• Title/Summary/Keyword: Clinical applications

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Current Clinical Evidence for Korean Red Ginseng in Management of Diabetes and Vascular Disease: A Toronto's Ginseng Clinical Testing Program

  • Vuksan, Vladimir;Sievenpipper, John;Jovanovski, Elena;Jenkins, Alexandra L.
    • Journal of Ginseng Research
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    • v.34 no.4
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    • pp.264-273
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    • 2010
  • While ginseng is reported to have a wide array of applications, there is growing evidence for its indications in diabetes and vascular disease. A clear connection, however, has not been established between ginseng's composition, dose and its targeted efficacy in humans. We therefore developed and initiated the Korean Red Ginseng Clinical Testing Program for diabetes and vascular function which is an efficacy and safety-based clinical screening model for ginseng. The most efficacious sources, ginsenoside profiles, doses, and modes of administration were examined in sequential, acute, followed by long term, randomized-controlled trials to investigate the efficacy and safety profiles. This review discusses the current state of the clinical research of Korean red ginseng program conducted in Toronto, paving the way for the use of clinically selected ginseng and its ginsenoside fractions in the management of diabetes and vascular diseases.

Study on the Research Trend of Aromatherapy and its Application with Korean Medicine (아로마테라피의 연구 동향과 한의학적 활용에 대한 고찰)

  • Lee, Seon-Kyung;Yoon, Mi-Young;Sohn, Kyung-Woo;Chae, Han
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.3
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    • pp.398-405
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    • 2011
  • This review was conducted to analyze the current situation of aromatherapy research and to provide novel approach to the application of aromatherapy in Korean medicine. We reviewed peer-reviewed research articles published in Korean journals since 1998 up to 2010 related to the medical use of aromatherapy. We searched six electronic database to find all relevant articles using the terms "aromatherapy", "aroma" in English and Korean, and hand searched relevant journal articles. Among 180 identified articles, 115 clinical trials and 28 articles related to the Korean medicine were analyzed. Results showed that the articles on aromatherapy increased steeply during 2001~2004 in various study fields. The clinical studies with psychological disorders (57 articles) and women (42.7%) are reported most frequently. Though the Korean medicine tried to adopt aromatherapy earlier than other fields for the similarity, but there had not been quite a number of studies supporting the clinical applications. Several herbs like frankincense, jasmine, neroli and sandalwood are using in both Korean medicine and aromatherapy. There were many attempts to combine aromatherapy and Korean medicine but still more studies are needed. Aromatherapy have been studied in many research fields with various medical applications. There have been efforts to deploy aromatherapy to the clinical use and the potential value for the clinical practice of Korean medicine can be examined with more rigorous and innovative studies.

Bayesian methods in clinical trials with applications to medical devices

  • Campbell, Gregory
    • Communications for Statistical Applications and Methods
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    • v.24 no.6
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    • pp.561-581
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    • 2017
  • Bayesian statistics can play a key role in the design and analysis of clinical trials and this has been demonstrated for medical device trials. By 1995 Bayesian statistics had been well developed and the revolution in computing powers and Markov chain Monte Carlo development made calculation of posterior distributions within computational reach. The Food and Drug Administration (FDA) initiative of Bayesian statistics in medical device clinical trials, which began almost 20 years ago, is reviewed in detail along with some of the key decisions that were made along the way. Both Bayesian hierarchical modeling using data from previous studies and Bayesian adaptive designs, usually with a non-informative prior, are discussed. The leveraging of prior study data has been accomplished through Bayesian hierarchical modeling. An enormous advantage of Bayesian adaptive designs is achieved when it is accompanied by modeling of the primary endpoint to produce the predictive posterior distribution. Simulations are crucial to providing the operating characteristics of the Bayesian design, especially for a complex adaptive design. The 2010 FDA Bayesian guidance for medical device trials addressed both approaches as well as exchangeability, Type I error, and sample size. Treatment response adaptive randomization using the famous extracorporeal membrane oxygenation example is discussed. An interesting real example of a Bayesian analysis using a failed trial with an interesting subgroup as prior information is presented. The implications of the likelihood principle are considered. A recent exciting area using Bayesian hierarchical modeling has been the pediatric extrapolation using adult data in clinical trials. Historical control information from previous trials is an underused area that lends itself easily to Bayesian methods. The future including recent trends, decision theoretic trials, Bayesian benefit-risk, virtual patients, and the appalling lack of penetration of Bayesian clinical trials in the medical literature are discussed.

Physico-mechanical properties and prosthodontic applications of Co-Cr dental alloys: a review of the literature

  • Al Jabbari, Youssef S.
    • The Journal of Advanced Prosthodontics
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    • v.6 no.2
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    • pp.138-145
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    • 2014
  • Cobalt-Chromium (Co-Cr) alloys are classified as predominantly base-metal alloys and are widely known for their biomedical applications in the orthopedic and dental fields. In dentistry, Co-Cr alloys are commonly used for the fabrication of metallic frameworks of removable partial dentures and recently have been used as metallic substructures for the fabrication of porcelain-fused-to-metal restorations and implant frameworks. The increased worldwide interest in utilizing Co-Cr alloys for dental applications is related to their low cost and adequate physico-mechanical properties. Additionally, among base-metal alloys, Co-Cr alloys are used more frequently in many countries to replace Nickel-Chromium (Ni-Cr) alloys. This is mainly due to the increased concern regarding the toxic effects of Ni on the human body when alloys containing Ni are exposed to the oral cavity. This review article describes dental applications, metallurgical characterization, and physico-mechanical properties of Co-Cr alloys and also addresses their clinical and laboratory behavior in relation to those properties.

