Objective: The purpose of this study is to compare the improvement of Ramsay Hunt Syndrome and Bell's palsy after Oriental Medicine treatment Methods : Twelve patients with Ramsay Hunt Syndrome and twenty patients with Bell's Palsy who visited the Iksan Oriental Medical Hospital of Wonkwang University were evaluated. Evaluation was carried out by facial palsy grading system of Yanagihara. Results : 1. In the analysis of causes. the most common cause was 'none' with 14 cases(43.8%). stress with 8 cases(25.0%). fatigue with 4 cases(12.5%), cold and URI with 3 cases(9.0%) each. 2. In the analysis of prodrome, there was retroauricular pain in 16 cases(50.0%). headache and 'none' in 8 cases(25.0%) each. 3. There was no significant difference between RHS and Bell's palsy in evaluation score. Conclusions : RHS and Bell's palsy showed no statistical significant difference between severity of before treatment and that of after treatment.
This study presents the formulation of beam transition elements and transition zone elements for the effective finite element analysis of the transition regions of coupled wall structures. Beam transition element can be described as the quasi beam element which is replaced by an equivalent plane stress element, keeping equally, the basic behavior of beam element, based on the kinematic and force constraints between beam and wall element. These beam transition elements solve the incompatibility related to different degrees of freedom between beam and wall element in transition regions. Also, the stiffness matrices of transition zone elements which are directly connected with beam transition elements in transition regions can be derived from the equivalent constraint conditions. These elements provide the reasonable mesh grading schemes for transition regions and can be usefully applied to the transition regions of all structures that the interactions of wall and beam element are considered.
To study the body trunk form which is essential to clothing constructions, necessary body sizes were measured indirect1y from 216 unmarried women from 19 to 24 years old by a photographic network method. The results are obtained as follow; 1) In this study of body type measurements, the four factors of bust, abdomen, column and hip size have been divided into four-stage intervals and given the body type codes 1, 2, 3 and 4, with 1 designating the size difference of the factor with the minimum size difference of the factor with the maximum size difference from waist size. These body type codes can be easily, linguistically interpreted. In this study, among $4^4=256$ possible body types, 54 types appeared frequently. These 54 types are integrated into 6 groups of types by clustering analysis. Representative types of each group are types 3333 and 2333 in group 1, 2233, 1233 and 1332 in group 2, 2222, 1222 and 1223 in group 3, 2223 in group 4, 2323 and 2322 in group 5, and 3323, 3223 and 3322 in group 6. In the types of groups 1, 2, and 3, the change is mainly in bust size, and in the types of group 4. is single type. In the types of group 5 the change is mainly in hip size, and in the types by groups 6 the change is mainly in abdomen size and hip size. 2) The analysis by measuring the four elements of body trunk in reference to waist size is scientific and grading of similar styles is possible in clothing construction. 3) Assuming that the human body is oval, using the calculating method, the size of girth, which cannot be measured by the indirect measuring method, is obtained approximate to actual size, with an error of ${\pm}2.8cm$.
Objectives: This study is an overview of the meta-analysis and systematic review of randomized controlled trials investigating the clinical effectiveness and safety of pharmacopuncture for patients with stroke. Methods: Core electronic databases were searched from their inception to 21 May 2019. A measurement tool to assess systematic reviews (AMSTAR 2) was applied to screen high-quality studies. The results of these studies were summarized, and additional meta-analysis was conducted. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was used to evaluate the certainty of evidence. Results: Sixteen studies met eligibility criteria. Four were excluded owing to insufficiency of AMSTAR 2 or low data reliability. The finally selected 12 studies were about pharmacopuncture using either a single herb extract, such as Dengzhan xixin, Sanch, Ginkgo biloba, or Acanthopanax, or a mixture of herbs, such as Compound danshen, Shenxiong, Xingnaojing, or Mailuoning. Most of the patients were from China, with acute ischemic stroke. All the studies using a pharmacopuncture versus a non-pharmacopuncture design reported the significant superiority of pharmacopuncture on every outcome measure. On the other hand, in a few studies, pharmacopuncture was inferior to active control in improving neurological deficit. Few studies reported adverse events. Conclusions: It is difficult to apply the results of this study directly to Korea, because the level of evidence is generally low and the clinical settings and social acceptance of pharmacopuncture therapy differ in Korea and China. Further studies are warranted to confirm the domestic applicability of evidence generated in China and to create evidence that supports the domestic situation.
