• Title/Summary/Keyword: Fatigue Scale

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Disease presentation and surgical treatment of patients with foreign-body granulomas and ASIA syndrome: case series

  • Lopez-Mendoza, Javier;Vargas-Flores, Edgar;Mouneu-Ornelas, Nicole;Altamirano-Arcos, Carlos
    • Archives of Plastic Surgery
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    • v.48 no.4
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    • pp.366-372
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    • 2021
  • Background The result of illicit polymer injection is chronic inflammation with foreign-body granuloma (FBG) formation. Treatment can be divided into medical and surgical. Some patients develop severe complications with need surgical treatment. This study aims to describe patients who underwent surgical removal of the FBGs and autoimmune/inflammatory syndrome induced by adjuvants (ASIA); additionally, we evaluated the quality of life after surgery. Methods In this retrospective single-center study, the authors examined data of patients who underwent surgical removal of FBG caused by illicit polymer injection for cosmetic purposes and confirmed ASIA from 2015 to 2020 by three different surgical approaches. Descriptive summary statistics were reported on patient demographics, presenting symptoms and clinical examination features, treatment strategies, histopathology reports and quality of life. Results The cohort included 11 female patients with FBGs and ASIA. The most affected anatomical zones were the combination of gluteal region, thighs and legs (40%); and thighs with legs (20%). Main presentation was: skin hyperpigmentation (90.9%), skin induration (63.6%), chronic fatigue (63.6%), and ulcers (36.4%). Surgical modalities consisted of: ultrasonic-assisted liposuction in four patients (36.4%); open en bloc excision and primary closure in four patients (36.4%); and open en bloc excision and microsurgical reconstruction in three patients (27.2%). The postoperative quality of life visual analog scale score was 83.9. Conclusions ASIA treatment represents a challenge for the plastic surgeon. Adequate surgical treatment emphasizing, when possible, the total or near-total resection of the FBG must be performed to improve ASIA evolution.

A Case Report of non-cardiac chest pain treated with Jungsongouhyul Pharmacopuncture and Insambaekhaokwanjung-tang (중성어혈 약침과 인삼백하오관중탕으로 호전된 비심인성 흉통 증례 1례)

  • Kim, Seo-Young;Choi, Jeong-Woo;Jeong, Hye-Seon;Yim, Tae-Bin;Ko, Chang-Nam;Park, Jung-Mi;Cho, Seung-Yeon;Park, Seong-Uk
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.21 no.1
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    • pp.1-10
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    • 2020
  • ■ Objectives The purpose of this study is to report the effectiveness of Korean medicine in the treatment of non-cardiac chest pain. ■ Methods The patient with non-cardiac chest pain was treated with herbal medicine, Insambaekhaokwanjung-tang, and Jungsongouhyul pharmacoacupuncture. The severity of symptom was assessed by daily chest pain frequency, Numerical Rating Scale(NRS) of chest pain. ■ Results After the treatment, the severity of chest pain was reduced from NRS 9 to NRS 0 and the palpitation intensity was reduced from 9 to 0. The chest pain frequency was reduced from 7 to 0. In addition, other symptoms such as anorexia, sleep disturbance, and fatigue have shown improvements. ■ Conclusion The findings of this study suggests that treatment with Korean medicine can be an effective option in treating non cardiac chest pain.

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Nutritional Status according to the Frailty Status of the Elderly at Home in Seo-gu, Gwangju, Korea (광주광역시 서구 재가노인의 노쇠정도에 따른 영양상태)

