• Title/Summary/Keyword: Advance treatment

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Clinical Results of $Cyberknife^{(R)}$ Radiosurgery for Spinal Metastases

  • Chang, Ung-Kyu;Youn, Sang-Min;Park, Sukh-Que;Rhee, Chang-Hun
    • Journal of Korean Neurosurgical Society
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    • v.46 no.6
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    • pp.538-544
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    • 2009
  • Objective : Primary treatment of spinal metastasis has been external beam radiotherapy. Recent advance of technology enables radiosurgery to be extended to extracranial lesions. The purpose of this study was to determine the clinical effectiveness and safety of stereotactic radiosurgery using Cyberknife in spinal metastasis. Methods : From June, 2002 to December, 2007, 129 patients with 167 spinal metastases were treated with Cyberknife. Most of the patients (94%) presented with pain and nine patients suffered from motor deficits. Twelve patients were asymptomatic. Fifty-three patients (32%) had previous radiation therapy. Using Cyberknife, 16-39 Gy in 1-5 fractions were delivered to spinal metastatic lesions. Radiation dose was not different regarding the tumor pathology or tumor volume. Results : After six months follow-up, patient evaluation was possible in 108 lesions. Among them, significant pain relief was seen in 98 lesions (91%). Radiological data were obtained in 83 lesions. The mass size was decreased or stable in 75 lesions and increased in eight lesions. Radiological control failure cases were hepatocellular carcinoma (5 cases), lung cancer (1 case), breast cancer (1 case) and renal cell carcinoma (1 case). Treatment-related radiation injury was not detected. Conclusion : Cyberknife radiosurgery is clinically effective and safe for spinal metastases. It is true even in previously irradiated patients. Compared to conventional radiation therapy, Cyberknife shows higher pain control rate and its treatment process is more convenient for patients. Thus, it can be regarded as a primary treatment modality for spinal metastases.

Microarray Analysis of Gene Expression in Raw 264.7 Cells Treated with Hominis Placenta Herbal-Acupuncture Solution (자하거(紫河車) 약침액(藥鍼液)이 Lipopolysaccharide로 처리된 RAW 264.7 대식세포주(大食細胞柱)의 유전자(遺傳子) 발현(發顯)에 미치는 영향(影響))

  • Jang, Hyun-Seok;Lee, Kyung-Min;Lim, Sung-Chul;Eom, Dong-Myung;Seo, Jung-Chul
    • Korean Journal of Oriental Medicine
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    • v.12 no.3 s.18
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    • pp.131-141
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    • 2006
  • Hominis Placenta has a broad array of clinical applications in Korean medicine, including treatment of inflammatory conditions such as rheumatoid arthritis. The purpose of this study is to explore the global gene expression profiles in human RAW 264.7 cell lines treated with Hominis Placenta herbal-acupuncture solution (HPHAS) using microarray analysis. The RAW 264.7 cells were treated with lipopolysaccharide (LPS), HPHAS, or both. Of the 8,170 genes profiled in this study, with a cut-off level of two-fold change in the expression, 72 genes (CTD1, regulating synaptic membrane exocytosis 2, etc.) were upregulated and 135 genes(splicing factor, arginine/serine-rich 1, actinin, alpha 1, etc.) downregulated following LPS treatment. One gene (acrosin) was upregulated and 12 genes (phospholipase A2, group IB, neurofilament, heavy polypeptide 200kDa, etc.) were downregulated following HPHAS treatment. Eleven genes (RAB27A, member RAS oncogene family, eosinophil peroxidase, etc.) were upregulated and 16 genes (V-maf musculoaponeurotic fibrosarcoma oncogene homolog G (avian), RW1 protein, etc.) were downregulated following co-stimulation of HPHAS and LPS. It is thought that microarrays will play an ever-growing role in the advance of our understanding of the pharmacological actions of HPHAS in the treatment of arthritis. Further studies, however, are required to concretely prove the effectiveness of HPHAS.

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Japanese Cancer Association Meeting UICC International Session - What is Cost-effectiveness in Cancer Treatment?

