• 제목/요약/키워드: dermatology

검색결과 2,568건 처리시간 0.038초

요통을 동반한 요추 추간판 탈출증 환자에 대한 Sandbag Motion Style Acupuncture Treatment 호전도 비교 연구: 무작위배정 대조군연구 (The Comparative Study on the Effect of Motion Style Acupuncture Treatment Using Sandbag in Lumbar Disc Herniation with Low Back Pain: A Randomized Controlled Trial)

  • 허석원;윤용일;이동현;유형진;정성현;박주언;이현호;이승희;정범환
    • 한방재활의학과학회지
    • /
    • 제26권1호
    • /
    • pp.79-86
    • /
    • 2016
  • Objectives The purpose of this study was to compare the effects of MSAT (Motion style acupuncture treatment) using Sandbag regarding low back pain with HIVD of L-SPINE. Methods Forty patients received inpatient treatment from March 16 to May 16, 2015 in the Daejon-Jaseng oriental medicine hospital were divided into 2 groups by blocked randomization: Group A (n=20) is routine treatment on HIVD of L-SPINE with MSAT using Sandbag and Group B (n=20) is routine treatment on HIVD of L-SPINE (acupuncture, Shinbaro pharmacopuncture, herb medication, chuna treatment and physiotherapy). The MSAT (Motion style acupuncture treatment) using Sandbag was administered each day and both groups were received routine treatment each day. Evaluations were made before treatment, after 3 days and 7 days, and before discharge using the NRS (numeric rating scale) and ODI (oswestry disability index). The statistically significance was evaluated by SPSS 22.0 for windows. Results The NRS (numeric rating scale) and ODI (oswestry disability index) of both A and B groups after 3, 7 days and before discharge of treatment significantly decreased (p<0.05). Regarding group comparison, the NRS (numeric rating scale) and ODI (oswestry disability index) of A group was significantly lower than the B group at 3, 7 days, before discharge (p<0.05). Regarding improvement of the NRS (numeric rating scale) and ODI (oswestry disability index), A group was significantly lower than the B group at 3 day (NRS), 7 day (ODI) (p<0.05). There was significant difference between two groups at 7 days (NRS) and before discharge (p<0.05). Conclusions Compared to routine treatment, the MSAT (Mostion style acuputure treatment) using Sandbag significantly improved the NRS (numeric rating scale) and ODI (oswestry disability index) after 3, 7 days, and before discharge. Because early intervention determines the grade of Low back pain with HIVD of L-SPINE, the MSAT (Motion style acupuncture treatment) using Sandbag will be clinically helpful to patients at the early stage.

천연물 유래의 $5{\alpha}-Reductase$ 저해제의 개발과 인체 유래 피지선 세포의 배양을 이용한 피지분비 억제 효과 측정 ([ $5{\alpha}-Reductase$ ] Inhibitors from Native Plants and their Sebosuppressive Effects in Cultured Human Sebaceous Gland Cells)

  • 정세규;김정기;백지훈;이기무;조인식;이승훈
    • 대한화장품학회지
    • /
    • 제31권3호
    • /
    • pp.273-277
    • /
    • 2005
  • 본 연구에서는 피지분비 억제 효과를 지닌 신규 화장품 원료를 대한민국 유래의 천연 식물에서 개발하고자 하였다. 다양한 식물 추출물의 5alpha-reductase에 대한 저해효과를 자외선 분광광도계를 이용한 효소 동력학적 분석법을 통하여 평가하였다. 효소 동력학적 분석을 위하여 각각 쥐의 간 조직과 배양된 인체 유래 피지선 세포에서 5alpha-reductase를 추출하였다. 그 결과, 5-AR에 대하여 뛰어난 저해효능을 보이는 3종의 식물 추출물을 선정하였고, 이들의 피지분비 억제 효과를 배양된 인체 유래 피지선 세포를 이용하여 분석하였다. 연구의 결과, 수십 종의 식물 추출물 중 해송 추출물이 가장 강력한 5-AR 저해능을 나타내었으며, 인체 유래 피지선 세포에 대하여 0.005% 농도로 처리한 경우 48%의 피지 생성량 감소 효과를 나타내었다. 해송 추출물은 피지 분비를 감소시켜 여드름이나 지루성 피부염과 같은 피부 질환에 효과를 지닌 화장품의 원료로 사용될 수 있을 것이다.

