• Title/Summary/Keyword: Combined treatment

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Case Study of Western-Oriental Medication Combination Treatment for Helicobacter pylori Infection (헬리코박터 파일로리 감염의 한.양약 병용치료 효과 및 안전성에 관한 증례 보고)

  • Bae, Su-Hyun;Park, Seon-Young;Jin, Myung-Ho;Park, Sang-Eun;Hong, Sang-Hoon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.3
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    • pp.381-385
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    • 2012
  • We investigated the eradication rate and the adverse effects of combined treatment with western and oriental medication on Helicobacter pylori infected patients. We studied the eradication rate and the adverse effects of 1-week-triple therapy and 2-week-oriental medication(Banhasasimtang or Hyangsapeungeuysan) on Helicobacter pylori infected patients confirmed by urea breath test. Comparing 5 patients who took combined treatment with western and oriental medication, the results of this study showed that 4 patients got eradication effect of Helicobacter pylori with no influence on liver and kidney function. A patient had diarrhea and another patient had satiety after meals because of an adverse effect. Despite some possitive effect, the treatment did not make the Quality of Life improved. The findings of this study supports the adverse effects of combined treatment with western and oriental medication for the treatment of Helicobacter pylori infection.

The Study of Combined Voice Therapy with Intralaryngeal Injection (성대주입술을 결합한 음성치료의 효과 연구)

  • Ahn, Cheol Min;Jung, Hwa Won;Shin, Jung Eun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.28 no.1
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    • pp.25-31
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    • 2017
  • Background and Objectives : Though voice therapy is proven to be effective in academia, treatment results and satisfaction level are inconsistent in clinics. The inconsistency may rise from diverse vocal cords misuse patterns in patient population as they suffer from different diseases or have bad phonation habits. In order to overcome the limitation, we uniformized patients' vocal cords with injection laryngoplasty prior to voice therapy. The efficacy of voice therapy and consistency in treatment results after injection laryngoplasty were assessed. Materials and Methods : Patients diagnosed with vocal nodules were either treated with injection laryngoplasty followed by voice therapy (combined treatment group) or voice therapy only (voice therapy group). Each group consisted of 15 patients. Acoustic measures (jitter, shimmer, NHR), aerodynamic measures (MPT, Psub, MAFR), and subjective auditory conscious measures (K-VHI, K-VRQOL) between two groups were analyzed. Results : After treatments, both groups improved in terms of acoustic, aerodynamic, and subjective auditory conscious measures compared to pre-treatment. Combined treatment group had statistically significantly greater improvement in shimmer, P in K-VHI, and PF in K-VRQOL compared to voice therapy group. Conclusion : Injection laryngoplasty treatment prior to voice therapy synergizes in treating patients compared to voice therapy only.

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Effects of ultrasound coupled with potassium permanganate pre-treatment of sludge on aerobic digestion

  • Demir, Ozlem
    • Advances in environmental research
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    • v.5 no.4
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    • pp.251-262
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    • 2016
  • The biodegradability and decomposition efficiencies increase with the pre-treatment of sludge in a digestion process. In this study, the feasibility of ultrasound coupled with potassium permanganate oxidation as a disintegration method and digestibility of aerobic reactor fed with disintegrated sludge with ultrasound coupled potassium permanganate were investigated. The first stage of the study focused on determining the optimum condition for ultrasonic pre-treatment for achieving better destruction efficiency of sludge. The second part of the study, the aerobic digestibility of sludge disintegrated with ultrasound and potassium permanganate oxidation alone and combined were examined comparatively. The results showed that when 20 min of ultrasonic pre-treatment applied, the specific energy output was 49384 kJ/kgTS with disintegration degree of 58.84%. During the operation of aerobic digester, VS/TS ratios of digesters fed with disintegrated sludge decreased indicating that disintegration methods could obviously enhance aerobic digestion performance. The highest reduction in volatile solids was 75% in the digester fed with ultrasound+potassium permanganate disintegrated sludge at the end of the operation compared to digester fed with raw sludge. Total Nitrogen (TN) and Total Phosphorus (TP) levels in sludge supernatant increased with this combined method significantly. Besides, it promoted the production of ${\bullet}OH$, thus enhancing the release of Carbon (C), Nitrogen (N) and Phosphorus (P) from the sludge. Disintegration with all methods used in this study could not improve Capillary Suction Time (CST) reduction in disintegrated digesters during the operation. The results demonstrated that the combined ultrasound treatment and potassium permanganate oxidation method improves the biodegradability compared to control reactor or their single application.

