• Title/Summary/Keyword: national treatment

검색결과 29,882건 처리시간 0.063초

Successful treatment with vedolizumab in an adolescent with Crohn disease who had developed active pulmonary tuberculosis while receiving infliximab

  • Choi, Sujin;Choi, Bong Seok;Choe, Byung-Ho;Kang, Ben
    • Journal of Yeungnam Medical Science
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    • 제38권3호
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    • pp.251-257
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    • 2021
  • Vedolizumab (VDZ) has been approved for the treatment of inflammatory bowel diseases (IBDs) in patients aged ≥18 years. We report a case of a pediatric patient with Crohn disease (CD) who was successfully treated with VDZ. A 16-year-old female developed severe active pulmonary tuberculosis (TB) during treatment with infliximab (IFX). IFX was stopped, and TB treatment was started. After a 6-month regimen of standard TB medication, her pulmonary TB was cured; however, gastrointestinal symptoms developed. Due to the concern of the patient and parents regarding TB reactivation on restarting treatment with IFX, VDZ was started off-label. After the second dose of VDZ, the patient was in clinical remission and her remission was continuously sustained. Ileocolonoscopy at 1-year after VDZ initiation revealed endoscopic healing. Therapeutic drug monitoring conducted during VDZ treatment showed negative antibodies to VDZ. No serious adverse events occurred during the VDZ treatment. This is the first case report in Korea demonstrating the safe and effective use of VDZ treatment in a pediatric CD patient. In cases that require recommencement of treatment with biologics after recovery of active pulmonary TB caused by anti-tumor necrosis factor agents, VDZ may be a good option even in pediatric IBD.

Effects of wet treatment conditions on the crystallinity and morphology of outside of silkworm cocoons

  • Kim, Yeon Jin;Kweon, HaeYong;Um, In Chul
    • International Journal of Industrial Entomology and Biomaterials
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    • 제43권1호
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    • pp.22-28
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    • 2021
  • Natural nonwoven silk fabric has attracted researchers' attention owing to its unique properties as a biomaterial. It is fabricated by reeling, wetting, and hot pressing natural silk filament from silkworm cocoons. In this study, silkworm cocoons were immersed in water at different temperatures for various durations to examine the effects of wet treatment on their crystallinity and morphology. As the treatment temperature and time increased, the cocoon's silk filament separation became more evident, and fibroin strands were observed in it. The crystallinity indexes of the silkworm cocoons increased until a treatment time of 2 h and remained constant thereafter. The increase in the crystallinity index using wet treatment was enhanced by increasing the treatment temperature. Although the weight loss of the silkworm cocoon was insignificant until 40℃, it was appreciable above this temperature, and the degree of weight loss constantly increased with increases in the treatment temperature and time.

Time series analysis of patients seeking orthodontic treatment at Seoul National University Dental Hospital over the past decade

  • Lim, Hyun-Woo;Park, Ji-Hoon;Park, Hyun-Hee;Lee, Shin-Jae
    • 대한치과교정학회지
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    • 제47권5호
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    • pp.298-305
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    • 2017
  • Objective: This paper describes changes in the characteristics of patients seeking orthodontic treatment over the past decade and the treatment they received, to identify any seasonal variations or trends. Methods: This single-center retrospective cohort study included all patients who presented to Seoul National University Dental Hospital for orthodontic diagnosis and treatment between January 1, 2005 and December 31, 2015. The study analyzed a set of heterogeneous variables grouped into the following categories: demographic (age, gender, and address), clinical (Angle Classification, anomaly, mode of orthodontic treatment, removable appliances for Phase 1 treatment, fixed appliances for Phase 2 treatment, orthognathic surgery, extraction, mini-plate, mini-implant, and patient transfer) and time-related variables (date of first visit and orthodontic treatment time). Time series analysis was applied to each variable. Results: The sample included 14,510 patients with a median age of 19.5 years. The number of patients and their ages demonstrated a clear seasonal variation, which peaked in the summer and winter. Increasing trends were observed for the proportion of male patients, use of non-extraction treatment modality, use of ceramic brackets, patients from provinces outside the Seoul region at large, patients transferred from private practitioners, and patients who underwent orthognathic surgery performed by university surgeons. Decreasing trends included the use of metal brackets and orthodontic treatment time. Conclusions: Time series analysis revealed a seasonal variation in some characteristics, and several variables showed changing trends over the past decade.

