• 제목/요약/키워드: integrated treatment

검색결과 975건 처리시간 0.032초

Transcriptomic Insights into Abies koreana Drought Tolerance Conferred by Aureobasidium pullulans AK10

  • Jungwook Park;Mohamed Mannaa;Gil Han;Hyejung Jung;Hyo Seong Jeon;Jin-Cheol Kim;Ae Ran Park;Young-Su Seo
    • The Plant Pathology Journal
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    • 제40권1호
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    • pp.30-39
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    • 2024
  • The conservation of the endangered Korean fir, Abies koreana, is of critical ecological importance. In our previous study, a yeast-like fungus identified as Aureobasidium pullulans AK10, was isolated and shown to enhance drought tolerance in A. koreana seedlings. In this study, the effectiveness of Au. pullulans AK10 treatment in enhancing drought tolerance in A. koreana was confirmed. Furthermore, using transcriptome analysis, we compared A. koreana seedlings treated with Au. pullulans AK10 to untreated controls under drought conditions to elucidate the molecular responses involved in increased drought tolerance. Our findings revealed a predominance of downregulated genes in the treated seedlings, suggesting a strategic reallocation of resources to enhance stress defense. Further exploration of enriched Kyoto Encyclopedia of Genes and Genomes pathways and protein-protein interaction networks revealed significant alterations in functional systems known to fortify drought tolerance, including the terpenoid backbone biosynthesis, calcium signaling pathway, pyruvate metabolism, brassinosteroid biosynthesis, and, crucially, flavonoid biosynthesis, renowned for enhancing plant drought resistance. These findings deepen our comprehension of how AK10 biostimulation enhances the resilience of A. koreana to drought stress, marking a substantial advancement in the effort to conserve this endangered tree species through environmentally sustainable treatment.

경희의료원 제3 중환자실(동서협진중환자실)에 입원한 89명의 중증 급성기 뇌경색 환자에 대한 임상적 고찰 (Clinical Analysis of 89 Patients with Severe Acute Ischemic Stroke from 3rd Intensive Care Unit(East-West Integrated Intensive Care Uint) of Kyung Hee Medical Center)

  • 허홍;소형진;임주혁;조인영;이혜영;민경윤;류재환;이범준
    • 대한한방내과학회지
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    • 제28권4호
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    • pp.863-871
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    • 2007
  • Objects : To gain better insights of East-west integrated treatment of ischemic stroke. We analyzed 89 patients with severe acute ischemic stroke who were admitted to the East-west integrated intensive care unit. Methods : Subjects enrollment was from the East-west integrated intensive care unit of Kyung Hee Medical Center from March 2006 to February 2007. Patients were admitted within 14 days after the onset of ischemic stroke. We assessed the subjects' general characteristics, risk factors, admitting routes and periods, diagnostic imaging, process of western treatment and Korean traditional treatment, complication and consequence. Results : The proportion of males was 50.6%, of females 49.4%, average age was male 66.0$\pm$10.3 and female 71.1$\pm$10.5. Average length of hospital stays was 19.5 days. Monthly admissions were highest in November and December. The admission route was through emergency room (61.8%) or ward (34.8%). Mean Glasgow coma scale score was 10.0$\pm$2.5, average time from symptom of onset to hospital admission was 2.3$\pm$2.2 days. Dominant ischemic vascular territory was middle cerebral artery (66.3%). Initial western treatment was argatroban (22.5%), urokinase (28.1%), and heparinization (38.2%). Distribution of Sasang constitution of So-yang to Tae-eum to So-eum was equal to 5.4 to 2.9 to 1.5. Major complications were observed in 40 (42.7%) patients. In hospital mortality was 12.4% (11 deaths), all of them caused by aggravation of neurological deficit and only 3 of them with major complications. There appears to be a significant positive relationship between length of hospital stay and occurrence of complications (P<0.05). After discharge from the ICU, 64 (71.9%) patients were improved, 11 (12.4%) patients had expired, and 14 (15.8%) patients were transferred. Conclusions : From this study, we suggest that patients with severe acute ischemic stroke should be treated with East-west integrated therapy for more favorable consequences and decreased mortality.

