• 제목/요약/키워드: early treatment

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마왕퇴의서, 황제내경, 금궤요약에 나타난 중국 고대 외치병법 (The Early External Medical Treatment of China described in the Mawangtew medical books, the Hwangjenaekyeong and Geumgweyoryak)

  • 박태열;고우신
    • 동의생리병리학회지
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    • 제16권4호
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    • pp.617-625
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    • 2002
  • At present in many cases the methods of medical treatment in Oriental medicine Korea lays emphasis on internal use, but to improve the curative value and for the diversity of medical treatment it is desperately needed to study external medical treatment more deeply. From the viewpoint of medical science history, as various additives and new discoveries are developed this has made it easy to use and improved the curative value of it ; thus external medical treatment has been rapidly progressed both in quality and quantity. Therefore, in studying the external medical treatment, it is very important to know it's history. So, I intend to study the early external medical treatment first. The external medical treatments mentioned in the Mawangtew medical books (52Byeongbang, Yangsangbang, Japryobang, Taesanseo), Hwangjenaekyeong, and Geumgweyoryak which were written or presumed to be written in early times were examined to study the early external medical treatments. The parts of body or diseases in which external medical treatments were applied; the methods of external application and the administration of medicine; the number of prescriptions, and the herbs used are also examined. I came to the following conclusions as I compared the kinds of books with the itemized lists based on the results of examination. 1) Though Mawangtew medical books (52Byeongbang, Yangsangbang, Japryobang, Taesanseo) was written earlier than Hwangjenaekyeong and Geumgweyoryak, there are more incidents of the disease in which external medical treatments were applied, the methods of external application and the administration of medicine, the kinds of prescriptions , and the different herbs used in Mawangtew medical books than in Hwangjellaekyeong and Geumgweyoryak. 2) In the six medical books mentioned above there are more prescriptions for external diseases and dermatitis than for internal diseases. 3) From the viewpoint of the number of prescriptions, the most frequent use of a medicine type was a natural type of medicine. The second was ointment type, and the third was liquid type. A powder type was the fourth. 4) In the administration of medicine, combination types such as both pasting and plastering were used most frequently. 5) Vegetable, mineral and animal nature herbs were used diversely for the early external medical treatments. Things such as wine and vinegar were also used as a herb.

하잠기와 초추잠기에 있어서의 간벌수확이 뽕나무의 발육과 수량에 미치는 영향 (Effects of the Thin Out of Mulberry Branches in Summer or Early Autumn on the Growth of Branches and the Yield of Mulberry Leaves)

  • 김문협
    • 한국잠사곤충학회지
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    • 제18권1호
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    • pp.1-5
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    • 1976
  • 하잠기와 초추잠기에 각주마다 뽕나무지조중 잔가지와 정상가지 2개씩을 솎아베기하였을 경우에 가지의 발육과 수량에 어떤 영향을 미치는가를 조사한바 다음과 같은 결과를 얻었다. 1) 봄베기한 뽕나무에 있어서 하잠기에 솎아베기를 하고 추잠기(이 기간 42일간)에 수확을 한 경우에 있어서 (1) 추잠기까지에 그 평균조장이 19% 가 증가하여 솎아베기를 하지않은 경우의 증가율 8% 보다 11% 나 그 증가비율이 높았다. (2) 솎아베기를 하면 이것을 하지않은 경우에 비하여 하잠기와 추잠기의 합계수량에 있어서 유의성은 없지만 9% 정도 증수가 된다. 2) 여름베기한 뽕나무에 있어서 초추잠기에 솎아베기를 하고 추잠기(이 기간 15일간)에 수확을 하는 경우와 만추잠기(이 기간 29일간)에 수확을 하는 경우에 있어서 (1) 그 평균조장은 솎아베기를 한 경우나 하지않은 경우나 다 같이 추잠기까지는 6∼7%, 만추잠기까지는 8% 정도 증가하여 솎아베기의 효과를 인정할 수가 없었다. (2) 초추잠기와 추잠기의 합계수량은 솎아베기를 한 경우가 하지않은 경우에 비하여 6%가 증수가 되어 유의성은 없지만 증수의 경향이 있고 초추잠인와 만추잠기의 합계수량은 솎아베기를 한 경우가 하지않은 경우보다 12%가 단수가 되어 5%의 수준에서 유의성이 인정되었다. (3) 솎아베기가 평균조장의 증가에는 별로 효과가 없지만 수량증가에는 효과를 나타낸 것은 솎아베기를 하므로 말미암아 뽕나무주내의 생활조건을 개선하여 광합성작용을 왕성하게 하므로써 엽중을 증가시킨 까닭이라고 생각된다.

