• Title/Summary/Keyword: Therapeutic technique

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Radiotherapy Treatment Planning with Computed Tomography in Malignant Tumors of the Chest-Comparison of various techniques (흉부악성종양(胸部惡性腫瘍)의 방사선치료계획(放射線治療計劃)에 있어서 전산화단층촬영(電算花斷層撮影)의 이용(利用)에 관한 연구(硏究))

  • Lee, Joo Hyuk;Koh, Kyoung Hwan;Ha, Sung Whan;Han, Man Chung
    • Radiation Oncology Journal
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    • v.1 no.1
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    • pp.55-60
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    • 1983
  • To evaluate the usefulness of computed tomography (CT) in radiotherapy treatment planning in malignant tumors of thoracic cage, the computer generated dose distributions were compared between plans based on conventional studies and those based on CT scan. 22 cases of thoracic malignancies, 15 lung cancers and 7 esophageal cancers, diagnosed and treated in Department of Therapeutic Radiology of Seoul National University Hospital from September, 1982 to April, 1983, were analyzed. In lung cancers, dose distribution in plans using AP, PA parallel opposing ports with posterior spinal cord block and in plans using box technique both based on conventional studies were compared with dose distribution using AP, PA and two oblique ports based on CT scan. In esophageal cancers, dose distribution in plans based on conventional studies and those based on CT scans, both using 3 port technique were compared. The results are as follows: 1. Parallel opposing field technique were inadequate in all cases of lung cancers, as portion of primary tumor in 13 of 15 cases and portion of mediastinum in all were out of high dose volume. 2. Box technique was inadequate in 5 of 15 lung cancers as portion of primary tumor was not covered and in every case the irradiated normal lung volume was quite large. 3. Plans based on CT scan were superior to those based on conventional studies as tumor was demarcated better with CT and so complete coverage of tumor and preservation of more normal lung volume could be made. 4. In 1 case of lung cancer, tumor localization was nearly impossible with conventional studies, but after CT scan tumor was more clearly defined and localized. 5. In 1 of 7 esophageal cancers, the radiation volume should be increased for marginal coverage after CT scan. 6. Depth dose correction for tissue inhomogeneity is possible with CT, and exact tumor dose can be calculated. As a result radiotherapy treatment planning based on CT scan has a pteat advantage over that based on conventional studies.

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Induction of Cytotoxic T Lymphocyte Response against the Core and NS3 Genes of the Hepatitis C Virus in Balb/c Mice

  • Kim, Na-Young;Sohn, He-Kwang;Choe, Joon-Ho;Park, Sang-Dai;Seong, Rho-Hyun
    • Animal cells and systems
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    • v.3 no.3
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    • pp.337-341
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    • 1999
  • Hepatitis C virus (HCV) is a positive strand RNA virus of the Flaviviridae family and the major cause of post-transfusion non-A, non-B hepatitis. Vaccine development for HCV is essential but has been slowed by poor understanding of the type of immunity that naturally terminates HCV infection. The DNA-based immunization technique offers the potential advantage of including cellular immune responses against conserved internal proteins of a virus, as well as the generation of antibodies to viral surface proteins. Here, we demonstrate that cell lines expressing the HCV core and/or NS3 proteins can induce a specific CTL response in mice, and these results suggest a possibility that the HCV core and NS3 DNA can be used to induce CTL activity against the antigen in mice and can be further developed as a therapeutic and preventive DNA vaccine.

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The Effects of Moxibustion on Chronic Back Pain and Activities of Daily Living in Aged (뜸 요법이 노인의 만성 요통과 일상생활 활동장애에 미치는 효과)

  • Ryu, Hye Sook;Park, Kyung Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.1
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    • pp.38-45
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    • 2015
  • Purpose: This study was attempted in order to verify the effects of moxibustion on aged back pain and activities of daily living. Methods: A research design is quasi-experiment with pre-post test design in nonequivalent control group. As for data collection and experimental treatment, it accidentally sampled totally 50 people with 24 people for the experimental group and 26 people for the control group who appeal for chronic back pain aged over 60 who visited 4 senior centers where are located in N city from November 7, 2012 to December 3, 2012. Experimental treatment was carried out moxibustion totally 12 times by 3 times for 4 weeks in the experimental group. Data analysis was made by using SPSS program. As an analytical technique, the experimental group and the control group were analyzed the homogeneity verification with t-test, Fisher's exact test and $x^2$ test and the hypothesis verification with t-test. Results: The back pain level was reduced in the experimental group than the control group. The disability of daily living activities was reduced in the experimental group than in the control group. Conclusion: Moxibustion was considered to be likely useful therapeutic method for effects of chronic back pain and disability of daily living activities in aged.

