• Title/Summary/Keyword: Interdisciplinary treatment

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Discrimination of Parkinson's Disease from Essential Tremor using Acceleration based Tremor Analysis (가속도계를 이용한 진전현상의 분석을 통한 파킨슨병과 본태성 진전의 판별)

  • Lee, Hongji;Lee, Woongwoo;Jeon, Hyoseon;Kim, Sangkyong;Kim, Hanbyul;Jeon, Beom S.;Park, Kwangsuk
    • Journal of Biomedical Engineering Research
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    • v.36 no.4
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    • pp.103-108
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    • 2015
  • Discrimination of Parkinson's disease (PD) from Essential tremor (ET) is often misdiagnosed in clinical practice. Since tremor is time-varying signal, and dominant and harmonic frequencies are shown in tremor only with moderate or severe symptom, there are some limitations to use frequency related features. Moreover, patients with PD or ET can suffer from both resting tremor and postural tremor. In this study, 28 patients with PD and 17 patients with ET were enrolled. Tremor was measured with accelerations on the more affected hand during resting and postural conditions. The ratio of root mean square (RMS) of resting tremor to RMS of postural tremor, the mean coefficients of autocorrelation function (ACF), and the mean of differences of two adjacent coefficients of ACF at resting and postural were calculated and compared between PD and ET. The performance showed 98% accuracy with support vector machine and leave-one-out cross validation. In addition, the method accurately differentiated the patients with tremor-dominant PD from patients with ET, with 100% accuracy. Therefore, the developed algorithm can assist clinicians in diagnosing and categorizing patients with tremor, especially, patients with mild symptom or the early stage of a disease, for proper treatment.

Quantitative Assessment of Tremor in PD Using a Wearable System on Both Hands (양손에서 웨어러블 시스템을 이용한 파킨슨병의 정량적 진전 평가)

  • Lee, Hongji;Kim, Sangkyong;Kim, Hanbyul;Jeon, Hyoseon;Park, Hyeyoung;Jung, Yujin;Kim, Jeonghwan;Jeon, Beomseok;Park, Kwangsuk
    • Journal of Biomedical Engineering Research
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    • v.35 no.4
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    • pp.81-86
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    • 2014
  • One of the methods for Parkinson's disease(PD) tremor evaluation is the Clinical Tremor Rating Scale(CTRS). However, the method has some limitations that clinician ratings can vary because the scores are subjectively rated. In addition, most researches usually collected data measured on the more affected arm. In this study, we developed a portable wearable system(SNUMAP system) for measuring PD tremor. The SNUMAP system captures 3-dimensional motion using tri-accelerometer and tri-gyroscope on finger and wrist. 40 PD patients participated in resting tremor and postural tremor tasks, while wearing the system on both hands simultaneously. Estimated tremor scores from Leave-One-Out Cross Validation for regression were highly correlated to the average clinician CTRS scores for rest tremor($r^2$ = 0.87, RMSE = 0.48) and postural tremor($r^2$ = 0.82, RMSE = 0.48). Therefore, the quantitative assessment model can improve treatment of PD patients.

Periodontal Plastic Surgery for Esthetic Restoration (심미보철을 위한 치주치료)

  • Kim, Jeong-Hye
    • The Journal of the Korean dental association
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    • v.48 no.9
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    • pp.670-679
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    • 2010
  • Esthetic demands for dental treatment are increasing every day. The interdisciplinary relationship of the restorative treatment, periodontal therapy and other treatments such as endodontics, orthodontics and so on is more emphasized nowadays to reconstruct the hard and soft tissue foundation for the esthetic restorative treatment. This article will focus on the periodontal plastic surgery for esthetic restorative treatment. These followings will be discussed. 1. Understand the relationship between teeth and gingival scaffold for esthetics 2. Discuss the classification and treatment of gummy smile 3. Recognize the gingival margin irregularities by gingival recession and how to achieve the harmonic soft tissue margins 4. describe the hard and soft tissue augmentation for ridge augmentation.

Effect of Oxidation-Reduction Potential on Denitrification by Ochrobactrum anthropi SY509

  • Song, Seung-Hoon;Yeom, Sung-Ho;Choi, Suk-Soon;Yoo, Young-Je
    • Journal of Microbiology and Biotechnology
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    • v.13 no.3
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    • pp.473-476
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    • 2003
  • The effect of oxidation-reduction potential (ORP) level on the denitrification by Ochrobactrum anthropi SY509 was investigated under nongrowing condition. The maximum ORP level of nitrate-containing buffer solution was -70∼-80 mV, under which the denitrification took place. By decreasing the initial ORP level, denitrifying enzyme activity was greatly enhanced, which led to higher denitrification efficiency.

