• Title/Summary/Keyword: Medical Interpreting

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Whether Pinhole Scan or Single Photon Emission Computed Tomography (SPECT) in the Diagnosis of Bone and Joint Diseases (골격계진단에 있어서 핀홀스캔의 우월성)

  • Bahk, Yong-Whee
    • The Korean Journal of Nuclear Medicine
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    • v.30 no.1
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    • pp.1-14
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    • 1996
  • Since the publication of the first bone scintiscans in 1962 three decades have elapsed. The bone scan has made great strides during this period, becoming one of the most commonly used nuclear imaging tests. In spite of the progress, however, the specificity of bone scan has remained relatively low. As the result it is a common practice to seek additional information from radiograph, CT scan and MR image, which is euphemistically termed as "image fusion or co-location." The basic reason is the inapplicability of the classical piecemeal analysis to interpreting planar and SPECT bone scans. Such analysis has its base on the observation of elemental features of morphology, which include the size, shape, contour, location, topography and internal architecture. The physiochemical profile may well also be included. Understandably, however, the miniatured images of the planar bone scan cannot provide these features in acceptable detail and the same holds true even with SPECT Images which are but sliced views of the reconstructed planar scans. Fortunately pinhole scanning has the capacity to portray both the morphological and chemical profiles of bone and joint diseases in greater detail through true magnification. The magnitude of pinhole scan resolution is practically comparable to that of radiography as far as gross anatomy is concerned. Thus, we feel strongly that pinhole scanning is a potential breakthrough of the long-lamented low specificity of bone scan. This presentation will discuss the fun-damentals, advantages and disadvantages and the most recent advances of pinhole scanning. It high-lights the actual clinical applications of pinhole scanning in relation to the diagnosis of infective and inflammatory diseases of bone and joint.

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Comparative Studies on the Concordance Rate of Pulse Condition Interpretation between Interpreters and Pulse Analyser (맥진기 결과에 대한 판독자간의 판독 일치율 비교 연구)

  • Kang, Sei-Young;Jang, In-Soo;Kim, Lak-Hyung
    • Korean Journal of Acupuncture
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    • v.28 no.4
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    • pp.91-99
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    • 2011
  • Objectives : The purpose of our investigation is to determine degrees of concordance rate among interpreters. Furthermore, we have examined how much concordance rate to come out when beginners have been compared with the pulse analyzer. Methods : Thirty-nine volunteers were enrolled for this study. These subjects took a 5-minute rest in a sitting position as instructed by the protocol. As they were not allowed to move or speak, radial artery pulse conditions were measured on the lower arm of each subject by means of the pulse analyzer under investigation. Two Korean medical doctors, who did not know the status of default pulse conditions, were also instructed to intuitively choose the most corresponding one in comparison with 13 default pulse conditions. Subsequently, we investigated results between interpreters as well as results between interpreter and pulse analyzer. Results : The total concordance rate, with similar concordance rates being included, between interpreters, between interpreter A and pulse analyzer, and between interpreter B and pulse analyzer was 56.4%, 79.5%, and 71.8% respectively. In faint fine weak pulse(微細弱脈) case, interpreter A and B selected 6 and 7 cases respectively, matched the concordance rate 5, and corresponded separately with the pulse analyzer interpreting 8 cases. Conclusions : In case of skipping pulse 2(促2脈), short pulse(短脈), faint fine weak pulse(微細弱脈), the concordance between interpreters also matches with results drawn from the pulse analyzer. The concordance rate goes higher in proportion with such smaller pulse conditions as faint fine weak pulse(微細弱脈) and short pulse(短脈).

