• 제목/요약/키워드: Internal discharge

검색결과 652건 처리시간 0.031초

'항암화학요법을 받은 폐암 환자의 예비 통합의학 임상경로' 개발 및 타당도 평가 (Development and Validity Test on Preliminary Critical Pathway of Integrative Medicine for Lung Cancer Patients Treated with Chemotherapy)

  • 홍미나;심소현;윤성훈;최준용;김윤성
    • 대한한방내과학회지
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    • 제38권6호
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    • pp.917-929
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    • 2017
  • Objectives: The objective of this study was to investigate the validity of the preliminary critical pathway of integrative medicine to improve the quality of life of lung cancer patients who received chemotherapy. Methods: The vertical axis of the preliminary critical pathway of integrated medicine consisted of nine domains: assessment, treatment, activity, consult, diet, medication, Korean medical examination, education, and others. The frame of the horizontal axis was the date from hospitalization to discharge. A total of 105 items in this preliminary critical pathway were validated by an expert group from October 28, 2016 to November 4, 2016. A total of ten experts from two different medical institutions participated in the validity test, using the four-point Content Validity Index (CVI) scale. The items with validity of greater than 80% were considered as significant. Results: The analysis of the content validity of 105 items showed 102 items with greater than 80% agreement. Assessment, treatment, consult, diet, medication, and education showed 100% agreement. Only three items showed a low validity (62.5%). Based on additional comments, the preliminary critical pathway of integrative medicine has been supplemented. Conclusions: This study suggests the possibility of using the integrated medical critical pathway for patients with lung cancer who received chemotherapy.

간이형 상시 GIS 진단장치 (Simplified GIS Diagnostic SYSTEM)

  • 정재기;최윤종;강창익;장훈기;곽희섭
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2006년도 춘계학술대회 논문집 전기설비전문위원
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    • pp.74-77
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    • 2006
  • This research is focused on the development of GIS Diagnostic SYSTEM to prevent accidents beforehand by inspecting the internal defects of GIS (Gas Insulated Switchgear) which is a main power-facility for substations. GIS Diagnostic SYSTEM is categorized as 'Real time on-line test type' and 'Portable test type' depending on the types of testing, it uses PD(partial discharge) which mostly incurs in GIS internal defects, to inspect. As of now, mostly foreign equipments are imported for use due to the lack of the technology localization, and these are installed and operated on only some parts of highly-graded GIS power-facilities such as in 76skv or 345kv for its being expensive. Furthermore, other than foreign equipments being costly, it also has a weak point of very long unavailability in case of Diagnostic system break-down while using, because it takes a comparatively long period of corrective maintenance precesses. We have localized to develop personal real-time multi -functional GIS Diagnostic system which can test on all GIS power-facility comprehensively and economically therefore overcome all these problems mentioned above, a market expansion is expected from the decrease of price and replacing the import equipments in the future. As the equipment was developed to be Personal for the simple ways of installing and utilizing, it can be operated without any complex cable installation like other existing GIS Diagnostic system requires, therefore also decrease the cost of cable installation.

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동시 간전이 직장 구불결장암 환자의 재발성 복수에 대한 SB 복강 주입의 복수 감소 효과 증례 (Ascites-decreasing Effect of SB Intraperitoneal Injection to a Refractory Ascites Patient with Synchronous Colorectal Liver Metastasis and Metachronous Peritoneal Carcinomatosis : A Case Report)

  • 전형준;김종민;조종관;이연월;한균인;유화승
    • 대한한방내과학회지
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    • 제34권4호
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    • pp.466-477
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    • 2013
  • Objectives : To report and demonstrate the effect of decreasing ascites volume by SB intraperitoneal injection to a refractory ascites patient with synchronous colorectal liver metastasis and metachronous peritoneal carcinomatosis. Methods : Two cycles of intraperitoneal and intravenous SB injection were conducted. Each injection cycle was made up of 4 days. Nine vials of SB were injected to the patient every day. To compare the volume of ascites between pret- and post-treatment, follow-up computed tomography was done on June 3, 2013. To observe other therapeutic effects of SB injection, laboratory tests were conducted periodically. Results : On the follow-up computed tomography images, the amount of ascites and pleural effusion had decreased compared to the April 30, 2013 computed tomography images. The levels of aspartate transaminase, alanine aminotransferase and lactate dehydrogenase decreased significantly from May 9, to May 30, 2013. The amount of oral intake increased constantly during hospitalization. The patient's symptoms such as abdominal distension, abdominal pain and dyspnea were improving until discharge. Conclusions : Even if thiese results cannot be applied to every synchronous colorectal cancer liver metastasis patient, we demonstrated that SB intraperitoneal injection has ascites-decreasing effect to refractory ascites patients with synchronous colorectal liver metastasis and metachronous peritoneal carcinomatosis.

