• 제목/요약/키워드: detailed treatment techniques

검색결과 34건 처리시간 0.025초

고관절 이형성증에서의 초음파의 사용 1부: 기술적 소개 (Ultrasonography in Developmental Dysplasia of Hip Part I: Technical Introduction)

  • 이순혁
    • 대한정형외과 초음파학회지
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    • 제1권1호
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    • pp.31-39
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    • 2008
  • 초음파을 통하여 신생아 고관절의 형태와 안정성 여부를 관찰 할 수 있음이 알려진 이후 2개의 상반된 견해가 형성되었다. 신생아기에 관찰되는 관절 불안정이 치료를 필요로 하는 중요 병리라는 의견은 신생아기 비구이형성이 중요한 역할을 한다는 의견과 상충되어 왔다. Graf방법같이 신생아 비구이형성을 포함하여 치료의 필요성 여부를 판단하면 고관절 불안정성만을 기준으로 한 경우보다 치료와 추시를 하는 빈도가 훨씬 더 높았었다. 현재는 기술적 검사 방법의 발달과 질환의 적절한 이해로 그 차이는 크지 않은 것으로 여겨지고 있어 여러 방법은 유사한 결과를 보이고 있다. 중요한 것은 방법의 선택이 아니라 표준화한 검사를 할 수 있는 충분한 경험과 이해를 가지고 있어야 한다는 것이다. 이를 위하여 고관절 이형성증(DDH)의 진단에서의 여러 초음파 검사 방법과 의의, 치료시의 유용성에 대하여 논의 하였다.

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Imaging Cancer Metabolism

  • Momcilovic, Milica;Shackelford, David B.
    • Biomolecules & Therapeutics
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    • 제26권1호
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    • pp.81-92
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    • 2018
  • It is widely accepted that altered metabolism contributes to cancer growth and has been described as a hallmark of cancer. Our view and understanding of cancer metabolism has expanded at a rapid pace, however, there remains a need to study metabolic dependencies of human cancer in vivo. Recent studies have sought to utilize multi-modality imaging (MMI) techniques in order to build a more detailed and comprehensive understanding of cancer metabolism. MMI combines several in vivo techniques that can provide complementary information related to cancer metabolism. We describe several non-invasive imaging techniques that provide both anatomical and functional information related to tumor metabolism. These imaging modalities include: positron emission tomography (PET), computed tomography (CT), magnetic resonance imaging (MRI), magnetic resonance spectroscopy (MRS) that uses hyperpolarized probes and optical imaging utilizing bioluminescence and quantification of light emitted. We describe how these imaging modalities can be combined with mass spectrometry and quantitative immunochemistry to obtain more complete picture of cancer metabolism. In vivo studies of tumor metabolism are emerging in the field and represent an important component to our understanding of how metabolism shapes and defines cancer initiation, progression and response to treatment. In this review we describe in vivo based studies of cancer metabolism that have taken advantage of MMI in both pre-clinical and clinical studies. MMI promises to advance our understanding of cancer metabolism in both basic research and clinical settings with the ultimate goal of improving detection, diagnosis and treatment of cancer patients.

탕화상(湯火傷) 의안(醫案) 연구 (A Study of medical cases of burns)

  • 방성혜;김홍균;김남일
    • 한국의사학회지
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    • 제21권2호
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    • pp.49-60
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    • 2008
  • Burn is a malady that has tormented mankind for a while, and Traditional Korean Medicine techniques of treating it has constantly improved. Detailed description of treatment methods of burns are mentioned in Traditional Korean Medicine texts. To treat burns both medicines for internal and external use are needed, and appropriate first aid is necessary in the first stages. A total of eleven medical cases about burns could be found in the process of researching texts, and studying these 의안s indicated that burns were admirably cured with Korean Traditional Medicine methods of treating burns. Differences in the treatment methods between different schools could also be observed. Further research and development of Traditional Korean Medicine methods of burns is needed.

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조선 왕실의료문헌과 문집에 나타난 우각구법(牛角灸法) 연구 (Study on Horn-shaped Moxa Treatment in the Annals and Anthologies of Joseon-Korea)

