• 제목/요약/키워드: alternate treatment

검색결과 98건 처리시간 0.024초

Improvement of Congenital Muscular Torticollis with Mild Symptoms in Non-Treated Adult after Simple Surgical Myotomy of Sternocleidomastoid Muscle under Local Anesthesia

  • Joh, Young Hoo;Park, Dong Ha;Lee, Il Jae;Park, Myong Chul
    • 대한두개안면성형외과학회지
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    • 제16권2호
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    • pp.88-91
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    • 2015
  • In adult congenital muscular torticollis (CMT) patients, physical therapy is not as effective because the development of sternocleidomastoid muscle (SCM) muscle is complete. While surgical release can address CMT in adult patients, the risk of general anesthesia and visible postoperative scar is a concern, expecially in patients with mild symptoms. In this paper, we report our experience in treating such patients with minimal-incision myotomy under local anesthesia. A review was performed for all adult patients who had undergone the simple myotomy procedure. Surgical indication was reserved for patients with mild fibrotic band in the SCM muscle with minimal lengthdiscrepancybetween the muscles. All patients had recognizable head tiltand palpation of fibrotic band on affected side of the neck. Surgical details are described in the main body of text. Three female patients had undergone the procedure. Torticollis was resolve in all patients with complete restoration of ranage of motion. There were no postoperative complications, and patient satisfaction was high. We have reported three cases of mild CMT in adult female patients, who had undergone minimal-incision myotomy under local anesthesia. Outcomes were satisafactory with no morbidity to report. With careful patient selection, this method offers an alternate treatment option for adult CMT patients with mild symptoms.

Comparison of WHO and RECIST Criteria for Evaluation of Clinical Response to Chemotherapy in Patients with Advanced Breast Cancer

  • Khokher, Samina;Qureshi, Muhammad Usman;Chaudhry, Naseer Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권7호
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    • pp.3213-3218
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    • 2012
  • When patients with advanced breast cancer (ABC) are treated with neoadjuvant chemotherapy (NACT), efficacy is monitored by the extent of tumor shrinkage. Since their publication in 1981, World Health Organization (WHO) guidelines have been widely practiced in clinical trials and oncologic practice, for standardized tumor response evaluation. With advances in cancer treatment and tumor imaging, a simpler criterion based on one-dimensional rather than bi-dimensional (WHO) tumor measurement, named Response Evaluation Criteria in Solid Tumors (RECIST) was introduced in 2000. Both approaches have four response categories: complete response, partial response, stable disease and progressive disease (PD). Bi-dimensional measurement data of 151 patients with ABC were analysed with WHO and RECIST criteria to compare their response categories and inter criteria reproducibility by Kappa statistics. There was 94% concordance and 9/151 patients were recategorized with RECIST including 6/12 PD cases. RECIST therefore under-estimates and delays diagnosis of PD. This is undesirable because it may delay or negate switch over to alternate therapy. Analysis was repeated with a new criteria named RECIST-Breast (RECIST-B), with a lower threshold for PD (${\geq}10%$ rather than ${\geq}20%$ increase of RECIST). This showed higher concordance of 97% with WHO criteria and re-categorization of only 4/151 patients (1/12 PD cases). RECIST-B criteria therefore have advantages of both ease of measurement and calculations combined with excellent concordance with WHO criteria, providing a practical clinical tool for response evaluation and offering good comparison with past and current clinical trials of NACT using WHO guidelines.

Synthesis of vertically aligned silicon nanowires with tunable irregular shapes using nanosphere lithography

