• Title/Summary/Keyword: Medical Stimulator

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Pulsed Electromagnetic Field Stimulators Efficacy for Noninvasive Bone Growth in Spine Surgery

  • Fiani, Brian;Kondilis, Athanasios;Runnels, Juliana;Rippe, Preston;Davati, Cyrus
    • Journal of Korean Neurosurgical Society
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    • v.64 no.4
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    • pp.486-494
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    • 2021
  • The growth of pulsed electromagnetic field (PEMF) therapy and its progress over the years for use in post-operative bone growth has been revolutionary in its effect on bone tissue proliferation and vascular flow. However, further progress in PEMF therapy has been difficult due to lack of more evidence-based understanding of its mechanism of action. Our objective was to review the current understanding of bone growth physiology, the mechanism of PEMF therapy action along with its application in spinal surgery and associated outcomes. The authors of this review examined multiple controlled, comparative, and cohort studies to compare fusion rates of patients undergoing PEMF stimulation. Examining spinal fusion rates, a rounded comparison of post-fusion outcomes with and without bone stimulator was performed. Results showed that postoperative spinal surgery PEMF stimulation had higher rates of fusion than control groups. Though PEMF therapy was proven more effective, multiple factors contributed to difficulty in patient compliance for use. Extended timeframe of treatment and cost of treatment were the main obstacles to full compliance. This review showed that PEMF therapy presented an increased rate of recovery in patients, supporting the use of these devices as an effective post-surgical aid. Given the recent advances in the development of PEMF devices, affordability and access will be much easier suited to the patient population, allowing for more readily available treatment options.

Design and Development of Motor Nerve Conduction Velocity Measuring Device Based on Microprocessor (마이크로 컴퓨터를 이용한 운동신경전도속도 측정기의 설계와 제작에 관한 연구)

  • 김태욱
    • Journal of Biomedical Engineering Research
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    • v.10 no.3
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    • pp.361-364
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    • 1989
  • A PC-based motor nerve conduction velocity measuring system was designed and constructed. The system was composed with an EMG preamplifier, a stimulator, an Apple II plus microcomputer and an 8 bit AD converter. The system was primariliy intended to screen motor nerve difficulties of industrial workers. This system can acquire, store and display the waveforms of evoked potentials. The PC-based system is expected to increase the versatility and applicability as well as to reduce the system cost.

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The Study on Electromagnetic Stimulator for Healing of Ununited Fracture (비접합성 골절의 치료를 위한 전지가지 자극기에 관한 연구)

  • Gun-Ki Lee;Han
    • Journal of Biomedical Engineering Research
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    • v.5 no.2
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    • pp.143-148
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    • 1984
  • 비접합성 골절의 치료를 위한 전기적인 방법으로는 관혈적이 방법, 부분적으로 관혈적인 방법, 비관혈적인 방법 들이 있는데, 비관혈적인 방식은 다른 방법들과는 달리 수술 등 외과적 처기 등이 필요하지 않을뿐더러 환자에게도 가장 안전한 방식이다. 본 논문에서는 유도 결합 현상을 이용한 반관혈적인 전기 자기 자극기를 설계, 제작하였으며, 임상 실험 겨과 좋은 결과를 보이고 있다.

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Treatment of an Atrophic Scar with Fractional Carbon Dioxide Laser-assisted Poly-L-lactic Acid Delivery

  • Kim, Wan Jin;Jung, Ha Rin;Lee, Sang Ju;Cho, Han Kyoung
    • Medical Lasers
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    • v.10 no.3
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    • pp.181-184
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    • 2021
  • Scars can cause great psychological stress among patients. Currently, there are numerous topical agents, laser and surgical treatments available for skin rejuvenation and scar minimization. Laser-assisted drug delivery (LADD) is a treatment method that increases drug delivery by stimulating the skin physically and chemically to enhance the penetration of topical agents. This is one of the areas of great interest in the treatment of various skin diseases in addition to its use for cosmetic purposes. In particular, LADD is relatively non-invasive and has advantages in terms of accessibility and stability. Poly-L-lactic acid (PLLA) is a collagen stimulator known to gradually restore skin volume by inducing inflammation and fibroplasia. Herein, we report a case of treatment of an atrophic scar with fractional carbon dioxide laser-assisted PLLA delivery.

