• 제목/요약/키워드: conventional medicine

검색결과 2,758건 처리시간 0.03초

THE FRACTURE CHARACTERISTICS OF GLASS FIBER POST AND CORE ON USING DIFFERENT TYPES OF CORE RESIN MATERIALS

  • Shim Dong-Wook;Shim June-Sung;Lee Seok-Hyung;Lee Keun-Woo
    • 대한치과보철학회지
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    • 제42권3호
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    • pp.280-293
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    • 2004
  • Statement of problem. Glass fiber post is one of recent developments to accommodate esthetic restoration for endodontically treated teeth. This has many advantages over conventional post system in physical properties, esthetic factor, risk of root and restoration fracture, adhesion to core, radiopacity, removal and retrievabilty, biocompatibility and chemical stability. Purpose. This in vitro study was to evaluate the most suitable type of resin core for the glass fiber post through surveying the fracture modes and the maximum load that fractures the tooth. Material and methods. 50 sound maxillary premolars restored with glass fiber posts($ParaPost^{(R)}$ Fiber White) and different types of resin cores(ParaCore, $Z100^{TM}$, $Rebilda^{(R)}$ and $Admira^{(R)}$) were prepared and loaded to faiure in a universal test machine. The maximum fracture load and fracture mode were investigated in the specimens that were restored with resin and those of metal cast and core. With the data, Wilcoxon rank sum test was used to validate the significance between the test groups, and Tukey' s studentized range test was used to check if there is any significant statistical difference between each test group. Every analysis was approved with 95% reliance. Results. On measuring the maximum fracture load of teeth specimens, there was a significant difference between the maximum fracture loads of the tooth specimens. ParaCore showed the highest mean maximum fracture load followed by $Z100^{TM}$. And, the distribution of fracture mode of tooth specimens showed generally Type D, the three parted fracture of the core around the post was mostly seen(62.5%), and specifically, ParaCore showed 90% and $Z100^{TM}$ showed 100% Type D fracture. Conclusion. Referring to the values of maximum fracture load and mean compressive fracture load, ParaCore and $Z100^{TM}$ had high values and are recommended as tooth colored resin core material for glass fiber post. CLINICAL IMPLICATIONS. This study was carried out intending to be of aid in selecting the appropriate resin core for the glass fiber post. The dual cure type composite resin ParaCore and light cure type composite resin $Z100^{TM}$ have good properties and are recommended as tooth colored resin core material for glass fiber post.

무농약·유기재배 사과원에서 교미교란제를 이용한 복숭아순나방과 복숭아심식나방의 방제 (Management of Grapholita molesta and Carposina sasakii Using Mating Disruption in Non-Chemical or Organic Apple Orchards)

  • 이선영;최경희;도윤수;이순원;윤창만;김길하
    • 한국응용곤충학회지
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    • 제53권2호
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    • pp.103-110
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    • 2014
  • 복숭아순나방과 복숭아심식나방의 방제를 위해 교미교란제 MD-IKR (Isomate-KR)과 MD-CR (Confuser-R)의 효과를 무농약 유기재배 사과원에서 평가하였고 관행방제 사과원과 비교하였다. 2011년 칠곡지역의 복숭아순나방에 대한 두 종의 교미교란제에 대한 교미저해율은 99.8%였고, 상대적으로 청송지역의 교미저해율이 각각 99.8과 92.8%로 칠곡지역과 차이가 있었다. 2012년 칠곡지역의 교미저해율은 각각 92.4와 96.7%였다. 청송지역에서 교미저해율은 99.6%로 가장 높은 교미저해율을 보였다. 2011년 2012년의 복숭아심식나방에 대한 교미저해율은 두 교미교란제 모두 100%로 높게 나타났다. 두 교미교란제는 복숭아순나방과 복숭아심식나방이 방제효과에 대하여 무방제구 대비 방제효과가 월등하였고, 관행방제와 비교했을 때 통계적으로 유의성 없이 방제효과가 대등하였다. 두 종의 교미교란제와 관행재배구의 새순과 과실피해율은 무방제구 대비 유의성있는 방제효과를 보였다. 두 종의 교미교란제 간에는 효력의 차이가 없어 MD-IKR이 MD-CR을 충분히 대체할 수 있을 것으로 판단된다.