Clinical Effects of Moving Cupping Therapy Combined with Integrative Korean Medicine Treatment on Peripheral Facial Palsy: Case Series

  • Jihun Kim;Yeonhak Kim;Taewook Lee;Eunseok Kim;Gi Young Yang
    • Journal of Acupuncture Research
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    • v.40 no.2
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    • pp.167-175
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    • 2023
  • This study aimed to report the effect of moving cupping therapy (MCT) on peripheral facial palsy (PFP). Four patients with PFP treated with MCT combined with integrative Korean medicine treatment (KMT). Patients were hospitalized for < 17 days. House-Brackmann Grading System (HBGS), Yanagihara grading score (Y-score), and Sunnybrook Facial Grading System (SBGS) were used to assess the changes during treatment periods, and facial photos were taken at admission, interim, and discharge. Facial paralysis symptoms and HBGS grades improved in all patients (Patient 1: HBGS of IV to II; Patient 2: HBGS of V to III; Patient 3: HBGS of IV to II; Patient 4: HBGS of IV to II) following an average of 14.5 days of treatment. The mean (± standard deviation) Y-scores and SBGS scores also increased (Δ[Y-score]: 13.75 ± 3.50 and Δ[SBGS]: 40.00 ± 13.11) from baseline to end of treatment. These findings suggest the clinical effectiveness of MCT combined with integrative KMT in treating patients with PFP.

Effect of Interaction of BPMC, Carbaryl and Chlorothalonii on short-term Bioconcentration Factor in Carassius auratus(goldfish) (BPMC, Carbaryl 및 Chiorothalonil의 상호작용이 Carassius auratus(goldfish)를 이용한 단기간 생물농축계수의 측정에 미치는 영향)

  • 민경진;차춘근;전봉식;김근배
    • Journal of Environmental Health Sciences
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    • v.23 no.2
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    • pp.72-82
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    • 1997
  • This study was performed to investigate the effect of co-existence of BPMC, carbaryl and chlorothalonil on the short-term bioconcentration factor in Carassius auratus(goldfish). The fishes were exposed to the combined treatment of BPMC, carbaryl and chlorothalonil (0.05 ppm+0.05 ppm+0.005 ppm, 0.05 ppm+0.05 ppm+0.010 ppm, 0.05 ppm+0.10 ppm+0.005 ppm, 0.10 ppm+0.05 ppm+0.005 ppm, 0.10 ppm+0.10 ppm+0.005 ppm) for 3 and 5 days, respectively. BPMC, carbaryl and chlorothalonil in fish and in test water were extracted with n-hexane and acetonitrile. GC-ECD was used to detect and quantitate BPMC, carbaryl and chlorothalonil. 3-day and 5-day bioconcentration factors(BCF$_3$ and BCF$_5$) of each pesticide were calculated from the quantitation results. The depuration rate of each pesticide-from the whole body of fish was determined over the 72-h period after combined treatment.The results were as follows: BCF$_3$ values of BPMC were 4.163, 4.011, 4.122, 4.750 and 4.842 when the concentration of BPMC+ carbaryl+chlorothalonil in combined treatment were 0.05 ppm+0.05 ppm+0.005 ppm, 0.05 ppm+0.05 ppm+0.010 ppm, 0.05 ppm+0.10 ppm+0.005 ppm, 0.10 ppm+0.05 ppm+0.005 ppm and 0.10 ppm+ 0.10 ppm+0.005 ppm. BCF$_5$ values of BPMC were 3.465, 3.270, 3.472, 3.162, 4.227 and 4.157, respectively, under the above conditions. While BCF$_3$ values of carbaryl were 4.583, 4.642, 4.571, 3. 637 and 3.529, respectively, and BCF$_5$ values of carbaryl were 3.932, 3.797, 3.843, 4.293 and 4.132, respectively, under the conditions. While BCF$_3$ values of chlorothalonil were 2.024, 3.532, 2.213, 2.157 and 2.271, respectively, and BCF$_5$ of chlorothalonil were 6.712, 7.013, 6.457, 6.694 and 6.597, respectively, under the conditions. Depuration rate constants of BPMC were 0.019, 0.018, 0.020, 0.022 and 0.021 when the concentration of BPMC+carbaryl+chlorothalonil in combined treatment were the same as above. And depuration rate constants of carbaryl were 0.030, 0.029, 0.030, 0.029 and 0.031, respectively, under the same condition of pesticide mixtures. While depuration rate constants of chlorothalonil were 0.004, 0.004, 0.003, 0.004 and 0.003, respectively, under the same condition. It was observed that no significant differences of BCFs and concentrations of the compounds in fish extracts, test water between combined treatment and single treatment. It was considered that no appreciable interaction at experimental concentrations was due to low concentrations, near environmental level, 0.005-0.1 ppm. Coexistence of BPMC, carbaryl and chlorothalonil had no effect on depuration rate of each pesticide and depuration rate of chlorothalonil was investigated 1/8 and 1/6 slower than those of carbaryl and BPMC in combined treatment. It is similar result in comparison with single treatment. Therefore, it is considered that the persistence of chlorothalonil in fish body would be higher than those of carbaryl and BPMC.

