• Title/Summary/Keyword: treatment of choice

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Understanding and Physical therapy of Functional Disability Factors according to Disease (질환에 따른 기능장애 요소의 이해와 물리치료)

  • Park, Seung-Kyu;Kim, Sang-Yeob
    • Journal of Korean Physical Therapy Science
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    • v.6 no.3
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    • pp.83-89
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    • 1999
  • We are approaches various painful diseases in clinic. Although same disease, it is different to acute, subacute and chronic stage of disease. Therefore, to understanding of tissue anatomy, pathology and physiology is necessary to under-standing pattern of diseases. It is duty work that choice of hot or ice, electrotherapy, choice of adaptable frequency and mathod of exercise therapy etc. During treatment it is important method to choose to treat the client. As treating the client by exercising or treating when the client is resting and seeing if anything else is a problem etc. So what I have approached some of the treatment that a physical therapist could miss during treatment.

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Covered Stents for the Endovascular Treatment of a Direct Carotid Cavernous Fistula : Single Center Experiences with 10 Cases

  • Li, Ke;Cho, Young Dae;Kim, Kang Min;Kang, Hyun-Seung;Kim, Jeong Eun;Han, Moon Hee
    • Journal of Korean Neurosurgical Society
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    • v.57 no.1
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    • pp.12-18
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    • 2015
  • Objective : Covered stent has been recently reported as an effective alternative treatment for direct carotid cavernous fistulas (DCCFs). The purpose of this study is to describe our experiences with the treatment of DCCF with covered stents and to evaluate whether a covered stent has a potential to be used as the first choice in selected cases. Methods : From February 2009 through July 2013, 10 patients underwent covered stent placement for a DCCF occlusion. Clinical and angiographic data were retrospectively reviewed. Results : Covered stent placement was performed for five patients primarily as the first choice and in the other five as an alternative option. Access and deployment of a covered stent was successful in all patients (100%) and total occlusion of the fistula was achieved in nine (90%). Complete occlusion immediately after the procedure was obtained in five patients (50%). Endoleak persisted in five patients and the fistulae were found to be completely occluded by one month control angiography in four. The other patient underwent additional coil embolization by a transvenous approach. Balloon inflation-related arterial dissection during the procedure was noted in two cases; healing was noted at follow-up angiography. One patient suffered an asymptomatic internal carotid artery occlusion noted seven months post-treatment. Conclusion : Although endoleak is currently a common roadblock, our experience demonstrates that a covered stent has the potential to be used as the first choice in DCCF; this potential is likely to increase as experience with this device accumulates and the materials continue to improve.

Evaluation of Companion Canine Palatability by Feeding Insect Diets(1) (곤충사료 급여에 따른 반려견들의 기호성 평가(1))

  • In-Hag Choi;Yeon-Woo Jeong;Kwan-Ho Park;Tae-Ho Chung
    • Journal of Environmental Science International
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    • v.32 no.11
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    • pp.853-856
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    • 2023
  • This study assesses the palatability of regular canine diets and seven types of black soldier fly-based canine diets when fed to dogs. Sixteen dogs of two types were included in this study: 8 poodles (average weight 2.7 kg ± 0.5) and 8 bichons frises(average weight 2.0 kg ± 0.5). For intake and first choice, two-bowl tests, adhering to standards of canine palatability, were conducted every two days for a total of 14 days by comparing between the control and each treatment. Data, including total intake and total first choice were collected and accumulated for a total of 58 days. This encompassed 14 days of data on comparison between control and treatments, and 44 days of data on comparison among treatment groups (e.g., T1 vs T2) of black soldier fly-based canine diets. Significance differences in canine palatability was observed in treatments (p<0.05), except for the control and T2 results. Among the two-bowl tests, T1 and T2 exhibited the lowest intake and first choices. In particular, the palatability of canine diets ranked in the order T6 > T3 > T7 > T4 > T5 compared to each control. The total intake demonstrated in the following ranking: T6 > T3 > T7 > T5 > Control > T4 > T2 > T1. The total first choice was highest for T6, followed by T3, T7, T5, T4, Control, T2, and T1. In conclusion, insect diets with higher protein content such as T6, T3, and T7 representing as black soldier fly-based canine diets exhibit higher intake and first choice preferences in canines.

