• Title/Summary/Keyword: Medical Capability

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Roles of Mesenchymal Stem Cells in Tissue Regeneration and Immunomodulation

  • Ayala-Cuellar, Ana Patricia;Kang, Ji-Houn;Jeung, Eui-Bae;Choi, Kyung-Chul
    • Biomolecules & Therapeutics
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    • v.27 no.1
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    • pp.25-33
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    • 2019
  • Mesenchymal stem cells are classified as multipotent stem cells, due to their capability to transdifferentiate into various lineages that develop from mesoderm. Their popular appeal as cell-based therapy was initially based on the idea of their ability to restore tissue because of their differentiation potential in vitro; however, the lack of evidence of their differentiation to target cells in vivo led researchers to focus on their secreted trophic factors and their role as potential powerhouses on regulation of factors under different immunological environments and recover homeostasis. To date there are more than 800 clinical trials on humans related to MSCs as therapy, not to mention that in animals is actively being applied as therapeutic resource, though it has not been officially approved as one. But just as how results from clinical trials are important, so is to reveal the biological mechanisms involved on how these cells exert their healing properties to further enhance the application of MSCs on potential patients. In this review, we describe characteristics of MSCs, evaluate their benefits as tissue regenerative therapy and combination therapy, as well as their immunological properties, activation of MSCs that dictate their secreted factors, interactions with other immune cells, such as T cells and possible mechanisms and pathways involved in these interactions.

The Analysis and Strengthening Method of Export Competitive Power of Medical Device Industry - With Respect to Medical Device Industry in Gangwon Area (의료기기산업의 수출경쟁력 분석 및 강화방안 -강원지역 의료기기산업을 중심으로-)

  • Lee, Kang-Bin
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.45
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    • pp.191-238
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    • 2010
  • The purpose of this paper is to make research on the trend of the worldwide medical device market, the trend of the medical device market in the major foreign countries, the present status of the medical device industry in Korea and Gangwon area, the present status of export competitive power and the SWOT analysis of competitive power of the medical device industry in Gangwon area, and the strengthening methods of export competitive power of the medical device industry in Gangwon area. As the research method, the questionaire for the strengthening of export competitive power of the medical device industry in Gangwon area was carried out from August 13 to Otober 22, 2009. The worldwide medical device market in 2008 is estimated at USD 210.2 billion, with the United States being the largest market, followed closely by Japan and Western Europe. In 2006, the worldwide export amount of medical devices recorded USD 121.1 billion and the worldwide import amount of medical devices recorded USD 126.3 billion. As of the end of 2008, the number of Korea's medical device manufacturers expanded to 1,726. The production amount of Korea's medical device industry in 2008 recorded 2,525 billion won, and the domestic market volume of medical devices in 2008 recorded 3,618 billion won. Korea's export amount of medical devices in 2008 recorded USD 1,132 million and recorded a 9.67% growth compared to the previous year, and the import amount of medical devices recorded USD 2,123 million and recorded a 1.43% reduction compared to the previous year. As of the end of 2008, the number of Gangwon area's medical device manufacturers expanded to 81. The production amount of Gangwon area's medical industry in 2008 recorded 380 billion won, and Gangwon area's export amount of medical devices recorded USD 269 million and recorded a 0.25% reduction compared to the previous year, and the import amount of medical devices recorded USD 3 million and recorded a 39.63% reduction compared to the previous year. According to the result analysis of the questionaire for the strengthening of export competitive power of medical device industry in Gangwon area(August 13~October 22, 2009), the competing country of the export medical device is the United States being the highest ranking. Comparing to the collective competitive power level 100 of the competing country, the collective competitive level of the export medical device is 60 below and 70-80 below being the highest ranking. Comparing to the quality level 100 of the United States, EU and Japan, the quality level of the export medical device is 80-90 below being the highest ranking. Comparing to the design level 100 of the United States, EU and Japan, the design level of the export medical device is 90-100 below being the highest ranking. Comparing to the technology level 100 of the United States, EU and Japan, the technology level of the export medical device is 80-90 below being the highest ranking. According to the SWOT analysis of competitive power of medical device industry in Gangwon area, the strength is the abundant expert manpower of the medical device in Wonju area. The weakness is the fragility of the brand recognition of the medical device industry. The opportunity is the demand increase of the new medical device owing to the advanced age of population. The threat is the difficulty of entry into overseas market owing to the request of the new specification certification of the medical device. In order to strengthen the export competitive power of the medical device industry in Gangwon area, the following measures should be taken by the government, local self-government body, related organization and medical device industry : the development of new technology and design, the enhancement of brand recognition. the acquisition of the foreign specification certification, the building of overseas distribution channel and after sales service channel, the positive participation in overseas medical device exhibition and opening of medical device exhibition, the training of expert manpower, the strengthening of overseas marketing, and the application of FTA and the establishment of counter measures against FTA. In conclusion, the medical device industry in Gangwon area has the difficulty in the entry into the overseas market owing to the shortage of overseas marketing capability. Therefore, the government and local self-government body should make the intensive and systematical support for overseas marketing of the medical device industry. For the support of overseas marketing, the government and local self-government body should provide positively the support of expenses for the acquisition of foreign specification certification, the support of participation in the overseas medical device exhibition, the despatch of market development mission, the increase of the support amount for R&D investment fund, and the training of expert manpower of medical devices.

