• Title/Summary/Keyword: 치료법

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Case Report : Botulinum Toxin Treatment in Oromandibular Dystonia (보툴리눔 톡신을 이용한 구강하악 근긴장이상증의 치료 증례)

  • Ryu, Ji-Won;Hong, Seong-Ju;Bae, Kook-Jin;Yoon, Chang-Lyuk;Ahn, Jong-Mo
    • Journal of Oral Medicine and Pain
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    • v.34 no.4
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    • pp.421-427
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    • 2009
  • Oromandibular dystonia is a focal neurological movement disorder characterized by involuntary sustained and often painful muscle contraction, usually producing repetitive movements or abnormal positions of the mouth, jaw and.or tongue. Patients suffering from oromandibular dystonia often experience difficulties in chewing, swallowing and speaking, resulting from the impairment of mandibular movements. At present there is no etiologic treatment for oromandibular dystonia, because the pathophysiology of primary and focal dystonia is still incompletely understood. Many treatments such as medication, behavioral therapy, surgery are suggested to decrease the involuntary movements. But these success rates are relatively low and they have a lot of complications. many studies suggested that chemodenervation with botulinum toxin is the most effective treatment for oromandibular dystonia. We reported the 2 cases which were treated oromandibular dystonia with botulinum toxin and reviewed the orofacial movement disorders(especially oromandibular dystonia) and botulinum toxin treatment for oromanfibular dystonia.

Basic study on proliferation control of cancer cells using combined ultrasound and LED therapeutic module (초음파와 LED를 이용한 일체형암세포 증식억제 모듈의 기초연구)

  • Cho, Kyung-rae;Choe, Se-woon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.22 no.8
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    • pp.1107-1113
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    • 2018
  • Ultrasonography and photodynamic therapy have been proposed as useful tools as a treatment for inducing necrosis of cells using reactive oxygen species. Apoptosis is an internal mechanism necessary for cells regardless of damage. Ultrasound has the effect of inducing the apoptosis of these cells, and the frequency of 1 MHz is the most applicable area for medical use. The laser which is generally used in photodynamic therapy has a heat reaction and the treatment is limited. However, as a small light emitting diode is developed, it shows possibility to minimize the equipment and reduce heat reaction. On the other hand, there are relatively few researches on direct effects of light compared with studies using photosensitizers, and the area is also limited. Therefore, in this paper, we have developed a cancer cell proliferation control module using ultrasonic and light emitting diodes, which have relatively few side effects, and quantitatively analyze the effect of the module to propose an optimal suppression technique.

THE CARE OF DELAYED MALUNION AFTER MAXILLARY FRACTURE BY DIFFERENT METHODS:REPORT OF THREE CASES (치료법을 달리한 상악골절후 부정유합 2예)

  • Yoo, Jae-Ha;Lee, Won-Yoo;Rew, Soo-Jang
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.117-127
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    • 1991
  • When open reduction of maxilla fractures is postponed due to concurrent life-threatening injuries, delayed union may result with malunion or nonunion. If delayed malunion is occurred, significant facial deformity may result, including a dished-out face, irregular retromaxillism with Angle's class III malocclusion, open anterior bite, nasal collapse, telecanthus and malar flattening. The treatment planning for this problem includes cephalometric evaluation anterior and lateral tomograms, dental casts, orthodontic planning, dental planning and use of impression tray to rupture the fibrous tissue casts, orthodontic planning, dental planning and use of impression tray to rupture the fibrous tissue attachment at the fracture site. In this paper, one case presented a 58-year-old female patient with maxilla retrusion after comminuted fracture, who was treated with orthodontic methods of maxillary protraction headgear and Plaster headcap, whereas the other two cases were about male patients who were treated principally with surgically open reduction or Le Fort I-controlled transverse osteotomy with iliac bone graft.

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Injection-Acupuncture Combined by Conventional Treatment in Canine Demodicosis : Case Report (개 모낭충증에 있어서 약침과 기존 치료의 병용 : 증례 보고)

