• 대한한의학회지
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• 제40권1호
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• pp.153-173
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• 2019

Objectives: This study aimed to ascertain what should be considered in the "Guideline for Clinical Trials with Herbal Medicinal Products for Lung Cancer" by analyzing the existing guidelines and clinical trials. Methods: The committee searched guidelines and clinical trials about herbal medicine for lung cancer. The searched trials were analyzed in terms of inclusion and exclusion of participants, intervention, comparator, outcomes and trial design. Then, we compared the results of our analysis with the guidelines to identify the issues we will have to consider when making the "Guideline for Clinical Trials with Herbal Medicinal Products for Lung Cancer". Several guidelines for anti-tumor agents and clinical trials with herbal medicine were searched on the national institution homepage. The search terms were as follows: 'lung neoplasm', 'herbal medicine', 'Medicine, Korean traditional', 'Medicine, Chinese Traditional' etc. Results: There was no guideline for clinical trial with herbal medicine for lung cancer. In addition, 7 articles were searched through database searching. All the participants had non-small cell lung cancer. The type of intervention was decoction. Comparators included conventional treatments such as chemotherapy. The outcome measurements used in the studies were quality of life, tumor response, and survival duration, etc. Safety was evaluated by recording adverse events and blood test. Conclusions: Findings were made by reviewing existing guidelines and comparing them with clinical trials for lung cancer and herbal medicinal products. These results will be utilized in the development of "Guideline for Clinical Trials with Herbal Medicinal Products for Lung Cancer".

• 대한통합의학회지
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• 제10권4호
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• pp.187-197
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• 2022

Purpose: This study aimed to investigate the changes in the muscle activity of the trunk stabilizer muscles before and after incorporating Pilates breathing during three types of Pilates chair exercises. Methods: This study included 33 healthy men and women in their 20's; they were recruited according to the inclusion and exclusion criteria. sEMG was used to measure the changes in the muscle activity in the internal oblique/transverse abdominis, rectus abdominis, and erector spinae during the three types of Pilates chair movements (footwork, twist footwork, and bridging) without and with the Pilates breathing integration. The muscle activities of the trunk stabilizers between without and with Pilates breathing were statistically analyzed and compared. Results: The internal oblique/transverse abdominis showed an increase and a significant difference in the muscle activity in all three movements of footwork, twist footwork, and bridging after the Pilates breathing integration (p<.001). The muscle activity of the rectus abdominis (p<.05) and the erector spinae (p<.05) also increased and showed a significant difference after the Pilates breathing incorporation, except in the bridging movement for the erector spinae. The increase in the rate after integrating Pilates breathing was relatively greater in internal oblique/transverse abdominis than in other muscles. Conclusion: When Pilates breathing was applied, the activities of the trunk stabilizer muscles increased significantly and immediately in all three movements of Pilates chair footwork, twist footwork, and bridging. This means that the use of breathing is expected to have a positive and immediate effect on the activation of trunk stabilizers, thus indicating that it can possibly be an effective re-enforcing tool to promote trunk stability when it is integrated to the Pilates chair exercise. Incorporating Pilates breathing also seemed to have a tendency to activate the deep trunk stabilizer muscles more than the superficial stabilizer muscles.

• Korean Journal of Acupuncture
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• 제40권4호
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• pp.141-148
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• 2023

Objectives : The purpose of this study is to investigate on the application of the yttrium aluminum garnet (YAG) lasers for acupoints irradiation. Methods : We conducted a systematic search for peer-reviewed studies published from inception to November 2023, in the following electronic databases: PubMed, Scopus, and Web of Science in English, Science ON, Oriental Medicine Advanced Searching Integrated System (OASIS) and Research Information Sharing Service (RISS) in Korean, and China National Knowledge Infrastructure (CNKI) and Wanfang in Chinese, and Japan Science Technology Information Aggregator, Electronic (J-STAGE) and Citation Information by NII (CiNii) in Japanese. Inclusion criteria were original articles including clinical and experimental studies related with YAG lasers for acupoints including Ashi or meridian sinews. Results : Among the 8 selected studies, there were 7 studies on human subjects and 1 study on animals, 7 studies on Nd:YAG (1,064 nm) laser, and 1 study on Er:YAG (2,940 nm) laser. A total of 16 acupoints were used, 15 of which were in the face and 1 of which was located in the foot. In addition, there were two studies using Ashi. 4 studies looked at the effect of pain relief, 2 studies looked at safety, 1 study looked at changes in blood flow, and 1 study looked at the effect of skin care. There were no reported adverse events, and the YAG laser was confirmed to be safe and effective in pain relief, beautifying the skin, and increasing blood flow. Conclusions : We suggest that high intensity YAG lasers can be applied to laser acupuncture or laser moxibustion. YAG lasers are considered to be worth using for various clinical indications of Korean medicine because of photobiomodulation effects, analgesic action, and deep penetration depth. Further scientific research and clinical evidences should be warranted.

