• 제목/요약/키워드: Manipulation therapy

검색결과 193건 처리시간 0.025초

염증성 치은에 대한 Nd:YAG laser 조사효과에 관한 임상적 연구 (A clinical study of the effect of Nd:YAG laser irradiation on inflamed gingiva)

  • 조형수;김현섭;임기정;김병옥;한경윤
    • Journal of Periodontal and Implant Science
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    • 제26권2호
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    • pp.531-541
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    • 1996
  • Periodontal disease is characterized by destruction of supporting tissues caused by invasion of plaque bacteria and defense mechanism of host. Many dentists are very interested in laser therapy on various intraoral soft tissue lesions including inflammatory periodontal pocket. In order to determine the therapeutic effect of intrapocket irradiation of a pulsed- Nd : YAG laser on the inflammatory periodontal pockets, bilateral 60 teeth with 4-6mm in probing pocket depth and gingival inflammation were selected and evaluated by sulcus bleeding index(SBI), and plaque index(pI) for baseline record. Intrapocket irradiation($300{\mu}m$ fiber optic, I.5W power, for 2 min.) of a pulsed-Nd : YAG laser(EL.EN.EN060, Italy) was applied on half of them. As the control group, the same procedure except power-off was repeated on the contralateral 30 teeth. At 1-, 2-, 3-, and 4-week after intrapocket manipulation, every tooth was reevaluated by the same clinical indices. And the difference between the lased group and control group was statistically analyzed by paired t-test and Chi-square test in Microstat program. Following results were obtained: 1. Until I-week and 2-week after intrapocket manipulation, SBI was lowered in both lased group and control group, compared to baseline SBI, but from 3-week after, the recovering tendency toward baseline was noted, and at only 2-week after, the number of teeth showing lowered SBI was significantly more in lased group than in control group(p<0.05). 2. PI of both lased group and control group was lowered through whole experimental period from I-week to 4-week after, compared to baseline PI(p<0.05), but there was no significant difference between lased group and control group(p>0.1). The results suggest that intrapocket irradiation of a pulsed-Nd:YAG laser may lead somewhat remission of gingival inflammation, but for more favorable therapeutic result the thorough root planing should be necessarily accompanied with gingival curettage.

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Pathogenesis of Hantaan Virus Infection in Suckling Mice -Clinical, Virologic and Serologic Observations-

  • Kim, Gum-Ryong;Mckee, Jr, Kelly T.;Lee, Ho-Wang
    • 대한미생물학회지
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    • 제20권1호
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    • pp.115-125
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    • 1985
  • Hemorrhagic fever with renal syndrome (HFRS) is a debilitating disease of humans caused by Hantaan virus (HV), the prototype member of a newly proposed genus of Bunyaviridae. Studies of HV pathogenesis have been limited by the absence of a well defined model for a virus-induced disease state. In an attempt to devise a model for HV pathogenesis in laboratory rodents, newborn outbred suckling ICR mice were shown to be uniformly susceptible to lethal infection with non- mouse adapted HV by intracerebral (IC), intraperitoneal (IP), intramuscular (IM), and subcutaneous (SC) inoculation routes. Clinical coures, mean time to death, and fatal outcome were age-dependent. With an inoculum of 10 $LD_{50}$, mortality was 100% in mice infected within 72h of birth, but declined to 50% by 7 days. By 2-2.5 weeks, animals developed complete resistance to clinical disease. Virus was consistently detected in serum by day 6 post-infection in IC- and IP- inoculated animals, and reached peak levels of $10^5\;PFU/ml$ by day 8 Mice infected IM and SC showed delays in onset of viremia, but achieved similar titers. Immunofluorescent antibody appeared by 17-18 days, and neutralizing antibody by 15 days, in all experimental groups. Two of 8 inbred mouse strains were identified as resistant to clinical disease : SJL/J and A/J. Manipulation of this model will allow investigation of natural rodent pathogenesis with HV, as well as offer insight into disease mechanisms and therapy of HFRS.

