• 제목/요약/키워드: treatment results

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The Effects of Sa-am Acupuncture Simpo-jeongkyeok Treatment on the Blood Pressure, Pulse Rate, and Body Temperature

  • Choi, Woo-Jin;Cho, Yoon-Young;Sun, Seung-Ho
    • 대한약침학회지
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    • 제18권2호
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    • pp.33-41
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    • 2015
  • Objectives: The present study evaluated the effects of sa-am acupuncture (SAA) simpo-jeongkyeok (SPJK) treatment on the blood pressure (BP), pulse rate (PR), and body temperature (BT) of patients with hwa byung (HB). Methods: This patient assessor blind, randomized, placebo controlled trial included 50 volunteers, divided randomly into two groups. The treatment group underwent SPJK (PC9, LR1, PC3, KI10) while the control (sham) group received minimal needle insertion at non acupoints. The BP in both arms, PR, and BT at several acupoints were measured before and after treatment at the $1^{st}$, $2^{nd}$, $3^{rd}$, and $4^{th}$ visits and before treatment at the follow-up visit. We analyzed data by using the repeated measured analysis of variance (RM ANOVA), Mann-Whitney U, and wilcoxon signed rank tests; differences at P < 0.05 were considered significant. Results: No significant differences in the systolic blood pressure (SBP), diastolic blood pressure (DBP) and PR between the treatment and control group were observed at each visit. However, the decrease in the SBP for the treatment group before and after each visit was significantly higher than it was in the control group. The SBP in both arms in the treatment group was decreased between visits 1 and 2, 1 and 3, 1 and 4, and 1 and follow-up. The DBP in both arms and in the right arm between visits 1 and 3 in the treatment group showed decreases. A minimal BT increase for treatment at CV06 and CV12 and a minimal BT decrease for treatment at CV17 and (Ex) Yintang were found. Patients in the treatment group who visited more frequently experienced a greater decrease in the PR, but that effect was not maintained. Conclusion: The results suggest that SAA SPJK treatment has instant positive effects on the BP, PR, and BT in patients with HB, but the effects on the BP and PR are not maintained.

근로자의 근무형태에 따른 치과치료필요도 비교 (Comparison of dental treatment needs of workers depending on their working patterns)

  • 주온주;김인자
    • 한국치위생학회지
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    • 제19권3호
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    • pp.421-436
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    • 2019
  • Objectives: The purpose of this study was to compare the dental treatment needs of workers depending on their shifts and working patterns. Methods: Only workers aged 15 or older according to the $6^{th}$ Korea National Health and Nutrition Examination Survey (2013-2015) were considered eligible. A total of 9,092 people who responded to health surveys and completed oral examinations and interviews were selected for the study. Statistical analysis was carried out by the complex samples general linear model. Results: As the daytime workers' age increased, the requirement for restorative treatment decreased. In contrast, the requirement for tooth extraction caused by dental caries and periodontal disease increased. As the evening shift workers' age increased, the requirement for restorative treatment decreased. In the case of shift workers, the requirement for restorative treatment was lowest in those aged 50-64 years and highest in those aged 30-49 years. In the case of smokers; the daytime workers required a higher amount of restorative treatment, pulpal treatment, and tooth extraction due to dental caries and periodontal disease; the night shift workers required a higher amount of restorative treatment; and the shift workers required a higher amount of tooth extraction caused by periodontal disease. The results of comparing the dental treatment needs depending on working patterns were: the need for restorative treatment was higher in night shift workers (0.377) than in shift workers (0.245); the requirement for pulpal and restorative treatment was higher in daytime workers (0.055) than in night shift workers (0.010); requirement for tooth extraction due to periodontal disease was higher in night shift workers (0.060) than in evening shift workers (0.012). Conclusions: There are differences in dental treatment needs depending on the workers' working patterns. Collective oral health care is needed at workplaces to promote the workers' oral health.

3차원 동적집속모드 체외충격파 기기를 이용한 족저근막염 치료의 유용성 (The Efficacy of Three-Dimensional Sweeping Mode Extracorporeal Shockwave Treatment for Plantar Fasciitis)

  • 임주애;이찬희;박재한
    • 대한족부족관절학회지
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    • 제26권2호
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    • pp.84-87
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    • 2022
  • Purpose: This was a pilot study to examine the clinical usefulness of the newly developed three-dimensional sweep mode extracorporeal shockwave treatment (ESWT) in patients with plantar fasciitis. Materials and Methods: Three-dimensional sweep mode ESWT was performed once a week for 5 weeks in patients with plantar fasciitis who showed no improvement with the conventional conservative treatment. A 100-mm visual analogue scale (VAS) reading for pain from walking and at rest after walking were collected before the treatment and 8 and 16 weeks after the initial treatment. In addition, the Foot and Ankle Outcome Score (FAOS) and EuroQol-5-dimension (EQ-5D) scores before and 16 weeks after the treatment were evaluated. Results: VAS for pain for walking improved from 50.60±8.38 to 19.80±15.61 at 8 weeks after the initial treatment (p=0.008) and 9.80±9.62 at 16 weeks after the treatment (p<0.001). VAS for pain at rest after walking improved from 36.60±19.55 to 11.80±12.95 at 8 weeks after the initial treatment (p=0.052) and 8.80±8.87 at 16 weeks after the treatment (p=0.024). Preoperative FAOS increased from an average of 74.80±9.73 before the treatment to an average of 81.00±8.86 at week 16 after the procedure (p=0.49) and compared to pre-treatment levels, there was a decrease of one level in the anxiety/depression domain of the EQ-5D, post-treatment. Conclusion: The results of this preliminary study confirmed that the newly developed EWST with the smart forging sweep mode was effective in improving pain and function in plantar fasciitis.