• 청정기술
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• 제26권1호
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• pp.1-6
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• 2020

초임계 용액 급속팽창법(rapid expansion of supercritical solution, RESS)으로 몰시도민(molsidomine, MOL) 약물이 로딩 된 퍼아세틸-β-사이클로덱스트린(PAc-β-CD) 나노 입자를 제조하였다. 입자는 초임계 용액을 공기 중으로 급속하게 팽창시켜 제조하였다. MOL과 PAc-β-CD (0.5, 1 wt%)의 농도, 추출 온도(45 ~ 60 ℃), 모세관 노즐의 길이(5 ~ 20 mm) 및 내경(Inner diameter, ID) (50 ~ 150 μm), 그리고 분사 거리의 변화에 따라 형성된 입자의 크기와 모폴로지를 조사하였다. MOL과 PAc-β-CD의 상호작용을 ¹H-NMR 분광법으로 확인하였고, 입자 크기는 주사 전자 현미경으로 측정하였다. 온도를 45 ℃에서 60 ℃로 올리거나 노즐 내경을 150 μm에서 50 μm로 줄이면 입자 평균 크기가 증가하였으며, 반면에 일정한 압력(34.5 MPa)과 온도(45 ℃)에서 분사 거리를 늘리면 입자 평균 크기가 감소하는 효과를 나타내었다. 0.5 wt%의 PAc-β-CD 농도로서 초임계 공정을 진행한 결과, 모세관의 길이가 짧고(5 mm) 내경이 작은(50 μm) 조건에서 크기가 가장 작은(165 nm) 입자가 얻어졌다. 제조한 나노 입자는 오일 내에서 분산성과 용해도가 증가하였으며, 포접체 입자에서 MOL이 방출되는 시간이 지연되는 것을 확인하였다.

• Tuberculosis and Respiratory Diseases
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• 제46권6호
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• pp.817-825
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• 1999

연구배경 : 중심형 폐암을 진단하는데 있어서 진단율을 향상시킬 수 있는 기관지내시경적 세척술과 찰과술 방법을 조사하고자 본 연구를 시행하였다. 방 법 : 경북대학교병원 호흡기내과에서 기관지경검사상 기관지내 가시병변이 있었던 40명을 대상으로 전향적으로 조사하였다. 기관지내 병변은 그 형태에 따라 종괴 (I)형, 침윤 (II)형, 결절성 침윤 (III)형, 압박 (IV)형과 허탈 (V)형으로 구분하였다. 기관지 세척술은 조직생검과 찰과술 전 후에 각각 시행하였으며 대상환자를 1-4군으로 나누어 10ml, 20ml, 30ml, 그리고 40ml로 세척액 주입양을 달리 하였다. 찰과술은 기관지경을 기도내 병변부위에 둔 채 기관지경의 작업 통로를 통해 솔을 제거하는 이탈형 찰과술 (with-drawn brush)로 각기 다른 솔을 사용하여 각 환자에서 4회 시행하였다. 결 과 : 40예 가운데 36예가 폐암으로 진단되었으며 4예는 양성질환으로 진단되었다. 폐암으로 진단된 36예의 조직형은 편평상피암이 28예(75.7%)로 가장 많았고, 소세포암이 5예, 선암이 3예였다. 폐암으로 진단된 36예의 기관지내 병변은 종괴형이 17예(47.2%), 침윤형이 4예(8.3%), 결절성 침윤형이 10예(27.8%), 허탈형이 9예(16.7%)였고 압박형은 없었다. 찰과술과 생검 전 후에 시행한 세척술의 진단율은 각각 36%와 28%였으며, 찰과술과 생검 전 후 세척술의 누적진단율은 47%로 찰과술과 생검 전 혹은 후에 시행한 세척술의 진단율에 비해 유의하게 높았다(p<0.05). 세척술시 주입한 생리식염수의 용량에 따른 진단율은 10ml의 경우 37.5%, 20ml는 44.4%, 30ml는 55.5%, 그리고 40ml는 50%로 10ml 혹은 20ml에 비해 30ml를 주입한 경우 진단율이 유의하게 높았다(p<0.05). 찰과술의 1-4회째의 진단율은 각각 75%, 78%, 83%, 67%로 통계적으로 유의한 차이는 없었다. 누적 진단율은 2회 78%, 3회 92%, 4회 92%로 3회 이상 시행한 경우 유의하게 높았다(p<0.05). 생검의 진단율은 86%였으며, 기관지내 병변의 형태에 따른 진단율은 종괴형 88%, 침윤형 67%, 결절성 침윤형 80%, 그리고 허탈형은 100%였다. 생검과 세척술 혹은 찰과술을 병행할 경우 누적진단율은 각각 89%, 97%였으며 생검, 세척술, 찰과술을 모두 시행할 경우의 진단율은 100%였다. 결 론 : 폐암의 진단율을 증가시키기 위해서는 생검과 함께 3회의 찰과술을 시행하는 것이 좋을 것으로 생각되며 세척술의 가치에 대해서는 향 후 추가적인 연구가 필요할 것으로 생각된다. 그러나 세척술을 시행할 경우에는 생검과 찰과술 전 후에 모두 시행하고 30ml 이상의 세척액을 사용하는 것이 좋을 것으로 생각된다.

