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A Clinical Study of Shi Ho Cheong Gan-San on Blood Heat Pattern Atopic Dermatitis: a randomized, double-blind clinical trial (혈열형 아토피피부염에 대한 시호청간산의 유효성과 안전성 연구)

  • Choi, In-Hwa;Kim, Se-Hyun;Kim, Young-Chul;Yun, Young-Hee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.1
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    • pp.96-110
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    • 2011
  • 목적 : 본 임상시험을 통하여 혈열(血熱)형으로 변증된 아토피피부염의 한약 치료 후 임상 효능과 안전성을 관찰함으로써 아토피피부염에 대한 한약치료의 유용성을 평가하고자 한다. 방법 : 본 임상시험은 무작위배정, 이중맹검, 양성대조군, 평행 설계로 진행되었다. 자의에 의해 임상시험 동의서에 서명한 대상자 중 선정기준 및 제외기준에 부합된 36명의 대상자들에게 시험약과 양성대조약 과립제를 1일 3회(5.0g* 3회/ 1일) 4주간 복용하도록 하였다. 36명 중 31명의 환자가 4주간의 치료를 종료하였다(시호청간산 복용군: n = 16, 소풍산 복용군: n =15). 아토피피부염 증상을 평가하기 위해 Scoring atopic dermatitis (SCORAD) index와 Eczemaarea and severity index (EASI) 를 사용하여 시험 시작 전과 4주 후 시험 종료일에 환자들의 피부소견을 평가하였다. 아토피 피부염에 대한 한약치료의 안정성을 평가하기 위하여 치료 전후 혈중 AST, ALT, BUN, creatinine 변화를 검토하여 한약치료의 간/신독성 여부에 대해 조사하였다. 결과 및 결론: 두 군 모두에서 유의하게 SCORAD 점수와 EASI 점수가 감소하였으나 두 군 간의 차이는 유의하지 않았다. 부종/구진, 찰상 항목의 점수에는 두 군 간에 유의한 차이가 관찰되었다. 31명의 환자에게서 한약 치료 후 간장과 신장에 미치는 독성이 발견되지 않았으며 한약투여와 관련된 이상반응은 보고되지 않았다. 위의 결과로부터 시호청간산과 소풍산이 혈열형 아토피피부염에 대한 효과적이고 안전한 치료 방법이 될 수 있을 것으로 생각된다.

Effects of Low-Dose Aspirin Therapy on Thermoregulation in Firefighters

  • McEntire, Serina J.;Reis, Steven E.;Suman, Oscar E.;Hostler, David
    • Safety and Health at Work
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    • v.6 no.3
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    • pp.256-262
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    • 2015
  • Background: Heart attack is the most common cause of line-of-duty death in the fire service. Daily aspirin therapy is a preventative measure used to reduce the morbidity of heart attacks but may decrease the ability to dissipate heat by reducing skin blood flow. Methods: In this double-blind, placebo-controlled, crossover study, firefighters were randomized to receive 14 days of therapy (81-mg aspirin or placebo) before performing treadmill exercise in thermal-protective clothing in a hot room [$38.8{\pm}2.1^{\circ}C$, $24.9{\pm}9.1%$ relative humidity (RH)]. Three weeks without therapy was provided before crossing to the other arm. Firefighters completed a baseline skin blood-flow assessment via laser Doppler flowmetry; skin was heated to $44^{\circ}C$ to achieve maximal cutaneous vasodilation. Skin blood flow was measured before and after exercise in a hot room, and at 0 minutes, 10 minutes, 20 minutes, and 30 minutes of recovery under temperature conditions ($25.3{\pm}1.2^{\circ}C$, $40.3{\pm}13.7%\;RH$). Platelet clotting time was assessed before drug administration, and before and after exercise. Results: Fifteen firefighters completed the study. Aspirin increased clotting time before and after exercise compared with placebo (p = 0.003). There were no differences in absolute skin blood flow between groups (p = 0.35). Following exercise, cutaneous vascular conductance (CVC) was $85{\pm}42%$ of maximum in the aspirin and $76{\pm}37%$ in the placebo groups. The percentage of maximal CVC did not differ by treatment before or after recovery. Neither maximal core body temperature nor heart rate responses to exercise differed between trials. Conclusion: There were no differences in skin blood flow during uncompensable heat stress following exercise after aspirin or placebo therapy.

A Mesh Watermarking Using Patch CEGI (패치 CEGI를 이용한 메쉬 워터마킹)

  • Lee Suk-Hwan;Kwon Ki-Ryong
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.42 no.1
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    • pp.67-78
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    • 2005
  • We proposed a blind watermarking for 3D mesh model using the patch CEGIs. The CEGI is the 3D orientation histogram with complex weight whose magnitude is the mesh area and phase is the normal distance of the mesh from the designated origin. In the proposed algorithm we divide the 3D mesh model into the number of patch that determined adaptively to the shape of model and calculate the patch CEGIs. Some cells for embedding the watermark are selected according to the rank of their magnitudes in each of patches after calculating the respective magnitude distributions of CEGI for each patches of a mesh model. Each of the watermark bit is embedded into cells with the same rank in these patch CEGI. Based on the patch center point and the rank table as watermark key, watermark extraction and realignment process are performed without the original mesh. In the rotated model, we perform the realignment process using Euler angle before the watermark extracting. The results of experiment verify that the proposed algorithm is imperceptible and robust against geometrical attacks of cropping, affine transformation and vertex randomization as well as topological attacks of remeshing and mesh simplification.