한국 외래형 국소용 피부 외용제의 사용 현황에 대한 기초 평가 (Evaluation of Using Pattern of the Topical Agents in Korean Community)

  • 천영주;김숙현;김옥주;홍세화;양진욱;김정태;임성실
    • 약학회지
    • /
    • 제58권6호
    • /
    • pp.378-386
    • /
    • 2014
  • Topical agents including of steroids are easily exposed to Korean patients in community setting. Those topical agents must be use cautiously because can cause adverse drug reaction unlike other oral medication. We evaluate the using pattern topical agents of Korean in community setting. We performed a questionnaire survey in three different pharmacies (general community pharmacy, dermatology clinic oriented pharmacy, general hospital oriented pharmacy) and in three university town. The survey asked necessity of topical agents, the number of applications per day, application period, site, and exist of steroids ingredient, etc. Total 330 people was participated in the survey from May 1st to July 31st, 2014. We analysed the survey by the frequency of each question and cross-analysis of the compliance between general public and pharmacy groups. In results, Korean people used topical agents for sudden skin diseases (66.9%), was gotten by dermatologist's prescription (89.1%), and did not know their diagnosis (39.2%). The people applied topical agents on face (22.3%), less one half FTU (finger tip unit) per application (61.9%), less than one week (62.9%). Though they was received drug education from pharmacist (52.2%), did not heard about adverse effects (78.4%). And compliance of applied times in pharmacy group was higher than in-non-pharmacy group (56% vs 38%, p=0.002). The highest compliance between 3 pharmacy subgroup was general community pharmacy (76.3% vs 61.6%, 61.2%, p=0.039). Compliance of applied duration was no difference between groups. Majority of respondents did not know diversity of ingredients, potency, application area of topical steroids, and replied to feel some vague reluctance and to think so dangerous about topical steroids. In conclusion, Korean people in community use topical agents well but still some exposed to risk from topical agents.

시츄견에서 위유문부에서 발생한 위선종 증례 (Gastric Adenoma in the Pyloric Outflow Tract of a Shih-tzu Dog)

  • 이희천;권도형;문종현;김영기;조규완;강병택;임금순;서정향;정동인
    • 한국임상수의학회지
    • /
    • 제29권2호
    • /
    • pp.169-172
    • /
    • 2012
  • 12살의 중성화된 수컷 시츄견이 구토, 식욕부전, 체중감소의 증상으로 내원하였다. 병력청취, 혈액검사, 방사선검사, 초음파검사, 내시경검사가 진단을 위해 시행되었다. 병력청취에 따르면, 환자는 몇 주 전부터 만성신부전증 치료를 받고 있었다. 혈청화학검사에서 환자는 고질소혈증을 보였고 복부 방사선검사와 초음파검사에서 위의 유문부 종괴를 확인하였다. 위 내시경 검사에서는 유문방의 증식성 종괴가 관찰되었다. 내시경적 생검 후 조직병리학적 검사결과는 위선종이였고 이 결과에 따라 수술적 처치(유문 배출부위의 절제와 Y-U 유문성형술)를 실시하였다. 수술 후 두번째 조직병리학적 검사결과 또한 위선종이였다. 술 후, 환자는 점차 호전되었고, 임상증상은 술 후 3주 후 사라졌다. 환자의 상태는 현재까지 잘 유지되고 있다.

Pituitary Adenylate Cyclase-activating Polypeptide Inhibits Pacemaker Activity of Colonic Interstitial Cells of Cajal

