• Title/Summary/Keyword: Alternative methods

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Effect of Chungsangboha-tang on LPS induced Anti-inflammatory in THP-1 cells (LPS로 유발된 대식세포의 염증반응에 대한 청상보하탕(淸上補下湯)의 효과)

  • Lee, Kyung-Hee;Kim, Hong-yeoul;Jung, Hee-Jae;Lee, Hyung-Koo
    • The Journal of Internal Korean Medicine
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    • v.29 no.1
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    • pp.12-24
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    • 2008
  • Background and Objective : Chungsangboha-tang (CSBHT) has analgesic, sedative, anti-convulsive and anti-histamine effects, so it alleviates the symptoms of asthma. For the comparison of anti-inflammatory effect(s) on CSBHT, PD098059 was used as a negative control. Materials and Methods : This study emphasized THP-1 cells, which had been well characterized as a human monocytic leukemic cell line. The cells resemble monocytes with respect to several criteria and can be differentiated into macrophage-like cells by treatment with PMA. By using the MTS assay, it was possible to prove the safety of CSBHT. Results : Results shows that the CSBHT did not affected cell survival within $10^{1}$ ng/ml to $10^{5}$ ng/ml. Especially, $10^{5}$ ng/ml CSBHT treated cells show 70% deduction of $TNF-{\alpha}$ gene expression against that of LPS treated group. Furthermore, $IL-1{\beta}$, IL-6, IL-8, IL-10 and $TNF-{\alpha}$ levels are down-regulated when treated with CSBHT with concentrations up to 100 ug/ml on monocyte-derived macrophages. Interestingly, CSBHT-treated samples showed that overall transcriptional activities were down-regulated to 20% of that of PD098059 ($TNF-{\alpha}$ inhibitor). At protein level, the expression of $TNF-{\alpha}$ showed similar results as that of transcriptional activity. Results show that the protein level decreased more in the CSBHT-treated group (487 ${\pm}$ 87 pg/ml) than in the LPS-treated group (703 ${\pm}$ 103 pg/ml). In addition, the protein level of IL-8 in the CSBHT treated-group (9.84 ${\pm}$ 3.28 ng/ml) decreased similar as the expression of the control and PD098059-treated groups. Conclusion : CSBHT affects immune response, especially allergic responses and suppression of inflammatory reaction. The results provide us an alternative way to care for clinical inflammatory diseases, not only asthma but also the other possible general inflammatory and allergic diseases.

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The Systematic Review of Clincal Trial(s) Intervening Traditional Korean Herbal Medicine: Extension of Developing Clinical Guideline for Hwa-byung (화병 진료지침 개발을 위한 한약 임상시험 방법론 연구)

  • Kim, Seok-Hwan;Park, Bo-Ra;Choi, Keum-Ae;Lim, Hyun-Ju;Lee, Sang-Ryong;Jung, Dae-Gyu;Kim, Rak-Hyung;Kim, Tae-Hun;Kim, Kyung-Ok;Jung, In-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.2
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    • pp.163-176
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    • 2009
  • Objectives : To address most probable and suitable method for designing clinical trial intervening Traditional Korean Herbal Medicine on hwa-byung. Study Design : A systematic review of research studies of complementary and/or alternative medical(CAM) treatment of depression, and of domestic clinical trials of Traditional Korean Medicine, and of Chinese clinical trials of Traditional Chinese Medicine. Methods : Randomized, controlled trials(RCTs) of treatment of depression intervening herbal medicine were searched through MEDLINE, Cochrane Library, and CNKI databases. Also, domestic RCTs intervening Traditional Korean Herbal Medicine were searched through Korean Traditional Knowledge Portal and Korean studies Information Service System(KISS). Studies were evaluated using Iadad scale and self-designed tool for this study. Results : Thirty four RCT studies( 10 from MEDLINE, 16 from CNKI, 8 domestic studies) of herbal medicine met inclusion criteria. Mean Jadad score of studies published in English was 2.8${\pm}$0.79, in Chinese 1.94${\pm}$0.77, and in Korean 2.75${\pm}$0.71. Twenty one percent of studies included pattern differentiation in their inclusion criteria. Twenty nine percent of studies used combined treatment of herbal and conventional medicine. Among studies on depression, 9% included Complementary Medical assessing tools. Conclusions : There is shortage of domestic clinical trial involving herbal medicine. In China, studies tend to focus on investigating effect of Combined treatment of herbal and conventional medicine on depression. Clinical trial(s) of hwa-byung should provide good internal validity by describing methodology for randomization, double-blinding, and attrition. Also, specific guideline for clinical trial, including Traditional Korean Medical aspects across inclusion criteria, and assessing tools is needed.

