• Title/Summary/Keyword: Complex treatment

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Surgical Management of Complex Spinal Cord Lipomas : A New Perspective

  • Pang, Dachling
    • Journal of Korean Neurosurgical Society
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    • v.63 no.3
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    • pp.279-313
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    • 2020
  • This review summarises the classification, anatomy and embryogenesis of complex spinal cord lipomas, and describes in some detail the new technique of total lipoma resection and radical reconstruction of the affected neural placode. Its specific mission is to tackle two main issues surrounding the management of complex dysraphic lipomas : whether total resection confers better long term benefits than partial resection, and whether total resection does better than conservative treatment, i.e., no surgery, for asymptomatic lipomas. Accordingly, the 24 years progression-free survival data of the author and colleagues' series of over 350 cases of total resection are compared with historical data from multiple series (including our own) of partial resection, and total resection data specifically for asymptomatic lesions are compared with the two known series of non-surgical treatment of equivalent patients. These comparisons amply support the author's recommendation of total resection for most complex lipomas, with or without symptoms. The notable exception is the asymptomatic chaotic lipoma, whose peculiar anatomical relationship with the neural tissue defies even our aggressive surgical approach, and consequently projects worse results (admittedly of small number of cases) than for the other two lipoma subtypes of dorsal and transitional lesions. Prophylactic resection of asymptomatic chaotic lipomas is therefore not currently endorsed.

Prediction of Water Quality and Water Treatment in Saemankeum Lake 3. Effects of Environmental Pollutants on Propagation of Freshwater Microalgae, Cryptomonas ovata and Feeding Rate of Corbicula leana (새만금호의 수질예측과 그에 따른 대책 3. 환경오염이 담수산 미세조류, Cryptomonas ovata의 증식과 참재첩(Corbicula leana) 섭이율에 미치는 영향)

  • 최문술;정의영;신윤경
    • The Korean Journal of Malacology
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    • v.14 no.2
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    • pp.167-172
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    • 1998
  • As a preliminary study, effects of environmetal pollutants on propagation of freshwater microalgae, Cryptomonas ovata and feeding rate of Corbicula leana were investigated at 20${\pm}$1$^{\circ}C$, over 20 days after treatment of pollutants, glucose, complex fertilizer and NH4Cl. Number of C. ovata in control group was increased from 38${\times}$104 cell/ml to 1.910${\times}$104 cell/ml after 20 days cultivation in Sorokin-Krauss medium. Increments of cell number in experimental groups treated with glucose, complex fertilizer and NH4Cl were higher than that of control group. The higher propagation rate of C.ovata was observed when 30 mg/l of glucose treated, 120 mg/l of complex fertilizer treated, and 4 mg/l of NH4Cl treated, compared with other concentrations in each pollutant treated group. The feeding rates of large size group of C. leana which fed with a living organism, C. ovata in each experimental group were higher than small size group, and slightly reduced with the increase of pollutant concentrations. The feeding rates were not significantly different between any concentrations of the pollutant, and among experimental groups treated with glucose, complex fertilizer and NH4Cl.

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Lived Experience of Middle-Aged Patients with Complex Regional Pain Syndrome (중년기 복합부위통증증후군 환자의 삶의 경험)

  • Seo, Young-suk;Lee, Sunhee
    • Journal of Korean Academy of Nursing
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    • v.52 no.6
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    • pp.598-607
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    • 2022
  • Purpose: This qualitative study aimed to explore the lived and true meaning of experiences of middle-aged patients with complex regional pain syndrome. Methods: The participants were 10 men and women aged 40 to 60 years who received outpatient treatment at a university hospital, could communicate, and agreed to participate in the study. Data were collected through individual interviews using open and semi-structured questions from September 2019 to July 2021 and were analyzed using the content analysis method suggested by Hsieh and Shannon (2005). Results: As a result of this study, 42 summarized semantic units related to life experience, 15 subthemes, and seven themes were derived. The seven themes were "pressed by severe pain," "frustrated because I cannot be part of the community," "distressed because people do not recognize my disease," "sad about conflicts with family," "unmotivated because of desperate life," "appreciating for support," and "putting oneself together and living daily life." Conclusion: The vivid experiences of the participants derived in this study are the basic data for developing treatment guidelines. In the future, we propose a study on life and family care experiences according to the developmental characteristics of the life cycle of patients with complex regional pain syndrome and develop and apply programs to support patients and their families.