Video-assisted Thoracic Surgery Versus Thoracotomy for Non-small-cell Lung Cancer

  • Pan, Tie-Wen;Wu, Bin;Xu, Zhi-Fei;Zhao, Xue-Wei;Zhong, Lei
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.2
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    • pp.447-450
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    • 2012
  • Video-assisted thoracic surgery (VATS) has been recommended as more optimal surgical technique than traditional thoracotomy for lobectomy in lung cancer, but it is not well defined. Here, we compared VATS and traditional thoracotomy based on clinical data. From November 2008 to November 2010, 180 patients underwent lobectomy for non-small-cell lung cancer (NSCL) identified by computerized tomography. Of them, 83 cases were performed with VATS and 97 by thoracotomy. Clinical parameters, consisting of blood loss, operating time, number of lymph node dissection, days of pleural cavity drainage, and length of stay were recorded and evaluated with t test. No significant difference was observed between the VATS and thoracotomy groups in the average intraoperative blood loss, number of lymph node dissections, and days of pleural cavity drainage. While the average operating time in the VATS group was significantly longer than that in thoracotomy group, recurrence was only present in one case, as opposed to 7 cases in the thoracotomy group In conclusion, similar therapeutic effects were demonstrated in VATS and thoracotomy for NSCL. However, VATS lobectomy was associated with fewer complications, recurrence and shorter length of stay.

Effects of Antioxidants on Cell Viability and hGM-CSF Production by Transgenic Nicotiana tabacum Suspension Cultures (형질전환된 Nucotiana tabacum 현탁세포배양에서 항산화제가 세포생존도 및 hGM-CSF 생산에 미치는 영향)

  • Kim Yong Hoon;Lee Sang Yoon;Kim Dong Il
    • KSBB Journal
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    • v.19 no.5
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    • pp.374-380
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    • 2004
  • Production of therapeutic proteins by transgenic plant cell suspension cultures is an attractive system alternative to the other expression system. However, plant cell cultures have shown low expression level of foreign proteins and decreased cell viability by the changes of culture conditions. Therefore, it is necessary to enhance cell viability during the culture period. In this study, a quantitative analysis technique was designed to measure relative cell viability for plant suspension cells which have cell wall and aggregates. It was found that the programmed cell death of plant cells by apoptosis was essentially linked with the apoptotic pathway of animal cells. Therefore, effects of nicotinamide, 3-aminobenzamide and antioxidants on cell viability and apoptosis were examined in transgenic Nicotiana tabacum cells producing hGM-CSF. With those additives, cell viability could be maintained and apoptosis could be redued. In the result, the extracellular production of hGM-CSF could be enhanced 2.5 fold. It was also found that the supplementation of glutathione and ascorbic acid suppressed both the cold stress-induced decrease in cell viability and the increase of total genomic DNA fragmentation.

Motor Cortex in Hemiparetic Patients due to Deep Intracerebal Hematoma

  • 백현만;최보영;손병철;정성택;이형구;서태석
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2003.09a
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    • pp.73-73
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    • 2003
  • Purpose: To determine the motor cortex dysfunction in hemiparetic patients due to deep intracerebral hematoma, authors performed proton magnetic resonance spectroscopy (lH MRS) for the evaluation of biochemical changes in the cortex on affected hemisphere according to axonal injury at the level of internal capsule. Methods: Ten control subjects and 14 patients with documentable hemiparesis of varying severity hemiparesis were included. All the hemiparesis was caused by deep intracerebral hematoma (putaminal and thalamic hemorrhage). In vivo 1H MRS study was performed on a 3T MRI/MRS system using STEAM sequence. As a single-voxel technique, Spectral parameters were: 20 ms TE, 2000 ms TR, 128 averages, 2500 Hz spectral width, and 2048 data points. Results: We found that the mean N-acetylaspartate (NAA)/phosphocreatine (Cr) and NAA/choline (Cho) ratios were significantly decreased in the motor cortex of the hemiparesis patients compared with control subjects. Conclusions: 1H MRS examinations of the motor cortex might help to differentiate distinct clinical entities of hemiparesis and to monitor pharmacological effects in therapeutic trials, providing a quantitative biological marker for motor neuron dysfunction. Acknowledgement: This study was supported by a grant of the Center for Functional and Metabolic Imaging Technology, Ministry of Health & Welfare, Republic of Korea. (02-PJ3-PG6-EV07-000).

