• Title/Summary/Keyword: Constitutional Factors

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Clinically Significant Cut-off Value of the KS-15 for the Risk of Metabolic Syndrome: Using the Korean Medicine Daejeon Citizen Cohort (KDCC) Study (대전시민코호트 자료를 활용한 대사증후군에 임상적으로 유의한 KS-15의 사상체질 판별 기준)

  • Eun Kyoung, Ahn;Siwoo, Lee;Ji-Eun, Park
    • Journal of Sasang Constitutional Medicine
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    • v.34 no.4
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    • pp.27-37
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    • 2022
  • Objectives The purpose of this study is to propose a method to more specifically identify Sasang constitutional risk factors of metabolic syndromes by adjusting the cut-off value of Korea Sasang Constitutional Diagnostic Questionnaire (KS-15). Methods Data of 1997 participants in Korean medicine Daejeon Citizen Cohort study (KDCC) were analyzed. Metabolic syndrome was defined according to the NCEP-ATP III, lifestyle information, and hematologic information including KS-15 and demographic characteristics were used as covariates. Results The 179 subjects with metabolic syndrome accounted for 9.0% of the total. As a result of determining the Sasang constitution for the KS-15 response based on the cut-off values (approximate 0.33), 0.5, and 0.6 of the constitutional score, when performed at the 0.6 cut-off model, the odds ratio of TE was 2.46 which showed a statistically significantly higher risk than the borderline group. For the accuracy of the model and the Area under the curve (AUC), the model accuracy based on the original cut-off of the KS-15 was 0.902 and AUC was 0.737. The accuracy of the model with cut-off of 0.5 and with of 0.6 were 0.904 and 0.902, respectively, and the AUCs were 0.687 and 0.741, respectively. Conclusion In this study, we confirmed that it is effective to increase the cut-off value of KS-15 to 0.6 in the metabolic syndrome risk model. It is expected that this could increase the accuracy of identifying high-risk groups for metabolic syndrome.

Mental and physical healing techniques of Sa-Sang Constitutional Medicine - In contrast with the Integral life Practice(ILP) of Integral psychology - (사상의학의 심신치유기법 - 통합심리학의 ILP(Integral life practice)와 대비하여 -)

  • Heo, Hoon
    • Journal of Korean Philosophical Society
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    • v.131
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    • pp.353-381
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    • 2014
  • "The four types of temperament" (hereinafter "Sa-Sang Constitutional Medicine") is applied to not only medicine, but also various fields like management, politics, education, etc. Despite that "Sa-Sang Constitutional Medicine" is "Mind-Body Medicine" which is fundamentally based on "Controling Mind and Body", though, it was rarely used for psychotherapy in practical. Practical treatment on clinical medicine is limited to only medicine-treatment or acupuncture-therapy. However treatment on illness and pathological phenomenon suggested by "Sa-Sang Constitutional Medicine" keeps individual's nature in control, and it governs environmental facts: age, region, and socio-cultural factors: alcohol, debauchery, riches, authority(酒 色 財 權). Especially, "Moral Cultivation" in "Sa-Sang Constitutional Medicine" emphasizes the importance of properly understanding vice(邪心) and laziness(怠行) concealed in natural temperament of human being, and pursuing "Understanding Each Other(博通)" and "Upright Conduct by Oneself(獨行)". Furthermore, because "Sa-Sang Constitutional Medicine" is developing medical theory based on "Understanding Others(知人)" and "Straighten Oneself(正己)" doing try integral approach, it has great implications for the present generation that forms much of social connection. Similarly, Ken Wilber who is one of representatives of "World Philosophy" and "Integral Psychology" is suggesting "Integral Life Practice" (hereinafter ILP) - applies practical and heuristic "Integral Approach" to individual experiences. ILP is the only practical discipline for development of viable whole-area. ILP says that there are four core modules: body, mind, shadow, spirit(靈), and five auxiliary modules: morals(倫理), gender(性), work(일), emotion(情緖), relationships(關係性). These nine modules could apply mind-body treatment of "Sa-Sang Constitutional Medicine", and thereby more developed mind-body treatment would be found.