  • Wu, Mei Jin;Kee, Keun Hong;Na, Jisun;Kim, Seok Won;Bae, Youin;Shin, Dong Hoon;Choi, Seok;Jun, Jae Yeoul;Jeong, Han-Seong;Park, Jong-Seong
    • The Korean Journal of Physiology and Pharmacology
    • /
    • 제19권5호
    • /
    • pp.435-440
    • /
    • 2015
  • This study aimed to investigate the effect of pituitary adenylate cyclase-activating peptide (PACAP) on the pacemaker activity of interstitial cells of Cajal (ICC) in mouse colon and to identify the underlying mechanisms of PACAP action. Spontaneous pacemaker activity of colonic ICC and the effects of PACAP were studied using electrophysiological recordings. Exogenously applied PACAP induced hyperpolarization of the cell membrane and inhibited pacemaker frequency in a dose-dependent manner (from 0.1 nM to 100 nM). To investigate cyclic AMP (cAMP) involvement in the effects of PACAP on ICC, SQ-22536 (an inhibitor of adenylate cyclase) and cell-permeable 8-bromo-cAMP were used. SQ-22536 decreased the frequency of pacemaker potentials, and cell-permeable 8-bromo-cAMP increased the frequency of pacemaker potentials. The effects of SQ-22536 on pacemaker potential frequency and membrane hyperpolarization were rescued by co-treatment with glibenclamide (an ATP-sensitive $K^+$ channel blocker). However, neither $N^G$-nitro-L-arginine methyl ester (L-NAME, a competitive inhibitor of NO synthase) nor 1H-[1,2,4]oxadiazolo[4,3-${\alpha}$]quinoxalin-1-one (ODQ, an inhibitor of guanylate cyclase) had any effect on PACAP-induced activity. In conclusion, this study describes the effects of PACAP on ICC in the mouse colon. PACAP inhibited the pacemaker activity of ICC by acting through ATP-sensitive $K^+$ channels. These results provide evidence of a physiological role for PACAP in regulating gastrointestinal (GI) motility through the modulation of ICC activity.

Efficacy Evaluation of Anti-wrinkle Products in Japan

  • Masaki Hitoshi
    • 대한화장품학회지
    • /
    • 제29권2호
    • /
    • pp.67-77
    • /
    • 2003
  • Two categories of cosmetic products, cosmetics and quasi-drugs, have been established by the Ministry of Health, Labor and Welfare (MHLW) in Japan. Japanese pharmaceutical law has defined that products categorized as cosmetics do not exhibit any effects on human skin. In fact, cosmetic products are not permitted to claim any efficacy. On the other hand, products in the quasi-drug category can claim several efficacies such as anti-inflammatory effects, whitening/lightning effects, hair growth effects and so on. Unfortunately, the Japanese MHLW has not yet approved the efficacy of anti-aging/anti-wrinkle effects as a claim point. However, the population is aging, and the demand for anti-aging/anti-wrinkle products is increasing year by year. Japanese cosmetic companies have proposed to the MHLW that anti-aging/anti-wrinkle agents be approved as a claim concept of a quasi-drug. However, unified evaluation methods for anti-aging/anti-wrinkle effects have not been established. Currently, each company evaluates the efficacy of products/materials using their own original methods. Thus, to request approval of the MHLW, the establishment of a unified evaluation method is needed. Consequently, the Japan Cosmetic Industry Association (JCIA) has established a task force to develop guidelines for evaluating anti-wrinkle effects in 1998. In conclusion, the JCIA would like to adopt visual and image analysis scales to evaluate the anti-wrinkle effects objectively. Generally, wrinkles are roughly classified into three groups as fine wrinkles, linear deep wrinkles and crow's feet. However, academic societies of dermatology or cosmetics have not yet established a definition of wrinkles in Japan. Thus, in advance of setting up an evaluation method, the definition of wrinkles f3r evaluation must be decided. Wrinkles are defined by the task force of the JCIA as follows; furrows that people can recognize visually and that appear on the forehead, the corners of the eyes and the backs of the neck with aging. In addition, furrows are emphasized by exposure to solar light and by dry conditions. Visual evaluation is the most sensitive method and can be applied to most types of wrinkles. However, visual evaluation is hard to express digitally as results. Besides, in the case of image analysis, comparisons of data obtained from distinct examinations can not be done, because data from image analysis are relative values. Thus, to enhance the reliability of the evaluations, the adoption of an objective scale was required. The principle of the evaluation method is to analyze images taken from silicone replicas of wrinkle areas using several parameters, such as the proportion of the wrinkle $area({\%})$, the mean depth of the wrinkles (mm), the mean depth of the deepest wrinkle (m) and the deepest point on the deepest wrinkle. Lights are shown on the skin replica from an orthogonal direction of the main orientation of the wrinkle, and the resulting shadow images are quantified by the image analysis method. To increase the precision of the data or to allow comparisons of independent examinations, a scale with furrows of several depths, 200, 400, 600, 800, and $1000{\mu}m$, is adapted in the evaluation system. I will explain the guidelines established by the JCIA in the presentation.