Journal of the Korean Institute of Landscape Architecture
/
v.33
no.6
s.113
/
pp.51-77
/
2006
Pond management is a critical part of overall golf course management, both during growth and maintenance modes of turf care. This study investigated 48 ponds in nine 18- or 27-hole golf courses to analyze the environmental characteristics of ponds. The research process had three phases: (1) inventory and analysis of grading plans and drainage plans, (2) field verification and interviews with greenskeepers, and (3) analyses of water quality and statistics. All data were collected from May to August in 2004. The results of this study can be summarized as follows: 1. It is desirable to site a golf course in a small watershed with high watershed eccentricity to control storm water runoff efficiently and to minimize soil erosion during construction. 2. The siting and size of a pond should be determined through a land-use analysis of the watershed for the purpose of ecological management. The bigger the forest-to-golf course ratio, the better the water quality will be. 3. The size and capacity of each individual ponds varied and there were many somewhat longish rather than round ponds. 4. There were many differences among golf courses in naturalness of the ponds, and the correlation between naturalness and area of aquatic plants was very high. 5. Analyses of pond water quality indicated that the degrees of Dissolved Oxygen, Chemical Oxygen Demanded and Suspended Solids were relatively low values but Total Phosphorus and Total Nitrogen were too high. Therefore a systematic approach is needed to solve e problem. Pesticide residues were not detected in all ponds. 6. Water depth and area of hydrophyte should be considered when designing an ecological pond. 7. All ponds used storm water as a main source of water supply and added underground water. Aquatic plants and physical methods such as water aeration and spray fountains were the main choices for maintaining a healthy aquatic environment.
This study evaluated the relationship between pretreatment hemoglobin (Hb) and prognostic factors in Thai patients with endometrial cancer. Medical records of 228 patients who had undergone surgery between January 2005 and December 2007 were retrospectively reviewed. Associations between clinicopathological variables and pretreatment Hb levels were described using Pearson's chi square test or two-tailed Fisher's exact test. Survival analysis was performed with Kaplan-Meier estimates. Univariate and Cox-regression models were used to evaluate the prognostic impact of various factors, including Hb levels, in term of disease-free survival. The median duration of follow-up was 38.2 months. Eighty-nine patients (39%) had a preoperative Hb level of <12 g/dL, these having significantly higher rates of non-endometrioid histology, advanced FIGO stage, lymphovascular space invasion, cervical involvement, adnexal involvement, positive peritoneal cytology, and lymph node involvement than patients with Hb ${\geq}12$ g/dL. The 5-year disease-free and overall survival were significantly lower in patients with pretreatment Hb levels <12 g/dL compared with those with Hb ${\geq}12$ g/dL (79.3% vs. 89.2%, p=0.044 and 87.6% vs. 99.3%, p<0.001, respectively). In the multivariate analysis only histology, myometrial invasion, and lymphovascular invasion proved to be independent prognostic factors, whereas tumor grading, stage, cervical involvement, adnexal involvement, positive peritoneal cytology, lymph node involvement, and low Hb were not. In conclusion, presence of anemia before treatment may reflect poor prognostic factors in patients with endometrial cancer and low pretreatment hemoglobin level may have a prognostic impact on clinical outcome.
Zahir, Shokouh Taghipour;Nazemian, Mohammad Reza;Zand, Sanaz;Zare, Samad
Asian Pacific Journal of Cancer Prevention
/
v.15
no.2
/
pp.883-886
/
2014
Background: Prostate cancer is the second leading cause of cancer death in men worldwide. Several factors such as availability of screening tests, and dietary, other lifestyle, environmental and genetic influences contribute to worldwide disparities in prostate cancer incidence and mortality rates. Our aims were to investigate patient characteristics at the time of diagnosis, common treatment strategies employed and survival in an Iranian male population with prostate cancer. Materials and Methods: Archives of Pathology Departments of five referral centers affiliated with the School of Medicine of Shahid Sadoughi University in Yazd province were reviewed. Paraffin-embedded blocks were reviewed by two independent pathologists to confirm the diagnosis. The latest modification of the Gleason Scoring System was adopted to determine pathological grading. Following pathological evaluation, patients were contacted via telephone to acquire information regarding their current status. Results: Pathology blocks were available for 113 patients. However, upon phone contacts, we were unable to determine the survival status in 23 patients (response rate=83%). Therefore, 90 patients were enrolled in the final analysis. The median follow-up time was 6.0 years (ranging from 0.3 to 8.8 years). There were 30 death attributed to prostate cancer in the study group. Kaplan-Meier analysis revealed that patient age at the time of diagnosis was a significant predictor of survival. Another significant predictor of poorer survival was higher tumor grade. Conclusions: Our observations indicate that age and pathological grade can negatively affect survival of individuals with prostate cancer in Iran.
