• Title/Summary/Keyword: EBM

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의료/의학의 인문학적 통찰

  • Choe, Jong-Deok
    • Korean Medical Education Review
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    • v.8 no.1
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    • pp.13-22
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    • 2006
  • 인문학은 인간에 대한 깊은 성찰과 세계에 대한 폭넓은 조망에서 잉태한다. 이런 인문학 교육은 인문대학만이 아니라 전반적인 의료교육 현장에 접목되어야 한다. 따라서 인문학 역시 현실을 도외시한 언어유희가 아니라 현실속의 사회 문화적 통로를 접근하는 방식으로 도입되어야 한다. 인문학적 성찰은 전문가만의 소유물이 아니다. 특히 의료인문학적 성찰은 죽은 몸이 아니라 살아 있는 몸을 다루는 임상행위의 전제이다. 이렇게 살아 있는 생명의 몸을 다루는 의학 부문에서 과학적 설명의 적용범위와 그 실현가능성은 아직 충족되고 있지 않다. 이는 과학탐구 대상으로서의 톰과 증상과 치료의 대상으로서의 구체적인 의학적 몸 사이의 간극이 있음을 무시할 수 없다는 점이다. 인문학적으로는 설명 장르의 몸에서 제외된 이해 장르의 몸이 다시 조명되어야 한다. 정확히 말하면 설명 장르와 이해 장르가 통합되어야 한다는 뜻이기도 하다. 이러한 인문학적 반성이란 추상적 이론으로 그쳐서는 안 되며, 의학과 의료 현실에 어떻게 실천적으로 적용가능한지를 질문하는 일이다. 이 논문에서는 그 적용사례로서 증거중심의학(EBM)과 문제기반학습(PBL)를 다루었다.

Characteristics of RC circuit with Transistor in Micro-EDM (트랜지스터 부착 RC 방전회로의 마이크로 방전가공 특성)

  • 조필주;이상민;최덕기;주종남
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2002.10a
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    • pp.235-240
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    • 2002
  • In micro-EBM, it is well blown that RC circuit is suitable for discharge circuit because of its low pulse width and relatively high peak current. To increase machining speed without changing unit discharge energy, charge resistance should be decreased. But, if very low, continuous (or normal) arc discharge occurs, then increases electrode wear and reduces machining speed remarkably. In this paper, RC circuit with transistor is used to micro-EDM. Experimental results show that RC circuit with transistor can cut off continuous (or normal) arc discharge effectively if duty factor and switching period of transistor are set up optimally. Through experiments with varying charge resistance, it can be known that RC circuit with transistor has about two times faster machining speed than that of RC circuit. Especially, it has prominent rise-effect of machining speed in low unit discharge energy, so that a high-quality and high-speed micro-EDM can be realized through RC circuit with transistor.

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Characteristic Evaluation of Vacuum Chamber for EBM System (전자빔 가공시스템용 진공환경의 성능평가)

  • Kang J.H.;Lee C.H.;Choi J.H.;Lim Y.B.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.10a
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    • pp.934-937
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    • 2005
  • It is not efficient and scarcely out of the question to use commercial expensive electron beam lithography system widely used for semiconductor fabrication process for the manufacturing application field of various devices in the small business scope. Then scanning electron microscope based electron beam machining system is maybe regarded as a powerful model can be used for it simply. To get a complete suite of thus proper system, proper chamber with high vacuum condition is necessarily required more than anything else to modify scanning electron microscope. In this study, special chamber unit using rotary pump and diffusion pump to obtain high vacuum degree was designed and manufactured and various evaluation tests fur recognize the vacuum characteristic were accomplished.

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Research Trend Analysis by using Text-Mining Techniques on the Convergence Studies of AI and Healthcare Technologies (텍스트 마이닝 기법을 활용한 인공지능과 헬스케어 융·복합 분야 연구동향 분석)

  • Yoon, Jee-Eun;Suh, Chang-Jin
    • Journal of Information Technology Services
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    • v.18 no.2
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    • pp.123-141
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    • 2019
  • The goal of this study is to review the major research trend on the convergence studies of AI and healthcare technologies. For the study, 15,260 English articles on AI and healthcare related topics were collected from Scopus for 55 years from 1963, and text mining techniques were conducted. As a result, seven key research topics were defined : "AI for Clinical Decision Support System (CDSS)", "AI for Medical Image", "Internet of Healthcare Things (IoHT)", "Big Data Analytics in Healthcare", "Medical Robotics", "Blockchain in Healthcare", and "Evidence Based Medicine (EBM)". The result of this study can be utilized to set up and develop the appropriate healthcare R&D strategies for the researchers and government. In this study, text mining techniques such as Text Analysis, Frequency Analysis, Topic Modeling on LDA (Latent Dirichlet Allocation), Word Cloud, and Ego Network Analysis were conducted.

