• Title/Summary/Keyword: 근거중심의학

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Protocol developing : A Systematic Review of Randomized Controlled Trials in Tinnitus - a Focus on Methods of Outcome Measurement (프로토콜 : 이명에 대한 무작위대조임상시험의 체계적 문헌 고찰 - 결과 측정 방법을 중심으로)

  • Lee, Dong-Hyo;Lee, Jung-Hun;Oh, Yong-Leol;Kim, Nam-Kwen
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.22 no.2
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    • pp.186-191
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    • 2009
  • 목적 : 체계적 문헌고찰(Systematic Review)은 Protocol 개발과 Review로 구분되며, 본 연구는 국내외 의학논문 검색엔진에 등재된 이명증의 RCT 문헌들을 대상으로 평가지표를 추출하는 Systematic Review를 진행하기 위한 Protocol의 개발을 목적으로 함. 방법 : 문헌고찰을 위한 각 과정들 및 연구에 필요한 사전 결정 인자 들을 연구자 회의와 체계적 문헌고찰 protocol 개발 방식에 근거하여 개발함. 결과 : Outcome measurement의 추출을 위한 Systermatic Review의 진행에 적합한 database의 선정, 각 database에 적합한 검색식, 검색기간, 논문의 선정 및 제외기준, PICO(patient, intervention, comparator, outcome) form의 개발, 질 평가의 근거기준, 각 연구자의 역할, data의 취합 및 분석 방법 등의 결과를 개발하고 결정하였음. 결론 : 이상에서 과정에서 도출된 결과에 근거하여, 향후 Outcome measurement 추출을 위한 Review를 진행하고 차후 Review논문으로 발표할 예정임.

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A Study on Convergence Medical Efficacy of Native Chicken (재래닭의 의학적 효능 융복합연구)

  • Lee, Kang-Hyun;Park, Sang-Woo;Ji, Joong-Gu
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.439-444
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    • 2015
  • This study analyzes the chicken-related prescription shown in the literature summarized by standing tradition deliberate aims to investigate the clinical efficacy of native chickens. Therefore, The old traditional medicine books of native chickens translate and organize the relevant prescriptions. The manuscript old documents is prescribed by the old central documents sourced directly from generation to generation descendants technical publishing contemporary situation sake of the development of this unique formulation not only contemporary who established himself through numerous trials and errors. Browse almost circular in traditional medicine prescription, which is scattered throughout the country is difficult, and because of the loss can not be confirmed even its existence. This study is to establish the analysis and separated by organized to establish a database on the basis of prescription and mixed herbs in a variety of functional foods developed through usability evaluation methods of treatment. Therefore, the management systems of native chickens related to lack of knowledge and information to foster the continued expansion and specialized training and knowledge of the future growth engine industry through the added value of cultural projects of national knowledge resources. Finally, convergence research and evaluate the usefulness of native chickens through interdisciplinary research systems, and practical measures of functional foods and alternative medicine are presented as well.

Healing Interior Design for Health of Everyone (건강한 삶을 위한 힐링 실내디자인)

  • Kim, Seong-Jin
    • Journal of The Korean Digital Architecture Interior Association
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    • v.13 no.2
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    • pp.53-60
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    • 2013
  • 세계 경제가 고도성장에 따른 산업구조의 변화를 갖게 되었고, 의학기술의 발달로 건강한 고령자의 증가가 나타나는 사회 현상이 나타나게 되었다. 우리나라 역시 65세 이상의 건강한 고령인구의 증가 추세와 고령화 사회로의 진입이 현실화 되고 있다. 또 급속한 핵가족화 등으로 인하여 가족 내의 노인부양 기능이 약화되고 있으며, 건강한 노인 단독세대가 급증함에 따라 해당 관련 복지의 구체적인 정책 실천방향에 대한 요구와 신체적, 사회 심리적 특성에 따른 힐링 환경의 개발요구가 높아지고 있다. 이에 본 연구에서는 인류 건강증진 개념 및 고찰을 통해 힐링 환경의 공간특성을 도출하고, 이를 통하여 보다 질적으로 향상된 건강한 주거환경을 제시하고자 하는데 그 의미가 있다. 본 논문에 있어서의 공간에 의한 인류 건강증진은 1. 건강과 질병은 하나의 스펙트럼 상에 놓여 있으며, 한편은 최상의 건강 상태이며 다른 한편은 질병에 의한 사망이라는 개념에 의미를 둔다. 2. 병, 의학 전문가 관점에서 건강을 증진시키는 과정에 중심을 두고 있는 새로운 치료적 환경에 대한 혁신적인 패러다임을 주지하는 입장에서, 안녕(healing)을 양성하는 공간 특성을 도출 개념이다. 3. 환경변화에 적응하는 역동적 건강개념에 그 근거를 두고, "건강은 단순히 무 질병의 개념이 아니라 신체적, 정신적, 문화적 에다가 영적으로 완전한 안녕 상태"라는 개념을 적용한다. 4. 특히, 병, 의학 전문가 관점으로 인해 간과되었던 대상자의 공간으로부터 얻게 되는 심리적, 사회적, 정신적 요구들을 반영하는 안녕(healing) 개념의 힐링 철학의 개념을 갖는다.

