• Title/Summary/Keyword: Recommended Treatment Order

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The Longitudinal Study on the Calorie and Protein Intakes and Food Choices in Gastrectomy Patients who Receiving Adjuvant Chemotherapy (수술 후 Cisplatin을 투여받는 위암 환자의 구강영양섭취 실태 분석)

  • 전명희;왕수경
    • Journal of Korean Academy of Nursing
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    • v.32 no.2
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    • pp.206-219
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    • 2002
  • This study was conducted to investigate nutrient and food choices in gastric cancer patients receiving Cisplatin after surgery. Ten patients were followed from the fist day of the first cycle to the last date of the 6th the cycle of the chemotherapy. The subjects kept daily self record of dietary intake and the period of nausea/vomiting during 6 cycles. Using Computer Aided Nutritional Analysis Program, the degree of Calorie, carbohydrate, protein, fat and fluid intakes according the chemotherapy period. The reseacher developed food intake rating scale, and then three dietitians analysed the oral intakes according to the type of foods. As the results of this study, during the chemotherapy cancer patients are intakes much fewer calorie, protein and fluids than recommended dietary allowance. Oral intake was worsen as treatment proceed. During the chemotherapy periods most of the patients choose fruits, vegitables, steam rice, porridge, yogurt and the beam soup to overcome nausea and vomiting. In order to promote oral intake for chemotherapy patients, the researcher strongly suggest that indiviual food preform should be considered.

The Use of Psychotropics in Patients with Renal Diseases (신장질환환자들에서 향정신성 약물의 사용)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.25-34
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    • 1993
  • The author reviewed the general principle in the use of psychotropics for patients with renal diseases. who have psychiatric problems. Durgs which are dialyzable and metabolized or eliminated by kidney should not be used for patients with renal failure. However, lithium can be effectively used in a single dose$(300{\sim}600 mg/day)$ after each dialysis. though lithium has the double negative components. It is recommended that serum lithium level should be frequently monitored and the dose of lithium should be gradually increased to minimize its side effect Most of other psychotropics such as benzodiazepine anxiolytics tricyclic or tetracyclic antidepressants, and neuroleptics are metabolized in the liver, and they can be used in renal patients. The dose of these drugs should be reduced in two-thirds of the standard dose. In addition. it is necessary for liaison psychiatrists and other physicians to understand the interactions between psychotropics and drugs often used for treatment of renal diseases in order to prescribe psychotropics safely and effectively in renal patients.

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Functional Dyspepsia (기능성 소화불량증)

  • Lee, Sang-In
    • Journal of Korea Association of Health Promotion
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    • v.3 no.1
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    • pp.46-54
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    • 2005
  • The functional dyspepsia is a complex disease reaction that ocurs due to the presence of various factors and its pathophysiology has not been clearly verified until now. This disease is diagnosed after the organic diseases are ruled out. Therefore, the main treatments are limited down to compensating for revealed symptoms through exercising the supportive care. The international prevalence of the functional dyspepsia under the Rome I criterior is approximately 25%. For the cases of Koreans, there are very omnifarious symptoms in gastrointestinal disorders and the medical vocabularies which describe the diagnostic standard are not closely associated with the daily vocabularies, thus there would be a lot of restrictions to directly apply the Rome II criterior. However, the Korean Society of Gastrointestinal motility had decided to promote the use of the international standardized Rome II criterior in order for Korea to be comparable to the clinical studies from the other nations. There should be more extensive studies to differentiate the definitions of symptom descriptions from Korea to foreign countries. The extended researches concerning the pathophysiology are highly recommended which in return, would help enabling the reliable treatment techniques for this disease.

