• Journal of Sasang Constitutional Medicine
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• v.33 no.1
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• pp.102-108
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• 2021

Objectives The purpose of this study was to identify differences in sleep by Sasang constitutional type using Pittsburgh Sleep Quality Index(PSQI). Methods The subjects of this study were 3,578 people who had information on Sasang constitutional type and PSQI among the data established at the Korean Medicine Data Center. We compared each item score in PSQI (subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, use of sleep medication, daytime dysfunction) and PSQI global scores by Sasang constitutional type using analysis of variance. Logistic regression was conducted to calculate the odds ratio of poor sleep by Sasang constitutional type. Results & Conclusions The SE type showed statistically significantly higher scores than the TE type and SY type in subjective sleep quality, sleep latency, habitual sleep efficiency, sleep disturbance, and PSQI global score, indicating poor sleep compared to other constitutional types. The odds ratio for poor sleep also shows that even after adjusting sex, age, height, and weight, the SE type was significantly higher than other constitutional types, indicating that the SE type could be a risk factor for poor sleep.

• Journal of Korean Academy of Nursing
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• v.27 no.1
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• pp.49-60
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• 1997

The purpose of this study was to determine the incidence of malnutrition among patients on admission to hospital, to monitor changes in their nutritional status during hospitalization, and to determine the factors which might affect changes in nutritional status. The subjects for the study were patients who were admitted to general medicine for more than one week. Patients suffering from cardiovascular. renal disease, or dehydration were excluded. Nutritional assessment of the patients was performed on admission and nutritional status was reassessed one week and two weeks after admission. The nutritional assessment tool consisted of subjective history taking and anthropometric measurements. Biochemical measurements were performed only on admission. For anthropometric assessment : patients' body weight, subcutaneous skinfolds thickness, % of body fat, body mass index, and lean body mass were measured using caliper or Bio impedance Analyzer. Factors which might influence current nutritional status, like dietary intake, anorexia, nausea, vomiting, diarrhea, sleep disturbance, and number of days of NPO for diagnostic examinations were analyzed. The results are as follows : 1. Of the 59 patients who were studied, 61% were male and 39% female. The nutritional status of all of the 59 subjects was reassessed one week after admission, but it was only done for 22 subjects at two weeks. 2. The anthropometric measurements. including weight body mass index, lean body mass, body fat. and skin fold thickness. were all significantly decreased at one week after admission compared to the values at admission. On the other hand, two weeks after admission, only body weight and abdominal skinfolds thickness were decreased. 3. The subjects reported anorexia for an average of two days, sleep disturbance for two days, and no food intake due to diagnostic test for one day. In the second week of hospitalization, almost none of the patients complained of gastrointestinal symptoms or sleep disturbance except anorexia. Food consumption which was measured based on rice intake was 60% of the food served during the first week of hospitalization, and 66% during the second week of hospitalization. 4. There was no correlation between the subjective nutritional assessment and anthropometric assessment. 5. There was no statistical significance in anthropometric measurements among the patients with various diseases whereas sleep disturbance and no food intake due to various diagnostic test was prominent in patients with gastrointestinal diseases.

• The Journal of Internal Korean Medicine
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• v.39 no.4
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• pp.802-813
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• 2018

This case report describes a patient with olivopontocerebellar atrophy accompanied by sleep disorder and gait disturbance whose condition was improved by treatment with Korean medicine. The 61-year-old woman, who was diagnosed with olivopontocerebellar atrophy (Multiple Systemic Atrophy-Cerebellum), was admitted to hospital twice and treated with Korean medicine (acupuncture and herbal medicine) and rehabilitation. The Korean medicine was Gwibiondam-tang-gami and Jaeumgeonbi-tang-gami. Clinical symptoms were assessed by the Modified Bathel index, functional independent measurement, Berg balance scale, and Unified Multiple System Atrophy rating scale. A brain MRI at the one-year follow up after onset showed similar progress but clinical symptoms were improved after treatment, and the evaluation index score increased. Multiple system atrophy, a type of degenerative neurological disease, has no targeted treatment. In this situation, although this report describes a single case, Korean medicine treatment could provide a meaningful improvement in the sleep disturbance and gait disorder symptoms of patients with olivopontocerebellar atrophy.

