• Title/Summary/Keyword: treatment patterns

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Drug Prescribing Patterns for the Treatment of Asthma and Chronic Obstructive Pulmonary Disease in Korea (우리나라에서의 천식 및 만성폐쇄성폐질환 치료제 처방 양상)

  • Jang, Jin Kyung;Kim, Hae Sook;Sohn, Hyun Soon;Park, Chanmi;Kim, Ju Sang;Jung, Bock Hyun;Ji, Eunhee;Cho, Jung Hwan;Shin, Hyun Taek
    • Korean Journal of Clinical Pharmacy
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    • v.24 no.1
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    • pp.26-32
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    • 2014
  • Purpose: The aim of this study was to investigate drug prescription patterns for the treatment of asthma and chronic obstructive pulmonary disease (COPD) patients in Korea. Methods: Ambulatory adult patients who were diagnosed and received treatment for the asthma (ICD-10 code J45) or COPD (ICD-10 code J44) from January 2009 to September 2011 in two independent secondary hospitals in Korea were enrolled in this study. Prescribed drug lists were generated based on the evidence-based guidelines and prescribed drug dosage forms were identified from the patient medical records and computerized drug prescription databases of the study centers. Results: Total numbers of asthma and COPD patient enrolled in this study were 2,432 and 2,615, respectively. Individual prescription-based accumulated numbers of patient were 12,021 for asthma and 16,584 for COPD. The most commonly prescribed three drugs were oral predisolone, oral formoterol and oral montelukast for asthma and oral formoterol, oral doxofylline and inhaled tiotropium for COPD. Frequencies of oral drugs were 83.4% and 63.3% while inhalers were 16.4% and 30.2%, for asthma and COPD, respectively. Conclusion: The oral treatment was prescribed more in asthma and COPD patients than inhalers. To enhance the compliance of evidence-based guidelines for these chronic airway diseases, more realistic and specific strategies to increase the use of inhalers recommended as primary treatment options for asthma and COPD would be required.

Patterns of Failure after Combined Surgery and Radiation Therapy for Malignant Tumors of the Parotid Gland - Analysis of Treatment Results According to Pathologic Type - (근치적수술과 술후방사선치료를 받은 이하선 악성종양 환자의 치료실패 양상 - 병리학적 유형에 따른 결과를 중심으로 -)

  • Lee Sang-Wook;Chang Sei-Kyung;Kim Gwi-Eon;Suh Chang-Ok;Seong Jin-Sil;Lee Chang-Geol;Keum Ki-Chang;Park Cheong-Soo;Choi Eun-Chang
    • Korean Journal of Head & Neck Oncology
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    • v.15 no.2
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    • pp.182-188
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    • 1999
  • Purpose: To investigate the treatment results' and patterns of failure according to the pathologic type of the parotid malignancy who were treated with radical sugery and postoperative radiation therapy. Materials and Methods: Fifty-two patients with various type of the parotid malignancy, who were treated with combined radical surgery and post-operative irradiation at Yonsei Cancer Center, between 1981 and 1995, were retrospectively reviewed after completion treatment, all but one patients were follow up with the median follow up period of 49 months. Results: We found that pathologically confirmed neck node metastasis rate was 28.8% all case and level II was most common site. Overall failure rate was 26.9%, local recurrence rate was 13.5%, node failure rate was 7.7%, and distant failure rate was 5.8%. Five-year disease free survival rate was 70.9%, and overall survival rate was 73.8%. Recurrence rate was low in adenoid cystic carcinoma and acinic cell carcinoma. However distant metastasis was very high in undifferentiated carcinoma. Local recurrence was main pattern of failure in mucoepidermoid carcinoma and nodal failure was frequently observed in adenocarcinoma. Conclusion: Individualized treatment plan may be required to improve a treatment outcome by pathologic subtype of the parotid malignancy.

