• 제목/요약/키워드: Nature of Medicine

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Strategic Application of Epigenetic Regulators for Efficient Neuronal Reprogramming of Human Fibroblasts

  • Gary Stanley Fernandes;Rishabh Deo Singh;Debojyoti De;Kyeong Kyu Kim
    • International Journal of Stem Cells
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    • 제16권2호
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    • pp.156-167
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    • 2023
  • Background and Objectives: Cellular reprogramming in regenerative medicine holds great promise for treating patients with neurological disorders. In this regard, small molecule-mediated cellular conversion has attracted special attention because of its ease of reproducibility, applicability, and fewer safety concerns. However, currently available protocols for the direct conversion of somatic cells to neurons are limited in clinical application due of their complex nature, lengthy process, and low conversion efficiency. Methods and Results: Here, we report a new protocol involving chemical-based direct conversion of human fibroblasts (HF) to matured neuron-like cells with a short duration and high conversion efficiency using temporal and strategic dual epigenetic regulation. In this protocol, epigenetic modulation by inhibition of histone deacetylase and bromodomain enabled to overcome "recalcitrant" nature of adult fibroblasts and shorten the duration of neuronal reprogramming. We further observed that an extended epigenetic regulation is necessary to maintain the induced neuronal program to generate a homogenous population of neuron-like cells. Conclusions: Therefore, our study provides a new protocol to produce neurons-like cells and highlights the need of proper epigenetic resetting to establish and maintain neuronal program in HF.

CLINICAL AND POPULATION EPIDEMIOLOGY: BEYOND SIBLING RIVALRY?

  • Naylor C. David;Basinski Antoni;Abrams Howard B.;Detsky Allan S.
    • 대한예방의학회:학술대회논문집
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    • 대한예방의학회 1994년도 교수 연수회(역학)
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    • pp.7-11
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    • 1994
  • Twenty years ago, the American Journal of Epidemiology published David Sackett's brief description of. clinical epidemiology and its practitioners [1]. This commentary was a useful focal point for an emerging discipline. By 1983, with clinical epidemiology already thriving in many academic medical centres, Walter Holland called into question both the term, 'clinical epidemiology', and the nature of the discipline [2]. More recently, clinical epidemiology has drawn strong criticism from John Last, a noted academician whose contributions include the editorship of the Maxcy-Rosenau Textbook of Public Health. Writing in the Journal of Public Health Policy in 1988 [3], Last referred to the 'uncritical enthusiasm' for clinical epidemiology in medical schools as 'a danger to health', and staked. a claim to the term 'epidemiology' as appropriate only to the description of what classical or population epidemiologists do. Faced with such views, practitioners and proponents of clinical epidemiology can respond in three ways. They can ignore the criticism, and go on about their business. They can reaffirm their differences and resort to defensive rhetoric. Or, the critique can become an opportunity for reflection about the nature of clinical epidemiology and its relations with sister disciplines in modem medical schools. The latter course is followed here by four physicians who-despite diverse backgrounds and interests-all consider their work to be in the field of clinical epidemiology.

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자하거(紫河車) 약침(藥鍼) 제제(製劑)에 대(對)한 고찰(考察) (The Study on the Hominis Placenta Aqua-acupuncture Solution)

  • 이상길;이재동;고형균;박동석;이윤호;강성길
    • Journal of Acupuncture Research
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    • 제17권1호
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    • pp.67-74
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    • 2000
  • Hominis Placenta has been used as a medicinal stuff for a long time in Oriental Medicine. And further, aqua-acupuncture solution of Hominis Placenta has produced in South Korea recently. Bibliographical study was carried on to investigate the nature of Hominis Placenta and possible indications by aqua-acupuncture as well. The nature of Hominis Placenta is warm and its taste sweet-salty. It is non-poisonous. It has correspondence to the meridians of lung, liver and kidney. Hominis Placenta is mainly effective on recuperation of infirmity and the disease related to infirmity. Aqua-acupuncture solution of Hominis Placenta can be applied to the disease as chronic hepatitis, liver cirrhosis, asthma, pulmonary tuberculosis, sterility, insufficient lactation, degenerative change, neurasthenia and cerebrovascular disease.

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"동무유고(東武遺稿) 약성가(藥性歌)" 에 대한 연구(硏究) (The Study On The ${\ulcorner}DongMuYooGo{\;}YakSungGa{\lrcorner}$)