Permeabilization of Ochrobactrum anthropi SY509 Cells with Organic Solvents for Whole Cell Biocatalyst

  • Park, Kyung-Oh;Song, Seung-Hoon;Yoo, Young-Je
    • Biotechnology and Bioprocess Engineering:BBE
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    • v.9 no.3
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    • pp.147-150
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    • 2004
  • Permeabilization is known to overcome cell membrane barriers of whole cell biocatalysts. The use of organic solvents is advantageous in terms of cost, simplicity, and efficiency. In this study, Ochrobactrum anthropi SY509 was permeabilized with various organic solvents. Treatment with organic solvents resulted in lower permeability barriers due to falling out lipids of the cell membrane. Therefore, permeabilized cells showed higher enzyme activity with no cell viability. Among various organic solvents, 0.5% (v/v) chloroform was selected as the most efficient permeabilizing reagent. Changes in the cell membrane structure were observe d and the residual amounts of phospholipids of the cell membrane were measured to investigate the mechanism of the improved permeability.

Oral rehabilitation for a patient with oligodontia and maxillary hypoplasia

  • Chung, Da-Woon;Vang, Mong-Sook;Park, Sang-Won;Lim, Hyun-Pil;Yang, Hong-So
    • The Journal of Advanced Prosthodontics
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    • v.1 no.1
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    • pp.6-9
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    • 2009
  • An 18 year old female with oligodontia and maxillary hypoplasia was treated using an interdisciplinary team approach involving orthodontists, maxillofacial surgeons and prosthodontists. Full mouth one-piece fixed partial dentures were the final restoration. The fixed partial dentures fabricated for the maxilla and mandible using the concept of a shortened dental arch resulted in improved esthetics and the masticatory function. This paper describes the treatment procedures for an oligodontia patient with alveolar bone hypoplasia.

Effect of Aeration on Denitrification by Ochrobactrum authropi SY509

  • Song, Seung-Hoon;Yeom, Sung-Ho;Park, Suk-Soon;Yoo, Young-Je
    • Biotechnology and Bioprocess Engineering:BBE
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    • v.7 no.6
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    • pp.352-356
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    • 2002
  • Aeration was found to affect the biological denitrification by Ochrobactrum authropi SY509. Although cell growth was vigorous under 1 vvm of aeration and an agitation speed of 400 rpm in a 3-L jar fermentor, almost no nitrate was removed. Yet under low agitation speeds (100, 200, and 300 rpm), denitrification occurred when the dissolved oxygen was exhausted shortly af-ter the inoculation of the microorganism. Ochrobactrum authropi SY509 was found to express highly active denitrifying enzymes under anaerobic conditions. The microorganism also synthesized denitrifying enzymes under aerobic conditions (1 vvm and 400 rpm), yet their activity was only 60% of the maximum level under anaerobic conditions and the nitrate removal efficiency was merely 15%. However, although the activities of the denitrifying enzymes were inhibited in the presence of oxygen, they were fully recovered when the conditions were switched to anaerobic conditions.

Physical Therapy in Hospice (호스피스와 물리치료)

  • Chu Min;Im Bok-Hee
    • The Journal of Korean Physical Therapy
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    • v.3 no.1
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    • pp.189-201
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    • 1991
  • Hospice, a concept of care for dying patients, focuses on providing comfort measures rather than aggressively searching for a cure. Hospice addresses symptom control from a wholistic view under the direction of an interdisciplinary team. Physical therapy fits with many of the tenets of hospice, such as the interdisciplinary team, inclusion of the patient and family as the care unit, provision of treatment in various in and out patient settings, and attention to the comfort of the patient. Physical therapy educators must recognize the need for medical ethics, psychosocial and medicolegal issues to be incorporated throughout the curriculum.

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Long-Term Clinical Course of a Korean Patient with Chronic Neuropathic (type III) Gaucher Disease

  • Lee, Jun Hwa
    • Journal of Interdisciplinary Genomics
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    • v.1 no.2
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    • pp.15-18
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    • 2019
  • Gaucher disease (GD) is an autosomal recessive inborn error of metabolism resulting from a deficiency in ${\beta}$-glucocerebrosidase (GBA) activity that leads to the accumulation of glucocerebroside in macrophages in multiple organs, such as the bone marrow, liver, spleen, and brain. GD can be classified into three clinical types: type 1 (non-neuropathic form, OMIM #230800); type II (acute neuropathic form, OMIM #230900); and type III (chronic neuropathic form, OMIM #231000). Type III is the subacute form of neuropathic GD. The best available treatment for GD is long-term enzyme (imiglucerase) replacement therapy (ERT) performed every two weeks. This report describes the long-term clinical course of a patient with type III GD who was treated with ERT for 18 years.

Genetic Therapies for Duchenne Muscular Dystrophy and Beyond

  • Shin, Jin-Hong
    • Journal of Interdisciplinary Genomics
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    • v.1 no.1
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    • pp.1-5
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    • 2019
  • Progressive weakness of skeletal muscle is the hallmark of muscular dystrophies. It is often accompanied by cardiomyopathy and respiratory insufficiency. It has generally been perceived as incurable diseases, while the advent of genetic therapy is changing the paradigm. Most research and achievements have been for the treatment of Duchenne muscular dystrophy, while it is promising to hope for therapies for other myopathies. Drugs for nonsense read-through and exon skipping are already approved for clinical use in Europe and the United States, respectively. Gene therapy using adeno-associated virus is in early phase of clinical trial. In this review, most promising genetic therapies will be briefly described.