• 제목/요약/키워드: treatment methods

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Endovascular Treatment for Lower Extremity Deep Vein Thrombosis: An Overview

  • Kyung Ah Kim;Sun Young Choi;Ran Kim
    • Korean Journal of Radiology
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    • 제22권6호
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    • pp.931-943
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    • 2021
  • Lower extremity deep vein thrombosis (DVT) is a serious medical condition that can result in local pain and gait disturbance. DVT progression can also lead to death or major disability as a result of pulmonary embolism, postthrombotic syndrome, or limb amputation. However, early thrombus removal can rapidly relieve symptoms and prevent disease progression. Various endovascular procedures have been developed in the recent years to treat DVT, and endovascular treatment has been established as one of the major therapeutic methods to treat lower extremity DVT. However, the treatment of lower extremity DVT varies according to the disease duration, location of affected vessels, and the presence of symptoms. This article reviews and discusses effective endovascular treatment methods for lower extremity DVT.

Peri-implantitis의 진단 및 치료 (Diagnosis and treatment of Peri-implantitis)

  • 구기태
    • 대한치과의사협회지
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    • 제54권4호
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    • pp.252-257
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    • 2016
  • This manuscript aims at discussing the technical and biological aspects of peri-implant disease. The following contents will be discussed. -The difference between peri-implantitis and peri-implant mucositis. -Prevalence of peri-implant disease. -Risk factors for peri-implantitis. -Indications and boundaries of non-surgical and surgical treatment -Treatment flow-chart by Schwarz -Limitations of non-surgical treatment -Methods to decontaminate diseased surfaces -Importance of defect configuration in surgical treatment -Biomechanical factors that influence the progression and decontamination related to peri-implantitis -Maintenance of implants.

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산후 우울증의 한방 치료에 대한 무작위대조군연구 중심의 연구 동향 (Research Trends of Randomized Controlled Trials on Traditional Korean Medicine Treatment for Postpartum Depression)

  • 최석영;박경선;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제31권3호
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    • pp.1-19
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    • 2018
  • Objectives: The purpose of this study was to analyze the research trends of randomized controlled trials on Traditional Korean Medicine treatment for postpartum depression in women. Methods: In order to investigate the effect of Traditional Korean Medicine on postpartum depression, randomized controlled trials on postpartum depression were searched using domestic and foreign search engines and a total of 11 studies were selected. Results: 1. There were 6 studies comparing Traditional Korean Medicine treatment methods with western medicine: fluoxetine hydrochloride (4), paroxetine (1), and mirazapine (1). 2. There were 5 studies comparing methods of Traditional Korean Medicine or sham acupuncture: 1 study evaluated the efficacy of Balance Acupuncture and Guipi Decoction, 1 study compared the effects of conventional acupuncture and Dispersing Liver Regulating Spirit Acupuncture, 1 study evaluated the efficacy of acupuncture and Heat-sensitive Moxibustion, 1 study compared the effects of conventional acupuncture and Musical Electroacupuncture, and 1 study compared the effects of conventional acupuncture and non-invasive sham acupuncture. 3. Postpartum depression is closely related to Heart and Liver, and there were many studies using acupoints Taichong (LR3) and Shenmen (HE7). Cranial acupoints Baihui (DU20) and Yintang (EX-HN3) were also frequently used. 4. Xiaoyaosan and Guipi Decoction were used in herbal medicine treatment for postpartum depression. 5. Novel treatment methods such as Heat-sensitive Moxibustion and Musical Electroacupuncture were used to treat postpartum depression. Conclusion: Traditional Korean Medicine treatment is a good treatment option for postpartum depression. Further systematic studies are needed to establish the basis for Traditional Korean Medicine treatment for postpartum depression.

