• 제목/요약/키워드: Mibyeong

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아토피 피부염의 환경적 요인에 대한 동서의학적 고찰 (The Study on the Environmental Factors of Atopic Dermatitis in Oriental-Western Medicine)

  • 박승구;노현민;권소현;조은희;장현철;김호경;박히준;김원정;박민철
    • 한방안이비인후피부과학회지
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    • 제31권1호
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    • pp.52-70
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    • 2018
  • Objectives : Atopic dermatitis(AD) and environmental factors are closely related, but there is lack of oriental medical examination. So we compared the relationship between AD and various environmental factors in Oriental medicine and Western medicine. Methods : We described the relationship between AD and environmental factors through the latest papers and a review of the oriental medicine literature. Results : The regional diversity of AD incidence implies a close relationship between climate factors and AD, and high altitude and low pH springs also have an effect on AD. Air pollutants from industrialization and urbanization aggravate AD. The increase in indoor residence time and the increase in room temperature and humidity have also increased the sensitization to allergens such as house dust mite. In oriental medicine, wind(風) is one of the environmental factors and is an inflammatory state due to external irritation. Wind-Humidity(風濕) refers to erythematous wetting dermatitis with itching and exudation, Wind-Fever(風熱) refers to acute inflammatory reaction with erythematous papules and plague, and Blood-Weakness(血虛) refers to aggravation and chronicization of inflammation due to persistence of skin barrier impairment. Conclusions : We examined the relationship between AD and various environmental factors. We also described the oriental medical viewpoints of the environmental factors in the occurrence of AD and skin barrier impairment.

한의 지식 포털 서비스 고도화를 위한 테스트 및 유관 사이트 분석 (Test and Analysis for Improving the Service Quality of Korean Medicine Knowledge Portal)

  • 남보령;이환수;김상균
    • 한국지식정보기술학회논문지
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    • 제12권1호
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    • pp.69-78
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    • 2017
  • KOIN(한의 사람들, http://www.koin.re.kr)은 한의학에 관심 있는 사용자들이 한의 정보를 공유할 수 있도록 구축된 한의 지식 포털이다. 본 연구의 목적은 KOIN을 본격적으로 서비스하기 전에 향후 KOIN 서비스에 대한 사용자 확보를 위해 콘텐츠와 서비스 측면에서 질적 고도화 방안을 모색하는 데 있다. 이를 위해 크라우드 테스팅 기법을 활용하여 현재 KOIN의 기능성 및 사용성 테스트를 수행하였으며, 국내외에서 KOIN과 유사한 사이트를 조사해 비교하였다. 기능성 테스트 결과 약 150여 개의 기능적 문제점이 발견되어 수정하였으며, 사용성 테스트에서는 평균 3.33점이 나왔는데, 이 중 신뢰성 점수가 가장 높았고 유희성 점수가 가장 낮았다. 또한, 국내외 의료분야에서 KOIN과 유사한 15개의 웹사이트들에 대해서 특징 및 장단점을 분석해서 KOIN의 개선 방향을 도출하였다. 특히, KOIN은 다른 포털들에 비해 근거에 기반한 한의 지식을 제공하는 장점을 가진 것으로 분석되었다. 향후에도 사용자의 요구 사항을 지속적으로 수집하여 사용자들이 필요로 하는 한의 지식 서비스를 제공할 수 있도록 할 계획이다.

『역시만필』에 기록된 조선 후기 외감병 치료에 대한 소고 - 온병학적 관점에서 본 - (View on Treatment of Exogenous Disease in Yeoksimanpil in the Late Joseon Dynasty - from the Viewpoint of the Theory on Epidemic Febrile Disease -)

  • 김상현
    • 한국의사학회지
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    • 제30권2호
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    • pp.133-143
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    • 2017
  • Objectives : This paper summarizes results from review of 36 cases and medical records extracted from Yeoksimanpil, involving treatment of exogenous disease in the last Joseon dynasty, and considers significance of treatment protocols. Methods : About 130 medical records from Yeoksimanpil related to exogenous disease were reviewed, and 36 cases were extracted for closer investigation. The author examined the characteristics of exogenous diseases treated in Yeoksimanpil during the Joseon dynasty, employing Yi Suki's theory about exogenous febrile disease, and analyzed the theory from the viewpoint of epidemic febrile disease (溫病學). Results : The majority of exogenous diseases recorded in Yeoksimanpil include Sanghan (傷寒); Seo (暑); Ryeohwan (厲患); and Hongjin (紅疹). Sanghan was found to be prevalent among the exogenous diseases, but diseases caused by warmth and epidemic are recognized separately from Sanghan. Yi Suki's theory about exogenous febrile disease is similar to the basic theory of modern epidemic febrile disease, although his theory was developed independently during the last Joseon dynasty. Conclusions : Although some exogenous diseases in Yeoksimanpil were recognized separately, Yi Suki did not specify each feature nor did he focus on each symptom. Instead, the author's research suggests that Yi Suki was able to identify and treat a variety of various exogenous diseases due to his accumulation of medical knowledge and skill.

