• 제목/요약/키워드: Treatment principles

검색결과 458건 처리시간 0.026초

In Vivo Stem Cell Imaging Principles and Applications

  • Seongje Hong;Dong-Sung Lee;Geun-Woo Bae;Juhyeong Jeon;Hak Kyun Kim;Siyeon Rhee;Kyung Oh Jung
    • International Journal of Stem Cells
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    • 제16권4호
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    • pp.363-375
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    • 2023
  • Stem cells are the foundational cells for every organ and tissue in our body. Cell-based therapeutics using stem cells in regenerative medicine have received attracting attention as a possible treatment for various diseases caused by congenital defects. Stem cells such as induced pluripotent stem cells (iPSCs) as well as embryonic stem cells (ESCs), mesenchymal stem cells (MSCs), and neuroprogenitors stem cells (NSCs) have recently been studied in various ways as a cell-based therapeutic agent. When various stem cells are transplanted into a living body, they can differentiate and perform complex functions. For stem cell transplantation, it is essential to determine the suitability of the stem cell-based treatment by evaluating the origin of stem, the route of administration, in vivo bio-distribution, transplanted cell survival, function, and mobility. Currently, these various stem cells are being imaged in vivo through various molecular imaging methods. Various imaging modalities such as optical imaging, magnetic resonance imaging (MRI), ultrasound (US), positron emission tomography (PET), and single-photon emission computed tomography (SPECT) have been introduced for the application of various stem cell imaging. In this review, we discuss the principles and recent advances of in vivo molecular imaging for application of stem cell research.

임파부종 환자의 보존적 치료법 (Conservative Treatment of Lymphedema)

  • 김성중;황지혜
    • 한국전문물리치료학회지
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    • 제6권1호
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    • pp.62-73
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    • 1999
  • The purpose of this article was to provide basic knowledge and treatment principles of patient with lymphedema, which was usually not treated at all, or the treatment given didn't work efficiently. Lmphedema is defined as an abnormal accumulation of protein-rich fluid, edema, and chronic inflammation within an extremity. Lmphedema may be classified as either primary results from defects with aplasia, hypoplasia, and hyperplasia in the lymphatic system at birth or secondary is caused by known precipitating factors such as cancer, infection, inflammation, radiation, surgery, or trauma etc. There are essentially several conservative treatment methods which has been utilized successfully to treat lymphedema in Samsung Medical Center. We used following procedures: CPT (Complex Physical therapy) or CDP (Complex Decongesitive Physical therapy) such as skin care, MLD (Manual Lymph Drainage), compression with short-stretch bandage, exercise, elevation, elastic stocking, and pneumatic compression. Our experiences shows that conservative treatments can significantly reduce lymphedema and prevent different complications.

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Graves병 갑상선 기능항진증에서 방사성 옥소 치료의 지견 (Current Opinions on the Radioiodine Treatment of Graves' Hyperthyroidism)

  • 이상우;이재태
    • 대한핵의학회지
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    • 제37권6호
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    • pp.341-354
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    • 2003
  • Radioactive iodine therapy using I-131 for hyperthyroidism has been used for more than 50 years, and generally considered safe and devoid of major side effects. Appropriate patient selection criteria and clinical judgement concerning patient preparation should be employed for its optimal use. It has not been possible to resolve the trade-off between efficient definite cure of hyperthyroidism and the high incidence of post-therapy hypothyroidism. The dose of the I-131 needed to maintain euthyroid state remains an area of uncertainity and debate. Early side effects are uncommon and readily managable. Other than the need for long-term monitoring and, in most cases, lifelong thyroid hormone treatment for late adverse consequences of this treatment remains only conjectural. We have reviewed general principles and recent advances in radioiodine treatment for Graves' hyperthyroidism, specially regarding to several controversies.

특발성 척추 측만증(Idiopathic Scoliosis)애 대한 Schroth 운동요법에 대한 고찰 (A Study of Exercise treatment based on Schroth method of Idiopathic Scoliosis)

  • 염도성;송윤경;임형호
    • 척추신경추나의학회지
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    • 제5권2호
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    • pp.181-191
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    • 2010
  • Current treatment for adolescent idiopathic scoliosis(AIS) consists of three phases: observation, bracing, and surgery. Although there are many nonsurgical treatment(bracing, electrical stimulation, exercise, manipulation, acupuncture, etc), their effect is still controversial. In many paper, Schroth method was reported good immediate response to conservative care, which could be considered a sign of good prognosis. Schroth method became effective thai specialists in physiotherapy for spinal deformities teach the patient how to perform a routine of 'curve pattern' specific exercises with the purpose to facilitate the correction of the asymmetric posture and to teach the patient to maintain the corrected posture in dally activities. This Principles of correction exercise treatment are based on those developed by the German physiotherepist K. Schroth.

