• The Journal of Korean Physical Therapy
• /
• 제18권6호
• /
• pp.13-21
• /
• 2006

Purpose: To provide the basic method for physical therapy to contribute to early stage treatment of a burned patients. We investigated whether or not carbon arc lamp treatment and low level laser one among various laser treatments have the effect of reducing Cytokine, and to elucidate the effect of carbon arc lamp treatment and laser one. Methods: The 6-week old BALB/c types of 92 mice were used for the experimental test, and they were burned with $100^{\circ}C$ water, they were divided into 4 groups in accordance with the method of treatment respectively. And the blood and the tissue from the subject of each group were extracted and analyzed each time after they were cured for 3, 6, 9 days. For the analysis of the results, SPSS statistical program was used in this study. Results: The quantity of $TNF-{\alpha}$ and $IL-1{\beta}$ within the blood of a burned mouse increased more than that of a normal mouse(p<0.01). In only a burned mouse, carbon arc lamp treatment gave the effect on the decrease of $TNF-{\alpha}$ thickness the 6th day to the 9th day(p<0.01). $IL-1{\beta}$ quantity was more decreased than that of control group around the 6th day. In comparison with only a control group, low level laser treatment has more significant effect in decreasing the quantity of $TNF-{\alpha}$ a and $IL-1{\beta}$ than the two different methods(p<0.01). In case that the two treatment methods, carbon arc lamp treatment and low level laser, were executed together, there was the effect of decreasing $TNF-{\alpha}$ until the 6th day(p<0.01). Conclusion: Both low level laser treatment and carbon arc lamp one would be able to have an effect on the inflammation inhibition of burned patients and tissues reproduction. However, it must be also considered for the two treatments to be done at the same time.

• 한방안이비인후피부과학회지
• /
• 제24권1호
• /
• pp.181-191
• /
• 2011

Backgrounds : Pompholyx is a distinctive reaction pattern presenting as symmetric vesicular hand and foot dermatitis. Other than acute symptoms like itching and vesicles, chronic changes with scaling, fissure and pain may follow. As patients are treated by steroid for a long period, it tends to present side effects after quitting steroid treatment. Objectives : This study was carried out to investigate the effect of carbon arc lamp therapy and oriental medical therapy that venesection therapy, ointments and herbal medicine on chronic plantar pompholyx including steroids side effects. Methods : We treated one case of chronic plantar pompholyx which had continued about 10 years, including steroids side effects with venesection therapy, carbon arc lamp therapy, ointments and herbal medicine. To evaluate the results of this treatment, we categorized symptoms into six items which are vesicles, itching, fissures, pain, erosions and scales. Results : Except mild itching, vesicles and scales in a small area, all the symptoms were subsided. Conclusions : It is considered that various kinds of oriental medical therapy including carbon arc lamp therapy could replace steroid therapy which has many side effects.

• 한방안이비인후피부과학회지
• /
• 제21권2호
• /
• pp.154-164
• /
• 2008

Epidermolysis Bullosa(EB) is rare, chronic mechanobullous disease, which easily produce bulla by minor trauma or spontaneously. There are three major forms of Epidermolysis bullosa - Epidermolysis bullosa simplex, Junctional epidermolysis bullosa, Dystrophic epidermolysis bullosa. This report is on the 21-year-old female patient who has Dystrophic epidermolysis bullosa(Recessive Dystrophic epidermolysis bullosa-mitis). The Korean medical treatments such as acupuncture and herbal medication were used, with light therapy : Carbon Are, which is known for effect of dermal resuscitation. As a result, Carbon Arc and Korean medical treatment's effect of dermal resuscitation is proved in this study. But more cases are necessary for establishing more effective treatment methods.

