• 제목/요약/키워드: Treat-to-target

검색결과 197건 처리시간 0.028초

방향성을 갖는 비정렬 삼각형격자를 이용한 단조 유선 Upwind 유한요소해석 (The Monotone Streamline Upwind Finite Element Method Using Directionally Aligned Unstructured Grids)

  • 지선구;권장혁
    • 한국전산유체공학회:학술대회논문집
    • /
    • 한국전산유체공학회 1997년도 추계 학술대회논문집
    • /
    • pp.49-54
    • /
    • 1997
  • Rice's monotone streamline upwind finite element method, which was proposed to treat convection-dominated flows, is applied to the linear triangular element. An alignment technique of unstructured grids with given velocity fields is used to prevent the interpolation error produced in evaluating the convection term in the upwind method. The alignment of grids is accomplished by optimizing a target function defined with the inner-product of a properly chosen side vector in the element with the velocity field. Two pure advection problems are considered to demonstrate the superiorities of the present approach in solving the convection-dominated flow on the unstructured grid. Solutions obtained with aligned grids are much closer to the exact solutions than those with initial regular grids. The capability of the present approach in predicting the appearance of the secondary vortex in the laminar confined jet impingement is shown by comparing streamlines to those produced by SIMPLE on a highly stretched grid toward the impingement plate.

  • PDF

Current Status of the Clinical Development of Gene Therapy

  • Kwon, Sun-Il
    • 대한의생명과학회지
    • /
    • 제24권3호
    • /
    • pp.157-167
    • /
    • 2018
  • The concept of gene therapy is to treat a disease by transferring therapeutic nucleic acids to a patient's cells. It took several decades from the basic theoretical proposal of gene therapy to the current promising treatment option for some important human diseases. The encountered adverse effects in the early clinical studies boosted the development of sophisticated vectors and elaborate clinical designs. The gene therapy is now considered to have the potential to cure many diseases that are incurable with conventional medications. By the end of 2017, about 2,600 clinical trials of gene therapy have been performed or are ongoing for a variety of diseases such as cancers, monogenic diseases, cardiovascular diseases and neurological diseases etc. Here, we present a brief introduction of technical achievement in relation to gene therapy development, and a review of the current status of global gene therapy clinical development.

Mitochondria: The Secret Chamber of Therapeutic Targets for Age-Associated Degenerative Diseases

  • KimPak, Young-Mi;Jeong, Jae-Hoon
    • Biomolecules & Therapeutics
    • /
    • 제18권3호
    • /
    • pp.235-245
    • /
    • 2010
  • Mitochondria have long been recognized as ATP engines for the cell and recently as a dynamic and mobile organelles that control cell death and life. This exquisite organelle is the site of reactive oxygen species production and is highly vulnerable to exogenous stresses, resulting in catastrophic damage to the cell. Mitochondrial dysfunction is linked to a wide range of age-associated degenerative diseases, such as metabolic syndrome, cardiovascular disease, and neurodegenerative diseases. Understanding the molecular mechanisms of mitochondria-dependent pathogenesis may provide important strategies to treat these diseases. Indeed, mitochondria are emerging therapeutic targets for the mitochondria-related diseases. In this paper, we review the recent concepts of mitochondrial biology and how mitochondria are involved in age-associated degenerative diseases. Furthermore, we summarize the therapeutics which target to improve mitochondrial functions.

천연식물자원 활용 코로나19 억제 치료제 개발 (Development of Drug Candidates based on Natural Products Against COVID-19)

  • 강세찬
    • 한국자원식물학회:학술대회논문집
    • /
    • 한국자원식물학회 2021년도 춘계학술대회
    • /
    • pp.3-3
    • /
    • 2021
  • The ongoing global pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has not only influenced over 1.26 billion people but also caused 2.77 million deaths worldwide (as of March 28, 2021). The vaccination could be the most efficient strategy to prevent SARS-CoV-2 infection. However, the continuous emergence of novel variants such as VUI-202012/01 (United Kingdom) and 501.V2 (South Africa) raises huge concerns about the effectiveness of the vaccine designed to target the original virus strain. Since ancient times regardless of the East and West, the plants which refered in this presentation have been consumed not only as food but also as a natural medicine to treat diverse diseases including infectious diseases. Importantly, these plants contain secondary metabolites that display antiviral activity involved in the inhibition of viral adsorption, penetration, and replication. Also, plant-derived natural medicines are expected to have a wider range of efficacy and fewer side effects than synthetic medicine, discovering novel plant-based viral agents would be a promising strategy to fight against SARS-CoV-2.

