• 제목/요약/키워드: conservative operation

검색결과 256건 처리시간 0.029초

특발성 척추 측만증(Idiopathic Scoliosis)의 보존적 치료에 대한 최근 임상 연구 (A Recent Study of Conservative Treatment of Idiopathic Scoliosis)

  • 이광호;송윤경;전찬용;정승민
    • 대한추나의학회지
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    • 제6권1호
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    • pp.67-84
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    • 2005
  • Idiopathic scoliosis is a complex three-dimensional deformity of the spine. There is two ways in treatment of scoliosis, normally. In order to prevent a progressive course of the disorder, conservative treatment is started in selected patients. And sometimes, operation is performed to severe patients. But, application standard is vague. So We reviewed the latest medical theses. English language articles in Medline database between 2003 and 2005. 8. 31. were reviewed. The searching words was Idiopathic scoliosis, conservative treatment, brace. exercise. We classified 27 articles. The results of this research demonstrate that conservative treatment is more effective than observation until operation.

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수술권유받은 요추추간판탈출증(腰椎椎間板脫出症) 환자 3례에 대한 임상적 고찰 (Clinical study on 3 cases of HIVD, patients recommended to a operation)

  • 김재영;이현
    • 혜화의학회지
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    • 제15권1호
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    • pp.53-58
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    • 2006
  • Objectives: The object of this study is to report a clinical effect regarding the conservative treatment of the patients who were diagnosed as the herniated intervertebral lumbar disc(HIVD). Methods: The patients were treated by the oriental medical conservative treatment (Acupuncture, Moxibustion, oriental medicine, and Chu-na therapy). Result of conclusions: 1) Oriental medicine conservative treatment proved its effectiveness during the treatment of HIVD, patients. Especially, Chu-na therapy was superior on pain relive. 2) Treatment of HIVD, took less than 3 months in most cases except protruded or extruded disc. 3) In case of seniors who cannot have a surgical operation because of organ and muscle wickness, the oriental treatment was effective in terms of strengthening muscle and organs.

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Coordinator를 이용한 이산사건시스템의 분산관리제어 (Decentralized Supervision with Coordinator of Discrete Event Systems)

  • 김성규;임종태
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2000년도 제15차 학술회의논문집
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    • pp.35-35
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    • 2000
  • In this paper, we introduce a conservative control approach using a full feedback map and suggest a switching control between the conservative and default control. For the conservative control, we use the coordinator which performs the conjunction operation of the full feedback map information of local supervisors. Since the switching control with the coordinator extends the ability of local supervisors in the decentralized supervisory control, we can solve the problem in case the coobservability condition can not be satisfied.

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공공교통 전동차 안전운행을 위한 RIMS 프로젝트 적용 제고 (RIMS project application raising for a public transportation immediacy operation)

  • 손영진;이강원;방연근;이도선
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2005년도 추계학술대회 논문집
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    • pp.897-901
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    • 2005
  • 21 century as the knowledge information anger society now our society industry of all fields the rolling stock maintenance conservative standardization enterprise where information anger is being turning out construction Ministry of Transportation supported with continuous development of the supply section substitution quantity information processing system which the information highway is quick and the Korean railroad technical research worker propelled the enterprise as the subjective agency, it contracted this for a vehicle field information anger system construction in link of the enterprise our construction and an agreement, information technique composed the consortium t9day and it propelled a system codevelopment. The SMSC who is a front-runner of Maj loach city railroad operation agency to 'here business relates with a vehicle field maintenance conservativeness an immediacy operation and generally and information anger it will plan it will integrate it will own jointly and business efficiency and in the dictionary an obstacle occurrence electromotive car maintenance conservative information and it will improve only maintenance conservativeness of preventive maintenance of the electromotive car it knows it will prevent to construct the maintenance conservative system of the preventive maintenance, it applied the RIMS project to sleep.