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Frog-inspired programmable nano-architectures for skin patches and medical applications

  • Kim, Da Wan;Baik, Sang Yul;Kim, Jungwoo;Kim, Ji Won;Pang, Changhyun
    • Proceedings of the Korean Vacuum Society Conference
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    • 2016.02a
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    • pp.366-366
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    • 2016
  • Nanoscale observation of attachment systems of animals has revealed various exquisite multiscale architectures for essential functions such as gecko's locomotion, beetles' wing fixation, octopuses' sucking and crawling. In particular, the hierarchical 3-dimensional hexanonal nano-architectures in the tree frog's adhesion is known to have the capability of the enhancement of adhesion forces on the wet or rough surfaces due to the conformal contacts against rough surfaces and water-drainable micro channels. Here, we report that tree frog-inspired patches using unique artificial 3-dimensional hexagonal structures can be exploited to form reversibly enhanced adhesion against various highly curved and rough surfaces in dry and wet condition. To investigate the adhesion effect of micro-channels, we changed the arrangement of microstructure and spacing gaps between micro-channels. In addition, we introduced the 3-dimensional hexagonal hierarchical architectures to artificial patches to enhance to conformal contacts on the various rough surfaces such as skin and organs. Using the robust adhesion properties, we demonstrated the self-drainable and comfortable skin-attachable devices which can measure EKG (electrokardiogramme) for in-vitro diagnostics. As a result, bio-inspired programmable nano-architectures can be applied in versatile devices such as, medical patches, skin-attachable electronics etc., which would shed light on future smart, directional and reversible adhesion systems.

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A Study on Major Factors of Psychological Ownership in a General Hospital (병원간호사의 심리적 주인의식 영향요인)

  • Park, Ok-Sim;Ryu, Ji-Hye;Bae, Sung-Kwon
    • The Korean Journal of Health Service Management
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    • v.10 no.3
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    • pp.39-50
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    • 2016
  • Objectives : The purpose of this study was to understand organizational justice, organizational citizenship behavior, and psychological ownerships, and to confirm whether education on the mission and vision of an organization encourages medical professionals to have an awareness of their organization. Methods : The survey was done with two groups of nurses : one group had education about the missions and visions of the hospital, and the other group had no education about their organization. This study was done at K University Hospital which is located in Busan, Korea. Results : Education about the missions and visions of a medical institution effectively enhances organizational justice, organizational citizenship behavior, and psychological ownerships. Conclusions : If education about the missions and visions of an organization is actively done, the members of that organization will have an increased level of awareness about their organization as well as improved organizational capability.

Control Simulation of Left Ventricular Assist Device using Artificial Neural Network (인공신경망을 이용한 좌심실보조장치의 제어 시뮬레이션)

  • Kim, Sang-Hyeon;Jeong, Seong-Taek;Kim, Hun-Mo
    • Journal of Biomedical Engineering Research
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    • v.19 no.1
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    • pp.39-46
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    • 1998
  • In this paper, we present a neural network identification and a control of highly complicated nonlinear left ventricular assist device(LVAD) system with a pneumatically driven mock circulation system. Generally, the LVAD system needs to compensate for nonlinearities. It is necessary to apply high performance control techniques. Fortunately, the neural network can be applied to control of a nonlinear dynamic system by learning capability. In this study, we identify the LVAD system with neural network identification(NNI). Once the NNI has learned the dynamic model of the LVAD system, the other network, called neural network controller(NNC), is designed for a control of the LVAD system. The ability and effectiveness of identifying and controlling the LVAD system using the proposed algorithm will be demonstrated by computer simulation.

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Use Analysis and Evaluation of MEDLIS(MEDical Library Information System) Document Delivery Service (의학학술지종합정보시스템(MEDLIS)의 원문제공서비스 이용 분석과 평가)

  • Chang, Hye-Rhan;Kim, Jeong-A
    • Journal of the Korean Society for Library and Information Science
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    • v.46 no.3
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    • pp.233-250
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    • 2012
  • The purpose of this study is to assess the development, current states, and problems of MEDLIS document delivery service. With the analysis of MEDLIS transaction data from 2001 to 2011, we identified continuous usage decrease, unbalanced contribution by type of institution, high dependence on back issues, use differences among subfields of medicine, relatively low success rate, and various reasons for failure. Based on the results, recommendations for the maintenance of union catalog database, technical support for search capability enhancements, establishment of back issue archiving policy, user training and publicity, and membership expansion are suggested to promote the service.

