• 제목/요약/키워드: New Prescription

검색결과 215건 처리시간 0.024초

변연융선평면을 계측기준으로 한 정상교합자의 구치부 치관경사도에 관한 연구 (Crown angulations of posterior teeth of normal occlusion measured from marginal ridge plane)

  • 임성훈;윤영주;김광원
    • 대한치과교정학회지
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    • 제28권5호
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    • pp.731-740
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    • 1998
  • 이전의 preadjusted appliance 개발을 위한 치관경사도의 계측에 있어서는 교합평면을 계측기준으로 사용했는데, 교합평면은 Spee 만곡으로 인해 브라켓 부착점들을 연결하는 선(Andrews' plane)에 평행하지 않은 문제점이 있었다. 따라서 본 연구에서는 Spee 만곡에 영향받지 않으며, Andrews' plane에 보다 평행한 계측기준으로 각각의 구치의 근, 원심측 변연융선을 잇는 가상선을 설정하고, 이를 변연융선평면으로 명명하였다. 교합평면과 변연융선평면으로부터 각각 정상교합자의 구치부 치관경사도를 계측하여 비교한 결과 교합평면을 기준으로 한 치관경사도가 특히 상, 하악 제 1소구치(P<0.05) 및 제 2대구치(P<0.01)에서 Spee 만곡의 영향을 받음을 발견하였다. 구치부 치아들의 치관경사도는 Spee 만곡의 양에 따라 변해야만 인접치간 변연융선의 불일치가 생기지 않는다. 이전의 연구들에서는 다소의 Spee만곡을 갖는 정상교합자 표본에서 교합평면을 기준으로 계측한 치관경사도를 Spee 만곡이 없는 교합평면이 치료 목표의 일부인 bracket system에 적용하는 오류가 있었다. 이러한 치관경사도와 Spee 만곡 사이의 부조화는 Spee만곡이 straight wire에 의해 완전히 leveling되었을 때 변연융선 불일치를 초래할 수 있다. 이를 해결하기 위해서는 구치부 브라켓 slot이 변연융선평면에 평행하도록 브라켓 경사도를 결정하는 것이 추천된다.

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Inhibitory effect of Panax ginseng and Pleurotus osteratus complex on expression of cytokine genes induced by extract of Dermatophagoides pteronissinus in human monocytic THP-1 and EoL-1 cells

  • Park, Kyeong Hun;Lee, Eun Suk;Jin, Yong Ik;Myung, Kyung Sun;Park, Hong Woo;Park, Chun Geon;Kong, Won Sik;Kim, Young Ock
    • 한국버섯학회지
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    • 제14권4호
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    • pp.155-161
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    • 2016
  • A recent study reported that Pleurotus ostreatus has the potential to be used as a ${\beta}-glucan-based$ cream for supportive complementary therapy of atopic dermatitis. KH054 is a new herbal prescription consisting of P. ostreatus and Panax ginseng. The effects of atopic dermatitis-induced materials on the expression of cytokine genes in human monocytes (THP-1, EoL- 1) have been examined. Some reports demonstrated that P. ginseng augments the activity of natural killer cells, which plays an important role in innate immunity against infection and tumor development. Monocyte chemotactic protein 1 (MCP-1), interleukin (IL)-6, and IL-8 have important roles in mediating the infiltration of various cells into the skin of atopic dermatitis and psoriasis. The present study investigated whether KH054 on induced IL-6, IL-8, and MCP-1 secretion by house dust mite (Dermatophagoides pteronissinus) in THP-1 (human acute monocytic leukemia) and EoL-1(Human eosinophilic leukemia) cell. D. pteronissinus functions in the pathogenesis of allergic diseases, including atopic dermatitis and asthma. The inhibitory effect of KH054 on the induction of IL-6, IL-8, and MCP-1 secretion by D. pteronissinus extract in THP-1 and EoL-1 cells was examined. KH054 potently suppressed the elevated production of IL-6 and IL-8 induced by D. pteronissinus treatment in THP-1 and EoL-1 cells. Based on the present results, KH054 may be useful for developing functional foods to treat atopic dermatitis.

