• 한방안이비인후피부과학회지
• /
• 제18권3호
• /
• pp.95-101
• /
• 2005

Objective: In children with acute otitis media, we investigated the relationship between state of tympanic membrane and treatment period by video otoscope. Methods: Ten children(6 boys, 4 girls) with acute otitis media were assigned to one of three groups. In the grade I, there were redness in the tympanic membrane. In the grade II, there were bulging, effusion with exudate, dark color in the tympanic membrane. In the grade III, there were effusion with purulent exudate or cholesteatoma with serous exudate. And we investigated the treatment period in each group. Results: Overall, the $mean{\pm}S.D.$ on the treatment period in the grade I was shorter than grade II. It was $12.6{\pm}5.18$ in the grade I versus $26{\pm}2.83$ in the grade II. That in the grade II was shorter than grade III. It was $26{\pm}2.83$ in the grade II versus $148{\pm}43.03$ in the grade III. Conclusions: Although we couldn't have enough cases in each group. we could predict the conclusion that there was the relationship between treatment period and state of tympanic membrane.

• 한방안이비인후피부과학회지
• /
• 제29권1호
• /
• pp.93-102
• /
• 2016

Objective : This study performed to evaluate that duration of acne scars effects on Qualitative Global Acne Scarring Grading System(QGASC) grade changing and treatment duration. Also this study performed to evaluate the relationship between dysmenorrhea and acne scars, and the effects of each treatment on treatment duration and Korean Acne Grading System(KAGS) and QGASC grade.Methods : 95 patients with acne scars were understood by medical records and case photos, and we evaluated pre and post acne scar grade based on KAGS and QGASC. We analyzed data by SPSS 22 for windows program, and figured out the relation between duration of acne and QGASC grade and treatment duration by Spearman correlation analysis, and performed Mann-Whitney U-test to figure out the relation between dysmenorrhea and QGASC grade. We performed Wilcoxon test to evaluate that treatment of acne scars effects on KAGS grade and QGASC grade, and performed Kruskal-Wallis test to figure out the difference of each treatment which effects on KAGS grade and QGASC grade, and performed Post-hoc analysis to figure out the group comparison.Results & Conclusions : QGASC grade depending on duration of acne was statistically significance. Subcision and Microneedle Therapy System(MTS) and pharmacopuncture were significantly improved acne scars. Other treatments were significantly more effective than subcision and pharmacopuncture combined treatment. Treatment duration of Subcision and MTS combined treatment was significantly most shortest than other treatment.

• 대한추나의학회지
• /
• 제6권1호
• /
• pp.1-9
• /
• 2005

Objective : The study aims to find out the effects of Chuna treatment on neck pain. Methods: Out of 40 neck pain people, we divided 20 people in group A was treated Acupuncture and China, 20 people in group B was treated Acupuncture. We measured Visual Analog Scale(VAS) and symptom grade before and after treatment in each group's. Statistical analysis was performed by using SPSS program. Results : 1. Symptom grade III was the highest frequency before treatment in Group A and Group B. After treatment, grade 0 was The highest frequency in Group A But grade 0, II were the highest frequency in Group B. 2. Group A was Significantly decreased in VAS compared with Group B. Conclusion: These results suggest that Chuna treatment is useful on the patients of neck pain.

• Clinics in Shoulder and Elbow
• /
• 제23권3호
• /
• pp.159-165
• /
• 2020

Acromioclavicular (AC) joint dislocations account for about 9% of shoulder injuries. Among them, acute high-grade injury following high-energy trauma accounts for a large proportion of patients requiring surgical treatment. However, there is no gold standard procedure for operative treatment of acute high-grade AC joint injury, and several different procedures have been used for this purpose in clinical practice. This review article summarizes the most recent and relevant surgical options for acute high-grade AC joint dislocation patients and the outcomes of each treatment type.

• Journal of Acupuncture Research
• /
• 제36권1호
• /
• pp.55-58
• /
• 2019

The aim of this study was to investigate the efficacy of treatment with thread-embedding therapy for 24 patients with hemifacial spasm (HFS). The muscle spasm of these patients was treated with thread-embedding therapy. Patients with nuchal pain were treated with tendino-musculature acupuncture in the sternocleidomastoid, splenius, and trapezius muscles. We evaluated the treatment effect using the Scott's scale, where 20, 3, 1, and 0 patients presented Scott's grade 0, grade 1, grade 2, and grade 3, respectively. The grade of the spasm intensity decreased noticeably after treatment. The results revealed that the Scott's grade changed to 0 in 83.3% of HFS patients, and 91.7% patients felt satisfied with thread-embedding therapy. These findings suggested that thread-embedding therapy was effective and can be used widely for HFS.

• International Journal of Computer Science & Network Security
• /
• 제21권2호
• /
• pp.198-204
• /
• 2021

Glioma is one of the common types of brain tumors starting in the brain's glial cell. These tumors are classified into low-grade or high-grade tumors. Physicians analyze the stages of brain tumors and suggest treatment to the patient. The status of the tumor has an importance in the treatment. Nowadays, computerized systems are used to analyze and classify brain tumors. The accurate grading of the tumor makes sense in the treatment of brain tumors. This paper aims to develop a classification of low-grade glioma and high-grade glioma using a deep learning algorithm. This system utilizes four transfer learning algorithms, i.e., AlexNet, GoogLeNet, ResNet18, and ResNet50, for classification purposes. Among these algorithms, ResNet18 shows the highest classification accuracy of 97.19%.