  • Kim, Ye Eun;Heo, Young-Ran
    • Korean Journal of Community Nutrition
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    • v.26 no.5
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    • pp.382-395
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    • 2021
  • Objectives: This study examined the nutritional status according to frailty status in the elderly at home. Methods: The participants were a total of 76 elderly at home living in Seo-gu, Gwangju, Korea. The nutritional status and frailty status were analyzed using the Nutrition Quotient for Elderly (NQ-E) and the Korean version of the Fatigue, Resistance, Ambulation, Illnesses and Loss of weight Scale (K-FRAIL), respectively. Results: The distribution of frailty status was robust (17.1%), pre-frailty (38.2%) and frailty (44.7%), and its distribution was significantly different in genders, age groups and the number of medications. The mean NQ-E score was 47.0 for total subjects, indicating a low grade. The scores of balance, diversity and dietary behavior factors were within the low grade, while the score of the moderation factor was within the medium-high grade. According to the frailty status, pre-frailty and frailty showed significantly higher scores for sugar-added beverages intake in the moderation constructs than robust. Robust showed significantly higher scores for the exercise hours and perception level for one's health than pre-frailty and frailty. Conclusions: These results suggest that nutrition status is associated with frailty status. Regular nutrition education and visiting nutrition service should be established to improve the balance and diversity of food intake and improve the dietary behavior of the elderly at home.

Design and Implementation of Smart Factory MES Model Based on Process Visualizationa for Small and Medium Business in Korea (대한민국 중소기업을 위한 공정 시각화에 기초한 스마트팩토리 생산관리시스템의 설계 및 구축)

  • Kho, Jeong-Seog;Jeong, Jongpil
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.19 no.5
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    • pp.135-141
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    • 2019
  • South Korea's smart factory drive is at a very important point. While large-scale funds and manpower are invested to secure international competitiveness and revitalize manufacturing, software investments that are only approached by IT suppliers may end up creating systems that do not meet the actual conditions of the field. As a result, there are problems in the manufacturing sector that can cause consumers to feel the fatigue of innovation in the manufacturing sector. SMEs should check from scratch and establish a gradual integration system so that they can reduce failures in IT investments and implement OT-oriented smart factories that are well utilized in the field. To this end, a process visualization solution was proposed and a step-by-step innovation was proposed at the basic level and the ICT unapplied level.

Validation of a 750 kW semi-submersible floating offshore wind turbine numerical model with model test data, part II: Model-II

  • Kim, Junbae;Shin, Hyunkyoung
    • International Journal of Naval Architecture and Ocean Engineering
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    • v.12 no.1
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    • pp.213-225
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    • 2020
  • Floating Offshore Wind Turbines (FOWT) installed in the deep sea regions where stable and strong wind flows are abundant would have significantly improved energy production capacity. When designing FOWT, it is essential to understand the stability and motion performance of the floater. Water tank model tests are required to evaluate these aspects of performance. This paper describes a model test and numerical simulation for a 750-kW semi-submersible platform wind turbine model-II. In the previous model test, the 750-kW FOWT model-I suffered slamming phenomena from extreme wave conditions. Because of that, the platform freeboard of model-II was increased to mitigate the slamming load on the platform deck structure in extreme conditions. Also, the model-I pitch Response Amplitude Operators (RAO) of simulation had strong responses to the natural frequency region. Thus, the hub height of model-II was decreased to reduce the pitch resonance responses from the low-frequency response of the system. Like the model-I, 750-kW FOWT model-II was built with a 1/40 scale ratio. Furthermore, the experiments to evaluate the performance characteristics of the model-II wind turbine were executed at the same location and in the same environment conditions as were those of model-I. These tests included a free decay test, and tests of regular and irregular wave conditions. Both the experimental and simulation conditions considered the blade rotating effect due to the wind. The results of the model tests were compared with the numerical simulations of the FOWT using FAST (Fatigue, Aerodynamics, Structures, and Turbulence) code from the National Renewable Energy Laboratory (NREL).

Effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women: A single-subject study (브로거 운동을 병행한 산전운동프로그램이 임산부의 허리 통증 및 균형에 미치는 영향 단일 사례 연구)

  • Kim, Sun Min;Jang, Sang Hun
    • Journal of Korean Physical Therapy Science
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    • v.28 no.1
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    • pp.85-96
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    • 2021
  • Background: The purpose of this study was to effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women. Design: A Single-Subject Study. Methods: This study was applied to 28 weeks of pregnant women who complained of low back pain for a total of 4 weeks. A total of 10 prenatal exercise programs in this study consists of sessions, and each session was applied with a Bruger exercise for 1 minute before the start. For the fatigue and safety of pregnant women, a break for 1 minute was provided for each session and was conducted under the supervision of the therapist The visual analogue scale (VAS), Oswestry disability index (ODI), and static balance (BT-4) were measured to evaluate the pregnant women's low back pain and balance ability before and after the intervention Results: The change in back pain after the intervention was VAS 5 before the intervention, but the VAS gradually decreased at 4 weeks after the intervention. Reduced to VAS 2 after 4 weeks of intervention. The Oswestry Disability Index (ODI) was 54%, which was at the level of severe disability, but the dysfunction index gradually decreased 4 weeks after intervention, reaching 19% in 4 weeks, and there were no problems with daily life. As for the static balance ability, the sway area and the sway distance values gradually decreased after the intervention in both the eyes open and closed state, showing an improvement in the static balance ability of pregnant women after the intervention than before the intervention. Conclusion: The prenatal exercise program combined with Brugger's exercise was effective to improve low back pain and static balance in pregnant women. The result of this study may helpful as basic data for obstetric physical therapy.

Recognition of and interventions for Mibyeong (subhealth) in South Korea: a national web-based survey of Korean medicine practitioners

  • Lee, JaeChul;Dong, Sang Oak;Lee, Youngseop;Kim, Sang-Hyuk;Lee, Siwoo
    • Integrative Medicine Research
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    • v.3 no.2
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    • pp.60-66
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    • 2014
  • Background: Medically unexplained symptoms (MUSs) are common in primary care. Atpresent, there are no proven, comprehensive treatments available in primary care forpatients with MUSs. However, MUS has parallels with "subhealth" or Mibyeong from tradi-tional East-Asian medicine, and thus, Mibyeong interventions could be effective in treatingMUS. Unfortunately, studies on Mibyeong and its intervention methods are relatively rare.Methods: We administered a web-based survey to 17,279 Korean medicine (KM) practitionersregistered with the Association of Korean Medicine. The response rate was 4.9% (n = 849).Based on the responses received, we assessed how much they agreed with concepts relatedto Mibyeong on a 7-point scale from "do not agree" to "strongly agree." Respondents werealso asked to indicate how frequently they encountered various subtypes and patterns ofMibyeong, and how frequently they use listed intervention methods.Results: Data from 818 respondents were analyzed after excluding those with no clinicalexperience. On average, respondents were male general practitioners aged between 30 yearsand 49 years, working or living in metropolitan areas such as Seoul, Incheon, and Gyeonggi-do. Responses did not differ by demographics. Respondents generally thought that Mibyeongreferred to subjective or borderline findings without certain disease, and that Mibyeong hasvarious subtypes and patterns. Subtypes included fatigue, pain, and digestion problems; pat-terns were either deficiencies (e.g., qi, blood, and yin deficiency) or stagnations (e.g., liver qidepression and qi stagnation). Decoction was the most frequently used type of interventionfor Mibyeong of all items listed, followed by acupuncture and moxibustion. Patient educa-tion was also recommended, suggesting healthy eating, promoting healthy environment,and exercise.Conclusion: We were able to provide preliminary results on KM practitioners' recognition ofand interventions for Mibyeong, but further research is needed to develop a detailed defi-nition of Mibyeong and its myriad subtypes and patterns, and evaluations of the efficacy ofMibyeong interventions.

