• Title/Summary/Keyword: Area of severity

Search Result 568, Processing Time 0.028 seconds

A Case Report of an Elderly Patient with Psoriasis Treated with Jeongri-tang Gagam-bang: Focus on Digestive System Treatment

  • Do Kyung Han;Won Gun An
    • The Journal of Korean Medicine
    • /
    • v.44 no.4
    • /
    • pp.170-181
    • /
    • 2023
  • Objectives: This study aimed to report the efficacy of Korean medicine with Jeongri-tang Gagam-bang for treating psoriasis. Methods: A patient with psoriasis was treated with Jeongri-tang Gagam-bang (正理湯加減方). Moreover, acupuncture was performed on CV12 (中脘) and both sides of ST25 (天樞), GV20 (百會), LI4 (合谷), and LR3 (太衝) for 15 minutes. Psoriasis severity was assessed using the Psoriasis Area and Severity Index (PASI). Pruritis and dyspepsia intensities were ranked on a Visual Analog Scale (VAS) of 0–10. Results: After treatment, the PASI changed from 21.6 to 1.6. Patient's pruritus had almost disappeared and dyspepsia had improved. Conclusions: This study shows that Jeongri-tang Gagam-bang (正理湯加減方) and acupuncture on CV12 (中脘), ST25 (天樞), GV20 (百會), LI4 (合谷), and LR3 (太衝) might be helpful to treat psoriasis symptoms by improving digestive function.

A Study on Estimation and Management of Loss Due to Catastrophic Accident (화학공장의 중대사고에 따른 예상손실액 산정 및 대책연구)

  • 구남주;엄성인;고재욱
    • Journal of the Korean Society of Safety
    • /
    • v.14 no.4
    • /
    • pp.120-125
    • /
    • 1999
  • This study evaluated the effect of the accidents caused by fire, explosion, and toxic gas release by using SuperChems, quantitative hazardous material release modeling software, which estimates the potential area of damage. According to the loss severity, the appropriate risk management principles can be applied. Risk management is divided into the two methods which are risk control and risk financing. Risk control includes risk avoidance, risk spreading and diversification, and risk reduction. Risk financing includes risk retention and risk transfer. The results of this study can help the related company determine the appropriate reserve fund and the amount to be insured against the third party losses according to the estimated loss severity.

  • PDF

On the Drought over Korea using the regional climate change simulation (지역 기후 변화 모의 자료를 이용한 한반도 가뭄 지수 분석)

  • Boo, Kyung-On;Kwon, Won-Tae;Baek, Hee-Jeong;Oh, Jai-Ho
    • Proceedings of the Korea Water Resources Association Conference
    • /
    • 2004.05b
    • /
    • pp.875-877
    • /
    • 2004
  • We analyze the changes of the Palmer Drought Severity Index (PDSI) over Korea to assess the regional climate change associated with global warming. For the regional-scale analysis, we used the MM5 simulation in 27 km horizontal resolution for the period of 1971-2100, which is driven by ECHAM4/HOPE-G under the greenhouse gas omission scenario. The downscaled climate variables capture improved regional features consistent with the observation. Based on the simulation, we investigated the temporal and spatial distributions of PDSI over Korea. The area-averaged PDSI is expected to decrease in global warming. Considering the horizontal distribution of climate change, the negative peak values of PDSI anomalies appear in the southern part of Korea.

  • PDF

Usefulness of Serum Cortisol in Assessment for the Severity of Community-Acquired Pneumonia (지역사회 획득 폐렴환자의 중증도 평가에서 혈청 코티졸의 유용성)

  • Yoon, Kyung-Hwa;Kim, Yeon-Jae;Kim, Mi-Young;Kim, Eun-Young;Bae, Myoung-Nam;Bae, Sang-Mook;Kim, Min-Su;Park, Hun-Pyo
    • Tuberculosis and Respiratory Diseases
    • /
    • v.69 no.6
    • /
    • pp.450-455
    • /
    • 2010
  • Background: High cortisol levels are frequently observed in patients with severe infections are of prognostic value in sepsis. The aim of this study was to evaluate the clinical usefulness of serum cortisol in assessment for the severity of community-acquired pneumonia (CAP). Methods: This study analyzed the results of 52 CAP subjects admitted in Changwon Fatima Hospital between July 2008 to May 2010. Total serum cortisol, infection markers such as C-reactive protein (CRP), procalcitonin (PCT) and CURB (Confusion, Uremia, Respiratory rate, Blood pressure)-65 were examined retrospectively. Results: In clinically unstable subjects on admission day 4, baseline serum cortisol, CURB-65, and CRP were elevated significantly compared to those of stable subjects. Area under curve (AUC) of cortisol, CRP, and CURB-65 from ROC curves were 0.847, 0.783, and 0.724 respectively. In the subjects with serum cortisol ${\geq}22.82{\mu}g/dL$, CRP, PCT, CURB-65 score, and mortality were significantly elevated. Conclusion: These findings suggest that measurement of serum cortisol in early stage may provide helpful information in the assessment of CAP severity.

