• Title/Summary/Keyword: access to medicine

검색결과 647건 처리시간 0.038초

비듬 증상 완화를 위한 에션셜 오일의 유효성 연구 - 티트리 오일을 중심으로 - (A Study on Efficiency of Essential Oil for Dandruff Symptoms Relief - Focused on Tea tree oil -)

  • 박은하
    • 한국패션뷰티학회지
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    • 제3권3호
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    • pp.31-40
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    • 2005
  • The reason that aromatherapy began to draw attention again as the alternative therapy is because the essential oils that are used for aromatherapy not only allow the human body to maintain homeostasis but also have an effect on curing a mental feeling of fatigue and because these efficacies and effects are proceeding with being proved scientifically. Also, with coming to be high in a voice of concern about severally side effects that the modern medicine and the synthetic chemistry have, the aromatherapy came to be paid attention as the replacement therapy that can substitute for and supplement this. In particular, at the time of requiring a study on a substance to substitute for this after having been announced in Japan for 1998 a risk of Zincpyrithione that is being used as a component of dandruff treatment, it is thought that the aroma oil that was known for having an anti-dandruff effect has a merit of being easy in a user's access, thus it will be effective in curing the symptom of dandruff. Accordingly, this study conducted the following experiment in a bid to examine whether the aroma oil has the anti-microbial effect on the actual malassezia. First of all, it measured the minimum concentration of aroma oil in which the growth of malassezia is inhibited, by carrying out MIC(Minimum Inhibition Concentration) test in terms of anti-microbial activity against Malassezia furfur KCTC 7744 while using oils of Patchouli, Rosemary, Lavender, and Tea tree among aroma oils that are being used for dandruff treatment. As a result of that, Tea tree oil has the most excellent anti-microbial activity, and the measurement result of anti-microbial activity was shown in order of Lavender oil>Rosemary oil>Patchouli oil. Next, it carried out the is actually eased by applying Tea tree oil directly to the scalp of dandruff. In consequence of the experiment, the massage of Tea tree oil indicated the result of relieving the symptoms of dandruff such as scale, itch, pain, inflammation, and sebum, and among these symptoms of dandruff, it was shown to be most effective in easing itch. Especially, this clinical experiment was indicated that the massage of Tea tree oil has the most effect on relieving itch of targets with a dry-skin type who had no experience of dandruff treatment.

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Addition of 2 mg dexamethasone to improve the anesthetic efficacy of 2% lidocaine with 1:80,000 epinephrine administered for inferior alveolar nerve block to patients with symptomatic irreversible pulpitis in the mandibular molars: a randomized double-blind clinical trial

  • Aggarwal, Vivek;Ahmad, Tanveer;Singla, Mamta;Gupta, Alpa;Saatchi, Masoud;Hasija, Mukesh;Meena, Babita;Kumar, Umesh
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제22권4호
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    • pp.305-314
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    • 2022
  • Introduction: This clinical trial aimed to evaluate the anesthetic effect of the addition of 2 mg (4 mg/ml) of dexamethasone to 2% lidocaine (plain or with 1:80,000 epinephrine). The solutions were injected for a primary inferior alveolar nerve block (IANB) to provide mandibular anesthesia for the endodontic treatment of mandibular molars with symptomatic irreversible pulpitis. Methods: In a double-blinded setup, 124 patients randomly received either of the following injections: 2% lidocaine with 1:80,000 epinephrine, 2% lidocaine with 1:80,000 epinephrine mixed with 2 mg dexamethasone, or plain 2% lidocaine mixed with 2 mg dexamethasone, which were injected as a primary IANB. Ten minutes after injection, patients with profound lip numbness underwent electric and thermal pulp sensibility tests. Patients who responded positively to the tests were categorized as "failed" anesthesia and received supplemental anesthesia. The remaining patients underwent endodontic treatment using a rubber dam. Anesthetic success was defined as "no pain or faint/weak/mild pain" during endodontic access preparation and instrumentation (HP visual analog scale score < 55 mm). The effect of the anesthetic solutions on the maximum change in heart rate was also evaluated. The Pearson chi-square test at 5% and 1% significance was used to analyze anesthetic success rates. Results: The 2% lidocaine with 1:80,000 epinephrine, 2% lidocaine with 1:80,000 epinephrine mixed with 2 mg dexamethasone, and plain 2% lidocaine mixed with 2 mg dexamethasone groups had anesthetic success rates of 34%, 59%, and 29%, respectively. The addition of dexamethasone resulted in significantly better results (P < 0.001, 𝛘2 = 9.07, df = 2). Conclusions: The addition of dexamethasone to 2% lidocaine with epinephrine, administered as an IANB, can improve the anesthetic success rates during the endodontic management of symptomatic mandibular molars with irreversible pulpitis.

