• 제목/요약/키워드: Conventional medicine

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Medicinal Plants Combating Against Cancer - a Green Anticancer Approach

  • Sultana, Sabira;Asif, Hafiz Muhammad;Nazar, Hafiz Muhammad Irfan;Akhtar, Naveed;Rehman, Jalil Ur.;Rehman, Riaz Ur.
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권11호
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    • pp.4385-4394
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    • 2014
  • Cancer is the most deadly disease that causes the serious health problems, physical disabilities, mortalities, and morbidities around the world. It is the second leading cause of death all over the world. Although great advancement have been made in the treatment of cancer progression, still significant deficiencies and room for improvement remain. Chemotherapy produced a number of undesired and toxic side effects. Natural therapies, such as the use of plant-derived products in the treatment of cancer, may reduce adverse and toxic side effects. However, many plants exist that have shown very promising anticancer activities in vitro and in vivo but their active anticancer principle have yet to be evaluated. Combined efforts of botanist, pharmacologist and chemists are required to find new lead anticancer constituent to fight disease. This review will help researchers in the finding of new bioactive molecules as it will focus on various plants evaluated for anticancer properties in vitro and in vivo.

폐렴 양방 치료 종료 후 지속되는 가래 및 연하장애를 주소로 하는 노인 환자의 시박탕(柴朴湯) 치험례 (A Case Report of Sibak-tang Effectiveness in an Elderly Patient with Sputum and Dysphagia after Conventional Treatment for Pneumonia)

  • 임보라;박영화;조준호;권도익
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.753-762
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    • 2017
  • Objectives: We conducted this study to report the clinical effects of Sibak-tang (Saiboku-to) in an elderly patient suffering from sputum and dysphagia after conventional treatment for pneumonia. Methods: The Sibak-tang was administered to the patient to treat sputum and dysphagia. The results were assessed by measuring the frequency of the sputum and conducting a videofluoroscopic swallowing study. Results: After about three weeks of herbal medicine treatments, the patient's symptoms of respiratory problems improved. The results of the videofluoroscopic swallowing study were also improved. Conclusion: Sibak-tang could be an effective treatment for elderly patients suffering from sputum and dysphagia after conventional treatment for pneumonia.

정자 직접 주입법 (ICSI) 이후에 수정에 실패한 인간 난자에 대한 염색체 분석 (Chromosomal Analysis of the Human Oocytes Failed to Fertilize following Intracytoplasmic Sperm Injection (ICSI))

  • 손원영;박성은;정형민;엄기붕;고정재;윤태기;차광열
    • Clinical and Experimental Reproductive Medicine
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    • 제24권3호
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    • pp.319-324
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    • 1997
  • Despite the direct placement of sperm within the oocyte, fertilization failure still occurs after ICSI. This study was accomplished to analyze the chromosomes in oocytes failed to fertilize after ICSI comparing to oocytes failed to fertilize by conventional in vitro insemination. Seventy-four ICSI cycles and 122 conventional IVF cycles were included in analysis. Included unfertilized oocytes were from 74 patients (mean age = $32.7{\pm}3.7$). Ninety-three oocytes were informative and 83 oocytes were legible for cytogenetic analysis. Sixty-two oocytes out of 83 (74.7%) had normal chroruosomes, while 15 (18.1%) were hypoploidy, 6 (7.2%) were hyperploidy. Eighteen oocytes out of 93 (17.6%) were premature chromosome condensation (PCC). Two hundred ninety-four unfertilized oocytes after conventional insemination were subjected to chromosomal analysis and 180 oocytes were legible for analysis. One hundred thirty-two oocytes out of 180 (73.3%) were normal, while 22 (12.2%) were hypoploidy, 20 (11.1%) were hyperploidy, and 6 (3.3%) were polyploidy. Twenty-two oocytes (12.2%) were PCC. There was no difference in chromosomes between oocytes that failed to fertilize after ICSI or conventional insemination. High PCC rates in fertilization-failed oocytes suggest that oocytes maturity is another important factor in achieving successful fertilization.