Reducing Irrational Beliefs and Pain Severity in Patients Suffering from Non-Cardiac Chest Pain (NCCP): A Comparison of Relaxation Training and Metaphor Therapy

  • Bahremand, Mostafa;Moradi, Gholamreza;Saeidi, Mozhgan;Mohammadi, Samira;Komasi, Saeid
    • The Korean Journal of Pain
    • /
    • v.28 no.2
    • /
    • pp.88-95
    • /
    • 2015
  • Background: Patients suffering from non-cardiac chest pain (NCCP) can interpret their chest pain wrongly despite having received a correct diagnosis. The objective of this study was to compare the efficacy of the relaxation method with metaphor therapy for reducing irrational beliefs and pain severity in patients with NCCP. Methods: Using a randomized controlled trial, 33 participants were randomly divided into a relaxation training group (n= 13), a metaphor therapy group (n = 10), and a control group (n = 10), and were studied for 4 weeks. The two tools used in this research were the Brief Pain Inventory (BPI) index for determining the degree of pain and the short version of the Jones Irrational Belief Test. Metaphor therapy and a relaxation technique based on ${\ddot{O}}$st's treatment were used as the interventions. The collected data were analyzed with a multivariate analysis of covariance (MANCOVA), a Chi-square test, and the Bonferroni procedure of post-hoc analysis. Results: The relaxation training method was significantly more effective than both metaphor therapy and the lack of treatment in reducing the patients' beliefs of hopelessness in the face of changes and emotional irresponsibility, as well as the pain severity. Metaphor therapy was not effective on any of these factors. In fact, the results did not support the effectiveness of metaphor therapy. Conclusions: Regarding the effectiveness of the relaxation method as compared with metaphor therapy and the lack of treatment in the control group, this study suggests that relaxation should be paid greater attention as a method for improving the status of patients. In addition, more studies are needed to determine the effectiveness of metaphor therapy in this area.

The Development of Convergence Bench-making system on length of stay (융복합 재원일수 벤치마킹 시스템 개발)

  • Choi, Youn-Hee;Kim, Yun-Jin;Kang, Sung-Hong
    • Journal of Digital Convergence
    • /
    • v.13 no.5
    • /
    • pp.89-99
    • /
    • 2015
  • This study aims to develop a LOS(Length of Stay) bench-making system that can provide efficient by comparing the LOS management of other hospital and level evaluation for inducing the LOS to manage their own activities. The convergence LOS bench-making web program has been implemented to compare a variety of beds, regional group, followed reporting with excel files downloads by using the severity-adjusted LOS model of Korean National Hospital Discharge in-depth Injury Survey data. Features that are computed in real-time severity-adjusted LOS was also implemented. Trial operating results, bench-making system was confirmed efficient for management of LOS on the long-term care and group of disease in hospital from the staff or medical department, receive requests comparative statistics by area and disease group. Therefore the policy alternative on extension of severity-adjusted LOS is needed to utilized bench-making system on LOS.

Efficacy and Safety of Soy Protein Based Formula in Atopic Dermatitis

  • Yeom, Kkot-Bo-Ra;Kim, Kyu-Han
    • Preventive Nutrition and Food Science
    • /
    • v.16 no.3
    • /
    • pp.248-252
    • /
    • 2011
  • Soy protein based formula (SPF) has been developed for infants who are at a high risk for atopic dermatitis (AD) and cow's milk protein allergy (CMA). We performed this study to evaluate the therapeutic efficacy and safety of SPF compared to conventional hydrolyzed cow's milk formula (hCMF) in the feeding of infants with AD and CMA. 38 infants (12 to 24 months of age) diagnosed with CMA and AD were randomized to receive either SPF or hCMF for 12 weeks. Follow-up was conducted at 4, 8 and 12 weeks. Growth parameters of the infants were evaluated during each visit. Clinical evaluations, including AD severity scores, pruritus, specific immunoglobulin E (IgE) (cow's milk protein and soy protein) levels of peripheral blood, were made at enrollment and week 12. Analysis was performed on the 32 infants (SPF: n=16, hCMF: n=16) who completed the 12-week intervention. Eczema area and severity index (EASI) scores, a measure of the severity of AD, and pruritus were significantly reduced after 12 weeks compared to enrollment in the both groups; however, the median changes for EASI scores and pruritus were not statistically different between the two groups. The growth parameters did not differ significantly between both groups at any assessed time point. This study suggests that SPF could be useful in decreasing the severity of AD without affecting infant growth status. Therefore SPF could provide an adequate and safe alternative to hCMF in treating infants with AD and CMA during the first 12 to 24 months of their life.