Endovascular Treatment for Head and Neck Trauma (두경부 외상의 인터벤션)

  • Jae Won Han;Jae Il Lee;Lee Hwangbo
    • Journal of the Korean Society of Radiology
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    • v.84 no.4
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    • pp.792-808
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    • 2023
  • Trauma to the head and neck region can have serious consequences for vital organs such as the brain, and injuries to blood vessels can cause permanent neurological damage or even death. Thus, prompt treatment of head and neck vessels is crucial. Although the level of evidence is moderate, an increasing amount of research indicates that endovascular treatments can be a viable alternative to traditional surgery or medical management. Embolization or reconstructive endovascular procedures can significantly improve patient outcomes. This article provides an overview of various endovascular options available for specific clinical scenarios, along with examples of cases in which they were employed.

"동의보감(東醫寶鑑)"의 양명병(陽明病) 개념(槪念)에 대한 소고(小考) -천석(淺析)"동의보감(東醫寶鑑)"당중유관양명병적개념(當中有關陽明病的槪念)-

  • Lee, Ju-Hye;Lee, Seon-Ran;Lee, Yong-Beom
    • Journal of Korean Medical classics
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    • v.18 no.1 s.28
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    • pp.67-72
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    • 2005
  • 통과분석(通過分析)${\ulcorner}$동의보감(東醫寶鑑)${\lrcorner}$양명형증용약여포괄중경적(陽明形證用藥?包括仲景的)${\ulcorner}$상한론(傷寒論)${\lrcorner}$재내적주요의학가대양명병적개념(在內的主要醫學家對陽明病的槪念), 득출여하결론(得出如下結論): 1.${\ulcorner}$동의보감(東醫寶鑑)${\lrcorner}$적양명형증용약당중이대편비결위중심, 미사용가이낭괄양명병증재내적위가실저개개념, 상세나열출양명병적구체증상 내급양명병하료정의(來給陽明病下了定義). 병미장대편비결작위대표성증상(幷未將大便秘結作爲代表性症狀), 이시근거표본관계분성경병여부병진행설명. 이기육작위표(以肌肉作爲表), 위작위리적표리개염분석기증상(胃作爲裏的表裏槪念分析其症狀). 2. 기찰급양명병하정의적의서(畿察給陽明病下定義的醫書), 발현제료중경적(發現除了仲景的)${\ulcorner}$상한론(傷寒論)${\lrcorner}$여기주석본성무이적${\ulcorner}$주해상한론(注解傷寒論)${\lrcorner}$이외(以外), 도장목동(都將目疼), 비건(鼻乾), 불득면부간주양명병대표증상(不得眠部看做陽明病代表症狀). 저충정의방식시종송도명대적보편관점 3. 재(在)${\ulcorner}$동의보감(東醫寶鑑)${\lrcorner}$당중작위인용서목적${\lrcorner}$의학입문(醫學入門)${\ulcorner}$, 근거표본(根据標本), 표리개염대증상진행료분류(表裏槪念對症狀進行了分類). 비기지전단순적대증상적서술갱구유조리성. 저가이간주시집당시제다견해지대성(這可以看做是集當時諸多見解之大成), 대병정적분석변적갱가구체. 선택(選擇)${\lrcorner}$의학입문(醫學入門)${\ulcorner}$작위인체서목(作爲引滯書目), 가이인위시채납료당시적최신견해, 병차흡수료용역장악병정적이증상위주적기술방식(幷且吸收了容易掌握病情的以症狀爲主的記述方式). ${\lrcorner}$의학입문(醫學入門)${\ulcorner}$취시집이상관점위일체적대성(就是集以上觀点爲一體的大成). 4. 여태양병당중양형증용약진행비교, 관찰병정적주요관점(觀察病情的主要觀点), 양자도추종료(兩者都追從了)${\lrcorner}$의학입문(醫學入門)${\ulcorner}$적견해(的見解). 단시태양형증용약몰유대몰위초출중경태양병적제망(但是太陽形證用藥沒有大沒圍超出仲景太陽病的提網), 상비지하양명형증용약기몰유인용(相比之下陽明形證用藥旣沒有引用) 중경적(仲景的)${\ulcorner}$상한론(傷寒論)${\lrcorner}$, 대증상적설명야대상경정(對症狀的設明也大相徑庭). 5. 양명형증용약당중몰유인용중경적위가실관점, 이시리용미악한(而是利用微惡寒), 발열(發熱), 갈(渴), 유한(有汗), 목동(目疼), 비건(鼻乾), 조한(潮汗), 폐삽(閉澁), 만갈(滿渴), 광섬, 불면등증상진행설명(不眠等症狀進行說明), 비기장악륭명병작위장부질병(比其掌握隆明病作爲臟腑疾病), 이해위이열위주적상당우양명속성적질병.