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소아암 환자의 초기 진단단계의 간호중재 프로토콜 개발 (Development of Nursing Intervention Protocol for Childhood Cancer at Early Diagnosis Stage)

  • 최자윤;유일영
    • Child Health Nursing Research
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    • 제8권1호
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    • pp.44-54
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    • 2002
  • The main purpose of this methodological study was to develop an assessment tool and intervention protocol for child and family with childhood cancer at early diagnosis stage. The assessment tool and intervention protocol was developed by extensive literature review and consultation with experts. Review of nine domestic and sixty-six international journal articles were done to identify stress, interventions, coping strategies and adjustment of children with cancer and their family. Results were as follows; First, assessment at the early diagnosis stage need to include information on patient, family, and patient/family attitude toward diagnosis and treatment. Second, intervention protocol for children with cancer includes control physical symptoms, manage the side effects of chemotherapy and diagnostic or therapeutic procedures, control emotional responses, provide support and information, assist decision-making and adjust to environment. Third, intervention protocol for family includes controlling emotional responses, provision of informations, inducing family support to patient, improving family cohesion, supporting siblings and supporting spiritual growth. In conclusion, the early diagnosis stage in cancer treatment is important for child and family since this stage greatly affects the overall adjustment of child and family to live with cancer. Therefore, pediatric nurses need to be sensitive to the need of patient/family and systematically manage their needs at this stage.

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악골 골수염의 조기 진단 (EARLY DIAGNOSIS OF OSTEOMYELITIS OCCURRED IN THE JAWS)

  • 최은숙;나승목;이언경;고광준
    • 치과방사선
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    • 제24권2호
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    • pp.479-487
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    • 1994
  • Early diagnosis and treatment of osteomyelitis provide good prognosis and prevent severe complications. Therefore, it is important to early diagnose and treat before the bony changes are observed in conventional radiograms. Authors experienced three cases of early osteomyelitis, and scintigrams were useful to differentiate them from other diseases. The purpose of this report was to aid in the early diagnosis and treatment of osteomyelitis occurred in the jaws. The characteristic features were as follows: 1. In clinical examination, the patients complained mild pain and localized swelling in the jaws. 2. In radiographic findings, the conventional radiograms showed relatively mild bony changes in the jaws. 3. The more severe periosteal reactions were observed in radiograms in children than in adult patient. 4. It showed marked increased uptake of radioisotopes in all scintigrams. 5. The three phase bone scannings were helpful to differentiate osteomyelitis from soft tissue diseases.

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신생아 호흡곤란증후군에서 인공 폐 표면활성제 조기요법의 중요성과 필요성 (The Importance and the Need of Early Pulmonary Surfactant Therapy in Premature Infant with Respiratory Distress Syndrome)

  • 김성미;윤혜선;김기수;배종우
    • Neonatal Medicine
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    • 제16권2호
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    • pp.101-109
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    • 2009
  • Pulmonary surfactant (PS) therapy in premature infants has a remarkable impact on improving survival and outcomes in neonatal respiratory distress syndrome (RDS). Early PS therapy involves instillation of PS upon delivery of very premature infants or if there is evidence of RDS, such as an increased requirement of oxygen 2 hours after birth, especially in infants <30 weeks gestation. Early PS treatment in very premature infants results in a significant reduction in the severity of RDS, mortality, and incidence of pneumothorax, pulmonary interstitial emphysema, and bronchopulmonary dysplasia in comparison with late PS treatment. According to European and American consensus guidelines on the management of neonatal RDS, early PS instillation should be considered for infants <30 weeks gestation, infants with a birth weight <1,250 g, or if the mother has not received antepartum corticosteroids. We suggest that the Korean health insurance policy on RDS be modified so that PS can be used for better clinical outcomes of very premature infants.