고속 스위칭 Voltage Down Converter 회로 설계에 대한 연구 (Circuit Design of Voltage Down Converter for High Speed Application)

  • 이승욱;김명식
    • 전자공학회논문지SC
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    • 제38권2호
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    • pp.38-49
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    • 2001
  • 본 논문은 IC chip내에서 전압을 낮추는 목적으로 사용되는 VDC 회로의 주파수 특성을 향상시키기 위한 새로운 회로를 제안한다. 제안된 회로에는 적응 바이어싱 방법을 통해 저전력소모 및 고속동작을 동시에 만족하는 두 개의 센서와 이 센서로 구동되는 3개의 transistor가 부가적으로 첨가되어 구동 transistor의 gate 충.방진 전류를 보상하여 구동회로의 정상동작을 유지시켜준다. 본 연구에 사용된 회로는 $0.62{\mu}m$ N well CMOS 공정을 사용하였으며, H spice simulation 결과, 내부전압의 변화폭은 부하전류가 0에서 $200m{\Lambda}$까지 5ns동안 증가할 경우 약 1.0V로, $200m{\Lambda}$에서 0으로 감소할 경우 약 0.6V로, 내부전압 회복시간은 증가시 7ns, 감소시 10ns로, 일반적인 구동방식에 비해 성능이 향상되었으며 전체 회로에 소모하는 power는 약 1.2mW로 매우 작았다.

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침전지내장형 상분리 산화구공정에 의한 하수 고도처리특성 평가 (Performance Evaluation of Advanced Municipal Wastewater Tretment by Phased Isolation Intrachannel Clarifier Ditch)

  • 홍기호;장덕;한상배
    • 한국물환경학회지
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    • 제20권6호
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    • pp.563-570
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    • 2004
  • Phased isolation intrachannel clarifier ditch process developed in this study is an enhanced biological nutrient removal process employing two ditches with intrachannel clarifiers. Bench-scale phased isolation ditch process was used to evaluate the system performance on municipal wastewater and detailed assessment of internal behavior in a ditch and each reactions. When the system was operated at the HRTs of 6~12hours, SRTs of 9~31 days, and cycle times of 4hours, the system showed removals of BOD, TN, and TP as high as 88~97%, 73~78%, and 65~90%, respectively. The internal behavior were well matched on each reactions such as nitrification, denitrification, and phosphorus release and uptake. As the SRT became longer, TN removal increased gradually, whereas TP removal decreased contrarily. However, the system was capable of producing an effluent TP concentration 1mg/L or less even at longer SRTs except the case of solids discharge by malfunction of intra-clarifier occurred by its geometrical limit. The system performance slightly decreased by hydraulic shock loading(increasing of influent flowrate and decreasing of system HRT). However, the higher system performance could be achieved again after four cycles. Thus, the system reliability could be successfully achieved short-term hydraulic shock loading that occurred in medium- and small-sized wastewater treatment plants suffering fluctuation of influent quality and flowrate during wet season.

대용량 약침치료 및 한의학적 치료를 적용한 흉요추 연접부 증후군 증례 보고 (A Case Report of Patients Diagnosed with ThoracoLumbar Junction Syndrome Treated by Megadose Pharmacopuncture with Korean Medicine Treatment)

  • 송광찬;서지연;송승배;류원형;김두리;전용현;문희영;류광현
    • 한방재활의학과학회지
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    • 제28권2호
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    • pp.127-134
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    • 2018
  • The purpose of this research is to find out the effect of Megadose pharmacopuncture with Korean Medicine Treatment on patients who were diagnosed as ThoracoLumbar Junction Syndrome. Megadose pharmacopuncture was proceeded on 4 patients who received treatment at ${\bigcirc}{\bigcirc}$ Korean Medicine Hospital from November, 2016 to Februrary, 2017. In addition, We also kept a record of NRS, ODI, and EQ-5D on the day of admission and discharge to find out the differences between initial and final figures. As a result, Megadose parmacopuncture showed a significant effect on alleviating pain on patients with ThoracoLumbar Junction Syndrome. There was a significant decrease in NRS, ODI scores. Not only did the scores of NRS and ODI decrease significantly,but also the figures of EQ-5D increased significantly as well. To be specific, the mean of NRS and ODI dcreased from 10 to 1.75 and 61.87 to 12.78 while the mean of EQ-5D increased from 0.258 to 0.850. This research suggests Megadose pharmacopuncture with Korean Medicine Treatment could be a remedy for ThoracoLumbar Junction Syndrome.

