• Title/Summary/Keyword: 약 치료

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Studies on Protective Effect of Bupleurum falcatum Extract (SHI-1909) against Experimental Inflammtory Bowel Disease Model (시호추출물 (SHI-1909)의 염증성 대장염 실험동물 모델에 대한 치료효과)

  • Cho, Seong-Wan;Kim, Young-Kwon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.3
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    • pp.613-619
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    • 2009
  • The Efficacy of SHI-1909 was investigated in comparision with predinisolone in acetic acid and Picrylsulfonic acid solution (TNBS)-induced rat inflammatory bowel disease (IBD) for 5 days. 7% Acetic acid and 5% TNBS solution were administered with polyethylene (P.E) tube inserted to rats intracolon, which causing colitis to the rats. The acetic acid and TNBS control group (the saline treated colitic rat) exhibited ulceration and inflammation of the distal colon with formation of granuloma and pathologic connections. We checked the inflammatory parameters like rat's weight, food intake quantity change during administration. After 5 days, we sacrificed the rats and checked the colon's length, ulcer and pathologic condition. Oral treatment with SHI-1909 resulted in significant recovery of macroscopic parameters like weight and diet intake change. Especially, SHI-1909 had a more potent effect than prednisolone on macroscopic colonic damage score. We can suggest that SHI-1909 could be a promising drug in the treatment of IBD.

TREATMMENT OF CHRONIC RUMINATION THROUGH REVERSE OF REINFORCEMENT (행동치료를 통한 시설아동의 만성 구토행위 치료)

  • Chung, Bo-In;Kim, Sin-Ja;Lee, Jum-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.172-177
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    • 1990
  • The reverse of reinforcement technique was used in treating rumination of a 12-year old (estimated age) mentally retarded child in a residential setting. The subject's rumination pattern was first to vomit the food onto the floor and then to eat it back in several attempts. Consequently, the way to reverse the contingency of rumination in this child was to take away the discharge whenever rumination occurred. An ABAB single subject design was adopted to evaluate the treatment effect. In baseline 1 the frequency of his rumination for 2.5 hours after eating was an average of 46(range= 30-62), while decreased to 6.7 in treatment condition 1. However, when the discharge was not taken away in baseline 2, his rumination increased to 34 times and then decreased to zero to 1 time when the reverse of reinforcement was reinstituted in treatment condition 2. The results clearly indicate that the reverse of reinforcement which was implemented in the form of removing the discharge from the floor was successful. It was reported that the treatment effect has been maintained over 10 months post treatment.

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Case report of the stress urinary incontinence which is improved by Acupunture treatment and Sasang Constitutional Herbal medication. (침구치료 및 체질처방으로 호전된 복압성 요실금 환자의 증례)

  • Jeong, So-Yeong;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.20 no.4
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    • pp.210-216
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    • 2007
  • Purpose: The effects of non-operation treatment on the stress urinary incontinence is low by 20-50%. And the way of operation has higher recovery, but it also has problems of the aftereffects and invasive aspects. So It is demanded for improvement of non-invasive to relieve this disease. Methods: The patient was 55-year-old woman who had suffered from incontinence six years ago. The patient was diagnosed by stress urinary incontinence, and treated by Herbal medicine and acupuncture treatment. The progress of symtoms was evaluated by checking the score of doing multiplication the severity and the frequency. Results: After the oriental medical treatments, the clinical score of stress urinary incontinence was improved from 12 to 0. Conclusion: This study shows that the oriental medicine may be considered for the non-invasive of stress urinary incontinence, and the study of effect is more needed.

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A Study of Total Dose in Intensity Modulation Radiation Therapy (선량강도 조절법을 이용한 방사선치료에서 총선량에 관한 고찰)

  • 김성규
    • Progress in Medical Physics
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    • v.11 no.1
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    • pp.85-90
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    • 2000
  • In radiation therapy, the effects of radiation are decided total dose, total treatment times and number of radiation dose fractions. We considered that total dose, total treatment times and number of radiation dose fractions in intensity modulation radiation therapy(IMRT) infuence tumor cell killing. The goal of three dimensional conformal radiation therapy(3DCRT) in radiation therapy is to conform the partial distribution of the prescribed radiation dose to the precise 3D configuration of the tumor, and at the same time, to minimize the dose to the surrounding normal tissues. To optimize treatment volume of tumor, treatment volume will be same tumor volume. All IMRT compare to conventional treatment plus boost IMRT when total dose irradiated 75 - 90 Gy. Because of biological effect, total dose are decreased 12.5 - l5Gy in all IMRT.

