• 제목/요약/키워드: Clinical protocols

검색결과 346건 처리시간 0.027초

한의약 임상시험 전문인력양성 교육프로그램 개발의 필요성에 대한 설문조사 (Survey on the Need to Develop Training Educational Program for Oriental Medical Clinical Trial)

  • 신선화;오달석;김보영;최선미
    • 한국한의학연구원논문집
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    • 제13권2호통권20호
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    • pp.127-133
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    • 2007
  • Objectives : This study were aimed to estimate the needs for clinical research educational program development focused on oriental medicine. Methods : Department Medical Research of Korea Institute of Oriental Medicine surveyed 204 certified subjects in total by using web-based questionnaires through e-mail from Jan. 17th to Jan. 31th, 2007. Reply from 62 on-line correspondents were collected and statistically analyzed. Results : The number of clinical trial involving oriental medicine continues to increase. According to the survey, many Issues were raised as problems such as difficulty of recruitment, lack of fund and lack of stepped program. Emphasized issues were clinical research methodologies, development of protocols and case report form (CRF), and Regulations including Institutional Review Boards (IRBs) in these three consecutive education training program. Conclusion : The results of this study may contribute to the development of an educational program for oriental medicine, a program that should be taken into consideration for developing practical items, such as, problem-based learnings which reflects participants' actual needs in their works. Also this report be used for future strategy plans and execution of training program for oriental medical clinical trial.

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Current and Future Perspectives in Craniosynostosis

  • Kang, Seok-Gu;Kang, Joon-Ki
    • Journal of Korean Neurosurgical Society
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    • 제59권3호
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    • pp.247-249
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    • 2016
  • Craniosynostosis has a varied clinical spectrum, ranging from isolated single suture involvement to multi-sutural fusions. Greater understanding of the pathogenesis of craniosynostosis has led to the development of practical treatment protocols. Three stages of growth have determined the approach to managing craniosynostosis : the early period, up to 12 months; the intermediate period, from 1 to 10 years; and the late period, beginning at 10 years. This review discusses current surgical management and future perspectives in craniosynostosis.

The Current Status of Adenovirus-based Cancer Gene Therapy

  • Shirakawa, Toshiro
    • Molecules and Cells
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    • 제25권4호
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    • pp.462-466
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    • 2008
  • Adenoviruses are the most commonly used gene-delivery vectors due to the efficiency of their in vivo gene transfer. Since 1993, about 300 protocols using an adenoviral vector have been performed, although they have yet to be proven effective in clinical trials. The adenovirus-based vector has been continuously improved by modification of the adenoviral genome and capsid, and novel adenovirus-delivery systems, such as the carrier-cell delivery system, have been recently proposed. Adenovirus-based cancer gene therapy is fast becoming one component of a multi-modality treatment approach to advanced cancer, along with surgery, radiotherapy, and chemotherapy.

Nonviral Vector for Efficient Gene Transfer to Human Ovarian Adenocarcinoma Cells

  • Kim, Chong-Kook;Haider, K.H.;Choi, Sung-Hee;Choi, Eun-Jeong;Ahn, Woong-Shick
    • 대한약학회:학술대회논문집
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    • 대한약학회 2002년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2
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    • pp.426.2-426.2
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    • 2002
  • Various strategies have been attempted to design efficient protocols for ovarian cancer gene therapy but there has been little progress in their clinical application. In this study, we formulated and evaluated a new cationic liposome composed of dioleoyltrimethylaminopropane (DOTAP), 1.2-dioleoyl-3-phosphophatidylethanolamine (DOPE). and cholesterol (Chol) (DDC) for plasmid DNA transfer into ovarian cancer cells. The DOC liposome was prepared by mixing DOTAP. DOPE. and Chol using extrusion method. (omitted)

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내장기추나요법 임상연구 문헌고찰을 통한 적응증 분석 연구 (Indication Analysis Study through Literature Review of Clinical Trials on Visceral Chuna Manipulation)

