• 제목/요약/키워드: therapeutic groups

검색결과 1,418건 처리시간 0.029초

탄력 테이핑이 만성 발목 불안정 환자의 착지 후 방향 전환 시 하지 관절 움직임에 미치는 영향 (The Effect of Elastic Therapeutic Taping on Lower Limb Kinematics during a Cross Cutting Movement from Landing in Subjects with Chronic Ankle Instability)

  • 조태성;김택훈;최흥식;노정석
    • 대한물리의학회지
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    • 제12권4호
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    • pp.1-9
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    • 2017
  • PURPOSE: This study investigated the effect that an elastic therapeutic taping treatment given to patients with chronic ankle instability had on the vertical ground reaction force, center of pressure, and range of motion in the ankle, knee and hip joints, during a Cross-cutting movement from landing. METHODS: This study analyzed 12 able-bodied adults and 12 patients with chronic ankle instability classified by using the Cumberland tool in the motion analysis laboratory, Hanseo University. The experiment was conducted under two conditions elastic taping and no treatment. In order to analyze the difference between the groups. An independent t-test was performed at p>.01. RESULTS: Plying an elastic therapeutic taping to the patients with chronic ankle instability significantly decreased the range of joint motion in the inversion of the ankle joint, the flexion of the knee joint, and the flexion and internal rotation of the hip joint during a cross-cutting movement from landing in comparison with the able-bodied adults p<.01. This restriction in the range of motion decreased the center-of-pressure trajectory length of patients with chronic ankle instability p>.01. CONCLUSION: An elastic therapeutic taping treatment given to patients with chronic ankle instability causes ankle stability to increase during a cross-cutting movement from landing.

코발트-60 원격치료기를 이용한 전신 방사선 조사에서 선량율의 차이에 따른 급성효과 (Acute Response to Co-60 Total Body Irradiation (TBI) With 600 cGy at 3 Different Does Rates in the Mice)

  • 강철훈;김성규;신세원;김명세
    • Radiation Oncology Journal
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    • 제8권2호
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    • pp.151-154
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    • 1990
  • 영남대학교 의과대학 치료방사선과학교실에서는 코발트-60원격치료기를 이용하여 80마리의 ICR 백서를 대상으로 서로다른 세가지 선량율로 600 cGy 단일조사를 시행한뒤 9주일동안 체중 및 말초혈액소견의 변화를 추적조사한 결과 다음과 같은 성적을 얻었다. 1. 체중변화는 선량율에 상관없이 조사 1주일부터 감소하여 6-7주일부터 치료전의 체중까지 회복 되었다. 2. 혈색소의 변화는 전 추적조사기간에 걸쳐 변화가 없었다. 3. 말초 혈액내의 백혈구의 총수는 조사 1주일부터 3주일까지 형태학적 구분이 안되는 수개의 세포만이 인지되었고 4주일부터 호중구의 회복이 임파구에 비해서 현저하였으며 8-9주일부터 조사전의 상태로 완전 회복되었다. 이상의 결과를 토대로 보다 다양한 실험을 거친후 저선량율 전신조사의 가장 큰 단점인 장시간의 조사로 인한 기계의 무리와 환자 위치고정의 해결을 위하여 분당 선량율을 15 cGy까지 올릴 수 있으리라 기대된다.

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해대(海帶) 추출물이 Dextran Sulfate Sodium로 유발된 대장염 동물모델에 미치는 치료 및 예방적 효과 (Therapeutic and Prophylactic Effects of Zostera Marina on Dextran Sulfate Sodium-induced Colitis)