  • Jun, Hyung-Kyou;Han, Ji-Won;Oh, Hyun-Wook;Lee, Hyun-Hwa;Park, Bae-Kun;Park, Seong-Jun;Cho, Sung-Whan;Kim, Duck-Hwan
    • Journal of Veterinary Clinics
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    • v.24 no.3
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    • pp.432-436
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    • 2007
  • Therapeutic effect by injection-AP with antibiotics plus conventional treatment was investigated to establish a new treatment method for canine demodicosis. Three patients diagnosed into canine demodicosis were used in the present study. Injection-AP with enrofloxacin (5 mg/kg, twice a week) was made into the acupoints such as Fei Shu(BL13), Wei Zhong (BL40), Da Zhui (GV14), Zu San Li (ST36), He Gu (LI04), Qu Chi (LI11) and Sang Yin jiao(SP06) for 5 weeks. Further, they were additionally received with conventional treatments including injection of ivermectin (0.5 mg/kg, twice a week, SC) and 0.05% amitraz rinse (twice a week) for 5 weeks. The clinical symptoms (pruritus, excoriation, erythema and alopecia) were much improved by injection-AP therapy plus conventional treatment, compared by those of pre-treatment. Case 1 became to normal after 4 weeks, Case 2 became to mild after 5 weeks and Case 3 became to normal after 5 weeks. Total WBC revealed decreasing tendency with treatment in all cases, however, N/L ratios didn't show regular pattern of change with treatment. Notable changes were not histopathogically found in skin lesions of Case 1 and Case 3 except Case 2 with mild change after 5 weeks treatment, compared by those of pre-treatment, respectively. In conclusion, the present patients were cases with canine demodicosis which revealed favorable therapeutic response by injection-AP with antibiotics plus conventional treatment.

Invasive Brain Stimulation and Legal Regulation: with a special focus on Deep Brain Stimulation (침습적 뇌자극기술과 법적 규제 - 뇌심부자극술(Deep Brain Stimulation)을 중심으로 -)

  • Choi, Min-Young
    • The Korean Society of Law and Medicine
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    • v.23 no.2
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    • pp.119-139
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    • 2022
  • Brain stimulation technology that administers electrical and magnetic stimulation to a brain has shown a significant level of possibility for treating a wide range of various neurological and psychiatric disorders. Depending on its nature, the technology is defined either as invasive or non-invasive, and deep brain stimulation (DBS) is one of the most well-known invasive brain stimulation technologies. Currently categorized as grade 4 medical device in accordance with Guideline On Medical Devices And Their Grades, a Notification of Ministry of Food and Drug Safety (MFDS), the DBS has been used as a stable treatment for several diseases. At the same time, the DBS technology has recently achieved substantial advancement, encouraging active discussions for its use from various perspectives. On the contrary, debates over legal regulation related to the use of DBS has relatively been smaller in numbers. In this context, this article aims to 1) introduce the DBS technology and its safety in setting out the tone; 2) touch upon major legal issues that would potentially rise from its use for four different purposes of treatment, clinical study, areas of non-standard treatment where no other methods are available, and enhancement; and finally 3) highlight disputes concerning common emerging issues observed in the aforementioned four purposes from the viewpoint of legal responsibility and liability of using the DBS, which are benefit-risk assessment, physicians' duty of information, patients' capacity to consent, control for device, and insurance coverage.

Long-term Outcome after Minimally Invasive Treatment for Early Gastric Cancer beyond the Indication of Endoscopic Submucosal Dissection (내시경점막하박리술의 적응증을 넘어선 조기위암의 미세침습 치료 후 장기 추적 결과)

  • Weon Jin Ko;Joo Young Cho
    • Journal of Digestive Cancer Research
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    • v.5 no.1
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    • pp.44-49
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    • 2017
  • Background: Recently, endoscopic submucosal dissection (ESD) with laparoscopic sentinel lymph node dissection, named ESN or endoscopic full-thickness gastric resection with laparoscopic sentinel lymph node dissection, named Hybrid-natural orifice transluminal endoscopic surgery (NOTES) was suggested the possibility of minimally invasive treatment for patients with early gastric cancer (EGC) who were beyond the indication of ESD. This study aimed to evaluate the outcomes of ESN or Hybrid-NOTES. Methods: We retrospectively analyzed patients treated with these therapies from January 2009 to May 2013 in terms of short- and long-term outcomes. Each patient was diagnosed with EGC but was not included in ESD indications and had the high risk of lymph node metastasis (LNM). Results: A total of 42 patients with EGC treated by ESN or Hybrid-NOTES. Of the 21 patients who underwent ESN, a total of 4 patients underwent additional gastrectomy, 1 with LNM, 1 with surgical complication, and 2 with noncurative resection. Of the 21 patients who underwent Hybrid-NOTES, a total of 5 patients underwent additional surgery, 1 with LNM, 2 with surgical complication, and 2 with noncurative resection. Overall survival was 100% over a mean follow-up of 75 months, but 3 patients underwent ESD or gastrectomy with metachronous lesion. And 1 patient who had received ESN was found to have a metastatic lymph node and undergo palliative chemotherapy. Conclusion: ESN or Hybrid-NOTES showed favorable short-and long-term outcomes. These methods may be utilized as a bridge between ESD and gastrectomy in the case of EGC which is more likely to have LNM beyond the ESD indications.