• 치위생과학회지
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• 제17권4호
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• pp.333-340
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• 2017

본 연구는 중소사업장에 종사하는 생산직 근로자를 대상으로 치석제거 경험 관련요인을 알아보기 위해 수행되었다. 조사대상은 광주광역시 188개 중소기업 중 편의추출법으로 5개 사업장을 선정하여 사업장에 근무하는 근로자 455명을 대상으로 자가 보고형 설문조사를 통해 일반적 특성과 근무관련특성, 치석제거 경험 등을 조사하였다. 빈도분석, t-검정, 교차분석, 다중로지스틱 회귀분석을 이용하여 분석하였다. 대상자의 최근 1년 이내 치석제거 경험은 47.0%였으며, 근로자의 연령이 낮은 경우(aOR, 3.09; 95% CI, 1.60~5.96), 직위가 높은 경우(aOR, 2.68; 95% CI, 1.55~4.63), 구강건강에 대한 관심도가 높은 경우(aOR, 2.15; 95% CI, 1.02~4.52), 최근 1년간 정기적인 구강 검진 경험이 있는 경우(aOR, 2.76; 95% CI, 1.50~5.11), 치석제거 건강보험급여화를 인지하고 있는 경우(aOR, 2.91; 95% CI, 1.80~4.72)가 치석제거 경험의 가능성이 높았다. 결론적으로 치석제거 경험은 47.0%로 비교적 낮았으며, 치석제거 경험에 관련된 요인들은 연령, 직위, 사용 중인 구강관리보조용품, 정기적인 구강검진, 구강질환으로 인한 조퇴 경험, 치석제거 급여화 인지여부였다. 이러한 요인들을 고려하여 근로자의 근무환경 개선 및 치석제거의 인식도 향상을 통해 치석제거 경험률을 높인다면 향후 근로자들의 치주관리에 긍정적인 영향을 미칠 것으로 판단된다.

• Journal of Preventive Medicine and Public Health
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• 제32권4호
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• pp.427-434
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• 1999

Objectives: This study was conducted to determine, by reviewing the literature, whether treatment of Helicobacter pylori infection in patients with non-ulcer dyspepsia affects symptoms. Methods: We retrieved the literature using MEDLINE search, with nonulcer dyspepsia and Hericobacter pylori and treatment as key words, which were reported from 1984 to 1998, and manual literature search. The criteria for inclusion was as follows; 1) The paper should have confirmed nonulcer dyspepsia as case definition. 2) The paper should have peformed a randomized, blind trial. 3) Confirmation of Helicobacter pylori eradication should be done 4 weeks after treatment. 4) studies with no information on measurement of symptoms after treatment were not accepted. The percentage of patients with symptom improvement after eradication therapy for Helicobacter pylori infection was calculated. Cumulative odds ratio was compared by fixed effect model and random effect model as sensitivity and funnel plot was used to evaluate publication bias. Results: The overall effect size of symptom improvement was calculated by cumulative odds ratio. Cumulative odds ratio of random effect model was 4.16(95% CI: 1.55-11.19). Before integrating each effect sizes into common effect size, the homogeneity test was conducted and random effect model was selected(Cochran's Q=41.08 (d.f=10, p<0.001)). The heterogeneity across studies was evaluated and the different methodological aspects of studies led to differences between study results Conclusions: The results suggest that the eradication of Helicobacter pylori in patients with non-ulcer dyspepsia results more symptom improvement. In studios that shows the opposite results there are methodological aspects explaining the heterogeneity.

