• Journal of Korean Neurosurgical Society
• /
• v.65 no.3
• /
• pp.479-488
• /
• 2022

Objective : The surgical management of trigeminal neuralgia (TN) caused by petrous apex meningioma (PAM) is still a challenge because of the lesion's deep location and the surrounding complex structures. The authors describe the intradural anterior transpetrosal approach (ATPA) and its effect on the treatment of TN secondary to PAM. Methods : A retrospective analysis of 15 patients with TN secondary to PAM who underwent surgery via the intradural ATPA was conducted. The key techniques, which included drilling off the petrosal apex (PA) and opening the upper wall of Meckel's cave (MC), are described in detail. Results : Total removal of the tumor and complete pain relief (Barrow Neurological Institute I) were achieved in all 15 patients without significant morbidity. Five patients developed new facial numbness postoperatively, which disappeared within three months after surgery. The postoperative magnetic resonance imaging showed temporal lobe swelling in three patients, but no clinical symptoms. One patient had cerebrospinal fluid leakage and was managed with bed rest and temporary lumbar drainage. One patient had an intracranial infection and was treated with antibiotics. By the last follow up, no patients had pain relapse or/and tumor recurrence. It is worth noting that the vascular compression at the root of the trigeminal nerve was found in one patient during the operation. Conclusion : Our experience suggests that drilling off the PA and opening the upper wall of the MC are key elements for a good outcome of the treatment of TN secondary to PAM. The intradural ATPA has the advantages for both tumor resection and pain relief.

• Journal of Physiology & Pathology in Korean Medicine
• /
• v.37 no.6
• /
• pp.178-184
• /
• 2023

The objective of this study was to develop a critical pathway of integrative medicine to improve the quality of life of lung cancer patients who received standard western medicine treatments. A total of 10 medical professionals, including western and Korean medicine doctors, and nurses participated in a validation survey and revised clinical pathway. Then we applied the critical pathway to 11 lung cancer patients who admitted at Korean medicine hospital and evaluated quality of life at the beginning and discharge of admission using European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ). More than 80% of the respondents gave a score of 3 (appropriate) or more for all items in the validation survey and we modified the clinical pathway by adding 'bed rest'to the activity item. When applying the revised critical pathway to 11 lung cancer patients, the score of 'Nausea and vomiting', 'Insomnia' in EORTC QLQ-30 and 'chest pain'in EORTC LC-13 showed statistically significant improvements in the before-and-after admission comparision. The application of revised inpatient critical pathway of integrative medicine for lung cancer showed improvement in some symptoms. Development of more critical pathway in various clinical setting and larger scaled application studies of critical pathway are needed.

• Hip & pelvis
• /
• v.34 no.2
• /
• pp.69-78
• /
• 2022

Fragility fractures of the pelvis (FFP) and fragility fractures of the sacrum (FFS), which are emerging in the geriatric population, exhibit characteristics that differ from those of pelvic ring disruptions occurring in the younger population. Treatment of FFP/FFS by a multidisciplinary team can be helpful in reducing morbidity and mortality with the goal of reducing pain, regaining early mobility, and restoring independence for activities of daily living. Conservative treatment, including bed rest, pain therapy, and mobilization as tolerated, is indicated for treatment of FFP type I and type II as loss of stability is limited with these fractures. Operative treatment is indicated for FFP type II when conservative treatment has failed and for FFP type III and type IV, which are displaced fractures associated with intense pain and increased instability. Minimally invasive stabilization techniques, such as percutaneous fixation, are favored over open reduction internal fixation. There is little evidence regarding outcomes of patients with FFP/FFS and more literature is needed for determination of optimal management. The aim of this article is to provide a concise review of the current literature and a discussion of the latest recommendations for orthopedic treatment and management of FFP/FFS.

• Korean Journal of Environmental Agriculture
• /
• v.13 no.2
• /
• pp.223-230
• /
• 1994