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방사선치료 Patterns of Care Study 개발을 위한 2002년 한국 방사선종양학과 전문의들의 직장암 방사선치료 원칙 조사연구 (Survey on Radiotherpv Protocols for the Rectal Cancers Among the Korean Radiation Oncologists in 2002 for the Development of the Patterns of Care Study of Radiation Therapy)

  • 김종훈;김대용;김용호;김우철;김철용;성진실;손승창;신현수;안용찬;오도훈;오원용;유미령;유헝준
    • Radiation Oncology Journal
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    • 제21권1호
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    • pp.44-65
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    • 2003
  • 목적 : 한국에서 발생빈도가 높은 암의 하나인 직장암의 치료에 있어 전국의 각 병원 치료방사선과(방사선종양학과)에서 시행하고 있는 치료 형태를 세부 항목별로 파악하여 방사선종양학 전문의간의 치료원칙의 차이점을 분석하고 이를 바탕으로 향후 Patterns of Care Study를 위한 연구의 기본 자료로 제시하고자 한다. 대상 및 방법 : 경인지역 소재 18개 대학병원 및 방사선종양학과가 있는 병원들의 방사선종양학과 전문의들이 모여 직장암의 방사선치료 원칙 분석을 위한 consensus committee를 구성하고, 회합 및 설문조사를 통하여 각 의사들의 방사선치료 원칙을 파악하기 위한 세부 항목 설정과 이를 토대로 직장암 환자 개개인의 치료 내용을 측정하는 구체적인 항목들을 개발하였다. 이 항목들을 이용하여 직장암의 방사선치료를 담당하고 있는 전국의 방사선종양학과 전문의들을 대상으로 설문조사를 시행한 후 각 전문의들의 의견이 일치하는 부분과 상이한 부분들을 분석하였다. 결과 : 전문의 별 치료원칙의 측정에 사용된 항목들은 1) 치료대상환자의 선정기준 8개 항목, 2) 수술 전후 병기 및 예후 인자 검사 20개 항목, 3) 수술 및 항암화학요법과의 병용기준 7개 항목, 4) 환자의 setup 및 처치 9개 항목, 5) 모의치료시 조사야 결정 19개 항목, 6) 치료계획 5개 항목, 7) 치료 중 상태 확인 위한 이학적/병리학적 검사 4개항목, 8) 치료 후 추적 관찰시 검사할 10개 항목 등 총 82개의 항목이 개발되었다. 이 항목들은 전국 각 병원들의 방사선종양학과 전문의를 대상으로 설문조사 되어 치료원칙에 대한 분석이 항목별로 이루어졌다. 설문조사 결과 전국의 각 병원 방사선종양학과에서 시행되고 있는 직장암의 방사선치료 형태는 일정 범위를 유지하고 있으나, 일부 항목에 있어서는 치료자 간 의견차이가 큰 것으로 나타났으며 이들 중 전체 응답자의 50$\%$ 이상에서 합의가 되지 못한 항목들은, 1) 치료환자의 선정 기준 중 수술 전 방사선치료 대상, 2) 병기 결정 검사 중 직장내 초음파 (EUS, endorectal ultrasound), 흉부 CT, 뼈 스캔 등의 시행 여부, 3) 항암제와의 병용 원칙, 4) 모의치료시 소장 위치확인을 위한 조영제 사용, 5) 조사야의 경계선 결정, 6) 치료 후 추적 관찰 시 CEA와 대장내시경의 시행여부 등 이었다. 결론 이견이 많은 항목들에 대해서는 향후 담당 전문의들을 대상으로 consensus meeting 등을 통한 체계적인 분석 및 합의의 도출이 필요한 것으로 보이며, 본 연구에서 밝혀진 각 병원들의 치료 내용을 토대로 향후 표준화된 치료 모델 개발을 위한 Patterns of Care Study가 진행될 예정이다.