• Journal of Trauma and Injury
• /
• 제25권2호
• /
• pp.44-48
• /
• 2012

Purpose: The management of splenic injuries has shifted from a splenectomy to splenic preservation owing to immunity. The purpose of this study was to assess the kinds of management and outcomes through a review of our experience with splenic injuries. Methods: We retrospectively reviewed 47 patients with traumatic splenic injuries using by electronic medical records from Jan. 2007 and Dec. 2011. Splenic injuries were classified according to the American Association for the Surgery of Trauma (AAST) grading system. Results: There were 11 falls, 11 traffic accidents, 10 motorcylcle accidents, 10 pedestrian accidents and 5 abdominal blunt traumas. Low-grade injured patients (${\leq}$ Grade III) were 29 of 43(61.7%), and High-grade injured patients (${\geq}$ Grade IV) were 18 of 43(38.3%). In 34 patients, non-surgical treatment was performed, and 14 patients underwent a splenectomy. There were relatively more high-grade in older patients, and the high-grade-injury group showed need for a transfusion (p=0.002), more need for a splenectomy (p<0.001), a longer mean hospital stay (p=0.036), a longer ICU stay (p=0.045) and more combined organ injury (p=0.036). Conclusion: Conservative treatment should be considered in low-grade-injury patients (${\leq}$ Grade III). A Splenectomy was performed on 56% of the patients with Grade IV injuries, so a splenectomy should be considered carefully in such patients. In patients with a grade V injury, we think surgical treatment may be needed.

• Archives of Plastic Surgery
• /
• 제44권1호
• /
• pp.59-64
• /
• 2017

Background Silicone implants are frequently used in augmentation rhinoplasty in Asians. A common complication of silicone augmentation rhinoplasty is capsular contracture. This is similar to the capsular contracture after augmentation mammoplasty, but a classification for secondary contracture after augmentation rhinoplasty with silicone implants has not yet been established, and treatment algorithms by grade or severity have yet to be developed. Methods Photographs of 695 patients who underwent augmentation rhinoplasty with a silicone implant from May 2001 to May 2015 were analyzed. The mean observation period was 11.4 months. Of the patients, 81 were male and 614 were female, with a mean age of 35.9 years. Grades were assigned according to postoperative appearance. Grade I was a natural appearance, as if an implant had not been inserted. Grade II was an unnatural lateral margin of the implant. Clearly identifiable implant deviation was classified as grade III, and short nose deformation was grade IV. Results Grade I outcomes were found in 498 patients (71.7%), grade II outcomes in 101 (14.5%), grade III outcomes in 75 (10.8%), and grade IV outcomes in 21 patients (3.0%). Revision surgery was indicated for the 13.8% of all patients who had grade III or IV outcomes. Conclusions It is important to clinically classify the deformations due to secondary contracture after surgery and to establish treatment algorithms to improve scientific communication among rhinoplasty surgeons. In this study, we suggest guidelines for the clinical classification of secondary capsular contracture after augmentation rhinoplasty, and also propose a treatment algorithm.

• 한국방사선학회논문지
• /
• 제6권5호
• /
• pp.383-388
• /
• 2012

본 연구에서는 로딩셀기구를 이용하여 어깨관절의 아래, 앞, 뒤쪽 방향으로 칼텐본-에비엔즈컨셉 미끄러뜨림 치료등급 II와 III 적용 시 남녀, 미끄러뜨림 방향 그리고 미끄러뜨림 등급에 따라 적용되는 힘의 크기를 비교해보고자 하였다. 남녀에 따른 부하량 차이를 비교한 결과 아래쪽미끄러뜨림 II/III등급(Caudal Grade II/III), 앞쪽미끄러뜨림 II/III등급(Ventral Grade II/III), 뒤쪽미끄러뜨림 II/III등급(Dorsal Grade II/III) 모두 여자에 비해 남자의 부하량이 유의하게 높았다(p<.05). 치료방향에 따른 부하량 차이를 비교한 결과 등급II(Grade II)와 등급III(Grade III) 모두에서 아래쪽(Caudal)에 비해 앞쪽(Ventral)과 뒤쪽(Dorsal)에서 부하량이 유의하게 높았다(p<.05). 치료등급에 따른 부하량 차이를 비교한 결과 아래쪽(Caudal), 앞쪽(Ventral) 그리고 뒤쪽(Dorsal) 모두에서 등급II(Grade II)에 비해 등급 III(Grade III)에서 부하량이 유의하게 높게 나타났다(p<.05). 위 결과로부터 위팔어깨관절(glenohumeral joint)의 아래, 앞, 뒤 방향에 대한 미끄러뜨림(gliding) II/III 적용 시 같은 등급에서 적용되는 힘의 크기가 방향과 성별에 따라 다름을 알 수 있었다.

• Journal of Trauma and Injury
• /
• 제30권3호
• /
• pp.91-97
• /
• 2017

Purpose: Purpose: The prognostic factors of non-operative management (NOM) in high-grade spleen injuries have been extensively studied, but factors that would help treatment decisions are lacking. We compared the characteristics of the patients to identify the factors affecting treatment choices. Methods: This is a review of 207 blunt spleen injury patients from January 2004 to December 2013. We compared clinical features and mortality between surgery and NOM, and used multivariate regression analysis to find the factor most strongly associated with prognosis. Results: Of the 207 patients, 107 had high-grade spleen injury patents (grade III or above). Of these, 42 patients underwent surgery and 65 patients underwent NOM. The mortality was 7% following surgery, 3% with NOM. The amount of packed red blood cells transfused in the first 24 hours and spleen injury grade were associated with management type, and mortality was highly associated with activated partial thromboplastin time (aPTT) and spleen injury grade. Conclusions: The grade of spleen injury was associated with management and mortality, so correctly assessing the spleen injury grade is important.