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무작위 추출 방법을 이용한 원자력발전소 보수적 안전해석 조건 결정 (Identification of the Most Conservative Condition for the Safety Analysis of a Nuclear Power Plant by Use of Random Sampling)

  • 정해용
    • 한국안전학회지
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    • 제30권5호
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    • pp.131-137
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    • 2015
  • For the evaluation of safety margin of a nuclear power plant using a conservative methodology, the influence of applied assumptions such as initial conditions and boundary conditions needs to be assessed deliberately. Usually, a combination of the most conservative initial conditions is determined, and the safety margin for the transient is evaluated through the analysis for this conservative conditions. In existing conservative methodologies, a most-conservative condition is searched through the analyses for the maximum, minimum, and nominal values of the major parameters. In the present study, we investigates a new approach which can be applied to choose a most-conservative initial condition effectively when a best-estimate computer code and a conservative evaluation methodology are utilized for the evaluation of safety margin of transients. By constituting the band of various initial conditions using the random sampling of input parameters, the sensitivity study for various parameters are performed systematically. A method of sampling the value of control or operation parameters for a certain range is adopted by use of MOSAIQUE program, which enables to minimize the efforts for achieving the steady-state for various different conditions. A representative control parameter is identified, which governs the reactor coolant flow rate, pressurizer pressure, pressurizer level, and steam generator level, respectively. It is shown that an appropriate distribution of input parameter is obtained by adjusting the range and distribution of the control parameter.

거골의 골연골 손상의 보존적 치료의 결과 (Results in Conservative Treatment of Osteochondral Lesion of Talus)

  • 이경태;양기원;이영구;박신이;장문석
    • 대한족부족관절학회지
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    • 제12권2호
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    • pp.145-149
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    • 2008
  • Purpose: The purpose of this study is to determine the results of conservative treatment of osteochondral lesion of talus (OLT). This study would be helpful to determine the treatment methods for OLT patients. Materials and Methods: We have established 69 cases of osteochondral lesion of talus, from December 2004 to June 2006 in a period of 18 months. Symptoms were confirmed through survey and a medical examination by interviewing patients. Diagnosis was made through physical examination, simple radiography and MRI. AOFAS score of all the patients were measured. When the patients did not get improved with conservative treatment, surgical operation was done. Results: 27 out of the 69 patients were treated using conservative treatment. Initial AOFAS scored was $66.37{\pm}8.89$ points. After treatment, AOFAS scores had increased to $83.78{\pm}8.48$ points. In cases of surgery, AOFAS scores had increased from $64.17{\pm}13.43$ points preoperatively to $80.45{\pm}8.67$ points. Conclusion: 60% of conservative treatment was useless in treating OLT patients. Surgical operation is still needed to be performed. Therefore, treatment should be done with sufficient understanding of the results.

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석회화 건염의 보존적 치료와 조기 관절경적 치료 결과 (Conservative and Early Arthroscopic Treatment of Calcific Tendinitis)

  • 김명구;배주한;전윤상
    • 대한관절경학회지
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    • 제13권2호
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    • pp.149-154
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    • 2009
  • 목적: 석회화 건염에 대하여 보존적 치료 및 조기 관절경을 이용한 수술적 치료 후 통증과 임상경과를 비교 관찰하였다. 대상 및 방법: 2002년 2월부터 2008년 5월까지 석회화 건염으로 진단받은 30예 중 6개월 이상 추시관찰이 가능하였던 스테로이드 주사치료 15예 및 수술 치료 15예를 대상으로 하여 석회질의 통증과 운동 범위의 호전을 2주, 12주, 24주째 각각 비교 관찰하여, Constant-Murley score를 이용하여 평가하였다. 결과: 통증 정도는 Constant-Murley score상 보존적 치료군의 경우 수술 전 평균 3.2에서 치료 이후 2주, 12주, 24주째 각각 13.6점, 14.5점, 14.7점이었으며, 수술적 치료군은 수술 전 평균 3.3에서 수술후 2주, 12주, 24주째 각각 10.2점, 13.0점, 14.3점이었다. 운동 범위는 보존적 치료군의 경우 수술 전 평균 14.3에서 치료 이후 2주, 12주, 24주째 각각 21.7점, 31.3점, 35.7점이었으며, 수술적 치료군은 수술 전 평균 14.4에서 수술후 2주, 12주, 24주째 각각 33.1점, 35.8점, 36.4점이었다. 치료 2주째 및 12주째 두 간의 비교에서는 수술적 치료 군이 유의하게 우수하였으나, 최종 추시시는 통계학적인 차이가 없었다. 결론: 석회화 건염의 조기 관절경적 치료는 환자의 만족도를 높이고 조기에 일상 생활로 복귀할 수 있는 효과적인 치료법으로 사료된다.

