• Title/Summary/Keyword: treatment patterns

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하악골에 발생한 법랑아세포종의 임상통계학적 분석 (The Clinico-Statisitical Analysis of Ameloblastoma of Mandible)

  • 유경환;김수관;문성용;오지수;이정훈;김진하
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권6호
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    • pp.551-557
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    • 2010
  • Purpose: In this study, we evaluated the relation between surgical methods and reccurrence rate by investigating clinical, radiological aspects and histopathological patterns of 26 patients who were diagnosed with amelobalstoma. Patients and Methods: In this study, we retrospectively investigated 26 patients who were diagnosed with ameloblastoma and treated at the Department of Oral and Maxillofacial Surgery of Chosun University Dental Hospital from January 2000 to December 2008. Results: The patients comprised 12 males (46.1%) and 14 females (53.9%), and their ages ranged from 10 to 69 years (average, 37.3 years). All cases presented a mandibular location, and in particular, 13 cases (50%) demonstrated an occurrence in the mandibular body. Clinically, 8 cases (30.8%) presented no symptoms, and the most prevalent chief complaint was swelling in 13 cases (50%). Radiographically, a unilocular type appeared in 14 cases (53.8%), and a multilocular type was observed in 10 cases (38.5%). Histopathologically, there were 8 follicular types (30.8%) and 7 plexiform types (26.9%). Conservative treatment was performed in 5 cases (19.2%), and radical treatment was performed in 21 cases (80.8%). The follow-up period ranged from 1 to 10 years. The total recurrence rate was 15.4%, and the mean duration of recurrence was 6.7 years. Three of the 5 cases (60%) that received conservative treatment demonstrated a recurrence, as compared to 1 of the 21 cases (4.8%) that underwent radical treatment. Conclusion: The radical treatment was more effective than the conservative treatment for recurrence prevention. We should consider a continuous follow-up check after operation.

키토산과 천연색소를 이용한 Eco-Printing(제2보) (Eco-printing Using Chitosan and Natural Colorants(2))

  • 김채연;신윤숙
    • 한국염색가공학회지
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    • 제23권3호
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    • pp.169-178
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    • 2011
  • The purpose of this study is to develop eco-printing method using natural dyes combined with chitosan treatment to impart various pattern effect on cotton fabric. It was examined whether tone-on-tone pattern effects could be produced by screen printing with chitosan paste and subsequently dip-dyed in natural dye bath. For polychromic colorants, fabrics were pre-mordanted and then screen printed with chitosan, while only chitosan printing treatment was applied for monochromic colorants. Color, dye uptake, washing, light and rubbing fastnesses of printed fabrics were measured in relation to the presence of chitosan printing. Pre-mordanting and chitosan printing treatment were applied to such polychromic colorants as madder, sappanwood, onion and cochineal. Also, printing pattern formation on fabrics was evaluated by differences in dye uptake and color. The results suggested that madder, onion and cochineal were effective on pattern formation. Regarding sappanwood, since dye uptake was increased only by pre-mordanting without chitosan printing treatment, there was little color difference and thus patterns were not clearly distinguished. Chitosan printing treatment tended to increase washing, light and rubbing fastnesses of dyed fabrics with polychromic colorants. Chitosan printing treatment was applied to monochromic colorants such as chlorophyll, gardenia and indigo and the effect of printing formation was examined according to the difference in dye uptake. Among monochromic dyes tried, chlorophyll was effective and chitosan printing improved washing and light fastnesses.

항유약호르몬 활성물질이 누에탈피에 미치는 영향 (Effect of Anti-juvenile Hormone Analogue (AJH) on the Larval Ecdysis of the Silkworm, Bombyx mori L.)