  • 구자훈;이태윤
    • 한국재료학회:학술대회논문집
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    • 한국재료학회 2012년도 춘계학술발표대회
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    • pp.88.1-88.1
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    • 2012
  • Silicon nanowires (SiNWs), due to their unusual quantum-confinement effects that lead to superior electrical and optical properties compared to those of the bulk silicon, have been widely researched as a potential building block in a variety of novel electronic devices. The conventional means for the synthesis of SiNWs has been the vapor-liquid-solid method using chemical vapor deposition; however, this method is time consuming, environmentally unfriendly, and do not support vertical growth. As an alternate, the electroless etching method has been proposed, which uses metal catalysts contained in aqueous hydrofluoric acids (HF) for vertically etching the bulk silicon substrate. This new method can support large-area growth in a short time, and vertically aligned SiNWs with high aspect ratio can be readily synthesized with excellent reproducibility. Nonetheless, there still are rooms for improvement such as the poor surface characteristics that lead to degradation in electrical performance, and non-uniformity of the diameter and shapes of the synthesized SiNWs. Here, we report a facile method of SiNWs synthesis having uniform sizes, diameters, and shapes, which may be other than just cylindrical shapes using a modified nanosphere lithography technique. The diameters of the polystyrene nanospheres can be adjustable through varying the time of O2 plasma treatment, which serve as a mask template for metal deposition on a silicon substrate. After the removal of the nanospheres, SiNWs having the exact same shape as the mask are synthesized using wet etching technique in a solution of HF, hydrogen peroxide, and deionized water. Different electrical and optical characteristics were obtained according to the shapes and sizes of the SiNWs, which implies that they can serve specific purposes according to their types.

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Orofacial Pain Anti-Inflammatory Activity of Extracts of Boswellia Serrata in Rats

  • Choi, Ja-Hyeong;Hyun, Kyung-Yae;Lee, Min-Kyung
    • 대한의생명과학회지
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    • 제24권3호
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    • pp.239-244
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    • 2018
  • Recently, many researches regarding the natural products which alternate with chemical products have been done. Among them, boswellia is well known for effect on anti-oxidative effect and inflammation. The aim was the effect boswellia of formalin- induced orofacial and temporomandibular joint (TMJ) pain on experimental animals was investigated. Experiments were carried out using subcutaneous (SC) pain model and TMJ pain model that were induced by the injection of 5% formalin into the right vibrissa pad (SC, $50{\mu}L$) or TMJ ($30{\mu}L$) of rats, respectively. In both models, formalin (5%), formalin after distilled water (vehicle), formalin after boswellia extract (p.o., concentrations of 15, 30 mg/kg) (n=6). The number of scratching on the injected region was scored during the 9 successive periods of 5 min intervals following injection of formalin. Oral administration of boswellia (15, 30 mg / kg) reduced formalin-induced SC orofacial pain behavioral responses. SC orofacial pain behavioral responses was significantly reduced at 20~35 min. In the experimental group injected into temporomandibular joints, the pain response was significantly reduced by $276.2{\pm}8.20$ and $78.3{\pm}4.7$ after oral administration of boswellia (15, 30 mg / kg) at $398.3{\pm}24.8$ times. As a result of the passage of time, the oral administration of boswellia showed a significant effect of reducing the temporomandibular joint pain 30 minutes after the injection of formalin. This study confirmed that oral administration of boswellia modulated the pain behavior in both models. In conclusion, boswellia extract may be a potential therapeutic treatment for orofacial pain.

Fiber Surface Engineering to Improve Papermaking Raw Material Quality

  • Wang Eugene I-Chen;Perng Yuan Shing
    • 한국펄프종이공학회:학술대회논문집
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    • 한국펄프종이공학회 2006년도 PAN PACIFIC CONFERENCE vol.2
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    • pp.271-278
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    • 2006
  • We used polymers of alternating cationic and anionic nature to build up shells on fiber surfaces, strengthen the worn-out fibers and improve paper properties made from such fibers. OCC and ONP pulps were either dipped or salted out in the cationic polyallylamine, polyacrylamide and starch solutions. After centrifugal drying, these were followed by treatments in anionic polyacrylic acid, poly-acrylamide, and starch solutions, respectively. The shell-enhanced fibers were formed into handsheets and their physical properties evaluated. The results show that building multiple shells on worn-out fiber surfaces can strengthen the fibers and paper. The simpler and more practical impregnation-centrifuging treatment provided the desired effects, whereas salting out the polymers produced somewhat superior fibers. The latter process, were impractical, however. The first pair of polymeric shells imparted marked strength improvement, whereas later layers had diminishing efficacies. Overall, the methods can improve fiber quality, attaining paper strength requirements without resorting to expensive measures. Alternate cationic polymer and filler powders were also deposited on fiber surface based on the micriparticle system in an anticipation of stiffness gains. Platy minerals, such as montmorillonite, bentonite, sericite, clay and talc were added following cationic PAM. After dewatering of polymer-pigment shelled fiber of one to 3 pairs of layers, handsheets either calendered or uncalendered were evaluated. The results indicate that regardless of calendaring, stiffness of the handsheets did not improve appreciably while certain other strength properties showed gains. We also attempted the novel starch gel filler addition method wherein tapioca starch and filers (PCC, sericite or clay) were mixed at high solids content of 50% and cooked until gelatinized. The filled handsheets were dried under various conditions and then tested for their properties. Improvements in strengths of modified filled paper were observed.