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치위생학과 학생들의 구강 내와 마네킹에서 기구 조작시 근골격계 통증과 불편감 (The Musculoskeletal Pain and Inconvenient Feeling During Hand Instruments with Mannequin and Intra-oral Cavity in Dental Hygiene Students)

  • 유자혜;노효련;이민영
    • 대한물리의학회지
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    • 제3권4호
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    • pp.247-254
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    • 2008
  • Purpose : The purpose of this study was to analyze some factors that can cause incidence of the muscle and skeletal system trouble, by which Dental Hygiene Students examine the pain and the inconvenient feeling according to kinds in manual implements and the usability in the level of manipulating and maintaining the manual implement, in the actual training of the intra oral cavity along with mannequin given the scaling practice. Methods : Targeting 18 female juniors for the department of dental hygiene, who had directly practiced oral prophylaxis for 2 years, the questionnaire research was carried out right after the mutual practice in the intra oral cavity along with mannequin. Results : It was indicated that there is no big difficulty both in intra oral cavity and mannequin in terms of manipulating implement with a method of maintaining the rightly hand fixing or of grasping the trans formative pencil and of controlling force given manipulating the implement. How to grasp a trans formative pencil was indicated to be more difficult in the intra-oral manipulation(p<.05). Pain and inconvenient-feeling level, which occur in muscle and skeletal system during practicing the scaling in mannequin, were indicated to be in order of shoulder, wrist, neck, waist, elbow, and headache. Conclusion : There was no big difference in the pain and the inconvenient feeling in muscle and skeletal system according to mannequin and intra-oral environment given manipulating tile manual implement. However, there was difference in manipulating the implement with a method of grasping transformative pencil. The pain and inconvenient feeling in muscle and skeletal system were the highest both in shoulder and wrist.

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청소년기의 경계선 인격장애 (BORDERLINE PERSONALITY DISOREDER IN ADOLESCENTS)

  • 장경준;정제연
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제6권1호
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    • pp.34-42
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    • 1995
  • 청소년기의 경계선 인격장애는 충동조절의 결여, 타인에 대한 평가절하와 자신보다는 대상에 대하여 만족감을 얻으려는 욕구, 분리 방어기제를 특징으로 하는 인격장애로서 성인의 경계선 인격장애와 비슷한 양상으로 나타난다. 청소년기의 경계선 인격장애의 주요한 증상은 우울, 불안, 정체성 위기와 이러한 정체성 위기로 인한 반사회적인 행동을 흔히 볼 수 있다. 따라서 이들 증상들과 정상 청소년들이 보일 수 있는 질풍노도의 양상과 구별이 힘든 경우가 있다. 경계선 인격장애에서는 대상관계의 불안정, 정동의 불안정, 분리 등 미숙한 방어기제로 인해서 심한 스트레스하에서 정신병적 삽화가 나타날 수 있으며, 이로인해 정신분열증, 정동장애, 분열형 인격장애, 편집형 인격장애등과 감별진단이 필요하다. 청소년기 경계선 인격장애의 원인으로는 정신역동적 요소, 유전적 요인을 포함한 생물학적 요소, 가족역동적인 요소등을 복합적으로 고려해야 한다. 치료는 개인정신치료, 그룹치료, 가족치료, 약물치료 등이 있다. 소아 청소년기 경계선 인격장애가 성인기 경계선 인격장애로 될 것인가에 대해서는 논란이 되고 있다.

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침자(鍼刺)한 경혈(經穴) 부위(部位)의 조직학적 변화(組織學的 變化) (Histological Changes of the Acupoint by Acupuncture Stimulation)

  • 김정상;박민희;조광필;정해만
    • Applied Microscopy
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    • 제30권1호
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    • pp.81-87
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    • 2000
  • 침자시 해당부위에서 발현되는 특수한 수용체에 대한 반응을 형태학적으로 연구하고자 흰쥐의 족삼리(足三里) 부위에 침자를 한 다음 경혈부위 조직내의 비만세포의 변화와 침자주변 세포의 미세구조 변화를 관찰하였다. 침자시 형성된 진피층의 동공주변에서는 비만세포들이 정상군에 비하여 유의성있는 종가(p<0.01)를 하였다. 비만세포의 세포질에는 전자밀도와 형태가 다른 과립들이 충만되어 있었을 뿐만 아니라 세포질 밖으로 분비된 과립들도 관찰할 수 있었다. 침자 결과 형성된 골격근육층의 근섬유들은 근원섬유 마디의 밝은띠가 정상군에 비하여 않게 관찰되는 것으로 보아 침자시 자극에 의하여 근육섬유들이 수축하였음이 밝혀졌다. 이상의 결과로 보아 침자에 의하여 유도되는 유효한 생체반응은 진피층에서 관찰되는 비만세포의 수와 미세구적인 변화는 침자에 의한 경혈기능과 밀접한 상관관계를 가지고 있을 것으로 사료되며, 또한 근섬유를 수축시키는 형태학적 변화가 유도되는 것으로 보아, 경혈 부위는 기계적 자극에 반응하는 특수한 수용체와 밀접한 관련이 있는 것으로 사료된다.