  • 오준호;김진희;안상우
    • 대한한의학회지
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    • 제31권4호
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    • pp.38-48
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    • 2010
  • Objectives: Moxa treatment has outstanding effects that are frequently facilitated in a clinical setting, and it is also known to have positive effects for immunity and relief of pain through various studies. Currently, moxa treatment has become diversified in many ways. One of the moxa treatment techniques that was frequently used during the Joseon Dynasty was Woogakgubeop (牛角灸法, horn-shaped moxa treatment). This articles aims to disclose the fact that the Woogakgubeop is the technique applicable to the origin of the Large moxa treatments of today. Also, the writings of Woogakgubeop recorded in the royal medical documentations, such as the Chronicles of the Royal Families of the Joseon Dynasty, the Seungjeonwonilgi (The Daily Records of Royal Secretariat) and others, are analyzed and the characteristics of the Woogakgubeop are cleared through it. Methods: From the royal medical documents, the Chronicles of the Royal Families of the Joseon Dynasty and the Seungjeonwonilgi, articles related Woogakgubeop were extracted and analyzed. Records of each document were facilitated for the DB search. In addition to these two documents, the records of written literature were surveyed as well. The written literature are appropriate to express the experiences of intellectuals at the time. Results and Conclusions: 1. Considering that Woogakgubeop is a single therapy, there exists relatively many records in addition to the specialized medical documents, and through them, it is known that Woogakgubeop was a widely known therapy in the middle to later parts of Joseon in general. 2. Woogakgubeop is a method that addresses problems contained within the existing moxa treatment techniques. By enlarging the size of the mugwort wick, it strengthens the heat energy of the moxa treatment to reduce the frequency of applying moxa treatment. When undertaking the method to empty the wick inside the mugwort, the pain of a fever patient will be reduced and burn damage to the skin is minimized. 3. Wind-cold type weakness and other general moxa treatment techniques have been used for various symptoms detailed, including chest pain, tinnitus, carbuncle, cellulites, cold sense of leg, colic, diarrhea and other illnesses. In addition, it may generate strong fever, and was used to implement the Yeonjebeop (煉臍法). 4. Woogakgubeop is applicable to the origin of Large moxa treatment of today and it provides important bibliographic base thereof.

LINAC 뇌정의적 방사선 수술시 새로운 최적 선량분포계획 시스템의 개발 (New Techniques for Optimal Treatment Planning for LINAC-based Stereotactic Radiosurgery)

  • 서태석
    • Radiation Oncology Journal
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    • 제10권1호
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    • pp.95-100
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    • 1992
  • LINAC 뇌정위적 방사선 수술은 multiple noncoplanar arc, 3 차원 선량 계산 및 많은 조사 변수들이 사용되기 때문에 간단한 경우에도 최적 선량분포를 얻기 위해서는 많은 시간이 요구된다. 본 논문에서는 실험적 방법과 분석적 방법을 통한 유용한 방법을 제시하기 위한 것으로서, 보다 자세한 방법 및 내용은 앞으로의 발표 논문에서 다루게 된다. 실험적 방법으로 2가지 방법에의하면, 첫번째 방법은 multiple isocenter를 이용하는 것이고, 두번째 방법은 beam's eye view와 field shaping을 이용한 conformal therapy이다. 분석적 방법은 최적 조사조건을 찾기 위하여 computer-aided design optimization 방법을 이용하는 것이다.

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Partial Thickness Rotator Cuff Tears

  • Shin, Sang-Jin;Seo, Myeong-Jae
    • Clinics in Shoulder and Elbow
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    • 제17권2호
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    • pp.91-100
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    • 2014
  • Partial-thickness rotator cuff tear (PTRCT) is not single disease entity but one phase of disease spectrum. Symptoms of PTRCT vary from being asymptomatic to severe pain leading to deterioration in quality of life. Pathogenesis of degenerative PTRCT is multifactorial. Whereas articular sided PTRCT is usually caused by internal causes, both internal and external causes have important role in bursal sided PTRCT. A detailed history, clinical examination and magnetic resonance angiography are used in the diagnosis of PTRCT. Treatment of PTRCT is chosen based on age, demands of patients, causes and depth of tear. In most patients, non-operative treatment should be initiated. Whereas debridement can be done for less than 6 mm of articular sided PTRCT and in less than 3 mm of bursal sided PTRCT, repair techniques should be considered for higher grade PTRCT than that. Although the effect of acromioplasty is not clear, acromioplasty may be performed when the extrinsic causes appear to be the cause of tear. Either transtendon repair technique or repair after tear completion provided satisfactory clinical outcomes in treatment of articular sided PTRCT.

만성 요통과 하지 통증에 대한 기능적 테이핑 기법 - McConnell 접근법 - (Functional Taping Technique for Chronic Back Pain and Lower Extremity Pain - McConnell's Approach)

  • 김선엽;오덕원;김택연
    • 대한정형도수물리치료학회지
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    • 제14권2호
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    • pp.50-59
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    • 2008
  • Taping techniques have been usually used by physical therapists long time ago, which have been considered a useful adjunct to treatment programs for a variety of musculoskeletal disorders. Also, taping techniques may be employed as effective prophylactic methods in clinical setting because of ease application and cost effectiveness. The aims of this study were to describe background information for the management of some chronic low back pain patients with/without leg pain that don't respond to conservative treatment, to demonstrate McConnell taping as successful therapeutic strategies for treating these patients, and to provide detailed application methods of McConnell taping in order that physical therapists can readily use the taping in clinical setting. This study emphasized to illustrate biomechanical benefits of McConnell taping in controlling undesirable muscle activation by decreasing mechanical loads on specific muscles. McConnell taping may be helpful for the inhibition of overactive synergist or antagonists, the facilitation of inactive synergists, the promotion of proprioception, the optimization of joint alignment, pain reduction, and unloading of irritable neural tissue. This study provides taping examples of low back pain, sacroiliac joint dysfunction and lower extremity symptoms associated with these conditions, and discusses the possible mechanisms for their successful application.