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The Therapeutic Effects of $SKTCLP^{(R)}$ in Patients with Mutational Dysphonia (생리적 발성 기법의 변성발성장애 치료 적용 효과)

  • Kim, Seong-Tae;Nam, Soon-Yuhl
    • Phonetics and Speech Sciences
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    • v.3 no.2
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    • pp.99-105
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    • 2011
  • The treatment for patients with mutational dysphonia typically is useful with vegetative phonation, but has not yet been studied. This study attempts to identify the effect of $SKTCLP^{(R)}$ using throat clearing and laughing in patients with mutational dysphonia. The study, which was designed by the author, included 26 patients aged from 14 to 32 years (mean: 18.7 years) who had been diagnosed with mutational dysphonia between January 2007 and June 2010. Voice therapy for these patients included $SKTCLP^{(R)}$, ranging from two to seven sessions (mean: 3.8 sessions). Results were evaluated by videostroboscopy, perceptual evaluation of GRBAS scale, aerodynamic test, and acoustic analysis before and after therapy. Most patients could phonate with low pitch from the beginning and sustain with normal pitch sound in the last session. We had found that glottic gap reduced after therapy and anterior-posterior compression of superior laryngeal part at the first time, and these patients had complete closure of the glottis after treatment. The results of acoustic and aerodynamic measures after treatment indicated significant decreases in Fo, Jitter, Shimmer, SFF, and SPI, and increases in MPT, Psub, and vocal efficiency (p<.05). $SKTCLP^{(R)}$ may be a useful treatment method in managing mutational dysphonia. We can suggest this technique may be useful in improving the voice quality of other functional dysphonia having glottal chink or functional aphonia.

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One Case of Typical Oriental Medical Therapy in Combination with Neurofeedback Therapy on Pain disorder induced by School violence (학교폭력에 노출된 후 발생한 흉통환자 1례(例)에 대한 Neurofeedback과 한방치료 병행 치험례(治驗例))

  • Park, So-Jeong;Byun, Soon-Im;Kim, Sang-Ho;Park, Jong-Hoon;Hwang, Wei-Wan;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.171-179
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    • 2005
  • School violence is known to cause various emotional, behavioral and social problems. Low self-esteem, lack of self consciousness, sense of alienation, guilty consciousness, somatoform symptoms and low concentration happened to adolescent victims. This patient was suffering for school violence during about a year, then Pain disorder occurred to him. Neurofeedback has been used as a complementary therapeutic relaxation and a increasing self-esteem technique. This patient, is a 13-year- boy, who had been exposed school violence for a year and caused severe and constant pain, was successfully treated by Neurofeedback therapy with oriental medication. This case report is focused on treatment through these methods.

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A Study of Respiration Techniques Considered From An Oriental Medicine and Buddhistic Viewpoint (한의학과 불교의 관점에서 본 호흡에 대한 고찰)

  • Koo, Byung-Soo
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.43-52
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    • 2005
  • Objectives : This study is an investigation the clinical development of oriental neuropsychiatry through the practical application of respiration techniques in oriental medicine and Buddhism. Methods : Oriental medicine and Buddhism both make much use of respiration techniques. According to a comparative study on these; A group for the clinical application of oriental medical respiration methods, and A study both the differences and common features of oriental medical and Buddhist respiration techniques, to deliver therapeutic and preventive medical assistance to patients. Results and Conclusion : 1. Oriental medical respiration techniques have as their object the prevention and treatment of disease through smooth circulation of Gi(氣) and Hyeol(血) according to the concentration of the mind on acupuncture points. 2. Buddhist respiration techniques make use of planned psychological rest and ascetic practical expedience according to the close observation of the five senses(五感) of the real world through exhalation(呼) and inhalation(吸) based on Buddhist philosophy. 3. Although the pursuit of oriental medicine and Buddhism can be different, I think a need to develop new respiration techniques can lead to psychological balance and medical treatment through compounding both sets of knowledge.

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Hypotension during Percutaneous Vertebroplasty with PMMA (Polymethylmethacrylate) -A case report- (경피적 추체 성형술 중 발생한 저혈압 -증례 보고-)

  • Park, Jin-Woo;Kim, Haa-Soo;Lim, Se-Hun;Kim, Jeong-Hun;Jeong, Soon-Ho;Choe, Young-Kyun;Kim, Young-Jae;Shin, Chee-Mahn;Park, Ju-Yuel
    • The Korean Journal of Pain
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    • v.13 no.1
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    • pp.126-129
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    • 2000
  • Age-related osteoporotic compression fractures occur frequently in old aged group recently. Percutaneous vertebroplasty has recently been introduced as a therapeutic method for the treatment of pain associated with osteoporotic vertebral compression fracture. Percutaneous intravertebral injection of PMMA (polymethylmethacrylate) results in marked reduction in pain and morbidity. Among complications during vertebroplasty with PMMA, pulmonary embolism is repotred occasionally but the reports about hypotension are not common. This case is a report of a patient whom significant hypotension occured during percutaneous vertebroplasty.

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