  • 홍성진;이화준
    • 한국잠사곤충학회지
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    • 제39권2호
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    • pp.161-168
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    • 1997
  • To clarify the effect of anti-juvenile hormone analogue (AJH) on the larval ecdysis by feeding at early stage of the 4th instar, the total amount of protein and activity of chitinolytic enzymes in the integument of Bombyx mori were analyzed, PAGE pattern of the protein was observed and the morphological changes of integument during molting period were also observed and the morphological changes of integument during molting period were also observed by means of TEM. The total amount of protein was greatly increased in premolting, then reached maximum level just before ecdysis, and rapidly decreased after the larval ecdysis in the control, while in the AJH treatment, increased 12 hr later than the control and its maximum was only 82.6% of the control. Two specific proteins, which were presumed as the protein originated from endocuticle, also appeared 12 hr later than the control and were maintained to 132 hr after AJH treatment from the aspects of the Native- and SDS-PAGE patterns, although those of the control disappeared instantly after ecdysis. Chitinase and $\beta$-N-acetylglucosaminidase activities were also suppressed and delayed by AJH treatment. Furthermore, it was observed that the apolysis took place 12 hr later than the control but new epicuticle was not formed at least until 132 hr after AJH treatment. From these results, it is suggested that the larval molting process of silkworm develops 12 hr later than the control but new epicuticle was not formed at least until 132 hr after AJH treatment. From these results, it is suggested that the larval molting process of silkworm develops 12 hr later than the control by AJH treatment but no further processing takes place just after apolysis.

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모션인식 디바이스를 이용한 수부재활치료 시스템 (Hand Rehabilitation System Using a Hand Motion Recognition Device)

  • 황제승;김민진;문미경
    • 한국컴퓨터정보학회논문지
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    • 제19권8호
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    • pp.129-137
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    • 2014
  • 수부와 상지 질환을 가지고 있는 환자가 질환 회복을 위해서 재활치료를 받게 된다. 재활치료는 신체 기능을 회복, 유지시키기 위해 환자의 활동에 대해 중재를 시행하고 물리적 자극을 이용하여 치료하는 것으로, 이는 반복하여 꾸준히 시행하는 것이 가장 중요하다. 본 논문에서는 손상 받은 수부의 기능을 향상시키고 회복시키기 위해 능동적인 활동으로 치료를 제공할 수 있는 수부재활 시스템의 개발 내용에 대해 기술한다. 이 시스템은 손의 움직임을 포착 추적하는데 특화된 디바이스인 립모션을 활용하여 환자 스스로 따라할 수 있는 6 가지 수부재활 운동 패턴을 제공한다. 이를 통해 환자가 일상생활에서 지속적으로 재활운동을 수행하도록 함으로써 치료의 성과를 향상시키도록 한다.

항암제와 세포독성에 내성을 나타내는 생쥐 임파종 세포(NS-1)의 염색체 분포특성 (Ploidy Characteristics of NS-1 Cells Resistant to BCNU or CCNU and Immune mediated Cytotoxicity in vitro)

  • 심우남;김영민;김주덕;이원영
    • 대한미생물학회지
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    • 제19권1호
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    • pp.85-108
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    • 1984
  • In order to study the relationship between resistance of tumor cells to anticancer drugs and immunologic cytotoxicity and their chromosome number, a line of cancer cells (NS-1) was exposed to BCNU and CCNU in vitro. Characteristics of the distribution of chromosome number of the survived cells were then comparatively analyzed. Effect of immune mediated cytotoxicity, i.e. complement and cell-mediated cytotoxicity, on the ploidy characteristics was observed in the same way. NS-1 cells were found to be a population of neoplastic cells of heterogeneity having 5 to 115 chromosomes per cell in metaphase. The majority of the cells were belong to the class of chromosome number 56 to 60 which were considered as the stem cell line. Dramatic changes in the distribution of chromosome number following drug treatment were not observed. However the range of chromosome distribution was slightly changed. Characteristics of chromosomal distribution of drug treated cells were not significantly varied by different doses of drug treated. Changed chromosomal distribution patterns of drug treated cells were reversible, especially the cells having 56 to 60 chromosomes recovered rapidly. Cells having 41-60 and 61-80 chromosomes among cells treated with BCNU and cells with 41-60 chromosomes after CCNU treatment were the major population which regenerated continuously. Following BCNU treatment cells having 61-80 chromosomes were not varied much whereas CCNU treatment affects the population in the same class. Chromosomal aberrations were significantly enhanced by BCNU and CCNU treatment. The frequency of chromosomal aberrations was greater in cells having more than 40 chromosomes compared with that in cells having less than 40 chromosomes. Changes in ploidy characteristics of the cells following complement mediated and cell mediated cytotoxicity were not significant. Therefore it was tentatively concluded that association of numerical distribution pattern of NS-1 cells with the response to the treatment used in this experiment was not recognized.

