Jiyoon Won;Changsop Yang;Seungho Lee;He-Sol Lee;Sungha Kim
The Journal of Korean Medicine
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v.44
no.4
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pp.182-192
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2023
Coronavirus disease 2019 (COVID-19) cases surged across South Korea during the omicron-variant wave. We aimed to report the effectiveness of herbal medicine administered through telemedicine consultations as an adjunctive therapy for COVID-19. Patients with confirmed COVID-19 who were self-isolating at home were provided telephone consultations through a Korean Medicine clinic between January and March 2022. On the basis of their dominant symptoms, the patients were prescribed Eunkyo-san for seven days. Patients were asked to evaluate the severity of their COVID-19 symptoms before and after treatment by numeric rating scale. Of ten patients, more than half of them reported cough, fever, headache, and sore throat on the first telephone consultation. Patients reported that all symptoms related to COVID-19 disappeared completely on the second consultation. No severe adverse events were identified. The results of this case series suggest that Eunkyo-san administration can be a beneficial adjunctive therapy for patients with COVID-19.
Myofascial pain syndrome (MPS) is a common musculoskeletal disorder characterized by muscle pain, tenderness, and trigger points. Ultrasonography has emerged as a key tool for diagnosing and treating MPS owing to its ability to provide precise, minimally invasive guidance. This review discusses the use of ultrasonography in various approaches to evaluate and manage MPS. Studies have shown that shear-wave sonoelastography can effectively assess muscle elasticity and offer insights into trapezius stiffness in patients with MPS. Ultrasound-guided interfascial hydrodissection, especially with visual feedback, has demonstrated effectiveness in treating trapezius MPS. Similarly, ultrasound-guided rhomboid interfascial plane blocks and perimysium dissection for posterior shoulder MPS have significantly reduced pain and improved quality of life. The combination of extracorporeal shockwave therapy with ultrasound-guided lidocaine injections has been particularly successful in reducing pain and stiffness in trapezius MPS. Research regarding various guided injections, including dry needling, interfascial plane blocks, and fascial hydrodissection, emphasizes the importance of ultrasonography for accuracy and safety. Additionally, ultrasound-guided delivery of local anesthetics and steroids to the quadratus lumborum muscle has shown lasting pain relief over a 6-month period. Overall, these findings highlight the pivotal role of ultrasonography in the assessment and treatment of MPS.
BACKGROUND: For commercial production of greenhouse crops under shorter day length condition, supplementary radiation has been usually achieved by the artificial light source with higher electric consumption such as high-pressure sodium, metal halide, or incandescent lamps. Light-Emitting Diodes (LEDs) with several characteristics, however, have been considered as a novel light source for plant production. Effects of supplementary lighting provided by the artificial light sources on growth of Kale seedlings during shorter day length were discussed in this experiment. METHODS AND RESULTS: Kale seedlings were grown under greenhouse under the three wave lamps (3 W), sodium lamps (Na), and red LEDs (peak at 630 nm) during six months, and leaf growth was observed at intervals of about 30 days after light exposure for 6 hours per day at sunrise and sunset. Photosynthetic photon flux (PPF) of supplementary red LEDs on the plant canopy was maintained at 0.1 (RL), 0.6 (RM), and $1.2(RH){\mu}mol/m^2/s$ PPF. PPF in 3 W and Na treatments was measured at $12{\mu}mol/m^2/s$. Natural light (NL) was considered as a control. Leaf fresh weight of the seedlings was more than 100% increased under the 3 W, Na and RH treatment compared to natural light considering as a conventional condition. Sugar synthesis in Kale leaves was significantly promoted by the RM or RH treatment. Leaf yield per $3.3m^2$ exposed by red LEDs of $1.2{\mu}mol/m^2/s$ PPF was 9% and 16% greater than in 3W or Na with a higher PPF, respectively. CONCLUSION: Growth of the leafy Kale seedlings were significantly affected by the supplementary radiation provided by three wave lamp, sodium lamp, and red LEDs with different light intensities during the shorter day length under greenhouse conditions. From this study, it was suggested that the leaf growth and secondary metabolism of Kale seedlings can be controlled by supplementary radiation using red LEDs of $1.2{\mu}mol/m^2/s$ PPF as well as three wave or sodium lamps in the experiment.