온병학(溫病學)의 막원(膜原) 개념과 그 실제적 활용에 대한 고찰 (A Study on the concept of makwon in onbyeonghak(溫病學) and its practical application)

  • 김상현
    • 대한한의학원전학회지
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    • 제30권4호
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    • pp.83-93
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    • 2017
  • Objective : Doctors' discussions on Makwon's warm-disease are studied in an effort to contemplate a way to use the outcome in practice. Method : Doctors' discussions on Makwon as found in researches and texts are categorized into physical and pathologica, and their symptoms and treatments are analyzed. Result & Conclusion : Many doctors of warm disease explained that, in terms of the physical aspect, Makwon is closely related to stomach. Some doctors also mentioned its relationship with triple engizers, defense and nutrient qi, and spleen. In terms of pathology, most of the doctors considered Makwon to be a hiding place of foul turbidity pathogen, and explained that a treatment has to be applied before the disease pattern worsens. Diverse syndroms of Makwonwere introduced. Their discussions mainly revolved around warm and epidemic or category of dampness-heat diseases. Alternating chills and fever was also mentioned often, and generalized pain, nausea, tongue of thick and slimy fur symptoms are shown. Ouguk's Dalwonneum is used as the basic treatment. The most effective prevention method of the incubation of pathogen are the symptoms that allows the analysis of the mechanism of disease. Therefore, a good utilization method of resolve turbidity with aroma or spices may contribute to the prevention of Makwon-disease in terms of cultural aspect.

공간이웃정보를 고려한 공간회귀분석 (A study on the spatial neighborhood in spatial regression analysis)

  • 김수정
    • Journal of the Korean Data and Information Science Society
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    • 제28권3호
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    • pp.505-513
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    • 2017
  • 최근, 더욱 상세하고 정확한 추정 결과를 위해 소지역추정(small area estimation; SAE)의 연구가 많이 진행되고 있다. 그 중 공간회귀모형 (spatial regression model)을 이용한 방법이 주를 이루고 있는데 이를 사용하기 위해서는 공간이웃 (spatial neighbor)의 정의가 필요하다. 본 연구에서는 공간이웃을 정의하는 방법으로 도로네 삼각망 (Delaunay triangulation; DT)을 소개하고 k-최근접 (k-nearest neighbor; KNN)과 비교하여 분석한다. 두 가지 공간이웃을 정의하는 방법중에서 어떤 방법으로 이웃을 정의하는 것이 효율적인지 알아보기 위해 시뮬레이션을 실시하였고, 지가 (land price)데이터를 이용하여 실 데이터를 분석하였다.

『황제내경(黃帝內經)』 삼초(三焦) 병기(病機)와 삼초상화(三焦相火) 병기(病機)와의 관계에 대한 고찰(考察) (A Study on the Relation of Pathologic Mechanisms of Samcho in Hwangdineijing and Samcho-Sanghwa)

  • 백유상;김혜일;김종현;김은경;김상현;박철한
    • 대한한의학원전학회지
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    • 제29권2호
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    • pp.187-202
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    • 2016
  • Objectives : In this study, the relation of pathologic mechanisms of Samcho(三焦) in Hwangdineijing and Samcho-Sanghwa(三焦相火) is investigated for the purpose of understanding the concept of Samcho. Methods : The diseases and symptoms about Samcho(三焦) in Hwangdineijing and many important medical literatures including Sanghanlun(傷寒論) and Jinguiyaolue were selected and analyzed to overview the historical changes of pathologic mechanism about Samcho. Results : In comparison of the Pathologic Mechanisms of Samcho, the explanation of that in many medical literatures is different from that in Hwangdineijing, that is to say, the cause of diseases related to hyperactivity of Sanghwa became the main conditions of pathogenesis about Samcho while the blockage of qi stream through Samcho. Conclusions : The clinical expression of Samcho pathogenesis is fever with perspiration that means exhaustion of body fluid not only general fever of whole body.

귀비탕(歸脾湯)의 방론(方論)에 관한 고찰 (Consideration in the Interpretation of the Gwibi-tang)

  • 이혜윤;김호경;이명선;김홍준
    • 대한한의학방제학회지
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    • 제24권4호
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    • pp.367-376
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    • 2016
  • Objectives : The purpose of this study was to investigate the interpretation of the Gwibi-tang(歸脾湯, GBT) prescription in order to obtain the traditional significance. Methods : We have analyzed the interpretation on the GBT prescription through translations and comparisons based on classic books about the oriental medical prescriptions. Results : 1. The source of GBT in Dongeuibogam(東醫寶鑑) is Guchiryuyo(口齒類要), Jeongcheryuyo(正體類要) and Gyojubuinyangbang(校註婦人良方) etc. 2. Meaning of "GwiBi(歸脾)" in the GBT name is returning to the Bi(脾) which is origin of generating Gi(氣) and Blood(血). 3. GBT is composed of Sagunja-tang(四君子湯), Hwanggi-tang(黃芪湯) and Danggwibohyeol-tang(當歸補血湯) etc. 4. According to wide range of symptom, GBT can be varied by adding or subtracting herbs. Conclusions : In this study, we have demonstrated various methodologies. This paper will be useful to the future researchers and clinicians to conduct a study on herbal medicines such as the GBT.

