• 제목/요약/키워드: CHIEF method

검색결과 238건 처리시간 0.025초

신경성 식욕부진증의 치료에 관한 임상연구 동향 -중의학 논문을 중심으로- (A Review Studies on the Treatment of Anorexia Nervosa in Traditional Chinese Medicine)

  • 김민재;권찬영
    • 턱관절균형의학회지
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    • 제13권1호
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    • pp.1-12
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    • 2023
  • Objectives: This study was performed to review the research trends in the treatment of anorexia nervosa (AN) in Traditional Chinese Medicine (TCM). Methods: Studies were searched through The China National Knowledge Infrastructure (CNKI) database. The search term for the subject were 'Eating Disorder', and 'Anorexia Nervosa'. Clinical research that conducted TCM treatment for AN patients were included. Studies were analyze according to study design, therapy method, diagnostic criteria, population and intervention. Results: 23 articles were selected. According to study design, studies were classified into two randomized controlled trial (RCT), three single group before-and-after studies, and 18 case reports. According to therapy method, they included 19 herbal medicine studies, two acupuncture treatment studies, and two complex treatment studies. The most common pattern identification was 'liver depression with spleen deficiency' (肝鬱脾虛), and the most used herb was 'Root of Bupleurum falcatum' (柴胡). Most of the studies showed effective results in increasing appetite and weight. Conclusions: The results of our study demonstrate that TCM treatments for AN has been effective in alleviating chief symptoms. However, in terms of evidence-based medicine, lack of RCT on TCM treatments for AN and absence of objective diagnostic criteria in case reports are limitations. Therefore well-designed further clinical studies should be performed based on the results of this study are recommended.

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Simplified HPLC Method for the Determination of Pseudoephedrine Hydrochloride from Allegra D Tablet

  • Park, Moon-Hee;Shin, In-Chul
    • Biomolecules & Therapeutics
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    • 제15권2호
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    • pp.123-126
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    • 2007
  • A sensitive, simple and highly selective liquid chromatography method of determination for extraction of pseudoephedrine hydrochloride from Allegra D tablet was developed. The chief benefit of the present method is the minimal sample preparation, as the procedure is only filtering through pore syringe filter. Two drugs (pseudoephedrine hydrochloride, fexofenadine) were separated on a C$_{18}$ column and analyzed by high performance liquid chromatography (HPLC). The method had a chromatographic run time of 8.0 min. 1 ml of pseudoephedrine hydrochloride solution (1 mg/ml) was filtered through 0.22 um pore syringe filter. 50 ul of filtering solution was injected to HPLC pump and we knew the retention time (1.85 min) of separating of pseudoephedrine hydrochloride using UV detector at 280 nm. We used C$_{18}$ column (4.6 mm${\times}$250 mm), mobile phase solution (<0.05 mol/L NaH$_2$PO$_4$, 2 ml/L H$_3$PO$_4$>/CH$_3$CN / sodium dodesyl sulfate = 60 ml / 40 ml / 1 g). We separated psedoephedrine hydrochloride at run time of 1.85 min from Allegra D tablet solution (1 mg/ml) filtered through 0.22 um pore syringe filter using UV detector at 280 nm. Flow rate was set at 1.0 ml/min and the column temperature was set at 40$^{\circ}C$. Psedoephedrine hydrochloride solution (1 mg/ml) separated from Allegra D tablet was filtered through 0.22 um pore syringe filter and injected 50 ul. We confirmed the peak of psedoephedrine hydrochloride at same retention time and the separating solution was freeze-dried. In conclusion, A simple isocratic reverse-phase HPLC method has been developed that provides excellent separation of pseudoephedrine from Allegra D tablet.

교통사고 후유증관리에 관한 한의학적 임상 고찰 (Korean Medicine approach to traffic accident victims)

  • 신용승;박종배;김종훈;최정림;김덕호
    • Journal of Acupuncture Research
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    • 제19권6호
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    • pp.1-11
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    • 2002
  • Objective : Korean medicine treatment method is noted as alternative in treating traffic accidents(TA) victims recently. The main purpose of this research is to make a survey of the effective way of the Korean medicine treatment about TA victims. Methods : In following research, 389 cases of traffic victims who hospitalized in the Youngsaeng Korean Medicine Hospital & Youngsaeng Clinic from March 1, 2001 to November 30, 2001 were surveyed. The research is focused on finding out the distribution, such as sex and age, damaged part of the body of 389 TA victims, nature of damage of 389 TA victims, chief complaint of 389 TA victims, nature of damage by Korean medicine code classification, treatment given to 389 TA victims, Extract(Ex) medicine given to 389 TA victims, days in hospital of 389 TA victims. Results : The patients reached korean medicine hospital in fewer numbers from most of TA victims. As neck pain and L-spin sprain, most of symptoms was light and the treatment of medicine as well was limited for TA. The treatment method which was used for treating TA was acupuncture, cupping therapy, physical therapy, Ex medicine. Few ways could use the Ex medicine as well. Conclusions : The achieving rate of treatment was marked highly by using Haenggi(行氣) Hwalhyeol(活血) Guyea(祛瘀) and we confirmed a possibility for the treatment of TA in korean medicine treatment method. It needs to increase all kinds of treatment-ways which can treat successfully and needs to come into application of insurance. Korean medicine method will have possibility to take part in TA injury admission, by presenting basis to prove effectiveness of treatment-ways.