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수술적 치료를 받은 수근관 증후군 환자에서 고식적인 방법과 내시경적 방법의 비교 연구 (The Clinical Analysis of Patients with Carpal Tunnel Syndrome Underwent Surgery - Comparison Between Conventional and Endoscopic Surgery -)

  • 권영준;김태성;임영진;이봉암;임언;김국기
    • Journal of Korean Neurosurgical Society
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    • 제29권3호
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    • pp.372-378
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    • 2000
  • The carpal tunnel syndrome is one of the most common entrapment neuropathy. Surgical treatments consist of conventional open technique, alternative technique using retinaculatome, and endoscopic surgery. This study compares the outcomes of surgical treatment of carpal tunnel syndrome following conventional versus endoscopic release. The authors reviewed 56 cases of 33 patients with carpal tunnel syndrome treated surgically in our institute from January 1991 to May 1998. The follow-up evaluation was possible in 36 cases of 20 patients who had conventional release and in 11 cases of 7 patients with endoscopic release. The following parameters were evaluated for comparison : improvement of symptom, return to normal work, recovery of strength of grip and pinch, rate of complication, follow-up electrophysiologic finding. Compared with open decompression, the group of endoscopic decompression needed significantly less time to go back to work(p<0.001). Also strength of grip and pinch improved faster in the group of endoscopic decompression as well, compared with open decompression(p<0.05). These results indicate that endoscopic procedure is an excellent, minimally invasive method to treat carpal tunnel syndrome, performed by surgeons who are fully aware of the anatomy.

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갑상선기능항진증의 한약 치료에 대한 무작위 대조군 연구의 문헌 고찰 (A Review of Randomized Controlled Trials of Herbal Medicine Treatment for Hyperthyroidism)

  • 이희윤;황수인;박장경;윤영진
    • 대한한방부인과학회지
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    • 제34권3호
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    • pp.114-136
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    • 2021
  • Objectives: The purpose of this study is to analyze the effectiveness and safety of herbal medicine treatment for treating hyperthyroidism. Methods: We searched for randomized controlled trials of Hyperthyroidism treated with herbal medicine, published from January 2016 to May 2021, through electronic database such as Pubmed, EMBASE, China Academic Journal (CAJ). Interventions and results of the selected clinical studies were analyzed. Results: The 25 randomized controlled trials were finally included according to the inclusion and exclusion criteria. Treatment group was treated with herbal medicine alone in 2 studies, and with herbal medicine and conventional medicine in 23 studies. Control group was treated with conventional medicine. Outcome measures are total efficacy rate, thyroid function test, Traditional Chinese medicine (TCM) syndrome scores, liver function test, recurrence rate, etc. Prunellae Spica (夏枯草) (60%) was the most frequently used herb in herbal medicine treatment. In all of 25 studies, treatment group was more effective and safer for hyperthyroidism than the control group. Conclusions: This study indicates that herbal medicine treatment alone or combined with conventional medicine treatment could be helpful in improving the therapeutic effect on hyperthyroidism and reducing side effects as well.

No-Touch vs. Conventional Radiofrequency Ablation Using Twin Internally Cooled Wet Electrodes for Small Hepatocellular Carcinomas: A Randomized Prospective Comparative Study