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Aqueous extract of Petasites japonicus leaves promotes osteoblast differentiation via up-regulation of Runx2 and Osterix in MC3T3-E1 cells

  • Kim, Eun Ji;Jung, Jae In;Jeon, Young Eun;Lee, Hyun Sook
    • Nutrition Research and Practice
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    • 제15권5호
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    • pp.579-590
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    • 2021
  • BACKGROUND/OBJECTIVES: Petasites japonicus Maxim (P. japonicus) has been used as an edible and medicinal plant and contains many bioactive compounds. The purpose of this study is to investigate the effect of P. japonicus on osteogenesis. MATERIALS/METHODS: The leaves and stems of P. japonicus were separated and extracted with hot water or ethanol, respectively. The total phenolic compound and total polyphenol contents of each extract were measured, and alkaline phosphatase (ALP) activity of each extract was evaluated to determine their effect on bone metabolism. To investigate the effect on osteoblast differentiation of the aqueous extract of P. japonicus leaves (AL), which produced the highest ALP activity among the tested extracts, collagen content was measured using the Sirius Red staining method, mineralization using the Alizarin Red S staining method, and osteocalcin production through enzyme-linked immunosorbent assay analysis. Also, real-time reverse transcription polymerase chain reaction was performed to investigate the mRNA expression levels of Runt-related transcriptional factor 2 (Runx2) and Osterix. RESULTS: Among the 4 P. japonicus extracts, AL had the highest values in all of the following measures: total phenolic compounds, total polyphenols, and ALP activity, which is a major biomarker of osteoblast differentiation. The AL-treated MC3T3-E1 cells showed significant increases in induced osteoblast differentiation, collagen synthesis, mineralization, and osteocalcin production. In addition, mRNA expressions of Runx2 and Osterix, transcription factors that regulate osteoblast differentiation, were significantly increased. CONCLUSIONS: These results suggest that AL can regulate osteoblasts differentiation, at least in part through Runx2 and Osterix. Therefore, it is highly likely that P. japonicus will be useful as an alternate therapeutic for the prevention and treatment of osteoporosis.

전뇌(Whole Brain)치료 시 Field-in-Field Technique 적용에 관한 고찰 (A comparative study of dose distribution for whole brain with field-in-field technique)

  • 김보겸;이제희;정치훈;박흥득
    • 대한방사선치료학회지
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    • 제17권1호
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    • pp.9-17
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    • 2005
  • 목적 : 방사선치료에 있어 치료부위내의 균등한 선량분포는 환자의 치료성적 및 장해를 좌우하는 매우 중요한 인자이다. 이러한 치료부위내의 균등한 선량분포를 얻기 위해 사용하는 여러 가지 방법 중 간단한 Field-in-Field Technique의 유용성을 평가하고 다양한 크기의 전뇌(whole brain)치료 환자에게 적용가능성을 알아보고자 한다. 대상 및 방법 : 전뇌(whole brain)의 일반적인 치료기법인 대향2문조사와 Field-in-Field Technique을 적용했을 때의 선량분포도를 비교하기 위하여 phantom(acryl 16 cm spheral phantom)을 대상으로 치료계획을 수립하였으며, 선량분포평가를 위하여 저감도필름(X-Omat V-film)과 열형광선량계(TLD)를 사용하여 측정하였다. 또한 다양한 두께의 환자20명(대, 중, 소 및 소아-각각 5명)을 대상으로 Field-in-Field Technique의 적용가능성을 평가 하였다 결과 : 전뇌(whole brain)치료에 대향2문조사와 Field-in-Field Technique을 적용한 경우 각각의 치료부위내의 선량분포 및 DVH를 비교한 결과, Field-in-Field Technique을 사용한 경우 고선량(high dose)영역을 $3{\sim}4\%$이하로 줄일 수 있었고, 저감도필름(X-Omat V-film)과 열형광선량계(TLD)에 의한 측정결과 또한 유사한 수치를 얻을 수 있었다. 이러한 Field-in-Field Technique을 다양한 두께의 환자에게 동일하게 적용해도 선량분포의 변화는 $1{\sim}2\%$로 나타났다. 결론 : 전뇌(whole brain)치료에 Field-in-Field Technique를 이용하여 치료계획을 수립하여 적용하면 치료부위내의 균등한 선량분포를 얻을 수 있으므로 추가적인 치료가 필요한 경우 선량합성이 용이하여 쉽게 치료계획을 수립할 수 있었다. 그리고 균등한 선량분포를 얻기 위해 사용하는 wedge filter 및 3D compensator 의 역할을 대체 할 수 있으며, 방사선 치료 시 고선량 영역으로 인해 발생되는 장해를 최소화할 수 있을 것으로 사료된다.

