• Title/Summary/Keyword: improvement of treatment

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Treatment of Larynx Granuloma (후두육아종의 치료)

  • 주준범;홍석중;강보현;김영진;유승주;김상윤;남순열
    • Korean Journal of Bronchoesophagology
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    • v.7 no.1
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    • pp.19-23
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    • 2001
  • Background and Objectives: Larynx granuloma is a exophytic inflammatory mass and may result from gastroesophageal reflux disease and a traumatic or prolonged endotracheal intubation. There has been a controversy in the treatment of larynx granuloma. Our aim of study is to know the results of the conservative management and surgery for larynx granuloma. Materials and Methods : We have reviewed and analyzed medical records of 71 Patients who were diagnosed and treated as larynx granuloma in Asan medical center from 1989 to 2000 retrospectively. And questionnaires on present patient's status were answered via telephone. Results : Forty four cases were treated by conservative management and 29 cases were treated by surgery. The total Percentages of improvement after treatment were 85.7 o/o after conservative management and 75.9% after surgery. In intubation granuloma percentages of improvement were 86.4% after conservative management and 73% after surgery. In contact granuloma percentages of improvement were 85% after conservative management and 78.5% after surgery. Conclusion : Resolution and treatment periods are longer in contact granuloma compared to intubation granuloma in the groups of conservative management. (P<0.05) There is no significant difference of their outcome between conservative management and surgery. (P>0.05) Although this study is retrospective, conservative management is the first treatment in the management of larynx granuloma.

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The Clinical Effects of Heating-conduction Acupuncture Therapy with General Acupuncture Therapy for Lateral Ligament Injury Induced by Ankle Sprain Grade II (전열침(傳熱鍼)과 일반 침의 병행치료가 발목 염좌로 인한 외측인대 2도 손상에 미치는 임상적 효과)

  • Jahng, Sun-Jeong;Jang, Hyo-Kil;Heo, Dong-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.4
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    • pp.191-203
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    • 2011
  • Objectives: The purpose of this study is to investigate the clinical effects of heating-conduction therapy on lateral ligament injury induced by ankle sprain grade II. Methods: The 67 outpatients who were diagnosed as ankle sprain grade II were performed heating-conduction acupuncture therapy on lateral ligament injury. To evaluate the efficiency of heating-conduction acupuncture therapy, pain threshold with pressure algometer and visual analogue scale(VAS) were applied pretreatment and after 1st, 2nd treatment. Results: 1. The pain threshold and VAS score after 1st and 2nd treatment with an isolated injury of the anterior talofibular ligament showed statistically significant improvement compared with pretreatment. 2. The VAS score after 1st and 2nd treatment with an combined injury to the anterior talofibular and the calcaneofibular ligament showed statistically significant improvement compared with pretreatment. 3. The VAS score after 1st and 2nd treatment with an combined injury to the anterior talofibular, calcaneofibular and posterior talofibular ligament showed statistically significant improvement compared with pretreatment. 4. After 1st and 2nd treatment on the posterior talofibular ligament and after 2nd treatment on the anterior taofibular and calcaneofibular ligament with an combined injury to the anterior talofibular, calcaneofibular and posterior talofibular ligament the pain threshold showed statistically significant improvement compared with pretreatment. 5. Between isolated injury and combined injury of lateral ligament, the difference in pain threshold and VAS score was not statistically significant. Conclusions: Heating-conduction acupuncture therapy has clinical effects of pain reduction on patient with an isolated injury and combined injury of lateral ligament induced by ankle sprain grade II.

Estimation of GHGs Emission to Improvement of Facility Efficiency in the Food wastewater Treatment Process (식품폐수처리시설의 설비효율 개선에 따른 온실가스 배출량 평가)