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Protective Effects of Nueihyuljunbang on LPS Combined PMA Induced Cytotocity in C6 Gilal Cell (LPS와 PMA에 손상된 신경교세포에 대한 뇌혈전방의 방어효과)

  • 서관수;문병순;성강경;임규상;신선호
    • The Journal of Korean Medicine
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    • v.22 no.3
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    • pp.1-10
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    • 2001
  • Objectives : The water extract of Nueihyuljunbang (NHJB) has long been used for treatment of ischemic brain damage in Oriental Medicine. However, little is known about the mechanism by which the water extract of NHJB recovers brain cens from ischemic damage. Methods : To elucidate the protective mechanism on ischemic induced cytotoxicity, we investigated the regulation of lipopolysaccharide (LPS) and phorbol-12-myristate-13-acetate (PMA)-induced inducible nitric oxide synthase (iNOS) expression in C6 glial cells. Results : LPS combined PMA treatment for 72 hours in C6 glial cells markedly induced nitric oxide (NO), but treatment of the cells with the water extract of NHJB decreased dose-dependently nitrite formation. In addition, LPS combined PMA treatment for 72 hours induced severe celt death and lactate dehydrogenase (LDH) release in C6 glial cells. However, treatment of the celts with the water extract of NHJB did not induce significant change compared to control cells. Furthermore, the protective effects of the water extract of NHJB were mimicked by the treatment of NGMMA, a specific inhibitor of NOS. LPS combined PMA induced iNOS activation in C6 glial cells caused chromosomal condensation and fragmentation of the nuclei by caspase activation. The treatment of C6 glial cells with the water extract of NHJB might suppress apoptosis via caspase inhibition by regulation of iNOS expression. Conclusions : From the results, we suggest that the protective effects of the water extract of NHJB against ischemic brain damage may be mediated by regulation of iNOS during ischemic condition.

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A Study on the Effect of Selenium and Garlic on the Accumulation of Mercury in Male and Female Mouse (자웅마우스 장기내 Hg 축적에 미치는 Se과 마늘의 영향에 관한 연구)

  • 이진헌
    • Journal of Environmental Health Sciences
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    • v.15 no.1
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    • pp.121-133
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    • 1989
  • To study on the effect of selenium and garlic on the toxicity of MMC(methylmercury chloride), the change of body, liver, kidney and brain weight and the concentration of mercury in liver, kidney, brain and blood are measured to each group between male and female. Results obtained are as follows: 1. In female, the body weight of MMC(5mg/kg) single treatment group and MMC(5mg/kg) and selenium (0.3mg/kg) combined treatment group and significantly lower than that of control group from the 4th week, but the body weight of MMC(5mg/kg), selenium (0.3mg/kg) and garlic(1g/kg) combined treatment group is similar to that of control group. 2. For the relative weight of kidney, only MMC(5mg/kg), selenium(0.3mg/kg) and garlic(1g/kg) combined treatment female group is lower than control femal group. For the relative weight of brain, MMC, selenium and garlic combined treatment male and female groups are lower than control group, respectively. 3. When male and female mice were injected with single MMC, the concentrations of mercury in kidney, brain, blood and liver are 4.721 ppm, 4.079 ppm, 1.946 ppm and 1.196. ppm for male and 7.715 ppm, 4.527 ppm, 2.657 ppm and 1.994 ppm for female, respectively, on the 5th week. 4. When male and female mice were injected with MMC, selenium and.garlic, the accumulations of mercury in kidney, brain, blood and liver are 29.04%, 33.91%, 54.47% and 12.12% for male and 25.74%, 22.64%, 24.31% and 36.21% for female lower than that of MMC single treatment group, respectively, on the 5th week. 5. When male and female mice were injected with MMC and selenium, the accumulation of mercury in brain is 16.55% about male and 11.86% about'female higher than that of MMC single treatment group, respectively, on the 5th week.

