• 대한한의학원전학회지
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• 제36권2호
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• pp.61-75
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• 2023

Objectives : This study aims to examine the multi-layered meanings of Li Dongyuan's concept of 'internal damage' through examining the origins of the 'internal damage' concept together with discussions derived from his 'Differentiation of Internal and External Damage'. Methods : Rather than Li's original works, those done by later doctors who were influenced by Li were thoroughly examined in this study to determine the relationships among internal and external damage, and external contraction. Results : Based on discussions related to the 'differentiation of internal and external damage' following Li, his concept of 'internal damage' could be understood as multi-layered, as it contains both spatial as well as pathogenic meaning. Therefore the meaning behind categorizations of internal and external damage, and internal damage and external contraction could be different. Li's 'internal damage' concept includes not only internal pathogen but elements of external contraction of wind and cold, which seems to have been integrated into the 'Cold Damage Theory' after Zhu Danxi, seemingly having changed the concept of cold damage. Therefore, discussions on the crossing between internal damage and external contraction have on one hand expanded the boundaries of each concept, while on the other hand, have caused confusion between the two at times. Conclusions : The concept of 'internal damage' has been widely accepted due to Li Dongyuan, on which related discussions have been centered. However, the concept was originally multi-layered, naturally leading to various discussions. Future studies should focus on the relationship of 'internal damage' with 'external damage' or 'external contraction', beyond the theories of Li.

• 대한한의학원전학회지
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• 제33권4호
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• pp.33-56
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• 2020

Objectives : The objective of this paper is to develop a standardized patient program with a focus on diagnosis and treatment of internal damage fever in Korean Medical education. Methods : First, cases of diagnosis and treatment of internal damage fever were collected from various classical texts, then a module was developed according to pre-existing standardized patient program's protocols based on selected cases. Careful consideration was given to developing evaluation criteria on history taking and physical examination that are necessary to accurately differentiating the 9 types. Results : Nine types of differentiation models on internal damage fever were selected, which are qi deficiency from overexertion/fatigue and famish; blood deficiency from overexertion/fatigue, famish and fullness; fire stagnation from excessive eating and cold foods; food damage; yang deficiency; yin deficiency; phlegm; stagnated blood; liver qi stagnation. For each type, evaluation criteria in regards to history taking, physical examination, communication with patient, and patient education were developed. Conclusions : When developing a standardized patient program using internal damage fever cases, it would better reflect the characteristics of Korean Medicine in clinical education of Korean Medicine if the program is based on classical texts. It would also be useful in evaluating students' graduation competence in exams such as CPX.

• 대한한의학원전학회지
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• 제22권1호
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• pp.87-91
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• 2009

"Treatise on cold damage and miscellaneous disease" is a ancient formula records on keeping in good health, provided "Internal classic" is a ancient codes on keep in good health. It can be inferred that Zhang Zhongjing was a first inheritor of academic ideology from "formula followed by establishment of the therapeutic principles". Before writing and compiling the "Treatise on cold damage and miscellaneous disease", Zhang zhongjing got the essence of "Internal classic" after composing and utilizing "Plain Questions", "Miraculous pivot and classic of difficult issues", so all the theory foundations of "Treatise on cold damage and miscellaneous disease" came from "Internal classic". The keynote of internal classic lies in obeying the Yin and Yang in natural world and preserving and maintaining the yang-qi of human body to attain the longest life-span. Zhang assimilated the essence of "Internal classic" and then generated a new ideological system - "Treatise on cold damage and miscellaneous disease" when studying it. This article is to expound ideology inheritance of keeping in good health by protecting Yang in "Internal classic" from analyzing the usage of Guizhi in "treatise on cold damage diseases".

• 대한한방내과학회지
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• 제11권1호
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• pp.141-146
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• 1990

The skin is related the lung as follows ; 1. The lung control skin and give a nutrition to skin. The skin and hair 'hab' (合) the lung. 2. As a damage of lung is a damage of skin, skin and hair 'chi-lag' (聚落) 3. A defensive energy of lung give a nutrition to skin, and strengthen the body surface. 4. Dryness damage the lung, and so damage the skin. According to the above findings, we know the body surface are closely related to the lung functionally.