The study of Data Factors for SCIB(Sasang Constitution Information Bank) (사상체질정보은행 데이터 항목에 관한 연구)

  • Choi, Sun-Mi;Lee, Su-Heon;Yoon, Yoo-Sik;Kim, Jong-Yeol
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.1
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    • pp.45-55
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    • 2005
  • 1. Objectives In this study, we analysed the up-to-the-present data in the SCIB and the chart of Iksan Wonkwang Oriental Medical Clinic, to develop the system and factors of data for the SCIB(Sasang constitution Information Bank). 2. Methods SCIB data is composed of analyses about the QSCC II(Questionnaire for the Sasang Constitution Classification II), Cold-hot questionaire, Ban-chi constitution questionnaire, Body composition, Body measurement, 24-hour food intake & Activity examination, MBTI & MMTIC, Informed consent & Blood sampling, and data presented by committee of Sasang constitution diagnosis expert. And the chart data of Iksan Wonkwang Oriental Medical Clinic is composed of analyses about Inspection, Ausculfation and olfaction, Inquiry, Pulse feeling and palpitation, and treatment field. 3. Results and Conclusions Almost data in the SCIB are lack of regular forms because they are based on mainly the QSCC II and additionally other examinations. Conclusionly important matters of the SCIB data are as follows: (1) the standard form including 4 whole diagnostic factors (2) the standard form including symptoms, pattern identifications, treatment processes and treatment results (3) objectivity and practicality to collect data.

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Comparison among Algorithms for Decision Tree based on Sasang Constitutional Clinical Data (사상체질 임상자료 기반 의사결정나무 생성 알고리즘 비교)

  • Jin, Hee-Jeong;Lee, Su-Kyung;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.17 no.2
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    • pp.121-127
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    • 2011
  • Objectives : In the clinical field, it is important to understand the factors that have effects on a certain disease or symptom. For this, many researchers apply Data Mining method to the clinical data that they have collected. One of the efficient methods for Data Mining is decision tree induction. Many researchers have studied to find the best split criteria of decision tree; however, various split criteria coexist. Methods : In this paper, we applied several split criteria(Information Gain, Gini Index, Chi-Square) to Sasang constitutional clinical information and compared each decision tree in order to find optimal split criteria. Results & Conclusion : We found BMI and body measurement factors are important factors to Sasang constitution by analyzing produced decision trees with different split measures. And the decision tree using information gain had the highest accuracy. However, the decision tree that produced highest accuracy is changed depending on given data. So, researcher have to try to find proper split criteria for given data by understanding attribute of the given data.

Study on the Risk Factors of Cerebrovascular Disease between Sasang Constitutions (사상체질에 따른 뇌혈관질환 위험인자의 분포에 대한 비교연구)

  • Kim, Do-Hyung;Yun, Seong-Woo;Ko, Chang-Nam;Kim, Seung-Eun
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.379-382
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    • 2001
  • Objectives: Many studies have been reported about Sasang constitutional distribution of cerebrovascular disease(CVD) patients. But there has been little study about the risk factors of normal persons between Sasang constitutions. So we studied to evaluate the risk of CVD between Sasang constitutions. Methods: We retrospectively studied subjects without previous stroke($age{\geq}40$) who visited east-west medical examination center in Kang Nam Korean Hosipital, Kyung Hee University for last 2 years(1998.8.1.${\sim}$2000.7.31.). Sasang constitutional differentiation was performed by Questionnaire for the Constitution Classification(QSCC) II and subjects who couldn't be classifiea by QSCC II were excluded. Results : Total 363 subjects participated in this study(Taeyangin 0, Taeumin 103, Soyangin 113, Soumin 92, obscure 55). Diabetes mellitus(p<0.05), hyperlipidemia(p<0.01), obesity(p=0.000) were significantly prevalent in Taeumin. Hypertension and heart disease had no significant difference between Sasang constitutions. Conclusions: This study showed that the risk factors of CVD were more prevalent in Taeumin. Therefore we guess that Taeumin has high risk of CVD.

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An Evaluation of Constitutional Factors of Logistics System under the Consideration of Environmental Changes (환경변화를 고려한 우리나라 물류시스템 분석요소 평가)

  • Yeo, Gi-Tae
    • Journal of Korea Port Economic Association
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    • v.25 no.2
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    • pp.95-114
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    • 2009
  • The aim of this paper is to evaluate weight and priority values for 'inner consisted factors' and 'outer requested factors' of logistics system using the AHP(Analytic Hierarchicy Process) method. As for analysis regarding inner consisted factors, the results were shown as follows: a road transportation (0.312) as first rank; a marine transportation (0.269) as second rank; a railway transportation (0.239) as third rank; an air transportation (0.118) as fourth rank, and a pipeline transportation (0.063) as fifth rank. In terms of analysis regarding outer requested factors, the results were came out as follows: an infrastructure (0.322) as first rank; a performance (0.206) as second rank; an information system (0.151) as third rank; a human resources (0.121) as fourth rank, a business environment (0.075) as fifth rank; a connectivity (0.073) as sixth rank, and a political environment (0.052) as seventh rank.