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옥잠화(Hosta)속 식물의 액아 발생에 미치는 BA 및 물리적 처리의 효과 (Effect of BA and Physical Treatment on Axillary Bud Emergence of Hosta spp.)

  • 안민실;이공준;최규환;이진재;박윤점
    • 화훼연구
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    • 제16권2호
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    • pp.143-148
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    • 2008
  • 옥잠화속 식물 중 잎의 무늬가 다양하고 절엽 수명도 길어 절엽용 품종으로 적합한 'Ellerbroek', 'Francee', 'Halcyon'의 3품종을 대상으로 번식 효율을 높이기 위한 생장조절제인 BA 및 물리적 처리방법간의 액아발생 촉진 효과를 구명하고자 수행하였다. BA의 처리시기 및 농도별 액아 발생정도는 무처리에 비해 월등한 효과가 입증되지 않았다. 물리적 처리방법별 액아 발생 정도는 지상부 절단방법보다는 기부 상처가 더 효과적이었다. 'Ellerbroek'에서는 처리 방법 간에 액아 발생 증가 효과가 그다지 크지 않았으나 'Halcyon'에서는 무처리에 비해 기부 상처가 주당 4개의 액아수가 증가되었다. 또한 'Francee'에서는 액아 발생수가 BA처리나 지상부 절단 방법이 각각 주당 2개와 1.8개인데 반해 기부 상처시 주당 6.1개로 액아 발생 촉진 효과가 가장 뛰어났다.

스포츠 손상 환자 치료 현황 조사: 발목 염좌를 중심으로 (A Survey on the Treatment of Sports Injury Patients: Focusing on Ankle Sprain)

  • 하도형;원지윤;장세인;이향숙;김송이
    • Korean Journal of Acupuncture
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    • 제35권4호
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    • pp.174-186
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    • 2018
  • Objectives : The aim of this survey was to investigate the general characteristics of sports injury patients in Korean medical institutions by Korean Medicine Doctors (KMDs) and the treatment patterns of Korean medicine for ankle sprain which is one of the common sports injuries. Methods : An online survey was conducted on KMDs interested in sports injuries to assess their experience and perception of sports injuries including diagnosis, intervention, and treatment plan for ankle sprain. Results : A total of 276 KMDs participated in the survey. They answered that 12% (median, range 0~80%) of patients visiting a Korean medical institution had sports injuries. Sports injuries frequently occur in the ankle, back, shoulder, knee, and elbow and the most common sports injury was sprain/strain. Many participants were aware that sports injuries should be treated differently from other musculoskeletal diseases in general. They reported that confirmation of fracture, swelling, and tenderness was essential to diagnose ankle sprains. Acupuncture was the most commonly used treatment and reported to need 2 to 6 weeks of treatment period, depending on the severity. Conclusions : Based on the findings regarding treatment of sports injury patients by KMDs, this study would be utilized as basic information for pragmatic clinical research design related to sports medicine in the future.

만성 심폐질환을 가진 말기 노인 환자의 연명의료 의사결정의 번복 및 관련 요인 (Reversals in Decisions about Life-Sustaining Treatment and Associated Factors among Older Patients with Terminal Stage of Cardiopulmonary Disease)

  • 최정자;김수현;김신우
    • 대한간호학회지
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    • 제49권3호
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    • pp.329-339
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    • 2019
  • Purpose: The purpose of this study was to investigate the frequency, patterns, and factors of reversals in decisions about life-sustaining treatment (LST) among older patients with terminal-stage chronic cardiopulmonary disease. Methods: This was a retrospective correlational descriptive study based on medical chart review. De-identified patient electronic medical record data were collected from 124 deceased older patients with terminal-stage cardiopulmonary disease who had made reversals of LST decisions in an academic tertiary hospital in 2015. Data were extracted about the reversed LST decisions, LST treatments applied before death, and patients' demographic and clinical factors. Multivariate logistic regression analysis was used to identify the factors associated with the reversal to higher intensity of LST treatment. Results: The use of inotropic agents was the most frequently reversed LST treatment, followed by cardiopulmonary resuscitation, intubation, ventilator therapy, and hemodialysis. Inconsistency between the last LST decisions and actual treatments occurred most often in hemodialysis. One-third of the reversals in LST decisions were made toward higher intensity of LST treatment. Patients who had lung diseases (vs. heart diseases); were single, divorced, or bereaved (vs. married); and had an acquaintance as a primary decision maker (vs. the patients themselves) were significantly more likely to reverse the LST decisions to higher intensity of LST treatment. Conclusion: This study demonstrated the complex and turmoil situation of the LST decision-making process among older patients with terminal-stage cardiopulmonary disease and suggests the importance of support for patients and families in their LST decision-making process.

