• Title/Summary/Keyword: tailored medicine

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Infraorbital Nerve Function Following Tailoring of Medpor® in Reconstruction of Inferior Orbital Wall Fracture (안저골절재건 시 Medpor®의 맞춤조작에 따른 안와아래신경의 기능)

  • Kwon, Yong-Seok;Kim, Myung-Hoon;Lee, Jang-Ho;Heo, Jung;Lee, Keun-Cheol;Kim, Seok-Kwun
    • Archives of Plastic Surgery
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    • v.35 no.6
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    • pp.675-679
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    • 2008
  • Purpose: In the orbital floor fracture, sensory impairment due to the damage of the infraorbital nerve is one of the most common symptom and complication. In this report, we have the assumption that tailoring of $medpor^{(R)}$ for decompression may have correlations to the damage and regeneration of the nerve. Methods: Among patients who had open reduction for pure orbital floor fracture in our hospital from March 2005 to March 2008, we selected 80 cases. In 40 cases, we inserted tailored $medpor^{(R)}$, and in other 40 cases, non-tailored $medpor^{(R)}$ was inserted. Patient's reports were obtained and analyzed, and the pin-prick test and the 2-point discrimination test on the infraorbital nerve regions were done for testing the sensory impairments. Results: The results show that the patients who adopted sculpture of $medpor^{(R)}$ showed higher tendency of recovery of sensory impairments in the patient's subjective report, static touch sensation, static two point discrimination using. And in postoperative 3 months, there are statistically significant recovery of sensory symptoms, signs and the result of sensory tests. Conclusion: From these results, tailored $medpor^{(R)}$ in reconstruction of orbital wall fracture may improve recovery of sensory impairments for decreasing of compression of infraorbital nerve.

Effectiveness of Interventions to Increase the Participation Rate of Gastric Cancer Screening in the Republic of Korea: a Pilot study

  • Lee, Myung-Ha;Lee, Yoon-Young;Jung, Da-Won;Park, Bo-Young;Yun, E-Hwa;Lee, Hoo-Yeon;Jun, Jae-Kwan;Choi, Kui-Son
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.3
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    • pp.861-866
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    • 2012
  • This study assessed the effectiveness of three intervention strategies to improve the participation rate of gastric cancer screening among people who had never undergone such screening, and those who had been screened for the disease, but not recently. It was conducted in the Ilsandong-gu District of Goyang City, Korea. The population for the current study was restricted to male residents, aged 40-65 years, who received an invitation letter to undergo gastric cancer screening from the National Health Insurance (NHI) Corporation at the beginning of 2010. The subjects were divided into two categories according to their screening history: never-screened, and ever-screened. A total of 2,065 men were eligible: 803 never-screened and 1,262 ever-screened. In each screening category they were randomly assigned to one of three intervention groups: 1) tailored telephone counseling; 2) tailored postcard reminder after tailored telephone counseling;and 3) tailored telephone counseling after tailored postcard reminder. At 3 months post-intervention, never-screened men with any intervention were more likely to undergo gastric cancer screening (OR=2.75, 95% CI: 1.22-6.18) compared to those in the reference group (no intervention). However, there was no statistically significant intervention effect in ever-screened men (OR=1.21, 95% CI: 0.65-2.27). Examination of the intervention effects by intervention group among never-screened men showed that those in the postcard reminder after telephone counseling group to be statistically significantly more likely to undergo gastric cancer screening (OR=4.49, 95% CI: 1.79-11.29) than the reference group (no intervention). Our results highlight that use of tailored postcard reminders after tailored telephone counseling is an effective method to increase participation in gastric cancer screening among men who had never been screened.