한방치료와 Rogers의 인간중심적 상담요법으로 호전된 뇌졸중 후 우울증 치험 2례 (A Clinical Report of Two Patients with Poststroke Depression by Korean Traditional Treatment and Roger's Person-centered Counseling)

  • 김진이;이진환;김수정;서주희;윤인애;박은영;성우용
    • 동의신경정신과학회지
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    • 제21권4호
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    • pp.187-206
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    • 2010
  • Objectives : This study was designed to report the effect of korean traditional treatment and person-centered counseling for poststroke depression Methods : We treated two patients who scored 37 point and 32 point at Beck's depression inventory each, and 23 point and 22 point at Hamilton rating scale for depression each by korean traditional treatment and person-centered counseling, Results : After treatment, the clinical symptoms were improved and Beck's depression inventory, Hamilton rating scale for depression score were decreased, Conclusions : The result suggest that korean traditional treatment and person-centered counseling is effective in patients with poststroke depression.

Improvement of the mechanical performance and dyeing ability of bamboo fiber by atmospheric pressure air plasma treatment

  • Hoa, Ta Phuong;Chuong, Bui;Hung, Dang Viet;Tien, Nguyen Dung;Khanh, Vu Thi Homg
    • 한국염색가공학회:학술대회논문집
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    • 한국염색가공학회 2009년도 학술발표대회
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    • pp.14-20
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    • 2009
  • Atmospheric pressure air plasma was applied for treatment of different kinds of natural bamboo fiber to improve their mechanical properties and surface characteristics, which are suitable for adhesion and dyeing. The tensile strength and Young modulus of bamboo fiber were significantly improved; SEM and AFM study show that the surface of fiber became cleaner and rougher after plasma treatment. Plasma treatment caused the cracking, removing of the protective skin of alkali-untreated fiber and etching to form a cleaner and rougher surface. The dyeability of both groups of bamboo fiber which are used for composite and textile purposes is significantly enhanced after treatment.

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한방치료(韓方治療)와 정신요법(精神療法)으로 호전된 갱년기 장애를 동반한 우울증 환자 치험 2례 (A Clinical Report of Two Patients with Depression and Menopausal Symptoms Improved by Korean Traditional Treatment and Psychotherapy)

  • 강현선;이진환;김진이;성우용
    • 동의신경정신과학회지
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    • 제20권2호
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    • pp.177-186
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    • 2009
  • Objectives : We investigated if korean traditional treatment and psychotherapy is effective in patients with depression and menopausal symptoms. Methods : We treated two patients with typical korean traditional medical treatment( Acupuncture, Giungoroen therapy(至言高論療法), Moxibustion ) and progressive muscle relaxation. Results : After treatment, the chief complaint and accompanying symptoms were subsided and improved. BDI score and Kupperman's index were decreased. Conclusions : We may conclude that korean traditional treatment and psychotherapy is effective in patients with depression and menopausal symptoms.

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성장기 부정교합환자의 근신경계 부조화를 해소한 증례: 교정치료 과정과 결과를 모니터링하기 위한 근전도검사(EMG)의 임상적 응용 (Clinical Application of Electromyography for Monitoring Procedure and Result of Orthodontic Treatment ; A of Three Cases)

  • 차봉근;이남기;최동순;김상호
    • 구강회복응용과학지
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    • 제22권1호
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    • pp.89-100
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    • 2006
  • Traditionally, goals of orthodontic treatment fall into four categories: good tooth alignment, improvement of skeletal profile and good soft tissue, and rehabilitation of the normal function. Electromyography (EMG) has proven as useful tool in evaluating masticatory function among the maxillomandibular relationship and could be useful in accompanying orthodontic treatment objectives. But in pursuit of clinical application, it is necceassry to systemize clinical guideline for diagnosis by EMG records in evaluating the effects of orthodontic, orthopedic, or surgical treatment. This study present 3 orthodontic cases, which treatment results, ie neuromuscular balances of masticatory muscle, could be moitered by EMG procedure.