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Effects of Acceptance and Commitment Therapy(ACT) on Assertiveness and Interpersonal Anxiety of University Students with Interpersonal Anxiety (수용-전념 치료(ACT)가 대인불안이 있는 대학생들의 주장성과 대인불안에 미치는 효과)

  • Lee, GyuBok;Son, ChongNak
    • Journal of Digital Convergence
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    • v.17 no.4
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    • pp.345-353
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    • 2019
  • The purpose of this study was to explore effects of acceptance-­commitment therapy on assertiveness and interpersonal anxiety of university students with interpersonal anxiety. Twelve students are selected of three hundred thirty students who completed an assertiveness sacle and a social anxiety scale, and finally six students were assigned to an experiment group and the others to a control group. ACT program consisting of 8 sessions twice a week approximately 120minutes is provided for experiment group, on the other hand, nothing is provided for control group. All participants completed an assertiveness sacle, a social anxiety scale at pre-­test, post-­test, and 6 weeks follow­-up periods. In the experimental group, the assertiveness score was improved after ACT program but not in the control group. The improvement observed in the experimental group was maintained until the follow-­up test. In the anxiety test, the experimental group showed a larger decrease than the control group, and the difference was also found in the follow­-up test. Finally, the implications and limitations of this study, along with suggestions for future study were discussed.

A Study on the Neutron Dose Distribution in Case of 10 MV X-rays Radiotherapy (10MV X선 방사선 치료 시 중성자 선량 분포에 관한 연구)

  • Park, Cheol-Soo;Lim, Cheong-Hwan;Jung, Hong-Ryang;Shin, Seong-Soo
    • Journal of radiological science and technology
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    • v.31 no.4
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    • pp.415-417
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    • 2008
  • This study is to measure the radiation dose of neutrons generated by the particle accelerator during X-ray (photon) treatment with a neutron detection method by using CR-39, and to research how the generation of neutrons may incur problems associated with radiation doses for patient treatment when using high energy photons for cancer treatment as a clinical application. The findings are summarized as follows : The results showed that average 0.35mSv was measured with exposure of 1Gy photon in case of fast neutron, 0.65mSv with exposure of 2Gy photon, 1.82mSv exposure of 5Gy, 0.26mSv with exposure of 1Gy photon in case of thermal neutron, 0.56mSv with exposure of 2Gy photon, and 1.23mSv with exposure of 5Gy of photon. By measuring the occurrence of neutron by using Wedge Filter, it has been confirmed that the occurrence of neutrons increased when using Wedge Filter. The results also showed that more neutrons were detected over the existing experiments when using an SRS Cone requiring high doses of radiation. Total 2.85mSv neutrons were found on the average with exposure of 5Gy photon in case of fast neutron and 1.37mSv neutrons were found on the average with exposure of 5Gy photon in case of thermal neutron. During the general treatment, about 1.6 times more neutrons over 5Gy photon were found in case of fast neutron and about 1.12 time more neutrons over 5Gy photon were found in case of thermal neutron.

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임플란트용 $TiO_2$ 나노튜브의 전자빔 조사효과

