• Title/Summary/Keyword: 증식치료

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Prolotherapy for the Upper Extremity (상지에서의 증식치료)

  • Shin, Keun Man
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.2
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    • pp.117-121
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    • 2008
  • Prolotherapy can be defined as the injection of growth factors or growth factor production stimulants to grow normal cells or tissue. Even though it has been a controversal procedure for decades, it is currently gaining in popularity among many physicians. The term prolotherapy was coined by Hacket in the 1950s to imply proliferation of normal tissue at ligamentous and tendinous entheses. The procedure has been described by other terms, such as sclerotherapy, regenerative injection therapy, and stimulated ligament repair. Incomplete healing from sprains or strains is common and can lead to chronic pain, joint instability and laxity, and is a risk factor for the development of osteoarthritis. Prolotherapy is commonly used for these musculoskeletal conditions which are refractory to usual care therapies. The proliferant solution and technique varies according to physicial training and preferance. Commonly reported proliferants include 10% to 25% dextrose, P2G and sodium morrhuate. High resolution ultrasound imaging of musculoskeletal tissue is increasing in popularity because of patient tolerability, low cost, ability to visualize tissue in real time motion and superior resolution of highly organized tissue such as a tendon. This procedure can be introduced by ultrasound imaging and tissue growth and repair after this procedure in a tendon or a ligament can be documented with ultrasound.

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Prolotherapy in Orthopedic Field (정형외과 영역에서의 증식치료)

  • Shon, Min Soo;Yoo, Jae Chul
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.2
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    • pp.101-110
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    • 2011
  • To describe the background, mechanism, clinical results and complications of prolotheapy based on the literature review. Prolotherapy is a minimally invasive injection-based treatment of chronic musculoskeletal pain, including ligament and joint laxity. The mechanism of this injection-based technique is to initiate a local inflammatory response with resultant tissue healing. The used proliferants are classified by bio-mechanism to act in three different ways as osmotic, irritants, and chemotatics. The most commonly used proliferant is hyperosmolar (10~25%) dextrose to act by osmotic rupture of cells. High resolution ultrasound imaging of musculoskeletal structure provide a more accurate diagnosis. Also ultrasound-guided intervention provides a more high efficacy and low rate of complications. The most common complication is local pain at the injected site, that is self-limited and good responsive to anti-inflammatory agents. Other complications are rare. It is reported that prolotherapy appears safe when performed by an experienced clinician. Prolotherapy has grown in popularity and has received significant recent attention. However there are limited evidence-based data supporting the indication and efficacy of prolotherapy in the treatment of chronic musculoskeletal pain or soft tissue injuries. Future studies are necessary to determine whether prolotherapy can play an independent and definitive role in a treatment for chronic musculoskeletal pain.

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Effects of Prolotherapy on Medial Collateral Ligament Bursitis of the Knee Joint Identified with High Resolution Ultrasound (고해상도 초음파로 추시된 슬관절 내측측부인대 점액낭염에 대한 증식치료의 효과)

  • Kim, Eung-Rok
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.469-473
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    • 2019
  • Medial knee joint pain is a common problem in the field of orthopedics. In these patients, a high resolution ultrasound examination can reveal medial collateral ligament (MCL) bursitis, meniscal cyst, degeneration changes to the MCL and meniscal protrusion etc. Prolotherapy is effective in these patients. The author performed prolotherapy for MCL bursitis of the knee joint, and confirmed the disappearance of the bursitis using high resolution ultrasound.