  • 박성식
    • 사상체질의학회지
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    • 제13권2호
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    • pp.8-27
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    • 2001
  • 1. Purpose This paper was written in order to understand the concept of ${\ulcorner}$DongMuYooGo YakSungGa${\lrcorner}$ (東武遣稿 藥性歌) which was descending as the material of Sasang pharmacology. So we are planning to make use of the fundamental material of the study on the Sasang Medications and Prescriptions. 2. Methods Through comparing each clause of ${\ulcorner}$DongMuYooGo YakSungGa${\lrcorner}$ on all the sasang -records, we understood that concept. 3 Result 1) ${\ulcorner}$DongMuYooGo YakSungGa${\lrcorner}$ of a literary work of DongMu(東武) which contain special elucidative-method of herb-nature has 18 type of YakSungGa which explain each 27 herbs for the Taeeumin, Soyangin and Soeumin. The period of authoship is supposed to the time just before ${\ulcorner}$DongyiSuseBowon Gabobon${\lrcorner}$ (東醫壽世保元 甲午本)(1894, DongMu 58 years old) or middle of fifties(53-57 years old). 2) YakSungGa of ${\ulcorner}$DongMuYooGo${\lrcorner}$ which is published by the BoGunsung(保健省) of North Korea is supposed to close to original type. The main meaning of that is the herb-nature which works on the weakst point of each Sasangin. And then the herbs were classfied by the diseases and symptoms possessing Bomyungjiju(保命之主), the herb's efficacy is explained at the each constitution. 3) The meaning of ${\ulcorner}$DongMuYooGo YakSungGa${\lrcorner}$ is exposure of the opinion of DongMu's early stage that proposed herb-nature which is applied to the principle of Jang(臟) of Sasangin, reason and purpose to enact newly created prescriptios by the constitutional diseases and symptoms, and the compositional principle of newly created prescription. 4) The selection of herbs or cogution of herb-nature of DongMu's pharmacological opinion of his early stage was changed by accumulating clinical experience. So all the newly created prescriptios of ${\ulcorner}$DongyiSuseBowon${\lrcorner}$ could not be explained by only the herb and the herd-nature on ${\ulcorner}$DongMuYooGo YakSungGa${\lrcorner}$. Therefore the purpose of DongMu's YaksungGa is not explaining the symptoms in charge of each herb or classifying the herb by constitution, but offering the principle of composition of prescription of Sasang, from the necessary herb which possess and expand Bomyungjiju to nature of herb which is applied to the constitution for treating all the diseases and sypmtoms by the heavy or light and slow or speedy.

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당뇨성 신경병환자들에서 우울증상 (Depressive Symptoms in Diabetic Neuropathic Patients)

  • 정영조;이영호;한기석;권오영;임경호
    • 정신신체의학
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    • 제1권1호
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    • pp.52-58
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    • 1993
  • Before studying the effectiveness of amitriptyline in alleviating the pain of diabetic neuropathy, this study was designed to compare the severity and nature of depressive symtoms of diabetic patients with neuropathy with those of diabetic patients without neuropathy and patients with somatoform disorder whose complaints were mainly somatic pain, respectively. The authors administered Beck Depression Inventory(BDI) to the three groups of patients. The mean total scores of BDI were relatively low in all groups and not significantly different among the three groups. The mean scores of four subscales of BDI were also not significantly different among the three groups. These results might suggest that the pain of diabetic neuropathy did not influence on the severity and the nature of depressive symptoms of preexisting diabetes.

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『동의보감·신형』과 『의방유취·양성문』의 원문 비교연구 (A comparative study of 『Donguibogam』 「Shinhyeong」 and 『Euibangyoochui』 「Yangseongmun」 focusing on the original text)

  • 장재립;김상범;김남일;차웅석
    • 한국의사학회지
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    • 제36권1호
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    • pp.129-141
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    • 2023
  • The 「Shinhyeong(Body)」 chapter is one of the most important of the 『Donguibogam(Treasured Mirror of Eastern Medicine)』 and can be regarded as the outline of text as a whole. This research compares this chapter with the 「Yangseongmun(Nourishing the inner nature)」 chapter of 『Euibangyoochui(Classified Assemblage of Medical Prescriptions)』 and shows how the two books are related through these two chapters. This research shows that, relating to nutrition literature, the most frequently cited contents in 『Donguibogam』 「Shinhyeong」 from 『Euibangyoochui』 「Yangseongmun」 occurred through 「Qianjinfang(千金方)」(13 times) and 「Quxianhuorenxin(臞仙活人心)」(7 times). Meanwhile, only the contents related to internal training, such as 「Xiuzhenmijue(修眞秘訣)」(7 times) and 「Jindandacheng(金丹大成)」(7 times), were selected in 『Donguibogam』 「Shinhyeong」 from 『Euibangyoochui』 「Yangseongmun」. Through this study, it was found that all seven volumes of 『Euibangyoochui』 「Yangseongmun」 were cited in 『Donguibogam』 「Shinhyeong」, so it can be said that 『Donguibogam』 「Shinhyeong」 was greatly influenced by 『Euibangyoochui』 「Yangseongmun」. We hope this research will serve as the basis for future research on the relationship between 『Donguibogam』 and 『Euibangyoochui』.