In vitro evaluation of Rhus succedanea extracts for ruminants

  • Kim, Do Hyung;Lee, Shin Ja;Oh, Da Som;Lee, Il Dong;Eom, Jun Sik;Park, Ha Young;Choi, Seong Ho;Lee, Sung Sill
    • Asian-Australasian Journal of Animal Sciences
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    • 제31권10호
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    • pp.1635-1642
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    • 2018
  • Objective: This study was conducted to evaluate the effects of Rhus succedanea extract addition on in vitro ruminal fermentation and microbial growth. Methods: Two ruminally-fistulated steers consuming 600 g/kg timothy- and 400 g/kg cracked corn-based concentrate with free access to water and mineral block were used as rumen fluid donors. In vitro batch fermentation, with timothy as a substrate, was conducted for up to 72 h, with Rhus succedanea extracts added to achieve final concentrations of 0, 10, 30, 50, 70, and 90 mg/L. Results: Effective dry matter (DM) degradability rate linearly decreased (p = 0.046) depending on extract dosing levels. Total gas production after 24 to 72 h incubation tended to decrease following extract addition, beginning with 50 mg/L starting dose (significance of quadratic effects: p = 0.006, p<0.001, and p = 0.008 for 24, 48, and 72 h, respectively). Methane production decreased depending on dosing levels following 24 h (p<0.05) and 48 h (p<0.005) incubations and was the lowest with the 50 mg/L dose. The Rhus succedanea extracts increased the abundance of Fibrobacter succinogenes (p<0.05) and Ruminococcus flavefaciens (p = 0.0597) and decreased the abundance of methanogenic archaea (p<0.05) following 24 h incubation. Conclusion: Rhus succedanea was shown to reduce methane production and increase cellulolytic bacteria without any signs of toxic effects and with a minor effect on DM degradability.

A dose monitoring system for dental radiography

  • Lee, Chena;Lee, Sam-Sun;Kim, Jo-Eun;Symkhampha, Khanthaly;Lee, Woo-Jin;Huh, Kyung-Hoe;Yi, Won-Jin;Heo, Min-Suk;Choi, Soon-Chul;Yeom, Heon-Young
    • Imaging Science in Dentistry
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    • 제46권2호
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    • pp.103-108
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    • 2016
  • Purpose: The current study investigates the feasibility of a platform for a nationwide dose monitoring system for dental radiography. The essential elements for an unerring system are also assessed. Materials and Methods: An intraoral radiographic machine with 14 X-ray generators and five sensors, 45 panoramic radiographic machines, and 23 cone-beam computed tomography (CBCT) models used in Korean dental clinics were surveyed to investigate the type of dose report. A main server for storing the dose data from each radiographic machine was prepared. The dose report transfer pathways from the radiographic machine to the main sever were constructed. An effective dose calculation method was created based on the machine specifications and the exposure parameters of three intraoral radiographic machines, five panoramic radiographic machines, and four CBCTs. A viewing system was developed for both dentists and patients to view the calculated effective dose. Each procedure and the main server were integrated into one system. Results: The dose data from each type of radiographic machine was successfully transferred to the main server and converted into an effective dose. The effective dose stored in the main server is automatically connected to a viewing program for dentist and patient access. Conclusion: A patient radiation dose monitoring system is feasible for dental clinics. Future research in cooperation with clinicians, industry, and radiologists is needed to ensure format convertibility for an efficient dose monitoring system to monitor unexpected radiation dose.

광주시(光州市) 의료시설(醫療施設)의 입지(立地)와 주민(住民)의 효율적(效率的) 이용(利用) (The Location of Medical Facilities and Its Inhabitants' Efficient Utilization in Kwangju City)