Model Construction for Treatment-Seeking Behaviors in Patients with Arthritis (관절염 환자의 치료추구행위 분석에 의한 이론구축 - 병원치료와 민속요법 이용행태 -)

  • Lee, Eun-Ok;Kang, Hyun-Sook;Lee, In-Sook;Eun, Young;Lee, Jong-Soo
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.177-196
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    • 1997
  • This study was undertaken to explore the antecedent factors and process of the treatment-seeking behaviors of medical and alternative treatments in patients with arthritis using methodological triangulation. The data were collected from 995 arthritic patients who were registered either in a center of rheumatology for medical treatment or residents of community having no treatment to classify different treatment patterns. Sixteen patients with various types of treatment only, alternative treatment only, and no treatment were selected among the total samples to identify the antecedent factors through in-depth interview. The quantitative data were analyzed by percentile, t-test, chi-square test and discrimant analysis using SAS PC program, while the qualitative data were analyzed by means of grounded theory methodology. Treatment-seeking behaviors of patients change from the early stage to the sick-role stage. At the early stage, initial characteristics of pain and acculturation of medical professionalism affect the choice of treatment patterns. The acculturation of medical professionalism is affected by health care accessibility, level of education, duration of sickness and lay referral system. At the sick-role stage, lay referral system and acculturation of medical professionalism affect the choice of treatment patterns. The acculturation of medical professionalism is affected by characteristics of symtoms, perceived treatment effects, perceived causes of diseases and socio-economic status as well as health care accessibility, level of education and lay referral system. In conclusion, different factors as well as common factors are influencing the treatment-seeking behaviors depending on the disease and treatment stages. More detailed further studies are required to explore the value system or medical acculturation of patients which is one of the most important factors in decision-making about treatment modalities.

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A Review on Efficacy and Safety of SGLT2 Inhibitors as Add-on Therapy with Metformin (Metformin에 추가로 병용되는 SGLT2 inhibitors의 효능과 안전성에 관한 고찰)

  • Jeong, Kyeong Hye
    • Korean Journal of Clinical Pharmacy
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    • v.28 no.3
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    • pp.243-249
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    • 2018
  • Background: The new type of diabetes treatment, SGLT2 inhibitors, has been approved for monotherapy and combination therapy, but medical insurance is only allowed in combination therapy with metformin, which is the first choice for type 2 diabetes treatment. Methods: The SGLT2 inhibitors prescribed in Korea are dapagliflozin, empagliflozin and ipragliflozin. A review was conducted using Pubmed to evaluate efficacy and safety for these medications with metformin combination therapy. 10 studies were selected by searching for keywords and related references and were reviewed in full. The mechanism of action, pharmacokinetics, and the economics of treatment with SGLT2 inhibitors were examined. Results: SGLT2 inhibitors had moderate glycemic control when added to the treatment of patients with type 2 diabetes who were not being regulated by metformin monotherapy. They also showed positive effects such as weight loss, as well as the lowering of blood pressure. Hypotension and serious side effects were relatively low. However, the risk of genital infection was increased. Conclusion: The SGLT2 inhibitors are a new class of drugs that promote glucose excretion in the urine. They are a good choice for combination therapy with metformin for the treatment of type 2 diabetes, with weight loss and very low risk of serious side effects.