• 대한한의진단학회지
• /
• 제19권3호
• /
• pp.185-193
• /
• 2015

Objectives The purpose of this report is to represent decubitus ulcer(pressure sore) improved by carbon arc and oriental medicine. Methods Patients with decubitus ulcer were treated with carbon arc, acupuncture, herbal medicine and simple dressing. Laser was irradiated at ulcer site once a day for 5 hour, using cored carbon number 3000,3002. Simple dressing with wound cleansing was performed to prevent reinfection. Herbal medicine and acupuncture treatment were applied to improve patients' general condition. Ulcer sizes and aspects were carefully checked by one week. Results Sizes of the decubitus ulcer decreased. Stage of ulcer was improved from stage 3 to stage 2. These results show that carbon arc may play a role in treating the decubitus ulcer with oriental medicine.

• Annals of Occupational and Environmental Medicine
• /
• 제34권
• /
• pp.19.1-19.9
• /
• 2022

Background: It is widely known that carbon dioxide (CO₂) arc welding generates carbon monoxide (CO). However, to the best of our knowledge, no case reports have been published regarding CO poisoning in CO₂ arc welders. Therefore, we aimed to report a case of CO poisoning-induced encephalopathy in a CO₂ arc welder in the Republic of Korea to inform about the dangers of CO exposure among CO₂arc welders. Case presentation: A 40-year-old man working as a CO₂ arc welder for 15 years visited a local hospital with a tremor, involuntary urination, and speaking gibberish, on April 9, 2019. He stated that he had intermittent headache and forgetting symptoms for the last 5 years, and had been lost on the way to work several times. On April 9, 2019, he was diagnosed with CO poisoning-induced encephalopathy through brain magnetic resonance imaging. He received hyperbaric oxygen therapy, and some of his symptoms improved. According to the exposure assessment of his work environment, he was continuously exposed to high concentrations of CO for 15 years while operating CO₂ arc welding machines. Conclusions: After evaluating the patient's work environment and evaluating his medical history, we concluded that his encephalopathy was caused by CO exposure during CO₂ arc welding. Thus CO₂ arc welders must be aware of the risk of CO poisoning and strive to avoid CO exposure.

• 한방안이비인후피부과학회지
• /
• 제19권2호
• /
• pp.296-303
• /
• 2006

Introduction : Atopic dermatitis(AD) is chronic eczematous dermatitis which is related strongly to a family history of atopic disease and hereditary disposition. Adolescence and adult atopic dermatitis (AAD) patients have been overlooked because they were relatively small population and AAD were considered merely consecutive of infant and childhood AD. Objective : The purpose of this study was to estimate the efficacy of oriental medical treatment and management on chromic AAD with nummular eczema and breast eczema. Methods : We tented this case with herb-medication, herb-irrigation, acupuncture, negative therapy, full spectrum visible lay therapy (by carbon arc) and external application (SA1, Siwon Ilhwang-Go). We observed for 7 months. Results : The grades of the severity of AD with nummular eczema, breast eczema were lower only by the oriental medical treatments and managements. Conclusion : Considering the above results, more study is needed on the case with AAD with diffuse nummular eczema, effectiveness of external application and correlation between immunological and results of oriental media treatments.

• 한방안이비인후피부과학회지
• /
• 제18권2호
• /
• pp.109-117
• /
• 2005

Atopic Dermatitis is chronic eczematous dermatosis which is related strongly to a family history of atopic disease and hereditary disposition. Its threshold of itching is low so that severe itching occurs and causes secondary eczema. The purpose of this study was to estimate the efficiency of oriental medical treatment and management on atopic Dermatitis. We studied 2 patients who visited Wonkwang University Kwangju Oriental Hospital Dept. of Dermatol. with atopic dermatitis from April 2004 to February 2005. We treated him with herb-medication, acupuncture, negative therapy, full spectrum visible ray therapy(by carbon arc). We used the ADSI(Atopic Dermatitis Severity Index) to assess the severity of atopic dermatitis. The grade of the severity of atopic dermatitis was lower only by the traditional chinese medical treatments and management. Considering the above result, more study is needed the factors of increasing severity of atopic dermatitis, and the clinical interchange or atopic Dermatitis between oriental medicine and western medicine.