A practical study on a drying and fermentation system equipped with a stirring machine operated mechanically, of pig manure was conducted to prove the efficiency of and practicability to an ordinary pig farm. The type of the drying bed was a round-shaped (r=3m) concrete structure and the stirring machine was adopted to stir and transfer dried pig manure to the fermentation tank. The dried pig manure was put into a fermentation tank ($V=18m^3$), which was aerated from pipe lines installed at the bottom. While water content of pig manure passing through a drying bed was remarkably reduced than before drying, the drying efficiency of this system decreased in winter. However, the temperature of pig manure piled up in the fermentation room in winter reached over $60^{\circ}C$ and excess water of pig manure was removed during the fermentation process. The reduction rate of water content of pig manure, to which dried pig manure was added as bulking material on the drying bed, was 52.1%, but when dried without bulking material it was only 19.7%. Although the content of $P_2O_5$ of dried pig manure was slightly higher than that of fresh pig manure, progressive changes in chemical composition between fresh and dried pig manure made no great difference. Among the contents of minerals of fresh and dried pig manure, CaO was the highest and the rest were in the decreasing order of $K_2O$, MgO, and $Na_2O$. Population density of E. coli and Streptococci of dried pig manure was reduced by 142 and 236 times that of fresh pig manure, respectively. The installation cost of this drying and fermentation system was 4,185,630 won (approximately 5,232 US $) and operating cost per year was 190,000 won (237.5US $) on the basis of self-labor condition.

• Journal of Acupuncture Research
• /
• v.18 no.4
• /
• pp.68-81
• /
• 2001

Herniated lumbar intervertebral disc(H.I.V.D) is the most common reason causing low back pain and leg radiating pain. Objective : The purpose of this report is to observe the effects of oriental medical conservative treatment in the different herniated type. Methods : We investigated 30 patients suffering from low back pain with sciatica which were admitted to Taejon Cheonan O. M. hospital from Nov 1, 2000 to Apr 30, 2001. 30 patients had a diagnosis of herniated lumbar interver tebral disc by Lumbar-C.T and Lumbar-M.R.I. we treated 30 patients by oriental medical conservative treatment (Ex: acupuncture, herb-med, physical theraphy, bed-rest, etc.) Results : 1. The mean hospitalization of patients was 21.1 days. that in the bulging type was l4days, protruded type 21days, mixed type 27days, extruded type 30days. that shows the less herniation of lumbar intervertebral disc, the mean hospitalization was more short. 2. In the distribution of the clinical symptoms admitted at that time, low back pain, leg radiating pain were showed in the all types(29patients, 96.6%). and sensory disorder, muscle powerlessness were showed least in the bulg ing type(0%, 37.5%), but that were showed most in the extruded type(50%,75%). 3. In the result of treatment due to clinical syptoms, bulging type was more execellent than any other other types. 4. The less herniation of lumbar intervertebral disc, angle of straight leg raising test was higher. In the result of treatment due to angle of straight leg raising test, bulging type was more execellent than any other other types. 5. In the distribution of physical. test, positive case in the Peyton sign, Ankle Dorsiflexion were showed least in the bulging type(25%, 12.5%), but that were showed most in the extruded type(100%, 75%). 6. In the result of treatment due to physical.test, bulging type was more exec ellent than any other other types. 7. The efficacy of total treatment was 90%(when we set a standard things more than fair), that in the bulging type was 100%, protruded 92%, mixedtype 80%, extruded type 75%. Bulging type had a more remakable effectsthan any other types. Conclusions : The less herniation of lumbar intervertebral disc, clinical syptoms were slighter, physical. test were better, and efficacy of oriental medical conservative treatme nt was remakable high.

• Women's Health Nursing
• /
• v.6 no.3
• /
• pp.413-426
• /
• 2000

The purposes of this study is to examine the degree of dysmenorrhea and self-management of dysmenorrhea in high school girls and to provide basic information for health education. This research is the contents of the characteristics and self-management of dysmenorrhea and thereby serve to provide some theoretical grounds for the health education of high school-girl students. The subjects of this study are the 376 girl students of a high school in Taegu. This study was conducted by collecting data from April 3rd to 7th, 2000. The instruments used for this study by the researcher of this study based on Choi, Myung-Ok's (1992) menstrurational symtom scale (8 items) and factors used to dysmenorrhea scale (5 items). Health locus of control is obtained from a review of references by the researcher, Sin Jae Sin (1985) translated Multidimensional health Locus of Control scale (18 items) were made by Wallston & Wallston (1976). The collected data was analysed by mean, percent, Chi-squre test, Fisher's Exact Test using the SPSS (v 6.12) and SAS program. The results of this study were as follows : 1. The characteristics of dysmenorrhea were low abdominal pain, fatigue, back pain, headache, muscle pain, diarrhea, nausea and vomiting. 2. The degree of dysmenorrhea was shown 'a few of discomfort experiment': 73%, late, leaving early and absent for school : 4.0%. 3. By means locus of control, internal health locus of control was shown 79.5% and external health locus of control was shown 20.5%. 4. The self-management of dysmenorrhea was shown 'massaging on the abdomen and bed rest' is 31.9%, 'tolerance' is 53.5%. 5. When the characteristics of dysmenorrhea was compared with demographics, low abdominal pain was significant of the number of siblings (p<.05), the family history (mother's dysmenorrhea)(p<.01) and back pain was significant of the age, family history, low abdominal pain (p<.05, p<.01, p<.01). 6. There was no significant of the locus of control. When the self-management of dysmenorrhea was compared with demographics, the age was significant (p<.05).