  • An, Sang-Hyung;Song, Jang-Heon;Kim, San;Chung, Jin-Do
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.378-384
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    • 2019
  • In the food wastewater treatment facilities, the water quality improvement effect and the greenhouse gas emission amount followed by the change in electricity usage through a change of the aeration tank ventilation system were evaluated. also, the amount of greenhouse gas emission followed by the change in electricity usage through the change of the sludge dewatering, storage, transporting method was also evaluated. The total GHG emission from food wastewater treatment facility improvement were divided into direct emissions from the treatment processes and indirect ones from electricity usage. The water quality improvement effect of wastewater treatment plant was found to be 63.3% for BOD removal rate, 42.0% for COD removal rate, 71.0% for SS removal rate and 39.6% for T-N removal rate. and according to the results of calculating output by applying both direct emissions of greenhouse gas (Scope 1) and the indirect emission (Scope 2) of greenhouse gas followed by changes in power consumption. It was estimated that there was a total of 276.0tCO2eq./yr(7.5%) greenhouse gas reduction effect from 3,668.8tCO2eq./yr before improvement to 3,392.8tCO2eq./yr after improvement. In this result is not due to the effects of water quality improvement of emission source, but because the reduction in electricity use has reduced the amount of greenhouse gas emissions.

Effects of Abdominal Respiration and Self Voice Feedback Therapy on the Voice Improvement of Patients with Vocal Nodules (복식호흡 훈련과 Self Voice Feedback 프로그램이 성대결절 환자의 음성개선에 미치는 효과)

  • Kwon, Soon-Bok;Wang, Soo-Geun;Yang, Byung-Gon;Jeon, Gye-Rok
    • Speech Sciences
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    • v.13 no.3
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    • pp.133-149
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    • 2006
  • This study attempted to compare acoustic parameters, physiological observation and perceptual evaluation values obtained from the treatment and control groups in order to find out which of the self voice feedback therapies was better and which methods to train them were more effective. The experimental group carried out various self voice feedback therapies while the control group did only vocal hygiene. The acoustic measurement and voice manipulation for providing the patients visual, auditory feedback were done by a speech analysis software, Praat. The authors designed vocal hygiene, abdominal respiration and Praat self voice feedback therapies and applied them to 15 patients while applying only one vocal hygiene to 15 of the control group. For the purpose of examining the degree of their voice improvement after the treatment, pre- mid- and final evaluations were made for the two groups at the beginning, the 6th week and immediately after the 8th treatment session. Results of this study were as follows: The treatment group showed much improvement after receiving the voice treatment. In particular, acoustical and physiological indices from the optical endoscopy, pitch variation(Jitter), amplitude variation (Shimmer), maximum phonation time(MPT), and psychoacoustic evaluation showed statistically significant improvements over the control groups.

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Clinical Observation of Acupuncture and Nerve Block Treatment for Adhesive Capsulitis Patients (유착성 관절낭염에 대한 침 및 신경차단술 처치의 임상적 관찰)

  • Nam, Dong-Woo;Lim, Sabina;Kim, Jong-In;Kim, Keon-Sik;Lee, Doo-Ik;Lee, Jae-Dong;Lee, Yun-Ho;Choi, Do-Young
    • Journal of Acupuncture Research
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    • v.24 no.4
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    • pp.143-155
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    • 2007
  • Objectives: To observe the effect of acupuncture and nerve block combination treatment on adhesive capsulitis patients. Methods : 59 voluntary patients were randomly assigned to acupuncture treatment group(E group, n=22), nerve block treatment group(W group, n=17) and acupuncture and nerve block combination treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, $TE_{14}$, $GB_{21}$ and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received the same treatment as the W group and after 5minutes of rest, successively received the treatment identical to that of E group. All three groups were instructed to practice groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after 1, 2, 3 and 4week treatment. Constant Shoulder Assessment(CSA), Shoulder Pain and Disability Index(SPADI), Range of Motion(ROM), the patient's treatment satisfaction measured by Visual Analogue Scale(VAS) and Digital Infrared Thermographic Imaging(DITI) were used as assessment tools. The obtained data were analyzed and compared. Results : The E group showed significant improvement(p<0.05) on CSA, SPADI, VAS and DITI. As for ROM, Adduction and Extension improved significantly(p<0.05). The W group showed significant improvement(p<0.05) on CSA, SPADI, VAS and DITI. As for ROM, Abduction and Extension improved significantly. The EW group showed significant improvement(p<0.05) on CSA, SPADI and VAS. As for ROM, Adduction, Abduction, Extension and Flexion improved significantly. The improvement of CSA, VAS and Abduction ROM in the EW group was significantly(p<0.05) superior compared to the groups treated with single type of treatment. Conclusion : It is suggested that acupuncture and nerve block combination treatment for adhesive capsulitis patients is more effective than the two single treatments. Through further studies, the acupuncture and nerve block combination treatment model may be developed into East-West Collaboration Model in treating adhesive capsulitis.