Clinical Effect of Gyeongok-go: A Systematic Review of Randomized Controlled Trials (경옥고의 임상 효능 : 체계적 고찰)

  • Kang, Heekyung;Han, Changwoo
    • The Journal of Internal Korean Medicine
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    • v.43 no.3
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    • pp.423-435
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    • 2022
  • Purpose: The purpose of this study was to confirm the clinical efficacy of Gyeongok-go. Methods: Public/Publisher MEDLINE (PubMed), Cochrane Central Register of Controlled Trials (CENTRAL), Excerpta Medica dataBASE (EMBASE), Research Information Sharing Service (RISS), ScienceON, Korean Traditional Knowledge Portal (KTKP), and China National Knowledge Infrastructure (CNKI) were searched for randomized controlled clinical trials administering Gyeongok-go as an intervention, published from inception to December 31, 2021. The risk-of-bias of the included trials was assessed with the Cochrane risk-of-bias tool for randomized trials version 2. From the experimental and control groups of the selected trials, the mean value (or rate) of each outcome was extracted and statistically compared. Results: Statistically significant mean differences were in VO2max (MD 6.82), post-exercise heart rate (MD -8.76 at 5 min, -11.58 at 30 min, -14.6 at 60 min), senescence scale (MD -6.52), Th1 cells and Th2 cells in pulmonary tuberculosis (MD 2.79 and -1.64), yin-deficient and qi-deficient score (MD -9.64 and -9.76), and phlegm-dampness score (MD 5.56). Overall risk-of-bias was 20% low risk, 80% some concerns, and 0% high risk. There were no reports of adverse events. Conclusions: Gyeongok-go is likely to have the effect of improving cardiorespiratory endurance, increasing fatigue recovery ability, reducing senescence, and enhancing immune function in tuberculosis patients. Also, it is more suitable for those who are yin-deficient or qi-deficient, and those with phlegm-dampness probably need caution.

A Case Report on Papillary Thyroid Cancer for the Recurrence of Regional Cervical Lymph Nodes improved by Korean medicine (갑상선 유두암으로 수술 후 좌우 림프절 전이 환자의 장기간 복합 한의약 치료 증례보고)

  • Hae-won, Lee;Soo-bin, Lee;Hye-won, Kim;Jin-Gu, No;Hye In, Jeong;Jun-Hyoung, Kim;Kyeong Han, Kim
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.3
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    • pp.29-40
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    • 2022
  • Objective : This study assessed the effect of a combination of Korean medicine on a thyroid papillary cancer patient who was diagnosed with local lymph node metastasis after thyroidectomy and lymph node dissection but did not want surgery. Methods : Gami-Palmultang administration and moxibustion(large Bmoxa cautery) were performed for six years. Treatment outcomes were evaluated with Brief Fatigue Inventory (BFI), Numerical Rating Scale (NRS), Insomnia Severity Index (ISI), Functional Assessment of Cancer Therapy-General (FACT-G), blood test/ CT imaging results, and patient's statements. Results : After the treatment, all symptoms have been alleviated, the quality of life has increased, and it has been maintained without further metastasis of tumors for six years. Conclusion : Korean medicine treatment along with active observation can be an alternative to patients who do not want surgical treatment after recurrence of local lymph nodes in thyroid papillary cancer, and can have positive results in improving the quality of life.

Development of Optimal Stage Calculation Program for the Design of Waste Etchant Recovering Process (폐식각액 재생공정 설계를 위한 최적단수계산 프로그램 개발)

  • So, Won-Shoup;Park, Jin-Soo;Jung, Jae-Hak;Sur, Gil-Soo
    • Clean Technology
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    • v.15 no.3
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    • pp.165-171
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    • 2009
  • In this study, we found out the relation between $FeCl_3$ recovering-concentration and stage number of extraction process for invar (Fe+Ni) etching process. In order to get the desired $FeCl_3$ recovering-concentration economically, we developed the simulation program for designing the optimal $FeCl_3$ extraction process. We got the key parameter for this simulation program through pilot scale experiments. The process simulation by the developed program could reduce the emission of waste etching solution as well as the treatment costs. In addition, the developed program could calculate the number of stage of the etchant recovering system and the process time to get the desired concentration of $FeCl_3$. This program was used to compute the optimal capacity of the etchant recovering system and applied to the optimization of the stage of the etchant recovering system in real IT industry.