Effects of Inlet Turbulence Conditions and Near-wall Treatment Methods on Heat Transfer Prediction over Gas Turbine Vanes

  • Bak, Jeong-Gyu;Cho, Jinsoo;Lee, Seawook;Kang, Young Seok
    • International Journal of Aeronautical and Space Sciences
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    • 제17권1호
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    • pp.8-19
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    • 2016
  • This paper investigates the effects of inlet turbulence conditions and near-wall treatment methods on the heat transfer prediction of gas turbine vanes within the range of engine relevant turbulence conditions. The two near-wall treatment methods, the wall-function and low-Reynolds number method, were combined with the SST and ${\omega}RSM$ turbulence model. Additionally, the RNG $k-{\varepsilon}$, SSG RSM, and $SST_+{\gamma}-Re_{\theta}$ transition model were adopted for the purpose of comparison. All computations were conducted using a commercial CFD code, CFX, considering a three-dimensional, steady, compressible flow. The conjugate heat transfer method was applied to all simulation cases with internally cooled NASA turbine vanes. The CFD results at mid-span were compared with the measured data under different inlet turbulence conditions. In the SST solutions, on the pressure side, both the wall-function and low-Reynolds number method exhibited a reasonable agreement with the measured data. On the suction side, however, both wall-function and low-Reynolds number method failed to predict the variations of heat transfer coefficient and temperature caused by boundary layer flow transition. In the ${\omega}RSM$ results, the wall-function showed reasonable predictions for both the heat transfer coefficient and temperature variations including flow transition onset on suction side, but, low-Reynolds methods did not properly capture the variation of the heat transfer coefficient. The $SST_+{\gamma}-Re_{\theta}$ transition model showed variation of the heat transfer coefficient on the transition regions, but did not capture the proper transition onset location, and was found to be much more sensitive to the inlet turbulence length scale. Overall, the Reynolds stress model and wall function configuration showed the reasonable predictions in presented cases.

Quantification of Karanjin, Tannin and Trypsin Inhibitors in Raw and Detoxified Expeller and Solvent Extracted Karanj (Pongamia glabra) Cake

  • Panda, A.K.;Sastry, V.R.B.;Kumar, A.;Saha, S.K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권12호
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    • pp.1776-1783
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    • 2006
  • Despite being a rich source of protein (28-34%), karanj (Pongamia glabra) cake is found to be bitter in taste and toxic in nature owing to the presence of flavonoid (karanjin), tannin and trypsin inhibitor, thereby restricting its safe inclusion in poultry rations. Feeding of karanj cake at higher levels (>10%) adversely affected the growth performance of poultry due to the presence of these toxic factors. Therefore, efforts were made to detoxify karanj cake by various physico-chemical methods such as dry heat, water washing, pressure cooking, alkali and acid treatments and microbiological treatment with Sacchraromyces cerevisiae (strain S-49). The level of residual karanjin in raw and variously processed cake was quantified by high performance liquid chromatography and tannin and trypsin inhibitor was quantified by titrametric and colorimetric methods, respectively. The karanjin, tannin and trypsin inhibitor levels in such solvent and expeller pressed karanj cake were 0.132, 3.766 and 6.550 and 0.324, 3.172 and 8.513%, respectively. Pressure-cooking of solvent extracted karanj cake (SKC) substantially reduced the karanjin content at a cake:water ratio of 1:0.5 with 30-minute cooking. Among chemical methods, 1.5% (w/w) NaOH was very effective in reducing the karanjin content. $Ca(OH)_2$ treatment was also equally effective in karanjin reduction, but at a higher concentration of 3.0% (w/w). A similar trend was noticed with respect to treatment of expeller pressed karanj cake (EKC). Pressure cooking of EKC was effective in reducing the karanjin level of the cake. Among chemical methods alkali treatment [2% (w/w) NaOH] substantially reduced the karanjin levels of the cake. Other methods such as water washing, dry heat, HCl, glacial acetic acid, urea-ammoniation, combined acid and alkali, and microbiological treatments marginally reduced the karanjin concentration of SKC and EKC. Treatment of both SKC and EKC with 1.5% and 2.0% NaOH (w/w) was the most effective method in reducing the tannin content. Among the various methods of detoxification, dry heat, pressure cooking and microbiological treatment with Saccharomyces cerevisiae were substantially effective in reducing the trypsin inhibitor activity in both SKC and EKC. Based on reduction in karanjin, in addition to tannin and trypsin inhibitor activity, detoxification of SKC with either 1.5% NaOH or 3% $Ca(OH)_2$, w/w) and with 2% NaOH were more effective. Despite the effectiveness of pressure cooking in reducing the karanjin content, it could not be recommended for detoxification because of the practical difficulties in adopting the technology as well as for economic considerations.

