• 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.

• 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.

• 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.

• 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.

• Korean Journal of Biological Psychiatry
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• v.14 no.1
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• pp.14-20
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• 2007

Objectives : The diagnosis of depression is based on a highly variable set of symptoms. Therefore, depression should not be viewed as a single disease, but a heterogenous syndrome comprised of different pathophysiologies. There are several subtypes of depression which were already incorporated in DSM-IV. This article provides a systematic review of pharmacological treatments of two recognized subtypes of depression-dysthymic disorder and atypical depression. Methods : Systematic search of relevant literatures on dysthymic disorder and atypical depression was performed by proposed search strategy of the Clinical Research Center for Depression of Korean Health 21 R&D Project. All identified literatures were carefully reviewed and classified according to SIGN grading system and summarized in a narrative manner. Results : For the treatment of dysthymic disorder and atypical depression, selective serotonin reuptake inhibitors( SSRIs) and moclobemide have more evidence than the other antidepressants. SSRIs and moclobemide showed superior tolerability than tricyclic antidepressants. Conclusions : The authors proposed treatment recommendations for dysthymic disorder and atypical depression by the methods of evidence-based medicine(EBM). However, guideline developing methods of EBM also have several inevitable limitations. Therefore, in the absence of clear and significant differences in efficacy, the choice of medication must be individualized for a particular patient based on psychiatrist's own clinical decision.

• 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.

• Clinical and Experimental Pediatrics
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• v.48 no.9
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• pp.915-919
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• 2005

The increasing use of complementary and alternative medicine(CAM) in Korea as well as in U.S.A. and Europe seems to lead to a growing integration of CAM with conventional medicine. By using conventional mainstream medicine with CAM(integrative medicine) proved in efficacy and safety, integrative medicine seeks to treat the whole person, to assist the innate healing properties of each person and to promote health and wellness as well as the prevention of diseases. Also in pediatric diseases, especially for cancer patients, integrative medicine serves as an interdisciplinary, comprehensive, and children-centered care which results in more effective care by synergistically combining therapies. But the research to prove the efficacy and safety of CAM and the education for CAM in the medical school should proceed before applying them to patients.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2014.05a
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• pp.728-731
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• 2014

Today, the quality of medical service has become a major concern because that sustainable development of IT technology and extending people's life expectancy. This paper, it is used as a tool for the medical information quality management that analyze tweets big data form generated by individual's daily. The result of the analyze big data offers improvement medical information based evidence based medicine. Also it has been possible for a trace observation of chronic disease and can reduce additional other complications of patients. Therefore, effective treatment of disease and prevention is possible.

• Journal of Korean Library and Information Science Society
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• v.33 no.1
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• pp.291-322
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• 2002

Korean medical libraries have made interlibrary loan active under the korean medical library association since 1969, the sharing acquisition of journals has not been peformed efficiently in the absence of a bibliographic control institute. The medical library of seoul national medical university which is designated to a medical professional information center by korea education academy information developed MEDLIS linking the union catalog and interlibrary loan system and has been operating it in cooperation with the korean medical library association. Two types of questionaries were sent to 350 medical researchers and 160 medical librarians to investigate the realities of domestic and foreign medical information institutes, develop sharing systems and find a solution for sharing systems. Also, some analyses for the recent state of duplicate subscriptions, interlibrary loan, demands for system operations un the basis of the statistics of MEDLIS users were made. The result showed that medical researchers and medical librarians are affirmative for MEDLIS, users need a convenient interlibrary loan system and medical librarians agree to activate interlibrary loan. It also showed that sharing acquisition of journals seemed to be realizable for medical librarians, although there was no intention to improve the centralization of interlibrary loan among them. From the findings, a plan for sharing acquisition of journals established by the sharing acquisition committee under korea medical libraries society and national 8 local centers to play a key role in it was made. Also, a proposal for the establishment of an information center for controlling korean medical bibliographies was suggested. This system will be expected to contribute to make users to acquire materials more effectively and save the national budget.

• Journal of agricultural medicine and community health
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• v.43 no.4
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• pp.250-257
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• 2018

Objecctives: This study investigates the effects of using customized walking aids individualized for stroke patients by measuring the effects of different cane lengths to determine the ideal length of walking aids for stroke patients. Methods: Cane lengths were determined from the greater trochanter with walking aids measured 5cm below, at the greater trochanter and 5cm above. All patients walked for ten meters with each cane length to measure speed. Then, we measured the opto gait, timed up go test, and electromyography three times each. Statistical analysis was performed using a linear mixed model, and in the case of significance, the p-value was corrected using the Bonferroni method. Results: There was a statistically significant differences in time up and go test(TUGT), 10m walking, stride and speed between the groups. Conclusions: Long cane length increases body symmetry, stride, increasing muscle activity, and short cane length increases balance and walking.