  • 전우현;고석재;류봉하;박재우
    • 대한한의학회지
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    • 제37권3호
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    • pp.13-26
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    • 2016
  • Objectives: Inflammatory bowel disease (IBD) is chronic inflammatory disorders of the intestines. Due to limitation of conventional treatment including steroids, herbal medicines have emerged as possible therapeutic options for IBD. The purpose of the current study was to investigate the therapeutic and prophylactic effects and mechanisms of Zostera Marina water extract (ZME) on DSS-induced colitis. Methods: Colitis was induced by DSS in Balb/c mice. In pre-treatment setting, ZME was administered 7 days before DSS treatment and in co-treatment setting, ZME was simultaneously administrated with DSS treatment. In both settings, ZME 100, 300 and 1000 mg/kg were orally administered twice a day, respectively. Mice weight and clinical findings were measured daily. Colon length, macroscopic findings and histological damages of colon mucosa were assessed at the end of experiments. The levels of cytokines including TNF-${\alpha}$, IFN-${\gamma}$, IL-$1{\beta}$, IL-6, IL-10 and IL-17 were measured by Biometric Multiplex Cytokine Profiling method. Results: In a dose dependent manner, ZME significantly inhibited the colon shortening, and improved macroscopic score and histological score. However, there were insignificant changes on inhibition of weight loss and improvement of clinical score. There were no significant differences of effects between co-treatment and pre-treatment settings. ZME 300 and 1000 mg/kg groups significantly inhibited IFN-${\gamma}$. Only ZME 1000 mg/kg group significantly inhibited TNF-${\alpha}$, IL-$1{\beta}$ and IL-6. Conclusions: The current results show the possibility of therapeutic use and its prophylactic application of ZME on inflammatory bowel diseases. Future studies for targeted mechanisms of ZME are needed.

요척주관 협착증 환자에서 경추간공 경막외 스테로이드 주입 후 통증 완화 기간과 관련된 요인의 분석 (Analysis of Factors Associated with the Therapeutic Duration of Transforaminal Epidural Steroid Injection in Lumbar Spinal Stenosis Patients)

  • 홍지희;이용철;김진모;한성호;박은지
    • The Korean Journal of Pain
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    • 제21권2호
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    • pp.136-142
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    • 2008
  • Background: A transforaminal epidural steroid injection (TFESI) is one of the methods for the conservative treatment of the lumbar spinal stenosis. As efforts to prolong the therapeutic duration and to predict the outcome of TFESI are very important, we analyzed factors considered to be associated with the therapeutic duration of a TFESI. Methods: Between August 2006 and March 2007, 69 patients (Group A: patients with no pain relief, Group B: patients with pain relief of less than 6 months, Group C: patients with pain relief of more than 6 months) who failed to the medical treatment were included to undertake a fluoroscopic-guided TFESI. Prior to treatment, the VAS (visual analogue scale), ODI (Oswestry disability index), BDI (Beck depression inventory), and BAI (Beck anxiety inventory) scores were determined to evaluate the degree of pain, disability, and psychological status. The VAS and ODI scores were used to assess the degree of pain relief. To identify the total duration of pain relief, regular outpatient visits for six months were conducted, and for the patients who were not able to visit the outpatient clinic regularly, outcome was assessed by telephone interviews after six months. Results: The dural sac cross-sectional area (DSCSA), ODI, pain duration, BDI, BAI, and age showed similar distribution for patients in the A, B, and C groups. Conclusions: The DSCSA, ODI, pain duration, BDI, BAI, and age were not associated with the therapeutic duration of TFESI in lumbar spinal stenosis patients.

단순 흉부 X-선 사진상 폐암 소견에 대한 방사선 치료의 효과 -단기 추적 조사를 중심으로- (The Response of Parenchymal Mass and Airway Obstruction from Lung Cancer to Radiation Therapy)

  • 강철훈;신세원;김명세
    • Radiation Oncology Journal
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    • 제7권2호
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    • pp.227-233
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    • 1989
  • From April 1986 to Dec 1988, fifty one patients with carcinoma of lung were treated by radiation therapy in Department of Therapeutic Radiology, Yeungnam University Hospital Of the 51 patients, $31(61\%)$ were squamous cell ca, $8(15.7\%)$ were small cell ca, and remained $4(7.9\%)$ were other cell types. Total radiation dose was average $64Gy (60\~75 Gy)$ for group A and 45Gy $(40\~59Gy)$ for group B. The mass regression and the response of airway obstruction to radiation therapy was established on the basis of follow up chest X-ray. The mass regression above $50\%$ of total volume was noted in 23 patients $(74.2\%)$ among 31 patients and the difference between two groups was not seen. In squamous cell ca, however, the mass regression rate (above $50\%$ of total volume) was $83.3\%$ (10/12) in group A compared to $50\%$ (3/6) in group B(p<0.05). The alleviation of airway obstruction was noted as follows. In group A, CR $42.9\%$, PR $35.7\%$, no response $21.4\%$ and in group B, CR $55.6\%,\;PR\;33.3\%$, no response $11.1\%$. But, in squamous cell ca, responsiveness is higher than group B. The study indicates that the importance of higher radiation dose in the management of primary tumor mass and airway obstruction caused by lung cancer especially squamous cell ca. So, meticulous treatment planning and multimodality combination therapy without increasing si.do elect or complication is recommended in management of inoperable bronchogenic carcinoma.