선천성 정신지체가 있는 der(8)t(8;13)(p23.3;q32.1) 핵형의 성인여성 (Unbalanced translocation der(8)t(8:13)(p23.3;q32.1)dn identified by array CGH and subtelomeric FISH in a patient with mental retardation)

  • 이수민;이동숙;정현아;김기철;황도영
    • Journal of Genetic Medicine
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    • 제5권1호
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    • pp.65-68
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    • 2008
  • 염색체 말단부위의 결실, 혹은 중복 등의 재배열은 정신지체나 기형의 중요한 원인이 되며, 정신지체 환자 2,500명에서 5%미만으로 보고되고 있다. 그러나 일반적으로 행하여지는 핵형 분석으로는 미세한 염색체의 재배열을 정확히 설명하기 어렵다. 본 증례는 불균형 전좌를 가진 성인여성의 정확한 핵형 분석을 위해 말초혈액의 분석 시 기존의 세포유전학적인 방법에 분자유전학적인 방법을 함께 병행한 보고이다. 환자는 31세 여성으로 심각한 정신지체, 행동발달과 언어 발달 장애를 보였으며, 그 원인분석을 위해 Trypsin과 Giemsa를 이용한 GTG 염색법으로 핵형분석을 시행하였다. 그 결과, 46,XX,add(8)(p23.3)으로 확인되었으며, 기원을 확인하기 위하여 부모 염색체 검사를 통해 유전력의 여부를 확인하고, array CGH와 FISH를 시행하여 기원을 알 수 없는 염색체 조각의 기원을 확인한 결과 46,XX,der(8)t(8;13)(p23.3;q32.1)dn의 최종 핵형을 확인하였다. 따라서, FISH 또는 array-CGH 등의 분자유전학적 방법의 적절하고 적극적인 적용은 기존의 세포유전학적 방법을 보완하여, 환자의 정보를 빠르고 정확하게 보고하는데 매우 유용하고, 효과적인 방법이라 하겠다.

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1-GFLOPS DSP를 이용한 자기공명영상 스펙트로미터 설계 (Design of MRI Spectrometer Using 1 Giga-FLOPS DSP)

  • 김휴정;고광혁;이상철;정민영;장경섭;이동훈;이흥규;안창범
    • Investigative Magnetic Resonance Imaging
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    • 제7권1호
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    • pp.12-21
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    • 2003
  • 목적 : 기존의 일반적인 스펙트로미터보다 향상된 성능을 가진 새로운 스펙트로미터를 설계 및 제작하였다. 대상 및 방법 : 초당 10억번의 부동 연산 능력을 갖춘 TMS320C6701 DSP를 이용하여 연속적으로 변하는 복잡한 경사자계파형을 실시간으로 계산하여 출력할 수 있고, 선택 단면을 interactive하게 조절할 수 있는 스펙트로미터를 설계, 제작하였다. 설계된 스펙트로미터는 DSP 기반의 디지털 제어부와 파형을 만들고 변조 및 복조를 수행하는 아날로그부로 구성되어 있다 RF 신호의 변조 및 복조는 디지털 기술을 사용하여 정밀도와 안정성을 높였다. 고속 병렬영상을 위하여 하나의 측정 보드당 4채널까지 측정할 수 있도록 하였고, 고속 DSP를 이용하여 빠른 재구성이 가능하도록 하였다. 결과 : 제작된 스펙트로미터를 1.5 테슬라 전신자기공명영상 시스템에 장착하여 다양한 방법으로 성능을 시험하였다. 디지털 변조/복조 방식에서 요하는 정밀한 위상 제어를 확인할 수 있었고, phase array 코일 영상을 통하여 다중 채널 측정시스템의 성능을 검증할 수 있었다. 개발된 스펙트로미터를 기존의 상품화된 스펙트로미터와 비교해 볼때 보다 정밀한 위상 제어가 가능한 것으로 나타났다. 결론 : Interactive하게 영상의 단면을 선택하고, 실시간 계산에 의한 파형출력은 나선주사 심장영상과 같은 첨단의 영상기법에 요구되는 스펙트로미터의 기능이다 또한 다채널 측정시스템도 병렬영상을 위한 필수적인 기능이다. 본 논문에서는 초당 10억번의 부동소수점 연산이 가능한 TMS320C6701 디지털신호처리기를 사용하여 이러한 기능들을 가진 스펙트로미터를 설계, 제작하였다. 디지털 방식의 변조/복조 기술을 채택하여 정밀한 위상제어가 가능하였다. 개발된 스펙트로미터를 FSE, GE, angiography 등 다양한 영상방법에 적용하여 성능을 확인하였으며, 기존의 제품보다 뛰어난 화질의 영상을 얻을 수 있었다.

