT and DT groups, there was a correlation between the length of time taken to relieve symptoms and the duration of treatment. Conclusions: The severity of the gingival lesion and the initial response to treatment have a large effect on the entire treatment period and prognosis, so it should be considered when explaining the disease prognosis and treatment period to patients, and the clinician needs to focus on initial symptom relief.

Optimal Nitrogen Fertilizer Application Method for High Quality Bread Wheat Production

  • Han-yong Jeong;Yulim Kim;Chuloh Cho;Jinhee Park;Chon-Sik Kang;Jong-Min Ko;Jiyoung Shon
    • 한국작물학회:학술대회논문집
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    • 한국작물학회 2022년도 추계학술대회
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    • pp.61-61
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    • 2022
  • For high quality bread wheat production in Korea, it is necessary to develop optimal nitrogen (N) fertilizer methods. For optimal N fertilizer, we evaluated the alteration of growth, yield, yield components and end-use qualities according to the treatment of N fertilizer amounts and timings at heading stages. Growth, yield, yield components, and end-use quality weren't altered by various timings of N fertilizer treatment conditions whereas, 1,000 grain weight and lodging degree was increased by increasing amounts of N fertilizer treatment conditions at 7 days after heading (7 DAH). Especially, lodging degree was significantly increased by 6kg/10a of N fertilizer treatment conditions at 7 DAH. The flour protein contents increased by various amounts of N fertilizer treatment conditions. However, SDS-sedimentation and bread loaf volumes were decreased by exceeding 6kg/10a of N fertilizer treatment conditions at 7 DAH. When considering the quality of bread, 6kg/10a N fertilizer treatment is best, but 3kg/10a N fertilizer treatment is more suitable for both quality and lodging at 7 DAH. Therefore, it is preferable to fertilize 3kg/10a of nitrogen at 7 DAH in addition to standard fertilizer when cultivate bread wheat.

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Impact of Anti-Tuberculosis Drug Use on Treatment Outcomes in Patients with Pulmonary Fluoroquinolone-Resistant Multidrug-Resistant Tuberculosis: A Nationwide Retrospective Cohort Study with Propensity Score Matching

  • Hongjo Choi;Dawoon Jeong;Young Ae Kang;Doosoo Jeon;Hee-Yeon Kang;Hee Jin Kim;Hee-Sun Kim;Jeongha Mok
    • Tuberculosis and Respiratory Diseases
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    • 제86권3호
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    • pp.234-244
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    • 2023
  • Background: Effective treatment of fluoroquinolone-resistant multidrug-resistant tuberculosis (FQr-MDR-TB) is difficult because of the limited number of available core anti-TB drugs and high rates of resistance to anti-TB drugs other than FQs. However, few studies have examined anti-TB drugs that are effective in treating patients with FQr-MDR-TB in a real-world setting. Methods: The impact of anti-TB drug use on treatment outcomes in patients with pulmonary FQr-MDR-TB was retrospectively evaluated using a nationwide integrated TB database (Korean Tuberculosis and Post-Tuberculosis). Data from 2011 to 2017 were included. Results: The study population consisted of 1,082 patients with FQr-MDR-TB. The overall treatment outcomes were as follows: treatment success (69.7%), death (13.7%), lost to follow-up or not evaluated (12.8%), and treatment failure (3.9%). On a propensity-score-matched multivariate logistic regression analysis, the use of bedaquiline (BDQ), linezolid (LZD), levofloxacin (LFX), cycloserine (CS), ethambutol (EMB), pyrazinamide, kanamycin (KM), prothionamide (PTO), and para-aminosalicylic acid against susceptible strains increased the treatment success rate (vs. unfavorable outcomes). The use of LFX, CS, EMB, and PTO against susceptible strains decreased the mortality (vs. treatment success). Conclusion: A therapeutic regimen guided by drug-susceptibility testing can improve the treatment of patients with pulmonary FQr-MDR-TB. In addition to core anti-TB drugs, such as BDQ and LZD, treatment of susceptible strains with later-generation FQs and KM may be beneficial for FQr-MDR-TB patients with limited treatment options.