Effect of automobile polluted soil on early seedling growth performance of Neem (Azadirachta indica A. Juss.)

  • Parveen, Shagufta;Iqbal, Muhammad Zafar;Shafiq, Muhammad;Athar, Mohammad
    • Advances in environmental research
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    • 제3권1호
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    • pp.1-9
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    • 2014
  • Effect of automobile polluted soil with five soil concentration (0 (Control), 25, 50, 75 and 100%) was observed on early seedling growth performance and biomass production of Neem (Azadirachta indica A. Juss). The treatment of 75% automobile polluted soil significantly (p < 0.05) decreased the seedling length (18.60 cm) of A. indica. The automobile polluted soil treatment with the concentration of 50% slightly increased the root length as compared to control. The automobile polluted soil treatment with the concentration of 25, 50, 75 and 100% negatively affected shoot length of A. indica as compared to control. The treatment of all concentration of automobile polluted soil progressively decreased the total leaf area A. indica as compared to control soil treatment. The automobile polluted soils also showed negative effects on biomass production of A. indica. The automobile polluted soil treatment at 25% concentration significantly (p < 0.05) affected shoot, leaves and seedling dry weight of A. indica as compared to control soil treatment. The order of relationship between production of A. indica's seedling dry weight and automobile polluted soil treatment was observed as root > shoot > leaves > total seedling.

Efficacy and safety of growth hormone treatment for children born small for gestational age

  • Hwang, Il Tae
    • Clinical and Experimental Pediatrics
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    • 제57권9호
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    • pp.379-383
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    • 2014
  • Recombinant growth hormone (GH) is an effective treatment for short children who are born small for gestational age (SGA). Short children born SGA who fail to demonstrate catch-up growth by 2-4 years of age are candidates for GH treatment initiated to achieve catch-up growth to a normal height in early childhood, maintain a normal height gain throughout childhood, and achieve an adult height within the normal target range. GH treatment at a dose of $35-70{\mu}g/kg/day$ should be considered for those with very marked growth retardation, as these patients require rapid catch-up growth. Factors associated with response to GH treatment during the initial 2-3 years of therapy include age and height standard deviation scores at the start of therapy, midparental height, and GH dose. Adverse events due to GH treatment are no more common in the SGA population than in other conditions treated with GH. Early surveillance in growth clinics is strongly recommended for children born SGA who have not caught up. Although high dose of up to 0.067 mg/kg/day are relatively safe for short children with growth failure, clinicians need to remain aware of long-term mortality and morbidity after GH treatment.

Early radiographic diagnosis of peri-implantitis enhances the outcome of peri-implantitis treatment: a 5-year retrospective study after non-surgical treatment