Effects of Scutellariae Barbatae Herba·Alli bulbus·Oldenlandiae Herba Complex Herbal Acupuncture on Tumor and Immune Response (반지련(半枝蓮)·대산(大蒜)·백화사설초(白花蛇舌草) 복합약침(複合藥鍼)이 종양(腫瘍) 및 면역반응(免疫反應)에 미치는 영향)

  • Song, Ho-sueb;Hwang, Hyeon-seo;Kim, Kee-hyun
    • Journal of Acupuncture Research
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    • v.19 no.4
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    • pp.56-73
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    • 2002
  • Objective : We need to develop a new treatment method which can curve cancer growth and enhance immunity of patients with various kinds of cancer more safely and effectively, for conventional anticancer treatment has lots of problems to be overcomed, in other words, Its efficacy can be recognizible but it doesn't actually give aid to patients due to its side effects. This study was taken up to evaluate the anticancer and immune-enhancing effect of Scutellariae Barbatae Herba, Alli bulbus, Oldenlandiae Herba(SAO) Herbal acupuncture. Methods : SAO Herbal acupuncture solution was made from Scutellariae Barbatae Herba, Alli bulbus, Oldenlandiae Herba by decoction. Experimental group was divided into normal(N), control(TC, cancer group induced by S 180), high and low concentration SAO complex Herbal acupuncture group. In the high and low concentration SAO complex Herbal acupuncture group, SAO Herbal acupuncture solution was injected, on the left and right Chok-samni(足三里, ST36) of ICR-male S 180 rats alternatively, by 200mg/kg and 100mg/kg respectively. In vitro, S 180 was cultured with $200{\mu}g$ and $500{\mu}g$ of SAO Herbal acupuncture solution. In each experimental group, we examined the effect of SAO complex Herbal acupuncture on body weight, antitumor, organ weight, activity of macrophage, activity of B cell, spleen cell division, IL-2 production and population of lymphocytes. Results : 1. In Body weight, no significant change was shown, but In solid cancer weight, the high concentration SAO complex Herbal acupuncture group showed signigicant(P<0.05) decrease and significant(P<0.05) increase in the weight of kidney, compared with control group. 2. In activity of macrophage, low concentration SAO complex Herbal acupuncture group showed significant(P<0.01) increase, but in vitro, there was no significant increase, compared with control group. 3. In activity of B cell, high and low concentration SAO complex Herbal acupuncture group showed no significant decrease, but in vitro, low concentration SAO complex Herbal acupuncture group showed significant(P<0.01) increase, compared with control group. 4. In spleen cell division, high and low concentration SAO complex Herbal acupuncture group had no significant influence on spleen cell division induced by Co A, meanwhile, it was found that macrophge promote spleen cell division in low concentration SAO complex Herbal acupuncture group(P<0.05), compared with control group. 5. In IL-2 production, high concentration SAO complex Herbal acupuncture group showed significant((P<0.05) increase, compared with control group. 6. In population of lymphocytes, high concentration SAO complex Herbal acupuncture group showed significant increase of CD3+(P<0.05), CD4+(P<0.05), CD3+ and CD4+ T cell(P<0.01) and B cell(P<0.05), while low concentration SAO complex Herbal acupuncture group showed significant increase of CD4+(P<0.05), CD8+ T cell(P<0.05) and B cell(P<0.01), compared with control group. Conclusion : SAO Herbal acupuncture inhibited cancer growth and enhanced immunity.