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상피성 임파부종 환자의 치료 -증례보고- (Treatment of Patients With Elephantiasis Lymphedema - Case Report -)

  • 김성중
    • 한국전문물리치료학회지
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    • 제6권3호
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    • pp.110-120
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    • 1999
  • Lymphedema, regardless of etiology, is essentially incurable but different treatment approaches which serve to contain swelling exist. The objectives of treatment are to reduce swelling, restore shape, educate about the self-maintenance methods, and prevent inflammatory episodes, eg, recurrent cellulitis. The purpose of this report is to provide therapists and other medical staff with a general guideline through the example treatment procedure of two patients with lymphedema admitted to Samsung Medical Center. This study demonstrates the effects of the various treatments used and how they helped to achieve improvement in mobility and reduction in swelling of the lower limbs. The basic conservative treatments were sequential intermittent pneumatic pumps, elevation, and CDP (complex decongestive physiotherapy). The surgical procedures (Homan's operation) were carried out after maximal volume reduction through conservative programs. In these cases, we can see greater than 50% reduction in the lymphedema in those treated by conservative and surgical procedures. This presents a simple, reliable, variable method yielding satisfactory cosmetic and functional results for patients suffering from chronic both-leg lymphedema. Futhermore, I suggest that the outcomes are best when treatment is administered by a multidisciplinary team including a physiotherapist, surgeon, nurse, et al.

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식도피부루의 치험;2례 보고 (Treatment of Esophaocutaneous Fistula -2Cases Report-)

  • 최승호
    • Journal of Chest Surgery
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    • 제26권7호
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    • pp.583-585
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    • 1993
  • An esophagocutaneous fistula following anterior cervical fusion is rare.We had experienced two cases of postoperative cervical esophagocutaneous fistula, which one case was treated with nonoperative management and the other with operative management.The operation was tried when the conservative treatment seemed to be unsuccessful.They were eventually recovered with conservative treatment, whitch consisted of wound drainage and intravenous administration of antibiotics and operative management with the transposition of sternocleidomastoid muscle flap respectively.

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잔여 심실중격결손과 우심실 유출로 협착으로 유발된 용혈성 빈혈의 외과적 치험 (Surgical Treatment of Hemolytic Anemia Induced by Residual VSD and PS)

  • 홍민수
    • Journal of Chest Surgery
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    • 제25권11호
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    • pp.1250-1253
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    • 1992
  • A patient with intravascular hemolysis due to residual shunt and right ventricular outflow track obstruction after total correction of TOF was presented. The patient was 29 years old female. She underwented VSD closure with dacron patch, infundibulectomy, pulmonic valvotomy and direct closure of PFO. 8 months after the operation, severe intravascular hemolysis and hemolytic anemia appeared. Conservative therapies were not effective, her general condition and laboratory finding got worse gradually. She underwent reoperation, the shunt was closed and right ventricular outflow tract obstruction was corrected by pulmonary valvotomy, infudibulectomy and transannular patch. After operation, hemolysis disappeared dramatically. Severe hemolysis may induce renal failure and necessitate transfusion frequently. If hemolytic anemia is not corrected by conservative treatment, early reoperation is required.

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