• The Journal of Internal Korean Medicine
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• v.39 no.4
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• pp.463-470
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• 2018

Objectives: The aim of this study was to identify the validity of phase angle as a prognostic factor for survival in patients with metastatic cancer. Methods: Data of patients with metastatic cancer who visited the Korean medicine cancer center at Kyung Hee University Hospital in Gangdong from April 2016 to February 2018 were collected for this study. The values of phase angle (PhA) and blood hemoglobin (Hb), C-reactive protein (CRP), and serum albumin levels were also investigated by bioelectrical impedance analysis (BIA). Results: In total, 86 patients were analyzed. The cut-off value of the phase angle was determined as 5.0. Univariate and multivariate analysis revealed that phase angle (HR 3.15, 95% CI 1.79-5.54) and CRP (HR 2.15, 95% CI 1.24-3.73) predicted survival with statistical significance. The median overall survival of the low PhA group ($PhA{\leq}5.0$) was 1.8 months (95% CI 0.6-2.9 months) and 7.2 months (95% CI 5.2-9.2 months) in the high PhA group (PhA>5.0)(p<0.001). Conclusions: The phase angle could be an independent prognostic factor for patients with metastatic cancer. Further research is required to confirm these findings and their correlation with other indexes.

• Journal of Physiology & Pathology in Korean Medicine
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• v.27 no.6
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• pp.717-729
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• 2013

Bioelectrical Impedance Analysis (BIA) is a non-invasive and low-cost technique that estimates body composition based on the distribution of water and electrolytes in the body by analyzing body's electrical responses to source voltages. In this work, we carried out a systematic literature review on BIA researches in traditional East Asian medicine (TEAM). For comparison, firstly we introduced the concept and principle of BIA, and offered a general overview of research trends in western medical perspectives. We searched through the databases of Oriental Medicine Advanced Searching Integrated System and DataBase Periodical Information Academic for the articles published between 1994 and 2013, with keywords such as 'BIA', 'bioelectrical impedance' and 'impedance'. Among the rough-searched 274 articles, we finally selected 21 articles appropriate to the intended research field. The selected articles were categorized into diagnosis in Sasang medicine, impedance analysis in meridian system, and change of body composition after taking herbal medicine. We found that most of BIA researches in TEAM were preliminary and remained in the peripheral levels which is far behind the western medical research activities. Therefore, more efforts are needed to study BIA in association with major subjects such as pattern identification or physiological/pathological phenomena. In addition, methodological breakthrough of BIA is possible by applying the diagnostic concepts of the TEAM in relation to the balance of Qi and Blood.

• Korean Journal of Community Nutrition
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• v.2 no.2
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• pp.179-186
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• 1997

A new bioelectrical impedance method has been developed and evaluated. The electrodes; were made of stainless steel and electrical interfaces were created by an upright subject gripping hand electrodes and stepping onto foot electrodes. Eight tactile electrodes were in contact with surfaces of both hands and feet; thumb, palm and fingers, front sole, and rear sole. Automatic on-off switches were used to change current pathways and to measure voltage differences for target segments. Segmental body resistances and whole body resistance(RWHOLE)were measured in 60 healthy subjects. Segmental resistances of right arm(RRA), left arm(RLA), trunk(RT), right leg(RRL) and left leg(RLL)were310.0$\pm$61.6$\Omega$, 316.9$\pm$64.6$\Omega$, 25.1$\pm$3.4$\Omega$, 236.8$\pm$31.2$\Omega$ and 237.6$\pm$30.4$\Omega$, respectively. Individual segmental impedance indexes(Ht2/RRA, Ht2/RT, and Ht2 /RLA) were closely related to lean body mass(LBM)as measured by densitometry ranged from r=0.925 to 0.960. Ht2/(RRA+RT+RLA) predicted LBM slightly better(r=0.969) than the traditional index, Ht2/RWHOLE(r=0.964), supporting the accuracy of the segmental measurement. A multiple regression equation utilizing Ht2/RRA, Ht2/RT and Ht2/RRL predicted LBM with r=0.971. Ht2/RRA term of the regression contributed to more than 40$\%$ of the LBM prediction, indicating that lean mass of arm represented whole body LBM more closely than other body segments. The new bioimpedance method was characterized by upright posture, eight tactile electrodes, segmental measurements and utilization of electronic switches in comparison with the traditional method. The measurement with this new method was extremely reproducible, quick and easy to use.