The effects of Breif, Intense Transecutaneous Electrical Nerve Stimulation on Nerve conduction, Pain Threshold in Healthy subjects (Brief, Intense TENS 자극이 신경전도, 통증역치의 변화에 미치는 효과)

  • Kim Tae-Youl;Hwang Tae-Yeun;Huh Choon-Bok
    • The Journal of Korean Physical Therapy
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    • v.6 no.1
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    • pp.171-183
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    • 1994
  • Purphose. This present study examines the effect of brief, intense transcutaneous electrical nerve stimulation(BTENS) on sensory nerve conduction, electrical pain threshold, and two-point discrimination measured at the superficial radial nevre distribution in 20 healthy subjects. Subjects. Twenty volunteercs, (10 females and 10 males(age range : 20-38 years : $mean{\pm}SD\;:\;27.00{\pm}5.12$), only subjects without prior traumatological and pathological were eligible to participated in this study. Methods. Nerve conduction were determined for the right superficial radial nerve. Electrical pain threshold were determined for the right wrist ipsilateral to the site of BTENS. Small disc electrodes were attached to the surface of the skin stradding the end of the radius. Square wave electrical pulses were delivered from an isolated stimulator through a constant current device at a frequency of 2 Hz(5 ms pulse width). Two-point discrimination, measured on the sensory distribution of superficial radial nerve. BTENS was delivered using a Max-SD( Medical design co.) portable battery powered stimulator. A cicular Ag/AgCl electrode in contact with hypertonic saline gel was attached to the lateral(radial side) surface of the forearm. Results. No significant effects were observed between stimulation methods in the prestimulation cycle(multi-way ANOVA repeated measures : distal latency ; F1.14=0.332. amplitude ; F 0.80=0.445, pain threshold ; F0.06=0.940.2 point discrimination ; F1.50=0.236). Highly significant effects were observed time with the pretreatment and 6 posttreatment cycles(p<0.01). Mighty significants differences in nerve conduction and pain threshold were found using un multi-way ANOVA repeated measures among stimulation methods for each cycles(p<0.01). Conclusion and Discussion The authors concludes that both nerve conduction and pain threshold changes are associated with therapy (stimulation) level of BTENS.

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Dietary Supplementation of Mushroom Water Suppresses Fat Accumulation in High Fat Diet Induced-Obese Female Mice and Enhances Immune Cell Development in Non-Obese Mice

  • Bing, So Jin;Ho, Manh Tin;Sophors, Phorl;Park, Sanggyu;Yun, Young Min;Jee, Youngheun;Cho, Moonjae
    • Journal of Applied Biological Chemistry
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    • v.58 no.1
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    • pp.75-79
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    • 2015
  • Extracted mushroom water showed an ability to suppress the accumulation of body fat in female mice after feeding 5 weeks with high fat diet. Particularly, in parametrial and mesenteric adipose, it significantly reduced 44 and 47% of weight, respectively. In non-obese mice, maturated NK cell ($CD11b^{hi}CD27^{lo}$) population were increased ($70.9{\pm}3.8%$) in mushroom water fed mice compared to control ($61.4{\pm}4.3%$) and NK cell population were augmented in mushroom fed mice compared to control.

Co-stimulation of TLR4 and Dectin-1 Induces the Production of Inflammatory Cytokines but not TGF-${\beta}$ for Th17 Cell Differentiation

  • Chang, JiHoon;Kim, Byeong Mo;Chang, Cheong-Hee
    • IMMUNE NETWORK
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    • v.14 no.1
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    • pp.30-37
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    • 2014
  • Collaboration of TLR and non-TLR pathways in innate immune cells, which acts in concert for the induction of inflammatory cytokines, can mount a specific adaptive immune response tailored to a pathogen. Here, we show that murine DC produced increased IL-23 and IL-6 when they were treated with LPS together with curdlan that activates TLR4 and dectin-1, respectively. We also found that the induction of the inflammatory cytokine production by LPS and curdlan requires activation of IKK. However, the same treatment did not induce DC to produce a sufficient amount of TGF-${\beta}$. As a result, the conditioned media from DC treated with LPS and curdlan was not able to direct $CD4^+$ T cells to Th17 cells. Addition of TGF-${\beta}$ but not IL-6 or IL-$1{\beta}$ was able to promote IL-17 production from $CD4^+$ T cells. Our results showed that although signaling mediated by LPS together with curdlan is a potent stimulator of DC to secrete many pro-inflammatory cytokines, TGF-${\beta}$ production is a limiting factor for promoting Th17 immunity.

