• Journal of Korean Society of Water and Wastewater
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• v.24 no.3
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• pp.267-276
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• 2010

Many plants have been improved to adapt the target of the biological treatment processes changed from organics to nutrients since the water quality criteria of effluent was reinforced and included T-N and T-P for the municipal wastewater treatment plant. To meet the criteria of T-N and T-P, the conventional biological reactor such as aeration tank in activated sludge system is changed to the BNR (biological nutrient removal) processes, which are typically divided into three units as anaerobic, anoxic and oxic tank. Therefore, the solid separation process should be redesigned to fit the BNR processes in case of the application of the DAF (dissolved air flotation) process as an alternatives because the solid-liquid separation characteristics of microbial flocs produced in the BNR processes are also different from that of activated sludge system as well. The results of this study revealed that the microbial floc of the anaerobic tank was the hardest to be separated among the three steps of the unit tanks for the BNR processes. On the contrary, the oxic tank was best for the removal efficiency of nutrients as well as suspended solid. In addition, the removal efficiency of nutrients was much improved under the chemical coagulation treatment though coagulation was not indispensable with a respect to the solid separation. On the other hand, in spited that the separation time for the microbial floc from the BNR processes were similar to the typical particles like clay flocs, over $2.32{\times}10^3$ ppm of air volume concentration was required to keep back the break-up of the bubble-floc agglomerates.

• The Journal of Pediatrics of Korean Medicine
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• v.30 no.3
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• pp.108-120
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• 2016

Objectives The purpose of this study is to investigate Korean clinical studies on treatment of childhood obesity and to propose for better treatment options for childhood obesity. Methods Based on RISS, KISS, OASIS, KMbase with the keyword 'childhood obesity', 'child obesity', 'obese child', 'overweight child', total of 21 randomized controlled trials (RCTs), 11 single clinical studies, 3 chart reviews and 3 case reports have been found, and were analyzed. Results and Conclusion 1. Some study subjects were classified based on their sex - only men or women in a group or sometimes both. Another way of classify the study subjects were based on their age - preschooler, primary school students, middle school students, and high school students. The diagnostic criteria of the subjects were BMI (body mass index), Body fat percentage, Obesity index, Weight and unknown criteria. 2. The treatments used in 38 studies were exercise alone, education alone, both exercise and education or herbal therapy. The 7 studies that used herbal therapy as part of their study intervention had a study group with herbal intervention only and the other 2 study group with herbal treatment in addition to exercise and education. 3. 9 studies included herb medicines, electroacupuncture, auricular acupuncture, cupping, aroma massage, infrared light, and abdomen pad. Herb medications used in 5 studies included Chegameuiin-tang 2 kinds, Sobieum, Biman-tnag, and I-razin. 4. The methods of assessment used in 38 studies were classified by 7 categories and anthropometry parameters which is the basic methods are used in all studies 5. Almost studies (29 studies in all 38 studies) were using anthropometric parameters results on significantly effectiveness of childhood obesity. 6. More studies are needed to prove true effectives from various treatments, especially herbal therapy for childhood obesity.

• Journal of Gastric Cancer
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• v.15 no.2
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• pp.87-104
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• 2015

Purpose: To assess real-world treatment patterns, health care utilization, costs, and survival among Medicare enrollees with locally advanced/unresectable or metastatic gastric cancer receiving standard first-line chemotherapy. Materials and Methods: This was a retrospective analysis of the Surveillance, Epidemiology, and End Results-Medicare linked database (2000~2009). The inclusion criteria were as follows: (1) first diagnosed with locally advanced/unresectable or metastatic gastric cancer between July 1, 2000 and December 31, 2007 (first diagnosis defined the index date); (2) ${\geq}65$ years of age at index; (3) continuously enrolled in Medicare Part A and B from 6 months before index through the end of follow-up, defined by death or the database end date (December 31, 2009), whichever occurred first; and (4) received first-line treatment with fluoropyrimidine and/or a platinum chemotherapy agent. Results: In total, 2,583 patients met the inclusion criteria. The mean age at index was $74.8{\pm}6.0years$. Over 90% of patients died during follow-up, with a median survival of 361 days for the overall post-index period and 167 days for the period after the completion of first-line chemotherapy. The mean total gastric cancer-related cost per patient over the entire post-index follow-up period was United States dollar (USD) $70,808{\pm}56,620$. Following the completion of first-line chemotherapy, patients receiving further cancer-directed treatment had USD 25,216 additional disease-related costs versus patients receiving supportive care only (P<0.001). Conclusions: The economic burden of advanced gastric cancer is substantial. Extrapolating based on published incidence estimates and staging distributions, the estimated total disease-related lifetime cost to Medicare for the roughly 22,200 patients expected to be diagnosed with this disease in 2014 approaches USD 300 millions.