Respiratory gated radiation therapy and stereotactic body radiation therapy require identical tumor motions during each treatment with the motion detected in treatment planning CT. Therefore, this study developed a tumor motion monitoring and analysis system during the treatments employing RPM data, gated setup OBI images and a data analysis software. A respiratory training and guiding program which improves the regularity of breathing was used to patients. The breathing signal was obtained by RPM and the recorded data in the 4D console was read after treatment. The setup OBI images obtained gated at 0% and 50% of breathing phases were used to detect the tumor motion range in crenio-caudal direction. By matching the RPM data recorded at the OBI imaging time, a factor which converts the RPM motion to the tumor motion was computed. RPM data was entered to the institute developed data analysis software and the maximum, minimum, average of the breathing motion as well as the standard deviation of motion amplitude and period was computed. The computed result is exported in an excel file. The conversion factor was applied to the analyzed data to estimate the tumor motion. The accuracy of the developed method was tested by using a moving phantom, and the efficacy was evaluated for 10 stereotactic body radiation therapy patients. For the sine wave motion of the phantom with 4 sec of period and 2 cm of peak-to-peak amplitude, the measurement was slightly larger (4.052 sec) and the amplitude was smaller (1.952 cm). For patient treatment, one patient was evaluated not to qualified to SBRT due to the usability of the breathing, and in one patient case, the treatment was changed to respiratory gated treatment due the larger motion range of the tumor than treatment planed motion. The developed method and data analysis program was useful to estimate the tumor motion during treatment.
This study aimed to investigate the effects of vocal aerobic treatment (VAT) on the improvement of voice in patients with voice disorders. Twenty patients (13 males, 7 females) were diagnosed with voice disorders on the basis of videostroboscopy and voice evaluations. Acoustic evaluation was performed with the Multidimensional voice program (MDVP) and Voice Range Profile (VRP) of Computerized Speech Lab (CSL), and aerodynamic evaluation with PAS (Phonatory Aerodynamic System). The changes in F0, Jitter, Shimmer, and NHR before and after treatment were measured by MDVP. F0 range and Energy range were measured with VRP before and after treatment, and the changes in Expiratory Volume (FVC), Phonation Time (PHOT), Mean Expiratory Airflow (MEAF), Mean Peak Air Pressure (MPAP), and Aerodynamic Efficiency (AEFF) with PAS. Videostroboscopy was performed to evaluate the regularity, symmetry, mucosal wave, and amplitude changes of both vocal cords before and after treatment. Voice therapy was performed once a week for each patient using the VAT program in a holistic voice therapy approach. The average number of treatments per patient was 6.5. In the MDVP, Jitter, Shimmer, and NHR showed statistically significant decreases (p < .001, p < .01, p < .05). VRP results showed that Hz and semitones in the frequency range improved significantly after treatment (p < .01, p < .05), as did PAS, FVC, and PHOT (p < .01, p < .001). The results for videostroboscopy, functional voice disorder, laryngopharyngeal reflux, and benign vocal fold lesions were normal. Thus, the VAT program was found to be effective in improving the acoustic and aerodynamic aspects of the voice of patients with voice disorders. In future studies, the effect of VAT on the same group of voice disorders should be studied. It is also necessary to investigate subjective voice improvement and objective voice improvement. Furthermore, it is necessary to examine the effects of VAT in professional voice users.
Kim, Jongbeom;Lee, KyoungJun;Jhang, Kyung-Young;Kim, ChungSeok
Journal of the Korean Society for Nondestructive Testing
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v.34
no.3
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pp.220-225
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2014
Generally, the nonlinearity of ultrasonic waves is measured using a nonlinear parameter ${\beta}$, which is defined as the ratio of the second harmonic's magnitude to the power of the fundamental frequency component after the ultrasonic wave propagates through a material. Nonlinear parameter ${\beta}$ is recognized as an effective parameter for evaluating material degradation. In this paper, we evaluated the nonlinear parameter of Al6061-T6 which had been subjected to an artificial aging heat treatment. The measurement was using the transmitted signal obtained from contact-type transducers. After the ultrasonic test, a micro Vickers hardness test was conducted. From the result of the ultrasonic nonlinear parameter, the microstructural changes resulting from the heat treatment were estimated and the hardness test proved that these estimates were reasonable. Experimental results showed a correlation between the ultrasonic nonlinear parameter and microstructural changes produced by precipitation behavior in the material. These results suggest that the evaluation of mechanical properties using ultrasonic nonlinear parameter ${\beta}$ can be used to monitor variations in the mechanical hardness of aluminum alloys in response to an artificial aging heat-treatment.