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Outcome of Low-Back Pain and Sciatica : Relationship among Self-reported Pain Intensity, Disability, Sleep Disturbance and Fatigue (요통 및 좌골신경통 환자의 치료결과 : 수면장애 및 피로감과 자각적 통증 및 장애정도의 관계)

  • Lee, Kyeong-Seok;Yoon, Seok-Mann;Doh, Jae-Won;Bae, Hack-Gun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.3
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    • pp.324-329
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    • 2000
  • Objective : Psychological factors may have a major influence on the outcome of treatment for back pain. We investigated the relationship between the outcome and some psychological factors, such as self-reported pain intensity, disability, sleep disturbance and fatigue. Method : The study was conducted as a survey using a questionnaire and telephone interviews. The survey included consecutive 294 patients who visited the neurosurgical out-patient department complaining of low back pain and contacted by telephone on average seven months after the first visit. Pain intensity was measured by visual analog scale, and disability was assessed by Waddell's chronic disability index. Results : The outcome of treatment for back pain was recovered in 36.7%, improved in 30.6%, almost same in 28.6%, and aggravated in 4.1%. Overall rate of improvement was 67.3%. The rate of improvement was related to the duration, patterns and intensity of the symptom, and Waddell index. It was not influenced by the doctors, special studies, and methods of treatment. When the duration was more than 6 months, there were the symptoms of both back and legs, and the self-reported Waddell index was 1-3, the rate of improvement was relatively low. Although the intensity of the pain and disability was closely related to the degree of sleep disturbance, fatigue, appetite, or indigestion, the outcome of treatment for back pain was not always bad in patients with high psychological stress. Actually the outcome of the patients who complained severe pain and disability was better than the outcome of the others. Conclusion : The outcome of the back pain can be predicted by the duration, patterns and intensity of the symptom, and Waddell index. The multidisciplinary treatment will be necessary for the patients whose expected outcome is not good to reduce not only the physical symptoms but also the psychological stress.

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Electrophoretic Behaviors of α-Lactalbumin and β-Lactoglobulin Mixtures Caused by Heat Treatment

  • Lee, You-Ra;Hong, Youn-Ho
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.7
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    • pp.1041-1045
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    • 2003
  • In order to study the reaction behaviors of bovine $\alpha$-lactalbumin ($\alpha$-La), $\beta$-lactoglobulin ($\beta$-Lg), and their mixtures during heat treatment, samples were analyzed using native-polyacrylamide gel electrophoresis (Native-PAGE), sodium dodecylsulfate (SDS)-PAGE, and two-dimensional (2-D)-PAGE. The electrophoresis demonstrated that the loss of native-$\alpha$-La increased as temperature increased, and that the loss of apo-$\alpha$-La was slightly higher than that of holo-$\alpha$-La. The tests also showed that during heat treatment, a mixture of $\alpha$-La and $\beta$-Lg was less stable than $\alpha$-La alone. As such, it was assumed that $\beta$-Lg induced holo-$\alpha$-La to be less stable than apo-$\alpha$-La during heat treatment. The reaction behavior of $\alpha$-La (holo-, apo-form) during heat treatment showed similar patterns in the 2-D-PAGE electropherogram, but the mixture of $\alpha$-La and $\beta$-Lg created new bands. In particular, the results showed a greater loss of native $\alpha$-La in the holo-$\alpha$-La and $\beta$-Lg mixture than in the apo-$\alpha$-La and $\beta$-Lg mixture. Thus, it can be concluded that the holo-$\alpha$-La and $\beta$-Lg mixture was more intensively affected by heat treatment than other samples, and that free sulphydryl groups took part in the heat-induced denaturation.