Interpretation of 'Tri-jiao' presented in ${\ulcorner}\;SuWen\;\cdot\;Linglanbidianlun\;{\lrcorner}$

  • Bang Jung-Kyun
    • The Journal of Korean Medicine
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    • v.26 no.1 s.61
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    • pp.71-75
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    • 2005
  • There are wide variations in the definition and functions of tri-jiao among investigators in the area of Chinese medicine. Given a wide spectrum of views, it is difficult to identify uniform opinions about the definition and functions of tri-jiao. This paper is intended to clarify the meaning of the tri-jiao, which was presented as 'it builds a waterway and serves as the passage for the flow of Shuidao' in ${\ulcorner}\;SuWen\;\cdot\;Linglanbidianlun\;{\lrcorner}$ a classic text of traditional Chinese medicine. Investigators have been divided in their opinions in interpreting this reference; some claim that tri-jiao regulates fluid metabolism in the entire body while others assert that the role of tri-jiao is limited to lower-jiao that controls urination function. However, this does not appear convincing given the description in other texts of ${\ulcorner}\;SuWen\;\cdot\;Linglanbidianlun\;{\lrcorner}$, in which functions of 12 organs were explained in a summarized manner. The assumption that the role of tri-jiao is closely linked with lower-jiao seems to have deviated from the meaning of the original texts. Besides, fluid metabolism involves the entire body, and any pathological changes caused by disorders of fluid metabolism can affect any part of the body, not only the lower area of the body cavity. The phrase, 'passage for the flow of Shuidao,' expressed in the texts of ${\ulcorner}\;SuWen\;\cdot\;Linglanbidianlun\;{\lrcorner}$ is likely to mean that body fluid is also distributed and transported to the whole body along with primordial-Qi via tri-jiao. The phrase, 'passage for the flow of Shuidao' means that tri-jiao is involved in regulating body fluid metabolism and that it plays an important role in fluid distribution.

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Neck dissection for oral squamous cell carcinoma: our experience and a review of the literature

  • Rani, Pooja;Bhardwaj, Yogesh;Dass, Praveen Kumar;Gupta, Manoj;Malhotra, Divye;Ghezta, Narottam Kumar
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.6
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    • pp.299-305
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    • 2015
  • Objectives: This article describes our experience with neck dissection in 10 patients with oral squamous cell carcinoma. Materials and Methods: Between January 2007 and October 2009, 10 patients underwent primary surgery for the treatment of squamous cell carcinoma of the oral cavity. For patients with $N_0$ disease on clinical exam, selective neck dissection (SND [I-III]) was performed. In patients with palpable cervical metastases (N+), modified radical neck dissections were performed, except in one patient in whom SND (I-III) was performed. The histopathologic reports were reviewed to assess the surgical margins, the presence of extra-capsular spread, perineural invasion, and lymphatic invasion. Results: On histopathologic examination, positive soft tissue margins were found in three patients, and regional lymph node metastases were present in five of the ten patients. Perineural invasion was noted in five patients, and extra nodal spread was found in four patients. Regional recurrence was seen in two patients and loco-regional recurrence plus distant metastasis to the tibia was observed in one patient. During the study period, three patients died. Seven patients remain free of disease to date. Conclusion: Histopathological evaluation provides important and reliable information for disease staging, treatment planning, and prognosis. The philosophy of neck dissection is evolving rapidly with regard to the selectivity with which at-risk lymph node groups are removed. The sample size in the present study is small, thus, caution should be employed when interpreting these results.

Construction of Object-oriented Prescription Database and Design/Development of Prescription Search Program (객체지향형 처방 데이터베이스의 구축과 처방 검색 프로그램의 설계 및 개발)

  • Kim, Hyun-Ho;Hong, Hyo-Shin;Yoo, Je-Hyuk;Kwon, Oh-Min;Cha, Wung-Seok
    • Korean Journal of Oriental Medicine
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    • v.17 no.2
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    • pp.73-83
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    • 2011
  • The first medical text in which detailed treatments of diseases by combinations of materia medica are mentioned is the "Shanghanzabinglun(傷寒雜病論)". True meaning of the combinations of materia medica used in this text lies in the fact that the efficacy of a prescription transcends that of the linear sum of each materia medica. This kind of concept regarding the composition of a prescription has come to contribute to the formation of theories in prescriptionology; However, it is difficult to analyze and interpret the meaning of each prescription separately because of differences in interpreting methods, points of view, and terminologies used by members of different academical branches. Therefore, it is desirable that one should understand a prescription as having been modified from a basic prescription, and then bring the interactions of ingredients into the picture, finally understanding the efficacy and chief virtues of the targeted prescription. Nevertheless, with the massive information of prescriptions, which exist in the format of texts, it is impossible to efficiently take advantage of prescription analyzing methods, and therefore the range of analysis extremely restricted. In order to overcomes these weaknesses, this paper suggests that object-oriented prescription database be constructed and that a search program for education and research that could facilitate an efficient access to the database be developed as well.