  • Akaza, Hideyuki;Kawahara, Norie;Roh, Jae Kyung;Inoue, Hajime;Park, Eun-Cheol;Lee, Kwang-Sig;Kim, Sukyeong;Hayre, Jasdeep;Naidoo, Bhash;Wilkinson, Thomas;Fukuda, Takashi;Jang, Woo Ick;Nogimori, Masafumi
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.1
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    • pp.3-10
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    • 2014
  • The Japan National Committee for the Union for International Cancer Control (UICC) and UICC-Asia Regional Office (ARO) organized an international session as part of the official program of the 72nd Annual Meeting of the Japanese Cancer Association to discuss the topic "What is cost-effectiveness in cancer treatment?" Healthcare economics are an international concern and a key issue for the UICC. The presenters and participants discussed the question of how limited medical resources can be best used to support life, which is a question that applies to both developing and industrialized countries, given that cancer treatment is putting medical systems under increasing strain. The emergence of advanced yet hugely expensive drugs has prompted discussion on methodologies for Health Technology Assessment (HTA) that seek to quantify cost and effect. The session benefited from the participation of various stakeholders, including representatives of industry, government and academia and three speakers from the Republic of Korea, an Asian country where discussion on HTA methodologies is already advanced. In addition, the session was joined by a representative of National Institute for Health and Care Excellence (NICE) of the United Kingdom, which has pioneered the concept of cost-effectiveness in a medical context. The aim of the session was to advance and deepen understanding of the issue of cost-effectiveness as viewed from medical care systems in different regions.

Recent Water Treatment Technology for Unconventional Natural Resource Development (비전통자원개발에 따른 수처리 최신 기술)

  • Kim, Geug Tae;Chung, Kun Yong;Park, Jung Kyu
    • Korean Chemical Engineering Research
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    • v.52 no.2
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    • pp.154-165
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    • 2014
  • Development of unconventional natural resources such as shale gas, shale oil and coal bed methane, has been activated and improved the productivity due to the recent technology advance in horizontal drilling and hydraulic fracturing. However, the flowback water mixed with chemical additives, and the brine water containing oil, gas, high levels of salts and radioactive metals is produced during the gas production. Potential negative environmental impact due to large volumes of the produced wastewater is increasingly seen as the major obstacles to the unconventional natural resource development. In this study an integrated framework for the flowback and brine water treatment is proposed, and we reviewed the upcoming state of the art technology in water treatment. Basic separation processes which include not only membrane, evaporation, crystallization and desalination processes, but the potential water reuse and recycling techniques can be applied for the unconventional natural resource industry.

Analysis of the psychological effects of beauty therapy using beauty management programs (뷰티 관리 프로그램을 활용한 뷰티 테라피의 심리적 효과 분석)

  • Seo, Kyung Ja;Lee, Hye Won;Kim, Mi Young
    • The Research Journal of the Costume Culture
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    • v.29 no.5
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    • pp.719-734
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    • 2021
  • The aim of this study was to determine the therapeutic effects of beauty care on negative mental health, including stress and depression. Nail care, massage care, and makeup were used as programs for beauty therapy. Qualitative research was conducted with six female participants over five-month period. After interviewing the subjects in advance, beauty care treatments were performed every week 4 weeks in the following order: nail care, massage, and makeup. The results are as follows, First, the participants perceived beauty care in the form of 4 concepts: "courtesy in social life," "investment in oneself," "self-satisfaction," and "self-care." Second, the effects of beauty therapy were categorized as "psychological effects," "confidence," "behavioral changes," "evaluation of others," and "positive social effects." Third, each subject showed different psychological effects during the process when the function of the therapy took effect through the beauty care treatment. It was confirmed that confidence levels increased as a result of treatment through the process of becoming re-aware of oneself. Positive statements from the participants included: "I want to go out," "I have become kind and positive to others," "I have become more active in a given task," and "It seems that my work ability is improving." Finally, t-test results for self-esteem, depression, and stress showed there were significant differences in self-esteem and depression. This confirmed that self-esteem increased, and depression decreased after the beauty care treatment.

Assessing the Influence Radius of a Water Treatment System Installed in a Reservoir Using Tracer Experiment and 3D Numerical Simulation (추적자 실험 및 3차원 수치모의를 이용한 저수지 수처리 장치의 영향반경 평가)

  • Park, Hyung Seok;Lee, Eun Ju;Ji, Hyun Seo;Choi, Sun Hwa;Chun, Se Woong
    • Journal of Korean Society of Water Science and Technology
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    • v.26 no.6
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    • pp.3-12
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    • 2018
  • The objective of this study was to evaluate the radius of influence of effluent of water treatment system developed for the purpose of improvement of reservoir water quality using fluorescent dye (Rhodamine-WT) tracer experiment and 3-D numerical model. The tracer experiment was carried out in a medium-sized agricultural reservoir with a storage capacity of $227,000m^3$ and an average depth of 1.6 m. A guideline with a total length of 160 m was installed at intervals of 10 m in the horizontal direction from the discharge part, and a Rhodamine measurement sensor (YSI 6130, measurement range $0-200{\mu}g/L$) was used to measure concentration changes in time, distance, and depth. Experimental design was established in advance through Jet theory and the diffusion process was simulated using ELCOM, a three dimensional hydraulic dynamics model. As a result of the study, the direct effect radius of the jet emitted from the applied water treatment system was about 50-70 m, and the radius of physical effect by the advection diffusion was judged to be 100-120 m. The numerical simulations of effluent advection-diffusion of the water treatment system using ELCOM showed very similar results to those of the impact radius analysis using the tracer experiment and jet flow empirical equations. The results provide valuable information on the spatial extent of the water quality improvement devices installed in the reservoir and the facility layout design.