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Effect of Abnormal Grain Growth and Heat Treatment on Electrical Properties of Semiconducting BaTiO3Ceramics

  • Lee, Joon-Hyung;Cho, Sang-Hee
    • Journal of the Korean Ceramic Society
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    • v.39 no.1
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    • pp.21-25
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    • 2002
  • Effect of abnormal grain growth and heat treatment time on the electrical properties of donor-doped semiconductive BaTiO$_3$ceramics was examined. La-doped BaTiO$_3$ceramics was sintered at 134$0^{\circ}C$ for different times from 10 to 600 min in order to change the volume fraction of the abnormal grains in samples. As a result, samples with different volume fraction of abnormal grain growth from 22 to 100% were prepared. The samples were annealed at 120$0^{\circ}C$ for various times. The resistivity of the sam-ples at room and above Curie temperature was examined. The complex impedance measurement as functions of the volume fraction of abnormal grains and annealing time was conducted. Separation of complex impedance semicircle was observed in a sample in which abnormal and fine grains coexist. The results are discussed from a viewpoint of microstructure-property relationship.

Evaluation of Corrosion Product Behavior in NPP Secondary System with Complex Amine (복합아민 적용에 따른 원전 2차 계통 부식생성물 거동평가)

  • JUNG, Hyunjun;RHEE, In Hyoung;Kim, Young In
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.10 no.1
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    • pp.96-99
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    • 2014
  • The aim of the study was to evaluate the water treatment of pressurized water reactor secondary side by the mixed amine of ammonia and ethanolamine, from the standpoint of corrosion control, as compared with all volatile treatment of ammonia. The pressurized water reactor systems have switched a secondary side pH control agent to minimize the corrosion in the moisture separator/reheater and feedwater heater systems and the transport of corrosion products into steam generator. As results of field test, pH was increased in the steam generator and the wet steam area of moisture separator/reheater and the concentration of Fe were decreased by more than 50% as compared with water treatment of ammonia.

Medeical Therapy For Pulmonary Arterial Hypertention (폐동맥고혈압에서 폐혈관계 작용약물)

  • Choi, Hye Sook;Lee, Sang Do
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.2
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    • pp.142-150
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    • 2006
  • Pulmonary arterial hypertension (PAH) is often difficult to diagnose and challenging to treat. Untreated, it is characterized by a progressive increase in pulmonary vascular resistance leading to right ventricular failure and death. The past decade has seen remarkable improvements in therapy, driven largely by the conduct of randomized controlled trials. Still, the selection of most appropriate therapy is complex, and requires familiarity with the disease process, evidence from treatment trials, complicated drug delivery systems, dosing regimens, side effects, and complications. We tried to provide evidence-based treatment recommendations for physicians involved in the care of these complex patients. Due to the complexity of the diagnostic evaluation required, and the treatment options available, it is strongly recommended that consideration be given to referral of patients with PAH to a specialized center.

A Controlled Trial on the Effect of Complex Oriental Medical Treatment with or without Pyung-Hyung Acupuncture on the Treatment of Peripheral Facial Palsy (말초성 안면신경마비에 대한 평형침 병행치료 효과의 대조군 연구)

  • Yoo, Je-Hyuk;Kim, Kyung-Wook;Kim, Dong-Hyuk;Kim, Jong-Han;Kim, Hyun-Ho;Chung, In-Tae;Kim, Jong-In;Lee, Sang-Hoon;Choi, Do-Young
    • Journal of Acupuncture Research
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    • v.29 no.3
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    • pp.121-128
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    • 2012
  • Objectives : The aim of this study was to observe the effect of Pyung-Hyung acupuncture on peripheral facial palsy. Methods : We investigated 44 cases of patients with peripheral facial paralysis, and divided patients into two groups. We treated one group by complex oriental medical treatment with Pyung-Hyung acupuncture, and the other group by complex oriental medical treatment without Pyung-Hyung acupuncture. To evaluate the effectiveness of treatment applied for two groups, we used Yanagihara's unweighed grading system(Y system) and gross grading system of House-Brackmann(HB score) at baseline and final. Results : 1. The final Y-system in both the Pyung-Hyung acupuncture group and the control group significantly increased compared to the value at baseline. 2. At final, Pyung-Hyung acupuncture group showed significantly increase on Y-system compared with control group. Conclusions : Pyung-Hyung acupuncture can be used for relieving symptoms related with peripheral facial paralysis.