The ultrasound-guided injection of prolotherapy and steroid mixture in patients with adhesive capsulitis (견관절 유착성 관절낭염 환자에서 시행한 초음파 관찰 하에 증식제제와 스테로이드제 병합주사요법)

  • Moon, Young-Lae;An, Ki-Yong;Park, Sung-Min;Bae, Byung-Jo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.2
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    • pp.109-113
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    • 2010
  • Purpose: To evaluate the efficacy of ultrasound guided injection of prolotherapy and steroid mixture injection in patients with adhesive capsulitis. Materials and Methods: 53 patients with adhesive capsulitis were included in the study and in all the patients a mixture of steroid and prolotherapy agent was injected into the coracohumeral ligament under the sonographic guidance. The patients were evaluated using the VAS and ROM of the shoulder before the injection and at 8 weeks and at 1 year after the injection. Results: Forward flexion was 93.4 degrees before the injection and was 142, 153 degrees at 8weeks and 1 year after injection. Abduction was 79.2 degrees before the injection and was 125.4, 152.6 degrees at 8 weeks and 1 year after the injection. The VAS score was 6.7 before the injection and was 3.5, 3.7 at 8 weeks and 1 year after the injection. Conclusion: The ultrasound guided injection of prolotherapy and steroid mixture into the coracohumeral ligament in patients with adhesive capsulitis is allowing both tissue distension and inflammatory process controlling procedure. It is effective in improving the range of shoulder motion significantly and is also effective in decreasing the pain.

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Application and effects of condylectomy in asymmetric patients with condylar hyperplasia (과두과증식을 동반한 안면비대칭 환자에서 과두절제술의 적용과 효과)

  • Lim, Kyoung-Sub;Cha, Jung-Yul;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.38 no.6
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    • pp.437-455
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    • 2008
  • Condylar hyperplasia is a pathologic condition showing 3-dimensional skeletal hyperplasia of the mandible. The reason for condylar hyperplasia is not yet known, but the effects of hormone, trauma, infection, genetics, fetal condition, and hypervascularity are known as possible reasons. When we diagnose a patient as having condylar hyperplasia, it is important to decide if it is in progress or not. Treatment for facial asymmetry due to condylar hyperplasia are decided accordingly, including condylectomy, that is removal of growth site of the affected condyle, and conventional orthognathic surgery only or condylectomy with orthognathic surgery after the completion of growth. Therefore, it is important to determine the growth state of condylar hyperplasia in treatment stability. This is verified through bone scan and regular check-ups with 3D CT or PA cephalogram. This case report introduces an improved case of facial asymmetry with condylectomy together with orthognathic surgery.

Basic study on proliferation control of cancer cells using Arduino based therapeutic module (아두이노 기반 암세포 증식억제 모듈의 효과에 대한 기초연구)

  • Cho, Kyoungrae;Park, Kitae;Kim, Minsoo;Choe, Se-woon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.10a
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    • pp.470-472
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    • 2017
  • Currently, various studies using chemotherapy, such as surgical treatment, radiation or optical therapy, and chemotherapy, are underway. In addition, expensive chemotherapeutic drugs and large-scale equipment have been developed to improve the accuracy and therapeutic effect. However many side effects caused by misuse of the kind of light source, radiation, and cancer treatment have been observed. Therefore, in this paper, we propose a novel chemotherapeutic method by developing a customized cancer cell proliferation inhibition module based on a microcontroller that is relatively inexpensive, easy to operate, and able to operate in various wavelength light sources.

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GINGIVAL FIBROMATOSIS IN MIXED DENTITION (혼합 치열기 어린이의 치은 섬유종증)

  • Han, Hyo-Jeong;Kim, Jin;Kim, Seong-Oh;Son, Heung-Kyu;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.696-700
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    • 2004
  • Gingival fibromatosis is a non-inflammatory oral disease, characterized by slowly progress enlargement of the free and attached gingiva. Gingival fibromatosis may have familial tendency. Gingival enlargement usually begins with the eruption of the permanent dentition but can also develop with the eruption of the primary dentition. In this case, a 6-year-old female had gingival enlargement at birth. There was no familial, medical and pharmacologic history of gingival overgrowth. Treatment is gingivectomy with a rigorous program of oral hygiene. Recurrence of gingival fibromatosis may well be inevitable. Therefore there is no general aggrement as to the timing of surgical intervention. Generally the best time is when all the permanent teeth have erupted. However early intervention can improve oral function and esthetic and psychologic effect.