Evidence-based herbal medicine in efficacy and safety assessments

  • Park, Jin-Han
    • Advances in Traditional Medicine
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    • 제8권2호
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    • pp.103-110
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    • 2008
  • Herbal medicine is the use of medicinal plants for prevention and treatment of diseases: it ranges from traditional and popular medicines of every country to the use of standardized and tritated herbal extracts. Generally cultural rootedness enduring and widespread use in a traditional medical system may indicate safety, but also efficacy of treatments, especially in herbal medicine where tradition is almost completely based on remedies containing active principles at very low and ultra low concentrations or relying on magical-energetic principles. The efficacy and safety assessments of medicines, whether modern or herbal, invariably encounter challenges or problems during the course of pre-clinical and clinical research. Some of the challenges in evidence-based herbal medicinal research are unique, and the researcher must be cognizant of them in order to safeguard the quality of the data obtained. Key challenges are: the quality of raw materials; appropriateness of biological/pharmacological activity assessment methodology, and data interpretation; standardization methodology; pharmacokinetics and bioavailability of active constituents and metabolites; clinical dosage formulation/production; and clinical study designs and outcome measures.

통합운영 중등학교 건축계획에 관한 연구 (A Study on the Architectural Planning of Integrated Secondary School)

  • 서상현
    • 교육녹색환경연구
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    • 제3권2호
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    • pp.39-49
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    • 2003
  • This study purpose is extract on the architectural principles and architectural planning direction for Integrated Secondary School. The integrated secondary school has an expectation of the total education environment in which has some problem as regional, teaching, treatment, establishment equipment part because of the based relative establishments are abolished. The expectations are the education effective rising, the reduce of the responsibility of the teacher, a smooth teacher placing and saving the educating estimate. As the new education course propulsion is raising the school and students discretion and expanding the way of educating, being close to the course of studies, the integrated operation is earnestly needed and such as these versatile background the small school will keep on getting integrated. Investigate about the senses of the manager and teachers, so after these reserch I've concluded these things below about the integrated secondary school.

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Nutritional Counseling for Obese Children with Obesity-Related Metabolic Abnormalities in Korea

  • Kang, Ki Soo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제20권2호
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    • pp.71-78
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    • 2017
  • Child obesity has become a significant health issue in Korea. Prevalence of obesity in school-age children in Korea has been alarmingly rising since 2008. Prevalence of obesity among infants and preschool-age children in Korea has doubled since 2008. Obese children may develop serious health complications. Before nutritional counseling is pursued, several points should be initially considered. The points are modifiable risk factors, assessment for child obesity, and principles of treatment. Motivational interviewing and a multidisciplinary team approach are key principles to consider in managing child obesity effectively in the short-term as well as long-term. Nutritional counseling begins with maintaining a daily log of food and drink intake, which could possibly be causing obesity in a child. Several effective tools for nutritional counseling in practice are the Traffic Light Diet plan, MyPlate, Food Balance Wheel, and 'Food Exchange Table'. Detailed nutritional counseling supported by a qualified dietitian is an art of medicine enabling insulin therapy and hypoglycemic agents to effectively manage diabetes mellitus in obese children.

Intense pulsed light (IPL)의 한의학적 원리와 임상 활용에 대한 소고(小考) (Consideration of the Fundamental Principles of IPL and Clinical Applications for Korean Medicine)

  • 남지성;이대현;장인수
    • 대한한의학회지
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    • 제31권5호
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    • pp.60-63
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    • 2010
  • Objectives: The purpose was to take a closer look at the fundamental principles of Intense Pulsed Light (IPL) and to investigate its clinical applications for Korean medical fields. Results: IPL is a type of light treatment that is employed by radiating the short-pulse wave, which is transformed from high-intensity light. It may be used to stimulate skin along meridian channels in clinical fields of Korean medicine like acupuncture, moxibustion, cupping therapy, Guasha therapy, and other related traditional techniques. So, it may be feasible to treat not only lentigines, freckles, facial dermatitis, and acne, but also other applications. In addition, it could be recommended for use with herb remedies or herb facial mask packs. Conclusions: IPL may be a plausible method in phototherapy of Korean medicine.

틸팅차량 차체의 복합재/알루미늄 접합을 위한 접착체결기법 (Adheive Joining Technique for Composite/Aluminum Joint in Carbody of Tilting Train)

  • 윤성호;신광복;한성호
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2003년도 추계학술대회 논문집(III)
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    • pp.395-400
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    • 2003
  • Adhesive joining technique is considered as one of hot issues in developing advanced composite structures. The designer should be familiar with important guidelines of fundamental principles and ideas underlying the design and application of adhesive joints for a correct joint design. This study deals with the following characteristics of adhesive joining techniques: (1) design parameters the affect the performance of joining, (2) fundamental principles and design methods of joining, (3) adhesive selection, (4) surface pre-treatment of the adherand, and (6) test methods. The results would be used to predict the performance of adhesive joints subjected to a thermal aging.

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