Case report: Laminate prosthesis with orthodontic treatment for achieve anterior esthetics and functional occlusion (심미와 기능 회복을 위한 교정- 라미네이트 수복 치료 증례)

  • Lee, Han Na
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.2
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    • pp.80-85
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    • 2014
  • Orthodontic treatment is obviously the first choice to get aligned teeth cause of conservative treatment. But it is impossible to get highly esthetic result only orthodontic treatment in case of peg lateralis, discrepancy tooth size, discolored teeth or fractured teeth. As all treatment does, especially in esthetic treatment it is always required interdisciplinary diagnosis and treatment plan; orthodontics, periodontology, prothetics, implant therapy. As also, the treatment should be maintained long-term treatment with stable and harmonious state by esthetic satisfaction and functional occlusion those who needs various dental care as interdisciplinary treatment. This case is the laminate treatment with the orthodontic treatment on 37 ages/ Female patient who has cross bite at anteriors and premolar area and abrasion on centralis at right maxilla. By orthodontic treatment aligned teeth positions, it makes functional occlusion. As laminate treatment with minimum teeth preparation is able to release anterior esthetics. Follow up check for 2 years has been performed since the final prosthetics delivery to the patient. No sign of relapse, fracture of laminate were detected.

Feeding Turkey Poults with Starter Feed and Whole Wheat or Maize in Free Choice Feeding System: Its Effects on Their Performances

  • Erener, G.;Ocak, N.;Garipoglu, A.V.;Sahin, A.;Ozturk, E.
    • Asian-Australasian Journal of Animal Sciences
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    • v.19 no.1
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    • pp.86-90
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    • 2006
  • This study was carried out to determine the effects of free choice feeding of starter feed and whole cereals on the growth of turkey poults. Two hundred-seventy poults (7-d old) were divided into 3 treatment groups each with 3 replications containing 15 males and 15 females. Control poults (C) were fed only on starter feed (280 g CP and 11.7 MJ ME/kg). Treatments for choice-fed turkey poults were offered a choice of a starter feed and wheat (120 g CP and 12.3 MJ ME/kg) for wheat selecting (WS) or maize (83 g CP and 13.9 MJ ME/kg) for maize selecting (MS) group in separate feeders. Final live weight (2,280.7 g for the C vs. 2,374.3 and 2,324.6 g for the WS and MS), daily gain (39.21 g vs. 40.87 and 39.99 g) and total feed intake (95.2 g vs. 103.2 and 97.9 g) in the WS poults were significantly higher (p<0.05) than those of the C group, but feed conversion ratio was not significantly different between the treatments. The proportional intakes of cereals vs. total feed intake were 11% in both the WS and MS group. The amount of protein intake in the C group (280 g CP/kg diet) was significantly (p<0.05) higher than that in WS and MS groups (263 and 259 g CP/kg diet, respectively) whilst the ME intake in the C group (11.7 MJ/kg diet) was significantly (p<0.05) lower than that in MS group (11.9 MJ/kg diet). Our results showed that turkey poults fed starter feed and whole wheat in a free choice feeding system have a higher efficiency in terms of daily gain, final live weight, and an economic advantage may be obtained from free choice feeding due to a reduced protein intake and feed cost.

Choice motivation of dental clinics by patients (환자의 치과병·의원 선택동기)

  • Lee, Hyang-Nim;Shim, Hyung-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.5
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    • pp.759-765
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    • 2015
  • Objectives: The purpose of the study was to investigate the choice motivation of dental clinics by patients. Methods: A self-reported questionnaire was completed by 577 patients visiting the dental clinics from October 6 to 25, 2014 in G city after explaining the purpose of the study and receiving the informed consent. The questionnaire consisted of sociodemographic characteristics and choice motivation of dental clinics using Likert 5 point scale. Results: 1. The traffic convenience was the highest in those who were the 30s (3.37) and unmarried person (3.30). Those having moderate oral health condition showed 3.23. The regular checkup group had 3.33. The physical environment was the highest in the 20s (3.37) and the unmarried persons (3.33). Those having master's degree showed 3.86. The reputation of the dental clinic image was the highest in those having master's degree (3.63). Those having moderate oral health condition had 3.28. The main reason for dental clinic visit was tooth extraction (3.79, p<0.05). 2. The top priority choice for the dental clinic was the access to the dental clinic and the next reason was reputation for the dentist. The other choice factors included trust for the dentist, recommendation, and night treatment. Conclusions: The important choice for the dental clinic included the access to the dental clinic and reputation for the dentist.