  • Chang, Hee-Yung;Park, Shin-Young;Kim, Jin-Ah;Kim, Young-Kyun;Lee, Hyo-Jung
    • Journal of Periodontal and Implant Science
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    • 제45권3호
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    • pp.82-93
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    • 2015
  • Purpose: This retrospective study evaluated the relationship between the timing of peri-implantitis diagnosis and marginal bone level after a 5-year follow-up of non-surgical peri-implantitis treatment. Methods: Thirty-three patients (69 implants) were given peri-implantitis diagnosis in 2008-2009 in Seoul National University Bundang Hospital. Among them, 31 implants from 16 patients were included in this study. They were treated non-surgically in this hospital, and came for regular maintenance visits for at least 5 years after peri-implantitis treatment. Radiographic marginal bone levels at each interval were measured and statistical analysis was performed. Results: Timing of peri-implantitis was one of the significant factors affecting initial bone loss and total bone loss not additional bone after peri-implantitis diagnosis. Patients with cardiovascular disease and diabetic mellitus were positively influenced on both initial bone loss and total bone loss. Patients who needed periodontal treatment after implant placement showed a negative effect on bone loss compared to those who needed periodontal treatment before implant placement during entire periods. Implant location also significantly influenced on amounts of bone loss. Mandibular implants showed less bone loss than maxillary implants. Among surgical factors, combined use of autogenous and xenogenic bone graft materials showed a negative effect on bone loss compared to autogenous bone graft materials. Use of membrane negatively affected on initial bone loss but positively on additional bone loss and total bone loss. Thread exposure showed positive effects on initial bone loss and total bone loss. Conclusions: Early peri-implantitis diagnosis led to early non-surgical intervention for peri-implantitis treatment, which resulted in the maintenance of the bone level as well as preservation of the implant.

Fecal Calprotectin Assay at an Early Stage of Treatment Can Be Used as a Surrogate Marker to Predict Clinical Remission and Mucosal Healing in Pediatric Crohn's Disease

  • Lee, Yeoun Joo;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제25권5호
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    • pp.396-405
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    • 2022
  • Purpose: This study evaluated the predictive role of fecal calprotectin (FC) measured at an early stage of treatment for monitoring clinical remission (CR) after six months and endoscopic remission (ER) after one year of treatment in pediatric Crohn's disease (CD). Methods: This retrospective study included 45 patients who simultaneously underwent ileocolonoscopy and FC testing during follow-up. FC levels were measured before and after six weeks of treatment. CR was assessed after six months of treatment using Pediatric Crohn' s Disease Activity Index and acute-phase reactants. ER was assessed after one year using the Simple Endoscopic Score for Crohn's Disease. Results: Twenty-nine (64.4%) patients used oral prednisolone for remission induction and 16 (35.6%) patients used anti-tumor necrosis factor-alpha. Thirty (66.7%) patients achieved CR, while 24 (53.3%) achieved ER. The FC level measured after six weeks of treatment could predict CR (χ2=9.15, p=0.0025) and ER (χ2=12.31, p=0.0004). The δFC could predict CR (χ2=7.91, p=0.0049), but not ER (χ2=1.85, p=0.1738). With a threshold of ≤950.4 ㎍/g, FC at week six could predict CR with 76.7% sensitivity and 73.3% specificity. The area under the curve (AUC) was 0.769 (standard error 0.0773, p=0.0005). The same threshold predicted ER with 87.5% sensitivity and 71.4% specificity. The AUC was 0.774 (standard error 0.074, p=0.0002). Conclusion: FC assay at an early stage of treatment can be used as a surrogate marker to predict CR and mucosal healing in pediatric CD.

Recent Advances in Adjuvant Therapy for Non-Small-Cell Lung Cancer

  • Mi-Hyun Kim;Soo Han Kim;Min Ki Lee;Jung Seop Eom
    • Tuberculosis and Respiratory Diseases
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    • 제87권1호
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    • pp.31-39
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    • 2024
  • After the successful development of targeted therapy and immunotherapy for the treatment of advanced-stage non-small cell lung cancer (NSCLC), these innovative treatment options are rapidly being applied in the adjuvant setting for early-stage NSCLC. Some adjuvants that have recently been approved include osimertinib for epidermal growth factor receptor-mutated tumors and atezolizumab and pembrolizumab for selected patients with resectable NSCLC. Numerous studies on various targeted therapies and immunotherapy with or without chemotherapy are currently ongoing in the adjuvant setting. However, several questions regarding optimal strategies for adjuvant treatment remain unanswered. The present review summarizes the available literature, focusing on recent advances and ongoing trials with targeted therapy and immunotherapy in the adjuvant treatment of early-stage NSCLC.