• 제목/요약/키워드: Grading system

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한방병원에 입원한 말초성 안면신경마비 환자에 대한 한방 치료 1례 (A Case of Traditional Korean Medical Treatment of a Patient with Facial Nerve Palsy Hospitalized at a Korean Medicine Hospital)

  • 성재연;강아현;한동근;서혜진;오주현;이유라;강만호;이형철;엄국현;송우섭
    • 대한한방내과학회지
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    • 제39권5호
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    • pp.1075-1083
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    • 2018
  • Objective: Facial nerve palsy is caused by damage to the seventh cranial nerve. It is the main symptom of facial muscle paralysis on the affected side. If the patient cannot receive proper treatment, severe permanent impairments, both physical and mental, may result, so this disease must be treated appropriately. In this study, a patient with facial nerve palsy was admitted to a Korean medicine hospital for treatment. This case study reports on the patient's progress and the effects of the treatment. Methods: We treated the patient with herbal medicines, acupuncture, herbal acupuncture therapy, and physical therapy. The House-Brackmann Grading System and a weighted regional grading system were used to assess symptom changes. Results: The patient with facial nerve palsy was hospitalized for 50 days and recovered from symptoms without significant problems in the face or to motor function. Conclusion: This case report demonstrates the possibility of treating facial nerve palsy using Korean medicine.

산양유의 체세포수 등급 설정에 관한 연구 (Study of the Somatic Cell Count Grade of Goat Milk in Korea)

  • 신지혜;정석근;한기성;장애라;채현석;유영모;안종남;우광태;최석호;이완규;함준상
    • 한국축산식품학회지
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    • 제28권2호
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    • pp.218-221
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    • 2008
  • 본 연구는 최근 웰빙식품으로 소비가 증가하고 있는 산양유의 체세포수 등급제정을 위해 (주)엠젠에 납유하고 있는 12개 목장에서 2006년 12월부터 2007년 11월까지 납유한 산양유의 체세포수를 분석하였다. 프랑스와 노르웨이의 체세포 등급체계 및 우리나라 원유의 체세포 등급체계를 고려할 때, 산양유의 체세포수 등급체계는 1급이 mL당 100만 미만, 2급이 100-150만 미만, 3급이 150-200만 미만, 4급이 200-250만 미만, 5급이 250만 초과로 규정하는 것이 바람직할 것으로 생각된다. 이러한 체계를 가정할 때 우리나라 산양유의 1등급 비율이 26.2%로 다소 낮고, 5등급 비율이 11.8%로 다소 높으나 이를 통해 산양유의 체세포수가 개선될 것으로 기대된다.

건설업 KOSHA 18001 인증제도의 실효성 제고에 관한 연구 (A Study on the Improvement of Effectiveness of KOSHA 18001 in Construction Industry)

  • 이진섭;이명구;이동율;오태근
    • 한국안전학회지
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    • 제30권3호
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    • pp.80-84
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    • 2015
  • The industrial accidents in the construction business have decreased on the basis of the accreditation of KOSHA 18001, one of the occupational health and safety management system. However, the interest and investment into the KOSHA 18001 has grown down because of the worsened construction business so that the construction companies that maintain the system as a mere formality has begun to be displayed. In this regard, this study performed the interview with the internal and external review board as well as the question investigation from the persons concerned in order to apprehend the current problems in the KOSHA 18001. First of all, the internal reviewers in the KOSHA are lack in the comparison with the number of new and renew accreditation. Secondly, many persons concerned with the KOSHA has required the quantitative criteria for the accreditation. Consequently, the manpower supplement associated with the external reviewers, the grading evaluation would be strong solutions to improve the effectiveness of KOSHA 18001.

자기장과 전기 조합 자극기(Whata 153)를 이용한 이성대상포진 안면신경마비 치료 1례 보고 (One Case of Facial Nerve Palsy in Herpes Zoster Oticus Treated with electromagnetic therapy stimulator(Whata153))

  • 조성은;이현
    • 혜화의학회지
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    • 제25권1호
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    • pp.53-62
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    • 2016
  • Objectives : The purpose of this study was to report a case of a patient efficacy of electromagnetic acupuncture using Whata 153 in facial nerve palsy in Herpes zoster oticus. Methods : We treated the patient with magnetic acupuncture combined with electro-acupuncture. Acupuncture points were at the face (BL2, GB14, TE23, ST4, ST6, ST3). All the acupuncture points were stimulated with magnetic field and 4 of them were combined with electro-acupuncture. Results & Conclusions : The improvement of facial movement and symptom was evaluated by Yanagihara grading system(Y-system), House-Brackmann scale(HB scale) and Sunnybrook facial grading system(SFGS). After treatment, all of the scales(Y-system, HB scale and SFGS) and symptom of the patient were improved. From the above results, we suggest that magnetic acupuncture and electro-acupuncture might be effective on facial nerve palsy in Herpes zoster oticus.