• Journal of Korean Neurosurgical Society
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• v.29 no.3
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• pp.324-329
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• 2000

Objective : Psychological factors may have a major influence on the outcome of treatment for back pain. We investigated the relationship between the outcome and some psychological factors, such as self-reported pain intensity, disability, sleep disturbance and fatigue. Method : The study was conducted as a survey using a questionnaire and telephone interviews. The survey included consecutive 294 patients who visited the neurosurgical out-patient department complaining of low back pain and contacted by telephone on average seven months after the first visit. Pain intensity was measured by visual analog scale, and disability was assessed by Waddell's chronic disability index. Results : The outcome of treatment for back pain was recovered in 36.7%, improved in 30.6%, almost same in 28.6%, and aggravated in 4.1%. Overall rate of improvement was 67.3%. The rate of improvement was related to the duration, patterns and intensity of the symptom, and Waddell index. It was not influenced by the doctors, special studies, and methods of treatment. When the duration was more than 6 months, there were the symptoms of both back and legs, and the self-reported Waddell index was 1-3, the rate of improvement was relatively low. Although the intensity of the pain and disability was closely related to the degree of sleep disturbance, fatigue, appetite, or indigestion, the outcome of treatment for back pain was not always bad in patients with high psychological stress. Actually the outcome of the patients who complained severe pain and disability was better than the outcome of the others. Conclusion : The outcome of the back pain can be predicted by the duration, patterns and intensity of the symptom, and Waddell index. The multidisciplinary treatment will be necessary for the patients whose expected outcome is not good to reduce not only the physical symptoms but also the psychological stress.

• Proceedings of the KIEE Conference
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• 1989.11a
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• pp.426-429
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• 1989

The robust self-tuning controller is designed which is guaranteed the asymptotic regulation and tracking in the presence of a bounded parameter perturbation. The global stability in the presence of a finite noise and disturbance is ensured. The controller has a error driven structure, and involves the common model of a disturbance and reference input in the internal model. The adaptive system tunes the controller parameters such that the quadratic performance index which involves a weighting factor is optimized.

• Journal of Electrical Engineering and Technology
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• v.9 no.4
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• pp.1171-1181
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• 2014

Different power quality (PQ) disturbance sources can have major impacts on the power supply grid. This study proposes, for the first time, an early warning approach to identifying PQ problems and providing early warning prompts based on the monitored data of PQ disturbance sources. To establish a steady-state power quality early warning index system, the characteristics of PQ disturbance sources are analyzed and summed up. The higher order statistics anomaly detection (HOSAD) algorithm, based on skewness and kurtosis, and hierarchical power quality early warning flow, were then used to mine limit-exceeding and abnormal data and analyze their severity. Cases studies show that the proposed approach is effective and feasible, and that it is possible to provide timely power quality early warnings for limit-exceeding and abnormal data.

• Proceedings of the Earthquake Engineering Society of Korea Conference
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• 2003.03a
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• pp.140-147
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• 2003

There are many problems in the prediction of soil dynamic behaviors because undrained excess pore water pressure builds up and then the strain softening behavior is occurred simultaneously. A few analytical methods based on the dynamic constitutive model have been proposed but the model hardly predict the excess pore water pressure directly. In this study, the verification on the disturbed state concept (DSC) model, proposed by Dr, Desai was performed. Some laboratory tests such as conventional triaxial tests and cyclic triaxial tests were carried out to determine DSC Parameters and then disturbance values are determined by the proposed equation. Through this verification, it is proved that the disturbed state concept can express reliably the soil dynamic characteristics such as excess pore water pressure and strain softening behavior. It is also found that the critical disturbance which is determined at the minimum curvature of disturbance function can be a the specific index.