엘라스타제를 이용한 주름개선 후보물질 검색 시스템의 구축 (Screening System Establishment for Potential Anti-wrinkle Agents Using Human Fibroblast Elastase)

  • 오미희;이주은;김수연;김소영;박경찬;윤혜영;백광진;권년수;김동석
    • 대한화장품학회지
    • /
    • 제35권1호
    • /
    • pp.19-25
    • /
    • 2009
  • 피부주름 개선에는 콜라겐(collagen)뿐만 아니라 탄력섬유인 엘라스틴(elastin) 등도 기여하는 것으로 보고되고 있다. 더 나아가 자외선에 의하여 사람의 피부에서 광노화 현상이 나타나며 자외선 조사 후 엘라스타제(elastase)의 활성이 증가하기 때문에 엘라스타제의 활성증가는 자외선에 의한 피부 탄성도의 감소 및 주름 생성의 주요원인으로 생각된다. 따라서 본 연구에서는 피부주름 생성에 영향을 미치는 엘라스타제의 활성을 측정하기 위한 모델을 마련하기 위하여 시판되는 두 가지 엘라스타제, 돼지 췌장 엘라스타제(porcine pancreatic elastase)와 사람 호중구 엘라스타제(human neutrophil elastase)를 사용하였으며 다음 세 가지는 정상 사람 섬유아세포(normal primary human fibroblasts), 쥐의 3T3 섬유아세포주(3T3 mouse fibroblasts), 사람의 CCD-25Sk 섬유아세포주(CCD-25Sk human fibroblasts)로부터 elastase를 준비하여 사용하였다. 준비된 5가지 효소의 농도에 기질의 농도 및 배양시간에 따르는 효소의 활성을 비교 평가하였다. 양성대조군으로 사용한 phosphoramidon이 normal human primary fibroblast elastase와 CCD-25Sk fibroblast elastase의 활성을 유의성 있게 억제한 반면에 porcine pancreatic elastase에는 별다른 영향을 미치지 못하였다. 따라서 주름 개선 후보물질 탐색을 위한 엘라스타제의 선정에는 신중한 고려가 필요할 것으로 사료된다.

인체 흑색종 세포주 SK-MEL-1에 대한 인삼 panaxynol의 항증식 효과 기전 (Molecular Mechanism of the Antiproliferative Effect by Ginseng Panaxynol on a Human Malignant Melanoma Cell Line, SK-MEL-1)

  • 조홍근;유수진;노주영;하영미;황우익;손정원
    • Journal of Ginseng Research
    • /
    • 제23권3호
    • /
    • pp.190-197
    • /
    • 1999
  • 본 연구는 인삼 panaxynol이 인체 흑색종 세포주 SK-MEL-1 미치는 항증식효과의 분자적 기전을 알아보고자, 세포주기와 세포주기 조절인자들의 발현변화, 단백질 합성 억제제와 proteasome억제제가 panaxynol의 항암효과에 미치는 영향을 조사하였다. panaxynol은 세포주기의 G1 단계 진행을 억제시켰으며, 동시에 $p21^{WAF1}$ 발현 증가와 cdc2의 발현 감소를 유발하였다. 이에 비해 p16, p27, E2F-1, Rb, p53의 발현에는 변화가 없었다. 이 결과는 panaxynol의 SK-MEL-1 세포에서 $p21^{WAF1}$의 발현을 증가시키고 cdc2의 발현을 감소시켜, 세포주기의 G1-S 이행 단계를 억제한다는 것을 보여준다 또한 CHX는 panaxynol의 항암효과를 감소시키고, LLnL은 panaxynol의 항암 효과를 증가시켰는데, 이는 panaxynol에 의한 SK-MEL-1 세포의 증식억제에 새로운 단백질 합성이 필요하며, LLnL이 panaxyno떼 의한 세포증식억제를 매개하는 $p21^{WAF1}$등의 단백질 분해를 저해시키기 때문인 것으로 생각된다.