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사염화탄소와 에탄올에 의해 유발된 랫드의 간경변에서 GODEX (Hepadif-S capsule)의 치료 효과 (Therapeutic Effect of the GODEX on the Liver Chirrosis Induced by CCl4 and Ethanol in the Rat)

  • 신지순;정은용;이민호;강종구
    • Biomolecules & Therapeutics
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    • 제10권3호
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    • pp.202-207
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    • 2002
  • The hepato-protective activity of the GODEX (Hepadif-s capsule) has been studied in the rats against $CCl_4$-ethanol induced liver toxicity. The rats were oral1y treated with $CCl_4$ (corn oil/ $CCl_4$ 1:1, 1 mg/kg). And one week passes, $CCl_4$(0.4 mg/kg) administered two times a week for 7 weeks. The drugs have been administered every two days for 4 weeks after $CCl_4$ injection. The experimental groups have consisted of the GODEX (250 mg/kg), Hepadif (200 mg/kg), DDB complex (DDB 50 mg/kg and garlic oil powder 50 mg/kg), DDB (50 mg/kg), and vehicle control respectively. There was a significant decrement on the serum level of aspartate aminotransferase (AST), alanine aminotransferase (ALT) and total bilirubin in all treated groups. Specially, ALT level of GODEX and Hepadif only treated groups was decreased c1early. Also, serum albumin level was significantly enhanced in GODEX treated group compared with control and DDB treated groups. In histological results, hepatocellular vacuolar degeneration, lobular restructure and necrosis of bile duct were severely showed in control. But other treated groups showed centerilobular degeneration and mild hyper-plasia. Hepadif or DDB has a effects of the recovery on serum parameters and structure ill liver injury. When it was compared GODEX to Hepadif alone or DDB complex or DDB, it suggested to have the best activity of the liver recovery.

The Effects of Heel Off Stairway Walking Exercise on Ankle Muscle Activity and Static Balance of University Students With Ankle Instability

  • Oh, Hyung Min;Jung, Bum Chul;Kim, Byeong Jo;Kang, Ye Ju;Lee, Ji Eun;Yoo, Kyung Tae
    • 국제물리치료학회지
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    • 제9권1호
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    • pp.1398-1405
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    • 2018
  • The purpose of this study was to investigate the effect of heel off stairway walking exercise on the increase of muscle activity and balance activity of the ankle joint muscles in university students with functional ankle instability. The conservative treatment for the control group consisted of stairway walking (n=10) and the experimental group consisted of heel off stairway walking (n=11). The therapeutic intervention of the control and experimental groups was performed a total of 12 exercise sessions, 3 times per week for 4 weeks. To compare the two groups, the level of ankle disability was assessed by using the EMG, BT4 and Pedoscan in pre-treatment and post-treatment. Muscle activity increased in both the experimental groups and control groups in each group, however there was no significant difference between the groups. Balance ability did not show any significant difference. This study demonstrates that heel-off stairway walking is effective in significantly increasing muscle activity, however did not significantly improve balance ability.

간호원의 의사소통방법이 정신병환자 반응에 미치는 영향에 대한 실험적 연구 (An Experimental Study on the Excellences of Nurses′ Communication Method upon Psychiatric Patient′s Response.)