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The Use of Nafamostat Mesilate as an Anticoagulant during Continuous Renal Replacement Therapy for Children with a High Risk of Bleeding (출혈성 경향이 높은 소아환자의 지속성 신대체 요법시 사용되는 항응고제로서 Nafamostat mesilate의 사용)

  • Lee, Sang Taek;Cho, Heeyeon
    • Childhood Kidney Diseases
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    • v.18 no.2
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    • pp.98-105
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    • 2014
  • Purpose: Nafamostat mesilate (NM), a synthetic serine protease inhibitor, has been investigated as an anticoagulant for adult patients with a high risk of bleeding, who need chronic renal replacement therapy (CRRT). However, little is known about the use of NM as an anticoagulant in pediatric CRRT. The aim of this study was to evaluate the ideal dosage, efficacy, and safety of NM in pediatric CRRT. Methods: We conducted a retrospective study of 40 pediatric patients who had undergone at least 24 h of venovenous CRRTs between January 2011 and October 2013. We divided the patients according to risk of bleeding. Those at high risk received no anticoagulation (group 1) or NM as an anticoagulant (group 2), while those at low risk received heparin (group 3). Results: Forty patients (25 male and 15 female; mean age, $8.2{\pm}6.6$ years) were enrolled. The mean duration of CRRT was 13.0 days, and the survival rate was 57.5%. The mean hemofilter lifespan was 39.3 h in group 1 and 11.3 h in group 3. In group 2, hemofilter lifespan was extended from 7.5 h to 27.4 h after the use of NM (P =0.001). The mean hemofilter lifespan with NM was greater than with heparin (P =0.018). No patient experienced a major bleeding event during treatment with NM. Conclusion: NM may be a good alternative anticoagulant in pediatric patients with a high risk of bleeding requiring CRRT, and is not associated with bleeding complications.

Usefulness of Minimally Invasive Radio-Guided Parathyroidectomy in Patients with Prior Central Neck Exploration (중앙 경부 수술의 과거력이 있는 환자에서의 방사능 유도 최소 침습 부갑상선 절제술의 유용성)

  • Lee, Sung-Hwan;Kim, Bup-Woo;Kim, Kuk-Jin;Lee, Yong-Sang;Jeong, Jong-Ju;Nam, Kee-Hyun;Chung, Woong-Youn;Chang, Hang-Seok;Park, Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.2
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    • pp.138-142
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    • 2009
  • Introduction : Although bilateral exploration has been thought to be the standard therapeutic modality for primary hyperparathyroidism(pHPT) due to the admirable cure rate, questions have remained as to whether bilateral neck exploration for all patients with pHPT is needed because 80-85% of patients with pHPT have a single parathyroid adenoma. If the diseased parathyroid can be determined preoperatively, a directed and minimal operation is appropriate using the recent innovations of preoperative diagnosis and operation techniques for parathyroid diseases, the radio-guided parathyroid surgery(RGPS) is one of the standards. In especial, RGPS has been reported beneficial in special circumstances, such as in recurrent disease, ectopic parathyroid, and in mediastinal parathyroid. It can be also useful for the parathyroid disease in previously explored or irradiated neck. Material and Methods : We experienced 2 cases of pHPT successfully treated by RGPS in who previously underwent extensive neck dissection and concomitant external or internal radiotherapy. We adopted and modified the technique described by Dr. James Norman at the University of South Florida-the minimally invasive parathyroidectomy using intraoperative nuclear mapping with 99mTc-sestamibi scanning and radioactivity detection probe. Results : We acquired the successful results for these patients. Conclusion : RGPS is thought to be the alternative technique for the patients with prior central neck exploration and irradiation.

Manufacture Lenticular Map of Golf Courses Using Digital Orthophoto (수치정사영상을 이용한 렌티큘러 코스맵 제작)

  • Kim, Kam-Lae;Cheong, Hae-Jin;Cho, Won-Woo
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.25 no.5
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    • pp.475-482
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    • 2007
  • Most golfers believe that knowing yardages will improve their score. Certainly it helps with club selection. But, simple "Graphic" yardage guides being notorious for error and inaccuracies, which a serious golfer will pick immediately, only serve to erode the players enjoyment and ultimately, golf course satisfaction. Someone believes with low-level aerial photographic images, golfer will be impressed with the accuracy of the depiction, helping them play a more confident game. But, there are no mapping products in true 3-D available in the world that allows a golfer to determine shot distances in yards or meters. So, we suggest an lenticular technology for real 3-D display as a viable alternative to conventional image map solution. This technology is an image display method for the generation of multi-image effects like 3D visualization or animation. This methodology is cutting edge stereoscopic image which overcomes the limitation of conventional photo tech by recomposing and producing 3 dimensional images. A significant strength of this methods its versatility concerning display effects. The main use of the hardcopy 3-D lenticular displays is in the fields of science, education, planning, and representation. This paper gives a concise overview of the lenticular foil technology and describes the production of the true 3-D yardage book of golf courses. For this study, 3-D effects are achieved and evaluated with the lenticular display by incorporation multiple synthetic images based on digital topographic terrain model and by using the two images of the actual stereopair.