Treatment Technologies for Removal of Polybrominated Diphenyl Ethers (PBDEs) from Wastewater (하·폐수내 브롬화 디페닐 에테르(Polybrominated Diphenyl Ether, PBDEs)의 분포 및 제거기술 동향)

  • Kim, Minhee;Hyun, Seunghun;Lee, Won-Seok
    • Journal of Korean Society on Water Environment
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    • v.33 no.6
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    • pp.754-768
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    • 2017
  • Polybrominated diphenyl ethers (PBDEs) are a group of industrial aromatic organobromine chemicals that have been used since the 1970s as flame retardants in a wide range of consumer products and articles, including plastics, computers, textiles and upholstery. Commercial PBDEs were added to Annex A of the Stockholm Convention as persistent organic pollutants in May 2009. PBDEs are still frequently found in sludge and effluent from wastewater treatment plants, even though commercial PBDEs were prohibited or voluntarily phased out several years ago. Conventional wastewater treatment processes are not designed to effectively remove PBDEs. This indicates that there is an urgent need for new developments and improvements to enhance upon the treatment techniques which are currently available. Several studies have suggested the potential removal and degradation technologies for PBDEs in wastewater. In this study, the concentrations and compositional profiles of PBDE congeners in sludge and effluent are investigated by analyzing the relevant literature data in relation to their usage patterns in commercial products in North America and South Korea. The strengths and weaknesses of the current PBDEs removal techniques (i.e., biodegradation, zero-valent iron, photolysis, sorption, etc.) are discussed critically. In addition, future research direction regarding the treatment and removal of PBDEs from wastewater is also suggested, based on the literature review.

A study on the treatment of rhinitis by Sasang Constitutional Medicine (사상의학적(四象醫學的) 비염치료(鼻炎治療)에 관한 연구(硏究))

  • Park, Eun-kyung;Park, Seong-sik
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.1
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    • pp.109-118
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    • 2001
  • 1. The purpose of this study This study was performed on the basis of clinical consideration about rhinitis patients who suffered from sneeze, rhinorrhea, rhinocleisis and etc. And we checked the clinical inclination of this disease and the characteristic treatments of Sasang Constitutional Medicine. 2. The method of this study For 17 months from October in 1999 to April in 2001 we selected outpatients who had consulted for rhinitis more than twice in the department of the Sasang Constitution of the Bundang Oriental medical hospital, Dongguk University, and 31 of those were confirmed of their course of treatment. From their medical records and history, we learned the general characterisics and patterns of rhinitis, and the qualities and effects of its various treatment. 3. The result of this study The result were as follows ; 1) The rate of patients who have had the symptoms over the two years was 74.2%. 2) In the distribution of chief symptoms, sneeze occupied 80.6% of all appealed symptoms, rhinocleisis 77.4%, rhinorrhea 71.0%, intranasal pruritus 54.8%, postnasal drip 16.1%, orderly. 3) The treatment period was about 30days. The method of treatment was the Herb-med Tx, acupuncture Tx and etc. The herb-med ingestion was about two times in that period. 4) On the effect of treatment, Sneeze and rhinocleisis were improved. 5) The symptoms of rhinitis was more depravated by fatigue and stressful condition than weather condition. This result shows that the improvement of general condition has an effect on the rhinitis treatment.

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The Influence of Heat Treatment and Ca contents on the Electrochemical Characteristics of Mg-Ca Alloys (Mg-Ca 합금의 전기화학적 특성에 미치는 Ca 첨가량 및 열처리의 영향)

  • Lee, S.H.;Chung, Dong-Seok;Park, B.O.;Kim, Y.G.;Jeong, Ha-Guk;Kim, Hye-Sung
    • Journal of the Korean Society for Heat Treatment
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    • v.17 no.3
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    • pp.173-179
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    • 2004
  • In this study, the influence of heat treatment and Ca contents on the electrochemical behavior was investigated. Mg-Ca alloys, i.e., Mg-0.22wt%Ca, Mg-0.56wt%Ca, Mg-1.31wt%Ca are prepared by ingot metallurgy. As-cast Mg-Ca alloys exhibited better electrochemical properties than pure Mg. Especially, Mg-0.22wt%Ca alloy improves its anode efficiency up to 62% and lowers the OCP up to -1.72VSCE. Microstructure and XRD patterns of Mg-Ca alloys show that additive Ca element is mainly solid-solutioned. While, the others show the microstructure and XRD pattern with large $Mg_2Ca$ at grain boundary. To assess the effect of heat treatment on the as-cast Mg-alloy, the specimens were heat treated at $200^{\circ}C$ for 2 hours under $CO_2$ gas atmosphere. Although corrosion properties of Mg-Ca alloys are somewhat deteriorated by heat treatment at $200^{\circ}C$ Mg-0.22wt%Ca alloy with uniformly distributed nano-sized $Mg_2Ca$ phase in ${\alpha}$-Mg matrix show still better corrosion properties than pure Mg specimen.