Susceptibility-Contrast-Enhanced MR Venography of Cat Brain Using Tailored RF Pulse at High Magnetic Field of 4.7 Tesla Superconducting Magnet (4.7T 고자장 초전도 자석에서 Tailored RF를 이용한 고양이 뇌의 자화율 강조영상법에 의한 자기공명혈관 조영술)

  • Moon, Chi-Woong;Kim, Sang-Tae;Lee, Dae-Geun;Im, Tae-Hwan;No, Yong-Man;Cho, Jang-Hee;Lee, Yoon
    • Progress in Medical Physics
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    • v.5 no.1
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    • pp.55-66
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    • 1994
  • After proving home-made imaging pulse sequences including tailored RF pulse by phantom, susceptibility-contrast-enhanced MR venograms of cat brain were obtained using tailored RF gradient-echo(TRGE) method. Sagittal MR imaging of the cat brain obtained by TRGE technique shows several veins, for example, dorsal sagittal sinus, straight sinus, vein of corpus callosum and internal cerebral vein, etc., compared with cats anatomical figure. Tailored RF waveform was generated by PASCAL language in ASPECT 3000 computer(Switzland, Bruker). Rectangular-shaped slice profile with bi-linear ramp function as phase distribution in the slice, at which maximum value was 2$\pi$, was fourier transformed to make tailored RF pulse. Experimental MR imaging parameters were TR/TE=205/10 msec, slice thickness TH=7mm, maxtrix size=256$\times$256, in-plane resolution=0.62$\times$0.31mm$^2$, and field of view(FOV)=8cm for both conventional gradient-echo(GE) imaging and TRGE imaging techniques.

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The Effects of Tailored Life Style Improvement Program for the Hypertensive Workers Provided by Occupational Health Nurse (고혈압 근로자를 대상으로 산업간호사가 제공한 맞춤형 생활습관개선 프로그램의 효과)

  • Kim, Ji-Ae;Kim, Soon-Lae;Jung, Hye-Sun
    • Korean Journal of Occupational Health Nursing
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    • v.18 no.2
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    • pp.242-251
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    • 2009
  • Purpose: To confirm the effect of tailored life style improvement program, provided by occupational health nurse for hypertensive workers on their blood pressure, self-efficacy, and life style changes in workplace. Method: The experimental and control group of thirty subjects each were randomly assigned for those who agreed to participate in the study among the pre-hypertensive workers. The tailored life style improvement program was provided to the experimental group and conducted once a week for 8 weeks. This program was composed of exercise and low salt diet to control high blood pressure and weight, and the measurement of carbon monoxide for non-smoking inducement. Result: In the experimental group, the systolic and diastolic blood pressure significantly decreased while self-efficacy increased after the program compared to the control group. Smoking and drinking habits of the experimental group were significantly decreased whereas exercise and nutritional habits were significantly improved compared to the control group. Conclusion: The tailored life style improvement program provided by occupational health nurses for the hypertensive workers was positively affected on their blood pressure, self-efficacy and life style changes in workplace.

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Effect of Physical Therapy Based Tailored Exercise Program on Pain, Accident incidence Rates, and Lost Days of Work in Manufacturing Worker: Single Subject Design (제조업 근로자의 근골격계 질환 예방을 위한 물리치료 기반 맞춤형 운동프로그램이 통증, 재해율, 및 근로손실에 미치는 영향: 단일사례 연구)

  • Lee, Kwon-Woo;Kim, Won-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.2
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    • pp.113-120
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    • 2017
  • PURPOSE: The purpose of this study was to investigate the effect of a physical therapy-based tailored exercise program on pain, accident incidence rates, the number of work days lost, and economical loss cost for workers in an automobile parts manufacturing company. METHODS: A total of 530 workers with musculoskeletal symptoms were given a physical therapy-based tailored exercise program twice a week, for one hour a day. This exercise program consisted of movement pattern correction, muscle stretching and strengthening, and postural correction exercises, according to principles of movement impairment syndromes and medical training therapy. From 2011 to 2016, the lost days of work, accident incidence rates, and loss cost were examined. The pain measured by VAS (visual analogue scale) and the number of workers participating in the exercise program from 2014 to 2016 were also measured. The single subjects A-B design was applied and analyzed. RESULTS: After applying the exercise program, pain decreased and the number of workers participating in the program increased. Accident incidence rates, number of work days lost, and economical loss cost decreased. There was a significant correlation between the number of workers who received exercise therapy by year and accident incidence rates, lost days of work, and economical loss cost (p<.05). CONCLUSION: It is necessary to expand the physical therapy-based tailored exercise program to prevent musculoskeletal disorders because it has a positive effect on both workers and employers.