  • 이평숙
    • 대한간호학회지
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    • 제4권2호
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    • pp.78-92
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    • 1974
  • It is the purpose of this study to make clear the way in which people can lead a more desirable human life, that is, to ascertain the method of achieving therapeutic change through transaction between nurses and psychiatric patients. The various problems proposed by th9 above-stated aims of study can be shown, such as: What kind of influences does the method of a nurse′s communication have upon the response of psychiatric patients? 1) What are the general methods of communication used by the nurses? 2) Are there any differences between the control group and experimental group in the patients′ "Child" response? 3) Are there any differences between the control group and experimental group in the Patients "Adult" response? 4) What is the most desirable method of communication for therapeutic change in the patients? In an effort to solve the above questions this study attempted and managed to draw a random sampling of 200 patients being accommodated in the National Mental Hospital by dividing them into two groups, experimental groups and control groups, and recording the transactions between nurses and patients. In the course of carrying,: out this study, the experimental group was interviewed by the nurses specially trained In the P.A.C theory. and the control group interviewed at random by the nurses with no special training in communication. Further, the communication between nurses and patients in a free, relaxed atmosphere was allowed only for 15 minutes, whereupon the nurses were requested to make process-recording according to her memory of nurse patient transaction. The process-recording which recorded a series ol transactions between the nurses and the patients was analyzed according to Berne and Harris′transactional Analysis Standard. Through this standard, the writer of this study examined the significance of difference to compare the transactions brought forth between the experimental group and the control group. The following is a summary of the study which the writer of this thesis undertook. Hypothesis to The method of communication which the nurses usually apply to the patients will be higher in "Parent" than in "Adult". The communication which the nurses carried out in the control group turned out to be not significant between "Adult" and "Parent" Accordingly hypothesis 1. carne to be rejected. Hypothesis 2. The patients "Adult" response will be higher in the experimental group than in the control group. According to the result of a CR examination, as the communication showed a significant difference on P〈.01 level′ hypothesis 2 became affirmative. Hypothesis 3. The patients′"Child" response will be higher in the control group than in the experimental group. Hypothesis 3 proved affirmative since it showed an significant degree on P〈.01 level according to the result of a CR examination. Hypothesis 4 "Adult" response of the patient will be higher in frequency by nurses′"Adult" stimulus than nurse′s "Parent" stimulus Chi-square examination revealed significant difference on P〈.05 level. Hypo. 4 is affirmed. The following conclusions are drawn out based on the result of this study. 1) The generally used method of communication stimulus used by nurses for patients proved to be "Adult" and "Parent" in similar proportion. 2) The group in which the nurses could increase the patients "Adult" response proved to be higher in the experimental group than in the control group. Therefore, the communication (or stimulus) which has been applied in the experimental group can be said to be possible method of achieving therapeutic change. 3) Since the patients′"Child" response were higher in the control group than in the experimental group the communication method used In the control group was suggested as the less agreeable method of achieving therapeutic change than that used in the experimental Group. 4) "Adult" response of patient was elicited in significantly greater percentage when the "Adult" stimulus was used by the nurse. Therefore the most desirable method of-communication to give therapeutic change definitely was shown to be the "Adult" stimulus. Recommendations for further studies are as follows: 1) Studies on nurses′role perception in nurse-patient relationships. 2) Studies on patients′response to the method of communication used by nurses according to variables such as sex, social status, educational background, state of health. 3) Application of T.A, method to various groups of patients. 4) Study of various methods to improve student skill in use of process recording.

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동과의 섭취가 당뇨 유발 흰쥐의 혈당과 지질대사에 미치는 영향