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Improvement of a Planning Technique Based on Heuristic Target Shaping for Stereotactic Radiosurgery (방사선 수술시 경험적 표적 근사화에 근거한 최적화 방법 개선)

  • Oh Seungjong;Choi Kyoung-Sik;Song Ju-Young;Suh Tae-Suk
    • Progress in Medical Physics
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    • v.16 no.4
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    • pp.176-182
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    • 2005
  • Stereotactic radiosurgery (SRS) is a technique to deliver a high dose to a target region and a low dose to a critical organ through only one or a few irradiation. The SRS must be planned exactly. Currently the surgery plan is peformed by trial and error method. There are many questions about the reliability and reproducibility of the plan result. This study Improve each step of the Oh's method based on heuristic target shaping to obtain the better result. The target was reconstructed using cylinders with same height and the neighbored cylinders were combined according to the difference of each center and diameter. Then, spheres were packed within each cylinders by the packing rules. Two virtual targets were used to compare this method with Oh's method. As a result, the numbers of isocenter were successfully reduced - more than $35\%$ and $26\%$ - without serious differences of proscription isodose to tumour volume ratio (PITV) and maximum dose to proscription dose ratio (MDPD). This technique using cylinder piling and sphere packing will be a helpful tool to planner in stereotactic radiosurgery.

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Effect of Blood Donation on the Donor's Hemorheological Properties (헌혈이 헌혈자의 혈유변학적 지표에 미치는 영향)

  • Lee, Byoung Kwon
    • The Korean Journal of Blood Transfusion
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    • v.29 no.3
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    • pp.229-239
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    • 2018
  • The circulatory system is closely related to the inter-relationship between the anatomy of the heart and blood vessels, and the fluid dynamic properties of blood. The physical properties of blood, which affect blood flow, are called hemorheologic factors. Hemorheologic factors, such as blood viscosity and erythrocyte aggregation, are influenced mainly by hematocrit. A higher hematocrit level results in an increase in blood viscosity, erythrocyte aggregation, which impedes the circulation itself, and tissue oxygenation. An excess of serum ferritin causes injury to vascular endothelial cells and erythrocytes via oxygen free radicals. In addition, an excess of blood can aggravatee the adverse effects of the hemorheologic parameters and induce atherogenesis, microcirculatory disturbances, and major cardiovascular events. A preventive and therapeutic approach with a phlebotomy or blood donation has been stimulated by the knowledge that blood loss, such as regular donations, is associated with significant decreases in key hemorheologic variables, including blood viscosity, erythrocyte aggregation, hematocrit, and fibrinogen. Major cardiovascular events have been improved in regular blood donors by improving blood flow and microcirculation by decreasing the level of oxidative stress, improving the hemorheologic parameters, and reducing the serum ferritin level. Confirmation of the positive preventive and therapeutic effects of blood donations on cardiovascular disease by a well-designed and well-controlled Cohort study may be good news to patients with cardiovascular disease or at risk of these diseases, as well as patients who require a transfusion.

