• Title/Summary/Keyword: treatment criteria

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Evaluation of Hydrodynamic Behavior in Horizontal Settling Basin with Archimedes number (Archimedes number를 이용한 장방형 침전지내 수리흐름 평가에 관한 연구)

  • Park, No-Suk;Lee, Sanguk
    • Journal of Korean Society of Water and Wastewater
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    • v.23 no.6
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    • pp.865-870
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    • 2009
  • In this study, the adequacy of Reynolds numbers and Froude numbers derived from about sixty domestic water treatment plants (WTPs) were analyzed in order to estimate the characteristics of hydraulic behavior within the rectangular shaped sedimentation basins used widely. From the results of analysis, most of domestic WTPs have satisfied the criteria regulated as that Reynolds number should less than 1,000(dimensionless). On the other hand, they have not been able to satisfy the Froude number criteria, which should be higher than $1.0{\times}10^{-6}$. The reasons why most of domestic WTPs could not satisfy the criteria are that its criteria basis has been not only inadequate, but also the concept of external flow occurred around a settling particle has been ignored. Accordingly, this study proved the feasibility of Archimedes number, which indicates the ratio between particle Reynolds number and Froude number, to evaluate the hydraulic efficiency and its function of scale factor.

Efficacy of methotrexate therapy in patients with tubal pregnancy and a serum human chorionic gonadotropin level above 10,000 IU/L

  • Kim, Kidong;Suh, Dong Hoon;Cheong, Hyun Hoon;Yoon, Sang Ho;Lee, Taek-Sang;No, Jae Hong;Kim, Yong-Beom
    • Clinical and Experimental Reproductive Medicine
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    • v.41 no.1
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    • pp.33-36
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    • 2014
  • Objective: To estimate the failure rate of medical treatment and to identify variables associated with treatment failure in patients with tubal pregnancy and an initial serum level of human chorionic gonadotropin (HCG) over 10,000 IU/L. Methods: The inclusion criteria were tubal pregnancy diagnosed using ultrasonography, primary treatment of intramuscular methotrexate injection at one of the four institutions between January 2003 and December 2011, a serum HCG level within two days before treatment >10,000 IU/L, and follow-up data to determine treatment success or failure. Exclusion criteria were other primary treatments besides intramuscular methotrexate injection. The clinicopathologic data of 36 patients were collected and analyzed. Results: Medical treatment failed and surgery was performed in 19 (53%) patients. In univariable analysis, age, parity, and size of the gestational sac were associated with treatment failure, but none of the variables were associated with treatment failure in multivariable analysis. The failure rate in the subgroup with age<33 years and size of gestational sac ${\geq}1.1cm$ was significantly higher than those of the other subgroups (82% vs. 41% [mean of the other subgroups], respectively). Conclusion: Patients with a serum HCG level >10,000 IU/L who received medical treatment had a high failure rate. Among them, patients aged<33 year and with a gestational sac ${\geq}1.1cm$ had an extremely high failure rate.

TRAUMATIC TMJ INJURY (외상성 악관절 손상)

  • Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.2
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    • pp.191-199
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    • 1997
  • Mandibular trauma is developed due to traffic accident, fall down, industrial injury, and others. TMJ disorder is usually also developed after facial traumatic injury. Many authors suggested that disc displacement or tearing, acute synovitis, TMJ ankylosis, traumatic arthritis, or effusion are developed after facial trauma. It is still very controversible what is the best treatment of TMJ injury such as condylar fracture and meniscal injury. In TMJ injury, synovial inflammation is developed and pain mediators such as prostaglandin E2 or leukotriene B4 are released from the synovial membrane. This can be a cause of TMJ disorder. I present a variety of experimental study about the condylar fracture and meniscal injury and enzyme-immunoassay of synovial fluid after mandibular trauma that have been studied since 1992 and establish the treatment criteria of traumatic TMJ injury. I think that the treatment option of condylar fracture depends upon the surgeon's criteria exclusively. There are no significant differences between conservative and surgical treatment. If the aggressive functional physical therapy and long-term followup be performed, the favorable functional recovery of TMJ can be obtained. And I think that the initial surgical management of meniscus of TMJ is unnecessary in condylar fracture. And also arthrocentesis can be available to release the patient's subjective symptoms and improve the healing of injured TMJ.