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치주수술후 치주포대의 사용유무에 따른 임상적 효과에 대한 비교논문 (A Comparative Study of Clinical Sffects Following Periodontal Surgery with and without Dressing)

  • 배상범;임성빈;정진형
    • Journal of Periodontal and Implant Science
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    • 제29권3호
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    • pp.693-703
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    • 1999
  • Since they were introduced by Ward in 1923, periodontal dressing have been routinely used following the periodontal surgery to avoid pain, infection, desensitizing teeth, inhibiting food impaction of the surgical areas, and immobilizing injured areas. Recently, however, the value of periodontal dressings and their effects on periodontal wound healing have been questioned, several authors have been reported that the use of dressing has little influence on healing following periodontal surgical procedures. In addition, there is evidence that when good flap adaptation is achieved, the use of a periodontal dressing does not add to patient comfort nor promote healing. The purpose of this study was to evaluate patient postoperative pain experience and discomfort with and without the use of periodontal dressing following periodontal surgery. Twenty-eight patients, 11 male and 17 female. were selected for this study; The age range was 31 to 56, with an average of 40.2years. Patient selection was based on existence of two bilateral sites presenting similar periodontal involvement, as determined by clinical and radiographic assessment, and requiring comparable bilateral surgical procedures. Using a splitmouth dressing. one site received a periodontal dressing while the other site did not. Pain assessment was made according to a horizontal, rating scale(0-10). After at least a two-week period, the second surgical precedure was performed using the alternate postoperative treatment. At the conclusion of the trial, a self-administered questionnaire on postoperative experience was administered, and were asked of their preference of either, dressed or undressed. The results were as follows: 1. A similar trend for mean pain and discomfort scores as assessed by patients both dressed and salinetreated procedures was evident during 7-day postsurgical period. 2. Statistical analysis of differences between the dressed side and salinetreated side with respect to pain, discomfort and patient's experiences revealed that both treatment sides behaved similarly at any postoperative day(P>0.05). 3. Considering the patient's preference, on the basis of pain and discomfort experienced, 43% preferred the saline-mouthwash and 32% preferred the dressing, 25% showing no preference for either the dressing or the saline-mouthwash. There is evidence to support the use of a periodontal dressing in retention of an apically positioned flap by preventing coronal displacement, or its use to provide additional support to stabilize a free gingival graft. However, there will always be a use for periodontal dressing although routine use of dressings may decrease because of better surgical techniques and the use of antibacterial mouth rinses.

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항생제 대체 감초와 용규 혼합 급여가 육계의 생산성과 체액 성상에 미치는 영향 (Effects of Dietary Supplementation of Glycyrrhiza uralensis Fisch and Solanum nigrum L. Mixture for Alternate the Antibiotics on Productivity and Blood Composition in Broiler Chickens)