  • Yun, Seong-Uk;O, Seung-Han;Sim, In-Bo
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2011.05a
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    • pp.239.2-239.2
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    • 2011
  • 치과재료의 개발은 치과 치료 기술에 있어서 가장 중요한 요소이며, 현재 일반화되고 있는 치과 치료 기술 중 하나가 임플란트 시술이다. 임플란트의 기술 개발은 주로 임플란트 나사의 표면개질을 통한 기능개선에 초점을 ��추어 진행되어지고 있다. 본 연구에서는 Ti 임플란트 표면상에 양극산화법을 적용하여 다양한 지름 및 기공 크기를 갖는 $TiO_2$ 나노튜브를 제조하여 전자빔 조사를 통한 표면개질시 그 특성에 관한 연구를 수행하였다. 특히 전자빔 조사가 Ti/$TiO_2$ 나노튜브 표면상에 존재 가능한 조골세포의 성장 특성에 미치는 영향을 연구하였다. 양극산화법을 이용한 Ti/$TiO_2$ 나노튜브는 전해질로서 HF와 $NH_4F$를 사용하였으며, 20-80 V의 인가 전압하에서 내경 약 80 nm, 외경 약 124 nm 및 길이 약 280 nm-14 ${\mu}m$의 비교적 균질한 지름 및 분포를 갖는 Ti/$TiO_2$ 나노튜브를 제조하였다. 전자빔 조사는 EB-Tech (대전, 한국)의 electron-beam accelerator(Model ELV-4)를 이용하였으며, 1.0 MeV의 빔 에너지로 총 흡수선량이 50 kGy, 500 kGy 및 5,000 kGy로 조사하였다. 전자빔을 조사하기 전 후 Ti/$TiO_2$ 나노튜브 표면상에 조골세포주(Osteoblast cell)의 배양시간의 변화에 따른 효과를 연구한 결과 배양 전 후 전자빔 조사선량의 증가에 따라 조골세포의 흡착률이 증가함을 확인할 수 있었다. 특히 HF전해질을 이용한 $TiO_2$ 나노튜브의 경우 5,000 kGy 조사선량의 전자빔을 조사한 후 조골세포 흡착률이 약 160% 증가하는 결과를 얻을 수 있었다. 전자빔 조사 전 후 조골세포 흡착률의 변화원인은 전자빔 조사 유무에 따른 $Ti^{3+}$$Ti^{4+}$의 변화에 기인함을 규명하였다. 이러한 결과는 향후 임플란트용 Ti/$TiO_2$ 나노튜브의 표면 개질시 전자빔의 유용성을 제시한다고 할 수 있다.

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A Study of volumetric modulated arc therapy for stereotactic body radiation therapy in case of multi-target liver cancer using flattening filter free beam (다중표적 간암의 정위적체부방사선치료에서 무편평화여과기선질 용적변조회전치료의 유용성 평가)

  • Yeom, Misuk;Yoon, Inha;Hong, Donggi;Back, Geummun
    • The Journal of Korean Society for Radiation Therapy
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    • v.27 no.1
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    • pp.31-43
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    • 2015
  • Purpose : Stereotactic body radiation therapy (SBRT) has proved its efficacy in several patient populations with primary and metastatic limited tumors. Because SBRT prescription is high dose level than Conventional radiation therapy. SBRT plan is necessary for effective Organ at risk (OAR) protection and sufficient Planning target volume (PTV) dose coverage. In particular, multi-target cases may result excessive doses to OAR and hot spot due to dose overlap. This study evaluate usefulness of Volumetric modulated arc therapy (VMAT) in dosimetric and technical considerations using Flattening filter free (FFF) beam. Materials and Methods : The treatment plans for five patients, being treated on TrueBeam STx(Varian$^{TM}$, USA) with VMAT using 10MV FFF beam and Standard conformal radiotherapy (CRT) using 15MV Flattening filter (FF) beam. PTV, liver, duodenum, bowel, spinal cord, esophagus, stomach dose were evaluated using the dose volume histogram(DVH). Conformity index(CI), homogeneity index(HI), Paddick's index(PCI) for the PTV was assessed. Total Monitor unit (MU) and beam on time was assessed. Results : Average value of CI, HI and PCI for PTV was $1.381{\pm}0.028$, $1.096{\pm}0.016$, $0.944{\pm}0.473$ in VMAT and $1.381{\pm}0.042$, $1.136{\pm}0.042$, $1.534{\pm}0.465$ in CRT respectively. OAR dose in CRT plans evaluated 1.8 times higher than VMAT. Total MU in VMAT evaluated 1.3 times increase than CRT. Average beam on time was 6.8 minute in VMAT and 21.3 minute in CRT. Conclusion : VMAT for SBRT in multi-target liver cancer using FFF beam is effective treatment techniqe in dosimetric and technical considerations. VMAT decrease intra-fraction error due to treatment time shortening using high dose rate of FFF beam.