  • 전경숙
    • 한국지역지리학회지
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    • 제3권2호
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    • pp.163-193
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    • 1997
  • 복지사회를 지향하는 오늘날, 건강 중진에 직접 관계되는 의료시설의 접근성 문제는 주요 과제이다. 특히 삶의 질이라는 측면에서 질병의 치료 외에 건강진단, 예방과 회복, 요양 및 응급서비스의 비중이 커지고, 인구의 노령화 현상이 진전되면서 의료시설의 효율적인 입지가 주 관심사로 대두되고 있다. 의료시설은 주민의 생존과 직접 관계되는 기본적이고도 필수적인 중심시설로, 지역 주민은 균등한 혜택을 받을 수 있어야 한다. 이를 실현시키기 위해서는 기본적으로는 효율성과 평등성을 기반으로 1차 진료기관이 균등 분포해야 한다. 이에 본 연구에서는, 광주시를 사례지역으로 선정하여 의료시설의 입지와 그에 대한 주민의 효율적 이용에 관하여 분석하였다. 분석에 있어서는 통계자료와 기존의 연구 성과 외에 설문 및 현지조사 자료를 기반으로 시설 측면과 이용자 측면을 동시에 고찰하였다. 우선 의료 환경의 변화 및 의료시설의 변화 과정을 고찰하고, 이어서 의료시설의 유형별 입지 특성과 주민의 분포 특성을 고려한 지역별 의료수준을 분석하였다. 그리고 유형별 의료시설의 이용행태와 그 요인을 구명한 후, 마지막으로 장래 이용 유형의 예측과 문제지역의 추출, 나아가서는 시설의 합리적인 입지와 경영 방향을 제시하였다. 본 연구 결과는, 앞으로 신설될 의료시설의 적정 입지에 관한 기본 자료로서는 물론 지역 주민의 불평등성 해소라는 응용적 측면에서 의의를 지닌다.

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심도자술후 발생한 대퇴동맥 혈전증 환아에서 동맥내 Urokinase 국소 주입요법의 효과 (Intraarterial Catheter-directed Urokinase Infusion for Femoral Artery Thrombosis after Cardiac Catheterization in Infants and Children)

  • 이형두
    • Clinical and Experimental Pediatrics
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    • 제45권11호
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    • pp.1397-1402
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    • 2002
  • 목 적 : 대퇴동맥 혈전증은 하지 절단같은 극단적인 재앙뿐만 아니라 하지의 성장 장애를 초래할 수 있는 심도자술의 심각한 합병증이지만, 소아에서 이에 대한 표준적 치료법은 아직 정립되지 못한 상태이다. 저자는 심도자술후 발생한 대퇴동맥 혈전증에서 urokinase의 동맥내 국소 주입요법의 유용성을 검토하고자 본 연구를 시행하였다. 방 법 : 1994년 1월부터 2002년 8월까지 심도자술 후 발생한 대퇴동맥 혈전증으로 동아대학교병원 소아과에서 동맥내 urokinase 국소 주입법을 이용해 혈전용해술을 받은 9명, 12례를 대상으로 하여, 병력지와 혈관조영 소견을 후향적으로 분석하였다. 결 과 : 1) 대퇴동맥을 이용한 심도자술이 행해진 391례 중 전신적 헤파린 또는 urokinase에 반응을 보이지 않았던 대퇴동맥 혈전증의 발생빈도는 2.8퍼센트였다. 2) 대상 환아들의 연령은 기하평균 5.8개월(1-71개월)이었고 체중은 $8.5{\pm}4.6kg$(3.5-20.5 kg)였다. 3) Urokinase는 1,000-4,400 unit/kg/hr로 $50.6{\pm}29.2$시간(18-110시간)에 걸쳐 주입하였는데, 치료중 2례에서 환측의 천자부위로 출혈이 있었으며, 한명은 수혈이 필요했다. 심도자술후 4일 이내에 치료를 시작했던 환아들은 모두 혈전의 완전 소실을 보였다. 혈전 형성후 각각 12일과 19일째 치료를 시작했던 2례는 호전되지 않아 풍선 혈관성형술을 실시하였는데 부분적으로 도움이 되었다. 결 론: 심도자술후 발생한 대퇴동맥 혈전증에서, 전신적 혈전용해제 투여로 회복되지 않으면, 반대측 대퇴동맥을 통한 국소적 동맥내 혈전용해제 투여를 조기에 시행하는 것이 효과적이다.