전반적 급진성 치주염 환자의 치주, 교정, 보철의 다학제간 접근에 대한 증례보고 (Multidisciplinary treatment of generalized aggressive periodontitis: case report)

  • 차현정;배주은;조진현;서조영
    • 대한치과의사협회지
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    • 제55권6호
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    • pp.388-399
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    • 2017
  • Generalized aggressive periodontitis cause intrabony pocket, loss of teeth, and severe alveolar bone defect. As a result, pathologic tooth migration occurs and esthetic problem happens according to this, especially on the anterior teeth of maxilla. The purpose of this study was to assess the multidisciplinary treatment including periodontics, orthodontics and prosthetics of a patient caused by generalized aggressive periodontitis. This study presents a case using full mouth periodontal treatment, immediate orthodontic treatment for 5 months, implantation with guided bone regeneration and free gingival graft, and prosthetic treatment. Treatments took totally 14 months. Periodontal indicators such as probing pocket depth, bleeding on probing, tooth mobility improved. Also, the patient was satisfied with the esthetic and functional improvement.

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Strategy for salvaging infected breast implants: lessons from the recovery of seven consecutive patients

  • Yeo, Hyeonjung;Lee, Dongkyu;Kim, Jin Soo;Eo, Pil Seon;Kim, Dong Kyu;Lee, Joon Seok;Kwon, Ki Tae;Lee, Jeeyeon;Park, Ho Yong;Yang, Jung Dug
    • Archives of Plastic Surgery
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    • 제48권2호
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    • pp.165-174
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    • 2021
  • Background In recent years, implant-based breast reconstruction has been performed because of its simplicity, short operation time, and rapid recovery of patients. Several studies have reported treatment methods for implant surgery-related infection, which is a serious complication. The aim of this study was to introduce our strategy for salvaging infected implants and to evaluate its effectiveness. Methods The authors performed a retrospective study of 145 cases from 132 patients who underwent implant-based breast reconstruction from January 2012 to December 2018. Empirical antibiotics were immediately administered to patients with suspected infections. The patients then underwent salvage treatment including appropriate antibiotics, ultrasonography-guided aspiration, debridement, antibiotic lavage, and implant exchange through a multidisciplinary approach. Patient demographics, operative data, duration until drain removal, adjuvant treatment, and complications were analyzed. Results The total infection rate was 5.5% (8/145). A longer indwelling catheter period and adjuvant treatment were significantly associated with infection. The salvage treatment showed a success rate of 87.5% (7/8). Seven patients who received early aggressive salvage treatment recovered from infection. One patient with methicillin-resistant Staphylococcus aureus, who received salvage treatment 11 days after symptom onset, did not respond to drainage and antibiotic treatment. That patient subsequently underwent explantation. Conclusions In implant-based breast reconstruction, prevention of infection is of the utmost importance. However, if an infection is suspected, proactive empirical antibiotic therapy and collaboration with the necessary departments are required. Through a multidisciplinary approach and proactive early management, swift and appropriate salvage should be performed.

Effect of post-treatment routes on the performance of PVDF-TEOS hollow fiber membranes

  • Shadia R. Tewfik;Mohamed H. Sorour;Hayam F. Shaalan;Heba A. Hani;Abdelghani G. Abulnour;Marwa M. El Sayed;Yomna O. Mostafa;Mahmoud A. Eltoukhy
    • Membrane and Water Treatment
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    • 제14권2호
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    • pp.85-93
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    • 2023
  • Membrane separation is widely used for several applications such as water treatment, membrane reactors and climate change. Cross-linked organic-inorganic hybrid polyvinylidene fluoride (PVDF) / Tetraethyl orthosilicate (TEOS) was adopted for the preparation of optimized hollow membrane (HFM) for membrane distillation or other low pressure separators for mechanical properties and permeability under varying pretreatment schemes. HFMs were prepared on semi-pilot membrane fabrication system. Novel adopted post-treatment schemes involved soaking in glycerol, magnesium sulphate (MgSO4), sodium hypochlorite (NaOCl), and isopropanol for different durations. All fibers were characterized for morphology using a scanning electron microscope (SEM), surface roughness using atomic force microscope (AFM), elemental composition by examining Energy Dispersive Spectroscopy (EDS), water contact angle (CA°) and porosity. The performance of the fibers was evaluated for pure water permeation flux (PWF). Post-treatment with MgSO4 gave the highest both tensile modulus and flux. Assessment of properties and performance revealed comparable results with other organic-inorganic separators, HF or flat. In spite of few reported data on post treatment using MgSO4 in presence of TEOS, this proves the potential of low cost treatment without negative impact on other membrane properties. The flux is also comparable with hypochlorite which manifests substantial precaution requirements in actual industrial use.The relatively high values of flux/bar for sample treated with TEOS, post treated with MgSO4 and hypochlorite are 88 and 82 LMH/bar respectively.