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Exophytic Verrucous Hyperplasia of the Oral Cavity - Application of Standardized Criteria for Diagnosis from a Consensus Report

  • Zain, Rosnah Binti;Kallarakkal, Thomas George;Ramanathan, Anand;Kim, Jin;Tilakaratne, WM;Takata, Takashi;Warnakulasuriya, Saman;Hazarey, Vinay Kumar;Rich, Alison;Hussaini, Haizal Mohd;Jalil, Ajura
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권9호
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    • pp.4491-4501
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    • 2016
  • Verruco-papillary lesions (VPLs) of the oral cavity described in the literature involve a spectrum of conditions including squamous papilloma, verruca vulgaris, focal epithelial hyperplasia, condyloma, proliferative verrucous leukoplakia and verrucous carcinoma. A majority of the VPLs are slow growing, benign in nature and have a viral aetiology. Virus associated benign mucosal outgrowths are not too difficult to diagnose either clinically or by microscopy. Apart from virus-associated lesions, VPLs harboring malignant potential or behaviour such as verrucous carcinoma, proliferative verrucous leukoplakia, oral verrucous hyperplasia (OVH), oral papillary squamous cell carcinoma (PSCC) and oral conventional squamous cell carcinoma with papillary features (CSCC) need to be further clarified for better understanding of their predictable biologic behavior and appropriate treatment. Current understanding of potentially malignant VPLs is perplexing and is primarily attributed to the use of confusing and unsatisfactory terminology. In particular, the condition referred to as oral verrucous hyperplasia (OVH) poses a major diagnostic challenge. OVH represents a histopathological entity whose clinical features are not well recognised and is usually clinically indistinguishable from a verrucous carcinoma and a PSCC or a CSCC. A consensus report published by an expert working group from South Asia as an outcome of the 'First Asian Regional Meeting on the Terminology and Criteria for Verruco-papillary Lesions of the Oral Cavity' held in Kuala Lumpur, Malaysia, recognised the clinical description of these OVH as a new entity named 'Exophytic Verrucous Hyperplasia'. Previously described clinical features of OVH such as the 'blunt' or 'sharp' variants; and the 'mass' or 'plaque' variants can now collectively fall under this newly described entity. This paper discusses in detail the application of the standardized criteria guidelines of 'Exophytic Verrucous Hyperplasia' as published by the expert group which will enable clinicians and pathologists to uniformly interpret their pool of OVH cases and facilitate a better understanding of OVH malignant potential.

하이드록시아파타이트 코팅 리포솜의 초음파에 의한 약물방출 (Ultrasound-Triggered Drug Release of Hydroxyapatite Coated Liposomes)

  • 조성근;위태인;하정;조선행;한건;한희동;신병철
    • 대한화학회지
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    • 제57권4호
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    • pp.493-498
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    • 2013
  • 리포솜은 표적 약물을 봉입하여 병소에 안전하게 전달할 수 있는 약물전달체로서 연구되고 있다. 그러나 일반적인 리포솜은 표적부위에서 약물방출이 제한적인 문제점이 있다. 따라서 본 연구에서는 리포솜의 안정성을 향상시키고 표적부위에서 외부 초음파로부터 약물의 방출을 극대화시키기 위하여 하이드록시아파타이트(hydroxyapatite, HA)가 코팅된 리포솜을 개발하였다. 대조군 리포솜은 인지질과 콜레스테롤을 이용하여 제조하였고, 대조군 리포솜의 표면에 칼슘 아세테이트, 포스포릭에시드, 그리고 25% 암모니아용액을 이용하여 HA를 코팅하였다. 모델 약물로는 독소루비신을 사용하였다. HA코팅 리포솜의 크기는 120 nm 이었고, 약물봉입효율은 95% 이상이었다. 30% 혈장용액 내에서 HA코팅 리포솜의 입자크기는 일정한 상태를 유지하였으며, 대조군 리포솜은 크기가 1.4배 증가하였다. 외부 초음파 자극에 의한 리포솜으로부터 약물 방출을 유도한 후, 방출된 약물의 세포 이입율은 HA 코팅된 리포솜이 3배 이상 대조군 리포솜에 비하여 증가하였다. 본 연구에서는 외부 초음파 자극에 의하여 리포솜으로부터 약물의 방출을 극대화시키기 위한 초음파 민감형 리포솜을 개발하였고, 본 제형은 표적부위에서 약물의 방출을 효과적으로 제어하기 위한 분야에 활용이 가능할 것이다.