Cacao bean husk: an applicable bedding material in dairy free-stall barns

  • Yajima, Akira;Owada, Hisashi;Kobayashi, Suguru;Komatsu, Natsumi;Takehara, Kazuaki;Ito, Maria;Matsuda, Kazuhide;Sato, Kan;Itabashi, Hisao;Sugimura, Satoshi;Kanda, Shuhei
    • Asian-Australasian Journal of Animal Sciences
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    • 제30권7호
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    • pp.1048-1053
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    • 2017
  • Objective: The objectives of the study were to assess the effect of cacao bean husk as bedding material in free-stall barn on the behavior, productivity, and udder health of dairy cattle, and on the ammonia concentrations in the barn. Methods: Four different stall surfaces (no bedding, cacao bean husk, sawdust, and chopped wheat straw) were each continuously tested for a period of 1 week to determine their effects on nine lactating Holstein cows housed in the free-stall barn with rubber matting. The lying time and the milk yield were measured between d 4 and d 7. Blood samples for plasma cortisol concentration and teat swabs for bacterial counts were obtained prior to morning milking on d 7. The time-averaged gas-phase ammonia concentrations in the barn were measured between d 2 and d 7. Results: The cows spent approximately 2 h more per day lying in the stalls when bedding was available than without bedding. The milk yield increased in the experimental periods when cows had access to bedding materials as compared to the period without bedding. The lying time was positively correlated with the milk yield. Bacterial counts on the teat ends recorded for cows housed on cacao bean husk were significantly lower than those recorded for cows housed without bedding. Ammonia concentration under cacao bean husk bedding decreased by 6%, 15%, and 21% as compared to no bedding, sawdust, and chopped wheat straw, respectively. The cortisol concentration was lowest in the period when cacao bean husk bedding was used. We observed a positive correlation between the ammonia concentrations in the barn and the plasma cortisol concentrations. Conclusion: Cacao bean husk is a potential alternative of conventional bedding material, such as sawdust or chopped wheat straw, with beneficial effects on udder health and ammonia concentrations in the barns.

평등의 관점에서 본 아시아 대학의 미래 시나리오 (Future Scenarios of Asian Universities in a view Point of Equality)

  • 류청산
    • 비교교육연구
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    • 제24권5호
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    • pp.53-70
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    • 2014
  • 이 연구는 아시아 지역의 대학들이 국제 경쟁력을 강화하기 위한 발전 전략을 수립하는 과정에서 활용될 수 있는 대학의 미래 시나리오를 구안하여 제안할 목적으로 수행되었다. 미국의 미래학자들은 2002년에 휴스턴 대학에서 하먼의 '팬시나리오 기법'을 응용하여 고등교육의 미래를 예측하였다. 2015년까지 많은 대학들이 '사이버 대학'의 기능을 강화할 것이며, 2020년까지는 대학에서 교재가 사라지게 될 것이며, 2025년까지는 행정 중심으로 편성되어 있는 '학사 일정이 사라지는 대학'이 될 것으로 전망하고 있다. 그리고 2025년 이후에는 누구나 자신이 원하는 대학에 진학하여 공부할 수 있는 대학으로 변화할 것으로 내다보고 있으며, 2030년 이후가 되면 캠퍼스 기반의 대학 강의실 수업은 대부분 사라질 것으로 전망하였다. 이러한 기법은 한국 대학의 미래 시나리오를 개발하는 과정에서도 활용되었다. 이 시나리오는 한국의 특수성을 고려하여 개성과 수월성이 강조되는 학습자 관점, 이윤과 효율성을 중시하는 기업의 관점, 복지와 평등성을 최우선으로 여기는 정부의 관점으로 구분하여 예측모델 3개와 대안모델 4개를 제시하고 있다. 아시아의 대학들은 기억력에 기반을 둔 인지 중심의 교육 비중을 줄이고 의식과 감성에 기반을 둔 실무능력을 키우는데 중점을 둘 필요가 있을 뿐만 아니라 학제간 융합을 통해 새로운 일자리를 창출할 수 있는 특성화 교육도 강화시킬 필요가 있다. 특히 아시아의 대학들은 미국과 유럽의 대학들에 비해 자신들만의 강점요인을 심층 분석하여 찾아낸 다음 이를 강화할 수 있는 전략을 수립하고 이를 바탕으로 대학을 특성화해 나가야만 미래에 생존할 수 있다. 아시아 지역의 특성이 반영된 '동양의학'과 서양 학문의 총화인 '정보공학'의 융합은 아시아 대학을 경쟁력 있게 특성화할 수 있는 좋은 사례라 할 수 있다. 따라서 이러한 관점을 바탕으로 하되 서양의 대학들과는 달리 좁은 토지에 상대적으로 많은 인구가 집중되어 있는 아시아 지역의 특수성을 고려하여 평등성이라는 관점에서 예측모델 1개와 대안모델 3개를 구안하여 제시하였다.