• Journal of the Korean Dietetic Association
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• v.7 no.2
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• pp.153-158
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• 2001

This study examined the age-related patterns in body composition cross-sectionally using Segmental bioelectrical impedance analysis(SBIA), specifically its two components, lean body mass(LBM) and body fat mass, in 1,452 men and 1,436 women with an age range of 19 to over 70 years . Mean height of male subjects was 174.1cm at peak in early 20's and was decreased continuously 0.2-0.3 cm every year. Mean weight was greatest between late 20's and 40's, and was decreased quickly in 70's. Body fat mass was increased steadily before 30's and remained thereafter. Because decreasing lean body mass (LBM), percentage of body fat(PBF) increased continuously with aging. Mean height of female subjects was 161.7 cm at peak in 20's and was decreased steadily around 0.2 cm every year and thus an individual's height was decreased approximately 10 cm in their life cycle. Body weight was increased steadily until 50's and then was decreased. Body fat mass was increased continuously and LBM remained constant and thus PBF was increased steadily with aging. SBIA can be used to compare body composition between genders and between ages. In future studies, SBIA could be applied widely to evaluate variations of body composition in subjects with different nutritional problems.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.60 no.7
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• pp.1427-1433
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• 2011

This study describes a conductive fabric sensor and determines an optimum excitation frequency of the sensor to evaluate knee joint movements. Subjects were composed of 15 males (age: $30.7{\pm}5.3$) with no known problems with their knee joints. The upper side of subjects' lower limbs was divided into two areas and the lower side of subjects' lower limbs was divided into three areas. The sensors were attached to 1 for 3 spot from a hip joint and to 3 for 4 spot from a knee joint which are the optimum conductive fabric sensor configuration to evaluate knee joint movements. As a result, the optimum excitation frequency for evaluating knee joint movements using conductive fabric sensors was 25 kHz. Average and standard deviation of bio-impedance changes from 15 subjects were $92.1{\pm}137.2{\Omega}$ at 25 kHz. The difference of bio-impedance changes between 25 kHz and 50 kHz was statistically significant (p<0.05) and the difference of bio-impedance changes between 25 kHz and 100 kHz was also statistically significant (p<0.001). These results showed that conductive fabric sensors are more sensitive to measure bio-impedance for evaluating knee joint movements as an excitation frequency decreases.

• Korean Journal of Acupuncture
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• v.29 no.1
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• pp.71-81
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• 2012

Objectives : The purpose of this paper was to suggest new diagnostic method that was to supersede the estimation of electrical properties at acupoints. Thus, we developed the multi- frequencies bioelectrical impedance measurement system so as to analyze the state of bio-ions in body fluid as body compositions, not skin impedance at acupoint. Methods : At low frequency, the current does not penetrate the cell membrane and at high frequency, the current passes through both intracellular and extracellular fluid because of the decreas of cell membrane impedance. To confirm the reflection of composition in extracellular fluid or intracellular fluid of segment such as acupoint, the system was developed to detect the acupoint potential between adjacent two points in the area of LU3, LU4 and LU9 using 5,50 and 200KHz. Results : The detected acupoint potential has been decreased according to elevation of frequency. As a result of correlation of left/right identical acupoint, we observed a high correlation of three types of acupoint potential at multi-frequencies. Moreover, we observed the low correlation at 5KHz, and that was a significant factor to be considered as unbalanced relationship of identical acupoints. Conclusions : On the basis of meridian theoretical point of view, we may infer the acupoint's physiological composition using the multi-frequencies bioelectrical impedance measurement system.

• Journal of the Korean Society for Nondestructive Testing
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• v.32 no.5
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• pp.585-596
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• 2012

PVDF(poly vinylidene fluoride) and P(VDF-TrFE)(poly vinylidene fluoride-tetrafluoroethylene) are the typical piezoelectric polymers with unique properties. Even they are inferior to conventional piezoelectric ceramics PZT in electromechanical conversion efficiency and interior loss, though they are superior in receiving sensitivity and frequency bandwidth. Their acoustic impedances are relatively close to water or biological tissue and it is easier to make thin film than other piezoelectric materials. Futhermore, the film is so flexible that it is easy to attach on a complex surface. Those properties are suitable for the ultrasound transducers which are useful for medical and biological application, so that various types of polymer transducers have been developed. In this paper, several important considerations for design and fabrication of piezoelectric polymer transducers were described and their effect on the transducer performance were demonstrated through the KLM model analysis. Then, it was briefly reviewed about the structures of the polymer transducers developed for obtaining images as well as the characteristics of the images in several important medical and biological application fields.