The Influence of Service Recovery Justice on Intention to Recommend for Retailer

  • SHIN, Yongsun;KIM, Moonseop
    • Journal of Distribution Science
    • /
    • v.18 no.2
    • /
    • pp.91-98
    • /
    • 2020
  • Purpose: This research aimed to suggest retailing companies some ways to enhance customer satisfaction with service recovery and recommendation intention towards these companies. For this purpose, current study examined the relationships among service recovery justice, service failure severity, customer trust, recovery satisfaction and intention to recommend and the moderating role of ego-resilience. Research design, data and methodology: Current study developed a structural equation model in which perceived service recovery justice is a predictor, service failure severity, customer trust, recovery satisfaction are mediators, intention to recommend is a dependent variable and the ego-resilience is a moderator between the perceived service recovery justice and the customer trust and the recovery satisfaction. Data were collected from customers who experienced service failures from retailers. A total of 400 questionnaires were collected and 365 samples were used for analysis after deleting data having missing value. SPSS 25.0 and AMOS 24.0 were used to test the validity, reliability, and structural equation modeling. Results: Empirical results showed that the perceived service recovery justice had a negative influence on the perceived service failure severity and a positive influence on the customer trust and the recovery satisfaction. These results indicate that when customers perceive the service recovery justice more highly, they perceive the service failure less severe but they perceive the retailer more trustworthy and are satisfied with service recovery. In addition, the customer trust and the recovery satisfaction had a positive influence on the intention to recommend. These results indicate that when customers perceive the retailer more trustworthy and are satisfied with service recovery, they are more intend to recommend the retailer. Moreover, the influence of the perceived service recovery justice on the customer trust and the recovery satisfaction was moderated by the ego-resilience. Conclusions: This study contributed to the service recovery literature by proving the relationship among service recovery justice, service failure severity, customer trust, recovery satisfaction and intention to recommend. Moreover, current research introduced the ego-resilience into service recovery research area and revealed the moderation role of the ego-resilience. Managerially, this research suggested retailing companies some ways to effectively recover from service failure.

Performance of APACHE IV in Medical Intensive Care Unit Patients: Comparisons with APACHE II, SAPS 3, and MPM0 III

  • Ko, Mihye;Shim, Miyoung;Lee, Sang-Min;Kim, Yujin;Yoon, Soyoung
    • Acute and Critical Care
    • /
    • v.33 no.4
    • /
    • pp.216-221
    • /
    • 2018
  • Background: In this study, we analyze the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) II, APACHE IV, Simplified Acute Physiology Score (SAPS) 3, and Mortality Probability Model $(MPM)_0$ III in order to determine which system best implements data related to the severity of medical intensive care unit (ICU) patients. Methods: The present study was a retrospective investigation analyzing the discrimination and calibration of APACHE II, APACHE IV, SAPS 3, and $MPM_0$ III when used to evaluate medical ICU patients. Data were collected for 788 patients admitted to the ICU from January 1, 2015 to December 31, 2015. All patients were aged 18 years or older with ICU stays of at least 24 hours. The discrimination abilities of the three systems were evaluated using c-statistics, while calibration was evaluated by the Hosmer-Lemeshow test. A severity correction model was created using logistics regression analysis. Results: For the APACHE IV, SAPS 3, $MPM_0$ III, and APACHE II systems, the area under the receiver operating characteristic curves was 0.745 for APACHE IV, resulting in the highest discrimination among all four scoring systems. The value was 0.729 for APACHE II, 0.700 for SAP 3, and 0.670 for $MPM_0$ III. All severity scoring systems showed good calibrations: APACHE II (chi-square, 12.540; P=0.129), APACHE IV (chi-square, 6.959; P=0.541), SAPS 3 (chi-square, 9.290; P=0.318), and $MPM_0$ III (chi-square, 11.128; P=0.133). Conclusions: APACHE IV provided the best discrimination and calibration abilities and was useful for quality assessment and predicting mortality in medical ICU patients.

Estimation on Greenhouse Gases(GHGs) Emission of Large Forest Fire Area in 2013 (RapidEye 영상을 활용한 대형산불피해지의 온실가스 배출량 추정)

  • Won, Myoung-Soo;Kim, You-Seung;Kim, Kyong-Ha
    • Journal of the Korean Association of Geographic Information Studies
    • /
    • v.17 no.3
    • /
    • pp.54-67
    • /
    • 2014
  • This study was performed to estimate Greenhouse gases(GHGs) emissions from biomass burning at large forest fire(Ulju, Pohang and Bonghwa) in 2013. The extended methodology to estimate GHGs adopted the IPCC(Intergovermental Panel on Climate Change) Guidelines(2006) equation. For classifying fire damaged area and analyzing burn severity of total three large-fire area damaged, this study used post-fire imagery from Rapideye imagery to compute the Maximum Likelihood Classifiction (MLC). The result of accuracy assessment on burn severity from imagery showed that average overall accuracy was 75.93% and Kapp coefficient was 0.67 Finally, GHGs emissions from biomass burning in the three large-fire area 2013 were estimated as follows: Ulju $CO_2$ 63,260, CO 5.207, $CH_4$ 360, $N_2O$ 28.0 and $NO_x$ $4.4g/kg^{-1}{\cdot}ha^{-1}$, Pohang $CO_2$ 28,675, CO 2.359, $CH_4$ 163, $N_2O$ 12.7 and $NO_x$ $1.9g/kg^{-1}{\cdot}ha^{-1}$ and Bonghwa $CO_2$ 53,086, CO 1,655, $CH_4$ 114, $N_2O$ 23.5 and $NO_x$ $3.6g/kg^{-1}{\cdot}ha^{-1}$.