• Journal of Korean Society on Water Environment
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• v.22 no.1
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• pp.51-58
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• 2006

The effluent limitations for individual industry based on the best available technology economically achievable (BAT) have been required to achieve effective regulation. BAT assessment criteria that are suitable for the circumstances of Korean industry were developed in the previous study. The criteria were applied to determine the BAT for leather tanning and finishing industry. For the evaluation BAT, a subcategorization for the industry considering wastewater characteristics, source equipments, raw material and so on should be suggested. Three subcategories: A) Unharing, Chrome Tan, Retan-Wet Finish, B) Chrome Tan, Retan-Wet Finish, and C) Furskins were proposed in this study. Wastewater discharged from the each category contains high concentration of COD, chrome, nitrogen and sulfide. In particular, the concentration of nitrogen from the subcategory A is significantly greater. Twenty sites were surveyed and wastewater qualities were analyzed. Therefore, six different technologies were applied to the subcategory A for the end-of-pipe treatment technology, and a technology was used in the subcategory B and C, respectively. The technology candidates were evaluated in terms of environmental impacts, economically achievability, treatment performance and economical reasonability. As the result, the technology options for each subcategories: A) primary chemical precipitation + modified Ludzack-Ettinger process (MLE) + secondary chemical precipitation, B) chemical precipitation + typical activated-sludge process + Fenton oxidation, C) chemical precipitation + typical activated-sludge process + batch Fenton oxidation or batch activated carbon treatment were selected as the BAT, respectively.

• Journal of Korean Society on Water Environment
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• v.31 no.5
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• pp.563-568
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• 2015

Natural Organic Matter (NOM) is a precursor of disinfection by products. Recently, with the increase in NOM concentration caused by a large amount of algae, the creation of disinfection by-products is becoming a big issue. Therefore, in this study, PAC+Membrane+F/A hybrid process was organized to control disinfection by-products in small-scale water treatment plants. The optimal dosage of PAC was set at 20 mg/L through Lab. scale test. Also, it is judged that NOM concentration must be less than 1.0 mg/L to meet the recommended criteria of drinking water quality monitoring items of disinfection by-products during chlorination. The existing conventional water treatment process was compared to the independent F/A process and the PAC+Membrane+F/A hybrid process through pilot plant operation, and the result showed that there is a need to apply an advanced water treatment process to remove not only NOMs but also Geosmin caused by algae. Accordingly, it is considered that applying the PAC+Membrane+F/A process will help in controling a clogged filter caused by a large amount of algae and disinfection by-products created by chlorination and can be used as an advanced water treatment process to meet the recommended criteria of drinking water quality monitoring items.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.32 no.3
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• pp.212-223
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• 2019

Objectives : The purpose of this study is to report three cases of Korean medical treatment for sudden sensorineural hearing loss(SSHL). Methods : This study conducted with three sensorineural hearing loss patients who hospitalized in Ophthalmology, Otolaryngology & Dermatology Clinic of Korean Medical Hospital. Three patients were treated with herbal medicine(Sunkihwalhyeol-tang, Ikgibohyeol-tang, Gongjindan) and acupuncture. After treatment, we evaluated Siegel's Criteria with pure tone audiometry and subjective symptoms alteration. Results : All three patients were completely recovery about Siegel's Criteria and improved subjective symptoms after treatment. Conclusions : This study suggests that Korean medical treatment may be effective about SSHL.