  • 조성구;김혜인;이민경;이정주;곽용철;이석천;이영
    • 한국가금학회지
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    • 제36권3호
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    • pp.215-222
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    • 2009
  • 항생제 대체제 개발을 위한 용규와 감초 건조분말 복합제를 육계사료에 첨가 급여 하여 생산성과 혈액성상에 미치는 영향을 조사하기 위하여 수행하였다. 7일령 이후 육계 숫병아리(Ross)를 3단 케이지에 5처리 3반복, 반복당 10수씩, 총 150수를 공시하여 5주 동안 실험을 실시하였다. 시험 사료는 무첨가구, 항생제(avilamycin) 첨가구, 항생제 대체 용규 감초 건조 분말 0.5%(0.25+0.25), 1.0%(0.5+0.5%) 및 2.0%(1.0+1.0) 첨가구로 구분하여 사양 시험을 실시하였다. 증체량, 사료 섭취량 및 사료 요구율은 처리구간에 차이가 없었다. 도체중은 4주령에서 용규 감초 1.0% 첨가구에서 높았으며(P<0.05), 6주령시에는 용규 감초 1.0% 첨가구에서 약간 높았다. 도체율은 4주령과 6주령에서 처리구간에 비슷하게 측정되었다. 간장 중량은 4주령과 6주령에서 용규 감초 0.5% 첨가구에서 무거웠다(P<0.05). 비장중량은 4주령과 6주령에서 처리간 차이가 없었다. 4주령과 6주령시 혈중 protein, albumin, glucose, total bilirubin 농도와 GOT 및 GPT, TG, HDL-cholesterol, LDL-cholesterol, total cholesterol 농도에서 처리간에 차이가 없었다. 용규 감초 복합 첨가급여는 육계의 생산성 및 혈액성상에서 처리간의 차이가 없었음은 항생제 대체 물질로서의 사용가능이 있는 것으로 사료된다.

"금궤요략심전.분돈기병맥증치제팔(奔豚氣病脈證治第八)"에 대한 번역연구 (Translational Study for "Treatise on Bundon Disease in Chapter 8 of the Essence of the Synopsis of the Golden Chamber")

  • 이선란;이용범
    • 대한한의학원전학회지
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    • 제21권2호
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    • pp.21-28
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    • 2008
  • After translating the contents of "Treatise on Bundon Disease in Chapter 8 of the Essence of the Synopsis of the Golden Chamber" and it was compared with the contents of "The Lecture of Synopsis of Prescriptions of the Golden Chamber" and speculated to review the characteristics of the comments of Ui(尤怡) and the following conclusions were made. As the causes of bundon(奔豚) disease, which means gas rushing like a running piggy from the lower abdomen to the throat, they could be categorized into the cases belongs to miscellaneous diseases (雜病) and into the cases of suffering from cold diseases(傷寒). If it was diagnosed as miscellaneous disease, terror and fear(驚恐) could be regarded as its cause and if it was diagnosed as cold disease, insufficiency of heart Gi(心氣) due to the excessive sweating and the invasion of exterior coldness could be regarded as its cause. As the pathogenesis of this disease, the pathogenic factors of liver and kidney could be found. Since the liver and Soyang meridian(少陽經) are subjected to the exterior and interior relation in case of the pathogenic factor of liver, alternate attacks of chills and fever(寒熱往來) could be characteristic for the disease. If this disease was caused by the pathogenic factor of kidney, there are two cases. One is the palpitation under the umbilicus(欲作奔豚: 臍下動悸) developed by the lack of heart Gi(心氣) and the other is gas rushing like a running piggy from the lower abdomen to the throat which could be developed by the exterior cold disease which invade into the interior and reach into the kidney when the heart Gi(心氣) was insufficient. In its treatment, bundon disease caused by the pathogenic factor of liver could be treated with Bundontang(奔豚湯), and the understanding of Ui(尤怡) on Pinellia ternata Breitenbach(半夏) having the effect of perspiration in the prescription is quite unique concept. In case of bundon disease caused by the pathogenic factor of kidney, treatment is focused to treat exterior coldness by applying moxibustion(灸) and Gyejigagyetang(桂技加桂湯), and in case of the palpitation under the umbilicus(欲作奔豚: 臍下動悸), its pathogenic factor of kidney is controlled with Cinnamomum louerii Nees(桂技), Polia cocos Walf and the spleen Gi(脾氣) is cared by using Glycyrrhiza uralensis Fischer et. De Candolle(甘草) and Zizyphus jujuba Mill(大棗). Especially, Ui(尤怡) emphasized Cinnamomum louerii Nees(桂技) as the medication to treat the pathogenic factor of kidney.

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