• 콘크리트학회논문집
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• 제17권1호
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• pp.43-49
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• 2005

수화열에 의한 콘크리트 구조물 내의 최대온도에는 재료의 열특성, 초기조건, 거푸집, 외부노출면 등이 영향을 미친다. 일반적인 콘크리트 구조물에는 콘크리트와는 전혀 다른 열특성을 갖는 철근이 보강되고 있으나 보통은 철근의 영향을 무시하고 수화열에 관한 해석을 실시하고 있다. 본 연구에서는 보강철근을 직접 고려하여 수화열의 분포 및 온도응력에 미치는 영향에 대해서 유한요소 해석연구를 실시하였다. 해석결과 철근이 구조물 내의 빠른 열 확산과 외부로의 열랑을 방출하는 효과에 기여하고 있음을 확인하였고, 콘크리트 표면의 인장응력을 감소시키는 것 또한 확인하였다. 따라서 정확한 수화열 해석을 위해서는 철근을 고려한 해석이 타당하며, 이를 통해 온도균열 감소와 온도철근량 감소효과를 기대할 수 있다.

• Asian-Australasian Journal of Animal Sciences
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• 제22권3호
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• pp.421-427
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• 2009

A mixture of three dietary medicinal herb extracts (MHE, mulberry leaf:Japanese honeysuckle:goldthread = 48.5: 48.5:3.0) was prepared as an additive of hen's feed. One hundred-eight, 28-wk-old Lohmann Brown hens were assigned randomly with three levels of MHE in the diet (0, 0.3, and 1%). Hens were fed for 6 wks and eggs were collected in the 6th week, and stored at $4^{\circ}C$ for 14 days to investigate the effect of MHE on the quality and oxidative stability of eggs. Internal quality of the egg including weight, shell color, albumen height, yolk color, shell weight, shell thickness, and Haugh units was not different among the dietary treatments. The oxidation stability of raw and cooked egg was determined by 2-thiobarbituric acid reactive substances (TBARS) value, 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical scavenging activity and 2,2'-azinobis(3-ethylbenzonthianoline-6-sulfonic acid) ($ABTS^{+}$) radical reducing ability. Results indicated that TBARS value at day 0 and $ABTS^{+}$ radical reducing ability of eggs from hens fed MHE were higher than from the control group. However, DPPH radical scavenging activity showed no difference in both raw and cooked samples. Results of the present study indicate that dietary MHE may slightly enhance the oxidative stability of eggs.

• 한국안전학회지
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• 제33권5호
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• pp.157-163
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• 2018

This paper describes design improvement to a research rector for safety enhancement using Probabilistic Safety Assessment (PSA). This PSA under reactor design was undertaken to assess the level of safety for the design of a research reactor and to evaluate whether it is probabilistically safe to operate and reliable to use. The scope of the PSA reported here is a Level 1 PSA, which addresses the risks associated with the core damage. The technical objectives of this study were to identify accident sequences leading to core damage and to derive design improvement from the dominant accident sequences through the sensitivity analysis. The AIMS-PSA and FTREX were used for the this PSA of the research reactor. The criterion for inclusion was all sequences with a point estimate frequency greater than a truncation value of 1.0E-14/yr. The final result indicates a point estimate of 6.79E-05/yr for the overall Core Damage Frequency (CDF) attributable to internal initiating events for the research reactor under design. Based on the dominant accident sequences from the PSA, the seven kinds of sensitivity analysis were performed and some design improvement items were derived. When the five methods to improve the safety were all applied to the reactor design and emergency operating procedure, its risk was reduced to about 1.21E-06/yr from 6.79E-05/yr. The contribution of LOCA and LOEP with high CDF were significantly reduced by the sensitivity analysis. The safety of the research reactor was well improved and the risk was reduced than before adapting the design improvement gotten from the sensitivity analysis. The present study indicated that the research reactor has the well-balanced safety in regard to each initiating event contribution to CDF. The PSA methodology is very effective to improve reactor safety in a conceptual design phase and especially, Risk-informed design(RID) is very nice way to find the deficiencies of research reactor under design and to improve the reactor safety by solving them.