It has been reported high concentrations of zinc and taurine in ocular tissue, especially the retina-choroid, and the presence of physiological levels of zinc and taurine in these tissues seem essential for their normal function. In addition, several studies have reported temperature as another effector to the visual sensitivity. But, in spite of many studies, there are still remained many questions about their function and correlation in visual adaptation system. The purpose of present study was to clarify these points using electroretinogram(ERG) recording and absorption spectra scanning, before and after zinc and taurine treatments and hypothermic-effect in bullfrog(Rana catesbeiana) which is one of the poikilothermal animal. The optimal zinc concentration used in this study was determined $10^{-4}M$ while the optimal taurine concentration was 10-5 M, and temperature change for hypothermic-effect went through '$25^{\circ}C {\rightarrow}0^{\circ}C{\rightarrow}25^{\circ}C$'. In ERG recording, it is obtained that dark-adapted threshold became elevated and b-wave amplitudes was increased with zinc and taurine treatment and hypothermic-effect. In absorption spectra scanning, there is distinct absorbance increment over the whole spectral range(400~750 nm) after zinc and taurine treatment and hypothermic-effect. Furthermore there are some synergism effects between zinc and taurine as well as between zinc and hypothermic-effect as a result of co-treatment, respectively.
The brittle nature in most FRP composites is accompanying other forms of energy absorption mechanisms such as fibre-matrix interface debonding and ply delamination. It could play an important role on the energy absorption capability of composite structures. To solve the brittle nature, the adhesion between pines and composites was studied. Thermal treated pines were attached on carbon fiber reinforced polymer (CFRP) by epoxy adhesives. To find the optimum condition of thermal treatment for pine, two different thermal treatments at 160 and $200^{\circ}C$ were compared to the neat case. To evaluate mechanical and interfacial properties of pines and pine/CFRP composites, tensile, lap shear and Izod test were carried out. The bonding force of pine grains was measured by tensile test at transverse direction and the elastic wave from fracture of pines was analyzed. The mechanical, interfacial properties and bonding force at $160^{\circ}C$ treated pine were highest due to the reinforced effect of pine. However, excessive thermal treatment resulted in the degradation of hemicellulose and leads to the deterioration in mechanical and interfacial properties.
Even though the urinary stones are rare in children, careful observation and monitoring are necessary because the incidence has been increasing. This study is aimed to document the characteristics of urinary stones in children including the symptoms, diagnosis, with or without urinary tract infection, other urinary tract anomaly and treatment. 45 patients under the age of 15 years with urinary stones hospitalized during Jan. 1986 to Jun. 1996 at Severance Hospital were reviewed retrospectively. Patients' mean age was 6.5 years and sex ratio (male : female) was 5.4:1. The most common symptom was gross hematuria. Stones accompanied with urinary tract infection was 46.7%, and stones associated with urinary tract anomaly was 35.6%. Extracorporeal shock wave lithotripsy, percutaneous nephrolithotorny, hydration and diuretics were the treatment modality used. Urinary stone were found to be a significant cause of urinary tract obstruction in children, requiring prompt diagnosis and treatment. Although KUB, IVP, and ultrasonography were commonly used to make the diagnosis, many cases were detected only by ultrasonographic study.
Purpose : To understand the impact on the strength or restoration force by the change of heating temperature when soldering 18-8 stainless steel round wire which is the chrome-nickel class for dental orthodontic device production. Methods : The following conclusions were made upon the results from tensile strength test, 3 point bending test, and $90^{\circ}$ bending fatigue test with 24 samples that had been applied with condition 1 (before heat treatment - natural) and condition 2 (after heat treatment - mooring 30 seconds after heating up to $500^{\circ}C$, $700^{\circ}C$, and $900^{\circ}C$) to ${\phi}0.4mm$, ${\phi}0.7{\beta}mm$, 18-8 stainless steel round wire (spring hard) by Jinsung Company. Results : When it was heat-treated at $900^{\circ}C$, both ${\phi}0.4mm$ and ${\phi}0.7mm$ showed very low tensile strengths compared to the heat treated cases at $500^{\circ}C$ and $700^{\circ}C$ Yield strengths of both ${\phi}0.4mm$ and ${\phi}0.7mm$ showed very low compared to the heat treated cases at natural, $500^{\circ}C$, and $700^{\circ}C$, as well. Upon the results of 3 point bending test, the heat treated case at $900^{\circ}C$ showed very low in both ${\phi}0.4mm$ and ${\phi}0.7mm$, compared to the heat treated cases at natural, $500^{\circ}C$, and $700^{\circ}C$. Tensile strength of both ${\phi}0.4mm$ and ${\phi}0.7mm$ as well, showed very low compared to the heat treated cases at natural, $500^{\circ}C$, and $700^{\circ}C$. Upon the results of $90^{\circ}$ bending fatigue test, the heat treated case at $900^{\circ}C$ showed the highest wave node resistance in both ${\phi}0.4mm$ and ${\phi}0.7mm$. Conclusion : This study concluded that heating temperature change during wire soldering impacts on the characteristics of orthodntic wire.
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