  • 설재욱;이진현;조동찬;황만석
    • 척추신경추나의학회지
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    • 제16권2호
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    • pp.107-116
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    • 2021
  • Objectives The purpose of this study is to analyze the trend and indication of clinical research about Visceral Chuna Manipulation and to suggest the direction of further study. Methods We searched 9 electronic databases (MEDLINE Pubmed, EMBASE, CENTRAL, CiNii, CNKI, KMbase, OASIS, NDSL, KISS) using the search terms "visceral manipulation", "visceral manual therapy" and identified relevant literature that investigated visceral manipulation as a intervention for various subjects. Results Among 142 studies were searched and screened, 16 met designated criteria. Visceral Chuna Manipulation showed the effectiveness in musculoskeletal disease, digestive disease, psychiatry, obstetrics, circulatory and oncology. Conclusions This study shows possibility of Visceral Chuna Manipulation as a treatment for many diseases. Better designed further study is necessary to establish the evidence of clinical efficacy of visceral manipulation and to suggest standard of techniques and treatment protocols for diverse patients.

고 에너지 전자선에 대한 공기커마와 물 흡수선량에 기반한 프로토콜간의 비교 (Comparison of Air Kerma­based and Absorbed Dose to Water­based Protocols in the Dosimetry of High Energy Electron Beams)

  • 박창현;신동오;박성용
    • 한국의학물리학회지:의학물리
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    • 제14권4호
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    • pp.249-258
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    • 2003
  • 흡수선량 측정의 정확성을 향상시키기 위하여 기존의 공기커마 혹은 조사선량 표준에서 물 흡수선량 표준으로 선량측정의 패러다임이 변화하고 있다. 본 연구는 기존의 프로토콜에서 물 흡수선량 기반의 프로토콜로의 전환을 모색하는 입장에서 현재 임상에서 널리 사용하고 있는 IAEA TRS­277과 물 흡수선량 표준에 토대를 두고 있는 IAEA TRS­398 및 AAPM TG­51 프로토콜에 대하여 동일한 기준깊이에서 물 흡수선량을 측정하여 상호 비교하였다. Varian 2100 C/D 선형가속기로부터의 세 종류의 전자선 에너지에 대해 PTW 30002 원통형 이온함과 Markus 및 Roos 평행평판형 이온함을 사용하여 측정하였고 $^{60}$Co에서의 공기커마 및 물 흡수선량 교정정수는 식품의약품안전청으로부터 받아 사용하였다. 공기커마 표준에 기반한 프로토콜과 물 흡수선량 표준에 기반한 프로토콜간에는 2% 이내의 차이를 보임으로써 사용자 기관에서는 자체적인 확인을 거쳐 공기커마 기반의 프로토콜에서 물 흡수전량 기반 프로토콜로의 전환을 적극 검토해 볼 필요가 있다. 물 흡수선량 기반의 프로토콜간에는 원통형 이온함의 경우 0.5% 이내에서 잘 일치하였고 평행평판형 이온함의 경우에도 고 에너지 전자선을 이용한 교차 교정을 하면 0.7% 이내에서 잘 일치하였다. 사용한 모든 프로토콜과 전자선 에너지에 대해 원통형 이온함과 평행평판형 이온함간에는 2% 이내의 차이를 보였으나 선량측정의 정확성을 향상시키기 위해 물 흡수선량 표준에 기반한 프로토콜의 권고에 따라서 하한에너지 이하의 전자선의 경우는 원통형 이온함 대신에 평행평판형 이온함을 사용함이 타당하다고 사료된다.