Study on Prescriptions about Monarch(jun)${\cdot}$Minister(chen)${\cdot}$Adjuvant(zou)${\cdot}$Guide(shi) Theory (군신좌사(君臣佐使)에 대한 연구)

  • Lee, Tae-Kyoung;Kang, Jung-Soo;Kim, Byoung-Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.3
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    • pp.596-604
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    • 2007
  • For countless time, many have been made in our oriental medicine. To understand such prescription and to use, we must study the monarch(jun), minister(chen), adjuvant(zou) and guide(shi) theory that is most of the prescription structure principle's the basis. The monarch is the center of the prescription. Two kind is greatly in the method to select the monarch, in the prescription. One method is that a medicinal herb of the high class of medical herb of the Sinnong's Classic becomes the monarch, and the other method is a medicinal herbs which there is most many qunantity in the prescription becomes the monarch. Additionally, a medicinal herbs name of a prescription name can become the monarch. The minister assist the monarch and this is a criteria of the prescription grouping with the monarch. The minister has close relation with the monarch. The adjuvant helps the monarch and the minister nature of drug or restains. So this makes the prescription effectiveness act accurately. The guide does the activity to help the harmony of the prescription and the activity to help the prescription to act in correct place. If we understand the monarch, minister, adjuvant and guide theory well, we have some advantage. The interpreting of the prescription comes to De easy. and, an application range of the prescription is enhanced. the increase and decrease of the medicinal herbs comes to be easy in the prescription. Finally that theory will be used for the principle to make new prescription.

Proposal of finger splint design using design guidelines to reflect user requirements - Using FDM 3D printing technology - (사용자의 요구조건을 반영 할 수 있는 디자인 가이드라인을 이용한 손가락 보조기 디자인 제안 - FDM 방식의 3D 프린팅 기술을 이용하여 -)

  • Shin, I Yeol;Oh, Kwang Myung
    • Design Convergence Study
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    • v.18 no.3
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    • pp.1-14
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    • 2019
  • General finger splint manufactured and sold domestically could have been of great help to patients with disabilities due to damage to the body's. However, it reminded the wearer of his disability that he wanted to hide. This has had a negative effect on the psychological side of self-absorption and depression. If this avoids or rejects wearing, the role of ancillary rehabilitation is lost. This does not meet the user's requirements. Thus, in this study, 3D printing was used to better reflect user requirements. Next, the study examined existing prior studies to identify the characteristics and criteria of each study. It also examined medical finger aids that were being sold in the auxiliary device market. The assessment criteria were derived by compiling and interpreting user surveys of each finger splint device. Based on the evaluation criteria derived, the design guidelines for finger splint were presented using FDM-style 3D printers. Finally, we proposed a finger splint design according to the proposed design guideline.

The Interpretation of "The Great Learning" within the Korean New Religion Daesoon Jinrihoe (韓國大巡真理會對 《大學》 思想的解釋與轉化)