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Microvascular Decompression for Glossopharyngeal Neuralgia : Clinical Analyses of 30 Cases

  • Kim, Mi Kyung;Park, Jae Sung;Ahn, Young Hwan
    • Journal of Korean Neurosurgical Society
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    • 제60권6호
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    • pp.738-748
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    • 2017
  • Objective : We present our experience of microvascular decompression (MVD) for glossopharyngeal neuralgia (GPN) and evaluate the postoperative outcomes in accordance with four different operative techniques during MVD. Methods : In total, 30 patients with intractable primary typical GPN who underwent MVD without rhizotomy and were followed for more than 2 years were included in the analysis. Each MVD was performed using one of four different surgical techniques : interposition of Teflon pieces, transposition of offending vessels using Teflon pieces, transposition of offending vessels using a fibrin-glue-coated Teflon sling, and removal of offending veins. Results : The posterior inferior cerebellar artery was responsible for neurovascular compression in 27 of 30 (90%) patients, either by itself or in combination with other vessels. The location of compression on the glossopharyngeal nerve varied; the root entry zone (REZ) only (63.3%) was most common, followed by both the REZ and distal portion (26.7%) and the distal portion alone (10.0%). In terms of detailed surgical techniques during MVD, the offending vessels were transposed in 24 (80%) patients, either using additional insulation, offered by Teflon pieces (15 patients), or using a fibrin glue-coated Teflon sling (9 patients). Simple insertion of Teflon pieces and removal of a small vein were also performed in five and one patient, respectively. During the 2 years following MVD, 29 of 30 (96.7%) patients were asymptomatic or experienced only occasional pain that did not require medication. Temporary hemodynamic instability occurred in two patients during MVD, and seven patients experienced transient postoperative complications. Neither persistent morbidity nor mortality was reported. Conclusion : This study demonstrates that MVD without rhizotomy is a safe and effective treatment option for GPN.

치과 임프란트에 대한 일반인의 인식도에 관한 설문조사 연구 (A RESERCH ON THE BASIS OF QUESTIONNAIRES ABOUT COMMON PEOPLE'S UNDERSTANDING OF THE DENTAL IMPLANT)

  • 김현우;박상수;김우택;조남성;박양호;박준우;이건주
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제27권4호
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    • pp.353-357
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    • 2001
  • The techniques of the dental treatment are well known to common people, but the dental implant as one of the treatment options to rehabilitate patient's mouth is little known to them. Taking these situation into consideration, we, writers made actual analyses of statistics by putting into the form of diagrams based on questionnaires. Three hundreds of common people over 20 years old were picked up and we used convenience sampling method which is one of nonprobability sampling methods. Statistics are about these questions. 1. How much common people know about dental implant as a treatment option. 2. How much common people know about the detailed portions of the dental implant for rehabilitaton. 3. How common people got to know the dental implant. We present actual answers of the common people.

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주름 개선을 위한 침 연구의 현황분석 (Recent Research Trends of Acupuncture for Wrinkle Treatment)

  • 정현석;김태준;박지연
    • Korean Journal of Acupuncture
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    • 제38권2호
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    • pp.62-74
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    • 2021
  • Objectives : The aim of this study is to analyze the effect of acupuncture and the details of acupuncture treatment methods on skin wrinkles. Methods : Search was conducted in Pubmed, KISS, and NDSL databases for acupuncture studies on skin wrinkles. The detailed therapeutic techniques of acupuncture used for skin wrinkles and the effect of acupuncture on skin wrinkle improvement were analyzed. Then, the study results using the same indicator were compared through meta-analysis in order to compare the effects of acupuncture with the control group. The quality of randomized controlled trials (RCTs) was assessed using the risk of bias (ROB) assessment tool (Ver. 1.0, Cochrane Collaboration). Results : A total of 10 RCTs and 19 case series were included in this study. The most frequently used therapeutic technique for skin wrinkle improvement was Microneedle therapy system (MTS, n=19), and they were mostly used with aesthetic solutions (13 out of 19 studies). Skin wrinkle related indexes were most commonly used to evaluate skin wrinkle improvement (n=14). Panax Ginseng pharmacopuncture showed the most remarkable effect in improving the range of skin wrinkles and the depth of skin wrinkles. MTS+epidermal growth factor improved the levels of skin hydration, skin elasticity, and variation of skin pigment the most. MTS+Endothelial precursor cell improved the number of skin melanin the most. Three RCTs included in the meta-analysis showed moderate ROB on average. Conclusions : Acupuncture treatment was effective in improving skin wrinkles. However, a precise study design using unified indicators and appropriate controls needs to be performed in further studies in order to establish more convincing evidence of the effectiveness of acupuncture for improving skin wrinkles.