• 제목/요약/키워드: 광치료

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국부치료를 위한 Retractor용 LED 광섬유 의료보조조명 장치 개발 (LED Fiber-Optic Lighting Devices Developed for Medical Assistance for the Local Treatment Retractor)

  • 어익수
    • 한국산학기술학회논문지
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    • 제17권2호
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    • pp.666-671
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    • 2016
  • 본 논문에서 소개하는 기기는 병의원의 수술실에서 수술전용조명인 무영등만으로는 직접 조명할 수 없는 수술부위의 환부에 근접 국부조명을 제공하는 장치로서, 임상의들이 인체 깊숙한 환부의 질환 치료를 안전하게 시술하도록 한다. 이 의료 보조조명 장치는 종양제거나 혈관봉합과 같은 미세한 수술과정에서 발생할 수 있는 치명적인 수술 실패를 방지하기 위해서 필요한 장치이다. 광원 및 전원부 등의 구성요소는 저전력, 소형화로 설계되었으며, 협각렌즈를 사용하여 광확산 효과의 증가와 집중 조명에 용이하도록 하였다. 광케이블을 사용한 조명전송과 조명장치의 Endcap은 사용 후 다음 환자를 위하여 소독이 가능하도록 방수형으로 설계되었다. 리트렉터 조명장치 개발 후 이루어진 광원특성 측정 결과, 조도 490lux, 휘도 $11,550cd/m^2$, 연색성 78, 색온도 11,000K 및 고른 조도분포도를 보여 국부 의료보조조명으로서 적합하였음이 확인되었다.

보건통합교육(HIT)의 4단계 융합교육이 학업적 자기효능감에 미치는 정도에 관한 연구 (A Study on the Academic Self-efficacy of Trainees Receiving the 4 Category-Union Education of HIT(Health Integrated Technic))

  • 이재홍;김한수;박은미;최한성;정진우;이재광;김성준;권원안
    • 대한물리치료과학회지
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    • 제21권1호
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    • pp.65-77
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    • 2014
  • Purpose : This research is to understand the academic self-efficacy of trainees receiving the 4 category-union education of HIT(Health Integrated Technic) Methods : A self-administered questionnaire survey was conducted in 450 health-related college students in Daegu city from April to July. A statistical analysis was performed using SPSS 17.0 for window version. Results : First, satisfaction to education of HIT was higher in vocational consciousness program than patient care programme educational deepening program. Second, academic self-efficacy to education of HIT was higher in educational deepening program than patient care programme vocational consciousness program. Conclusion : Systemic education is needed to develop vocational consciousness, patient care and educational deepening that suit the characteristics of college students in order to establish an environment for revitalizing satisfaction and academic self-efficacy to 4 category-union education

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동맥경화 예방과 치료를 위한 연구시도: Nitric Oxide의 역활 -광 유도 nitric oxide(PIANO)의 혈관이완에 따른 cyclic GMP의 증가 (Possible Role of Nitric Oxide in Prevention of Atherosclerosis: Photo-induced adequate nitric oxide (PIANO)-mediated relaxation involves cyclic GMP increment)

  • 장기철;정원석;박병욱;이승엽;고학준
    • 대한약리학회지
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    • 제30권3호
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    • pp.331-336
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    • 1994
  • 본 연구의 목적은 광 유도에 의한 nitric oxide (PIANO)유리가 혈관이완에 대해 cyclic GMP (cGMP)가 관여하는 지의 여부와 아울러 ${\alpha}$-수용체를 통한 수축에 PIANO가 어떻게 작용하는 지를 파악하고자 하였다. In vitro 실험에서 흰쥐의 대동맥을 준 최고농도의 phenylephrine (PE)으로 수축시킨 후 nitric oxide 생성을 변화시키는 약물이나 광민감성 (photosensitizing) 약물에 대한 반응을 등장력 변화로 기록하였다. PIANO에 의한 혈관이완은 광노출 강도와 기간 및 광민감성 약물농도에 비례하여 증가하였고 cGMP의 증가를 수반하였다. PE에 의해 증대되는 phosphatidylinositide(PI) 전환은 PIANO에 의해 억제되었다. 이상의 결과는 cGMP의 증가로 인해 PIANO에 의한 혈관이완이 일어나며 ${\alpha}$-아드레날성 수용체 자극에 의한 PI 전환의 억제현상은 cGMP 증가의 결과로 생각할 수 있다. 결론적으로 PIANO에 의한 혈관이완은 cGMP의 증가로 인함을 확인할 수 있었다.