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A Relationship of Constitution Type, Lifestyle Status and Metabolic Syndrome Incidence in Korean Adults (우리나라 성인의 사상체질과 생활습관 상태에 따른 대사증후군 발생 위험 상관성)

  • Jieun Kim;Kyoungsik Jeong;Younghwa Baek;Siwoo Lee
    • Journal of Sasang Constitutional Medicine
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    • v.36 no.2
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    • pp.12-26
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    • 2024
  • Objectives We aimed to identify the incidence of metabolic syndrome (MetS) and its clustering components according to constitution type and lifestyle risk factors in Korean adults. Methods This study included 1,978 adults aged 30-55 years from the Korean Medicine Daejeon Citizen Cohort (KDCC) study. We defined lifestyle factors including smoking, alcohol consumption, physical activity, sleep, dietary quality, and weight status. Total lifestyle scores were created based on the six lifestyle factors (ranging from 0 to 5 factors) and classified into two groups: unhealthy (0-2 factors), or healthy (3-5 factors). Cox proportional hazard regression was used to estimate the hazard ratio (HR) and 95% confidence intervals (CIs) of primary endpoints: MetS events and their clustering components. Results During a median follow-up of 2.2 years, we documented 125 new onsets of MetS. Compared with participants with healthy, the HR of unhealthy participants was 2.401 (95% CI: 1.497-3.851) for MetS incidence. After adjusting for covariates, TE type with unhealthy was higher HR values of abdominal obesity (HRs: 1.499, 95%CI: 1.061-2.117) and hypertension (HRs: 1.840, 95%CI: 1.032-3.277), respectively. Conclusion Unfavorable lifestyle factors were highly associated with the prevalence of MetS and its clustering such as abdominal obesity and hypertension in Korean adults with TE. Tailored health management is needed to consider individual traits and healthy lifestyles to prevent cardiometabolic diseases.

A Study on the Acoustic Characteristics of the American Adults Using Phonetic System for Sasang Constitution (한국성인(韓國成人)의 사상체질음성분석기(絲狀體質音聲分析機)를 이용한 체질별(體質別) 음향특성(音響特性) 연구(硏究))

  • Shin, Mi-Ran;Kim, Dal-Rae;Yoo, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.3
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    • pp.75-88
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    • 2007
  • 1. Objectives The purpose of this study was to objectively diagnose American male and female's production of two vowels /a, i/ by Sasang Constitution. 2. Methods It was analyzed the constitutional characteristics of the American adults voices with PSSC-2004. of 134 cases of vowels /a, i/ with a duration of $2.5{\sim}3$ seconds were inputted in PSSC-2004 and analyzed into 40 factors. 3. Results and Conclusions 1) APQ In the male group's production of vowel /a/, the Soyangin's APQ(l), APQ(3) and APQ(4) were significantly high compared with those of Taeumin and Soeumin. 2) Shimmer In the male group's production of vowel /a/, Soeumin's Octave1 Shimmer was significantly low compared with that of Taeumin and Soeumin. In the male group's production of vowel /i/, Soeumin's D-Shimmer was significantly low compared with that of Taeumin and Soeumin. In the female group's production of vowel /a/, the Soyangin's C-Shimmer was significantly high compared with that of Taeumin and Soeumin. 3) Octave In the male group's production of vowel /a/, the Soyangin's Octave3, Octave4, Octave5, Octave6 and Octave1 Ratio were significantly high compared with those of Taeumin and Soeumin. In the male group's production of vowels /a, i/, the Soyangin's Octave4 was significantly high compared with that of Taeumin and Soeumin. 4) Energy In the male group's production of vowel /a/, the Soyangin's Time Domain Total Sum /Time Domain Count, Freq Domain Total Sum /cnt(0), 0k-4k Total Sum, Dev., A(A#, C, E, D#, E, F#) tot E, and A(C,, D#, F#) Dev. were significantly high compared with those of Taeumin and Soeumin. In the male group's production of vowel /i/, the Soyangin's Time Domain Total Sum /Time Domain Count, Freq Domain Total Sum /cnt(0) and 0k-4k Total Sum, Dev. were significantly high compared with those of Taeumin and Soeumin. 5) Peak In the male group's production of vowels /a/ and /i/,, the Soyangin's Peak1 Ratio was significantly low compared with that of Taeumin and Soeumin. In the male group's production of vowels /a/ and /i/,, the Soyangin's Peak10 Ratio, Time Domain Peak Total/Total Energy Sum, Time Domain Peak Dev. and Total/Total Dev. Sum were significantly high compared with those of Taeumin and Soeumin. 6) It is necessary to expand the research of the acoustic analysis of American and Korean to other countries in the diagnosis of the Sasang Constitution by using the voice characteristics.