Application of XAI Models to Determine Employment Factors in the Software Field : with focus on University and Vocational College Graduates (소프트웨어 분야 취업 결정 요인에 대한 XAI 모델 적용 연구 : 일반대학교와 전문대학 졸업자를 중심으로)

  • Kwon Joonhee;Kim Sungrim
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.20 no.1
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    • pp.31-45
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    • 2024
  • The purpose of this study is to explain employment factors in the software field. For it, the Graduates Occupational Mobility Survey by the Korea employment information service is used. This paper proposes employment models in the software field using machine learning. Then, it explains employment factors of the models using explainable artificial intelligence. The models focus on both university graduates and vocational college graduates. Our works explain and interpret both black box model and glass box model. The SHAP and EBM explanation are used to interpret black box model and glass box model, respectively. The results describes that positive employment impact factors are major, vocational education and training, employment preparation setting semester, and intern experience in the employment models. This study provides a job preparation guide to universitiy and vocational college students that want to work in software field.

Report of the 3rd Japan-Korea Workshop on Acupuncture and EBM;Protocol development for the acupuncture trial on the osteoarthritis of the knee

  • Jang, Jun-Hyouk;Kenji, Kawakita;Hahn, Seo-Kyung;Park, Hi-Joon;Lee, Seung-Deok;Kim, Yong-Suk;Norihito, Takahashi;Toshiyuki, Shichidou;Kazunori, Itoh;Eiji, Sumiya;Eiji, Furuya;Hitoshi, Yamashita;Hiroshi, Tsukayama
    • Journal of Acupuncture Research
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    • v.23 no.6
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    • pp.239-254
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    • 2006
  • The 3rd Japan-Korea Workshop on Acupuncture and EBM was held at Kanazawa on June $16^{th}$. From Korea team, 4 papers were presented. Dr. Hahn introduced a new approach of data analysis on series of n-of-1 trials using the Bayesian statistics. It offered important information for the future n-of-1 trials. Dr. Park clearly demonstrated the significance of various sham devices proposed and stressed the importance of research questions when we choose the control intervention in RCT. Dr. Lee reported the results of survey in Korean Medical Doctors (KMD) for their point selection and techniques to the distal and local points. Dr. Kim presented the results of face to face survey on the KMD with 28 items for acupuncture treatment on the knee OA. Finally, a draft of protocol was introduced by Dr. Kim. The title was "multi-center, a randomized, single blinded, two arms, parallel-group study to compare the effectiveness and safety of 'individualized acupuncture' and 'standardized minimal acupuncture' in Korean and Japanese patients with knee osteoarthritis (Phase IV)". From Japan team, 7 speakers presented their comments and proposals on the protocol. Dr. Takahashi introduced several issues regarding n-of-1 trials and pointed out the importance of obtaining generalizability from n-of-1 trials. Dr. Shichidou pointed the importance of research design, selection of outcome measures and reduction of biases. Dr. Itoh presented the results of point selection for the knee OA based on the literature survey. Dr. Sumiya introduced several differences between KMD and Japanese acupuncturists based on the questionnaire used in KMD survey. Dr. Furuya demonstrated a result of press tack needle and its sham device on shoulder stiffness. Dr. Yamashita introduced the results of literature survey regarding adverse events occurred by acupuncture on knee OA. Dr.Tsukayama stressed the importance of responsibility of Institutional Review Board (IRB) for the conduction of clinical trials. After several issues were discussed, the need of continued meeting for final protocol development was agreed, then the workshop was closed.

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Analysis of Studies on Ssanghwa-tang for Establishment of Evidence Based Medicine (EBM 구축을 위한 쌍화탕의 실험 연구 문헌 분석)

  • Lee, Jun-Kyoung;Lee, Nam-Hun;Ha, Hye-Kyoung;Lee, Ho-Young;Seo, Chang-Sub;Jung, Da-Young;Lee, Jin-Ah;Shin, Hyun-Kyu
    • Korean Journal of Oriental Medicine
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    • v.14 no.3
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    • pp.41-47
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    • 2008
  • Objective : The purpose of this report was to provide the information about activity and safety of Ssanghwa-tang by analyzing domestic papers and theses about Ssanghwa-tang. Methods : Domestic papers and theses related to Ssanghwa-tang were reviewed and analyzed. These papers were then classified by year, experimental method, and activity subject. Results : The following result s were obtained in this study. 1. The study of Ssanghwa-tang started from 1981 and continued steadily 1990s and it was decreased 2000s. 2. The paper of Ssanghwatang was entire domestic paper, 20 volumes. 3. In classified by experimental method and animal of Ssanghwa-tang paper, more than a half study used rat in vivo experiment. Furthermore clinical experiments were performed about anti-fatigue effect of Ssanghwa-tang and Ssanghwatang was proved a safety herbal medicine in acute toxicity experiment. 4. Decursin, glycyrrhizin, paeoniflorin were determined in Ssanghwa-tang by using HPLC analysis. 5. As these studies were classified by subject, papers related to anti-fatigue effect were most abundant by 7 papers. Besides there were several papers related to liver funtion, anti-inflammatory, alleviation, smooth muscle relaxation effect and so on. 6. According to experimental data, it is supported that Ssanghwa-tang was safety herbal medicine and it has a several activity about anti-fatigue, anti-inflammatory, alleviation, smooth muscle relaxation. Conclusion : Many study of basic science experiments and clinical experiments were performed and reported on Ssanghwa-tang in domestic journal. Ssanghwa-tang is being used in various ways associating with anti-fatigue, anti-inflammatory, alleviation and smooth muscle relaxation. furthermore Ssanghwatang was proved a safety herbal medicine in acute toxicity experiment. However, studies on randomized controlled trials of Ssanghwatang need to be completed at the clinical level.