• 한방안이비인후피부과학회지
• /
• 제15권1호
• /
• pp.140-150
• /
• 2002

Introduction: Atopic dermatitis is chronic eczematous dermatosis which is related strongly to a family history of atopic disease and hereditary disposition. Its threshold of itching is low so that severe itching occurs and causes secondary eczema. Adult atopic dermatitis has mostly severe symptoms and progresses to chronic relapsing. Objective: The purpose of this study was to estimate the efficacy of oriental medical treatment and management on chronic adult atopic dermatitis. Subject: We studied 3 patients who visited Dongguk University Gangnam Oriental Hospital Dept. of Dermatol. with chronic adult atopic dermatitis from August 2001 to April 2002 and were observed for over 4 months. Methods: We treated them with herb-medication, acupuncture, negative therapy, aroma therapy, full spectrum visible ray therapy(by carbon arc) and external application(Jaun-go). We used the SCORAD index to assess the severity of atopic dermatitis. Results: There were 3 patients with chronic adult atopic dermatitis we could check for over 4 months by clinical scoring using the SCORAD system. 1. The grades of the severity of atopic dermatitis were lower only by the oriental medical treatments and management. 2. Intensities of relapse cases were lower then before the oriental medical treatments. 3. The secondary treatment term for relapse cases was shorter then the first treatment term after oriental remedies were used. Conclusion: Considering the above results, more study is needed on the chronic relapse cases with adult atopic dermatitis, the factors of increasing seventy of adult atopic dermatitis, the prognostic factors of adult atopic dermatitis, and the clinical interchange of chronic adult atopic dermatitis between oriental medicine and western medicine.

• 대한예방한의학회지
• /
• 제22권3호
• /
• pp.61-72
• /
• 2018

Objectives : This study was conducted to review the research trends in Korean Medicine of pompholyx based on publications in Korea. Methods : Literature published after 2000 were collected using OASIS, NDSL, KISS, and key words searched were "한포진" "발한이상" "pompholyx" "dyshidrotic eczema". Results : 10 case reports and 4 patient studies were selected for study. Conclusions : Korean medicine treatments included acupuncture, pharmacopuncture, venesection therapy, herbal medicine, ointments and carbon arc lamp therapy. The most commonly used diagnostic method for pompholyx was inspection along with pulse diagnosis, abdominal diagnosis, tongue diagnosis, culture test, and KOH smear screening. The most frequently used treatment evaluation method was Likert scale while VAS(Visual Analog Scale) and Visual&Subjective symptoms were each used in 4 studies. Among 29 patients in 14 papers who showed clinical manifestations of pompholyx, there were 15 male patients (52%), 14 female patients (48%), and the male to female ratio showed 1.07:1. Symptoms were improved using Korean Medicine treatments including acupuncture and herbal medicine. Concurrent treatment using special treatments such as pharmacopuncture, jiyang-go, bojungikgi-tang(ex), external applications showed higher treatment effects. Korean medical treatment of pompholyx was effective in all studies, but the lack of numbers of research on Korean medicine of pompholyx was witnessed compared to other diseases such as psoriasis. Also considering the number of patients suffering from pompholyx, further studies should be conducted.

