• 제목/요약/키워드: EBM

검색결과 163건 처리시간 0.029초

근거 중심 의학(EBM)에 바탕을 둔 임상시험(Clinical Trial)에서 침 치료 문제점과 개선 방안에 대하여 (The Problem and Improvement Plan on Acupuncture Treatment in Clinical Trial Based on EBM)

  • 한성수;구창모;홍권의;박양춘;최선미
    • Journal of Acupuncture Research
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    • 제23권6호
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    • pp.1-8
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    • 2006
  • Introduction : Even though Acupuncture has been know for its effect for a long time, recently it is required to verifiy its effect. To solve this, clinical trial, based on EBM, has been the way to explain acupuncture's treatment effect. Methods: Last year we had a clinical trial based on acupuncture. From this experience we came to a conclusion mentioned below. Results : 1. To find out acupuncture's effect more certainly, it is needed that Korean medical method or treatment should be connected to diagnosis. 2. We had found out that sham and minimal acupuncture are the most appropriate way in single blinding. 3. It is required for the acupuncturist to practice the right real acupuncture point and sham's point in clinical trial. 4. The most important thing to maintain the subjects from dropping out is to always be concerned to the subjects and management them. Conclusion : The best way to advance clinical trial on acupuncture is to use single blinding system with sham acupuncture together in controlled groups and most of all also needs a standardized acupuncture point and depth.

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한방의료기관 의료기기 보유 현황에 대한 조사 연구 (Study of Medical Devices in Traditional Korean Medical Clinics)

  • 박요한;황대선;권진완;신현규
    • 대한한의학회지
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    • 제32권2호
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    • pp.79-91
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    • 2011
  • Objectives: The purpose was to study the market of traditional Korean medical devices and survey, list and number medical devices in traditional Korean medical clinics. Methods: we researched in three ways. 1. We investigated the list of devices regarded as traditional Korean medical devices in 'Report on production, export, and import of medical devices.' 2. We investigated the statistics of medical devices equipped in traditional Korean medical clinics through the website of the Health Insurance Review & Assessment Service. 3. We surveyed medical devices in traditional Korean medical clinics by mail. Results: 1. We could not directly investigate the market for traditional Korean medical devices because they were not categorized as such ('traditional Korean medical devices'). 2. The number of medical devices in traditional Korean medical clinics has increased alongside the increase of traditional Korean medical clinics. 3. Traditional Korean medical clinics hold over 64,962 medical devices and have below 50 percent of traditional Korean medical diagnosis devices. 4. Meridian function testing machines, pulse diagnosis devices, and yangdorak showed ranking of equipment-ratio equal to ranking of insurance fees. Conclusions: Traditional Korean medical device regulations should be enacted following definitive and concrete Korean traditional medical concepts by the Korean traditional medical society.

전탕 방법 및 전탕 시간에 따른 육미지황탕 전탕액 비교 연구 (The Comparative Study on Decoctions of Yukmijihwang-tang (Liuweidihuang-tang) Extracted by Different Extraction Method and Extraction Time)

  • 김정훈;서창섭;전우영;신현규
    • 대한한의학방제학회지
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    • 제19권1호
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    • pp.175-182
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    • 2011
  • Objectives : This study was performed to compare the differences between decoctions extracted by different extraction method and extraction time. Methods : Decoctions were prepared with pressed or non-pressed extraction conditions for 60, 120 and 180min. The yields of extracts, sugar contents, hydrogen ion concentrations(pH), the contents of reference compounds in Yukmijihwang-tang(Liuweidihuang-tang) were investigated. Results : The yields and the dissolved solid content containing sugar content of decoctions were more in pressed extraction method than unpressed extraction method, and they tended to be increased as extraction time increased. The pH values of decoctions methods did not show significant differences between pressed and unpressed extraction methods or extraction times. Most of reference compounds showed higher contents in pressed extraction method than unpressed extraction method and their contents were augmented according to increase of extraction time. The content of paeonol was decreased when extracted in more than 120min with pressed extraction method and tended to be decreased as extraction time increased in unpressed extraction method. Conclusions : The pressed extraction with long extraction time could be useful for decoction of Yukmijihwang-tang(Liuweidihuang-tang). However, another ingredients possible to decrease in such condition need to be considered to determine suitable extraction condition.