  • 임숙자;정종길;김명화;최성숙;한혜경;박지은
    • Journal of Nutrition and Health
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    • 제36권4호
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    • pp.335-343
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    • 2003
  • This study was designed to investigate the hypoglycemic effects of Benincasa hispida (Wax gourd) in streptozotocin (STZ)-induced diabetic rats. Diabetes was induced in the male rats by intravenous injection of STZ at a dose of 45 mg/kg dissolved in citrate buffer. The diabetic animals then had plasma glucose concentration of above 300mg/dl. The experimental groups were divided into five groups; normal, STZ-control and three Wax gourd groups (5%, 10% and 20% intake groups). Normal and STZ-control groups were fed on a AIN-93 diet and experimental groups were fed a AIN-93 diet with the Wax gourd powder (5%, 10% and 20%/kg diet) for 4 weeks. The body weight, diet intake and feed efficiency ratio (FER) were monitored. The blood glucose and cholesterol levels were determined everyweek. After 4 weeks, the rats were sacrificed and the levels of glucose, insulin, cholesterol, HDL-cholesterol, triglyceride and free fatty acids in plasma and levels of glycogen in liver and muscle were analyzed. Diabetic rats showed the lower weight gain compared to the normal rats. The weight gain and feed efficiency ratios in 15 and 20% Wax gourd groups were higher than in STZ-control group. The plasma glucose levels were significantly lower in all Wax gourd groups than in STZ-control group. The plasma insulin levels in diabetic groups were not significantly different compared to the normal group, but the level of 20% Wax gourd group was higher than other diabetic groups. The experimental diabetic groups showed the higher levels of muscle glycogen compared to STZ-control group. The lower levels of plasma cholesterol were noticed in 20% Wax gourd group throughout the experimental period. The plasma level of triglyceride was elevated in STZ-diabetic control and the levels were slightly decreased in Wax gourd groups. Rats of 10% Wax gourd group showed the lower levels of plasma free fatty acids. It is suggested, from the results, that the possibility of therapeutic or preventive use of wax gourd to the diabetes mellitus.

진행된 비소세포 폐암 환자에서 Concurrent Chemoradiotherapy와 Conventional Radiotherapy의 비교 (Comparison of Concurrent Chemoradiotherapy with Conventional Radiotherapy in Advanced Non-smal Cell Lung Cancer)

  • 김휘정;이동수;송소향;정수미;김영균;윤세철;문화식;송정섭;박성학
    • Tuberculosis and Respiratory Diseases
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    • 제44권3호
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    • pp.493-504
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    • 1997
  • 연구배경 : 폐암은 예후가 나쁜 암중의 하나로 특히 비소세포암의 경우 화학요법이나 방사선요법에 반응이 적고 대부분 어려운 제III병기 이상에서 발견되기에 대한 예후를 증진시키기 위한 치료법의 개발에 관심이 집중되고 있다. 이와 관련하여 최근에 소량의 항암제를 투여하면서 방사선 치료를 병행하는 Concurrent chemoraditherapy가 소개되면서 효과나 부작용 면에서 Conventional radiotherapy보다 우수한 것으로 알려져 관심의 대상이 되고 있다. 연구방법 : 대상은 1994년 1월부터 1995년 8월까지 본원에서 비소세포성 폐암으로 진단된 환자중 병기가 제III병기 이상이며 수술이 불가능했던 29명과 제II병기이나 수술을 거부했던 환자 1명을 포함해 모두 30명을 대상으로 무작위로 15명씩 CCRT군과 XRT군으로 나누어 치료를 시행한 뒤에 각 치료 군간의 치료 반응, 치료에 따른 performance status의 변화, 부작용 발현 빈도 및 방사선 유도성 폐렴 발생 빈도 등을 비교하는 한편, 전체 환자들을 대상으로 치료 반응과 각 임상적 지표들간의 상관 관계를 관찰해 보았다. 결 과 : 치료 반응 접수나 순응도 점수에서는 두군간에 의미있는 차이를 보이지 않았으나, 부작용 면에서는 검사실 부작용 점수 및 방사선 유도성 폐렴 점수가 각각 CCRT 군이 XRT군에 비해 의미 있는 감소를 보였다(p < 0.05). 전체 환자에서 병기와 치료 반응 점수 사이에는 의미 있는 역상관관계가 있었으나(R=0.353. p < 0.05) 다른 평가 항목들은 치료 반웅과 상관관계가 없었다. 전체 환자군에서는 편평상피세포암군 환자가 선암환자보다 치료 반응 점수가 다소 높은 경향을 보였으며, CCRT군과 XRT군내에서는 CCRT군에서 편평상피세포암군이 치료 반응 접수가 높은 경향이 있었다. 또한 같은 세포 유형에서 두 군간에 치료 반응 점수를 비교해 본 결과 양군간에 차이가 없었다. 결 론 : 이상의 연구 결과 CCRT는 XRT에 비해 치료 반응이나 차이가 없으나, 부작용이 이점이 있는 것으로 사료되며 생존율에 대해서는 앞으로 추적 검사가 더 필요될 것으로 사료된다.

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