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Retrospective Study about the Effectiveness of a long-term Korean Medicine Treatment on 511 Atopic Dermatitis Patients (아토피피부염 환자 511명의 장기간의 한의학적 치료효과에 대한 후향적 연구)

  • Han, Su-Ryun;Park, Gun;Han, Myeong-Hwa;Seo, San;Cho, Jae-Gon;Ko, Young-Hyup;Jung, Chang-Hwan;Lee, Jung-Hwan;Jang, Jin-Young
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.26 no.3
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    • pp.65-76
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    • 2013
  • Objective : The purpose of this study is to report the effectiveness of a long-term Korean Medicine Treatment on 511 atopic dermatitis patients. Methods : Total 511 atopic dermatitis patients, who has visited oriental medical clinics from 2011.1.9 to 2012.1.31 and continued treatment 3 month to 9 month were analyzed by Objective SCORAD Index(OSI). Subanalysis of OSI were done according to gender, age, treatment period, and intensity. Results : 1. Male and female percent was 42.5:57.5. Age percent was 0 to 11:12 to 18:above 19=30:16.6:53 and 41.9% was steroid users. 2. OSI Improvement rate was significantly higher in women than men after 3 month of treatment, but not significant after 6, 9 month of treatment. 3. There was no improvement difference of OSI among the age. 4. OSI was significantly lower after 3, 6, 9 month of treatment. Average post-treatment score was lowest in 9 month treatment group. 5. 86.7% of total patients reported decrease in OSI score at the final visit. 6. 85.9% was severe, 13.5% was moderate, and 0.6% was mild by OSI intensity assessment at initial visit. The percent changed at final visit to 37% severe, 54.2% moderate, and 8.8% mild. 7. Patient diagnosed as OSI intensity severe at first visit, their average treatment period was 6.58 months and final improvement rate was 36.27%. Conclusion : A significant percent of Atopic dermatitis patients who were treated with Korean Medicine Treatment reported decrease in OSI. There was significant decrease in OSI before and after 3, 6, 9 month treatment. The difference increased with the treatment period.

The Comparative Study of Effects between Acupuncture Treatment and Cotreatment with Mixed Pharmacopuncture of $Jungsongouhyul$ and $Cervi$ $Pantotrichum$ $Cornu$ on Low Back Pain Patients (단순 요통환자에 대한 침치료와 중성어혈-녹용 혼합약침 병행치료의 효과비교연구)

  • Ryu, Hye-Seon;Kim, Sung-Phil;Chun, Hea-Sun;Ryu, Mi-Seon;Shin, Jeong-Cheol;Wei, Tung-Shuen
    • Journal of Acupuncture Research
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    • v.28 no.6
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    • pp.149-157
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    • 2011
  • Objectives : The purpose of this study is to investigate the effect of mixed pharmacopuncture of $Jungsongouhyul$ and $Cervi$ $Pantotrichum$ $Cornu$ on low back pain patients. Methods : 83 patients with Low back pain who were treated in Dept. of Acupuncture and Moxibusion, Dongshin University Hospital in Suncheon from Sep. 1st, 2010 to August 31th, 2011, were divided into two groups. One group (52 patients) was treated with conservative treatments (acupuncture, herb med, cupping therapy and physical therapy) and mixed pharmacopuncture of $Jungsongouhyul$ and $Cervi$ $Pantotrichum$ $Cornu$ theraphy (PG) and the other group (31 patients) was treated with conservative treatments alone(NPG). To estimate the effects of treatments, visual analog scale(VAS) and Oswestry disability index(ODI) were checked. Results : 1. In VAS, both of PG and NPG shows statistically significant improvement rate after 3rd treatment and 5th treatment. 2. In ODI, both of PG and NPG shows statistically significant improvement rate after 3rd treatment and 5th treatment. 3. In comparing VAS of PG and NPG, there was more significant improvement in PG than NPG after 3rd treatment and 5th treatment. 4. In comparing ODI of PG and NPG, there was more significant improvement in PG than NPG after 3rd treatment but no significant improvement between PG and NPG after 5th treatment. Conclusions : According to the study, it is thought that mixed pharmacopuncture of $Jungsongouhyul$ and $Cervi$ $Pantotrichum$ $Cornu$ theraphy is effective to low back pain patients, and further study is needed for the confirmation of the effect of mixed pharmacopuncture of $Jungsongouhyul$ and $Cervi$ $Pantotrichum$ $Cornu$.