Comparison of Superficial and Deep Acupuncture in the Treatment of Ankle sprain : A Randomized Controlled Trial-Pilot study (무작위 대조 시험을 통한 족관절 염좌의 자침 중 심자와 천자의 비교 연구-준비 조사)

  • Park, Jun-sung;Kim, Woo-young;Baek, Seung-tae;Lee, Seung-deok;Kim, Kap-sung
    • Journal of Acupuncture Research
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    • v.21 no.5
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    • pp.137-147
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    • 2004
  • Objective : The aim of the study was to compare the therapeutic effect of the superficial and in-depth insertion of acupuncture needles in the treatment of patients with ankle sprain. Design : A prospective randomized single-blind study of superficial and deep acupuncture was conducted. Setting : The study was conducted in the Kang-nam Oriental Hosp. of Dong-Guk University. Patients: The study comprised 14 patients with ankle sprain who were divided into two groups (A and B). Intervention : In group A, the needle was introduced in the skin at a depth of 2 mm, whereas in group B the needle was placed deeply into muscular tissue or the articular capsule at a depth more than 1.5 Cm The treatment was planned for a duration of 1 week, 3 times. Outcome Measures : The intensity of pain was evaluated with the Ankle grade pain chart(AGPC) before and after treatment and at the 1-week follow-up examination. The AGPC includes Swelling, Tenderness, Exudation, Bruise, Medial/Lateral. stability test, Anterior drawer test, Squeeze test, Bearing weight, Pressure Algometer, Walking state and VAS. Results : Although at the end of the treatment there was no evidence of significant statistical differences between the two different groups, Pain reduction(VAS) was greater in the group treated with deep acupuncture. A statistical difference existed between the two groups at the 1 week follow up, with a better result in the deeply stimulated group in VAS. Conclusion : Clinical results show that deep stimulation has a better analgesic effect when compared with superficial stimulation in pain reduction(VAS, Visual analogic scale).

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The Avalibility of C-Arm in Reduction of Zygomatic Arch Fracture Intraoperatively: Case Report (관골궁 골절의 정복시 수술 중 C-Arm 사용의 유용성: 증례보고)

  • Seo, Mi-Hyun;Cheon, Kang-Yong;Yun, Jun-Yong;Yoo, Chung-Kyu;Lee, Eun-Kyung;Lee, Won-Deok;Suh, Je-Duck
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.4
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    • pp.359-362
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    • 2010
  • The zygoma is second most commonly vulnerable facial bone in fracture, in number only by nasal fractures. It is difficult to evaluate reduction state intraoperatively, because almost surgeons reduce the fractured zygoma by blind method. We suggest the use of orthopedic C-arm intraoperatively. We use plain radiography, CT to evaluate preoperative state. Gilles approach or intraoral approach were used to reduce the fractured zygomatic arch. The C-arm was positioned at chin area, used to evaluate reduction intraoperatively. We got postoperative image by CT or submento-vertex view. There are variable methods to evaluate reduction intraoperatively: palpation, ultrasonography, CT, plain films. C-arm is considered superior diagnostic tool to other methods. The use of intraoperative C-arm was very efficient, it could bring better results.

Use of piezoelectric surgery and Er:YAG laser:which one is more effective during impacted third molar surgery?

  • Keyhan, Seied Omid;Fallahi, Hamid Reza;Cheshmi, Behzad;Mokhtari, Sajad;Zandian, Dana;Yousefi, Parisa
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.29.1-29.10
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    • 2019
  • Background: Reduction in postoperative complications is of vital considerations in impacted third molar teeth surgery. The aim of this study was to compare postoperative complications of impacted third molar surgeries for bone removal using laser, piezoelectric equipment, and conventional rotary instruments. Methods: To address the research purpose, the investigator designed the prospective double-blind clinical trial study. The sample size was determined 20 (40 teeth) by sampling formula in any kind of operation. The data of patients were obtained in the different periods in terms of pain, trismus, swelling, ecchymosis, and patient's satisfaction and then analyzed using SPSS 20 software via paired t test and Wilcoxon and McNemar's tests. Results: The pain immediately after surgery and 2 days and 7 days after surgery was higher in the laser group. The swelling immediately after surgery was more in the laser group but not significant. The amount of mouth opening immediately after surgery and 2 days and 7 days after surgery was significantly lower in the laser group than in the piezosurgery group. The total duration of surgery and duration of osteotomy were significantly longer in the laser group. The patient's satisfaction from surgery with piezosurgery was more than that with laser, but this difference was not significant. Conclusion: Due to the rising demand for impacted wisdom tooth surgery, the present study suggests that hard tissue laser surgery and piezosurgery can clear the future of impacted molar surgery, and these approaches are more efficient in reducing postoperative complications compared to the conventional surgeries.