Goligher 분류상 1기-3기에 해당하는 항문질환 환자의 한의치료 증례군보고 (Korean Medicine Treatment for Patients with Grade I-III Hemorrhoids (Goligher Classification): A Case Series)

  • 김찬영;성강욱;안해인;윤영흠;김남권
    • 대한한방내과학회지
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    • 제41권6호
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    • pp.1289-1299
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    • 2020
  • Background: Hemorrhoid surgery is a frequently performed surgery in Korea, second only to cataract surgery. However, it has serious complications, including bleeding, infection, anal stenosis, and urinary retention, so active conservative therapies are in need at an early stage. Case summary: Thirteen patients with anal disease complained of main symptoms of pain, bleeding, and prolapse, with additional complaints of itching and mucus discharge. An herbal medicine mixture of Eulja-tang and Hwangryeonhaedok-tang was administered twice daily, and dry cupping therapy, acupuncture, and hot pack placements were administered on pelvic and sacral regions once weekly for four weeks. The symptoms were evaluated before and each week after the treatments. The treatments had statistically significant therapeutic effects. Conclusion: Korean medicine treatment-effectively alleviating the symptoms of anal disease, such as pain, bleeding, and prolapse-may represent an alternative therapy for conservative treatments in the early stages of anal disease.

다한증 및 좌측 상지 감각이상을 호소하는 중대뇌동맥 경색 환자에 대한 치험 1례 (A Case Report of a Middle Cerebral Artery Infarction Patient Complaining of Hyperhidrosis and Left Upper Extremity Paresthesia)

  • 이경화;허혜민;이혜진;임태빈;박성욱;박정미;고창남;조승연
    • 대한한방내과학회지
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    • 제43권2호
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    • pp.294-302
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    • 2022
  • This work reports the case of a middle cerebral artery infarction patient with hyperhidrosis and left upper extremity paresthesia whose condition improved following Korean medicine treatment. The patient was hospitalized for 10 days and treated with herbal medicine, mainly Hwanggigyeji-tang, and acupuncture, electroacupuncture, and moxibustion. The hyperhidrosis was clinically classified and the patient's subjective discomfort in this regard was also checked. A subjective percentage of strength and sensation in the left extremity was evaluated to assess the clinical effects of the treatment. After treatment, the hyperhidrosis classification improved from Grade 3 to Grade 0, and the patient's subjective discomfort was greatly improved and continued for the two weeks after discharge. In addition, subjective strength and sensation improved by 20% and 5%, respectively, compared to time of admission. These results suggest that Korean medicine is effective in treating paresthesia after stroke and long-lasting hyperhidrosis.

약물 중단에도 지속되는 약인성 파킨슨증후군 환자의 한의 치험 1례 (A Case Report of Persistent Drug-Induced Parkinsonism After Drug Discontinuation)

  • 최정우;김서영;전규리;황예채;조승연;박정미;고창남;박성욱
    • 대한한방내과학회지
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    • 제42권6호
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    • pp.1356-1365
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    • 2021
  • This study examined the effectiveness of Korean medical treatment in a patient with persistent drug-induced parkinsonism after drug discontinuation. The changes in symptoms were assessed using the unified parkinson's disease rating scale (UPDRS), postural instability-gait disturbance (PIGD) score, and the 20 m gait time and steps. After 22 days of hospitalization, the UPDRS, PIGD score, and 20 m gait time and steps showed clinically significant improvement. The improvement persisted after discharge. This study indicated that Korean medical treatment could be an effective alternative therapy for treating persistent drug-induced parkinsonism after drug discontinuation.

Covid-19 감염 이후 상열감을 호소하는 환자에 대한 한의 치험 1례 (Case Report: Korean Medicine Treatment for a Patient Complaining of Hot Flashes after COVID-19 Infection)

  • 허혜민;이경화;허경화;황예채;조승연;박정미;고창남;박성욱
    • 대한한방내과학회지
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    • 제44권2호
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    • pp.207-215
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    • 2023
  • This study reported a case of hot flashes in a patient after coronavirus disease-2019 (COVID-19) infection. The patient in this case was hospitalized for eight days and improved after the administration of Korean medicine, mainly Yangkyuksanwha-tang. We evaluated the patient's subjective discomfort daily, and the patient kept a diary of hot flashes every day. After treatment, the degree and frequency of hot flashes were greatly improved and continued two weeks after discharge. In addition, the accompanying hyperhidrosis improved from Grade 2 to Grade 0. This study suggests that Korean medicine might be effective in combating the hot flashes of soyangin-type patients.