Minimization of Treatment Time Using Partial-Arc Volumetric Modulated Arc Therapy with Bladder Filling Protocol for Prostate Cancer

  • Hojeong Lee;Dong Woon Kim;Ji Hyeon Joo;Yongkan Ki;Wontaek Kim;Dahl Park;Jiho Nam;Dong Hyeon Kim;Hosang Jeon
    • 한국의학물리학회지:의학물리
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    • 제33권4호
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    • pp.101-107
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    • 2022
  • Purpose: Radiotherapy after bladder filling protocol (BFP) is known to enhance treatment quality and reduce side effects in prostate cancer, a common male solid cancer globally. However, due to the need to hold back urine during treatment, patients frequently complain of discomfort, and treatment is frequently suspended when patients urinate during treatment and urine penetrates the treatment device, causing malfunction. Therefore, the effect of minimizing treatment time when partial-arc volumetric modulated arc therapy (VMAT) was used instead of full-arc was assessed in this study. Methods: A total of 70 plans were created in 10 patients using 7 different arc sizes, and the treatment time for each plan was calculated. Results: Reduced arc size by half resulted in a 54.4% decrease in mean treatment duration, with a proportional tendency observed. Furthermore, the effect of VMAT arc size reduction on target dose homogeneity was significantly limited, and the effect on surrounding organs at risk (OAR) was negligible. It should be noted, however, that when the arc size decreases by >40%, the dose increases in the area without OAR around the target. Conclusions: The results of this study demonstrated that partial-arc VMAT for enhancing treatment convenience and efficacy of prostate cancer patients undergoing BFP can achieve a considerable reduction in treatment time while preserving treatment quality, and it is expected to be useful for partial-arc VMAT plan design and implementation in practice.

최근 5년간 시행된 치외치 치료에 대한 후향적 연구 (A Retrospective Study on the Treatment of Dens Evaginatus for the Last 5 Years)

  • 임종화;김기민;이제식;남순현;김현정
    • 대한소아치과학회지
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    • 제49권2호
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    • pp.158-169
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    • 2022
  • 본 연구의 목적은 소구치부에 발생한 치외치의 치료방법, 결과, 시기, 각 치료방법의 실패시 임상 증상과 징후 등에 대해 분석하는 것이다. 연구에는 151명의 환자와 417개의 치아가 포함되었다. 치료방법에는 예방적 치료인 레진 수복, 직접 치수복조와 근관 치료인 치수 재혈관화, 치근단 형성술, 전통적인 근관치료가 포함되었다. 예방적 레진 수복은 치외치 결절이 온전한 상태에서 성공적인 결과를 보였으며, 결절이 파절된 경우에도 효과적이었다. 직접 치수복조는 치근단 병소 없이 저작통만 존재할 때 임상 증상의 해소와 치근 성장을 보였다. 치수 재혈관화, 치근단 형성술, 전통적인 근관치료 시 가장 많이 나타난 치료 전 상태는 치근단 병소이었다. 치수 재혈관화는 대부분에서 성공적인 결과를 보였다. 하지만 일부에서 치근 길이 또는 치근벽 두께 증가가 나타나지 않은 경우가 있었다. 치근단 형성술과 전통적인 근관치료는 모두 효과적이었다. 치외치의 예방적 치료 성공률을 높이기 위해 치외치가 교합력을 받지 않을 때이거나 온전한 결절이 존재하는 상태에서 레진 수복이 시행되어야 한다. 결절이 파절된 경우 성공적인 치료를 위해서는 치근발육단계와 치수 상태가 고려되어야 한다.

전침 및 추나 요법을 병행한 족근관 증후군 증례보고 (A Case Report of Patient with Tarsal Tunnel Syndrome Treated by Korean Medicine Treatment in Combination with Electro-acupuncture and Chuna Manual Treatment)

  • 이형은;허동석
    • 한방재활의학과학회지
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    • 제23권2호
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    • pp.175-184
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    • 2013
  • This study is to observe the effect of Korean medicine treatment combined with electro-acupuncture and chuna manual treatment on tarsal tunnel syndrome inpatient. The patient, diagnosed as tarsal tunnel syndrome, was treated by Korean medicine treatment in combination with electro-acupuncture and chuna manual treatment. We measured visual analogue scale(VAS). Neuropathic pain scale(NPS) was adopted as a method of measuring the treatment results of pain & hypoesthesia. Rt. sole numbness & pain decreased from VAS 10 to VAS 4. Rt. foot paresthesia decreased from VAS 10 to VAS 4 and Rt. ankle pain was disappeared. NPS score decreased from 80 to 62. Korean medicine treatment in combination with electro-acupuncture and chuna manual treatment is proved to be helpful to improve the symptoms of the tarsal tunnel syndrome patient.