• Korean Chemical Engineering Research
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• v.60 no.1
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• pp.62-69
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• 2022

Graphene has a large surface area to volume ratio and good mechanical and electrical property and biocompatibility. This study described the electrochemical deposition and reduction of graphene oxide on the surface of indium tin oxide (ITO) glass slide and electrochemical characterization of graphen-modified ITO. Cyclic voltammetry was used for the deposition and reduction of graphene oxide. The surface of graphen-coated ITO was characterized using scanning electron microscopy and energy dispesive X-ray spectroscopy. The electrodes were evaluated by performing cyclic voltammetry and electrochemical impedance spectroscopy. The number of cycles and scan rate greatly influenced on the coverage and the degree of reduction of graphene oxide, thus affecting the electrochemical properties of electrodes. Modification of ITO with graphene generated higher current with lower charge transfer resistance at the electrode-electrolyte interface. Glucose oxidase was immobilized on the graphene-modified ITO and has been found to successfully generate electrons by oxidizing glucose.

• Journal of Physiology & Pathology in Korean Medicine
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• v.36 no.3
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• pp.94-99
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• 2022

The discovery of biomarkers related to pattern identification (PI), the core diagnostic theory of Korean medicine (KM), is one of the methods that can provide objective and reliable evidence by applying PI to clinical practice. In this study, 40 diabetic patients and 41 healthy control subjects recruited from the Korean medicine clinic were examined to determine the human electrical response related to the deficiency pattern, a representative pattern of diabetes. Qi-Blood-Yin-Yang deficiency pattern scores, which are representative deficiency patterns for diabetes mellitus, were obtained through a questionnaire with verified reliability and validity, and the human electrical response was measured non-invasively using a bioimpedance meter. In ANCOVA analysis using gender as a covariate, the 5 kHz frequency resistance and 5-250 kHz frequency reactance were significantly lower in the diabetic group than in non-diabetic control group. In addition, the multiple regression analysis showed a positive correlation (R2=0.11~0.19) between the Yang deficiency pattern score and resistance value for the diabetic group; the correlation was higher at higher frequencies of 50kHz (R2=0.18) and 250kHz (R2=0.19) compared to 5kHz(R2=0.11). In contrast, there was no such significant association in the control group. It implies that bioimpedance resistance measured at finite frequencies may be useful in predicting Yang deficiency, which is closely related to diabetic complications by reflecting the decrease in body water content and metabolism. In the future, large-scale planned clinical studies will be needed to identify biomarkers associated with different types of PI in diabetes.

• Journal of Society of Preventive Korean Medicine
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• v.20 no.3
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• pp.67-74
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• 2016

Objectives : The purpose of this study was to analyze the relationship between the Cold-pattern and the quantitative index through the results of an anthropometric method and Bio Impedance Analysis (BIA) of the Haenyeo living in Jeju island. Furthermore, we will examine the effect of Cold-pattern on the quality of life. Methods : BIA indices were acquired directly from Inbody770 and questionnaires were collected by Gallup Korea professional surveyor through face to face interviews. Binary regression analysis and linear regression analysis were used to examine the association between collected data. Results : Total of 175 of people were participated in this study. First, we examined the difference of the indicators in the Cold-pattern group and the non-Cold pattern group by the average comparison of the anthropometry and BIA indices. Most of the non-Cold pattern group showed high quality of life, BIA and anthropometry. In the relationship between Cold-pattern and anthropometry and BIA indices, BMI and PA indices were found to affect the Cold-pattern on a group basis. As the BMI increased by $1kg/m^2$, probability of not being non-Cold pattern was 1.13 times. and as the PA increased by $1^{\circ}$, probability of not being non-Cold pattern was 2.4 times. In the case of EQ5D value, the quality of life of ${\beta}$ was increased by 0.08 in non-Cold pattern (p <.05), EQ5D VAS of ${\beta}$ was also increased by 10.05 (p <.05). Conclusions : This study showed that BMI and PA could be used as a clinical index to evaluate the Cold-pattern as a clinical indicator, and there is a difference in quality of life according to Cold-pattern.