공기 중 우라늄 동위원소 분석을 위한 방사화학 전처리방법에 대한 비교 분석 연구 (A Comparative Study on Radiochemical Pre-treatment Methods for Airborne Uranium-Isotropic Analysis)

  • 강한별;정희준;박승훈;신중기;곽성우
    • Journal of Radiation Protection and Research
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    • 제40권2호
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    • pp.101-109
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    • 2015
  • 대기 중에 존재하는 우라늄 동위원소 분석을 위해서 일반적으로 알파분광분석법(alpha spectrometry)이 사용되고 있으며, 정확한 분석을 위해서는 정밀한 방사화학 전처리가 요구된다. 보편적인 방사화학 전처리 방법으로는 회화법(ashing method) 및 알칼리 용융법(alkali fusion method)가 있다. 그러나 회화법의 경우 전처리 시간이 길어 빠른 분석이 어렵다는 단점이 있으며, 이와 달리 알칼리 용융법은 단시간 내에 전처리가 가능하다는 장점은 있으나 보편적으로 전처리 장비의 무게가 무겁고 분석 소요 비용 역시 상당히 높다는 단점이 있다. 이러한 단점들은 신속한 분석 결과가 요구되는 방사능 사고 분석 또는 IAEA 안전조치 물자재고 검사(Physical Inventory Verification, PIV) 수행시, 효율성을 저하시키는 원인이 된다. 이에 본 연구에서는 간편하면서도 주어진 짧은 시간 내에 공기 중 우라늄 동위원소 분석을 완료하는 것을 목적으로, 초음파 세척법(ultrasonic cleaning method)을 이용한 새로운 방사화학 전처리 방법을 개발하였다. 또한 초음파 세척법의 효율성 분석을 위해 전처리 소요시간, 편의성, 소요비용, 우라늄 동위원소 회수율의 측면에서 기존의 방법들과 비교 분석하였다. 동일 조건의 공기 포집시료에 대해 비교실험을 수행한 결과, 본 연구에서 개발한 초음파 세척법을 활용한 공정은 상대적으로 전처리 시간도 짧고, 이동이 간편하며, 저가이며, 단순함에도 불구하고 기존 방식과 비교하여 유사한 회수율을 보였다.

Diagnosis and Treatment of Nontuberculous Mycobacterial Lung Disease: Clinicians' Perspectives

  • Ryu, Yon Ju;Koh, Won-Jung;Daley, Charles L.
    • Tuberculosis and Respiratory Diseases
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    • 제79권2호
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    • pp.74-84
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    • 2016
  • Nontuberculous mycobacteria (NTM) are emerging pathogens that affect both immunocompromised and immunocompetent patients. The incidence and prevalence of NTM lung disease are increasing worldwide and rapidly becoming a major public health problem. For the diagnosis of NTM lung disease, patients suspected to have NTM lung disease are required to meet all clinical and microbiologic criteria. The development of molecular methods allows the characterization of new species and NTM identification at a subspecies level. Even after the identification of NTM species from respiratory specimens, clinicians should consider the clinical significance of such findings. Besides the limited options, treatment is lengthy and varies by species, and therefore a challenge. Treatment may be complicated by potential toxicity with discouraging outcomes. The decision to start treatment for NTM lung disease is not easy and requires careful individualized analysis of risks and benefits. Clinicians should be alert to those unique aspects of NTM lung disease concerning diagnosis with advanced molecular methods and treatment with limited options. Current recommendations and recent advances for diagnosis and treatment of NTM lung disease are summarized in this article.