A Literature Study on Usage of and Satisfaction Levels with Combined Treatment Including Oriental and Western Medicine

  • Lim, Jung-Hun;Lim, Sung-Min
    • 대한약침학회지
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    • 제15권3호
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    • pp.7-12
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    • 2012
  • Objective: This study aimed to summarize and analyze the usage of and the satisfaction levels with combined treatment including Oriental and Western medicine. Methods: We searched studies on the usage of and the satisfaction levels with combined treatment including Oriental and Western medicine over the past 10 yrs (2001-2011) from 3 Korean databases (National Assembly Library, Research Information Service System, and National Discovery for Science Leaders). The reviewers also conducted a summarizing analysis by sampling the literature according to the type of study, study period, region, study subjects, sample size, type of sampling, research method, data analysis, study instruments, main results, etc. Results: When the main results of six studies on combined treatment usage and satisfaction levels were considered together, the most important decisive factor in determining the usage of combined treatment was the illness of the patient, followed by the patient's occupation, sex, age, education, marital status, religion, treatment cost, and treatment results. In addition, the most important factor that determined satisfaction levels with combined treatment was age, followed by education, religion, income, health status, treatment procedures, staff attitude, and cleanliness. Conclusions: Elderly patients with musculoskeletal, cerebro-vascular, and circulatory system illnesses are more likely to prefer combined treatment over independent Oriental or Western treatment and are more likely to request specialized, adjusted medical care.

효소처리에 의한 초당옥수수 추출물의 이화학적 및 항산화 특성의 변화 (Changes in Physicochemical and Antioxidant Properties of by Enzyme-Treated Super Sweet Corn Extracts)

  • 인병호;장다빈;이재준;이원종;윤아름;김성규;이경행
    • 한국식품영양학회지
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    • 제36권6호
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    • pp.526-534
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    • 2023
  • To improve usability of super sweet corn, extracts were prepared with hydrolytic enzyme and changes in physicochemical and antioxidant properties were analyzed. Soluble solids and reducing sugars contents were higher in all enzyme treatment groups than in the control. When enzyme treatment time increased, contents of soluble solids and reducing sugars were also increased. There was no significant difference in lightness between treatment groups, with redness showing the highest value in the control and yellowness showing the highest value in the invertase treatment group. Free sugar content in the control was the lowest. However free sugar content in the enzyme combination treatment group was increased by more than four times compared to that in the control. Contents of ascorbic acid, flavonoids and polyphenols were higher in the enzyme treatment group than in the control. In particular, the enzyme combination treatment group showed the highest content. DPPH and ABTS radical scavenging abilities were significantly higher in all enzyme treatment groups than in the control. Radical scavenging abilities of cellulase treatment group and enzyme combination treatment group showed high activity. The activity increased when enzyme treatment time increased. The combined enzyme treatment method for super sweet corn was suitable for food processing.

외래 비만 클리닉에서 행해지는 비만 치료의 목적 및 타당성에 관한 평가 (Evaluation for the Purpose and Relevance of Obesity Treatment in Local Clinics)

  • 양정혜;이명구;임성진;이보름;권익혁;방준석;이종길;임성실
    • 약학회지
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    • 제53권1호
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    • pp.25-33
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    • 2009
  • Metabolic syndrome is increasing nowadays and one of causes is obesity. Therefore prevention and treatment of obesity is very important to decrease of Metabolic syndrome. However currently many pharmacotherapy for obesity are popular in Korea and it may be dangerous. The aim of this study is to evaluate the purpose and relevance of obese treatment in two areas (capital & local) of Korea and suggest to guide for the right directions of pharmacotherapy in obesity treatment. We selected and surveyed 90 patients (88 females, 2 males, age of $23{\sim}60$) at random who received a prescription after consulting with a doctor at several clinics of Cheongju-area and Seoul-area, from May thru June, 2007. And we evaluated their prescriptions. In results, only 26.7% were obese (13.3%, 2325), most 73.3% patients were normal (65.6%, 18.5$m^2$). The purpose of treatment was for appearance (38.9%), health (41.1%) or both (18.9%, p<0.01). 94% patients had the past history of obese treatment. Prescriptions were consisted of CNS stimulant, anticonvulsants, antidepressant, laxatives, diuretics, or antianxietics. Obese treatment is very important for health to prevent disease such as Metabolic Syndrome. However it should not be abused. In conclusion, some patients of obese treatment is not relevant to obesity and pharmacist role is important to guide them for the right directions in obesity treatment.