A Study on a Delivery System for the Effects of Using in the Public Libraries (공공도서관 활성화를 위한 Delivery System에 관한 연구 - 이동문고를 중심으로 -)

  • 이상근
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.9 no.1
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    • pp.153-179
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    • 1998
  • This study attempt to suggest a policy for the effect of using in the public libraries by the verification that are different between groups by their using patterns and types of book collections. by using patterns and system of desired-book for user. by using patterns and system of desired-book for user. The questionnaire is distributed to the delivery lending library's user and librarian in public libraries. The summary of results are as follows 1 The Circulation period of public library is one month per every delivery lending library. 2. The Circulation volume of public library is '100-200' books per every times. 3. There are significant differences by their using patterns and types of book collections. 4. There are significant differences by their using patterns and system of desired-book for user. 5. There are significant differences by their using patterns and placement of book collections. Their results show that library is most effective place of book collection services. 6. Circulation services must carry out only in the sphere of jurisdiction 7. A Lost books must set up treatment basis of natural reduction ratio 8. The Interference factors of delivery lending library are lacks of human power, lost books and negative attitute of user in order 9. The Effects of using a delivery lending library are a positive attitute and specialty of top management, the optimum of budget and the effect of deposit system 10. Natural reduction ratio of lost books appropriates 0.5-0.6% of total loaned books

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Redundancy Analysis Demonstration of the Relevance of Temperature to Ammonia-Oxidizing Bacterial Community Compositions in a Full-Scale Nitrifying Bioreactor Treating Saline Wastewater

  • Park, Hee-Deung;Lee, Seung-Yong;Hwang, Seok-Hwan
    • Journal of Microbiology and Biotechnology
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    • v.19 no.4
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    • pp.346-350
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    • 2009
  • Although salt is known to influence the performance of nitrification significantly, it has not been well reported on how salt affects ammonia-oxidizing bacterial(AOB) community compositions and dynamics in wastewater treatment bioreactors. In this study, these questions were evaluated in a full-scale bioreactor treating saline wastewater. Clone library analysis for the ammonia monooxygenase subunit A gene revealed that AOB belonging to the Nitrosomonas europaea and the N. oligotropha lineages inhabited in the bioreactor. Terminal restriction fragment length polymorphism analysis for monthly samples demonstrated a fluctuation pattern among AOB populations, although AOB within the N. europaea lineage were dominant during the test period. Correlation analysis between patterns of terminal restriction fragments and environmental variables suggested that sodium, chloride, and sulfate were less important; rather, temperature was the most significant factor affecting the AOB community in the bioreactor.

Case Reports of Angle's Class II, Division 1 malocclusions treated by Bioprogressive Therapy (Bioprogressive Therapy에 의한 Angle II급 1류 부정교합의 교정치험예)

  • Cheong, Kyu Rhim
    • The korean journal of orthodontics
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    • v.13 no.2
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    • pp.209-222
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    • 1983
  • Three patients who had Angle's Class II Division 1 malocclusion were treated by Bioprogressive therapy. In spite of their occlusions, the 3 patients did not have any skeletal problems. Their skeletal patterns were within normal range. So headgear or functional appliance therapy were not considered. During the treatment procedure, the most noteworthy results of Bioprogressive therapy were the effect of the Utility arch to intrude 4 mandibular anterior teeth, the effect of the Cuspid retractor in cuspid retraction and the effect of the Double delta retraction arch in the retraction of 4 anterior teeth. The whole treatment results in these cases which were achieved by Bioprogressive therapy were very favorable and the efficiency of this therapy was very excellent.

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