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Effects of Different Sizes of Glass Beads on the Release of Sporocysts from Eimeria tenella Oocysts

  • You, Myung-Jo
    • Parasites, Hosts and Diseases
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    • v.52 no.3
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    • pp.317-319
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    • 2014
  • The oocyst wall is severed by means of mechanical injury or chemical agents. This study reports the percentage of in vitro sporocyst release following mechanical shaking in the presence of varying sizes of glass beads. Glass beads measured 0.5, 1, and 3 mm in diameter and were shaken with the oocysts for different times ranging from 5 sec to 5 min. Approximately 80% of sporocysts were released with 5 min of shaking in the presence of 3 mm glass beads, as well as 30 sec with 0.5 mm beads and 1 mm glass beads. The release of sporocysts of E. tenella was most efficient using 1 mm glass beads and treatment times of 30 sec to 1 min. Therefore, the use of 1 mm glass beads with 30 sec to 1 min of agitation is recommended in order to maximize sporocyst release and recovery and to improve the yield of viable sporozoites for use in biochemical, tissue culture, and immunological applications of coccidia.

CAUSE OF TECHNICAL FAILURES OF CONICAL CROWN-RETAINED DENTURE (CCRD): A CLINICAL REPORT

  • Yi Yang-Jin;Cho Lee-Ra;Park Chan-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.6
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    • pp.714-719
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    • 2003
  • Conical crown-retained denture (CCRD) has been used as a very effective treatment method in cases with few remaining teeth with heterogeneous prognosis. However, in spite of many advantages of CCRD, high technical failure rate was a problem to be considered. Incorrect path of insertion and excessive retention were thought to be the main cause of technical failure and to result from laboratory procedure with a coping misfit and/or a coping transfer error. In order to prevent this error, secure anchoring of inner coping and re-examination and milling of convergence angle were recommended on the master model from pick-up impression.

Radiation Therapy of Ovarian Dysgerminoma (난소배세포종(Ovarian Dysgerminoma)의 방사선 치료)

  • Chang, J.C.;Suh, C.O.;Kim, G.Y.;Park, C.Y.
    • Radiation Oncology Journal
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    • v.1 no.1
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    • pp.111-118
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    • 1983
  • To evaluate natural history of ovarian dysgerminoma and role of radiation therapy in treatment of ovarian dysgerminoma, retrospective study was carried out in 5 nonirradiated cases and 20 irradiated cases. Conclusions are as follows: 1. Radiation therapy is essential in treatment of ovarian dysgerminoma. 2. Even in stage 1 a, significant recurrence rate is expected in surgery only group. 3. Even in recurrent cases, if adequate radiotherapy is given in stage 1-3, we can predict near complete curability and in stage 4, we can get considerable benefit. 4. Dysgerminoma beyond stage 2 is highly fatal without radiotherapy. 5. Involved field irradiation including whole abdomen and booster RT on bulky tumor area is sufficient in radiotherapy of stage 1, 2, 3, without paraaortic node involvement. Further mediastinal and supraclavicular irradiation is indicated in stage 4 or stage 1, 2, 3, with paraaortic involvement. 6. If bilateral salphingoophorectomy was done. Elective irradiation is recommended in any condition because preservation of ovarian function is not further needed. 7. In cases of small encapsulated stage 1a, We can delay post op. RT under close observation in order to preserve fertility.

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A Study about the Influence of Pollutant Load on Water Quality in a Small Stream Watershed (소하천의 오염부하량이 수질에 미치는 영향에 관한 연구)

  • Lee, Sang-Hoon;Cho, Wook-Sang
    • Journal of Environmental Impact Assessment
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    • v.10 no.1
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    • pp.9-19
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    • 2001
  • An intensive watershed survey including water quality measurement of 6 times was carried out in order to find out the relationship between pollutant load and water quality in a small stream watershed where livestock wastewater is the main source of water pollution. The findings from the survey are as follows. 1) The number of livestock showed large disagreement among county office, myon, and insite survey. It is vital to check the data at the beginning of watershed survey. 2) The fluctuation of streamflow and water quality was so large depending on the day of measurement that it is essential to set up continuous telemetering system to get reliable data about delivery ratio of pollutants. 3) It was helpful for setting the priority of investigation to check water quality and quantity at several points along the stream after dividing the watershed into 5 drainage areas. 4) To control the livestock wastewater, especially in case of cows, it is necessary to have roof system and prevent overland flow from the ground. In case of pig farms, it is recommended to have public treatment system instead of private treatment system. The exact emission load of livestock wastewater was difficult to estimate, and requires more study.