Effect of an Active Tailored Exercise Program on Pain and Oswestry Disability Index in Automobile Manufacturing Workers with Musculoskeletal Symptoms of the Low Back (허리부위 근골격계 자각증상이 있는 자동차 제조업 근로자를 위한 맞춤형 능동 위주의 운동프로그램이 통증과 오스웨스트리 장애지수에 미치는 영향)

  • Kim, Won-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.3
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    • pp.109-116
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    • 2019
  • PURPOSE: This study examined the effects of an active tailored exercise program on pain and the Oswestry disability index (ODI) among workers with musculoskeletal symptoms of the lower back in an automobile parts manufacturing company. METHODS: Twenty-two workers with musculoskeletal symptoms of the lower back were included in the study. The experimental group was composed of 15 workers and a control group of seven workers. The experimental group was provided an active tailored exercise program and education on the risk factors of musculoskeletal disorders. The control group was only provided ergonomic education. The exercise program, which consisted of movement pattern correction, muscle stretching and strengthening, and postural correction exercises, was applied twice a week for two months for one hour a day. Pain, which was determined using a visual analogue scale (VAS), and the ODI were measured before and after exercise. RESULTS: After applying the exercise program for two months, the VAS and ODI of the experimental group were significantly lower than those of the control group (p<.05). In the experimental group, the VAS decreased significantly after one month (p<0.05), and the ODI decreased significantly after two months (p<.05). CONCLUSION: Because active tailored exercise programs are effective in improving the pain and disability indices, it is necessary to actively implement such programs among manufacturing workers with musculoskeletal symptoms of the lower back.

A Comparative Study on Traditional Constitutional Medicine in the World (세계 전통 체질 의학 비교 연구)

  • Kang, Ki-Rim;Hwang, Sang-Moon;Park, So-Jung;Chae, Han
    • Korean Journal of Oriental Medicine
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    • v.15 no.3
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    • pp.35-43
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    • 2009
  • Introduction : Interests in personalized medicine or tailored medicine is growing in recent years, but traditional medicine with properties of tailored medicine have already been developing from many parts of the world. In this review paper, we tried to investigate the current research status and characteristics of traditional constitutional medicine by a comparative study. Methods and Material : We compared Sasang medicine from Korea, Ikkando medicine from Japan, Chinese constitutional medicine, Ayurveda from India. We investigated the current research status by searching academic DBs such as Medline, Riss4u, Kiss, CNKI, CINII. Then we examined characteristics of each medicine from various aspects of physiology-pathology-diagnosis-treatment-prevention. Results : We found out that each constitutional medicine is being studied the most in their native land. In addition, after analysing characteristics of these constitutional medicine, we learned that Sasang medicine and Ayurveda were putting emphasis on psychological factors in physiology-pathology-diagnosis-treatment-prevention, while Chinese constitutional medicine and Ikkando medicine were focusing on pathological factors. Discussion : We studied theories of constitutional medicine in various traditional medicine, and verified that Sasang medicine shares similarities and differences with these medicine. We suggest that deeper understandings of other constitutional medicine and attempts at clinical application can lead to advance of Sasang medicine.

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Spinal Extradural Arachnoid Cyst

  • Choi, Seung Won;Seong, Han Yu;Roh, Sung Woo
    • Journal of Korean Neurosurgical Society
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    • v.54 no.4
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    • pp.355-358
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    • 2013
  • Spinal extradural arachnoid cyst (SEAC) is a rare disease and uncommon cause of compressive myelopathy. The etiology remains still unclear. We experienced 2 cases of SEACs and reviewed the cases and previous literatures. A 59-year-old man complained of both leg radiating pain and paresthesia for 4 years. His MRI showed an extradural cyst from T12 to L3 and we performed cyst fenestration and repaired the dural defect with tailored laminectomy. Another 51-year-old female patient visited our clinical with left buttock pain and paresthesia for 3 years. A large extradural cyst was found at T1-L2 level on MRI and a communication between the cyst and subarachnoid space was illustrated by CT-myelography. We performed cyst fenestration with primary repair of dural defect. Both patients' symptoms gradually subsided and follow up images taken 1-2 months postoperatively showed nearly disappeared cysts. There has been no documented recurrence in these two cases so far. Tailored laminotomy with cyst fenestration can be a safe and effective alternative choice in treating SEACs compared to traditional complete resection of cyst wall with multi-level laminectomy.