• Ecology and Resilient Infrastructure
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• v.2 no.1
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• pp.33-41
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• 2015

In this study, an optimal improvement method of stream channel structure is presented for the enhancement of fish habitat suitability by genetic algorithm. The correlation between fish habitat suitability and physical disturbance in stream is analyzed according to the changes of hydraulic characteristics by channel structure rehabilitation. Zacco koreanus which is an indicator fish of the soundness of aquatic ecosystem was selected as a restoration target species by investigating the community characteristics of fish fauna and river environments in Wonju stream. The habitat suitability is investigated by PHABSIM with the habitat suitability index of Zacco koreanus. Hydraulic analysis by HEC-RAS and physical disturbance evaluation in stream are carried out. The optimal channel width modified for the enhancement of fish habitat suitability is provided. The correlation analysis between habitat suitability and physical disturbance with the change of hydraulic characteristics by channel modification showed that the proper channel modification enhanced fish habitat suitability and mitigated physical disturbance in the stream. The improvement of physical disturbance score by the channel structure rehabilitation for the enhancement of fish habitat suitability was confirmed in this study.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.14 no.2
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• pp.77-88
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• 2019

Objectives : The purpose of this study was to show the effectiveness of Chuna Manual Therapy applied to a osteoporosis patient with gait disturbance due to lower limb fracture surgery. Method : We focused on Chuna therapy accompanied with acupuncture, herbal medicine, moxibustion, cupping treatment and rehabilitation exercise. This case was assessed using the Visual Analogue Scale (VAS), Pain Free Walking Distance (PFWD), Berg Balance Scale (BBS), and Modified Barthel Index (MBI). Result : This patient showed improvement on the VAS from 6 to 3, PFWD from 0 m to 2000 m using a walker and 50 m by self-walking, BBS from 2 to 28, and MBI from 56 to 89. Moreover the walking state improved from gait disturbance to self-walking. Conclusion : This study suggests that Chuna therapy could be used to improve gait disturbance in patients with osteoporosis and lower limb fracture surgery.

• Journal of Ecology and Environment
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• v.43 no.1
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• pp.43-60
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• 2019

Background: Tropical montane forests played an important role in the provision of ecosystem services. The intense degradation and deforestation for the need of agricultural land expansion result in a significant decline of forest cover. However, the expansion of agricultural land did not completely destruct natural forests. There remain forests inaccessible for agricultural and grazing purpose. Studies on these forests remained scant, motivating to investigate biomass and soil carbon stocks. Data of biomass and soils were collected in 80 quadrats ($400m^2$) systematically in 5 forests. Biomass and disturbance gradients were determined using allometric equation and disturbance index, respectively. The regression modeling is employed to explore the spatial distribution of carbon stock along disturbance and environmental gradients. Correlation analysis is also employed to identify the relation between site factors and carbon stocks. Results: The result revealed that a total of 1655 individuals with a diameter of ${\geq}5cm$, representing 38 species, were measured in 5 forests. The mean aboveground biomass carbon stocks (AGB CS) and soil organic carbon (SOC) stocks at 5 forests were $191.6{\pm}19.7$ and $149.32{\pm}6.8Mg\;C\;ha^{-1}$, respectively. The AGB CS exhibited significant (P < 0.05) positive correlation with SOC and total nitrogen (TN) stocks, reflecting that biomass seems to be a general predictor of SOCs. AGB CS between highly and least-disturbed forests was significantly different (P < 0.05). This disturbance level equates to a decrease in AGB CS of 36.8% in the highly disturbed compared with the least-disturbed forest. In all forests, dominant species sequestrated more than 58% of carbon. The AGB CS in response to elevation and disturbance index and SOC stocks in response to soil pH attained unimodal pattern. The stand structures, such as canopy cover and basal area, had significant positive relation with AGB CS. Conclusions: Study results confirmed that carbon stocks of studied forests were comparable to carbon stocks of protected forests. The biotic, edaphic, topographic, and disturbance factors played a significant variation in carbon stocks of forests. Further study should be conducted to quantify carbon stocks of herbaceous, litter, and soil microbes to account the role of the whole forest ecosystem.