아토피 피부염의 외치법에 대한 고찰;국내 논문을 중심으로 (A Review on External Treatment for Atopic Dermatitis in Korean Journals)

  • 신상호;김미보;변석미;이호섭;박선규;고우신;윤화정
    • 한방안이비인후피부과학회지
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    • 제21권2호
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    • pp.80-93
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    • 2008
  • Objective : The purpose of this study is to investigate the results of preceding research related external treatment for Atopic dermatitis(AD). Methods : We studied the 13 research papers that had been published in The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology, The Journal of Korean Oriental Pediatrics, The Journal of Korean Oriental Internal Medicine, The Journal of Korean Oriental Medicine, Korean Journal of Oriental Physiology & Pathology and so on. Results : About 13 treatises, 3 treatises were for the literatual study, I treatise was for the clinical research about the effects of external therapy, 3 treatises were for the effects of herbal medicine along with external treatment on AD development in NC/Nga mice, 6 treatises were for the case of AD. Conclusion : These treatises showed that external treatment is effective method to improve AD. To develop the better external treatment on AD, we have need of studies on the well used prescriptions and herbs through double-blind, randomized, placebo-controlled methods, clinic research and so on.

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Survival and Recurrence Rate after Treatment for Primary Spinal Sarcomas

  • Cho, Wonik;Chang, Ung-Kyu
    • Journal of Korean Neurosurgical Society
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    • 제53권4호
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    • pp.228-234
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    • 2013
  • Objective : We have limited understanding on the presentation and survival of primary spinal sarcomas. The survival, recurrence rate, and related prognostic factors were investigated after treatment for primary sarcomas of the spine. Methods : Retrospective analysis of medical records and radiological data was done for 29 patients in whom treatment was performed due to primary sarcoma of the spine from 2000 to 2010. As for treatment method, non-radical operation, radiation therapy, and chemotherapy were simultaneously or sequentially combined. Overall survival (OS), progression free survival (PFS), ambulatory function, and pain status were analyzed. In addition, factors affecting survival and recurrence were analyzed : age (${\leq}42$ or ${\geq}43$), gender, tumor histologic type, lesion location (mobile spine or rigid spine), weakness at diagnosis, pain at diagnosis, ambulation at diagnosis, initial treatment, radiation therapy, kind of irradiation, surgery, chemotherapy and distant metastasis. Results : Median OS was 60 months, the recurrence rate was 79.3% and median PFS was 26 months. Patients with distant metastasis showed significantly shorter survival than those without metastasis. No factors were found to be significant relating to recurrence. Prognostic factor associated with walking ability was the presence of weakness at diagnosis. Conclusion : Primary spinal sarcomas are difficult to cure and show high recurrence rate. However, the development of new treatment methods is improving survival.

시력장애에 관한 국내외 한의학적 임상 연구 경향 고찰 (The Study on Trend of Domestic and Overseas Oriental Medical Research for Visual Impairment)

  • 이수경;홍현진;이현범;이창원
    • 한방안이비인후피부과학회지
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    • 제31권3호
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    • pp.84-96
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    • 2018
  • Objectives : This study is designed for trend analysis of oriental medicine treatment for visual impairment. Methods : Research studies related to objectives were gathered through OASIS, KTKP, PUBMED with keywords such as "visual impairment", "myopia", "hyperopia", "presbyopia", "astigmatism" and analyzed. Results : As a result of searching domestic and overseas research on oriental medical treatment for visual impairment, 7 domestic research papers and 11 overseas research papers have been selected. Among those research papers, 15 of those are studies related to childhood or juvenile myopia. Acupuncture, ear acupuncture, herb medicine, periocular massage, eye muscle exercise and habit correction are used as treatment methods for visual impairment. 14 out of 17 research papers which mentioned treatment effect of oriental medicine reported oriental treatment of visual impairment is effective. Conclusions : Various types of oriental medical treatment could be effective in treating visual impairment. Thus, related in-depth research must be proceeded.