Development of Micro-needle Device for Direct Drug Delivery into the Dermis (직접약물전달형 마이크로니들 장치)

  • Eum, Nyeon-Sik;Kim, Hyung-Kyung;Han, Jung Hyun;Kim, Su-Jeong;Park, Hee-Joon;Kang, Shin-Won
    • Journal of Biomedical Engineering Research
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    • v.33 no.4
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    • pp.202-206
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    • 2012
  • In this study, we developed transdermal direct drug delivery device using micro-needle painlessly. We has fabricated micro-needle that is 130 ${\mu}m$ thickness and 250 ${\mu}m$length with 10 ${\mu}m$ spiral groove for rolling down drug. Head part of micro-needle device is composed of 20ea micro-needles, an on-off valve and a protective cap. Glass bottle for containing drug is connected to head part of micro-needle device. We examined the puncture characteristic testing using porcine skin and drug delivery testing using porcine, rat skin with Indian Ink.

Evaluation of Clinical Usefulness of Radio-Frequency Power Limitation in Brain MRI of Patients with Deep Brain Stimulation (뇌심부자극술 시술환자의 뇌 자기공명영상에서 고주파 출력의 제한기준에 대한 임상적 유용성 평가)

  • Yeon, Kyoo-Jin;Chang, Young-Ae;Lee, Seung-Keun;Lee, Tae-Soo
    • Journal of Radiation Industry
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    • v.11 no.3
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    • pp.139-144
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    • 2017
  • To evaluation of clinical usefulness for B1+RMS limits, we compared image quality of Routine, Specific absorption rate (SAR) and Root mean square (RMS) protocol. 5 volunteers underwent Magnetic Resonance Imaging (MRI) scan of the brain using three different protocols. We draw Region of interest ROI in cortex, white matter, gray matter, putamen and thalamus of axial plan. Signal to noise ratio (SNR) were evaluated in each area and Contrast to noise ration (CNR) were evaluated between white matter and gray matter. Qualitative evaluation was used to score each ROI. B1+RMS is confirmed its usefulness compared to conventional SAR standard on the aspect of improvement of image quality, reduction of scan time and easy adjusting parameter.

Expression, Purification, and Characterization of C-Terminal Amidated Glucagon in Streptomyces lividans

  • Qi, Xiaoqiang;Jiang, Rong;Yao, Cheng;Zhang, Ren;Li, Yuan
    • Journal of Microbiology and Biotechnology
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    • v.18 no.6
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    • pp.1076-1080
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    • 2008
  • Glucagon, a peptide hormone produced by alpha-cells of Langerhans islets, is a physiological antagonist of insulin and stimulator of its secretion. In order to improve its bioactivity, we modified its structure at the C-terminus by amidation catalyzed by a recombinant amidase in bacterial cells. The human gene coding for glucagon-gly was PCR amplified using three overlapping primers and cloned together with a rat ${\alpha}$-amidase gene in plasmid pMGA. Both genes were expressed under control of the strong constitutive promoter of aph and secretion signal melC1 in Streptomyces lividans. With Phenyl-Sepharose 6 FF, Q-Sepharose FF, SP-Sepharose FF chromatographies and HPLC, the peptide was purified to about 93.4% purity. The molecular mass of the peptide is 3.494 kDa as analyzed by MALDI TOF, which agrees with the theoretical mass value of the C-terminal amidated glucagon. The N-terminal sequence of the peptide was also determined, confirming its identity with human glucagon at the N-terminal part. ELISA showed that the purified peptide amide is bioactive in reacting with glucagon antibodies.