병원전 심정지환자의 심폐소생술 성적 (A Study of Resuscitation in Victims in Out-of-hospital Cardiac Arrests)

  • 강병우
    • 한국응급구조학회지
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    • 제8권1호
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    • pp.149-160
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    • 2004
  • Background : To save out-of-hospital cardiac arrest cases is a major concern for Korea. Cardiac arrest is a very common problem, with > 18,000 cases dying each year in Korea. Overall, survival to hospital discharge remains poor. Resuscitation has become an important multidisciplinary branch of medicine, demanding a spectrum of skills and attracting a plethora of specialities and organizations. Since the "Utstein Style" was advocated in 1991, many reports about out-of-hospital cardiac arrest have been published based on this guideline. These differences prevent valid inter-hospital and international comparisons. However, we do not know the true effectiveness of resuscitation. There are no guideline for reviewing, reporting, conducting research on resuscitation in Korea. This study evaluated the out-of-hospital factor associated with survival discharge of out-of-hospital cardiac arrest, was especially to provide basic data for the unified reporting guideline of resuscitation in Korea. Methods : From January 1990 to July 2004, we collected data about out-of-hospital cardiac arrest at Wonju Christian Hospital(WCH-CAD), Ewha Women University Mokdong Hospital(Ewha-CAD), I used same record form based on the "Utstein Style". The "Utstein Style" is internationally recommended guidelines for reporting outcome data from resuscitation events. Results : Resuscitation was performed in 1443 out-of-hospital cardiac arrest patients at 2 hospitals. Five hundred eighty(40.25%) patients recovered the spontaneous circulation at least once and One hundred sixty eight(11.66%) patients discharged alive. Initial EKG showed Ventricular Tachycardia/Ventricular Fibrillation in One hundred thirty five(9.33%) patients, asystole in one thousand nine(69.73%) patients and other rhythms in one hundred thirty nine(20.94%) patients. Among one hundred two cardiogenic cardiac arrest patients, two(2.0%) patients was discharged alive. Conclusion : Overall survival rate of out-of-hospital cardiac arrest patients was 11.66% which was poorer than that of the western country. The proportion of the cardiogenic cause was 33.38% which was only half of the western country. VT/VF is relatively not common ac a initial EKG rhythm. These differences might be to due difference in the prevalence pattern of out-of-hospital cardiac arrest as well as prematurity of the EMSS. It is needed that the best survival can be achieved if all following links have been optimized : rapid access, early CPR, early defibrillation, early ACLS.

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Platycarya strobilacea S. et Z. Extract Has a High Antioxidant Capacity and Exhibits Hair Growth-promoting Effects in Male C57BL/6 Mice

  • Kim, Eun Jin;Choi, Joo Yeon;Park, Byung Cheol;Lee, Bog-Hieu
    • Preventive Nutrition and Food Science
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    • 제19권3호
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    • pp.136-144
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    • 2014
  • This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. This study was conducted to evaluate the effects of Platycarya strobilacea S. et Z. (PSE) extract on mouse hair growth and to determine the mechanism of action of PSE. PSE was purchased and its antioxidant activities, such as electron donating ability, total polyphenol content, and flavonoid content were tested. Toxicity during topical treatment was determined by the CCK-8 assay, a cell viability test. Fifteen 4-week-old male C57BL/6 mice were assigned to receive one of three treatments: dimethyl sulfoxide (negative control), minoxidil (positive control) or PSE. Test materials were topically applied to the shaved dorsal skin of each mouse daily for 3 weeks. After 21 days, we observed skin tissue hair follicle morphology and length, mast cell number, and stem cell factor (SCF) expression using hematoxylin and eosin (H&E), toluidine blue, and immunohistochemical staining, respectively. Furthermore, the expression of cytokines involved in hair growth [i.e., insulin-like growth factor (IGF)-1, keratinocyte growth factor (KGF), and transforming growth factor (TGF)-${\beta}1$] was determined by PCR. PSE was found to have very high antioxidant activity. The cell viability rate of PSE-treated mice was markedly higher than that of mice in the control group. We also observed an increase in hair follicle length, strong SCF staining, and a decrease in mast cell number in the PSE group. In addition, PSE-treated mice had higher IGF-1 and KGF expression and lower TGF-${\beta}1$ expression than mice in the minoxidil-treated group. These results suggest that topical application of PSE promotes hair growth by intensifying SCF, suppressing mast cell production, and increasing hair growth-promoting cytokine expression.