효과적인 간호간병통합서비스를 위한 실시간 웹시스템 개발 (Real-time Web System Development for Effective Nursing & Care Integration Services)

  • 김예림;권춘기;공용해
    • 한국산학기술학회논문지
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    • 제17권12호
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    • pp.41-52
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    • 2016
  • 병동에서 발생하는 처방, 픽업, 액팅 정보는 데이터베이스에 저장되고 조회되어 관련 부서에 전달된다. 그러나 처방, 픽업, 액팅은 많은 부서가 매우 자주 확인하는 정보이므로 빈번한 조회로 인해 병원정보시스템에 큰 부하를 유발한다. 특히 간호와 간병 업무가 통합되면 실시간으로 전달해야 하는 픽업과 액팅 업무도 함께 증가하는데 이로 인하여 데이터베이스 조회와 정보전송량 또한 증가하게 된다. 우리는 이러한 비효율 문제를 효과적으로 해결하기 위하여 데이터베이스 조회를 배제하고 실시간 웹 방식으로 픽업 및 액팅 정보를 전송하는 간호간병통합정보시스템 개발을 목표로 하였다. 아울러 간호간병통합서비스 도입으로 증가하는 업무와 함께 책임도 커지므로 병동의 모든 환자에 대한 액팅 상황을 모든 근무자가 실시간으로 점검할 수 있는 병동액팅현황판을 제공하여 서비스의 질을 향상시키고자 하였다. 이를 위해 픽업 및 액팅 업무 분석을 중심으로 데이터베이스를 설계하고, 픽업과 액팅 발생 즉시 정보 전달이 가능하도록 실시간 웹 기술을 정보시스템에 적용하였다. 기존 데이터베이스 조회 방법과 개발한 시스템의 소요 시간과 정보 전송량을 측정한 결과, 기존 방식 보다 시간과 전송량을 크게 줄일 수 있었다.

팬텀투과계수와 유효조사면 개념을 이용한 종양선량 확인에 관한 연구 (IN-VIVO DOSE RECONSTRUCT10N USING A TRANSMISION FACTOR AND AN EFFECTIVE FIELD CONCEPT)

  • 김유현;여인환;권수일
    • 대한방사선기술학회지:방사선기술과학
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    • 제25권1호
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    • pp.63-71
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    • 2002
  • The aim of this study Is to develop a simple and fast method which computes in-vivo doses from transmission doses measured doting patient treatment using an ionization chamber. Energy fluence and the dose that reach the chamber positioned behind the patient is modified by three factors: patient attenuation, inverse square attenuation. and scattering. We adopted a straightforward empirical approach using a phantom transmission factor (PTF) which accounts for the contribution from all three factors. It was done as follows. First of all, the phantom transmission factor was measured as a simple ratio of the chamber reading measured with and without a homogeneous phantom in the radiation beam according to various field sizes($r_p$), phantom to chamber distance($d_g$) and phantom thickness($T_p$). Secondly, we used the concept of effective field to the cases with inhomogeneous phantom (patients) and irregular fields. The effective field size is calculated by finding the field size that produces the same value of PTF to that for the irregular field and/or inhomogeneous phantom. The hypothesis is that the presence of inhomogeneity and irregular field can be accommodated to a certain extent by altering the field size. Thirdly, the center dose at the prescription depth can be computed using the new TMR($r_{p,eff}$) and Sp($r_{p,eff}$) from the effective field size. After that, when TMR(d, $r_{p,eff}$) and SP($r_{p,eff}$) are acquired. the tumor dose is as follows. $$D_{center}=D_t/PTF(d_g,\;T_p){\times}(\frac{SCD}{SAD})^2{\times}BSF(r_o){\times}S_p(r_{p,eff}){\times}TMR(d,\;r_{p,eff})$$ To make certain the accuracy of this method, we checked the accuracy for the following four cases; in cases of regular or irregular field size, inhomogeneous material included, any errors made and clinical situation. The errors were within 2.3% for regular field size, 3.0% irregular field size, 2.4% when inhomogeneous material was included in the phantom, 3.8% for 6 MV when the error was made purposely, 4.7% for 10 MV and 1.8% for the measurement of a patient in clinic. It is considered that this methode can make the quality control for dose at the time of radiation therapy because it is non-invasive that makes possible to measure the doses whenever a patient is given a therapy as well as eliminates the problem for entrance or exit dose measurement.