패턴의 Block화(化)에 의(依)한 어패럴 CAD System의 활용(活用) (Practical Use of Apparel CAD System by the Classification of Basic Pattern Block)

  • 이형숙;김옥경
    • 한국의류학회지
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    • 제17권3호
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    • pp.391-406
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    • 1993
  • The purpose of this study was to utilize of apparel CAD System by the classification of the basic pattern block in pattern making process. Gerber AM-300 CAD System was used for this study. The results form this study were as follows; 1. New shirts block were developed. 2. The sensory test was applied to evaluate the new shirts block for women by comparing it with Japanese Bunka shirts blouse pattern making method. According to a statistical analysis of the result of the 20 items on the questionnaire, the 19 items showed significant difference(${\alpha}{\leq}0.01$)between the two, with the new shirts block having higher scores. 3. A basic pattern block was selected by the design sketch. 4. P/D/S were enabled to be constructed directly from a block pattern. The drawing, deletion. duplication, and movement of all points and lines in the pattern might be made freely, and the split, pivot, and movement of the pattern, and the attachment of two patterns were possible. 5. Automatic grading of finished pattern have been developed by creation and modification of grading rules of block pattern.

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안면신경초종 수술 후유증 환자에 대한 침 및 침전기 자극술의 효과 (Case Study : Effects of Acupuncture and Electro-acupuncture on a Patient with Sequelae Caused by Removal of Facial Schwannoma)

  • 이상영;왕공덕;설재욱;강휘중
    • 동의생리병리학회지
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    • 제27권3호
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    • pp.327-330
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    • 2013
  • The purpose of this study is to report a clinical progress of treatment of sequelae caused by removal of facial schwannoma through Korean medicine. A patient was diagnosed with facial schwannoma by MRI on 4th June 2012 in local university hospital, he had right facial palsy, auditory hypersensitivity, dizziness after removal of facial schwannoma. Between 25th July 2012 and 26th January 2013, he was treated with acupuncture, cupping, electro-acupuncture every week and observed by House-Brackmann facial nerve grading system(H-B scale) and MoReSS every month. He had 29 times treatments. At the first of treatment, his state was Grade IV (H-B scale), 4/8(facial nerve grading), 10 points during action 7 points during rest(MoReSS) and he had severe facial palsy, ill-acrimation, auditory hypersensitivity. At the middle of treatment, October 2012, symptoms improved. State was Grade III (H-B scale), 5/8(facial nerve grading), 7 points during action 3 points during rest(MoReSS). Severe facial palsy improved ; Forehead creasing and union motor function recovered, he was able to close his eyes so ill-acrimation improved. At the end of treatment, January 2012, state was Grade II (H-B scale), 7.5/8(facial nerve grading), 3 points during action 1 point during rest(MoReSS). He had only occasional tinnitus and auditory hypersensitivity. Acupuncture and electro-acupuncture are estimated to be good for facial palsy after removal of facial schwannoma. More cases are required to develop treatment of facial palsy.

난청과 이명을 동반한 외상성 안면신경마비 치험 1례 (Clinical Case Study of Facial Nerve Paralysis with Sensorineural Hearing Loss and Tinnitus Caused by Traumatic Temporal Bone Fracture)

  • 장여진;양태준;신정철;김혜화;김태광;정미영;김재홍
    • Journal of Acupuncture Research
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    • 제33권1호
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    • pp.95-101
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    • 2016
  • Objectives : The aim of this report was to investigate the effects of Korean medical treatment on facial nerve paralysis with sensorineural hearing loss and tinnitus caused by traumatic temporal bone fracture. Methods : We treated a patient with acupuncture, herbal medicine and physiotherapy. The effect of these treatments was evaluated by House-Brackmann facial grading scale, Yanagihara's unweighted grading system and by Digital Infrared Thermographic Image. Results : After 21 days of Korean medical treatment, House-Brackmann facial grading scale changed from III to II and Yanagihara's unweighted grading score increased from 14 to 27. Digital Infrared Thermographic Image also improved. Conclusions : These results suggest that Korean medical treatments were effective in treating facial nerve paralysis with sensorineural hearing loss and tinnitus caused by traumatic temporal bone fracture. We hope that a more efficient application of this treatment will be the result of clinical data accumulated in future studies.