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Loss of hsp70.1 Decreases Functional Motor Recovery after Spinal Cord Injury in Mice

  • Kim, Hyun-Jeong;Jung, Ji-In;Kim, Young-Kyung;Lee, Jae-Seon;Yoon, Young-Wook;Kim, June-Sun
    • The Korean Journal of Physiology and Pharmacology
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    • 제14권3호
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    • pp.157-161
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    • 2010
  • Heat shock proteins (HSPs) are specifically induced by various forms of stress. Hsp70.1, a member of the hsp70 family is known to play an important role in cytoprotection from stressful insults. However, the functional role of Hsp70 in motor function after spinal cord injury (SCI) is still unclear. To study the role of hsp70.1 in motor recovery following SCI, we assessed locomotor function in hsp70.1 knockout (KO) mice and their wild-type (WT) mice via the Basso, Beattie and Bresnahan (BBB) locomotor rating scale, before and after spinal hemisection at T13 level. We also examined lesion size in the spinal cord using Luxol fast blue/cresyl violet staining. One day after injury, KO and WT mice showed no significant difference in the motor function due to complete paralysis following spinal hemisection. However, when it compared to WT mice, KO mice had significantly delayed and decreased functional outcomes from 4 days up to 21 days after SCI. KO mice also showed significantly greater lesion size in the spinal cord than WT mice showed at 21 days after spinal hemisection. These results suggest that Hsp70 has a protective effect against traumatic SCI and the manipulation of the hsp70.1 gene may help improve the recovery of motor function, thereby enhancing neuroprotection after SCI.

추나(推拿) 관련 논문에 대한 연구 (The Study on theses of Chuna (推拿))

  • 김민균;허동석;오민석;윤일지
    • 척추신경추나의학회지
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    • 제2권1호
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    • pp.127-152
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    • 2007
  • Objectives : To research the trend of the study related to Chuna(推拿) and to establish the direction of further studies into the Chuna(推拿). Methods : We reviewed and analyzed all theses published by Korean research institution. And these theses were classified by research institutions, published year, field of study, subject, research methods, thesis types, illness and symptoms. Results : The following results were obtained in this study. 1. Classified by the major field of study, oriental medicine accounted for 59 papers, followed by 18 in physical education and 2 in the science of nursing and medicine. 2. Upon classifying theses according to research method and thesis types, research related to clinical trial accounted for nearly half of all theses. It was followed by consideration of documents. 3. After 1998 deals with the effects of the Chuna on variable illnesses such as: ossified posterior longitudinal ligament, chronic coccyalgia, entrapment neuropathy, low birth weight infant, Bell's palsy, stress incontinence, paramenia, Parkinson disease, Bertolloti syndrom, TMJ (because of scoliosis) etc. 4. Two most widely cured illnesses using the Chuna therapy are scoliosis and HNP of L-spine. However, when considering the fact that several clinical tests and casuistics did not include research into Lumbago (including HNP of L-spine), it can be concluded that most of the Chuna therapies have been concentrated on Lumbago. Conclusion : As it can be seen in the above results, the possibility of curing illness through Chuna and the usefulness of Chuna have been shown factually and clinically through various consideration of documents, clinical trial & casuistics. Based upon such facts, it is regarded that further scientific research along with additional clinical approaches involving the Chuna should be performed.

