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Post-COVID-19 pain syndrome: a descriptive study in Turkish population

  • Topal, Ilknur;Ozcelik, Necdet;Atayoglu, Ali Timucin
    • The Korean Journal of Pain
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    • v.35 no.4
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    • pp.468-474
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    • 2022
  • Background: The new type of corona virus has a wide range of symptoms. Some people who have COVID-19 can experience long-term effects from their infection, known as post-COVID conditions. The authors aimed to investigate prolonged musculoskeletal pain as a symptom of the post-COVID-19 condition. Methods: This is a descriptive study on the patients who were diagnosed with COVID-19 in a university hospital, between March 2020 and March 2021. Patient records and an extensive questionnaire were used to obtain relevant demographic and clinical characteristics, including hospitalization history, comorbidities, smoking history, duration of the pain, the area of pain, and the presence of accompanying neuropathic symptoms. Results: Of the diagnosed patients, 501 agreed to participate in the study. Among the participants, 318 had musculoskeletal pain during COVID-19 infection, and 69 of them reported prolonged pain symptoms as part of their a post-COVID condition which could not be attributed to any other cause. The mean duration of pain was 4.38 ± 1.73 months, and the mean pain level was 7.2 ± 4.3. Neuropathic pain symptoms such as burning sensation (n = 16, 23.2%), numbness (n = 15, 21.7%), tingling (n = 10, 14.5%), stinging (n = 4, 5.8%), freezing (n = 1, 1.4%) were accompanied in patients with prolonged musculoskeletal pain. Conclusions: Patients with COVID-19 may develop prolonged musculoskeletal pain. In some patients, neuropathic pain accompanies it. Awareness of prolonged post-COVID-19 pain is crucial for its early detection and management.

Evaluation of P57, P53 and Ki67 Expression in Meningiomas

  • Kucukosmanoglu, Ilknur;Karanis, Meryem Ilkay Eren;Unlu, Yasar;Coven, Ilker
    • Journal of Korean Neurosurgical Society
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    • v.65 no.4
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    • pp.499-506
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    • 2022
  • Objective : We conducted this study with the aim of predicting the biological behavior of meningiomas, and determining the benefits of associating histological subtype and grade with the expression of proliferative markers and tumor suppressor proteins. Methods : The study included 29 patients with primary intracranial and intraspinal meningioma diagnosed in the pathology laboratory of Konya City Hospital between January 2014 and December 2020. Clinicopathological characteristics of the patients including parameters such as age and gender were obtained from the hospital records. Histopathological findings were obtained by re-evaluating the preparations stained with Hematoxylin-Eosin, which were extracted from the archive, and by evaluating new sections obtained from paraffin blocks of patients stained with Ki67, p53, and p57 immunohistochemical stains. Results : A moderate correlation was found between tumor size and Ki67 proliferation index (PI) (p=0.003, r=0.530). There was no significant difference between grade I and grade II tumors in terms of p53 (p=0.184) and p57 (p=0.487) expressions. There were higher levels of Ki67 PI in grade II tumors. The histological subtypes of the tumor had no significant difference with Ki67 PI (p=0.018), p53 (p=0.662), and p57 (p=0.368) expressions. Conclusion : In order to obtain more definitive results, there is a need for studies, which are conducted with a greater number of patients and in multiple centers, and in which a long prospective follow-up is planned. The combination of histological, surgical, and imaging markers could make a more sensitive tool for predicting recurrence, and this could also be tested in future studies.

STUDY ON THE RESTORATION MODEL OF JEONGNAM-ILGU, CREATED DURING THE REIGN OF KING SEJONG OF THE JOSEON DYNASTY (조선 세종대에 창제된 정남일구 복원모델 연구)

  • JIWON PARK;BYEONG-HEE MIHN;SANG HYUK KIM;YONG-GI KIM
    • Publications of The Korean Astronomical Society
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    • v.38 no.1
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    • pp.1-12
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    • 2023
  • Numerous Sundials were fabricated during the reign of King Sejong of the Joseon Dynasty. One among them is Jeongnam-Ilgu (the Fixing-South Sundial), where the time can be measured after setting up the suitable meridian line without a compass. We reconstructed the new Jeongnam-Ilgu model based on the records of 'Description of Making the Royal Observatory Ganui (簡儀臺記)' in the Veritable Record of King Sejong. Jeongnam-Ilgu has a summer solstice half-ring under a horizontal ring which is fixed to two pillars in the north and south, and in which a declination ring rotates around the polar axis. In our model, the polar axis matches the altitude of Hanyang (that is Seoul). There are two merits if the model is designed to install the polar axis in the way that enters both the north and south poles and rotates in them: One is that it is possible to fix the polar axis to the declination ring together with the cross-strut. The other is that a twig for hanging weights can be protruded on the North Pole. The declination ring is supposed to be 178 mm in diameter and is carved on the scale of the celestial-circumference degrees on the ring's surface, where a degree scale can be divided into four equal parts through the diagonal lines. In addition, the time's graduation that is drawn on the summer solstice half-ring makes it possible to measure the daytime throughout the year. An observational property of Jeongnam-Ilgu is that a solar image can be obtained using a pin-hole. The position cast by the solar image between hour circles makes a time measurement. We hope our study will contribute to the restoration of Jeongnam-Ilgu.