• Journal of Korean Traditional Oncology
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• v.27 no.1
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• pp.1-12
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• 2022

Objectives: To report recurrent pancreatic cancer treated by Korean medicine based-integrated oncology treatment, who is improved quality of life without progression of cancer Method: A 63-year-old female patient diagnosed with recurrent pancreatic cancer in April, 2022 received Chemotherapy with Korean medicine based integrative oncology treatment. Radiologic outcome was assessed by Abdomen Computed Tomography (CT) based on Response Evaluation Criteria In Solid Tumors (RECIST). Clinical outcomes were assessed by National Cancer Institute Common Terminology Criteria for Adverse Event (NCI-CTCAE), Eastern Cooperative Oncology Group (ECOG), Numeric Rating Scale (NRS) Result: During 2months of treatment, Cancer size was stable in Abdominal CT. Chief complaints, Abdominal pain and dyspepsia, were improved and ECOG score was improved from grade 2 to 1. There were no toxicity on laboratory test and no side effects of grade 3 or higher on NCI-CTCAE. Conclusion: This report shows that Korean medicine based integrative oncology treatment might contribute to synergetic effect to Chemotherapy and improvement of quality of life

• The Journal of the Society of Stroke on Korean Medicine
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• v.23 no.1
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• pp.55-64
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• 2022

Nonconvulsive Status Epilepticus(NCSE) refers to continuous epileptic condition with altered mental status and behavioral symptoms, but without convulsive movement at least 10 minutes. In Salzburg criteria, well known as the diagnostic criteria of NCSE, it is diagnosed with clinical symptoms, electroencephalogram (EEG), and effects before and after the use of antiepileptic drugs (AEDs). Commonly being used to treat NCSE, AEDs are likely to have adverse effects. In the present case, a 85-year-old female NCSE patient complaining delirium underwent combined Korean medical treatment by acupuncture and herbal medicine for 13 days. The effect of treatment was assessed with delirium scales including Delirium Rating Scale-Revised-98(DRS-R-98) and Assessment Test for Delirium & Cognitive Impairment(4AT) per 2 days. After the treatment, both DRS-R-98 and 4AT scores decreased, and orientation and mental status of patient improved. This case report suggests that Korean medical treatment might be an effective option without side for those NCSE patients complaining delirium.

• The Journal of Pediatrics of Korean Medicine
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• v.37 no.3
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• pp.1-16
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• 2023

Objectives We aimed to investigate the effectiveness of the Korean medical critical pathway (CP) in treating childhood anorexia. Methods In total, 21 patients who met the criteria and agreed to provide information were assigned to the CP group, while 24 patients who met the criteria, agreed to provide information, but disagreed with CP application were assigned to the non-CP group. Demographic, clinical, and economic indices were compared between the two groups. Clinical indices before and after treatment were also compared between the two groups. Results In the CP group, height, weight, body mass index (BMI), BMI percentile, and food approach (FAP) increased significantly after treatment, and numeric rating scale (NRS) and food avoidance (FAV) scores decreased significantly. In the non-CP group, height, weight, weight percentile, BMI, BMI percentile, and FAP increased significantly, whereas NRS and FAV decreased significantly after treatment. Compared to the non-CP group, CP application increased FAP and decreased FAV, medical expenses per consultation, and the total treatment period. Conclusions The application of the Korean medical critical pathway for childhood anorexia is an effective cure system that decreases overall medical expenses with good-quality treatment by means of the standardization of medical practices.

• Journal of the korean academy of Pediatric Dentistry
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• v.43 no.4
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• pp.354-364
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• 2016

To evaluate the oral health status and to assess the resultant dental treatment needs in adolescents, 2,062 adolescents aged 14-17 years attending middle and high schools in Yangsan were surveyed by clinical examination and questionnaires. The obtained results were as follows. In the dental caries examination based on WHO criteria, the treatment needs of 66.7% of the subjects were determined. Assessment of dental erosion by the VEDE system indicated the treatment needs in 27.8% of the subjects, while MIH examination based on EAPD criteria indicated the treatment needs in 14.7%. Assessment of malocclusion using the occlusal index showed good occlusion in 67.8%, no need for treatment in 19.7%, slight need for treatment in 6.8%, definite need for treatment in 4.5%, and worst occlusion in 1.1% of the subjects, showing 12.5% of average treatment need. The prevalence and treatment need for periodontal disease was found to be 71.2% by CPITN assessments. The assessment of temporomandibular disorders by Helkimo's anamnestic index showed no symptoms in 67.1%, mild symptoms in 13.4%, and severe symptoms in 19.5% of the examinees. The overall treatment need of TMD was 20.6%. Periodontal diseases were ranked the highest in treatment need, followed by dental caries, dental erosion, MIH, TMD, and malocclusion in order. The results of this study indicated the overall status of adolescents'oral health and dental treatment needs. These might hopefully provide fundamental data and contribute to establishing promotional projects for adolescent oral health in Korea.