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Multiple Effects of a Novel Epothilone Analog on Cellular Processes and Signaling Pathways Regulated by Rac1 GTPase in the Human Breast Cancer Cells

  • Zhang, Hong;An, Fan;Tang, Li;Qiu, Rongguo
    • The Korean Journal of Physiology and Pharmacology
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    • 제18권2호
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    • pp.109-120
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    • 2014
  • The epothilones are a class of microtubule inhibitors that exhibit a strong antitumor activity. UTD2 is a novel epothilone analog generated by genetic manipulation of the polyketide biosynthetic gene cluster. This study investigated the effects of UTD2 on the actin cytoskeleton and its critical regulators, and the signaling pathways which are essential for cell motility, growth and survival in MCF-7 breast cancer cells. Results showed that UTD2 inhibited the cellular functions of actin cytoskeleton, such as wound-closure, migration and invasion, as well as adhesion. Our study further demonstrated that UTD2 suppressed Rac1 GTPase activation and reduced the activity of PAK1, which is a downstream effector of Rac1, while the activity of Cdc42 was not affected. Additionally, the phosphorylation of p38 and ERK were significantly inhibited, but the phosphorylation of JNK remained the same after UTD2 treatment. Moreover, UTD2 inhibited the activity and mRNA expression of MMP-2, which plays a key role in cell motility. UTD2 also reduced the phosphorylation of Akt, which is an important signaling kinase regulating the cell survival through Rac1. Furthermore, UTD2 interrupted the synergy between Rac1 and Raf in focus formation assays. Taken together, these results indicated that UTD2 exerted multiple effects on the actin cytoskeleton and signaling pathways associated with Rac1. This study provided novel insights into the molecular mechanism of the antineoplastic and antimetastatic activities of epothilones. Our findings also suggest that the signaling pathways regulated by Rac1 may be evaluated as biomarkers for the response to therapy in clinical trials of epothilones.

재조합 인체 혈소판 성장인자(rh PDGF)를 이용한 만성 창상의 치료 (Chronic Wound Treatment Using rh PDGF)

  • 정웅기;유대현;박병윤
    • Archives of Reconstructive Microsurgery
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    • 제11권2호
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    • pp.173-178
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    • 2002
  • Wound healing is the result of interaction of normal cellular and biochemical responses that restore the interrupted anatomical structure in limited period. When any response of them is impaired, it results in chronic wound. The factors that influence the wound healing process is not only limited to the fundamental disease of the individual but also the local factors, especially various growth factors secreted from the various cells involved in tissue regeneration have important role. Recent reports that the chronic wounds are depleted of these growth factors have led active studies on the alteration of local wound environment with manipulation of the growth factors and the its application in management of chronic wounds. We investigated the effect on the chronic wounds in 10 patients with various pathologic conditions to suggest the appropriate application and guideline of the indication. The chronic wounds resulting from various causes in 10 patients were treated with rhPDGF gel and good wound care. All the chronic wounds were located on the lower extremity and the average diameter was 2.5 cm. 7 patients were completely cured within 8 weeks, however the patient who received previous radiation therapy the healing was delayed to 14 weeks. Two patients with vascular ulcer were not cured with rhPDGF alone. Local application of rhPDGF has yielded complete cure of the chronic wound in 70% of the patients within 2 months. The author suggests that it would be an effective alternative treatment modality of chronic wound when it is applied with good wound care and appropriate indication.

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수근관 증후군의 최근 6년간의 연구 동향 분석: China National Knowledge Ingrastructure (CNKI) 보고 연구를 중심으로 (A Narrative Review of Carpal Tunnel Syndrome in Traditional Chinese Medicine: Using China National Knowledge Infrastructure Database)

  • 전현아;신원빈;임수연;문영주;이지연;구승혁;김성현;문현우
    • 한방재활의학과학회지
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    • 제30권4호
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    • pp.119-132
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    • 2020
  • Objective The purpose of this study was to investigate clinical studies between 2015 and 2020 on the traditional Chinese medicine treatment for carpal tunnel syndrome (CTS) using the China National Knowledge Infrastructure (CNKI) database. Methods We searched clinical studies on the Chinese medicine treatment published in traditional Chinese medical journals on CTS through the CNKI search. Fifteen published studies between 2015 and 2020 were chosen and examined for the year of publication, sample size, study design type, diagnosis and evaluation of diverse criteria, treatment period, purpose of the study, and classification based on the treatment technique. Results Out of 73 studies, 15 had practiced various Chinese medical treatments, such as acupuncture, moxibustion, manipulation, herbal medicine application therapy, and external herbal treatment. Conclusions Various studies have investigated the Chinese medicine treatment for CTS in China. To envelope the treatment of CTS in Korean medicine, steady and valuable therapies for high-level clinical research are required. In the future, this study could be helpful in the development of the treatment of CTS with Korean medicine.