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GPU을 이용한 토사재해 예측 시뮬레이션의 3D 실시간 가시화 방법 (Real-time 3D Visualization Method of Landslide disaster prediction Simulation using GPU)

  • 송상민;조광준;옥수열
    • 한국정보통신학회논문지
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    • 제19권7호
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    • pp.1630-1638
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    • 2015
  • 본 논문은 SPH에 의한 토사 유체 유동 시뮬레이션 결과를 GPU 병렬처리를 통해 사실적이고 인터랙티브가 가능한 실시간 가시화 방법을 제안한다. 특히, 본 논문에서는 스크린 공간 메쉬기법의 GPU 가속화를 통해 토사 재해 시뮬레이션에 적용 가능한 가시화 방법을 실험을 통해 검증하고 그 타당성을 논하고자 한다. 본 논문의 기법은 시행착오를 통해 축적된 경험에 근거하여 예측하던 기본 방식의 한계를 극복할 수 있게 한다. 실시간 시뮬레이션을 통해 상호작용적 방식으로 모델을 관찰할 수 있게 하며, 효율적인 데이터 동화(Data Assimilation)를 가능하게 하여 시뮬레이션의 정확도를 효율적인 방법으로 대폭 개선할 수 있을 것이다.

아동의 응급의료서비스 이용실태 (Utilization Status of Emergency Medical Service for Children)

  • 전혜진;김소선;배현아;유일영
    • Child Health Nursing Research
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    • 제14권1호
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    • pp.5-13
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    • 2008
  • Purpose: This study was done to describe utilization status of emergency medical service for children at one university affiliated hospital located in Seoul. Data were obtained from the medical records of patients under 13 years of age who visited the ER from January 1 to December 31, 2006. Method: Medical records missing the time of discharge were excluded in the analysis of waiting time, which resulted in 19,766 cases. Data were analyzed using SPSS WIN 14.0 version. Result: There were slightly more boys (58.4%), average age of the children was 3.97 years of age. More children at the aged 1 to 3 years (51.3%) visited the ER. Fever was the most frequent complaint: 5,180 cases (24.38%). The other complaints were head or facial laceration (10.55%), vomiting (9.63%), abdominal pain (8.06%), cough (7.67%), and painful limb swelling (6.34%). Average waiting time before the first medical examination was 17 minutes, and average ER stay time was 3 hours and 23 minutes. Conclusion: The results suggest the need to assign a nurse specialist for pediatric ER to provide more efficient care for the children. Also, extra staff assignment during the evening shift or extending office hours of local pediatricians should be considered.

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Guided endodontics: a case report of maxillary lateral incisors with multiple dens invaginatus

  • Ali, Afzal;Arslan, Hakan
    • Restorative Dentistry and Endodontics
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    • 제44권4호
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    • pp.38.1-38.8
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    • 2019
  • Navigation of the main root canal and dealing with a dens invaginatus (DI) is a challenging task in clinical practice. Recently, the guided endodontics technique has become an alternative method for accessing root canals, surgical cavities, and calcified root canals without causing iatrogenic damage to tissue. In this case report, the use of the guided endodontics technique for two maxillary lateral incisors with multiple DIs is described. A 16-year-old female patient was referred with the chief complaint of pain and discoloured upper front teeth. Based on clinical and radiographic findings, a diagnosis of pulp necrosis and chronic periapical abscess associated with double DI (Oehler's type II) was established for the upper left lateral maxillary incisor (tooth #22). Root canal treatment and the sealing of double DI with mineral trioxide aggregate was planned for tooth #22. For tooth #12 (Oehler's type II), preventive sealing of the DI was planned. Minimally invasive access to the double DI and the main root canal of tooth #22, and to the DI of tooth #12, was achieved using the guided endodontics technique. This technique can be a valuable tool because it reduces chair-time and, more importantly, the risk of iatrogenic damage to the tooth structure.

Board Gender Diversity and Corporate Sustainability Performance: Mediating Role of Enterprise Risk Management

  • FAKIR, A.N.M. Asaduzzaman;JUSOH, Ruzita
    • The Journal of Asian Finance, Economics and Business
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    • 제7권6호
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    • pp.351-363
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    • 2020
  • The objective of this paper is to explore how board gender diversity affects corporate sustainability performance. Therefore, this paper examines the direct association between board gender diversity with corporate sustainability performance and the mediation effect of enterprise risk management (ERM) on this association. The study employed a cross-sectional survey method. Data were collected from annual reports, websites, and through the questionnaires that were distributed to Chief Financial Officers (CFOs) of all the listed companies of Dhaka Stock Exchange, Bangladesh. The partial least square technique of Structural Equation Modelling (SEM) approach was employed for data analysis. The result did not find support for the direct association between board gender diversity and sustainability performance in Bangladesh context. This implies that contextual factors, such as, male-dominant board, appointment of female directors based on family ties, lack of education and expertise etc. may discount gender diversity direct influence on sustainability performance. However, the study finds strong support for the mediating role of ERM use within the corporate structure. Further analysis of indirect effect suggests that ERM use mediates the relationship of board gender diversity and sustainability performance in full. This implies that in the Bangladesh context effective use of ERM is highly recommended.