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광자극형광나노닷선량계를 사용한 6 MV 조사야 가장자리 바깥 선량 측정 (Measurement of Dose outside a 6 MV Field Edge Using Optically Stimulated Luminescent Nano Dot Dosimeters)

  • 김종언;김원태
    • 한국방사선학회논문지
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    • 제8권7호
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    • pp.449-454
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    • 2014
  • 이 연구의 목적은 6 MV 광자 빔에 대하여 팬텀 표면으로부터 1 cm 깊이에서 조사야 가장자리 바깥 축외선량비와 1 mmPb의 차폐비를 조사하는 데 있다. 180 cGy의 선량은 SAD기법에서 $10{\times}10cm^2$$15{\times}15cm^2$ 조사야에 대하여 깊이 10 cm에 전달되었다. 축외선량비는 조사야의 중심축과 가장자리로부터 2, 4, 6 cm에 위치된 광자극형광나노닷선량계(OSLnD)들의 선량을 측정하여 계산하였다. 그리고 1 mmPb의 차폐비는 조사야 가장자리로부터 2, 4, 6 cm에 위치된 OSLnD들의 선량을 측정하여 산출하였다. 결과로서, $10{\times}10cm^2$$15{\times}15cm^2$ 조사야에 대하여, 축외선량비들은 0.008-0.023과 0.011-0.028을 각각 얻었다. 또한 1 mmPb의 차폐비들은 0.868-0.888과 0.807-0.842을 각각 얻었다. 이 결과들은 방사선치료 조사야 바깥에 위치한 위험장기들을 보호하기 위한 자료를 제공한다.

임상가를 위한 특집 2 - 턱관절장애와 관련된 교합변화의 치료 (Treatment of occlusal changes associated with temporomandibular joint disorder)

  • 정재광
    • 대한치과의사협회지
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    • 제51권2호
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    • pp.84-91
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    • 2013
  • Temporomandibular joint disorder(TMJD) was mainly characterized with joint pain, motion limitation, joint sound, resulted from pathologic conditions in temporomandibular joint and around tissue. As temporomandibular joint is one of decisive factors determining the occlusion, disorders in temporomandibular joint may cause the occlusal changes. The causes of occlusal changes related with TMJD can be classified into 2 categories; (1) those related to progression of disorder, 2) those related to treatment of the disorder. The clinical manifestation of occlusal changes depend on their causes and affected site. Therefore, whenever possible, treatment should be directed to the relief of the underlying causes, However, it is not always possible to relieve the underlying conditions. Moreover, some occlusal changes may remain irreversible even after the considerable improvement in clinical symptoms. Regarding the treatment of the permanent occlusal changes, it has been reported that the extensive occlusal treatment including occlusal adjustment, prosthodontic treatment, orthodontic treatment should be applied. Here, we present with a case report of occlusal change caused by the progressive temporomandibular joint disorder, together with introducing the intermaxillary traction appliance as the possible treatment option.

척추수술후증후군 환자에서 경구용 Prostaglandin E1에 의한 치료 경험 -증례보고- (Experience of Administering Oral Prostaglandin E1 for Failed Back Surgery Syndrome -A case report-)

  • 이해광;우승훈;이우용
    • The Korean Journal of Pain
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    • 제19권1호
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    • pp.101-103
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    • 2006
  • Oral prostaglandin E1 (PGE1) is a medicine that is clinically applied during a treatment of patients suffering with vascular disease with chronic arterial obstruction because it has vasodilation and anti-platelet effects. The mechanisms of lumbosacral symptoms associated with spinal stenosis probably include vascular insufficiency with hypoxic injury to the cauda equina and the nerve roots. Thus, increasing the blood supply would be beneficial to improve the pathophysiologic condition. Several studies on the improvement of clinical symptoms of spinal stenosis by PGE1 treatment have been reported on. In this case, 47-year old female underwent posterior compression and posterolateral fusion with a cage at L2-4 due to L3 compression fracture, and she did not show improvement of the radiating pain of her right leg after the operation. Therefore, she received repetitive epidural catheterization and adhesiolysis, epidural block and physical therapy, but her symptoms deteriorated after temporary improvement. Finally, she was given PGE1 and the radiculopathy was completely improved, although some muscle weakness still remained.

거골의 골연골 병변의 관절경적 치료 (Arthroscopic Treatment of the Osteochondral Talar Lesion)

  • 김성재;권세광;강응식;이진우
    • 대한족부족관절학회지
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    • 제6권1호
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    • pp.28-34
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    • 2002
  • Purpose: The purpose of this study was to evaluate outcome of ankle arthroscopy with high anteromedial and anterolateral portals for osteochondral talar lesion. Materials and Methods: A prospective study was conducted between March 1992 and January 2000 by one surgeon. Total 48 patients who had osteochondral talar lesion were included. Using high anteromedial and anterolateral portals, arthroscopic treatment was performed. A functional evaluation was performed with the Karlsson scoring scale. Results: Of the 48 patients, 28 cases had anterolateral talar lesion and 18 cases had medial talar lesion and 2 cases had central lesion. The 42 cases(87.5 %) had trauma history. On Karlsson scoring scale, anterolateral talar lesion was better than medial talar lesion(p=0.035). Conclusion: Using high portals, we could get better visualization of talar dome and posterior chamber of ankle, and do some limited procedures without additional portals. Osteochondral lesions were treated successfully only when they were traumatically induced and localized without diffuse chondromalacia of talus and tibia.