Improving the Quality of Bibliographic Data in Public Libraries: Focusing on Public Libraries in Busan Metropolitan City (공공도서관 서지데이터의 품질 제고 방안)

  • Jee-Hyun Rho;Eun-Ju Lee
    • Journal of Korean Library and Information Science Society
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    • v.54 no.3
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    • pp.105-128
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    • 2023
  • In 2020, the Busan metropolitan library took the lead in establishing an integrated library system (ILS) that integrates bibliographic data from 49 public libraries and 103 small public libraries. However, each library still builds bibliographic data individually and repeatedly, and the bibliographic data built by each library is only physically stored in an integrated DB. Therefore the improvement in work efficiency or data quality has not been achieved. This study aimed to analyze the construction processes and quality of bibliographic data in Busan public libraries and to suggest a new implementation strategy for an integrated environment. To this end, (1) the construction process of bibliographic data was investigated, (2) the quality of the constructed bibliographic data was objectively analyzed, and (3) four implementation strategies were suggested based on critical problems. The implementation strategy aims not only to improve the quality of bibliographic data, but also to increase work efficiency and build an infrastructure for data sharing.

One year of treating patients with open fractures of the lower extremity in a new military trauma center in Korea: a case series

  • Ji Wool Ko;Giho Moon;Jin Geun Kwon;Kyoung Eun Kim;Hankaram Jeon;Kyungwon Lee
    • Journal of Trauma and Injury
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    • v.36 no.4
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    • pp.376-384
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    • 2023
  • Purpose: The Armed Forces Trauma Center of Korea was established in April 2022. This study was conducted to report our 1-year experience of treating soldiers with open fractures of the lower extremity. Methods: In this case series, we reviewed the medical records of 51 Korean soldiers with open fractures of the lower extremity between April 2022 and March 2023 at a trauma center. We analyzed patients with Gustilo-Anderson type II and III fractures and reported the duration of transportation, injury mechanisms, injured sites, and associated injuries. We also presented laboratory findings, surgery types, intensive care unit stays, hospital stays, rehabilitation results, and reasons for psychiatric consultation. Additionally, we described patients' mode of transport. Results: This study enrolled nine male patients who were between 21 and 26 years old. Six patients had type II and three had type III fractures. Transport from the accident scene to the emergency room ranged from 75 to 455 minutes, and from the emergency room to the operating room ranged from 35 to 200 minutes. Injury mechanisms included gunshot wounds, landmine explosions, grenade explosions, and entrapment by ship mooring ropes. One case had serious associated injuries (inhalation burn, open facial bone fractures, and hemopneumothorax). No cases with serious blood loss or coagulopathies were found, but most cases had a significant elevation of creatinine kinase. Two patients underwent vascular reconstruction, whereas four patients received flap surgery. After rehabilitation, six patients could walk, one patient could move their joints actively, and two patients performed active assistive movement. Eight patients were referred to the psychiatry department due to suicidal attempts and posttraumatic stress disorder. Conclusions: This study provides insights into how to improve treatment for patients with military trauma, as well as medical services such as the transport system, by revising treatment protocols and systematizing treatment.

A Study for Improving the Traffic Accident Management System with regard to the Driver's Human Factor (운전자 인적요인을 고려한 교통사고 조사양식 개선방안 연구)

  • Ju Seok Oh;Soon Chul Lee
    • Korean Journal of Culture and Social Issue
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    • v.16 no.3
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    • pp.267-287
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    • 2010
  • This study aimed to improve the Traffic Accident Management System's validity and reliability, so the system could help classify and judge the human factors that correlate with traffic accidents. We took traffic accident research and analysis systems of United States and United Kingdom and certain related, former studies into account in building our test system. Next, we used the test system's criteria to re-analyze 502 Gyeonggi province accident records from 2008. We compared the results to existing systems' results to verify the test system's validity and reliability. These results indicated the necessity of removing some uncertain items from the existing systems and adding in some new items from the test system. This should help improve understanding of what happens at traffic accident scenes and of the sources of drivers' abnormal, reckless behavior. We introduce suggestions for improving the Traffic Accident Management System and research concepts for further studies.