6·25전쟁 당시 사용된 가죽가방의 보존처리와 구조적 특징 (Conservation Treatment and Structural Characteristics of a Leather Briefcase Used during the Korean War)

  • 강현삼;장한울;이현주;구지혜
    • 박물관보존과학
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    • 제27권
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    • pp.57-66
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    • 2022
  • 본 연구에서는 6·25전쟁 당시 유엔군으로 활동하였던 참전용사의 서류가방을 보존처리하고 주요 구성 재질인 가죽에 대해 동물적 특성을 분석하였다. 분석은 관련 연구 성과를 낸 국립고궁박물관 연구진과 함께하였으며 분석 결과를 바탕으로 보존처리 계획을 수립하였다. 가죽의 표면 특징을 분석한 결과, 많은 모공이 관찰되고 패턴이 일정하지 않으며 크기가 작고 밀도가 높아 송아지 가죽으로 추정하였다. 가방은 가죽과 함께 목재로 구성되어 있다. 오랜 기간 열화로 인해 목재와 가죽이 틀어져 있어 구조적 안정을 위한 보존처리가 필요하였다. 우선 내·외부에 고착된 오염물을 제거하였다. 가죽이 경화되어 딱딱해진 상태였기 때문에 연화를 위한 가습 과정을 거치고 아교를 사용하여 접합이 필요한 부분들을 보수하였다. 이번 보존처리 및 가죽 분석 결과가 향후 가죽 유물 및 전쟁·군사 유물 연구를 위한 기초조사에 활용될 것을 기대한다.

Usage Status and Regional Variations of Acupotomy in a Korean Medicine Clinic: A Single-Center, Retrospective Analysis of Medical Records

  • Kang, Kyungho;Hwang, Jihyeon;Chu, Hongmin;Lee, Young-ung;Chae, Hyocheong;Lee, Jeong-youn;Lim, Kwanghwan;Jung, Sehun;Park, Seongjun;Choi, Seong-Hun;Mun, Ju hyeon;Kim, Jaehyo;Ryu, Myungseok
    • Journal of Acupuncture Research
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    • 제39권1호
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    • pp.36-39
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    • 2022
  • Background: Acupotomy is a type of acupuncture where a scalpel-shaped needle (miniscalpel needle) is used instead of a normal acupuncture needle to exfoliate adhesion sites or to relax entrapped regions. This study aimed to identify the descriptive characteristics of patients who received acupotomy treatment at a single Korean Medicine Clinic. Methods: This retrospective review analyzed the medical charts of patients who had received acupotomy at least once from August 2017 to December 2019 at a single Korean Medicine Clinic. The demographic characteristics, chief complaints, acupotomy treatment sites, and principal diagnosis codes were analyzed. Results: We identified 551 outpatients; the average age was 52 ± 14.26 years and 49.9% were male. The patients underwent an average of 8.47 sessions of acupotomy. Altogether, 35.91% of the acupotomy treatments were administered to the spinal regions, of which 60.01% were in the lumbar region. The codes related to the lumbar spinal condition/disease which were used most frequently. The chief complaints were dizziness, lumbar spinal stenosis, and Dupuytren's contracture in patients over 60 years of age. Conclusion: This is the 1st analysis of acupotomy treatment patterns in Korea to date. Acupotomy is primarily administered in the treatment of spinal conditions/diseases, especially for those involving the lumbar region. Future studies are necessary to determine the clinical outcomes of patients who receive acupotomy treatment and the safety of this treatment.