  • PDF

전반적 발달장애의 한국형 치료 권고안 : 약물치료 (The Korean Practice Parameter for the Treatment of Pervasive Developmental Disorders : Pharmacological Treatment)

  • 조인희;유한익;손정우;유희정;구영진;정운선;안동현;안정숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • 제18권2호
    • /
    • pp.109-116
    • /
    • 2007
  • The objective of this review is to establish practice parameters for pharmacological treatment of children and adolescents with pervasive developmental disorders. We performed a detailed review of the literature, including a wide range of controlled clinical trials, open trials, case reports, and side-effect profiles of related drugs. Few medications have a treatment indication for pervasive developmental disorders, and few studies with well-controlled methodology are available for evaluating treatment results. Pharmacological treatments focus on associated target symptoms because symptom reduction may improve educational and social ability and enhance quality of life. Well-controlled trials have been conducted for some SSRI(selective serotonin reuptake inhibitor) antidepressants, risperidone, and methylphenidate, and showed reduction of some target symptoms. Since the medications are not specific to autism and do not treat core symptoms of the disorder, their potential side effects should be carefully considered. Family education is necessary to give proper information on target symptoms, limitation of drug treatments, and risks.

  • PDF

심한 구역반사를 가진 성인환자에서 프로포폴 목표농도 주입법으로 시행한 깊은 진정 (Propofol Target Controlled Infusion (TCI) Sedation for Dental Treatment in the Exaggerated Gag Reflex Patient)

  • 신순영;차민주;서광석;김현정;이정만;장주혜
    • 대한치과마취과학회지
    • /
    • 제12권2호
    • /
    • pp.105-109
    • /
    • 2012
  • The gag reflex is a physiological reaction, but, an exaggerated gag reflex can be a severe limitation not only to treat dental caries but also to do oral exam. Procedures such as surface anesthesia of the palate and pharyngeral area, sedation, or general anesthesia can be options as behavioral management. But, there are no golden rule for the sever gag reflex patients. We present a case report of propofol intravenous sedation using TCI pump for simple dental treatment. A 44-year-old man, who had past history of general anesthesia for dental treatment because of severe gag reflex, was scheduled intravenous sedation for simple dental treatment. After 8 hour fasting he entered the clinic for persons with disabilities. We explained about intravenous deep sedation and got informed consent. First, we kept intravenous catheter (22G) in the arm and started monitoring ECG, non-invasive blood pressure, pulse oximetry and end-tidal $CO_2$ through nasal cannula. We started propofol infusion with TCI pump at the target concentration of 3 mcg/ml. The patient became sedated, but he showed involuntary movement during dental treatment, so we increased the target concentration to 4 mcg/ml. We finished the dental treatment without complications during 30 min. And after 40 min recovery room stay he was discharged without any complications.

다발성 전이암 환자의 방사선치료 시 저선량 영역 감소를 위한 용적조절 회전 방사선치료(Volumetric Modulated Arc Therapy) 기법의 유용성 평가 (Usefulness assessment of the Volumetric Modulated Arc Therapy technique for reducing low-dose areas during radiotherapy for patients with multiple metastatic cancers)