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『언해랍약증치방(諺解臘藥症治方)』의 납약에 대한 고찰 -『조선왕조실록(朝鮮王朝實錄)』과 『승정원일기(承政院日記)』를 중심으로- (A Study on Prescrptions as Napyak of Eonhaenapyakjeongchibang -Based on the Annals of the Joseon Dynasty and the Daily Records of Royal Secretariat of Jonseon Dynasty.-)

  • 연지혜;김정민;금가정;장아령;김상찬;송지청
    • 대한한의학방제학회지
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    • 제26권2호
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    • pp.171-181
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    • 2018
  • Objective : Napyak has known as the herbal medicine, that kings of the Joseon dynasty bestowed on the royal officers around the last day of the each year. There are several researches on Napyak but those are focused the meaning itself, bibliographical studies on Unhaenapyakjeungchibang(which is the text related to Napyak), system in Joseon dynasty related to Napyak and so on. This articles is subject to research the real usage and medical meaning thrugh record of Joseon dynasty Method : Prescriptions of Unhaenapyakjeungchibang were browsed from the Annals of the Joseon Dynasty and the Royal Records of Royal Secretariat of the Joseon Dynasty and compared the main disease of prescriptions with the records above. Result : The main disease of prescriptions were corresponded with real usage records of the Annals of the Joseon Dynasty and the Royal Records of Royal Secretariat of the Joseon Dynasty except a few cases. And the new meaning of Napyak could be defined as the herbal medicine, that kings of the Joseon dynasty bestowed on the royal officers and all people to cure emergent disease around the last day of the each year. Conclusion : This research is for focusing the real usage of the Napyak thrugh Unhaenapyakjeungchibang prescription but this research is for the medical records of the Annals of the Joseon Dynasty and the Royal Records of Royal Secretariat of the Joseon Dynasty. Hereafter, the medical records researches could be conducted by real usage of prescriptions.

운동중재에 관한 국내 간호학 논문 분석 (The Analysis of Exercise Therapy in Nursing Research)

  • 전점이
    • 대한간호학회지
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    • 제30권2호
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    • pp.319-330
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    • 2000
  • This study is aimed at analyzing the trend of research on the use of exercise in nursing research, through suggesting directions for future research and implementation of the various exercise therapies. Research studies were taken from dissertations and theses selected from the Academic Society Journals of nursing science, Journals from universities, medical and nursing schools, research institutes in various universities, the Central Journal of Medicine, and the New Medical Journal. The research published between 1970 and 1997 in Korea were analyzed, 51 research were selected. The research are analyzed according to: published time, source of the research, research design, subjects, sample size, dependant variables, exercise therapy, and effect of exercise therapy. The results were as follows: 1. Research on exercise therapy increased rapidly in the 1990's. At this time, 88.2% of research was published. 2. Research areas included: 54.9% non- degree research, 27.5% Doctoral theses, and 17.6% Master's theses. 3. The experimental design included: 66.7% non- equivalent control group pre-test/ post-test design and 29.4% one group pre-test/post- test design. 4. Out of the Subjects: 52.9% were patients with various health problems, and 47.1% were healthy individuals. 5. Sample size included: 52.9% with above 31 subjects, 11.8% with 11~15 and 26~30. 6. Exercise therapy was analyzed by type, intensity, frequency, duration, and period. 1) The Types: Aerobic exercise at 60.8% was the most common, active exercise for muscle strengthening and building made up 21.6%. 2) Exercise with 40~65% intensity comprised 25.5%, 70~85% with 7.8%, and no description of the intensity was 66.7%. 3) Frequency of 3~5 per week was the most common at 78.4%. 4) Duration: 15~60 minutes was the most common length of time at 76.5%. 5) Periods: More than 5 weeks at 82.3% were the most common in their categories. 7. Dependant variables: Psychological response was measured as a dependant variable in 92.2%, Cardio-pulmonary function 88.2%, Body Composition was 86.3%, Physical Response was 60.8%, Lipid Metabolism was 58.8%, Physical Strength was 49.0%, Glucose Metabolism was 25.5%, Activities of Daily Living was 17.6% and others added to be 3.9%. 8. The effect of Exercise Therapy was categorized into 'positive', 'partially positive', and 'no effect' according to dependant variables: Having a positive effect - Glucose Metabolism (93.3%), Physical Response (85.0%), Activities of Daily Living (81.8%), Psychological Response (71.6%), Lipid Metabolism (67.6%), Cardio- pulmonary Function (63.6%), Physical Strength (68.1%), and Body Composition (56.4%). The following suggestions can be made on the above findings: 1. Research findings on Exercise Therapy as a Nursing Intervention need to be described by their elements of type, intensity, frequency, duration and period. 2. Toproperly study the positive effects of Exercise Therapy, there needs to be ⑴ appropriate research design, ⑵ selection criteria for the subjects ⑶ contents of exercise prescription to individuals or groups ⑷ measurement criterion for the dependent variables. 3. Meta-analysis on exercise therapy also needs to be done to analyze and integrate the various results.