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Newly Recorded Diatoms from the Tidal Flats of Korea (갯벌 조간대에서 발견한 국내 미기록 규조류)

  • BYOUNGSEOK KIM;SOYEON KIM;JEONGYUNG JIN;BYEOL KIM;JONG-GYU PARK
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.29 no.1
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    • pp.42-55
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    • 2024
  • To discover unrecorded diatoms, seawater, sand, and pebbles were collected from the intertidal zone of five tidal flats from 2016 to 2023. Diatoms were isolated from the collected samples, cultured, and the ultrastructure of the cells was observed using a scanning electron microscope. 7 species of unrecorded diatoms, consisting of 3 orders, 5 families, and 7 genera, were discovered: Gomphoseptatum aestuarii, Rhoiconeis pagoensis, Seminavis exigua, Plagiolemma distortum, Staurotropis seychellensis, Biremis sigmoidea, Liriogramma sarcophagus. Among these, four genera, Rhoiconeis, Plagiolemma, Staurotropis, and Liriogramma, are reported for the first time in Korea. L. sarcophagus was separated from the central diatom Asteromphalus and transferred to Liriogramma, but its phylogenetic position has not yet been clearly established.

A Study on Rhymes of Herbal Medicine in Yosandangsinjipeuibangkeumnangjibo during Late Joseon Period (조선후기 의서 『낙산당신집의방금낭지보(樂山堂新集醫方錦囊至寶)』 수재(收載) 약성가(藥性歌)에 대한 연구)

  • KEUM, Yujeong;YOO, Misun;EOM, Dongmyung;SONG, Jichung
    • The Journal of Korean Medical History
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    • v.32 no.2
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    • pp.43-50
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    • 2019
  • The medical book Yosandangsinjipeuibangkeumnangjibo (『樂山堂新集醫方錦囊至寶』, below as Yosandang, 『樂山堂』) is housed in the Handok museum of Medicine and Pharmacy. At the end of the Yosandang, written in manuscript, contains a rhymes of herbal medicine (藥性歌). The rhymes of herbal medicine is a record of song form about herbal medicine. Song-forms were widely used because they were easy to sing and memorize. In particular, there are many records of song forms in Korean medical books, which have been used in various fields such as herbal medicines, acupuncture points, and diagnosis. Although Yosandang is not a widely known medical book, it is meaningful in that it shows a cross section of late Joseon Korean medicine. So, this paper considers rhymes of herbal medicine in Yosandang. Yosandang is a medical book of the late Joseon period written by doctor Byun Gwangwon in 1806. This book consists of 6 books and 14 volumes, 13 of which are rhymes of herbal medicine. The rhymes of herbal medicine in Yosandang is 7 words-2 phrases form for the first time in Korea. This is almost 80 years earlier than the same form of Bangyakhabpyeon (『方藥合編』). The first part of rhymes of herbal medicine in Yosandang is considered to refer to the rhymes of herbal medicine in Jejungsinpyeon (『濟衆新編』), and the last part seems to be based on the contents of Donguibogam (『東醫寶鑑』). In other words, rhymes of herbal medicine in Yosandang could be considered as the result of trying to contain herbal medicine knowledge as a new 7 words-2 phrases form based on the Jejungsinpyeon (『濟衆新編』) and Donguibogam (『東醫寶鑑』). Unlike the previous rhymes of herbal medicine made during the compilation of medical books led by the late Joseon government, the rhymes of herbal medicine in Yosandang is a new type of rhymes created based on individual efforts in the early 19th century. It has a medicine historical significance in that it can show some aspects of Korean medicine in the late Joseon period.

A Bibliographical Study of Korean Fan Fried Side dishes(Jeon) in Korean Literatures before the 1900s (1900년대 이전 문헌에 기록된 전 조리법의 문헌적 고찰)