  • Yun Seok Suh;Jae Won Choi;Jeong Hee Yoon;Dong Ho Lee;Yoon Jun Kim;Jeong Hoon Lee;Su Jong Yu;Eun Ju Cho;Jung Hwan Yoon;Jeong Min Lee
    • Korean Journal of Radiology
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    • 제22권12호
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    • pp.1974-1984
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    • 2021
  • Objective: This study aimed to compare the efficacy between no-touch (NT) radiofrequency ablation (RFA) and conventional RFA using twin internally cooled wet (TICW) electrodes in the bipolar mode for the treatment of small hepatocellular carcinomas (HCC). Materials and Methods: In this single-center, two-arm, parallel-group, prospective randomized controlled study, we performed a 1:1 random allocation of eligible patients with HCCs to receive NT-RFA or conventional RFA between October 2016 and September 2018. The primary endpoint was the cumulative local tumor progression (LTP) rate after RFA. Secondary endpoints included technical conversion rates of NT-RFA, intrahepatic distance recurrence, extrahepatic metastasis, technical parameters, technical efficacy, and rates of complications. Cumulative LTP rates were analyzed using Kaplan-Meier analysis and the Cox proportional hazard regression model. Considering conversion cases from NT-RFA to conventional RFA, intention-to-treat and as-treated analyses were performed. Results: Enrolled patients were randomly assigned to the NT-RFA group (37 patients with 38 HCCs) or the conventional RFA group (36 patients with 38 HCCs). Among the NT-RFA group patients, conversion to conventional RFA occurred in four patients (10.8%, 4/37). According to intention-to-treat analysis, both 1- and 3-year cumulative LTP rates were 5.6%, in the NT-RFA group, and they were 11.8% and 21.3%, respectively, in the conventional RFA group (p = 0.073, log-rank). In the as-treated analysis, LTP rates at 1 year and 3 years were 0% and 0%, respectively, in the NT-RFA group sand 15.6% and 24.5%, respectively, in the conventional RFA group (p = 0.004, log-rank). In as-treated analysis using multivariable Cox regression analysis, RFA type was the only significant predictive factor for LTP (hazard ratio = 0.061 with conventional RFA as the reference, 95% confidence interval = 0.000-0.497; p = 0.004). There were no significant differences in the procedure characteristics between the two groups. No procedure-related deaths or major complications were observed. Conclusion: NT-RFA using TICW electrodes in bipolar mode demonstrated significantly lower cumulative LTP rates than conventional RFA for small HCCs, which warrants a larger study for further confirmation.

폐암의 진단 검사 중 기관지 세척액에서 ThinPrep검사법과 기존의 세포검사법의 유용성에 대한 비교 (A Comparison of Conventional Cytology and ThinPrep Cytology of Bronchial Washing Fluid in the Diagnosis of Lung Cancer)

  • 김상훈;김은경;시계동;김정현;김경수;유정환;김주영;김광일;안희정;이지현
    • Tuberculosis and Respiratory Diseases
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    • 제62권6호
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    • pp.523-530
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    • 2007
  • 연구배경: ThinPrep$^{(R)}$검사는 원심분리를 통해 불필요한 혈액이나 점액들을 제거, 선택적으로 진단에 필요한 다량의 세포들만 모아 기존의 세포검사의 한계를 극복하여 진단율을 높일 수 있는 것으로 알려져 있으며, 현재 여러 분야에서 암의 조기 진단 방법으로 사용되고 있다. 본 연구는 기관지 세척액의 Thin-Prep$^{(R)}$검사와 기존의 세포검사의 진단율을 비교하여 ThinPrep$^{(R)}$검사의 유용성에 대해 알아보고자 시행하였다. 방 법: 2002년 1월부터 2006년 12월까지 기관지 내시경 검사를 시행한 1,116명의 환자 중 암세포에 대한 검사가 필요하다고 판단되었던 790명의 기관지 세척액 검체를 대상으로 세척액을 양분하여 기존의 세포 검사와 ThinPrep$^{(R)}$ 검사를 시행하였다. 결 과: 대상환자는 남자 446명, 여자 344명이었고 평균나이는 58.3(${\pm}16.7$)세였으며, 이 중 197명이 기관지 내시경이나 경피적 폐생검 등의 표준진단방법을 통해 암을 진단 받았다. 암의 진단에 있어 ThinPrep$^{(R)}$ 검사는 민감도 71.1%, 특이도 98.0%, 양성 예측도 92.1%, 음성 예측도 91.1%, 위음성률 8.9%였다. 기존의 세포검사의 경우에는 민감도 57.9%, 특이도 98.0%, 양성 예측도 90.5%, 음성 예측도 87.5%, 위음성률 12.5%였다. 중심형 병변인 경우 ThinPrep$^{(R)}$의 민감도는 82.8%였고 세포검사의 민감도는 70.1%였다. 결 론: 기관지 세척액 검체를 대상으로 한 폐암의 진단에 있어서 ThinPrep$^{(R)}$검사는 기존 세포검사에 비해 민감도가 높았으며 낮은 위음성률을 보였다. 이와같은 결과는 폐암의 조직학적 분류와 상관 없이 나타났고, 특히 중심형 병변일 경우의 민감도는 ThinPrep$^{(R)}$ 검사법에서 매우 높게 나타났다. 따라서 기관지 세척액 검사에서 ThinPrep$^{(R)}$을 활용할 경우 폐암의 진단율을 높이는데 기여할 수 있을 것으로 생각된다.