Survey on Satisfaction and Symptom Improvement of Korean Medicine Treatment in 122 Cases by Traffic Accident (교통사고 환자 122례에 대한 한방치료 만족도 및 호전도 조사)

  • Kim, Hye Ryeon;Kim, Seon Hye;Lee, Yeon Sun;Park, Seo Hyun;Sung, Won Suk;Cho, Hyun Seok;Keum, Dong Ho;Kim, Kap Sung;Kim, Eun Jung
    • The Journal of Korean Medicine
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    • v.39 no.3
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    • pp.61-72
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    • 2018
  • Objectives: This study conducted a survey research to characterize traffic accident(TA) patients seeking Korean medicine treatment and to analyze the symptom improvement and satisfaction scores. Methods: A survey was conducted in 122 outpatients, who visited OO University Korean Hospital due to TA-associated symptoms from November, 2017 to May, 2018. The questionnaire included information on patient demographic characteristics, accident circumstance details, pain levels, reason for treatment selection, treatment methods, treatment purpose, symptom improvement and satisfaction. All statistical analyses were performed using Windows SPSS version 20.0 Results: The characteristics of traffic accident patients using Korean medical institution were usually accidents that occurred while driving slowly, and minor injuries like a sprain. The most important consideration in choosing Korean medical institution was its past experience. The biggest reason for switching treatment from Western medicine to Korean medicine was for diverse treatments. Satisfaction with Korean medicine was measured between very satisfaction and satisfaction. Patients showed the highest satisfaction with acupuncture, followed by pharmacopuncture and chuna manual therapy. Most treatments were measured between very satisfaction and satisfaction. After treatment, 95.90 percent of the patients said they would recommend Korean treatment. Conclusions: Although this study has limitations as research in survey format, we intended to analyze determining factors for the use of Korean medicine treatment through satisfaction, symptom improvement, and Numeric rating scale (NRS) change.

Subjectivity about Policy of Dental Treatment (치과진료 정책에 관한 주관성 연구 -치과 관련 전공자 중심으로-)

  • Lee, Jei-Young;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.12 no.1
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    • pp.386-399
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    • 2012
  • This study was carried out by practical method in a subjectivity study accessible in-depth, in sloughing off old habit of functional quantity analysis about policy of dental treatment. The perception pattern come out in this study were divided into four types in Q-methodology. The result is as follows ; it is divided into 1[(N=11) : Extension Policy Type], 2[(N=13) : Institutional Improvement Type], 3[(N=5) : Image Improvement Type], 4[(N=14) : Treatment Focus Type], 5[(N=5) : Efficient Access Type], 6[(N=10) : Developmental Demand Type]. There are four types of fire fighter images. In conclusion, this study is to ascertain acceptance behavior about Reception Type on policy of dental treatment ; to offer a developmental suggestion about it.

Esthetic improvement in the patient with one missing maxillary central incisor restored with porcelain laminate veneers

  • Park, Dong-Jin;Yang, Jae-Ho;Lee, Jai-Bong;Kim, Sung-Hun;Han, Jung-Suk
    • The Journal of Advanced Prosthodontics
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    • v.2 no.3
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    • pp.77-80
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    • 2010
  • This article describes esthetic improvement in a patient with a missing maxillary left central incisor. Space analysis of the anterior dentition showed that minor tooth rearrangement was needed. Optimal space distribution for restorations was attained by orthodontic treatment. Through transforming tooth shape with porcelain laminate veneers, the maxillary left lateral incisor was transformed into central incisor and the maxillary left canine into a lateral incisor. The maxillary right central incisor was also restored for esthetic improvement. In a case of changing a tooth shape with porcelain laminate veneers, pre-treatment evaluation, space analysis and diagnostic wax-up are important factors.