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Dose Distribution and Characterization for Radiation Fields of Multileaf Collimateor System (방사선 입체조형치료용 다엽콜리메이터의 특성과 조직내 선량분포 측정)

  • Chu, Sung-Sil;Kim, Gwi-Eon
    • Radiation Oncology Journal
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    • v.14 no.1
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    • pp.77-85
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    • 1996
  • Purpose : Multileaf collimator(MLC) is very suitable tool for conformal radio-therapy and commissioning measurements for a multileaf collimator installed on a dual energy accelerator with 6 and 10MV photons are required, For modeling the collimator with treament planning software, detailed dosimetric characterization of the multileaf collimator including the penumbra width, leaf transmission between leaf leakage and localization of the leaf ends and sides is an essential requirement. materials and Methods : Measurement of characteristic data of the MLC with 26 pair block leaves installed on CLINAC 2100C linear accelerator was performed. Low sensitive radiographic film(X-omatV) was used for the penumbra measurement and separate experiments using radiographic film and thermoluminescent dosimeters were performed to verify the dose distribution, Measured films were analized with a photodensitometer of WP700i scanner. Results : For 6 & 10 MV x-ray energies, approximately $2.0\%$ of photons incident on the multileaf collimator were transmitted and an additional $0.5\%$ leakage occurs between the leaves. Localizing the physical end of the leaves showed less than 1mm deviation from the $50\%$ decrement line and this difference is attributed to the curved shaped end on the leaves One side of a sin히e leaf corresponded to the $50\%$ decrement line, but the opposite face was aligned with a lower value. This difference is due to the tongue and groove used to decrease between leaf leakage. Alignment of the leaves to form a straight edge resulted larger penumbra at far position from isocenter as compare with divergent alloy blocks. When the MLC edge is stepped by sloping field, the isodose lines follow the leaf pattern and Produce scalloping isodose curves in tissue. The effective penumbra by 45 degree stepped MLC is about 10mm at 10cm depth for 6MV x-ray. The difference of effective penumbra in deep tissue between MLC and divergent alloy blocks is small (5mm). Conclusion : Using the characteristic data of MLC, the MLC has the clinlical acceptability and suitability for 3-D conformal radiotherapy except small field size.

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A comprehensive comparison of IMRT and VMAT plan quality for orbital lymphoma (안와 림프종 환자의 방사선치료를 위한 세기조절방사선치료와 용적세기조절회전치료의 전산화 치료계획에 대한 고찰)

  • Yoo, Soon Mi;Ban, Tae Joon;Yun, In Ha;Baek, Geum Mun;Kwon, Kyung Tae
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.2
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    • pp.281-287
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    • 2014
  • Purpose : The purpose of this study is to compare the plan quality of volumetric-modulated arc therapy (VMAT) and intensity-modulated radiation therapy (IMRT) for the treatment of orbital lymphoma. IMRT, partial single arc(SA) and partial-double arc(DA) VMAT plans for four patients with orbital lymphoma treated at our institution were used for this study. Conformity Index(CI), Paddick's Conformity Index(PCI) and Homogeneity Index(HI) of planning target volume(PTV) were used to evaluate dosimetric quality of each plan. The Monitor Unit (MU), treatment time and dose of ipsilateral lens from each type of plan were measured for comparison. Materials and Methods : The CI of PTV for IMRT, SA and DA were measured as 0.88, 0.86, 0.92. The PCI of DA was the lowest as 1.33. Also HI of DA was the lowest in measured plans as 1.15. Mean dose of lens, lacrimal gland, optic chiasm, the opposite optic nerve and both orbit was analyzed with V30, V20, V10, V5. The result showed that the lowest dose in IMRT highest in SA in opposite lens, lacrimal gland, optic nerve, orbit. Results : Treatment time and average MU of IMRT was about three times higher than SA. Conclusion : Considering the superior plan quality as well as the delivery efficiency of VMAT compared with that of IMRT, VMAT may be the preferred modality for treating orbital lymphoma.