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해독금화산(解毒金花散)의 Methicillin-Resistant Staphylococcus aureus에 대한 항균효과 (Antibacterial Effect of Haedokgeumhwa-san against Methicillin-Resistant Staphylococcus aureus)

  • 이하일;이수경;권영미;송용선
    • 한방재활의학과학회지
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    • 제25권2호
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    • pp.1-13
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    • 2015
  • Objectives Methicillin-Resistant Staphylococcus aureus (MRSA) is a human pathogen and a major cause of hospital-acquired infections. New antibacterial agents that have not been compromised by bacterial resistance are needed to treat MRSA-related infections. In this study, we investigated the antimicrobial activity ofethanol extract of Haedokgeumhwa-san (HGH) which prescription is composed of korean medicine against MRSA. Methods The antibacterial activity of HGH extract was evaluated against MRSA strains by using the Disc diffusion method, broth microdilution method (minimal inhibitory concentration; MIC), checkerboard dilution test, and time-kill test; its mechanism of action was investigated by bacteriolysis, detergent or ATPase inhibitors. The checkerboard dilution test was used to examined synergistic effect of ampicillin, oxacillin, ciprofloxacin, vancomycin, gentamicin and norfloxacin in combination with HGH ethanol extract. A time-kill assay was performed a survival curve which was obtained by plotting viable colony counts depending on time on bacterial growth. Results The minimum inhibitory concentration (MIC) of ethanol extract (HGH) ranged from 1,000 to $2,000{\mu}g/mL$ against all the tested bacterial strains, respectively. We are able to confirm that HGH extract has potentially strong antibacterial activity. In the checkerboard dilution test, fractional inhibitory concentration index of HGH in combination with antibiotics indicated synergy or partial synergism against S. aureus. A time-kill study showed that the growth of the tested bacteria was considerably inhibited after 8 hr of treatment with the combination of HGH with selected antibiotics. For measurement of cell membrane permeability, HGH $250{\sim}1,000{\mu}g/mL$ along with concentration of Triton X-100 (TX) and Tris-(hydroxymethyl) aminomethane (Tris) were used. In the other hand, N,N-dicyclohexylcarbodimide (DCCD) and Sodium azide ($NaN_3$) was used as an inhibitor of ATPase. TX, Tris, DCCD and $NaN_3$ cooperation against S. aureus showed synergistic action. Accordingly, antimicrobial activity of HGH was affected by cell membrane and inhibitor of ATPase. Conclusions These results suggest that Haedokgeumhwa-san extract has antibacterial activity, and that HGH extract offers a potential as a natural antibiotic against MRSA.

황흑산(黃黑散)의 메티실린 내성 황색포도상구균에 대한 항균 활성과 옥사실린과의 시너지 효과 (The antimicrobial activity of Hwangheuk-san and synergy effect with oxacillin against methicillin-resistant Staphylococcus aureus)

  • 최성훈;강옥화;주전;공룡;이승진;강담희;정혜인;이영섭;권동렬
    • 대한본초학회지
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    • 제31권5호
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    • pp.93-98
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    • 2016
  • Objectives : Hwangheuk-san is a complex prescription composed of oriental traditional medicine and has been reported for antioxidant, antimicrobial and anticancer effects in the recent study. Methicillin-resistant Staphylococcus aureus (MRSA) is one of important causes of fatal infectious diseases such as septicemia, endocarditis, toxic shock syndrome, pneumonia, skin and soft tissue infections (SSTIs). S. aureus is reported as being for a variety of human diseases and its epidemiological relevance is mainly due to their ability of becoming highly resistant to common antimicrobials such as tetracycline, penicillin, cphalosporin and aminoglycoside. The objective of this study is to determine the antimicrobial effect of Hwangheuk-san ethanol extracts (HHS) and synergistic effects with antibiotics oxacillin against MRSA.Methods : The antimicrobial activity of HHS was measured by the disc diffusion method, broth microdilution method and the checkerboard dilution test, time-kill curve assay was performed to investigate synergistic effects with antibiotics oxacillin against MRSA.Results : HHS showed antimicrobial activity against MRSA with a MIC value of 125 ㎍/㎖. In the checkerboard test, the interaction of HHS with antibiotics oxacillin produced almost synergy or partial synergy against MRSA. This study showed that HHS reduced the MICs of oxacillin tested, and a remarkable antibacterial effect of HHS, with membrane permeability enhancers.Conclusions : These results suggest that HHS has the antimicrobial effect and synergistic effects with antibiotics oxacillin against MRSA. This study thus can be a valuable source for the development of a new drug with low MRSA resistance.