  • Chung, Yunying
    • Journal of the Daesoon Academy of Sciences
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    • v.34
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    • pp.141-169
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    • 2020
  • This study focuses on the interpretation and transformation of "The Great Learning" within the Korean new religion, Daesoon Jinrihoe. Joseon Dynasty Korea was a member of the Chinese Character Cultural Sphere in East Asia. The examination and recruitment system of the Yuan Dynasty influenced the Joseon Dynasty for a long historical period. Zhu Xi's (朱熹) version of The Four Books were accepted and applied in imperial examinations during the Joseon Dynasty. The 18th century Confucian thinker, Jeong Yak-Yong (丁若鏞), overturned and rebuilt his own system for studying and interpreting The Four Books (四書學). Zhu Xi and Jeong Yak-Yong's systems of thought influenced Confucianism knowledge in that era. The historical figure deified as the Supreme God by Daesoon Jinrihoe, Kang Jeungsan (姜甑山), was trained in the study of The Four Books within that cultural and philosophical context, and this is especially evident in his interpretation and transmission of "The Great Learning." Kang Jeungsan regarding The Great Learning as deeply important. That text combined Confucian discourse on Principle, Mind, and Practice. In his interpretation, The Great Learning was also a medical and religious book that had holy and mysterious powers. In Mugeuk-do and Taegeuk-do (direct predecessors to Daesoon Jinrihoe), Jo Jeongsan interpreted the concept of Sincerity and Regularizing the Mind and incorporated them into doctrine as 'Sincerity, Respectfulness, and Faithfulness' and 'Guarding against Self-deception.' Park Wudang practiced and spread those doctrines to Korea, and Daesoon Jinrihoe devotees continue to follow those doctrines in present times.

A study on thermal and electrical properties of molybdenum sputtered clothing materials (몰리브덴 스퍼터링 처리 의류소재의 열적 특성과 전기적 특성에 관한 연구)

  • Han, Hye Ree
    • The Research Journal of the Costume Culture
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    • v.30 no.1
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    • pp.88-101
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    • 2022
  • Molybdenum is used in electrical contacts, industrial motors, and transportation materials due to its remarkable ability to resist heat and corrosion. It is also used to flame coat other metals. This study investigated, the thermal characteristics of the molybdenum sputtered material, such as electrical conductivity, and stealth effects on infrared thermal imaging cameras. To this end, molybdenum sputtered samples were prepared by varying the density of the base sample and the type of base materials used. Thereafter, the produced samples were evaluated for their surface state, electrical conductivity, electromagnetic field characteristics, thermal characteristics, stealth effect on infrared thermal imaging cameras, and moisture characteristics. As a result of infrared thermal imaging, the molybdenum layer was directed towards the outside air, and when the sample was a film, it demonstrated a greater stealth effect than the fabric. When the molybdenum layer was directed to the outside air, all of the molybdenum sputtering-treated samples exhibited a lower surface temperature than the "untreated sample." In addition, as a result of confirming electrical properties following the molybdenum sputtering treatment, it was determined that the film exhibited better electrical conductivity than the fabric. All samples that were subjected to molybdenum sputtering exhibited significantly reduced electromagnetic and IR transmission. As a result, the stealth effect on infrared thermal imaging cameras is considered to be a better way of interpreting heat transfer than infrared transmission. These results are expected to have future applications in high-performance smartwear, military uniforms, and medical wear.

Acupuncture Expands the Boundary of Mind-Body Medicine (침술이 심신의학의 지평을 확장하다)

  • Kim, Jae-Hyo
    • Korean Journal of Acupuncture
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    • v.33 no.3
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    • pp.139-147
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    • 2016
  • Purpose : The acupuncture existed more than 2000 years and has flourished not only in Asia but also in medical field of modern world. In addition, empirical evidences from biomedicine have been expended in many ways in order to objectify the field of acupuncture. Thus, the effect and mechanism of the acupuncture has been revealed in human and other animals. In this article, I attempt to explain what doctors and patients subjectively experience through acupuncture treatment and its clinical significance based on mind-body medicine. Methods : The experience and clinical significance of the acupuncture was examined in the view of mind-body medicine, also reviewed research trends related to meditation understanding the clinical effectiveness of acupuncture. Results and Conclusions : Traditional Korean medical doctor perceive generally "jogi " and "chishin " meaning the regulation of the balance of the various functions in the human body and patient's consciousness and psychology state as mightily important concept concerning the therapeutic effect of acupuncture. Despite scientific approach to objective understanding of the acupuncture was performed in the meantime, practitioners put emphasis on experience based on sensate and interaction between doctor-patient. As it reflects the recent understanding of the psychological effects associated with the clinical efficacy of acupuncture, it has been presented one by one through neuroscience and cognitive science. Therefore it is important that interpreting the clinical effectiveness of acupuncture into Mind-body medicine can form a new awareness and attitudes toward traditional medicine.