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A study on the Characteristics of the Korea Adult Women Sound as by Sasang Constitution analysed with PSSC-2004 (사상체질음성분석기(四象體質音聲分析機)(PSSC-2004)를 통한 한국인 성인여성(成人女性)의 체질별(體質別) 음향특성연구(音響特性硏究))

  • Kim, Sun-Hyung;Han, Dong-Youn;Youn, Ji-Yung;Kim, Dal-Rae;Jeon, Jong-Weon
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.1
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    • pp.84-102
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    • 2005
  • Objectives The purpose of this study was to objectify the diagnosis of Sasang constitution. It was analyzed the adult female voices into 44 factors with PSSC-2004. Methods The study was conducted on the subjects inputted /a/ 2.5-3 sec of 217 adult women voices to PSSC-2004. The statistical analyses are applied to three groups: total group, under 55 year-old group, over 55 year-old group. The group of total 216 was composed with 8 Taeyangins, 60 Soyangins, 66 Taeumins and 83 Soeumins. The under 55 year-old group was composed with 6 Taeyangins, 53 Soyangins, 55 Taeumins and 76 Soeumins. The over 55 year-old group was composed with 2 Taeyangins, 7 Soyangins, 11 Taeumins and 7 Soeumins. Results 1. In total group and under 55 year-old one, Soeumin's center pitch were significantly high compared with the others(P=0.005)(P=0.019). It was significant for distinction between Taeumin and Soeumin at the result of post mortem. 2. In over 55 year-old group, Soeumin's center freq.(total) and center freq.(1) were significantly high compared with the others(P=0.024)(P=0.016). In under 55 year-old group, Soeumin's center freq.(4) was significantly high(P=0.025). While Taeumin's center freq.(3) in under 55 year-old group and center freq.(4) in over 55 year-old group were significantly high(P=0.049)(P=0.043). 3. In over 55 year-old group, Soeumin's APQ(center), APQ(2/5), APQ(3/5), APQ(4/5) and APQ(2/3) were significantly high compared with the others. It was significant for distinction between Taeumin and Soeumin at the result of post mortem(P=0.004) (P=0.003) (P=0.004) (P=0.013) (P=0.004). 4. In over 55 year-old group, Soeumin's APQ(1/3), APQ(1/2), APQ(2/2) and zeroover APQ were significantly high compared with the others (P=0.013) (P=0.003) (P=0.008) (P=0.012). 5. In over 55 year-old group, Taeyangin's octave 3 shimmer was significantly high compared with the others(P=0.000). 6. In under 55 year-old group, Taeyangin's total energy was significantly high compared with the others(P=0.040). 7. In under 55 year-old group, Taeyangin's zeroover energy sum was significantly high compared with the others(P=0.038). Conclusions From above result, there is the possibility of efficiency standard guide for constitutional diagnosis by analyzation of the voices.

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The Association between Sasang Constitution and Quality of Life according to the Personality Pattern (성격 특성에 따른 사상체질과 삶의 질 연관성)

  • Baek, Young-Hwa;Kim, Ho-Seok;Lee, Si-Woo;Jang, Eun-Su
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.3
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    • pp.330-339
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    • 2011
  • 1. Objectives: The purpose of this study is to find the association between personality pattern and quality of life according to Sasang Constitution. 2. Methods: The 529 subjects whose constitutions had been confirmed by the experts on the base of drug response were recruited. Personality questionnaire was composed of 15 personal characteristics items measuring the influence of yin/yang and health estimating instrument was SF-12 evaluating the quality of life. Two-way ANOVA was conducted to analyze the Sasang Constitutional difference according to personality pattern. 3. Results: There were 5 different items in PCS(physical component summary), 7 different items in MCS(mental component summary). The individual scores of 3 items - give up easily/stand, decide easily/hard and be exited easily/rationalwere different according to the Sasang Constitution. 4. Conclusions: We suggest that psychological factors may affect the health state, especially might affect the health state of Sasang Constitution differently.