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Vascular Morphometric Changes During Tumor Growth and Chemotherapy in a Murine Mammary Tumor Model Using OCT Angiography: a Preliminary Study

  • Kim, Hoonsup;Eom, Tae Joong;Kim, Jae Gwan
    • Current Optics and Photonics
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    • 제3권1호
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    • pp.54-65
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    • 2019
  • To develop a biomarker predicting tumor treatment efficacy is helpful to reduce time, medical expenditure, and efforts in oncology therapy. In clinics, microvessel density using immunohistochemistry has been proposed as an indicator that correlates with both tumor size and metastasis of cancer. In the preclinical study, we hypothesized that vascular morphometrics using optical coherence tomography angiography (OCTA) could be potential indicators to estimate the treatment efficacy of breast cancer. To verify this hypothesis, a 13762-MAT-B-III rat breast tumor was grown in a dorsal skinfold window chamber which was applied to a nude mouse, and the change in vascular morphology was longitudinally monitored during tumor growth and metronomic cyclophosphamide treatment. Based on the daily OCTA maximum intensity projection map, multiple vessel parameters (vessel skeleton density, vessel diameter index, fractal dimension, and lacunarity) were compared with the tumor size in no tumor, treated tumor, and untreated tumor cases. Although each case has only one animal, we found that the vessel skeleton density (VSD), vessel diameter index and fractal dimension (FD) tended to be positively correlated with tumor size while lacunarity showed a partially negative correlation. Moreover, we observed that the changes in the VSD and FD are prior to the morphological change of the tumor. This feasibility study would be helpful in evaluating the tumor vascular response to treatment in preclinical settings.

Improvement of Facial Paralysis after Parotidectomy with Integrated Korean Medicine Treatment: A Case Report

  • Choong Hyun Han;Young Han Nam;Young Kyung Kim;Youn Young Choi;Eun Sol Won;Hwa Yeon Ryu;Jae Hui Kang;Hyun Lee
    • Journal of Acupuncture Research
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    • 제41권2호
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    • pp.121-128
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    • 2024
  • This study presents a case of facial nerve injury that occurred after parotidectomy for a benign tumor of the parotid gland that improved with integrated Korean medicine (IKM). On June 24, 2023, the patient presented with facial nerve injury based on a facial nerve conduction study after parotidectomy, with a score of five on Yanagihara's unweighted grading system (Y-system) and a grade of five on the House-Brackmann facial grading scale (H-B scale). During the 15 days of admission, IKM treatments, including acupuncture, pharmacopuncture, moxibustion, herbal steam therapy, physiotherapy, herbal medicine, and thread embedding acupuncture treatment, were performed. After treatment, the strength of the orbicularis oculi, orbicularis oris, and masticatory muscles improved, with a Y-system score of 17 and an H-B scale of III. In conclusion, the findings of this study confirm the applicability and effectiveness of IKM in the treatment of facial paralysis following parotidectomy.

특수재난 대응 환자 격리 이송 장비의 효율성 및 편의성 평가: 마네킹시뮬레이션 연구 (Efficacy and Usability of Patient Isolation Transport Module for CBRN Disaster : A Manikin Simulation Study)

  • 김기홍;홍기정;함승희;최진우
    • 한국화재소방학회논문지
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    • 제32권3호
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    • pp.116-122
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    • 2018
  • 본 연구의 목적은 개발 중인 화학, 생물학, 방사능 및 원자력 특수재난 대응 격리 이송 장비의 효율성과 사용 용이성을 평가하는 것이다. 상기 개발 장비는 자체 개발한 격리, 이송, 환자 감시 모듈을 통합하여 제작하였다. 응급구조사를 대상으로 한 마네킹을 이용한 무작위 교차 실험(또는 시뮬레이션)연구이며, 모든 연구대상자는 기존 장비와 특수재난 대응 격리 이송 장비의 시제품을 교대로 사용하였다. 생체신호 변화 검출 소요 시간과 치료 적용 소요 시간으로 효율성을 평가하였고 각 감시장치, 이송카트, 격리 장치 편의성에 대한 설문조사를 통해 사용 편의성으로 평가하였다. 총 12명의 응급구조사가 연구에 참여하였고 특수재난 대응 격리 이송 장비 군의 저산소증 검출 시간이 3.5초(2.5-3.9)로 기존 장비군의 4.9초(3.8-3.9)보다 유의하게 짧았다(p < 0.05). 심전도 변화 감지 소요 시간 및 안면 마스크 산소 공급 소요 시간의 감소 경향은 있었으나 통계적 유의성은 관찰되지 않았다. 특수재난 대응 격리 이송 장비 군의 환자 감시 장치의 전반적 만족도도 특수재난 대응 격리 이송 장비 군이 4점(3.5-5)으로 기존 장비군의 3점(3-3)에 비해 높았다(p < 0.05). 특수재난 대응 격리 이송 장비 사용군이 저산소증 검출 시간이 짧았으며 기존장비에 비해 환자 감시 장치의 전반적 만족도가 높은 것을 확인하였다.