• Journal of East-West Nursing Research
• /
• v.1 no.1
• /
• pp.72-81
• /
• 1997

Korean society is a mix of western and traditional cultures. Even though the patients try to recover through both aspects, hospital only utilizes a western approachs. When they have suffered from a chronic disease, especially diabeties meliitus(DM), application of folk medicine is more varied but the nurses are unaware of the practices. This study was done to describe the current use of the folk medicine with which the patients with DM have had an experience and to identify the relationships between the westernized medical care and folk medicine application. The 244 patients with non-insulin dependent diabetes millitus who participated were interviewed at a DM education clinic in a 1500-bed hospital. The results of the study are as follows: 1. 54.1%(N=133) of the participated patients in this study have had a folk medicine. 2. 44 kinds of folk medicine were used for the treatment of DM. Among them 14 items were used by more than two people and the rest were used by one person. Among the used items, 70.4% consisted of various types of plants, 11.4% was animal material and 18. 2% was the mixed group. As a single item, Commelina Communis(Dalgaebi) was the most frequently used(62.8%), followed by the root of Rosa rugosa(Haedangwha) 14.3%, and Youngi mushroom 13.6%. 3. In the analysis of the relationships between the general characters of the patients with regular fol1ow-up(F-U), self blood sugar test(BST) and folk medicine usage: 1) The higher the educational back ground patient had, the lower the folk medicine usage was ($X^2$=14.265, P=.003). 2) The more complex their treatment was($X^2$=24. 016. P=.000). and the longer they had suffered from DM($X^2$=75.739, P=.000), the fewer they visited regular F-U. On the other hand, they did self-BST well($X^2$=7.722, P=.021 : $X^2$=14. 775, P=.002) and had more folk medicine($X^2$=33.382, P=.000 ; $X^2$=43.410, P=.000). 3) If they had suffered many symptoms, they had fewer regular F-U ($X^2$=13.192. P=.001). On the other hand, they had more folk medicine($X^2$=6.070, P=.048). 4) The group of family history($X^2$=6.801. P=.009) and the group of DM education experience($X^2$=15.678, P=.000) carried out self BST well. DM education group used more folk medicine($X^2$=8.680, P=.003). In conclusion, DM education should be grouped according to the treatment type and suffering period. Then the management of DM would be effective and the vague application of folk medicine would be decreased.

• Journal of Korean Academy of Nursing
• /
• v.30 no.5
• /
• pp.1156-1169
• /
• 2000

The study was aimed at developing an independent hospice center model that would be best suited for Korea based on a literature review and the current status of local and international hospices. For the study, five local and six international hospice organizations were surveyed. Components of the hospice center model include philosophy, purpose, resources (workers, facilities, and equipment), allocation of resources, management, financial support and hospice team service. The following is a summary of the developed model: Philosophies for the hospice center were set as follows: based on the dignity of human life and humanism, help patients spend the rest of their days in a meaningful way and accept life positively. On the staff side, to pursue a team-oriented holistic approach to improve comfort and quality of life for terminally ill persons and their families. The hospice center should have 20 beds with single, two, and four bed rooms. The center should employ, either on a part-time or full-time basis, a center director, nurses, doctors, chaplains, social workers, pharmacists, dieticians, therapists, and volunteers. In addition, it will need an administrative staff, facility managers and nurses aides. The hospice should also be equipped with facilities for patients, their families, and team members, furnished with equipment and goods at the same level of a hospital. represented by a center director who reports to a board and an advisory committee. Also, the center director administers a steering committee and five departments, namely, Administration, Nursing Service, Social Welfare, Religious Services, and Medical Service. Furthermore, the center should be able to utilize a direct and support delivery systems. The direct delivery system allows the hospice center to receive requests from, or transfer patients to, hospitals, clinics, other hospice organizations (by type), public health centers, religious organizations, social welfare organizations, patients, and their guardians. On the other hand, the support delivery system provides a link to outside facilities of various medical suppliers. In terms of management, details were made with regards to personnel management, records, infection control, safety, supplies and quality management. For financial support, some form of medical insurance coverage for hospice services, ways to promote a donation system and fund raising were examined. Hospice team service to be provided by the hospice center was categorized into assessment, physical care, emotional care, spiritual care, bereavement service, medication, education and demonstrations, medical supplies rental, request service, volunteer service, and respite service. Based on the results, the study has drawn up the following suggestions: 1. The proposed model for a hospice center as presented in the study needs to be tested with a pilot project. 2. Studies on criteria for legal approval and license for a hospice center need to be conducted to develop policies. 3. Studies on developing a hospice charge system and hospice standards that meet local conditions in Korea need to be conducted.