An Analysis of Actual States of the Nursing Grade of Medical Institutions

  • Park, Hyun-Suk
    • 한국임상보건과학회지
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    • 제2권3호
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    • pp.158-166
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    • 2014
  • Purpose. This study pursued the way for the effective application of the differentiated charge (Nursing grading system) by the nursing manpower which is performed for the nursing service quality improvement to the in-patients in Korea and the minimum employment problem solution of nurses. Methods. For this matter, the status of the nursing grade for 1,452 hospitals (44 high class general hospitals, 259 general hospitals, 265 hospitals, 59 oriental medicine hospitals and 825 recuperation hospitals) was identified which were registered in the Health Insurance Review and Assessment Service in March 2011 status quo. Results. In the most nursing grade by the kind of medical institutions, 70.5% of the nurses were third-graded in upper general hospitals, 38.1% were sixth graded in general hospitals, 62.7% were seventh-graded in oriental medicine hospitals and 40.4% were first-graded in recuperation hospitals. In the nursing grade by the scale of hospitals (in terms of the number of beds), there was a significant difference in general hospitals, but there was no significant difference between oriental medicine hospitals and recuperation hospitals. In the nursing grade by the location of hospitals and the foundation type of hospitals, there was a significant difference between general hospitals and recuperation hospitals. Conclusion. For the effectiveness of applying differentiated nursing fees by the number of nurses, it seems necessary to consider adjusting the present differentiated inpatient-charge system for the better so that small and medium-sized hospitals may induce more nurses.

Transtherapy for moderate to severe acne scar: a study of 2 cases

  • Sung, Soo-Hyun;Park, Jong-Hyun;Han, Chang-Hyun;Hong, Seung-Min;Park, Eun-Jung;Na, Ho-Ik;Park, Sung-Jin;Yu, Ji-Hee;Ha, Ji-Hun
    • 대한한의학회지
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    • 제36권4호
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    • pp.122-128
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    • 2015
  • Objectives: The purpose of this study is to present effect of transtherapy which is treatment of Korean Medicine to acne scar patients. Methods: We used transtherapy to moderate and severe acne scar patients and evaluated by a Photo evaluation with 10-point score and Qualitative Global Acne Scarring Grading System. Results: After transtherapy treatment, mean of Qualitative Global Acne Scarring Grading System of patients changed from $3.5{\pm}0.71$ to $1.5{\pm}0.71$. Acne scar showed an improvement at least 8 up to 9 and mean of their acne scar improvement scores was $8.33{\pm}0.52$ on photo evaluation with 10-point score. Conclusions: This paper shows that transtherapy in the treatment of moderate to severe acne scars is beneficial for promoting skin regeneration.

Improvement of Facial Paralysis after Parotidectomy with Integrated Korean Medicine Treatment: A Case Report

  • Choong Hyun Han;Young Han Nam;Young Kyung Kim;Youn Young Choi;Eun Sol Won;Hwa Yeon Ryu;Jae Hui Kang;Hyun Lee
    • Journal of Acupuncture Research
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    • 제41권2호
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    • pp.121-128
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    • 2024
  • This study presents a case of facial nerve injury that occurred after parotidectomy for a benign tumor of the parotid gland that improved with integrated Korean medicine (IKM). On June 24, 2023, the patient presented with facial nerve injury based on a facial nerve conduction study after parotidectomy, with a score of five on Yanagihara's unweighted grading system (Y-system) and a grade of five on the House-Brackmann facial grading scale (H-B scale). During the 15 days of admission, IKM treatments, including acupuncture, pharmacopuncture, moxibustion, herbal steam therapy, physiotherapy, herbal medicine, and thread embedding acupuncture treatment, were performed. After treatment, the strength of the orbicularis oculi, orbicularis oris, and masticatory muscles improved, with a Y-system score of 17 and an H-B scale of III. In conclusion, the findings of this study confirm the applicability and effectiveness of IKM in the treatment of facial paralysis following parotidectomy.