Sensitivity of Plasmodium falciparum to Antimalarial Drugs in Hainan Island, China

  • Wang, Shan-Qing;Wang, Guang-Ze;Li, Yu-Chun;Meng, Feng;Lin, Shi-Gan;Zhu, Zhen-Hu;Sun, Ding-Wei;He, Chang-Hua;Hu, Xi-Min;Du, Jian-Wei
    • Parasites, Hosts and Diseases
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    • 제53권1호
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    • pp.35-41
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    • 2015
  • Pyronaridine and artesunate have been shown to be effective in falciparum malaria treatment. However, pyronaridine is rarely used in Hainan Island clinically, and artesunate is not widely used as a therapeutic agent. Instead, conventional antimalarial drugs, chloroquine and piperaquine, are used, explaining the emergence of chloroquine-resistant Plasmodium falciparum. In this article, we investigated the sensitivity of P. falciparum to antimalarial drugs used in Hainan Island for rational drug therapy. We performed in vivo (28 days) and in vitro tests to determine the sensitivity of P. falciparum to antimalarial drugs. Total 46 patients with falciparum malaria were treated with dihydroartemisinin/piperaquine phosphate (DUO-COTECXIN) and followed up for 28 day. The cure rate was 97.8%. The mean fever clearance time ($22.5{\pm}10.6hr$) and the mean parasite clearance time ($27.3{\pm}12.2hr$) showed no statistical significance with different genders, ages, temperatures, or parasite density (P>0.05). The resistance rates of chloroquine, piperaquine, pyronarididine, and artesunate detected in vitro were 71.9%, 40.6%, 12.5%, and 0%, respectively (P<0.0001). The resistance intensities decreased as follows: chloroquine>piperaquine>pyronarididine>artesunate. The inhibitory dose 50 ($IC_{50}$) was $3.77{\times}10^{-6}mol/L$, $2.09{\times}10^{-6}mol/L$, $0.09{\times}10^{-6}mol/L$, and $0.05{\times}10^{-6}mol/L$, and the mean concentrations for complete inhibition (CIMC) of schizont formation were $5.60{\times}10^{-6}mol/L$, $9.26{\times}10^{-6}mol/L$, $0.55{\times}10^{-6}mol/L$, and $0.07{\times}10^{-6}mol/L$, respectively. Dihydroartemisinin showed a strong therapeutic effect against falciparum malaria with a low toxicity.

기니픽 유두근에서 α1-adrenoceptor 자극에 의한 세포내 pH와 Na+ 증가는 Na+-H+ 교환기를 경유 (α1-adrenoceptor stimulation increases intracellular pH and Na+ via Na+-H+ exchange in guinea pig papillary muscle)

  • 김진상
    • 대한수의학회지
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    • 제35권2호
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    • pp.229-236
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    • 1995
  • The effect of ${\alpha}_1$-adrenoceptor(${\alpha}_1$-AR) stimulation on intracellular pH($pH_i$), $Na^+$ activity($a_{Na}{^i}$) and contractility were investigated in isolated papillary muscles of euthyroid or hyperthyroid guinea pig with conventional microelectrode, $Na^+$ or $H^+$-selective microelectrodes, and tension transducer. Stimulation of the ${\alpha}_1$-AR by phenylephrine produced a decrease in $a_{Na}{^i}$ in euthyroid preparations. This decrease in $a_{Na}{^i}$ was abolished in presence of PKC activator, phorbol dibutyrate, and increased contrary to decrease. Phenylephrine also increased $a_{Na}{^i}$ in hyperthyroid ones. However, phenylrephtine produced an increase in $pH_i$ in both euthyroid and hyperthyroid ones. These changes were blocked by prazosin, an antagonist of ${\alpha}_1$-AR. These findings suggest that the changes in $a_{Na}{^i}$ and $pH_i$ are mediated by a stimulation of $Na^+-H^+$ exchange via ${\alpha}_1$-AR stimulation. This study focused on the increase in $a_{Na}{^i}$, $pH_i$ and contractility. The increase in $pH_i$ was blocked by amiloride or EIPA, $Na^+-H^+$ exchange inhibitors. Therefore, the increase in $a_{Na}{^i}$ and $pH_i$ mediated by ${\alpha}_1$-AR appeared to be due to an influx of $Na^+$ and a reduction of $H^+$ through $Na^+-H^+$ exchange. This study also revealed that the increase in $pH_i$ and $a_{Na}{^i}$ might be related to the sustained positive inotropic response. The $a_{Na}{^i}$ increase may contribute to the intracellular $Ca^{2+}$ through the $Na^+-Ca^{2+}$ exchange, and the $pH_i$ increase could cause an increase in the $Ca^{2+}$ sensitivity of myofilaments and may augment the ${\alpha}_1$-AR-mediated positive inotropic response.