대한한방부인과학회지(大韓韓方婦人科學會誌) 수재(收載) 논문(論文) 분석(分析) (Analytic Study on Treatises of the Journal of Oriental Obstetrics & Gynecology)

  • 윤영진;이진무;이창훈;조정훈;장준복;이경섭
    • 대한한방부인과학회지
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    • 제24권2호
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    • pp.97-103
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    • 2011
  • Objectives: Recently, high attention has been drawn towards evidence based medicine(EBM). However, there is little follow study after Park's analysis research (2002) in the journal of oriental gynecology. Therefore, there is a need to conduct analyzed research on the topic, due to the increasing interest about EBM. Methods: To analyze the treatises of the journal of oriental gynecology, we examined 56 journals published from 1987 to 2010. we followed the way of Park, classifying treatises into bibliographic, experimental and clinical categories. Results: Analytic research, as a part of clinical treatises, increased rapidly from 2001. As a result, it took 53.3% of whole study in general after 2002 and it reached up to 70.0% in 2004. Most part of clinical treatises until 2002 was about case report of patients, but the amount of clinical trial started to increase since 2003. Case report and case series showed dramatic increase after 2001, and clinical trial started to increase after 2003. As a result, 43.8% of the analyzed research was due to clinical trial by 2009. Conclusions: On the base of this research, quality evaluation of clinical treatises using guality assessment tool is needed for EBM in the part of oriental obstetrics & gynecology.

전자빔용해법(溶解法)에 의한 탄탈럼 스크랩의 재활용(再活用) 및 정련(精鍊) (Recycling and refining of tantalum scraps by electron beam melting)

  • 이백규;오정민;최국선;김형석;임재원
    • 자원리싸이클링
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    • 제21권2호
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    • pp.59-65
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    • 2012
  • 본 연구는 전자산업용 탄탈럼 스크랩의 재활용을 위하여 전자빔 용해에 의한 정련 효과를 조사 하였고 정련된 탄탈럼의 극미량 불순물은 글로방전 질량분석기를 이용하여 분석하였다. 탄탈럼 내 대부분의 불순물은 전자빔 용해에 의하여 수 ppm 수준으로 제거되어 초기 탄탈럼 스크랩의 순도인 4 N(99.996%)급에서 5 N(99.9991%)급으로 향상되었다. 탄탈럼 내 금속 불순물의 경우 초기 30 ppm에서 전자빔 반복 용해에 의해 8 ppm으로 감소된 것을 확인하였다. 또한 탄탈럼 내 가스 불순물의 경우 초기 470 ppm에서 전자빔 반복 용해에 의해 50 ppm으로 크게 감소하였다. 본 연구 결과를 통하여 탄탈럼 스크랩에 있어서 전자빔 용해에 의한 재활용 가능성 및 반복 용해에 의한 정련 효과를 확인하였다.

Embedded Boundary Method를 이용한 불규칙한 지형에서의 감쇠 파동장 기반 초동주시 계산 (Damped Wave Equation-based Traveltime Calculation using Embedded Boundary Method for Irregular Topography)

  • 황성철;이강훈;편석준
    • 지구물리와물리탐사
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    • 제22권1호
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    • pp.12-20
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    • 2019
  • 감쇠 파동장 기반 초동주시 계산은 기존 파선추적법의 단점을 보완하는 초동주시 계산기법이다. 이 기법은 주파수 영역 감쇠 파동장을 구해야 하기 때문에 수치 모델링이 필수적이다. 하지만 육상 탄성파 탐사 자료를 모사할 경우 불규칙한 지형을 고려해야 하기 때문에 계산 효율이 좋은 유한 차분법을 적용하기 어렵다. 불규칙한 지형을 정확하게 모사하기 위해 유한 요소법을 사용할 경우 계산량이 크게 증가한다는 단점이 있다. 이 논문에서는 이러한 문제점을 극복하기 위하여 embedded boundary method (EBM)를 유한 차분법에 적용하여 불규칙한 지형에서 초동주시를 계산하였다. 제안한 초동주시 계산기법의 정확도와 효율성을 확인하기 위하여 유한 요소법과 비교하였다. 수치 실험 결과 EBM을 적용한 초동주시 계산기법이 유한 요소법을 이용한 방법과 대등한 정확성을 보였고, 계산 효율은 더 향상되는 것을 확인할 수 있었다.

선박 조종미계수 식별 시 모델링 전 추정기법과 확장 Kalman 필터에 의한 계수추정법의 비교에 관한 연구 (Comparison of the Estimation-Before-Modeling Technique with the Parameter Estimation Method Using the Extended Kalman Filter in the Estimation of Manoeuvring Derivatives of a Ship)

  • 윤현규;이기표
    • 대한조선학회논문집
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    • 제40권5호
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    • pp.43-52
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    • 2003
  • Two methods which estimate manoeuvring derivatives in the model of hydrodynamic force and moment acting on a manoeuvring ship using sea trial data were compared. One is the widely used parameter estimation method by using the Extended Kalman Filter (EKF), which estimates state variables of linearized state space model at every instant after dealing with the coefficients as the augmented state variables. The other one is the Estimation-Before-Modeling (EBM) technique, so called the two-step method. In the first step, hydrodynamic force of which dynamic model is assumed the third-order Gauss-Markov process is estimated along with motion variables by the EKF and the modified Bryson-Frazier smoother. Then, in the next step, manoeuvring derivatives are identified through the regression analysis. If the exact structure of hydrodynamic force could be known, which was an ideal case, the EKF method would be regarded as being more superior compared to the EBM technique. However the EBM technique was more robust than the EKF method from a realistic point of view where the assumed model structure was slightly different from the real one.