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소음인(少陰人) 신수열표열병(賢受熱表熱病)과 상한(傷寒) 유관병증(有關病證)의 비교 고찰 -대우사상소음인(對于四象少陰人) 신수열표열병여(賢受熱表熱病與) 상한(傷寒) 유관(有關) 병증적(病證的) 비교고찰(比較考察)

  • 허기회;김성환;이용범
    • 대한한의학원전학회지
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    • 제19권2호통권33호
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    • pp.11-29
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    • 2006
  • ${\ulcorner}$동의수세보원(東醫壽世保元)${\lrcorner}$소음인편(少陰人篇), 유신수열표열병화위수한리한병양대부분조성(由賢受熱表熱病和胃受寒畵寒病兩大部分組成). 신수열표열병(賢受熱表熱病), 분위울광증(分爲鬱狂證), 망양증(亡陽證), 태양병궐음증등삼개병증(太陽病厥陰證等三個病證). 상한론적하초축혈증시사기재하조적혈증(傷寒論的下焦血證是邪氣在下蕉魚的血證), 용저당탕(用抵當湯), 도인승기탕등파열해열지제치료(桃仁承氣湯等破血解熱之劑治療). 단동무인위상한하초축혈증위울축방광증(但東武認爲傷寒下蕉蓄血證爲鬱蓄醫謗胱證) 기병기시신국양기피사소거(其病機是賢局陽氣被邪所拒), 불능상소어비국(不能上疏於脾局), 울축방광(鬱蓄膀胱). 고동무장양기울축적병증시(故東武將陽氣鬱蓄的縮的病證視), 위울광증(爲鬱狂證), 장양기누설적한출시위망양증(將陽氣漏泄的汗出視寫亡陽證). 동무장태양상풍무한증(東武將太陽傷風無汗證), 하조축혈증(下蕉蓄血證), 귀속우울광초증(歸屬于鬱狂初證), 장열입혈실증(將熱入血室證), 양명병위가가실증(陽明病胃家實證), 귀속우울광중증(歸屬于鬱狂中證), 장양명병조열광언증(將陽明病湖熱狂言證), 귀속우울광말증(歸屬手驚狂末證), 장태양상풍한출증(將太陽傷風出證), 귀속우망양초증(歸屬于亡陽初證), 장양명병(將陽明病), 불오한(不惡寒) 반오열(反惡熱) 한자출증(汗自出證), 귀속우망양중증(歸屬手亡陽中證), 장양명병(將陽明病), 발열한다증(發熱汗多證), 귀속우망양말증(歸屬手亡陽末證). 타인위소음인음병당유복만자리(他認爲少陰人陰病當有腹題滿自利), 시병등증상(時病等症狀). 초기약무복통자리적증상이견궐음증(初起若無複痛自利的症狀而見厥歐陰證), 인위시정사상지일구이경기쇠갈소치(認爲是正邪相持日久而正氣衰竭所致).

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한우에서 생식기질환의 치료 및 조기임신진단을 위한 초음파영상진단 (Ultrasonographic Diagnosis for the Treatment of Genital Disease and Early Pregnancy Diagnosis in Korean Native Cattle)

  • 황광남;김명철;변홍섭;박명호;이경광;한용만;신상태
    • 한국가축번식학회지
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    • 제21권1호
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    • pp.31-37
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    • 1997
  • Ultrasonographic diagnosis of genital disease and early pregnancy diagnosis was performed in Korean native cattle. The size of ovarian follicle in preovulation, luteal stage and follicular cyst was 18.9, 9.2 and 27.6 mm, respectively, and the thickness of follicular wall was 2.3, 1.8 and 2.8 mm, respectively. The size of corpus luteums in formation stage, activity stage, regression stage, cystic corpora lutea and luteal cyst was 6.2, 11.3, 8.6, 26.7 and 25.9 mm, respectively. The thickness of luteal wall in cystic corpora lutea and luteal cyst was 8.4 and 4.9 mm, respectively. The size of embryo or fetus on day 25, 27, 30, 35, 40, 45 and 50 was 0.8, 0.9, 1.3, 1.5, 2.2, 2.8 and 3.8 cm, respectively. The size of amniotic vesicle on day 25, 27 and 30 was 1.2, 2.1 and 3,0 cm, respectively. The diameter of pregnant uterus on day 25 and 27 was 7.0 and 7.8 cm, respectively. It was concluded that the ultrasonographci values determined in this study can be used as references for the treatment of genital disease and early pregnancy diagnosis in Korean native cattle.

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체외 상처 치유를 위한 4-채널 광 치료기 (4-channel Light Medical Therapy Apparatus for External Injury Cure)

  • 천민우;김성환;소금영;문영래;문성표;박용필;이호식;김태곤
    • 한국전기전자재료학회논문지
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    • 제20권8호
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    • pp.731-735
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    • 2007
  • We developed the 4channel Light Medical Therapy Apparatus for External Injury Cure using a high brightness LED. This equipment was fabricated using a micro-controller and a high brightness LED, and designed to enable us to control light irradiation time, intensity, frequency and so on, Especially, to control the light irradiation frequency, FPGA was used, and to control the change of output value, TLC5941 was used. Control stage is divided into 4 levels by program. Consequently, the current value could be controlled by the change of level in Continue Wave(CW) and the output of a high brightness LED could be controlled stage by stage. Compared with one LED irradiation, several LEDs irradiation could increase optical power.