뇌성마비(Cerebral palsy) 소아의 재활치료와 재활과 침치료의 병행치료를 비교한 체계적 문헌 고찰 (The Effect of Acupuncture combined with Conventional Rehabilitation Treatment for Cerebral palsy: A Systematic review of Randomized Controlled Trials(RCTs))

  • 장석주;성은학;김장현;민상연
    • 대한한방소아과학회지
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    • 제34권3호
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    • pp.81-96
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    • 2020
  • Objectives This study aims to evaluate the effect of acupuncture combined with rehabilitation treatment for cerebral palsy in children. Methods 7 electro-database (PubMed, CENTRAL, CNKI, DBpia, KISS, OASIS, KJTK) were searched for using the keywords "cerebral palsy AND acupuncture" which study is designed in randomized controlled trials (RCTs). Results 10 out of 303 studies were included in analysis after screened. Acupuncture combined with rehabilitation treatment had a significant effect on motor function. Only 1 study reported minor adverse effects. Conclusions All of the studies have shown acupuncture combined with conventional rehabilitation treatment was effective in cerebral palsy. Additional well-designed studies are needed to justify the effectiveness of acupuncture in cerebral palsy.

한양방 동시치료로 호전된 추정 보그트-고야나기-하라다병 증례 (A case report for probable Vogt-Koyanagi-Harada Disease improved by Korean-Western Medicine Treatment)

  • 양준형;홍승욱
    • 한방안이비인후피부과학회지
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    • 제27권2호
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    • pp.89-100
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    • 2014
  • Vogt-Koyanagi-Harada(VKH) Disease is a bilateral granulomatous uveitis often associated with exudative retinal detachment and extraocular manifestations, such as pleocytosis in the cerebrospinal fluid and, in some case, vitiligo, poliosis, alopecia, and dysacusis. There has been no previous report for the disease in the field of Korean traditional medicine. The case was treated with conventional medical intervention and Korean traditional treatment including acupuncture and herbal medicine. The case was discharged with improvement in fundus photography and optical coherence tomography. The authors report the case to suggest that Korean medical approach combined with conventional treatment can be helpful for the disease.

Effectiveness of Acupuncture and Acupotomy for Trigger Finger: A Systematic Review and Meta-Analysis

  • Hae-Won Hong;Myung-In Jeong;Hyun-Il Jo;Sun-Ho Lee;Ka-Hyun Kim;Sung-Won Choi;Jae-Won Park;Ji-Su Ha
    • Journal of Acupuncture Research
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    • 제40권2호
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    • pp.111-128
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    • 2023
  • Trigger finger is a common cause of hand disability that results in finger catching, clicking, or locking. Conventional treatment options such as medication, injection, and surgery have limitations. Studies have indicated that acupuncture and acupotomy can be effective in treating trigger finger. However, no review regarding these treatment modalities has been published yet. This review included randomized controlled trials published until January 2023, investigating acupuncture-related interventions. The primary outcomes of interest included the effectiveness rate (ER) and pain intensity, measured using a visual analog scale (VAS) and Numerical Rating Scale (NRS), and secondary outcomes were the Quinnell grade (QG) and recurrence rate (RR). Adverse events (AEs) have also been reported wherever available. Overall, 19 studies were included, and results demonstrated that arcedge acupuncture improved the ER and QG and reduced NRS, and acupuncture was effective in reducing VAS. Compared with conventional surgery, acupotomy alone improved the ER and QG and lowered VAS and RR, with relatively fewer AEs. Acupotomy add-on treatment was more effective than conventional treatment; however, careful interpretation is needed for VAS. Acupotomy add-on treatment was more effective than acupotomy alone. However, the overall results must be interpreted with caution because of study quality, small sample size, and heterogeneity of the results.