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Impact of Cellular Immune Function on Prognosis of Lung Cancer Patients after Cytokine-induced Killer Cell Therapy

  • Jin, Congguo;Li, Jia;Wang, Yeying;Chen, Xiaoqun;Che, Yanhua;Liu, Xin;Wang, Xicai;Sriplung, Hutcha
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권15호
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    • pp.6009-6014
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    • 2014
  • Aims: To investigate changes in cellular immune function of patients with lung cancer before and after cytokine-induced killer (CIK) cell therapy and to identify variation effects on overall survival (OS) and progression-free survival (PFS). Materials and Methods:A total of 943 lung cancer patients with immune dysfunction were recruited from January 2002 to January 2010, 532 being allocated to conventional therapy and 411 to CIK therapy after a standard treatment according to the NCCN Clinical Practice Guidelines. All the patients were investigated for cellular immune function before and after therapy every three months. and clinical prognostic outcomes were analyzed. Results: After six courses of treatment, immune function was much improved in patients receiving CIK cells therapy as compared to controls. The percentages of recurrence and/or metastases for patients undergoing CIK cell therapy was 56.2% and 49.1% respectively but 78.6% and 70.3% among controls (p<0.001). The median OS times for CIK cell therapy and control groups were 48 and 36 months respectively. The OS rates at 12, 36, 60, 84 months in CIK treated patients were 97.8%, 66.9%, 27.7%, and 4.1% while they were 92.3%, 44.5%, 9.2%, and 1.5% in controls. OS and PFS were significantly different by log rank test between the two groups and across the three immune improvement classes. Conclusions: The immune function of lung cancer patients was improved by CIK cell therapy, associated with an increase in the OS rate and extension of the time to recurrence and/or metastasis.

Genetic Susceptibility to Oral Cancer due to Combined Effects of GSTT1, GSTM1 and CYP1A1 Gene Variants in Tobacco Addicted Patients of Pashtun Ethnicity of Khyber Pakhtunkhwa Province of Pakistan

  • Zakiullah, Zakiullah;Ahmadullah, Ahmadullah;Khisroon, Muhammad;Saeed, Muhammad;Khan, Ajmal;Khuda, Fazli;Ali, Sajid;Javed, Nabila;Ovais, Muhammad;Masood, Nosheen;Khalil, Nasir Khan;Ismail, Mohammad
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권3호
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    • pp.1145-1150
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    • 2015
  • Associations of GSTT1, GSTM1 and CYP1A1 gene variants with risk of developing oral cancer were evaluated in this study. A case-control study was conducted in Pashtun population of Khyber Pakhtunkhwa province of Pakistan in which 200 hospital based oral cancer cases and 151 population based healthy controls exposed to similar environmental conditions were included. Sociodemographic data were obtained and blood samples were collected with informed consent for analysis. GSTM1 and GSTT1 were analysed through conventional PCR method while specific RT-PCR method was used to detect CYP1A1 polymorphisms. Results were analyzed for conditional logistic regression model by SPSS version 20. The study shows that patients with either GSTM1 or GSTT1 null genotypes have significantly higher risk of oral cancer (adjusted odds (OR): (3.019 (1.861-4.898) and 3.011(1.865-4.862), respectively), which further increased when either one or both null genes were present in combination (adjusted odds (OR): (3.627 (1.981-6.642 and 9.261 (4.495-19.079), respectively). CYP1A1 rs4646903 gene variants individually showed weak association OR: 1.121 (0.717-1.752); however, in the presence of GSTM1 and/or GSTT1 null genotypes further increasing the association (adjusted odds (ORs): 4.576 (2.038-10.273), 5.593 (2.530-12.362) and 16.10 (3.854-67.260 for GSTM/GSTT null and CYP1A1 wild type, GSTM/GSTT either null and CYP1A1 variant alleles, and all 3 gene polymorphisms combinations, respectively). Our findings suggest that presence of GSTM1 and/or GSTT1 null genotypes along with variant alleles of CYP1A1 may be the risk alleles for oral cancer susceptibility in Pashtun population.