환자를 위한 선수술 교정 접근 방법 (Surgery-First Orthodontic Approach for the patients)

  • 국민석
    • 대한치과의사협회지
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    • 제55권4호
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    • pp.296-302
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    • 2017
  • The traditional orthognathic surgery treatment consists of three steps: preoperative orthodontic treatment, orthognathic surgery, and postoperative orthodontic treatment, and the average treatment period is usually two years. Also, patients with Class III malocclusion should spend more time getting their facial features worse during the decompensation process. However, most of the patients who want orthognathic surgery visit the chief complaints of appearance improvement, and resolve this address as soon as possible. The concept of $^{\circ}{\AE}$Surgery - First 'does not cause a facial imbalance caused by decompensation for the pre - operative correction period, and the patient can obtain an improved facial profile immediately after the operation. In addition, the correction period is shortened by Regional Acceleratory Phenomenon (RAP) after surgery. However, it is not applicable to all patients. Patients with severe crowding, severe curve of spee or reverse curve of spee, severe transverse discrepancy of the maxilla and mandibular arch, and severe incisal angles are less likely to apply the technique. Although it is not yet possible to apply this technique to all patients, it has many advantages over the conventional method. Especially, the patients' preference is increasing due to the rapid appearance improvement and the shortening of the total treatment period.

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강용접부의 응력부식크랙감수성 평가에 관한 연구 I -재료특성과 변형률 속도- (Evaluation of SCC Susceptibility of Weld HAZ in Structural Steel(I) -material properties and strain rate-)

  • 임재규;정대식;정세희
    • Journal of Welding and Joining
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    • 제11권3호
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    • pp.48-60
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    • 1993
  • The cause of corrosion failure found in structures or various components operating in severe corrosive environments has been attributed to stress corrosion cracking(SCC)which is resulting from the combined effects of corrosive environments and static tensile stress. Slow strain rate test (SSRT) provides a rapid reliable method to determine SCC susceptibility of metals and alloys for a broad range of application. The chief advantage of SSRT procedures is that it is much more aggressive in producing SCC than conventional constant strain or constant load tests, so that the testing time is considerably reduced. Therefore, in this paper, the combined effects of material properties and strain rate on the tensile ductility and fracture morphology of parents and weldment for SM45C, SCM440 and SM20C steels were examined and discussed in synthetic sea water. The susceptibility of SCC was the most severe under the strain rate of $1.0{\times}10^{-6} sec^{-1}$, and R.O.A. can be used for parent and maximum load for weldment to evaluate the parameter for SCC susceptibility.

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객혈환자의 흉부외과적 고찰 (Surgical Evaluation of Hemoptysis Patients)

  • 이형렬;정황규
    • Journal of Chest Surgery
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    • 제20권1호
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    • pp.128-138
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    • 1987
  • The Hippocratic aphorism, "the spitting of pur follows the spitting of blood, consumption follows the spitting of this, and death follows consumption," gives ancient documentation to the significance of hemoptysis in the intrathoracic disease. Hemoptysis is still one of the most alarming and startling of all symptoms. For most patients and not a few doctors, the expectoration of blood signals either pulmonary tuberculosis or cancer. But with the advent of modern thoracic surgical methods, differential diagnosis has become doubly important and appropriate treatment has provided the patients with full recovery or improvement of hemoptysis. Author reviewed 72 cases of patients with a chief complaint of hemoptysis, who were performed open thoracotomies in the Dept. of Thoracic and Cardiovascular Surgery, Pusan National University Hospital for 5 years from April 1980 to March 1985. The results were as follows: 1. The mean age of hemoptysis patients was 35.1 year old with a range from 16 to 64, and hemoptysis was most prevalent in the twenties and male dominant. 2. The most common underlying lung disease of hemoptysis was bronchiectasis [37.5%]. 3. The monthly peak frequency of hemoptysis was in the February [25.[%]. 4. Left lower lobe was the most common site of developing hemoptysis. 5. Lobectomy was the most frequent operative method of all open thoracotomies. 6. The hemoptysis caused by lung cancer recurred most frequently [21.4%], and the prognosis of operation was desperate. 7. The common postoperative complications of hemoptysis patient were re-hemoptysis [24%], bleeding [20%], and atelectasis [16%], and immediate postoperative mortality rate was 2.8%. was 2.8%.

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