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줄기세포를 이용하여 당뇨병을 극복한다?

  • 유순집
    • The Monthly Diabetes
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    • s.166
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    • pp.64-67
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    • 2003
  • 인슐린 치료를 필요로 하는 당뇨병 환자에서는 당뇨병성 합병증의 발생을 예방하거나 합병증이 진행된 경우에는 기존의 고식적인 치료로 만족할 만한 효과를 거두기가 어려워 이상적인 치료 방법에 대한 기대가 높은 상태이다. 특히 췌도이식 대상자는 급증하고 있으나 공급 가능한 췌장은 한정되어 있어 이식에 필요한 췌도는 절대적인 부족 상태로 오직 일부 제 1형 당뇨병 환자에서만 제한적으로 췌도이식이 적용 가능하다. 따라서 충분한 췌도 이식원을 확보할 수 있는 췌도 이식원의 개발은 췌도이식의 가장 큰 목표라 할 수 있다. 본 난에서는 당뇨병 치료에서 시험관내 및 생체실험에서 줄기세포의 현황과 줄기세포를 이용하여 당뇨병을 극복하고자 하는 연구의 성과와 이에 따른 새로운 치료법에 대한 최근 내용을 고찰해 보고자 한다.

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비육우에 있어서 요석증의 원인과 대책에 대하여

  • 각전영이
    • 한우개량
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    • no.4 s.25
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    • pp.28-30
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    • 2000
  • 가축을 사육하다보면 가축이 질병에 걸려 폐사하는 경우가 가끔 있는데 이것처럼 양축농가의 아품과 경제적 손실이 큰 것은 없다. 특히 일반비육을 하다가 고급육을 생산하려고 거세하여 사육하다 어느정도 자란 큰 소가 뇨석증에 걸려 식욕부진이 나타나며 불안감, 배뇨시 산통증상이 나타나며 심하면 요도나 방광이 파열되어 요독증세와 더불어 폐사하는 경우를 가끔 볼 수 있는데 고급육 생산시 필수 조건인 거세를 실시하며 이런 질병에 대하여 그 원인과 치료법에 대하여 알고자 인터넷에 올라있는 자료를 본지에 실었으니 고급육 생산에 도움이 되었으면 한다.

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Convergence Technology Trends for Chronic Disease Management (만성질환 자가관리를 위한 IT-융합 기술 동향)

  • Lee, Y.J.;Song, K.B.;Chung, M.A.;Park, D.G.
    • Electronics and Telecommunications Trends
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    • v.27 no.5
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    • pp.44-54
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    • 2012
  • 지속적으로 증가하고 있는 만성질환은 치유가 어려운 질환으로 의사가 권고한 치료법에 따라 환자의 지속적인 자가관리가 필수적이므로 IT-융합 기술이 효과적으로 적용될 수 있다. 따라서 본고에서는 만성질환 관리를 위한 기존 유헬스 기술을 소개하고 최근 각광을 받고 있는 모바일 헬스, 빅데이터 기술, 기능성 게임, 인지 기술에 대한 발전 동향을 살펴보았다. 또한 이러한 기술들이 융합되어 만성질환의 자가관리에 어떻게 효과적으로 활용될 수 있는지 보이기 위한 미래 서비스 시나리오를 제시하였다.

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Diabetes Story I - 당뇨의 전단계 - 내당능장애와 공복혈당장애 -

  • 사단법인 한국당뇨협회
    • The Monthly Diabetes
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    • s.219
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    • pp.50-51
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    • 2008
  • 당뇨병환자가 10만명을 육박해 당뇨 대란이 예상되는 가운데, 당뇨병 예비자 또한 그 수가 만만치 않다. 당뇨병 예비자에는 생활습관이 불규칙하거나, 운동을 전혀 하지 않는 사람, 비만한 사람 등이 포함이 되는데, 당뇨병 전단계라 불리우는 내당능장애와 공복혈당장애 환자도 마찬가지이다. 당뇨병 전단계는 확실하게 당뇨병으로 진단을 받은 것은 아니지만 당뇨병으로 발전할 가능성이 충분한 상태로써 공복, 식후혈당이 이상이 있는 경우를 말한다. 이러한 환자도 당뇨병환자와 똑같은 치료법으로 관리를 해야 훗날 당뇨병으로 발전하거나, 그로 인한 합병증의 피해를 줄일 수 있다.

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