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A Study on Preparation for Reduction Factors of Health Insurance in the Latest Occupational Therapy (최근 작업치료(OT)의 의료보험 삭감요인에 대한 대처방안 연구)

  • Cho, Yun-Kyoung;Choi, Byung-Ok;Kim, Jong-Dae
    • Journal of Korean Physical Therapy Science
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    • v.10 no.2
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    • pp.226-235
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    • 2003
  • Under the present occupational therapy 6 items of overall coverage objects of health insurance are being applied and among them, only 3 items including the simple therapy, complex therapy, and special therapy can be demanded in the hospital. The treatment for Activities of Daily Living(ADL), Oral Motor Exercise and Functional Electrical Stimulation(FES) is exempted from an issue of reduction object, because it was covered 100% by the person himself. The reason why there are a lot of reduction factors is attributed mainly to vagueness of criteria and lack of exact understanding between therapists of insurance-applied hospitals. The reduction factors are characterized to confine them to only special treatment which demands the highest insurance cost claimed and to be applied without consideration of treatment times or days of hospital treatment. Moreover, the 56.38%, rate of reduction results from its uniform application based on willful convenience of health insurance not on embodiment of criteria or characteristics of various type of patients.

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A Study on the Characteristic Evaluation of Sewage and Industrial Wastewater Treatment Sludges by Physico-chemical Analysis (물리화학적 분석을 통한 하 ${\cdot}$ 폐수처리 슬러지류의 특성평가)

  • Kwon, Gi-Hong
    • Journal of Environmental Health Sciences
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    • v.31 no.1
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    • pp.86-93
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    • 2005
  • Because generally large amount of sludges are generated from the process of sewage and wastewater treatment, the management and controlment of those sludge has become a important issue in many researches. In this dissertation, we conducted the research to see the physico-chemical characteristics of sludges generated from various sources. Moisture of sludges were 81.5% in textile industries, 81.4% in frame metal industries, 80.7% in 1st metal industries. Volatile solid were 22.1% in hide · rubber industries, 21.9% in coke · petroleum industries. Fixed solid were 18.5% and 17.7% in the 1st metal industries and frame metal industries. High heating value by wet base were 1,850 kcal/kg in coke · petroleum industries, 1,220 kcal/kg in hide · rubber industries, but sludges from the 1st metal industries and frame metal industries were impossible to incinerate because most of those sludges were inorganic. The leaching test showed that hazardous materials was detected in nearly every kinds of sludges. Some of sludges from hide · rubber industries and frame metal industries exceeded the leaching criteria and so they were classified as specific wastes. And other sludges generated in sewage treatment plants or other industries was below the leaching criteria.

Effects of Acupotomy Treatment on Relapsed Lateral Malleolar Bursitis: A Case Report (재발성 족외과 점액낭염에 대한 도침요법: 증례 보고)

  • Kim, Jae Hoon;Lee, Jung Hee;Lee, Yun-Kyu;Lee, Hyun-Jong;Kim, Jae Soo
    • Korean Journal of Acupuncture
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    • v.36 no.4
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    • pp.300-307
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    • 2019
  • Objectives : This study details on a case of acupotomy for relapsed lateral malleolar bursitis. Methods : A 71-year-old woman with lateral malleolar bursitis was treated with acupotomy twice in an outpatient setting. A sterilized, disposable, blade width 0.5 mm × needle length 50 mm sized acupotomy was administered on GB40 and BL62 on each visit. Pain intensity assessment using Numeric Rating Scale (NRS) and the response evaluation criteria was conducted right after each treatment. Results : Pain on NRS declined from 5 to less than 1 after twice of acupotomy treatment. This result was regarded as 'Complete Response' using the response evaluation criteria. There were no side effects during whole treatment procedure at all. Conclusions : It is turned out that acupotomy can have a positive clinical effect on lateral malleolar bursitis in this case without any adverse effect. Further controlled studies on acupotomy for lateral malleolar bursitis are required for clinical application.

Assessment of Best Available Technology of Wastewater Treatment Facilities in Petrochemical Basic Compound Manufacturing and Plastics and Synthetic Resins Manufacturing (석유화학계 기초화합물 제조시설과 합성수지 및 기타 플라스틱물질 제조시설의 폐수처리시설 BAT평가)

  • Kim, Youngnoh;Lim, Byungjin;Kwon, Osang
    • Journal of Korean Society on Water Environment
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    • v.22 no.1
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    • pp.59-65
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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 petrochemical basic compound manufacturing (PBCM) and plastics and synthetic resins manufacturing (PSRM) industry. Wastewater discharged from the each category contains high concentration of COD and toluene. Eighteen sites were surveyed and wastewater qualities were analyzed. Six and two different technologies were applied to the PBCM and PSRM industry for the end-of-pipe treatment process, respectively. The technology candidates were evaluated in terms of environmental impacts, economically achievability, treatment performance and economical reasonability. As the result, the technology options: typical activated-sludge process + sand filtration + activated carbon adsorption (PBCM) and wet oxidation + chemical precipitation + typical activated-sludge process + chemical precipitation (PSRM) were selected as the BAT for each industry.