  • PDF

전중혈(膻中穴)($CV_{17}$) 습부항요법이 정상 성인의 심박변이도(HRV)에 미치는 영향 (The Effect of Venesection with Cupping Therapy at Jeonjung($CV_{17}$) on the Heart Rate Variability in Healthy Adults)

  • 김성중;박진수;이정주;박옥주;김슬기;정호현;박민철;권영미;조은희
    • Journal of Acupuncture Research
    • /
    • 제30권4호
    • /
    • pp.15-24
    • /
    • 2013
  • Objectives : This study was accomplished to investigate the effects of venesection with cupping therapy at Jeonjung($CV_{17}$) on the heart rate variability(HRV) in healthy adults. And based on that, we tried to find out how venesection with cupping therapy at Jeonjung($CV_{17}$) affects the activity and the balance of the autonomic nervous system. Methods : We investigated on 60 healthy volunteers consisted of 30 subjects in venesection with cupping therapy group and 30 subjects in control group. The study was established by randomized trial. venesection with cupping therapy was applied at Jeonjung($CV_{17}$) for 10 minutes in venesection with cupping therapy group. No treatment was executed in control group. We measured HRV 3 times : First, baseline measurement and two more times after treatment in venesection with cupping therapy group(after rest in control group). The SPSS 12.0 for Windows was used to analyze the data by paired t-test(in both group), independent-test(between the groups) and Chi-square test(between the sexs). Results : 1. In venesection with cupping therapy group, SDNN, Ln(TP), Ln(LF), Normalized LF, and LF/HF ratio increased significantly. Normalized HF decreased significantly. Mean HRT, RMSSD, PSI, Ln(HF), and Ln(VLF) were not affected. 2. In control group, Ln(HF) decreased significantly. Mean HRT, SDNN, RMSSD, PSI, Ln(TP), Ln(LF), Ln(VLF), Normalized LF, Normalized HF, and LF/HF ratio were not affected. Conclusions : This study suggests that venesection with cupping therapy at Jeonjung($CV_{17}$) increases the activity of the autonomic nervous system and has effects on the balance of the autonomic nervous system.

기능성 족지장단분석과 X-ray의 골반변위 진단의 비교 연구 - X-ray 촬영 자세 및 평가 기준에 따라 - (The Comparative Study between Leg Length Analysis and X-ray on Diagnosis of Pelvic Malpositions - according to Positions and Valuation Bases -)

  • 이정민;국길호;최보미;정현아;홍서영
    • 척추신경추나의학회지
    • /
    • 제5권2호
    • /
    • pp.169-180
    • /
    • 2010
  • Objectives: This study was carried out to investigate the relationship of leg length analysis and X-ray finding according to positions and valuation bases on diagnosis of pelvic malpositions. Methods: Twenty-two people who get $33.09{\pm}10.73$ as average were evaluated by leg length analysis and X-ray findings. After measuring innominate measurement(IM), femur head line. distance between S2 and posterior superior iliac spine(PSIS). ilium shadow measurement(ISM), major axis of obturator foramen(MaF), minor axis of obturator foramen(MiF) and distance between off centering measurement and symphysis pubis, those were analyzed. Results: 1. In assessment of posterior rotation malposition ilium(PI), it was showed the best coincidence between leg length analysis and X-ray analyzed by 1M in supine position(11 cases, 50.5%). 2. In assessment of inflare, coincidence index between leg length analysis and X-ray were not good($4.00{\pm}3.03$ cases, $18.15{\pm}13.82%$). And leg length analysis were not sensitive. 3. On the whole, coincidence index between leg length analysis and X-ray were not good(best: 1 case, 45.5%; worst: 11 cases, 50.0%). Conclusions: Results form this investigation showed the relationship of leg length analysis and X-ray according 10 positions and valuation bases on diagnosis of pelvic malpositions. This results are expected to contribute to establish method of assessment in diagnosis of pelvic malpositions.

  • PDF