• Nuclear Engineering and Technology
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• 제55권6호
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• pp.2053-2068
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• 2023

Following a loss of coolant accident (LOCA), prestressing concrete containment vessels (PCCVs) may experience high thermal load as well as internal pressure. The high temperature stress would increase the risk of premature damage to the containment, which reduces the safety margin during the increasing internal pressure. However, current investigations cannot clearly address the issues of thermal-pressure coupling effect on damage propagation and thus safety of the containment. Thus, this paper offers three simple and powerful damage parameters to differentiate the severity of damage of the containment. Moreover, despite of the temperature action severely threatening the pressure performance of the containment, the research regarding the improvement of the resistant performance of the containment is quite scarce. Therefore, in this paper, a comprehensive comparison of damage propagation and mechanism between conventional and fiber-reinforced concrete (FRC) containments is performed. The effects of fiber characteristics parameters on damage propagation of structures following the LOCA are also specifically revealed. It is found that the proposed damage indices can properly indicate state of damage in the containment body and the addition of fiber can be used to obviously mitigate the damage propagation in PCCV considering the thermal-pressure coupling.

• 한국항공우주학회지
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• 제37권8호
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• pp.780-788
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• 2009

복합재 날개 구조물에 대한 구조 건전성 및 손상을 평가하기 위하여 정적 구조강도시험에 음향방출(AE)법이 응용되었다. 시험중 스트레인과 변위측정기법을 통하여 정적구조강도를 확인하였고, 음향방출요소 분석과 위치표정기법을 통하여 구조물의 내부 손상을 평가하고 손상위치를 찾을 수 있었다. 시험은 설계제한하중시험, 2차에 걸친 설계극한 하중시험, 파단시험이 수행되었다. 주요한 AE신호는 front lug근처의 표면에 부착된 센서에 의하여 감지되었다. 특히 1차 설계극한하중시험에서 스트레인 및 변위결과는 내부 손상을 보이지 않았으나 AE신호는 내부 손상이 이미 형성된 현상을 나타내었다. 파단시험에서는 AE활성도가 매우 활발하였고, 스트레인 및 변위의 결과는 심한 손상에 의하여 하중경로가 바뀌는 경향을 나타내었다. 음향방출법을 적용하여 정적 구조시험이 진행되는 동안 내부손상이 발생되는 하중과 위치를 정확하게 평가할 수 있었다. 본 연구로부터 음향방출법은 정적 구조강도시험에 있어 내부 손상을 평가하는데 유용한 기법임이 확인되었다.

• Tuberculosis and Respiratory Diseases
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• 제42권3호
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• pp.400-406
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• 1995

저자들은 개흉폐조직검사상 확진된 DAD가 병발된 다발성근염환자 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 대한한의학원전학회지
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• 제36권4호
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• pp.69-91
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• 2023

Objectives : This study investigates the association between disease behind the Beijing Epidemic of 1232 and fever causing internal damages as mentioned in the Neiwaishang Bianhuolun. Methods : In order to narrow the fever causing diseases in the Neiwaishang Bianhuolun, the retrospective diagnostic method was used in analysis. Disease behind the 1232 Beijing Epidemic and the fever causing internal damages were categorized. Results : Fever causing diseases in the Neiwaishang Bianhuolun could be categorized as infectious disease, inflammatory disease, irritable bowel syndrome, and fever of unknown origin. The Beijing Epidemic was limited in scale with high fatality, of which possible diseases include infectious disease and inflammatory disease with epidemic medium. Fever from internal damage has a mild prognosis, is non-epidemic, and lacks accompanying symptoms such as acute stomachache, even when it happens with external damage. This narrows the possible diseases to IBS and fever of unknown origin. Conclusions : Among internal damage fever cases treated by Li Dongyuan, there were infectious diseases from the 1232 epidemic and inflammatory diseases with mild prognosis.

• 대한한방내과학회지
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• 제27권3호
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• pp.572-578
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• 2006

Objectives : This study investigated whether taking herbal medicine over the long-term had any side effects of liver damage. Methods : We checked LFT levels of the 58 admitted patients. Results : When we compared admission LFT levels with discharge LFT levels, we found the levels of AST, ALT and LDH had decreased. This test showed statistically significant decrease. When we compared admission LFT levels with discharge LFT levels, we found the increases of discharge LFT levels fell within the standard deviation. When we compared admission LFT levels with discharge LFT levels, we found the levels of LFT did not increase as much as two standard deviations. Conclusions : According to the above results, taking herbal medicine over a long-term did not have any side effects of drug-induced liver damage.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2002년도 추계학술대회 논문집
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• pp.689-692
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• 2002

Composite materials, when damaged under thermal or mechanical loadings, show property changes. Among many mechanical properties of composite materials. the stiffness tend to be reduced due to micro-cracking, debonding, or delamination caused by external loadings. This research presents results regarding the detecting technique of internal damages within composite that experienced low-velocity impacts. Post-damage evaluations were made experimentally using flexural and compression loadings. Preliminary finite element analysis was made and compared with analytical solutions. The experimental results to determine the degree of damage will be compared with finite element results.