냉간압연한 고 Mn 오스테나이트계 스테인리스강의 기계적 성질에 미치는 서브제로처리의 영향 (Effect of Subzero Treatment on the Mechanical Properties of Cold-Rolled High Manganese Austenitic Stainless Steel)

  • 황태현;정목환;이종영;이향백;강창룡
    • 열처리공학회지
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    • 제25권5호
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    • pp.233-238
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    • 2012
  • The effect of subzero treatment on the mechanical properties of cold rolled high manganese austenitic stainless steel was investagated. ${\alpha}$'-martensite was formed by cold rolling, and it was formed with surface relief and specific direction or crossing each other. The volume fraction of martensite increased by subzero treatment, and it was increased with longer time of subzero treatment and higher temperature of subzero treatment. The hardness and strength increased by subzero treatment, while the elongation decreased. With the increase of volume fraction of martensite, the hardness and strength was increased steeply with proportional relationship, elongation was decreased slowly. The results show that the hardness and strength was strongly controlled by the volume fraction of martensite, and the elongation was affected by transformation behavior of deformation induced martensite in the initial stage of deformation.

SWMM 모형을 이용한 비점오염 분석 및 CSO 관리방안 연구 - 부산시 온천천 유역 대상 - (The NPS Analysis and CSO Management Based on SWMM for Oncheon Basin)

  • 신현석;손정화;장종경;손태석;강두기;조덕준
    • 한국물환경학회지
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    • 제25권2호
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    • pp.268-280
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    • 2009
  • Oncheon basin which are located in Busan is divided into 43 basin on the basis of main pipe, constructed with Storm Water Management Model (SWMM). Occurrence situation for Outflow and pollutant loads by long-term continuous rainfall is examined for treatment district and river analysis point of Oncheon basin and a reduction vs effectiveness table for effective CSOs managements is made for each of treatment districts according to each of managements. In case that treatment equipment is located at the discharge point of CSO, treatment efficiency is analysed. It is supposed that treatment equipment have an efficiency on the basis of a concentration and runoff discharge over a critical flow is discharged with it untreated and treating runoff discharge with treatment equipment at each of runoff discharge points and treating it gathered at sewage treatment plant (STP) through trunk sewer is compared for a relative treatment efficiency.

NIER-MASS 프로그램을 이용한 가축매립지 침출수 연계처리 방안 연구 (A Study on Treatment Measures of Carcass Disposal Site Leachate into the Livestock Manure and Sewage Treatment Facilities using NIER-MASS program)

  • 정동환;이철구;신진수;김현우;윤수향;김용석;유순주;김신조
    • 환경영향평가
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    • 제21권5호
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    • pp.725-734
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    • 2012
  • The outbreak of foot and mouth disease in November 2010 raised many social, economic and environmental issues and water contaminations by leachate from carcass disposal sites particularly emerged as a serious concern. In oder to efficiently handle these problems, a critical method is required to transport leachate to livestock manure and sewage treatment plants and purify it. This study aims to present the best applicable method to transport leachate from carcass disposal sites into livestock manure and sewage treatment facilities. We investigated the biological and chemical characteristics such as BOD, COD, SS, TN, TP and Total coliforms. Current conjugated treatments in livestock manure and sewage treatment plants was studied by surveying the operations of those facilities. The NIER-MASS(National Institute of Environmental Research - Mass Balance Evaluation System of Sewage Treatment Facilities) program was applied to present the best conjugated treatment method through estimating the maximum daily load to meet the water quality standards in effluent.