Effect of Ginger and Chamomile on Nausea and Vomiting Caused by Chemotherapy in Iranian Women with Breast Cancer

  • Sanaati, Fateme;Najafi, Safa;Kashaninia, Zahra;Sadeghi, Masoud
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.4125-4129
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    • 2016
  • Background: Chemotherapy-induced nausea and vomiting (CINV) places a significant burden on the patient. Herbal agents are the most commonly complementary therapies used among the public. This study was done to determine the effect of ginger and chamomile capsules on nausea and vomiting in cases undergoing chemotherapy for breast cancer (BC). Materials and Methods: In a randomized, double-blind and clinical trial study, 65 women with BC undergoing chemotherapy were referred to Breast Cancer Research Center, Tehran, Iran, between May 2013 to June 2014. Regimen for ginger group for 5 days before and 5 days after chemotherapy was: 2 times a day and 500 mg capsules of powdered ginger root in addition to a routine antiemetic regimen consisting of dexamethasone, metoclopramide and aprepitant (DMA) capsules. Chamomile group similarly was: 2 times a day and 500 mg capsules of Matricaria chamomilla extract in addition to a routine antiemetic regimen consisting of DMA capsules. Control group, routine antiemetic regimen consisting of DMA capsules. Results: There were no significant differences between the ginger, chamomile and control groups regarding age. Drugs used for chemotherapy were identical and duration of disease was also matched (1-4 months). Ginger and chamomile were both significantly effective for reducing the frequency of vomiting, there being no significant difference between the ginger and chamomile groups. Moreover, unlike the chamomile, ginger significantly influenced the frequency of nausea. Conclusions: According to the findings of this study, it should be declared that taking ginger capsules (1 g/day) might relieve CINV safely. Nurses dealing directly with cancer patients should be responsible for providing educational programs for patients and their families about how to deal with their drug regimens and associated side effects.

Performance Analysis of MSAGF-MMA Adaptive Blind Equalization Algorithm with Variable Step Size Using Input Power Signal and Decision-Directed Error Signal (입력 전력 신호와 결정지향 오차 신호를 이용한 가변 스텝 크기를 가지는 MSAGF-MMA 적응 블라인드 등화 알고리즘의 성능 분석)

  • Jeong, Young-Hwa
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.20 no.3
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    • pp.53-58
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    • 2020
  • This paper is concerned with the performance analysis of MSAGF-MMA with variable step size whose step size varies according to input power signal and decision-directed error signal. The proposed algorithm is made to change according to the input power signal which can reliably increase the convergence speed to the steady state by making the step size less affected by the fluctuation of the input signal in the MMA having the binary flag obtained from the modified Stop-and-Go algorithm. At the same time, the step size can be varied according to the decision-directed error signal so that the residual error can be reduced in the steady state. As a result of computer simulations, it is confirmed that the proposed algorithm has a very good performance in the evaluation of residual ISI and averaged-MSE in steady state as well as in terms of convergence speed to steady state compared to MMA and MSAGF-MMA.

Right to delete and Right to be forgotten -Discuss on the condition of the right to delete (기사삭제 요구권과 잊혀질 권리 - 기사삭제의 인정기준에 관한 논의)

  • Hong, Sook-Yeong
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.13-22
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    • 2014
  • The right to be forgotten is a world-wide issue after the decision of the European Court of Justice which accepted that right. This essay discusses about the guide lines for protecting the right to delete, a category of the right to be forgotten. I classified those guide lines as follows : (1) sensitiveness of the personal information, (2) offensiveness to reasonable and ordinary people, (3) intention of writing the article, (4) value of historical record, (5) importance of privacy comparing with right to know with time flow, (6) public figure, (7) article based on fact or opinion. To effectively protect right to be forgotten and delete, we have to consider Privacy Impact Assessment, using blind system, unification of multiple institutions, and reforming press arbitration system.

A Building Method of Designing National Cyber Security Governance Model Through Diagnosis of Operational Experience (정보보안체계 운영경험 진단을 통한 국가 사이버보안 거버넌스 모델 연구 방법)

  • Bang, Kee-Chun
    • Journal of Digital Convergence
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    • v.16 no.6
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    • pp.205-212
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    • 2018
  • This Study aims to propose a new information security governance model design method for streamlining security governance at national strategic level. The research method of this study is to diagnose our operational experience and to derive a new model design method. In the meantime, national information security activities were perceived to be focused on knowledge transfer, and motivation of activities and securing of executive power were weak. As a result, security blind spots and frequent occurrence of large security incidents have become unresolved challenges. National cyber security governance should be grouped together as a whole systematically from the upper policy to the lower level of performance under the responsibility of the national leader. Based on this approach, this study presented the comprehensive framework of Korean security governance model and embodied it into four architectural designs such as vision, goal, process, and performance, thus deriving the foundation for future national governance model design. Further research is needed to diagnose problems in life cycle flow, security policies based on environmental changes, and new frameworks in which all subjects participate.