특발성 폐섬유증의 통합의료 협진 모델 개발을 위한 의료진 및 환자 대상 설문조사 연구 (Research for the Development of an Integrated Medical System for Idiopathic Pulmonary Fibrosis: Based on an Analysis of Questionnaire Survey in Doctor and Patient Groups)

  • 박지원;이범준;신정원;진수현;양정민;김수덕;김관일;최혜숙;정희재
    • 대한한방내과학회지
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    • 제44권3호
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    • pp.366-386
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    • 2023
  • Objective: In this study, a questionnaire survey was conducted for doctors and patients to obtain basic data necessary for the development of an integrated medical system for idiopathic pulmonary fibrosis (IPF). Methods: Questionnaires were developed separately for doctors and patients through an expert group meeting. The survey subjects were recruited online and offline, and finally, responses from 231 doctors and 59 patients were used for statistical analysis. Results: The most important parts in the treatment of IPF for both doctors and patients were the "improvement of respiratory symptoms," "improvement of quality of life," and "prevention of disease progression." Antifibrotic agents were prescribed at a high rate, and 100% of the specialists in Western medicine (WM) and 45.8% of patients reported experiencing side effects. As for the additional payment costs that patients considered as affordable for an integrated medical system, "under 50,000 won (about 38$)" was reported the most in both doctor and patient groups. With regard to the reasons for their reluctance to recommend an integrated medical system for IPF, specialists in WM responded highly to "uncertain evidence for treatment effectiveness." Regarding complementary and alternative medicine therapies that can be beneficial in patients with IPF, "lifestyle management," "diet management," "herb," "relaxation therapy," and "psychotherapy" were ranked high in both doctor and patient groups. Conclusions: In this study, a questionnaire survey on IPF was conducted to review actual treatment status, analyze shortcomings, and identify considerations for the development of an integrated medical system for IPF in the future.

Pulmonary Tuberculosis, Tuberculous Meningitis의 임상치험 3례 (The Clinical Report on the Pulmonary Tuberculosis, Tuberculosis Meningitis)

  • 손윤정;임중화;이도형
    • 대한한방내과학회지
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    • 제25권2호
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    • pp.352-360
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    • 2004
  • Tuberculosis, one of the oldest diseases known to affect humans, is caused by bacteria belonging to the Mycobacterium luberculosis complex. The diseases usually affects the lungs, although in up to one-third of cases other organs are affected. If properly treated, tuberculosis caused by drug-susceptible strains is curable in virtually all cases. If untreated, the disease may be fatal within 5 years in more than half of cases. Transmission usually takes place through the airborne spread of droplets of nuclei produced by patients with infectious pulmonary tuberculosis. Two patients with Pulmonary Tuberculosis and one with Tuberculous Meningitis were recently examined. The changes in these patient's symptoms through both western medical treatment and oriental medical treatment are reported.