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A Review of Ovarian Cyst Management in Oriental Medicine (난소낭종에 대한 한의 임상 연구의 종설)

  • Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.20 no.4
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    • pp.175-190
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    • 2007
  • Purpose: Ovarian cysts are fluid-filled sacs or pockets within or on the surface of an ovary. Most cysts present little or no discomfort and are noncancerous and harmless. So non-surgical treatments with herbal medicine or acupuncture and moxa therapy are important and suitable in this pathology. But there are few RCT articles about ovarian cyst in Korean Medicine(KM) clinical and research field. Methods: To review treatment method and other research tendency about ovarian cyst in journals related with KM and Traditional Chinese Medicine(TCM) through web-searching. Searching was done through web site #http://omis.ksucc.ac.kr# and pub-med(http://www.ncbi.nlm.nih.gov/sites/entrez) with key words #ovarian cyst#, #TCM#, #herb#, #CAM#, and #acupuncture#. Results: Seven articles were searched in journals related with KM, then six of them were simple case report and the other one was about diagnosis for ovarian cyst and another gynecologic disease such as uterine myoma and infertility through the iris diagnosis. And two articles were searched in journals related with TCM, then one of them was simple case report but the other is RCT article. Conclusion: KM and TCM therapies have some beneficial effect to resolve cyst, but objective power as a evidence is weak in the viewpoint of EBM. So continuous clinical trials such as RCT and multi center trials are needed.

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ANALYSIS OF RAYLEIGH-BENARD NATURAL CONVECTION (Rayleigh-Benard 자연대류 유동 해석)

  • Choi, Seok-Ki;Kim, Seong-O
    • Journal of computational fluids engineering
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    • v.13 no.3
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    • pp.62-68
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    • 2008
  • This paper reports briefly on the computational results of a turbulent Rayleigh-Benard convection with the elliptic-blending second-moment closure (EBM). The primary emphasis of the study is placed on an investigation of accuracy and numerical stability of the elliptic-blending second-moment closure for the turbulent Rayleigh-Benard convection. The turbulent heat fluxes in this study are treated by the algebraic flux model with the temperature variance and molecular dissipation rate of turbulent heat flux. The model is applied to the prediction of the turbulent Rayleigh-Benard convection for Rayleigh numbers ranging from Ra=$2{\times}10^6$ to Ra=$10^9$ and the computed results are compared with the previous experimental correlations, T-RANS and LES results. The predicted cell-averaged Nusselt number follows the correlation by Peng et al.(2006) (Nu=$0.162Ra^{0.286}$) in the 'soft' convective turbulence region ($2{\times}10^6{\leq}Ra{\leq}4{\times}10^7$) and it follows the experimental correlation by Niemela et al. (2000) (N=$0.124Ra^{0.309}$) in the 'hard' convective turbulence region ($10^8{\leq}Ra{\leq}10^9$) within 5% accuracy. This results show that the elliptic-blending second-moment closure with an algebraic flux model predicts very accurately the Rayleigh-Benard convection.

A Survey on the Actual State of Recognition of New Health Technology in Korean Medical Doctors (한의사의 신의료기술 인식 실태 조사)

  • Lee, Bong-Hyo;Lee, Young-Joon;Park, Hwang-Jin;Kwon, Oh-Min;Han, Chang-Hyun
    • Korean Journal of Acupuncture
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    • v.29 no.2
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    • pp.327-342
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    • 2012
  • Objectives : Nowadays, the assessment of new health technologies is gaining interest as an important issue for the safety of national health in the rapidly changing medical environment. The aim of this study is to understand how ignorant the korean medicine doctors are of new health technologies. Methods : The authors conducted a survey on the status of the ignorance of new health technologies in Korean medical doctors by e-mail. Results : Korean medical doctors' ignorance of new health technologies proved serious. The awareness of the law, however, was reached to some degree. The respondents answered that the present items of Korean Medicine listed in the medical care expenses by national health insurance system are too deficient to treat their patients effectively. Conclusions : It is strongly needed to try for more active registration of Korean medical new health technologies.