An Experimental Study on Joint Structures of Composite Truss Bridges (복합 트러스 교량의 연결구조에 대한 실험적 연구)

  • Shim, Chang Su;Park, Jae Sik;Kim, Kwang Soo
    • Journal of Korean Society of Steel Construction
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    • v.19 no.3
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    • pp.303-312
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    • 2007
  • Steel box girder bridges are being commonly designed for medium-span bridges of span length. Composite truss bridges with steel diagonals instead of concrete webs can be an excellent design alternative, because it can reduce the dead weight of superstructures. One of the key issues in the design of composite truss bridges is the joint structureconnecting the diagonal steel members with the upper and lower concrete slabs. Because the connection has to carry concentrated combined loads and the design provisions for the joint are not clear, it is necessary to investigate the load transfer mechanism and the design methods for each limit state. There are various connection details according to the types of diagonal members. In this paper, the joint structure with group stud connectors welded on a gusset plate is used. Push-out tests for the group stud connectors of were performed. The test results showed that the current design codes on the ultimate strength ofthe stud connection can be used when the required minimum spacing of stud connectors is satisfied. Flexure-shear tests were conducted to verify the applicability of the design provisions for combined load effects to the strength of joint structures. To increase the pullout strength of the connection, bent studs were proposed and utilized for the edge studs in the group arrangement of the joint. The results showed that the details of the joint structure were enhanced. Thereafter, design guidelines were proposed.

Model Specification and Estimation Method for Traveler's Mode Choice Behavior in Pusan Metropolitan Area (부산광역권 교통수단선택모형의 정립과 모수추정에 관한 연구)

  • Kim, Ik-Ki;Kim, Kang-Soo;Kim, Hyoung-Chul
    • Journal of Korean Society of Transportation
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    • v.23 no.3 s.81
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    • pp.7-19
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    • 2005
  • Mode choice Analysis is essential analysis stage in transportation demand forecasting process. Therefore, methods for calibration and forecasting of mode choice model in aspect of practical view need to be discussed in depth. Since 1980s, choice models, especially Logit model, are spread widely and rapidly over academic area, research institutes and consulting firms in Korea like other developed countries in the world. However, the process of calibration and parameter estimation for practical application was not clearly explained in previous papers and reports. This study tried to explain clearly the calibration process of mode choice step by step and suggested a forecasting mode choice model that can be applicable in real policy analysis by using household survey data of Pusan metropolitan are. The study also suggested a way of estimating attributes which was not observed during the household survey commonly such as travel time and cost of unchosen alternative modes. The study summarized the statistical results of model specification for four different Logit models as a process to upgrade model capability of explanation for real traveler's choice behaviors. By using the analysis results, it also calculated the value of travel time and compared them with the values of other previous studies to test reliability of the estimated model.

One Case of Combination Therapy of Acupuncture, Herbal medication and Thought Field Therapy on Hysterical Aphonia lasting for 1 year (1년 이상 지속된 히스테리성 실성증(失聲症)의 사고장요법(Thought Field Therapy)과 한방요법 병행치료 1례)

  • Park, Jong-Hoon;Cho, Sung-Hoon;Chung, Sun-Yong;Hwang, Ui-Wan;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.14 no.2
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    • pp.183-189
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    • 2003
  • Hysterical aphonia is one of the frequent symptoms in conversion disorders. If it has a recent onset, a manifest induced factor, and a good premorbid adaptation, and another mental disorder is not accompanied, its prognosis is good. We report one case of hysterical aphonia that was bad prognosis. This patient was suffering traumatic event before and after onset, and major depressive disorder was accompanied. Having hysterical aphonia, the patient who had no progress after over an years medicine therapy and often felt strong suicidal urge, was successfully treated by TFT(Thought field therapy) and oriental medicine therapy. Several case studies on hypnotic cure of hysterical aphonia has been reported but they are uncommon internally and have good prognosis. In addition, there were no relevant studies concerning alternative therapy and oriental medication. Our case report is focused on treatment through these methods.