A Proposal for Use in Research Methodology of Traditional Medicine in East Asia - Historical Evidence-Based Medicine - (전통한의학 연구방법론의 현대화에 대한 소고(小考) - 역사적 근거중심의학에 대한 제언 -)

  • Eom, Seok-Ki;Kim, Se-Hyun;Choi, Won-Cheol
    • Journal of Korean Medical classics
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    • v.23 no.2
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    • pp.89-105
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    • 2010
  • Research methodology on Traditional Medicine in East Asia refers to logical thinking system, empirical positivism system and methodology of developing these knowledge systems. Logical thinking system of abstract concepts such as analogy or abduction and positivism system of reasonable explanation such as the five elements and their characteristic theory have been used in various ways empirically or in the form of humanities and knowledge system was developed through parallel structure of empirical positivism and exegetical studies. After the 16th century, evidence was required along with the tradition of putting emphasis on rationality, logicality and empirical positivism and characteristics of medical humanities can be found in emphasizing on medical ethics. Data that can be considered as structural review paper or meta analysis from original data of research on Traditional East Asian Medicine should be evaluated as historical evidence which is equivalent to specialist opinion, descriptive disease research, single case report or case series. Historical evidence based medicine is a research method using Historical evidence to selectively support data that are faithful to traditional theory with higher possibility to be used in future traditional east Asian medicine that links between traditional knowledge and scientific research methodology. Moreover, historical evidence based medicine tries to re-evaluate the value of traditional knowledge and ultimately, guides the direction of development of traditional medicine through scientific rationality based on history and culture.

The Morpho-Imaganary Viewpoints of Lee Je-ma and the Morpho-Imaganary recognitions of Sasang Constitutional Medicine (동무공(東武公)의 형상관(形象觀)과 사상의학(四象醫學)의 형상의학정신(形象醫學精神))

  • Song, Il-byung
    • Journal of Sasang Constitutional Medicine
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    • v.11 no.1
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    • pp.1-13
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    • 1999
  • Lee Je-ma created Sasang Constitutional Medicine from the insight of different congenital formation of Viscera which was based on his own Morpho-Imaganary recognition of human beings. The basic principles to understand human beings are as follows. The first, human beings are morphologically figured based on the human nature. The Second, Morpho-lmaganary recognition was the understanding to all the things including human with the rule of society and the relationships. affairs-mind-body-objects. The Morpho-Imaganary characteristics of Sasang Constitutional Medicine are as follows. The first, Sasang Constitutional Medicine recognize the symptoms and diseases as the aspect of structure and function at the same time. The second, it recognize the symptoms and diseases with the viewpoint of Change.

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Construction and Feedback of an Information System by Analyzing Physicians' Information-Seeking Behavior (의사들의 정보추구행태를 반영한 의학정보시스템 개발 및 평가)

  • Kim, Na Won;Lee, Jee Yeon
    • Journal of the Korean Society for information Management
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    • v.33 no.1
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    • pp.161-180
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    • 2016
  • Physicians have information needs related to academic research and clinical practice but encounter difficulties seeking appropriate medical resources and information. The goal of this study is to develop a search system to support Korean physicians' information needs. To access sources to meet the identified need, in-depth interviews were conducted, and MediSearching, a new search system, was developed accordingly. To verify its usefulness and to obtain users' suggestions, interviews were conducted and feedback was solicited via collected test searches. The initial set of interviews indicated that physicians' information needs and search behaviors differed by type of hospital and clinical department. Physicians in university hospitals with a greater need for research materials searched for academic articles, whereas physicians in specialty hospitals or primary care clinics with a stronger need for materials related to clinical practice asked their colleagues for information. Consequently, MediSearching was designed to satisfy both groups' needs, and the test search provided useful search results compared with existing services. Korean physicians have previously had to repeat their search process on separate sites that provide different services according to type of information and search method. MediSearching may reduce this inconvenience and add documents in various formats and languages.