인체(人體)의 일주리듬에 따른 변화(變化)와 건강법(健康法)에 관한 연구(硏究) (Study on maintaining healthy body and changes of human body by circadian rhythm)

  • 정상지;강정수
    • 혜화의학회지
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    • 제12권1호
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    • pp.103-121
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    • 2003
  • Human being can't live without nature, then the changes of nature affect human body. It means that human body has corresponding changes to the KI(vital energy) of nature. There is a stream of changes in human body which circulate mysteriously and punctually by the laws of nature. If this stream of changes fits into human's life style, it would be most effective. It has a certain mode continuously. So if a person has a habit fitting into it, he will get the healthiest body. Then the researcher tries to explain the changes in human body by the time, mainly focused on within 24 hours. it is showing not only the oriental view, but also the western's. The researcher can find the coincidence as followings. At In-Si(3-5 am), the body function and the body temperature get to the bottom, therefore it's good for him to wake up and to run the vital energy. At Sa-Si(9-11 am), the patience on pain anxiety and the psychic concentration get to the top, he'd better start the work. At O-Si(11am-1pm), the heart energy has a vital move, then the blood concentration of Hb(hemoglobin) gets to the top. At Mi-Si(1-3 pm), the muscle strength, the squeeze, and the breathing rate increase. The reflex nerve sensitivity gets to the top. Creativity, observation, and working efficiency go high, so it's time to work hard. At Hae-Si(9pm-1am), the body function falls, sleeping is needed. At Chuck-Si(1-3 am), the cell spontaneity gets to the top, immune lymphocyte moves actively, and the blood concentration of growth hormone gets to the top. These are liver's work. In west, there has been active studies on how to reduce the side effect by using a person's bio-rhythm based on the 'time treatment', and how to reorganize the bio-rhythm by using the machine and the age resistance based on the 'bio-watch'. Though the 'time treatment' means something, the artificial resistance on bio-rhythm seems to give bad effects to human body. If a person lives by regimen of oriental medicine, he will maintain the healthiest body. Regimen is that human body follows the laws of nature, and moves its mysterious, Punctual and periodical changes.

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애노희락지기(哀怒喜樂之氣)의 운동(運動)에 따른 태소음양인(太少陰陽人)의 사장대소(四臟大小) 변화(變化)에 대한 연구(硏究) (A Study on Changes in the Size of the Four Internal Organs in Taesoeumyang Persons according to the Movement of the Energy of Sorrow, Anger, Joy and Pleasure)

  • 조영;백유상;정창현
    • 대한한의학원전학회지
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    • 제19권3호
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    • pp.100-127
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    • 2006
  • The present study examined internal environment where the size of internal organs (廳服大小) of Taesoeumyang persons (太少陰陽人) is decided focused on nature and emotion (性情), taking note that there is a difference between the parts triggering the rise and fall (升降) of the energy of sorrow, anger, joy and pleasure (哀怒喜樂之氣) of nature and emotion(性情) and the parts expressing the results. Because nature energy is incoming energy (順動之氣), it infuses energy to parts where the energy of sorrow, anger, joy and pleasure reaches and, as a result, forms relatively large-size organs (偏大之臟). When the energy of the four internal organs is produced, the soul, spirit, mind and life (神靈魂?) of the internal organs, which are triggered by outgoing energy, are consumed and as a result emotion is produced at parts where the energy of sorrow, anger, joy and pleasure reaches. It forms relatively small-size organs (偏小之臟). This study examined the process, focused on the direction of the energy of the energy of sorrow, anger, joy and pleasure moving up straight, moving up diagonally, moving down diagonally and moving down straight.

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Nature Experience-based Virtual Reality Improves Depressive Symptoms in a Young Population: A Pilot Study

  • Da-Been Lee;Seung-Lim Yoo;Sang Shin Pyo;Jinkwan Kim;Bo-Gyu Kim;Suhng-Wook Kim;Byung-Jung Ko;Dae Wui Yoon
    • 대한의생명과학회지
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    • 제30권1호
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    • pp.1-9
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    • 2024
  • Although there have been several attempts to use virtual reality (VR) in the treatment of depression, the results have been inconsistent and existing studies have mostly relied on subjective measures to assess the effectiveness of VR in improving depression. The aim of this study was to investigate the effect of nature experience-based VR intervention on depressive symptoms in a young population using both subjective and objective measurements. The study population included 15 participants who had more than 14 identifiers of the Korean Beck Depression Inventory (K-BDI)-II. Participants received three weeks (four times per week) of VR intervention. The effectiveness of VR was assessed through changes in K-BDI-II scores and depression-related blood biomarkers. Nature experience-based VR intervention led to an approximately 50% reduction of K-BDI-II score (before 25.7±7.7 vs. after 12.5±8.3 (P<0.001)). Of these, loss of pleasure and fatigue showed the largest amount of improvement. However, levels of cortisol, brain-derived neurotrophic factor, and interleukin-6 did not differ from those at baseline. The findings of our pilot study suggest that nature experience-based VR can be a useful adjunctive treatment method for improving depressive symptoms in individuals who have difficulty accessing the real outside natural environment.