자외선으로 유도된 섬유아세포 손상에 대한 해양소재 추출물의 항산화 보호효과 (Protective Effect of Marine Natural Products against UVB-induced Damages in Human Skin Fibroblast via Antioxidant Mechanism)

  • 장정희;이찬;김상찬;정지욱;박찬익
    • 대한화장품학회지
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    • 제36권1호
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    • pp.79-87
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    • 2010
  • 자외선은 생체 내 활성산소 생성 증가와 내인성 항산화 효소 및 항산화제 감소를 통하여 광노화 과정을 촉진하는 대표적인 외부 환경인자로 알려져 있다. 그러므로 본 연구에서는 12종의 다양한 해양소재 추출물(김, 다시마, 모려, 모자반, 미역, 석결명, 청각, 해룡, 해마, 해삼, 파래, 톳)을 이용하여 기본적인 자유라디칼 소거능 실험을 바탕으로, 자외선 B 조사로 인한 세포독성 및 산화적 사멸을 억제하고 세포 내 항산화 기능을 강화시킬 수 있는 천연 항산화 피부보호소재를 발굴하고자 하였다. 해양소재 추출물의 라디칼 소거능을 1,1-diphenyl-2-picrylhydrazyl (DppH) assay로 비교 측정한 결과 미역, 모자반, 다시마, 해마, 석결명 모려, 해룡의 순으로 항산화력을 나타내었다. 이후 in vitro 세포 실험에서 자외선 B를 섬유아세포주인 HS68 세포에 노출시킨 경우 세포 독성이 유발되어 사멸이 진행되었으며 이는 모자반, 석결명, 청각, 해마 열수 추출물을 처리한 경우 현저히 억제되었다. 특히, 자외선 B로 인한 세포손상은 세포 내 활성산소종의 축적으로 인한 것임을 2',7'-dichlorodihydrofluorescein diacetate (DCF-DA) 형광염색법으로 확인할 수 있었으며, 활성산소종의 생성은 모자반, 석결명, 청각, 해마 열수 추출물을 처리한 경우 유의적으로 감소되었다. 한편, 이러한 항산화 작용은 대표적인 내인성 항산화 효소인 catalase, superoxide dismutase 및 heme oxygenase-1의 발현 증가로 매개되었다. 이상의 결과는 모자만, 석결명, 정각, 해마 풍의 해양소재가 항산화 작용을 통하여 산화적 스트레스가 매개하는 피부손상과 노화과정을 예방 및 보호하는 새로운 화장품 천연소재로의 활용 가능성을 제시한다.

기허가 한약제제를 대상으로 한 인지장애 치료 유효 약물 탐색 - 인지장애 임상연구를 위한 예비연구 (Exploring the Effective Herbal Prescription for Cognitive Disorder Treatment among Licensed Herbal Medicines in Korea - A Preliminary Study for Clinical Trial of Cognitive Disorders)

  • 서영경;이지윤;오유창;이정진;이위;정윤희;이선주;고영훈;정인철
    • 동의생리병리학회지
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    • 제33권4호
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    • pp.207-218
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    • 2019
  • It is necessary to investigate the efficacy of commercial Korean herbal medicine for cognitive disorder. The purpose of this study is to select candidates among licensed herbal medicines that are expected to be effective in the treatment of cognitive disorders and can be used in future clinical trial. From laboratory experiments, we first found individual single herbal drugs that could be effective for cognitive disorder, and then through experts recommendation, selected five priorities of single herbal drug and obtained the information of the best herb as a combination of each herbal drug. To derive the final herbal prescriptions, we searched the KFDA drug information system for licensed herbal medicines containing each drug and its combination. As a result of laboratory experiments and experts recommendation, we found that the five effective single herbal drugs for cognitive disorders. They are Ginseng Radix, Acori Graminei Rhizoma, Cyperi Rhizoma, Coptidis Rhizoma, Pinelliae Rhizoma, Hoelen cum Pini Radix, and Rehmanniae Radix Preparata(Pinelliae Rhizoma, Hoelen cum Pini Radix, and Rehmanniae Radix Preparata were tied for $5^{th}$). And licensed herbal prescriptions derived from the planned search are Palbohoichoon-tang, Taehwa-hwan, Bosim-hwan, and so on. Among these, in consideration of the feasibility of research and possibility of success in development, Yukgunja-tang, Samhwangjichul-hwan can be selected as future study subjects. Through experimental studies and expert recommendations, we have derived herbal prescriptions that can be effective in treating cognitive disorders from licensed herbal medicines.