• 대한방사선치료학회지
• /
• 제25권2호
• /
• pp.115-121
• /
• 2013

목 적: 최신 선형가속기와 새로운 평가 장비를 도입하게 되어 이를 임상에 적용하기 위한 준비과정 중 몇 가지 문제가 발생하여 유용성을 확인하는 과정을 분석함으로써 앞으로 이 장비를 도입하는 기관에 도움이 되고자 한다. 대상 및 방법: 모든 측정은 TrueBEAM STX (Varian, USA)를 이용하였으며, 전산화치료계획장비(Eclipse ver 10.0.39, Varian, USA)를 이용하여 각 에너지 별, 조사조건 별 선량분포파일을 산출하였다. MapCHECK 2의 고유의 성능과 오차로 발생 할 수 있는 원인에 대하여 측정 및 분석하였다. MapCHECK 2의 성능 확인을 위해 6X, 6X-FFF (Flattening Filter Free), 10X, 10X-FFF, 15X의 에너지별로 필드사이즈 $10{\times}10$ cm, gantry $0^{\circ}$, $180^{\circ}$ 방향에서 측정을 하였다. 또한 기존 IGRT couch의 CT값이 volumetric dosimetry에 영향을 주는지 확인을 위해서, CT 넘버 값: -800 (Carbon) & -950 (COUCH안의 공기), -100 & -950을 지정해준 상태에서 6X-FFF, 15X의 에너지별로 필드사이즈 $10{\times}10$ cm, gantry $0^{\circ}$, $180^{\circ}$, $135^{\circ}$, $275^{\circ}$ 방향에서 측정을 하였고, MapPHAN에 할당된 HU 값 확인을 위해 Solid water phantom 3 cm을 위로 얹은 MapCHECK 2와 치료계획용 컴퓨터를 이용해 비교하였고, MapPHAN의 각진 모서리에 의한 측정오류문제, MapPHAN의 gantry 방향 의존성을 알아보기 위해 3가지 방법으로 측정 하였다. 세로로 세운 세팅 상태에서 6X-FFF, 15X를 GANTRY $90^{\circ}$, $270^{\circ}$ 방향에서 각각 측정하고, 가로로 세운 세팅상태에서 에너지 6X-FFF, 15X를 필드사이즈 $10{\times}10$ cm, $90^{\circ}$, $45^{\circ}$, $315^{\circ}$, $270^{\circ}$의 방향에서 각각 측정하였다. 세 번째로 빔의 세기조절을 하지 않은 상태에서 open arc를 조사하였다. 결 과: MapCHECK의 기본 성능을 확인, Couch에 의한 감약 측정, MAP-PHAN에 할당하는 HU값 측정, MapPHAN의 각진 모서리에 대한 계산 정확도 확인을 위한 측정에서 모두 유효한 범위에 들어와 측정오류에 영향을 미치지 않는 것을 확인 할 수 있었다. Gantry 방향의존성 확인하기 위한 3가지 방법 중 첫 번째로 측정기를 세운 상태에서의 값은 Gantry $270^{\circ}$ (상대적 $0^{\circ}$), $90^{\circ}$ (상대적 $180^{\circ}$)에서 6X-FFF, 15X에서 각각 -1.51, 0.83%와 -0.63, -0.22%를 나타내어 AP/PA 방향에 의한 영향이 없음을 나타냈다. 측정기를 가로로 세팅한 상태에서는 Gantry $90^{\circ}$, $270^{\circ}$에서 에너지 6X-FFF 4.37, 2.84%, 15X에서는 -9.63, -13.32%의 차이가 측정되어 gamma pass rate 3%의 값보다 큰 값을 나타내므로 MapPHAN에 의한 측방향 측정값이 유효범위 안에 들지 못하는 것을 확인 할 수 있었다. 마지막 Open Arc에서 6X-FFF, 15X 에너지를 필드사이즈 $10{\times}10$ cm에 $360^{\circ}$ 회전상태에서의 선량분포를 보면 pass rate가 90% 가까이 나오는 것을 확인 할 수 있다. 결 론: 위 결과를 토대로 MapPHAN은 상대등선량분포 감마값 측정에는 적합 하지만, 측방향 빔에 대한 gantry 방향의 의존성 때문에 절대선량은 정확한 측정을 할 수 없는 것으로 판단되어진다. 본 논문에서는 더욱 정확한 치료계획 확인을 위해서 VMAT 같은 회전조사시 측방향에 대한 오차를 줄이고 정확한 절대선량을 측정하기 위해서 MapCHEK 2와 IMF (Isocentric Mounting Fixture)의 조합을 사용하여 gantry 방향 의존성에 의한 영향을 최소화 할 수 있을 것이라 판단된다.