Anti-inflammatory Effects of Low-frequency Stimulator using Superposition of Alternating Microcurrent Wave in the Animal Models

  • Kim, Yoo-Jeong;Lee, Seong gwang;Go, Shin Jee;An, Suyeon;Kim, Ye eun;Kim, Ye in;Hyun, Kyung-Yae;Cho, Dong Shik;Choi, Go-Eun
    • Biomedical Science Letters
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    • v.27 no.2
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    • pp.99-104
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    • 2021
  • Treatment techniques that affect homeostasis by non-invasive regulation in peripheral organs will advance disease research. Here, we demonstrate a non-invasive method of conditioning within an organ using a low-frequency stimulator superposition of alternating microcurrent wave in stages. It is first applied to the inflammatory response in H3N2-infected sinusitis mice. To check the progress of the treatment, mice were sacrificed every week for 3 weeks, nasal tissue was removed, and the inflammatory response was investigated through H & E staining. The low-frequency stimulation treatment group was found to alleviate the proliferation of epithelial cells and invasion of inflammatory cells compared to the control group as the passage of treatment time. The reduction of inflammatory cytokines in the nasal lavage fluid was observed in H3N2-infected sinusitis mice treated with of low-frequency stimulation using superposition of alternating microcurrent wave compared to H3N2-infected sinusitis mice after 3 weeks. These data demonstrate that low-frequency stimulation device in the form of using alternating current wave superposition on within organs provides a new method to regulate specific physiological functions. Therefore, it is necessary to prove the inhibitory effect of low-frequency stimulation using alternating current wave superposition on inflammatory diseases by various methods through further studies and clinical studies.

Osteoporosis: New Biomedical Engineering Aspects

  • Singh, Kanika;Lee, Sung-Hak;Kim, Kyung-Chun
    • Journal of Mechanical Science and Technology
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    • v.20 no.12
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    • pp.2265-2283
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    • 2006
  • There is tremendous interest of research which surrounds the concept of 'osteoporosis,' as shown by the intense and growing research activity in the field. The urgency to advance knowledge in this area is motivated by the need to understand not only the causes, diagnosis and treatment but also need for early identification or detection of this silent disease. Despite the various researches work is going on, important issues remain unresolved. In this paper, Osteoporosis has also been discussed with respect to biological, engineering, biochemical and physical aspects. The diagnostic and therapeutic techniques have been described for osteoporosis, for better health care. The novelty of the review paper lies in clarifying several myths, explaining the disease in details with biomedical engineering aspects and focuses on the several detection techniques, providing a new direction for early diagnosis of this deadly disease and gives new directions for the POCT device for Osteoporosis.

A Study on the Architectural planning of Spatial Organization Feature in Emergency Medical Facilities (응급의료시설의 공간구성요소에 관한 건축계획적 연구)

  • Choi, Chung-Ho;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.2
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    • pp.25-34
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    • 2008
  • The purpose of this study was to spatial organization feature and area composition of the over 500beds general hospital that will be expected construct in Seoul, Gyeonggi-do area after 2000year. From this study, we can suggest architectural planning for the efficiency operating of emergency medical facilities that can be used as preliminary data. The Spatial organization of emergency medical facilities are categorize into 4 session as medical examination and treatment, diagonosticradiology, staff, public and the others. We can find spatial organization system and area composition that compare area composition of 6 hospital the subject of research in a emergency medical facilities. The result of this study were as follows : spatial distribution of its field, grasping of spatial organization factor and recognize its merits and demerits should be researched in advance. Through this kind of recognizing emergency system, realistic medical local and condition architectural planning for spatial organization will be operate.

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Development of the Multi Stage Type Die for Thin Sheet Metal Working

  • Sim, Sung-Bo;Park, Sun-Kyu;Lee, Sng-Hoon
    • Proceedings of the Korean Society of Machine Tool Engineers Conference
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    • 2001.10a
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    • pp.190-195
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    • 2001
  • The piercing and blanking of thin sheet metal working is specified division in press die design and making. In order to prevent the defects, the optimum design of the production part, strip process layout, die design, die making and try out etc. are necessary the analysis of effective factors. For example, theory and practice of metal shearing process and it's phenomena, die structure, machine tool working for die making, die materials and it's heat treatment, metal working in field, their know how etc. are included in those factors. In this study, we analyzed whole of data base, theoretical back ground of metal working process, and then performed the progressive die tryout with the screw press.

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