A Survey on the Status of Employees of Traditional Korean Medicine Hospitals

  • Bak, Yo-Han;Huang, Dae-Sun;Shin, Hyeun-Kyoo
    • 대한한의학회지
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    • 제33권2호
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    • pp.56-63
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    • 2012
  • Objectives: To undertake manpower-related improvements based on a comparison between specialists in the traditional Korean medicine hospitals(TKMH) and their counterparts in Western medicine Methods: A survey of the TKMH based on questionnaire sheets dispatched to them by mail(57 of 142 responded) in the June December, 2008 period, and on almanac statistics provided by the Ministry for Health, Welfare and Family Affairs of Korean Government. Results: Overall, the workforce engaged in the traditional Korean medicine hospitals comprises traditional Korean medical doctors(28%), nurses(23%), administrative staffs(19%), assistant nurses(9%), medical record keepers(2%), nutritionists(2%), herbal pharmacists(1%), and others(16%). Each hospital has 16.5 traditional Korean medical doctors on average, which can be broken down into 6.2 specialists, 1.3 generalists, and 9.3 residents/interns. Only 10.7% of whole of traditional Korean medical doctors work in the hospitals, compared to 54.5% of Western medicine doctors. The ratio of traditional Korean medical doctors to the entirety of employees in the TKMH is 2.5 times higher than their Western medicine counterparts, while the ratio of medical technicians to the entire employees in the TKMH is 20 times lower than in the Western medicine counterparts. Conclusions: To provide more qualified medical service in the TKMH, they will be required to increase the proportion of non medical doctor employees, like Western medicine counterparts.

Simultaneous Determination of Albiflorin, Cinnamaldehyde, Cinnamic Acid, Daidzin, Glycyrrhizin, Liquiritin, Paeoniflorin and Puerarin in Galgeun-tang by HPLC-PDA

  • Seo, Chang-Seob;Kim, Jung-Hoon;Shin, Hyeun-Kyoo
    • 대한한의학회지
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    • 제31권6호
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    • pp.8-15
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    • 2010
  • Objectives: We investigated to develop and validate HPLC-PDA methods for simultaneous determination of eight constituents in Galgeun-tang (GGT). Methods: Reverse-phase chromatography using a Gemini C18 column operating at $40^{\circ}C$, and photodiode array (PDA) detection at 230 nm, 254 nm, and 280 nm, were used for quantification of the eight marker components of GGT. The mobile phase using a gradient flow consisted of two solvent systems. Solvent A was 1.0% (v/v) aqueous acetic acid and solvent B was acetonitrile with 1.0% (v/v) acetic acid. Results: Calibration curves were acquired with $r^2$ > 0.9999, and the relative standard deviation (RSD) values (%) for intra- and inter-day precision were less than 3.0%. The recovery rate of each component was in the range of 87.33-101.38%, with an RSD less than 7.0%. The contents of the eight components in GGT were 1.98-12.17 mg/g. Conclusions: The established method will be applied for the quantification of marker components in GGT.

한방의료기관 한약제제 구비 현황 조사 연구 (The Analysis of Herbal Medicine Preparations Equipped in Traditional Korean Medical Clinics)

  • 박요한;황대선;신현규
    • 대한한의학방제학회지
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    • 제18권1호
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    • pp.43-56
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    • 2010
  • Objective : There is a growing need to expand or adjust insurance coverage of herbal prescriptions in National Health Insurance. The purpose of this study was to provide basic data for expansions or adjustments of 56 herbal prescriptions in the National Health Insurance. Method : We surveyed lists of 56 insurance-covered herbal prescriptions, non-covered company-produced herbal medicines and self-prepared herbal medicines in 531 traditional korean medical clinics by mail from 6/1/2008 to 12/9/2008. Result : Among the 56 Prescriptions, Ojeok-san was stocked in 66.7% of clinics (1st), Samso-eum ranked 2nd, Socheongnyong-tang ranked 3rd, Gumiganghwal-tang was 4th, Hyangsapyeongwi-san ranked 5th. Among the non-covered company-produced herbal medicines, Danggwisu-san ranked 1st, Gwakyangjeonggi-san ranked 2nd, Oryeong-san was 3rd, Bangpungtongseong-san was 4th, Maengmundong-tang ranked 5th. Among the self-prepared herbal medicines, Gongjin-dan ranked 1st, Soche-hwan was 2nd, Gyejibongnyeong-hwan was 3rd, Yeongsin-hwan was 4th, Palmi-hwan ranked 5th. Conclusions : It is reasonable to select frequently used company-produced or self-prepared herbal prescriptions in this stock rate survey for improvement of National Health Insurance coverage.