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Evaluation of the Cell-Mediated Immunity in Treatment Failure Pulmonary Tuberculosis (치료실패 폐결핵 환자의 세포성면역반응에 관한 연구)

  • Park, Jeong-Kyu;Park, Jang-Seo;Kim, Hwa-Jung;Jo, Eun-Gyeong;Min, Dul-Lel;Lim, Jae-Hyun;Suhr, Ji-Won;Paik, Tae-Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.47 no.1
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    • pp.13-25
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    • 1999
  • Background: Ineffective cell-mediated immune response in human tuberculosis is associated with a depressed Thl cytokine response and reduced production of IFN-$\gamma$. Most persons infected with Mycobacterium tuberculosis are healthy tuberculin reactors with protective immunity, but a minority with ineffective immunity develop extensive pulmonary tuberculosis. The cell-mediated immune response is an important aspect of host resistance to mycobacterial infection and is believed to be tightly regulated by a balance between Th1 cytokines including IFN-$\gamma$, IL-12, IL-18, regulated on activation, normal T cell expressed and secreted (RANTES) and Th2 counterparts such as IL-4, monocyte chemoattractant protein-l (MCP-l). Methods: Proliferation and mRNA expression of IFN-$\gamma$, RANTES and MCP-l by RT-PCR in peripheral blood mononuclear cells (PBMCs) in response to in vitro stimulation with mycobacterial antigens were compared in pulmonary tuberculosis patients with cured and treatment failure and in tuberculin-positive and tuberculin-negative healthy subjects. Results: Defective proliferative responsiveness to aqueous TSP antigen was involved with treatment failure tuberculosis patients. Aqueous TSP antigen-induced IFN-$\gamma$ and RANTES mRNA expression was decreased in treatment failure tuberculosis patients compared with healthy tuberculin reactors and cured tuberculosis patients (23.1 % versus 90.0% for IFN-$\gamma$ and 46.2% versus 70.0% versus 46.2% for RANTES). The frequency of MCP-l mRNA expression to aqueous TSP antigen in treatment failure tuberculosis patients was greater than in healthy tuberculin reactors and cured tuberculosis patients (76.9% versus 40.0%). Conclusion: The increasing expression of MCP-1 mRNA in response to aqueous TSP antigen might be predicted to favor Th1 responses and restricted Th1 responses in treatment failure of pulmonary tuberculosis.

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PHARMACEUTICAL COMPOSITION OF VELVET ANTLER (녹용의 약리학적 성분)

  • 전길자
    • Korean Deer Journal
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    • v.7 no.10 s.48
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    • pp.60-64
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    • 2002
  • 알려진 녹용의 효능을 과학적으로 증명하고 활성성분을 이용하여 신의약품 개발에 기여하고자 한다. 본 연구실에서는 녹용의 가장 대표적인 효능인 조혈작용을 하는 성분을 구조 분석하여 MADG임을 밝히었다. MADG는 조혈촉진기능뿐만 아니라 대식세포 증식기능 그리고 비장세포성장을 촉진하는 등 면역활성 조절제로써의 기능도 나타내었다. 그리고 녹용에 존재하는 인지질 중에서 포화지방산을 가지고 있는 phophatidylcholine도 면역활성을 촉진시키었다. 항진균작용을 하는 성분을 구조 분석한 결과 lysophophatidylcholine임을 밝히었으며 그 유도체인 CHJ-ester가 숙주세포에는 해를 주지 않으면서 항진균작용을 하는 것을 관찰하였다. 그리고 골다공증치료효과를 검색하기 위해 녹용 정제성분으로 연구한 결과 파골세포로의 분화를 100$\%$ 저해함을 밝히므로 녹용이 골다공증 치료효과가 있음을 증면하였다. 녹용성분의 유도체인 SCOH가 파골세포분화를 억제함을 밝혀 현재 골다공증치료제로써의 가능성을 조사하고 있다. 본 연구실에서는 1999년부터 녹용연구를 시작하여 현재까지 10여 개의 활성성분을 분석한 바 있다. 현재 조혈세포촉진작용, 면역증진작용, 골다공증치료작용, 대식세포 증식작용, 항진균작용, 항간질작용에 대한 성분 분석 및 그 약리 기전을 연구하고 있다.

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