Virtual Reality in Current and Future Psychiatry (가상현실 기술의 정신의학적 이용)

  • Cha, Kyung Ryeol;Kim, Chan-Hyung
    • Korean Journal of Biological Psychiatry
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    • v.14 no.1
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    • pp.28-41
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    • 2007
  • Virtual reality technology is now being used in neuropsychological assessment and real-world applications of many psychiatric disorders, including anxiety disorders, schizophrenia, child psychiatric disorders, dementia, and substance related disorders. These applications are growing rapidly due to recent evolution in both hardware and software of virtual reality. In this paper, we review these current applications and discuss the future work of clinical, ethical, and technological aspects needed to refine and expand these applications to psychiatry.

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Applications of DNA Microarray in Disease Diagnostics

  • Yoo, Seung-Min;Choi, Jong-Hyun;Lee, Sang-Yup;Yoo, Nae-Choon
    • Journal of Microbiology and Biotechnology
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    • v.19 no.7
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    • pp.635-646
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    • 2009
  • Rapid and accurate diagnosis of diseases is very important for appropriate treatment of patients. Recent advances in molecular-level interaction and detection technologies are upgrading the clinical diagnostics by providing new ways of diagnosis, with higher speed and accuracy. In particular, DNA microarrays can be efficiently used in clinical diagnostics which span from discovery of diseaserelevant genes to diagnosis using its biomarkers. Diagnostic DNA microarrays have been used for genotyping and determination of disease-relevant genes or agents causing diseases, mutation analysis, screening of single nucleotide polymorphisms (SNPs), detection of chromosome abnormalities, and global determination of posttranslational modification. The performance of DNA-microarray-based diagnosis is continuously improving by the integration of other tools. Thus, DNA microarrays will play a central role in clinical diagnostics and will become a gold standard method for disease diagnosis. In this paper, various applications of DNA microarrays in disease diagnosis are reviewed. Special effort was made to cover the information disclosed in the patents so that recent trends and missing applications can be revealed.

The Pharmacology and the Clinical Use of Selective Serotonin Reuptake Inhibitors (세로토닌 재흡수억제제의 약리학과 임상적용)

  • Lee, Min-Soo;Kim, Pyo-Han
    • Korean Journal of Biological Psychiatry
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    • v.2 no.2
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    • pp.205-217
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    • 1995
  • In comparison with tricyclic antidepressants(TCAs), one of the most interesting characteristics of selective serotonin reuptake inhibitors(SSRIs) is its structural differences, reveals different pharmacological properties. The applications at the moment are most effective in clinical applications to depression. The limited result of the research to date on the various applications of SSRIs has not revealed the total potential and applicability of SSRIs. Therefore, attending physicians utilizing SSRIs do not know the full capabilities of the drug on patients and what the patients may reap in terms of benefit from its curing elements. Physicians must first try to understand the full potential of SSRIs and its potential applications for it to be effective on patients. recently, it has been determined that SSRIs and other drugs when administered together may be more effective in the healing process because SSRIs complements and aids in the enhancement and effect of the other drugs. This article is written to give attention to the reader of the pharmacological properties and the clinical use of SSRIs. It is the authors's hope that continuous research on the particular aspects of SSRIs can aid the clinicians in the use of this SSRIs.

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Bonding for dental ceramic (임상가를 위한 특집 2- 세라믹 수복물의 접착)

  • Seo, Deog-Gyu
    • The Journal of the Korean dental association
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    • v.50 no.7
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    • pp.377-383
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    • 2012
  • Recently, ceramic materials have become a popular choice for dentists performing esthetic indirect restorations. The longevity and success of ceramic dental restorations depends on the adhesive procedures of resin cements. However, dental ceramics can be classified in various ways, depending on the compositions. Also, the applications for resin cement require multiple clinical steps. Therefore, understanding the different ceramic substrates involved in each procedure, as well as the proper adhesive steps for the resin cements is important to us for long-term clinical success.

A Nonparametric Test for Clinical Trial with Low Infection Rate

  • Mark C. K. Yang;Donguk Kim
    • Communications for Statistical Applications and Methods
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    • v.5 no.3
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    • pp.707-722
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    • 1998
  • This paper evaluates a new clinical trial designs for low infection rate disease. This type of sparse disease reaction makes the traditional two sample t-test or Wilcoxon rank-sum test inefficient compared to a new test suggested. The new test, which is based solely on the larger changes, is shown to be more effective than existing method by simulation for small samples. However, this test can be shown to be connected to the locally most powerful rank test under certain practical conditions. This design is motivated in testing the treatment effects in periodontal disease research.

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Development and Applications of Radiopharmaceutical “Milican inj.”

  • Ryu, Jei-Man
    • Proceedings of the PSK Conference
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    • 2003.10a
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    • pp.54-55
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    • 2003
  • Radiation therapy has been used for the cancer treatment externally or internally. The external radiation therapy has been widely used, but for the lack of its selectivity it requires strong radiation dose causing the dermal irritation and radiation effect of the normal tissues or organs. So we investigate non-clinical and clinical studies of “Milican inj.”, in which chitosan is chelated with 166-Holmium, as an anticancer agent for internal radiation therapy. (omitted)

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