Task Performance and Analysis of Organ Transplantation Coordinators in Korea (장기이식 코디네이터의 직무분석)

  • Kim, Hyung Sook;Yoo, Yang Sook;Cho, Ok Hee
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.2
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    • pp.246-255
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    • 2014
  • Purpose: Along the process of organ transplantation, coordinators perform complex professional roles, playing as a key person among recipients, donors, family members and medical staffs. The purpose was to analyze the tasks of organ transplantation coordinators using DACUM method and to establish the basis for standardizing them in accordance with relevant laws and systems. Methods: Participants were consisted of 78 transplantation coordinators working at the medical centers in Korea. The questionnaire was administered to analyze the criticality, difficulty and frequency of task elements. Results: The job of organ transplantation was classified into five duties, 13 tasks, and 84 task elements. The five duties were recipient management, donor management, organ donation activation management, organ transplantation administration, and professional capability development. On the four-point scale: donor management was the duty with the highest criticality (3.68), organ donation activation management was the duty of highest difficulty (2.96), and recipient management was the duty of the highest frequency (3.32). Conclusion: This study will be useful for developing an educational program and as a reference of nurse practitioner qualifying examination. It is necessary to develop a comprehensive educational program for transplantation coordinators in order to support them to take their complex roles successfully.

Ginsan Enhances Humoral Antibody Response to Orally Delivered Antigen

  • Na, Hee Sam;Lim, You Jin;Yun, Yeon-Sook;Kweon, Mi Na;Lee, Hyun-Chul
    • IMMUNE NETWORK
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    • v.10 no.1
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    • pp.5-14
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    • 2010
  • Background: There have been several reports describing the capability of ginseng extracts as an adjuvant. In this study, we tested if ginsan, a polysaccharide extracted from Panax ginseng, was effective in enhancing antibody response to orally delivered Salmonella antigen. Methods: Ginsan was treated before oral salmonella antigen administration. Salmonella specific antibody was determined by ELISA. mRNA expression was determined by RT-PCR. Cell migration was determined by confocal microscopy and flow cytometry. COX expression was detected by western blot. Results: Ginsan treatment before oral Salmonella antigen delivery significantly increased both secretory and serum antibody production. Ginsan increased the expression of COX in the Peyer's patches. Various genes were screened and we found that CCL3 mRNA expression was increased in the Peyer's patch. Ginsan increased dendritic cells in the Peyer's patch and newly migrated dendritic cells were mostly found in the subepithelial dome region. When COX inhibitors were treated, the expression of CCL3 was reduced. COX inhibitor also antagonized both the migration of dendritic cells and the humoral immune response against oral Salmonella antigen. Conclusion: Ginsan effectively enhances the humoral immune response to orally delivered antigen, mediated by CCL3 via COX. Ginsan may serve as a potent vaccine suppliment for oral immunization.

Evaluation of the 256ch Flat Panel PS-PMT on Positioning Image Histogram for PET

  • Orita, Narimichi;Murayama, Hideo;Kawai, Hideyuki;Inadama, Naoko;Umehara, Takaya;Kasahara, Takehiro;Tsuda, Tomoaki
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.324-327
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    • 2002
  • For a next generation PET that realizes high sensitivity and high resolution, we proposed a design of a depth of interaction detector. A unit of the detector is constructed of four stages rectangular blocks of 2 by 2 Gd$_2$SiO$\sub$5/: Ce (GSO) crystal array optically coupled to position sensitive photomultiplier tube (PS-PMT). The 256ch flat panel PS-PMT is under development by Hamamatsu Photonics K.K., JAPAN. It has large cathode area, 51.7 by 51.7 mm$^2$, and the ratio of the effective area to external size is about 90%. The feature will contribute high packing fraction, accordingly high sensitivity. The 256 anodes are arranged in 16 by 16 at intervals of 3.0 mm. So as to evaluate the detector capability for identifying crystal of interaction, we got positioning image histograms with coupling a 16 by 5 array of GSO crystals, 2.9 by 2.9 by 7.5 mm$^3$, to the PS-PMT by irradiating a gamma ray uniformly from a point source. Flat panel PS-PMT is a new promising device for PET. We need to evaluate it if its performance is sufficiency. The performance was compared to the one with a 16ch PS-PMT.

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Automatic Multileaf Collimation Quality Assurance for IMRT using Electronic Portal Imaging

  • Jin, Ho-Sang;Jason W. Sohn;Suh, Tae-Suk
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.305-308
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    • 2002
  • More complex radiotherapy techniques using multi leaf collimation(MLC) such as intensity-modulated radiation therapy(IMRT) has been increasing the significance of verification of leaf position and motion. Due to the reliability and robustness, quality assurance(QA) of MLC is usually performed with portal films. However, the advantage of ease of use and capability of providing digital data of electronic portal imaging devices(EPIDs) have attracted many attentions as alternatives of films for routine quality assurance in spite of the concerns about their clinical feasibility, efficacy, and the cost to benefit ratio. In our work, the method of routine QA of MLC using electronic portal imaging(EPI) was developed. The verification of availability of EPI images for routine QA was performed by comparison with those of the portal films which were simultaneously obtained when radiation was delivered and known prescription input to MLC controller. Specially designed test patterns of dynamic MLC were applied to image acquisition. Quantitative off-line analysis using edge detection algorithm enhanced the verification procedure in addition to on-line qualitative visual assessment. In conclusion, the EPI is available enough for routine QA with the accuracy of portal films.

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