Synergistic Effect of Wild Ginseng Complex Pharmacopuncture Combined with Korean Medicine Automobile Insurance Treatment on Two Obese Inpatients with Systemic Symptoms: Case Series (전신증상을 동반한 교통사고 입원환자에 대한 한방자동차보험 진료와 산삼비만약침 병행 치료: 환자군 연구)

  • Kim, Deok Hyun;Kang, Mi Suk;Song, Ho-seub;Hwang, Ji Hye
    • Korean Journal of Acupuncture
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    • v.36 no.1
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    • pp.81-91
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    • 2019
  • Objectives : Symptoms caused by traffic accidents can be divided into localized pain and systemic symptoms. Edema and pain can be increased due to obesity. During hospitalization of obese patients after traffic accident injury, obesity and systemic symptoms such as edema, dizziness, abdominal fullness and heavy body feeling might increase more by decreased physical activity due to pain. Methods : This report details on two cases of obese female inpatients with systemic symptoms after a car accident who were treated with wild ginseng complex (WGC) pharmacopuncture combined with Korean Medicine (KM) automobile insurance treatment. The Numeric Rating Scale (NRS), Neck Disablility Index (NDI) and the Oswestry Disablility Index (ODI) were evaluated before and after treatment for comparison. Body composition was also measured. Results : Localized pain improved with a decrease in patients' NRS, NDI and ODI scores. Systemic symptoms increased during hospitalization were also improved with changes of body composition. Conclusions : Combining WGC pharmacopuncture with KM automobile insurance treatment may be synergistically effective for the treatment of obese patients with systemic symptoms such as edema, heavy body feeling and abdominal fullness.

Electrical Properties of TiN/TiO2/FTO Resistive Random-Access Memory Based on Peroxo Titanium Complex Sol Solution by Heat Treatment (열처리에 따른 Peroxo Titanium Complex 졸 용액 기반 TiN/TiO2/FTO Resistive Random-Access Memory의 전기적 특성)

  • Yim, Hyeonmin;Lee, Jinho;Kim, Won Jin;Oh, Seung-Hwan;Seo, Dong Hyeok;Lee, Donghee;Kim, Ryun Na;Kim, Woo-Byoung
    • Korean Journal of Materials Research
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    • v.32 no.9
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    • pp.384-390
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    • 2022
  • A spin coating process for RRAM, which is a TiN/TiO2/FTO structure based on a PTC sol solution, was developed in this laboratory, a method which enables low-temperature and eco-friendly manufacturing. The RRAM corresponds to an OxRAM that operates through the formation and extinction of conductive filaments. Heat treatment was selected as a method of controlling oxygen vacancy (VO), a major factor of the conductive filament. It was carried out at 100 ℃ under moisture removal conditions and at 300 ℃ and 500 ℃ for excellent phase stability. XRD analysis confirmed the anatase phase in the thin film increased as the heat treatment increased, and the Ti3+ and OH- groups were observed to decrease in the XPS analysis. In the I-V analysis, the device at 100 ℃ showed a low primary SET voltage of 5.1 V and a high ON/OFF ratio of 104. The double-logarithmic plot of the I-V curve confirmed the device at 100 ℃ required a low operating voltage. As a result, the 100 ℃ heat treatment conditions were suitable for the low voltage driving and high ON/OFF ratio of TiN/TiO2/FTO RRAM devices and these results suggest that the operating voltage and ON/OFF ratio required for OxRAM devices used in various fields under specific heat treatment conditions can be compromised.