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Anti-osteoarthritis effects of Pomegranate, Eucommiae cortex and Achyranthis radix extracts on the primary cultured rat articular chondrocytes

  • Choi, Beom-Rak;Ku, Sae-Kwang;Kang, Su-Jin;Park, Hye-Rim;Sung, Mi-Sun;Lee, Young-Joon;Park, Ki-Moon
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.3
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    • pp.87-98
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    • 2017
  • Objectives : The objective of present study is to evaluate anti-arthritic effects of dried pomegranate concentrate powders (PCP), Eucommiae Cortex aqueous (EC) and ethanolic (ECe) extracts, Achyranthis Radix aqueous (AR) and ethanolic (ARe) extracts on the primary cultured rat articular chondrocytes. Methods : MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium Bromide) assay was performed cytotoxic effect of test substances. In addition, anti-inflammatory effects were also observed on the lipopolysaccaride (LPS) treated chondrocytes through prostaglandin $E_2\;(PGE_2)$ production and 5-lipoxygenase (LPO) activities, and inhibitory effects on metalloproteinase (MMP)-2 and MMP-9 activities were observed on the recombinant human interleukin $(rhIL)-1{\alpha}$ treated chondrocytes with their extracellular matrix (ECM) related mRNA expressions - collagen type II, SOX9 and aggrecan. Results : As results, ECe and ARe showed obvious cytotoxicity against primary cultured rat articular chondrocytes at a dose level of 10 mg/ml, respectively. However, no obvious cytotoxic effects of PCP, EC and AR were demonstrated at a dose level of 10 mg/ml, on the primary cultured rat articular chondrocytes. In addition, treatment of LPS $50{\mu}g/ml$ induced significant increases of $PGE_2$ contents and 5-LPO activities indicating inflammatory responses of the primary cultured rat articular chondrocytes, and also decreases of cell viabilities, increases of MMP-2 and MMP-9 activities with decreases of extracellular matrix (ECM) related collagen type II, SOX9 and aggrecan mRNA expressions were observed by treatment of $rhIL-1{\alpha}$ 50 ng/ml, suggesting damages on the primary cultured rat articular chondrocytes and related ECM degradations. However, these inflammatory responses and related ECM degradations were inhibited by pretreatment of all test substances, in order of PCP > ECe > ARe > EC > AR, and $rhIL-1{\alpha}$ induced chondrocytes deaths are inhibited by treatment in order of PCP > EC > AR > ECe > ARe. Conclusions : Taken together, it is expected that mixed formulation of PCP as main components with appropriate proportion of EC and AR as additional components will be achieved a potent alternative medicinal food for osteoarthritis.

Development and Evaluation of Runoff-Sediment Evaluation System and BMPs Evaluation Modules for Agricultural Fields using Hourly Rainfall (시강우량을 이용한 필지별 유출-유사 평가 시스템 및 BMPs 평가 모듈 개발 및 적용성 평가)

  • Kum, Donghyuk;Ryu, Jichul;Choi, Jaewan;Shin, Min Hwan;Shin, Dong Suk;Cheon, Se Uk;Choi, Joong-Dae;Lim, Kyoung Jae
    • Journal of Korean Society on Water Environment
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    • v.28 no.3
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    • pp.375-383
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    • 2012
  • Soil erosion has been emphasized as serious environmental problem affecting water quality in the receiving waterbodies. Recently, Best Management Practices (BMPs) have been applied at a field to reduce soil erosion and its effectiveness in soil erosion reduction has been monitored with various methods. Although monitoring at fields/watershed outlets would be accurate way for these ends, it is not possible at some fields/watersheds due to various limitations in direct monitoring. Thus modeling has been suggested as an alternative way to evaluate effects of the BMPs. Most models, which have been used in evaluating hydrology and water quality at a watershed, could not reflect rainfall intensity in runoff generation and soil erosion processes. In addition, source codes of these models are not always public for modification/enhancement. Thus, runoff-sediment evaluation system using hourly rainfall data and vegetated filter strip (VFS) evaluation module at field level were developed using open source MapWindow GIS component in this study. This evaluation system was applied to Bangdongri, Chuncheonsi to evaluate its prediction ability and VFS module in this study. The NSE and $R^2$ values for runoff estimation were 0.86 and 0.91, respectively, and measured and simulated sediment yield were 15.2 kg and 16.5 kg indicating this system, developed in this study, can be used to simulate runoff and sediment yield with acceptable accuracies. Nine VFS scenarios were evaluated for effectiveness of soil erosion reduction. Reduction efficiency of the VFS was high when sediment inflow was small. As shown in this study, this evaluation system can be used for evaluation BMPs with local rainfall intensity and variations considered with ease-of-use GIS interface.