Reviewing Research on Laser Output Used for Treatment of Hair Loss (탈모 치료에 사용되는 레이저 출력에 관한 논문 연구)

  • Mok, Jung-Il;Lee, Ji-Eun;Seo, Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.2
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    • pp.33-50
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    • 2014
  • Objective : The purpose of this study is to analyze research trends on laser output used for treatment of hair loss. Methods : We searched papers using Pubmed, NDSL, KISS, and RISS. First search used the keyword "Laser, Alopecia" in Pubmed. Inclusion criteria were last 15 years, English, related to output. Finally we searched papers using the keyword "Laser and Alopecia" in NDSL, KISS, and RISS. Inclusion criteria were the same as first research except for English. Results : A total of 43 studies were found, 28 studies were excluded and 15 studies were selected and analyzed. And of the 15 studies, 7 studies were foreign papers and 8 studies were domestic papers on clinical application of laser status. Mainly Used type of laser was a diode laser. As a result, we found that treatment group had more improvement than control group. The range of the laser-output was 1mW-150W in Alopecia laser therapy. Conclusions : Low-level (LLLT) as well as High-level laser therapy (HLLT) can be effectively used as an alternative to the treatment of alopecia. Thus, further attention and studies are needed on this topic in order to reduce the side effects and demonstrate the effectiveness clearly.

Review of Antiphospholipid Antibody Positive Recurrent Abortion Treated with Herbal Medicine (항인지질항체 양성 습관성 유산의 한약 치료에 대한 무작위 대조군 임상 연구 분석)

  • Ji-Youn, Song;Dong-Chul, Kim
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.1
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    • pp.1-22
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    • 2023
  • Objectives: This study was performed to analyze randomized controlled trial, which studied the effect of herbal medicine treatment on Antiphospholipid antibody positive recurrent abortion. Methods: We searched for randomized controlled trial of last 20 years based on Antiphospholipid antibody positive recurrent abortion and herbal medicine. The paper search was conducted through 7 online databases on July 16, 2022. Results: 9 studies were selected after selection and exclusion criteria. 5 studies compared combined treatment of herbal and western medicine, with western medicine alone. 4 studies compared herbal medicine alone with western medicine. Comparing with control group, the treatment group showed much improvement on conversion rate of anti-phospholipid antibodies, serum hCG and progesterone levels, pregnancy duration or fertility rates, and various symptoms. Conclusions: In this study, we found out benefit of herbal medicine with Antiphospholipid antibody positive recurrent abortion. For reliable evidence, further research is needed to establish safety of herbal medicines, standardize symptom criteria and specify the treatment course.

Clinical Study of the Efficacy of Combined Western-Oriental Medicine for Gastric Cancer and Hepatocellular Carcinoma (위암 및 간암환자의 치료에 있어 양.한방 협진의 효과에 관한 임상시험)

  • Lee, Chong-In;Shim, Kwang-Yong;Kim, Ho-Young;Choi, Seo-Young;Bang, Dae-Geon;Cho, Kyung-Sook
    • THE JOURNAL OF KOREAN ORIENTAL ONCOLOGY
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    • v.7 no.1
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    • pp.117-129
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    • 2001
  • Objectives: We compared the therapeutic response, the treatment-related toxicity, and the improvement of subjective symptoms between the chemotherapy alone group and the western-oriental combined treatment group and evaluated the role of oriental medicine for the improvement of chemotherapy-related toxicity in the advanced gastric cancer and hepatocellular carcinoma. Methods: We evaluated 36 gastric cancer or hepatocellular carcinoma patients(chemotherapy alone group 25 patients, combined treatment group 11 patients) who had been treated in Wonju Christian Hospital and Hana Hospital of Oriental Medicine between June 1999 and October 2000. Enrolled patients' general medical records, results of laboratory and imaging studies, treatment-related toxicities, and subjective symptoms were recorded regularly according to the planned protocol. Therapeutic responses were estimated according to the WHO response criteria and the changes of tumor marker value such as CEA, CA 72-4 and AFP. Results: 1. There was no significant difference of therapeutic response by the WHO response criteria between the two groups(p=.459). 2. There was a significant decrease of tumor marker value in the combined treatment group compared to the chemotherapy alone group(p=.023). 3. There was less comprehensive treatment-related toxicity in the combined treatment group compared to the chemotherapy alone group(p=.037), but there was not a significant difference of comprehensive improvement of subjective symptoms between the two groups(p=.091). Conclusions: Based on the above results, we could expect the possibility of improvements in therapeutic response and treatment-related toxicity with the western-oriental combined anticancer treatment.

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