성대이완 조음치료가 구개파열 아동의 조음정확도 향상과 보상조음 감소에 미치는 효과 (Effects of Vocal Relaxation Treatment on the Articulation Accuracy and Compensatory Articulation of Cleft Palate Children)

  • 이소영;김영태
    • 음성과학
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    • 제8권3호
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    • pp.185-200
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    • 2001
  • This study was designed to investigate the treatment, generalization, and maintenance effects of vocal relaxation treatment on compensatory articulation(i.e., glottalization of plosive sound) of three children with cleft palate. Multiple baseline design was applied to evaluate treatment, generalization, and maintenance effects. The targeted phonemes were ph/, th/, /t/ which Were frequently substituted by glottal stop sounds. The main component of the treatment program was vocal relaxation using humming and aspiration sound /h/. The following conclusions were deduced from the results: (1) the treatment program for compensatory articulation was effective in facilitating correct production of targeted phoneme and eliminating glottalization for all subjects, (2) the treatment effects on articulation accuracy were generalized to untreated phonemes (/c/, /c$c^{h}$/) for 2 subjects, (3) the treatment effects on decrease of glottalization were generalized to untreated phonemes for all subjects, and (4) the treatment effects were maintained for all subjects for 2 weeks after treatment was terminated.

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기능성 연구개 인두부전증의 보조 치료로서의 지방 삽입술 (Fat Injection of Functional Velopharyngeal Insufficiency as the Supportive Treatment)

  • 안철민;김용우
    • 음성과학
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    • 제3권
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    • pp.18-25
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    • 1998
  • Background: The results of treatment in functional velopharyngeal insufficiency (VPI) was not good compared to physician's common practice. Objectives: Authors conducted this study to evaluate the efficacy of fat injection on posterior pharyngeal wall in the functional velopharyngeal insufficiency as the supportive treatment. Materials and Methods: The preoperative assessment includes history of patients, the perceptual analysis of patient's voice, nasopharyngoscopic finding of velopharyngeal movements, nasometer, movement findings of soft palate during phonation and swalling. Fat which was taken from umbilical area was injected in 5 patients with conducted functional velopharyngeal insufficiency. Results: All 5 patients had good results in voice quality after fat injection. Conclusions: Fat injection is a good treatment method in functional velopharyngeal insufficiency as a supportive method.

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불용성 세리신의 효소 가수분해 (Enzyme Hydrolysis of Insoluble sericin)

  • 김정호;배도규
    • 한국잠사곤충학회지
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    • 제42권2호
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    • pp.104-108
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    • 2000
  • To hydrolyze insolule sericin the enzyme hydrolysis was used, and then obtained the results as given belows. When insoluble sericin was hydrolyzed by enzyme treatment, the solubility was best at pH 7, 60$\^{C}$ and was slightly increased both above 2 hours treatment and above 10% of enzyme concentration. As the results of electrophoresis, the distribution of molecular weight of sericin powder obtained by enzyme hydrolysis was very weak and showed in the wide range having no distinguishable band. Average degree of polymerzations (A.D.P.) of sericin hydrolyzed by enzyme were about 4.1∼6.3, average molecular weight were about 470∼730. The whiteness of the sericin powder obtained by enzyme hydrolysis was high and increased slightly with higher treatment concentration of enzyme. As the results of amino acid analysis, the amino acid analysis, the amino acid composition of the sericin powder from the enzyme treatment were similar to which located at near 230$\^{C}$ and 320$\^{C}$. The peak of near 230$\^{C}$ could not been found in the sericin powder obtained by enzyme hydrolysis.

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온침을 이용한 수근관 증후군 환자5예에 대한 임상 증례 보고 (The Clinical Study 5 Cases through Hot Acupuncture for Treating the Carpal Tunnel Syndrome)

  • 정주열;김영일
    • 혜화의학회지
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    • 제19권1호
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    • pp.9-15
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    • 2010
  • Objective : The purpose of the study was to evaluate if the oriental medicine treatment with hot acupuncture are more effective and safer in the carpal tunnel syndrome. Methods : We treated total 5 patients with hot acupuncture high-frequency radio waves. We evaluated VAS(visual analog scale) and subjective symptoms of patients after executing. Results : The following results were obtained ; 1. It was evaluated that the oriental medicine treatment with hot acupuncture was significant in improvement of symptoms in each treatment. 2. In VAS score, It was evaluated that carpal tunnel syndrome patient were significant in improvement of symptoms. 3. In subjective symptoms, It was evaluated that carpal tunnel syndrome patient were significant in improvement of symptoms. Conclusion : The results suggest that hot acupuncture is the effective on the treatment of carpal tunnel syndrome.