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Development of a multi criteria decision analysis framework for the assessment of integrated waste management options for irradiated graphite

  • Abrahamsen-Mills, Liam;Wareing, Alan;Fowler, Linda;Jarvis, Richard;Norris, Simon;Banford, Anthony
    • Nuclear Engineering and Technology
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    • 제53권4호
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    • pp.1224-1235
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    • 2021
  • An integrated waste management approach for irradiated graphite was developed during the European Commission project 'Treatment and Disposal of Irradiated Graphite and other Carbonaceous Waste'. This included the identification of potential options for the management of irradiated graphite, taking account of storage, retrieval, treatment and disposal methods. This paper describes how these options can be assessed using multi-criteria decision analysis (MCDA) for a case study relating to a generic power reactor. Criteria have been defined to account for safety, environmental, economic and socio-political factors, including radiological impact, resource usage, economic costs and risks. The impact of each option against each criterion has been assessed using data from the project and the wider literature. A linear additive approach has been used to convert the calculated impacts to scores. To account for the relative importance of the criteria, example weightings were allocated. This application has shown that MCDA approaches can be used to support complex decisions regarding irradiated graphite management, accounting for a wide range of criteria. Use of this approach by individual countries or organisations will need to account for the specific options, scores, weightings and constraints that apply, based on their national strategies, regulatory requirements and public acceptability.

Implementation of Falling Accident Monitoring and Prediction System using Real-time Integrated Sensing Data

  • Bonghyun Kim
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제17권11호
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    • pp.2987-3002
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    • 2023
  • In 2015, the number of senior citizens aged 65 and over in Korea was 6,662,400, accounting for 13.1% of the total population. Along with these social phenomena, risk information related to the elderly is increasing every year. In particular, a fall accident caused by a fall can cause serious injury to an elderly person, so special attention is required. Therefore, in this paper, we implemented a system that monitors fall accidents and informs them in real time to minimize damage caused by falls. To this end, beacon-based indoor location positioning was performed and biometric information based on an integrated module was collected using various sensors. In other words, a multi-functional sensor integration module was designed based on Arduino to collect and monitor user's temperature, heart rate, and motion data in real time. Finally, through the analysis and prediction of measurement signals from the integrated module, damage from fall accidents can be reduced and rapid emergency treatment is possible. Through this, it is possible to reduce the damage caused by a fall accident, and rapid emergency treatment will be possible. In addition, it is expected to lead a new paradigm of safety systems through expansion and application to socially vulnerable groups.

도시 하천 환경 관리를 위한 제외지 초기 강우 처리 및 저류 시설 종합 관리 시스템 개발 (Development of Integrated Management System of Stormwater Retention and Treatment in Waterside Land for Urban Stream Environment)

  • 윤진호;구영민;이은형;서동일
    • 대한환경공학회지
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    • 제37권2호
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    • pp.126-135
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    • 2015
  • 도시지역의 소하천은 불투수 면적의 증가 및 우수관거의 발달로 인해 유역의 오염물질 및 강우 유출수의 유달률이 증가한 반면 비강우시에 현저하게 유량이 감소되어 하천환경에 심각한 문제를 나타내고 있다. 본 연구에서는 도시 하천의 유량과 수질 문제를 저감하기 위해 개발된 초기강우 저류 및 처리시설을 효율적으로 운영하기 위해 SWMM 도시유역모델 적용 결과와 자동모니터링 시스템을 이용하는 종합관리시스템을 개발하였다. 본 연구의 대상 지역인 관평천 유역의 대부분의 강우사상에서 오염물질은 초기 4시간의 강우 유출수에 집중되어 있는 것으로 관찰되었으며 이는 처리시설의 용량 결정에 있어 가장 중요한 인자로 작용한다. 본 시험 유역에서 유역모델인 SWMM을 이용하여 계산한 결과 처리시설에서 수용할 수 있는 초기우수 유출량은 약 6 mm의 누적강우량으로 산정되었으며 이는 대상지역에서 발생하는 대부분의 소규모 강우에 대해 처리가 가능하다는 것을 의미한다. 본 연구 결과는 강우-유출 모델과 연계한 초기우수 처리시설 운영을 위한 가이드라인을 제시하고 있으며, 하천 수질 모델과 연결할 경우 유입하천에 미치는 영향을 사전에 예측할 수 있으며, 유역의 조건과 연계하여 도시하천의 유역연계 종합 수질관리를 위한 중요한 자료를 제공할 수 있을 것이다.