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Current update on allergic rhinitis for Korean Medicine management (알레르기 비염의 한의학적 관리를 위한 최신 지견)

  • Jeung, Chang-Woon;Jo, Hee-Geun;Kim, Hye-Hwa;Song, Min-Yeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.4
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    • pp.95-113
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    • 2016
  • Objectives : The purpose of this review is to introduce the recent advance in allergic rhinitis and to provide help in establishing strategy and selection of drugs for Korean medical treatment of allergic rhinitis. Methods : We searched articles about allergic rhinitis comprehensively in PubMed, CNKI, JStage, KISTI. And in order to reflect clinical situation, we also reviewed some profession's writing for practitioners. Results : This review discussed allergic rhinitis's epidemiology, pathophysiology, diagnosis, treatment, prognosis. We found many standardized clinical practice guideline have been published in this field. And some guideline reflected accumulation of medical evidence on interventions in Korean medicine. It suggested that acupuncture, herbal medicine, herbal patch are useful to prevention and alleviate allergic symptoms. But some interventions have heterogeneity due to each nation's medical background. Conclusions : Acupuncture therapy is now recommended world widely for treating allergic rhinitis. But other interventions of Korean medicine are not well recognized in the same manner. We need more research to identify mechanism and rigorous clinical trials to clarify efficacy and safety of Korean medicine intervention.

Treatment Efficiency of Complex Wastewater by Fenton's Oxidation Condition (펜톤산화에 따른 복합폐수의 처리효율연구)

  • Sung, Il-Wha
    • Journal of Environmental Health Sciences
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    • v.32 no.5 s.92
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    • pp.446-450
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    • 2006
  • In order to treat the wastewater containing organic compound, pre-treatment system connected with MSP(molecular separation process) was investigated. With the aim of selecting an optimum process of Fenton's oxidation, removal efficiency of each process in the optimum reaction condition was recommended. The $Fe/H_{2}O_{2}$(ferric sulfate to hydrogen peroxide)reagent is referred to as the Fenton's regent, which produces hydroxyl radicals by the interaction of Fe with $H_{2}O_{2}$. The powerful oxidizing ability and extreme kinetic reactively of the hydroxyl radical was well established. Increasing dosage of $Fe/H_{2}O_{2}$ increased removal efficiency as molar ratio of $Fe/H_{2}O_{2}$ between 0.2 and 2.5. Optimum dosage of molar ratio was 1. The removal efficiency for reaction condition was increased as pH decreased when the molar ratio of $Fe/H_{2}O_{2}$ was 1.7. Fenton's oxidation was most efficient in the reaction time 35 min for complex wastewater. Also, coagulation aid experiments using kaolin resulted in 3% of kaolin dosage.

Decomposition of Organic Matters by Ozonation in Advanced Water Treatment Process (고도정수처리공정에서 오존의 유기물 분해능)

  • Yoon Taekyung;Lee Gangchoon;Noh Byeongjil
    • Journal of Environmental Science International
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    • v.14 no.3
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    • pp.327-333
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    • 2005
  • The performance of ozone contactor in ozone-BAC advanced water treatment process was evaluated by the degree of decomposition of organic matters. The degree was measured by the analyses of $UV_{254}$ absorbance and the concentrations of DOC and BDOC for the sand filtered water and the ozone treated water, respectively. In addition, the ozone concentration in the contactor, required for the maximum BDOC concentration, was selected as the optimum concentration, and the appropriate residential time of ozone treated water in a reservoir was recommended based on the residual ozone concentration in the treated water. The following results were obtained from the pilot scale experiments. By ozonation $UV_{254}$ absorbance was decreased, and BDOC concentration was increased. The change of DOC concentration by ozonation was negligible, but the excess input of ozone resulted in the removal of the small amount of BDOC by complete oxidation. The optimum ozone concentration was 0.58mg $O_3/mg$ DOC. In order to remove residual ozone, 20minutes of the residential time were enough after ozonation.