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Retrospective Study on Effect of Chuna Therapy, Also Known as Supine JS Cervical Therapy, Combined with Korean Medicine Treatment on Neck Pain and Headache Caused by Whiplash Injury (편타성 손상에 의한 경항통 및 두통 환자의 추나요법 병행 한방복합치료의 효과: 후향적 관찰연구 - 앙와위 경추 JS 신연 교정기법을 중심으로)

  • Kim, NamHoon;Jeon, Dong-Hwi;Lee, Jung Min;Oh, MinSeok
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.2
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    • pp.57-67
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    • 2021
  • Objectives To observe the pain reduction effect of Korean medical treatment combined with supine JS cervical therapy on neck pain and headache caused by whiplash injury. Methods The medical records of 30 patients suffering from neck pain and headache caused by traffic accidents from August 1, 2020 to October 30, 2020 were studied. 15 patients receiving supine JS cervical therapy combined with Korean medical treatment were assigned to group A and another 15 patients receiving Korean medical treatment but without Chuna therapy were assigned to group B. The following patient data were analyzed retrospectively - age, sex, and number of admission days, neck pain and headache visual analogue scale (VAS), and neck disability index (NDI). Statistical analysis was conducted using IBM SPSS 25.0. for Windows. A p-value≤0.05 was considered to be statistically significant. Results Both neck pain and headache VAS score in group A and B showed a statistically significant decrease. The changes in neck pain and headache VAS score in group A was statistically significant higher compared to those of group B. NDI in group A showed a statistically significant decrease, but NDI in group B did not decreased statistically significant. Conclusions Korean medicine treatment effectively reduces neck pain and headache. Especially, the pain reduction effect is better in patients receiving Korean medicine treatment combined with supine JS cervical therapy than in those receiving Korean medicine treatment without supine JS cervical therapy.

Another Look at Combined Intrablock and Interblock Estimation in Block Designs

  • Paik, U.B.
    • Journal of the Korean Statistical Society
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    • v.15 no.2
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    • pp.118-126
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    • 1986
  • The relationships between combined estimators and generalized least squares estimators in block designs are reviewed. Here combined estimators mean the best linear combination of intrablock and interblock estimaters. It is well known that only for balanced incomplete block designs the combined estimators of Yates and of the generalized least squares estimators give the same result. In this paper, a general form of the combined estimators for treatment effects is derived and it can be seen that such estimators are equivalent to the generalized least squares estimators.

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Quality Change in Plug Seedlings of Three Indigenous Medicinal Plants after Short-term Cold Storage

  • Oh, Hye Jin;Park, Ji Eun;Park, Yoo Gyeong;Jeong, Byoung Ryong
    • Korean Journal of Plant Resources
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    • v.26 no.6
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    • pp.701-708
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    • 2013
  • To test the quality change of seedlings of three domestic medicinal plants raised in plug trays, a short term storage experiment was conducted. Seedlings were kept in growth chambers for two weeks at 4 or $8^{\circ}C$ temperature combined with 0 or $5{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$ PPFD. Quality of glasshouse-raised seedlings was assessed after two weeks of cold storage in the growth chamber and one week of acclimation in the greenhouse. After two weeks of storage in the growth chamber of Perilla frutescens var. acuta Kudo, plant height was the greatest in the treatment $8^{\circ}C$ combined with $0{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$ PPFD. Internode length of P. frutescens var. acuta Kudo was the greatest in the treatment of $4^{\circ}C$ combined with $0{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$ PPFD. After one week of acclimatization in a glasshouse, the growth and development, such as plant height, internode length and leaf size, were greater in the $8^{\circ}C$ combined with $5{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$ PPFD than in the other treatments. After two weeks of storage in the growth chamber of Sophora tonkinensis, plant height increased more in the treatment of $4^{\circ}C$ than $8^{\circ}C$. After one week of acclimatization in a glasshouse, number of leaves did not change in the treatment of $4^{\circ}C$ combined with $0{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$ PPFD, but it increased in the other treatments. Leaf width increased more under the dark than light condition. Leaf length did not observably change in any treatments. After two weeks of storage in the growth chamber, plant height of Angelica gigas Nakai was the greatest in the treatment of $8^{\circ}C$. Number of leaves was the greatest in the treatment of $8^{\circ}C$. Leaf growth was greater under dark than light condition. These results suggested that optimal storage environment was $8^{\circ}C$ combined with $5{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$ PPFD for P. frutescens var. acuta Kudo, and $4^{\circ}C$ combined with $0{\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$ PPFD for S. tonkinensis and A. gigas Nakai. Hence, proper combination of temperature and PPFD were necessary for better storage, and acclimatization and growth, thereafter, of the plug seedlings of theses plant species.