Objective : To explore and analyze the influencing factors of facial nerve function retainment after microsurgery resection of acoustic neurinoma. Methods : Retrospective analysis of our hospital 105 acoustic neuroma cases from October, 2006 to January 2012, in the group all patients were treated with suboccipital sigmoid sinus approach to acoustic neuroma microsurgery resection. We adopted researching individual patient data, outpatient review and telephone followed up and the House-Brackmann grading system to evaluate and analyze the facial nerve function. Results : Among 105 patients in this study group, complete surgical resection rate was 80.9% (85/105), subtotal resection rate was 14.3% (15/105), and partial resection rate 4.8% (5/105). The rate of facial nerve retainment on neuroanatomy was 95.3% (100/105) and the mortality rate was 2.1% (2/105). Facial nerve function when the patient is discharged from the hospital, also known as immediate facial nerve function which was graded in House-Brackmann : excellent facial nerve function (House-Brackmann I-II level) cases accounted for 75.2% (79/105), facial nerve function III-IV level cases accounted for 22.9% (24/105), and V-VI cases accounted for 1.9% (2/105). Patients were followed up for more than one year, with excellent facial nerve function retention rate (H-B I-II level) was 74.4% (58/78). Conclusion : Acoustic neuroma patients after surgery, the long-term (${\geq}1year$) facial nerve function excellent retaining rate was closely related with surgical proficiency, post-operative immediate facial nerve function, diameter of tumor and whether to use electrophysiological monitoring techniques; while there was no significant correlation with the patient's age, surgical approach, whether to stripping the internal auditory canal, whether there was cystic degeneration, tumor recurrence, whether to merge with obstructive hydrocephalus and the length of the duration of symptoms.
Journal of the Korean Society of Environmental Restoration Technology
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v.6
no.5
/
pp.9-20
/
2003
The purpose of this study is to construct a database for landscape ecological planning with evaluation and analysis of structure of biotope of city center area for the preservation of species and biotope examining Jung-gu district of Daegu Metropolitan City which is the most extremely and rapidly urbanizing area. The assumption of this study is that the biotope structure of a city center area would be different from the other city area. The results of this study were as follows. 1) The results of the biotope type classification is that there were 11 biotope type groups and 41 detailed biotopes. 2) The primary evaluation is the process for grading general value of classified biotope types, and the result of primary evaluation is that there were 5 biotope types that were greater than third grade besides the biotope type of artificial riverbank with abundant green high water level land. The first grade of biotope type have not appeared in this area, however the fifth grade of biotope type have appeared total of 19 biotope types with the biotope type of the general shopping area with scarce green fields. 3) The secondary evaluation is the process for searching biotopes which are special value, and the result of secondary evaluation is that there were 2 biotopes for la, 7 biotopes for 1b, 2 biotopes for 2a, 1 biotope for 2b and there was no biotope for 2c, and for example, la is the large area that has many magor biotope site in terms of the living space. 4) Finally. scientific method for biotope type classification, the derailed investigation plan of high value biotope and the improvement plan based on the biotope map of city center area must be continued.
The purpose of this study is to know optimized fat suppression techniques for brachial plexus compared with STIR and SPAIR T1, T2 techniques. A total of 30 normal volunteers without brachial plexus disease were studied on a 3.0 T MRI scanner. As an analytical method, SNR, CNR, 4-point grading scale were evaluated by using three pulse sequences. As a quantitative analysis, the SNR, CNR for SPAIR T1 technique provided high value in branchial plexus roots (03.07, -2.25), branchial plexus trunks(06.70, 36.31)(p<0.05). As a qualitative Analysis, The visibility for delineation of brachial plexus, fat suppression, artifact was significantly better on SPAIR T1(3.2, 3.6, 3.4) technique(p<0.05).
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