• Korean Journal of Environment and Ecology
• /
• v.11 no.1
• /
• pp.46-60
• /
• 1997

The purposes of this research are to select the appropriate kinds of landscape woody plants for afforestation artificial ground and to find out the way of developing planting-tree area of artificial ground through test planting and case study. The summary of the research is as follows; As a result of observing the state of trees' growth, trees on artificial grounds grow as well as, or even better than those on natural grounds. The kinds of trees which represent better growth states on artificial soil of rooftop test area are Thuja occidentalis, Prunus armericana var. ausu, Acer palmatum, Viburnum sargentii for. sterile, Buxus microphylla var. koreana, etc. In addition, soils than on natural soils. As a result of investigating the tree's growth state according to soil beds of artificial soils, shrubs don't represent distinct differences. They show that shrubs can be planted on 30cm soil bed. The rest of trees no differences according to the variation of soil beds, and they are in normal condition or have slight damage. This means that though arbor planting area of artificial ground is made 45~60cm, it is possible for trees to grow on it. In consequence of analyzing the cases on areas of landscaping artificial grounds, as the appropriate kinds of trees for afforestation artificial ground, Diospyros kaki, Hibiscus syriacus, Syringa dilatata, Magnolia kobus, Acer ginnala and cornus alba are selected in Capital region, and Nandina domestica, Taxus cuspidata, Ilex crenata, Viburnum awabuki, Aucuba japonica and Euonymus japonica are selected in southern region. In addition, Juniperus chinensis, Zelkova serrata, Juniperus chinensis var. kaizuka, etc. are selected regardless of regional character. In accordance with the state of soil it shows great difference, namely, fertilization once or more a year and irrigation for drought is advantageous to tree's growth. This research represents that it is necessary that standards related to landscaping artificial grounds are subdivided. In addition to it, the plan for revising related to regulation is drawn up.

• Archives of Craniofacial Surgery
• /
• v.11 no.1
• /
• pp.28-32
• /
• 2010

Purpose: In accordance with the increasing number of accidents caused by various reasons and recently developed fine diagnostic skills, the incidence of orbital blow-out fracture cases is increasing. As it causes complications, such as diplopia and enophthalmos, surgical reduction is commonly required. This article reports a retrospective series of 5 blow-out fracture cases that had unusual nerve injuries after reduction operations. We represents the clinical experiences about treatment process and follow-up. Methods: From January 2000 to August 2009, we treated total 705 blow-out fracture patients. Among them, there were 5 patients (0.71%) who suffered from postoperative neurologic complications. In all patients, the surgery was performed with open reduction with insertion of $Medpor^{(R)}$. Clinical symptoms and signs were a little different from each other. Results: In case 1, the diagnosis was oculomotor nerve palsy. The diagnosis of the case 2 was superior orbital fissure syndrome, case 3 was abducens nerve palsy, and case 4 was idiopathic supraorbital nerve injury. The last case 5 was diagnosed as optic neuropathy. Most of the causes were extended fracture, especially accompanied with medial and inferomedial orbital blow-out fracture. Extensive dissection and eyeball swelling, and over-retraction by assistants were also one of the causes. Immediately, we performed reexploration procedure to remove hematomas, decompress and check the incarceration. After that, we checked VEP (visual evoked potential), visual field test, electromyogram. With ophthalmologic test and followup CT, we can rule out the orbital apex syndrome. We gave $Salon^{(R)}$ (methylprednisolone, Hanlim pharmaceuticals) 500 mg twice a day for 3 days and let them bed rest. After that, we were tapering the high dose steroid with $Methylon^{(R)}$ (methylprednisolon 4 mg, Kunwha pharmaceuticals) 20 mg three times a day. Usually, it takes 1.2 months to recover from the nerve injury. Conclusion: According to the extent of nerve injury after the surgery of orbital blow-out fracture, the clinical symptoms were different. The most important point is to decide quickly whether the optic nerve injury occurred or not. Therefore, it is necess is to diagnose the nerve injury immediately, perform reexploration for decompression and use corticosteroid adequately. In other words, the early diagnosis and treatment is most important.