  • Choi, Young-Jin
    • Korean journal of food and cookery science
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    • v.28 no.5
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    • pp.629-639
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    • 2012
  • Jeon refers to a type of Korean cuisine used as a side dish, made with various ingredients such as meat, vegetables, or fish, mixed with flour batter and coated with egg batter and then pan-fried on both sides with oil so that heat spreads through them well. The aim of this study was to provide a cornerstone of further research on Korean dietary life, by reviewing types, recipes and names of Jeon recorded in ancient cookbooks (Korean literatures) and by analyzing changes in recipes to make Jeon, which our ancestors used wisely as one type of side dish. Considering developments and changes recorded in old documents, the Jeon recipe appeared relatively later than the recipes for grilling, steaming et al, which had been developed much earlier, and it had not been recorded until the 1600s. Changes of Jeon recipes by time period are as follows. In the 1600s, there were three recipes: frying only with grain batter after preparation of ingredients, frying right after preparation of ingredients, and putting ingredients on already fried watery batter. These three recipes were still used in the 1700s, in addition to a new recipe, in which ingredients were oil-fried to be skewered. Today's recipe in which prepared ingredients are fried after getting coated with flour and egg only appeared in 1800s. This has been the main recipe for Jeon ever since. In that time period, there was more variety of recipes and ingredients than before. For instance, Jeon was used for soup or steamed dishes instead of being served as a dish itself. Buchimgae with mixed ingredients was also considered Jeon. In the 1900s, there appeared more names for Jeon as more sorts of ingredients got used, even though there were no new recipes for Jeon. The above-mentioned historical records show that traditional recipes for Jeon have been applied to various dishes, using diverse ingredients, and it might be a smart solution to today's problematic dietary habits involving excessive intake of nutrients, in that it provides a healthy way to add fat. In the same sense, the recipe for Jeon can play an active role in internationalization of Korean foods, in which healthiness is a main feature. According to ancient documents, the recipes for Jeon were used even for meals that were not side dishes, such as Jun-Gwa (Jung-Gwa), Jun-Yak and fried rice-cake. Also, there were dishes using the same recipes even without carrying the name of Jeon, like Buchim or Jijim. This might be worthy of further examination in culinary science.

A Reinterpretation of the Differences between the Tales of Jinmuk shown in The Investigation of Historical Remains of Patriarch Jinmuk and The Canonical Scripture: Highlighting Differences between Literary Transmission and Oral Transmission (『진묵조사유적고』와 『전경』에 나타난 진묵 설화의 차이에 대한 재해석 -문헌 전승과 구전 전승의 차이를 중심으로-)

  • Kim Tae-soo
    • Journal of the Daesoon Academy of Sciences
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    • v.41
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    • pp.179-217
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    • 2022
  • Concerning the differences in the tales between the Investigation of Historical Remains of Patriarch Jinmuk (hereafter, IHRPJ), as well as those which appear in Jeungsanist Thought and Daesoon Thought, previous studies view such differences as Jeungsan's intentional modification of the original intent of the narratives or as indicating differences in beliefs and values. This style of interpretation seeks to reconcile both Korean Buddhism and Jeungsanist and Daesoon Thought based on the premise that the former and the latter two exhibit differences in values. This study accepts the above view of the differences in description according to values. However, the differences between the tales of Jinmuk that appears in IHRPJ versus those in The Canonical Scripture can be approached from a new perspective, i.e., the differences that exist between literary and oral traditions; rather than only stemming from potential differences in the world views espoused by Buddhism and Daesoon Thought. These refer to the IHRPJ, which was constructed first as literary narratives in the 19th century; however, there was also folklore that had been handed down from the 18th century. As a result of examining the relationship between Jinmuk and Bonggok via this interpretive horizon, the contents of the IHRPJ are found to reflect the values and intentions of the intellectual class, such those held by Master Cho-ui and Kim Ki-jong, whereas oral traditions can be seen as a reflection of the hopes of the people of the late Joseon Dynasty. Jeungsan should also be interpreted as having utilized folklore in his teachings. Meanwhile, the circumstances and intentions behind publishing the IHRPJ are analyzed in the context of the text's historical background and the relationship between Confucianism and Buddhism during the 16th through 19th centuries. In particular, through the Compilations of Wandang and the collection of writings of Buddhist monastics, I have evaluated that Confucianism needed to purify and correct materials according to the ideology of the times in order to promote a spirit of morality and courtesy. Likewise, Buddhist Master Cho-Ui also embellished records to benefit Buddhism and deleted oral records that could harm the reputation of Buddhism. On the other hand, when viewing Records of Shrine Renovation and existing oral traditions, it can be shown that some Jinmuk tales existed in the 18 th century which were not included in the IHRPJ. Thereby, Jeungsan's description of Jinmuk tales can be reappraised as accepting the oral secular tradition that conveyed the wishes of the people. In other words, compared to the IHRPJ, which reflects only the harmonious content of Confucianism and Buddhism due to political and social factors, The Canonical Scripture reflects oral traditions that were widespread during the late Joseon Dynasty. As evidence, it can be suggested that there are many narratives about the relationship between Jinmuk and Bonggok that center on Bonggok's jealousy and the murder of Jinmuk. Jeungsan aimed to encompass people of all classes according to their minds and wills rather than their political positions or statuses. Therefore, Jeungsan did not need to rewrite the narrative content that had been passed down via oral tradition. Instead he embraced those narratives as a projection of the voices of the people.