  • 최윤원;정동민;김세영;박령황;김이지;조용완 ;권용재;박별님;유경민;문호경;장동재;이재영;임다영;이상규;백종걸
    • 대한방사선치료학회지
    • /
    • 제35권
    • /
    • pp.23-31
    • /
    • 2023
  • 목 적: 다발성 전이암 환자의 방사선치료 시 저선량 영역을 줄이기 위해 Non-Treat Functionailty-Volumetric Modulated Arc Therapy(NTF-VMAT)과 Treat Functionality VMAT(TF-VMAT)치료계획을 수립하고 비교하여 유용성을 평가하고자 한다. 대상 및 방법: Arccheck phantom에서 X, Y, Z 축에 2 cm, 4 cm, 6 cm 간격으로 치료계획용적 위치를 쌍(Pair)으로 설정하였다. 이를 바탕으로 NTF-VMAT와 TF-VMAT의 저선량 체적을 측정하여 비교·분석하였다. 결 과: 처방선량의 10% ~ 70% 범위 내에서 NTF-VMAT와 TF-VMAT의 18개 전산화 치료계획을 분석한 결과, 각 축에서 저선량 영역의 체적 차이는 X축에서는 최대 -47.6%, 최소 -2.2%, Y축에서는 최대 -17.5%, 최소 -7.3%의 차이가 나타났다. Z축에서는 최대 -39.7%의 차이를 보였으며, 가장 적은 차이는 -6.8%로 나타났다. 결 론: 다발성 전이암 환자의 방사선치료 시 TF-VMAT 치료계획이 NTF-VMAT에 비해 저선량 영역을 10~40% 줄일 수 있었다. 이는 Island block technique이 적용된 Treat Functionaliy을 이용하여 선량 분포를 개선하고, 부작용을 최소화하여 다발성 전이암 환자의 치료에 유용할 것으로 사료된다.

  • PDF

저신장 소아를 위한 성장호르몬 치료 (Short Stature and Growth Hormone Therapy)

  • 박용훈
    • Journal of Yeungnam Medical Science
    • /
    • 제22권1호
    • /
    • pp.1-12
    • /
    • 2005
  • Normal growth and development is of prime concern during childhood. The treatment of children with growth hormone deficiency has been revolutionized by growth hormone therapy. An improved height outcome with a final height within the target height range has been achieved. However, close follow-up with regular clinical and laboratory monitoring is essential for achieving the desirable height outcome. The theoretical unlimited supply of growth hormone has led to its wide spread use in a variety of disorders other than a growth hormone deficiency. Initially used in children with Turner syndrome, growth hormone is now used to treat chronic renal failure, an idiopathic short stature and intrauterine growth restrictions in addition to a wide array of newly emerging indications. This review summarizes the basics for a proper growth assessment, the differentiation of normal and abnormal growth causes of a short stature, and the indications for growth hormone treatment.

  • PDF

Development of Global Function Approximations of Desgin optimization Using Evolutionary Fuzzy Modeling

  • Kim, Seungjin;Lee, Jongsoo
    • Journal of Mechanical Science and Technology
    • /
    • 제14권11호
    • /
    • pp.1206-1215
    • /
    • 2000
  • This paper introduces the application of evolutionary fuzzy modeling (EFM) in constructing global function approximations to subsequent use in non-gradient based optimizations strategies. The fuzzy logic is employed for express the relationship between input training pattern in form of linguistic fuzzy rules. EFM is used to determine the optimal values of membership function parameters by adapting fuzzy rules available. In the study, genetic algorithms (GA's) treat a set of membership function parameters as design variables and evolve them until the mean square error between defuzzified outputs and actual target values are minimized. We also discuss the enhanced accuracy of function approximations, comparing with traditional response surface methods by using polynomial interpolation and back propagation neural networks in its ability to handle the typical benchmark problems.

  • PDF

자유형 변형 축을 이용한 이미지 변형 (Image deformation using freeform deformation axis)

  • 손의성;최윤철
    • 한국멀티미디어학회논문지
    • /
    • 제17권10호
    • /
    • pp.1229-1238
    • /
    • 2014
  • Various 2D Shape deformation techniques has been presented recently. Concerning intuitive control of deformation, gradient domain 2D deformation techniques have an advantage over FFD(Free-form deformation) approaches, since they can deform objects with less control points. However, semantic shape properties such as thickness or length are difficult to handle in these approaches due to they treat the whole shape as a simple flat shape without structural meaning. In this paper, we propose a 2D shape deformation algorithm that deforms shapes using thin, deformable skeletal structure called freeform deformation axis (FDA). This concept separates the target shape and the deformable structure and thus enables user to manipulate shapes more intuitively.