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불량반응군에서 GnRH Antagonist와 Agonist Long Protocol의 비교 (Comparison between GnRH Antagonist and Agonist Long Protocols in Poor Responders)

  • 최지영;구승엽;김훈;지병철;서창석;김석현;최영민;김정구;문신용
    • Clinical and Experimental Reproductive Medicine
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    • 제37권3호
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    • pp.239-244
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    • 2010
  • 목 적: 본 후향적 연구는 성선자극호르몬분비호르몬 작용제 (gonadotropin-releasing hormone [GnRH] agonist)와 길항제 (GnRH antagonist) 치료를 받은 불량반응군의 결과를 비교, 분석하고자 하였다. 연구방법: 총 172회의 체외수정시술 주기에서 GnRH agonist 또는 antagonist protocol로 과배란유도를 시행받고 채취된 난자의 수가 5개 이하인 불량반응군을 대상군으로 하였다. 난포 및 채취된 난자의 수, 수정률 등의 결과를 두 군 간에 비교하였다. 결 과: GnRH agonist long protocol과 antagonist protocol 두 군 간에 난포 및 난자의 수와 수정률은 차이를 보이지 아니하였다. 반면, 과배란유도 제7/8일의 혈중 $E_2$ 농도는 GnRH antagonist군에서 더 높았던 반면, 사용한 평균 성선자극호르몬의 용량은 유의하게 적고 과배란유도 기간은 짧은 것을 확인할 수 있었다 (각각 p<0.01). 결 론: 불량 반응군에서 GnRH agonist long protocol에 비하여 GnRH antagonist protocol의 경우 노력이 상대적으로 적게 필요한 반면 비슷한 임상적 결과를 고려할 때, GnRH antagonist protocol이 상대적으로 우수한 것으로 생각된다.

일개 응급의료센터의 소생실에 입실한 호흡곤란 환자를 위한 임상 프로토콜 개발 및 적용 (Development and Evaluation of the Resuscitation Protocol for Dyspneic Patients in the Emergency Medical Center)

  • 신선화;김주원;이지연;최민진;최희강
    • 임상간호연구
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    • 제20권2호
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    • pp.223-235
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    • 2014
  • Purpose: Resuscitation rooms in emergency department are places for time-critical tasks. This study aimed 1) to develop a resuscitation protocol for dyspneic patients and 2) to evaluate the effect of the resuscitation protocol for dyspneic patients in improving clinical performances. Methods: A panel of experts including emergency physicians and nurses developed a resuscitation protocol for dyspneic patients which included a list of critical interventions and time-limits. The resuscitation protocol was implemented in a emergency medical center for two months. Clinical performances of health care providers were compared by analyzing video-recorded clinical performances. Results: The resuscitation protocol consisted of four steps: Initial treatments within 5 minutes, main treatments within 15 minutes, diagnostic tests within 30 minutes, and disposition within 60 minutes. A total of 43 dyspneic patients (23 patients experimental group, 20 patients control group) were included for the analysis of the clinical performance change. Clinical performance rates were improved significantly from control group (66.71%) to experimental group (82.41%) after implementing the resuscitation protocol (Z=-3.09, p=.004). Conclusion: The resuscitation protocol developed for dyspneic patients improved clinical performance rates of health care providers. Further development of clinical protocols for other emergent cases at resuscitation rooms are strongly recommended.

임상가를 위한 특집 2 - 형태 해부학적 특징을 바탕으로 한 자연치형 지르코니아 임플란트 (Natural Tooth Form Zirconia Implant Based on Anatomical Morphology)

  • 박영석;이승표
    • 대한치과의사협회지
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    • 제52권9호
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    • pp.541-549
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    • 2014
  • The restorative treatment using titanium implants has become a standard procedures in everyday clinical practice. However, there are several concerns about the use of titanium as a materials. Above all, the grayish metal color provokes esthetic problems when the soft tissue around the implants is not optimal. Recently, zirconia has been emerging as an alternative to titanium due to its white color and superior physicochemical properties. In this paper, the current findings about zirconia implants was reviewed based on the results from animal and clinical experiments. In addition, the immediate implantation protocols using the natural tooth form zirconia implants was introduced as a novel procedures and future perspectives were discussed.