식이 자기 효능감: 한국어판 Weight Efficacy Life-Style 설문지 개발 - 횡문화적 번역 및 안면 타당도 검증 (Eating Self-Efficacy: Development of a Korean Version of the Weight Efficacy Life-Style Questionnaire - A Cross-Cultural Translation and Face-Validity Study)

  • 서희연;옥지명;김서영;임영우;박영배
    • 한방비만학회지
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    • 제19권1호
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    • pp.24-30
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    • 2019
  • Objectives: Eating self-efficacy is an important predictor of successful weight control behaviors during obesity treatment. The Weight Efficacy Life-Style Questionnaire (WEL) is an internationally used measure of eating self-efficacy. The objective of this study was to develop the Korean version of WEL (K-WEL) and verify face validity. Methods: According to previously published guidelines, the cross-cultural translation was conducted through organizing the expert committee, translation, back-translation, synthesis, grammar review, and final synthesis. Following the translation of the WEL into Korean, face validity was performed for 35 subjects. Results: After all the versions of the questionnaire were examined, the translated WEL questionnaires were finally synthesized and licensed by the developer in writing. Regarding the translated WEL questionnaires, seven out of 35 subjects (20%) offered ideas about ambiguous expressions in them. All four points indicated in the face validity verification were additionally modified for greater clarity and understanding. Conclusions: We developed the Korean version of WEL and completed face validity. In future research, it would be necessary to provide further study on the reliability and validity of the Korean version of WEL.

비만 치료에 있어서 체중 감량에 영향을 주는 인자들에 대한 고찰 (Review on Predictors of Weight Loss in Obesity Treatment)

  • 남승희;김서영;임영우;박영배
    • 한방비만학회지
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    • 제18권2호
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    • pp.115-127
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    • 2018
  • Objectives: People often fail to reduce or maintain their weight despite trying to lose weight. The purpose of this study was to review previously published study results of the predictive factors associated with weight loss in obesity treatment. Methods: Authors searched for the articles related to weight loss, published from 2007 to 2017 found on PubMed, Scopus, Research Information Sharing Service (RISS), and Koreanstudies Information Service System (KISS). A total of 43 articles were finally selected. From the study results, unchangeable and changeable predictors were extracted, and these predictors were examined according to detailed categories. Results: Predictors of weight loss in obesity treatment included genetic and physiological factors, demographic factors, history of treatment on obesity related factors, behavioral factors, psychological factors and treatment process related factors. The main factors of weight loss were unchangeable predictors such as high initial degree of obesity and younger age, and changeable predictors such as dietary restraint, regular exercise, self-efficacy, initial weight loss and attendance. Especially dietary restraint, regular exercise, successful initial weight loss and high attendance were considered to be dominant factors for weight loss treatments. Conclusions: Our review results suggest that unchangeable and changeable predictors of weight loss should be carefully examined during treatments of obesity.

폐경 후 고혈압 전단계 및 1기 고혈압에 대한 침 치료 효과: 무작위 대조 예비연구 (Acupuncture for Prehypertension and Stage 1 Hypertension in Postmenopausal Women: A Randomized Controlled Pilot Trial)

  • 김정은;최선미;최진봉;김형준;권오진;김재홍;박지은
    • Korean Journal of Acupuncture
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    • 제34권3호
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    • pp.116-125
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    • 2017
  • Objectives : The aim of this study was to assess the effectiveness of acupuncture in treating prehypertension and stage 1 hypertension in postmenopausal women. Methods : The study was a multi-center, four-arm, non-blinded, randomized clinical trial. Sixty participants were randomly assigned to experimental or control groups. The experimental groups received 10 acupuncture sessions over 4 weeks(Group A, n=20) or 20 sessions over 8 weeks(Group B, n=20) along with usual care. The acupoints were GB20, LI11, ST36, and SP6, bilaterally. The acupuncture groups were followed-up for an additional 12 weeks after acupuncture treatment. The control groups received usual care for 16 weeks(Group C, n=10) or 20 weeks(Group D, n=10). The outcomes were blood pressure, blood pressure control rates, lipid profile, and high-sensitivity C-reactive protein(hs-CRP). Results : After 4 weeks, DBP in the acupuncture groups(A+B) showed no significant decrease compared to the control group(C+D). However, after 8 weeks of acupuncture treatment, group B showed a significant decrease in DBP after acupuncture treatment and follow-up period compared to control group. Although there was no difference between the acupuncture and control groups in SBP after acupuncture treatment, group B showed a significant decrease in SBP compared to control group after follow-up period. Lipid profiles and hs-CRP did not differ significantly between acupuncture and control groups. Conclusions : Acupuncture treatment for 8 weeks showed the effect on prehypertension and mild hypertension. To verify the effect of acupuncture on blood pressure, rigorous trials including more participants are required.