• 한국산학기술학회논문지
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• 제21권2호
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• pp.85-93
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• 2020

현대 의학의 눈부신 발전에도 불구하고 감염병의 유행 발생과 전파는 지속적으로 인류를 위협하고 있으며, 이러한 감염병의 사람 간 전파는 사회적 접촉에 의한다. 그러나 사회적 접촉에 관한 국내 연구는 초기 단계다. 본 연구에서는 체계적 문헌 고찰을 통해서 각국의 사회적 접촉의 실태를 파악하여 국내 연구를 위한 기초자료를 제공하고자 한다. 문헌 선정기준은 2000년 이후부터 2017년 12월까지 영어로 발표된 전국적인 규모의 사회적 접촉 논문 12편을 최종선정하였다. 후향적 접촉일지(7건, 58.3%), 무작위 추출법(9건, 75%)을 연구방법으로 가장 많이 이용하고 있었으며, 접촉자 수는 4.9명-17.7명/일, 주중에 주말보다 더 많았으며, 매일 만나는 관계에 있는 사람과 주로 접촉하였고, 신체적 접촉은 가정 내에서 빈번하였다. 접촉 빈도가 가장 높은 연령은 5-19세로 감염병 유행 발생 시에는 이 연령층에 의한 감염전파가 우려된다고 볼 수 있다. 특히 동질성혼합(assortative mixing)은 5-20세 군에서 높아 이 연령층은 동일한 연령대와의 접촉으로 인한 감염전파 가능성이 큼을 시사하므로 이 연령층에 대한 감염 예방대책이 필요함을 보여주고 있었다. 그러므로 국내에서도 새로운 감염병 또는 재유행 감염병의 발생이나 관리의 정확한 예측을 위해서 국내 기반의 사회적 접촉양상을 파악하여, 이를 기초로 국내 감염병 유행 발생의 예측과 감염 예방대책 수립이 이루어져야 할 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권1호
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• pp.117-122
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• 2014

Background: Breast cancer is the most common malignancy and the second leading cause of cancer-related death among women in the developed countries. Despite advances in screening, improved local therapies and adjuvant systemic treatments, median survival of metastatic breast cancer patients (MBC) is in the range of 2-3 years at most. We aimed to investigate whether the prognostic factors and therapeutic responses of our Turkish patients are similar to those in the literature. Materials and Methods: We reviewed the medical records of MBC patients who had been treated in our institution between 1999-2009 and analyzed their clinicopathological features and survival outcomes retrospectively Results: A hundred and sixty patients were included. Median age was 47 (23-82), median follow up was 24 (2-186) months. At the time of diagnosis 59% of patients were under the age of 50 and 46% were postmenopausal. The majority (37%) had multiple sites of metastases. Forty percent received endocrine therapy and 40% chemotherapy as first line metastatic treatment. Thirty (20%) patients were treated with molecular targeting agents like trastuzumab, lapatinib and sunitinib, frequently combined with a chemotherapy agent. Five-year overall survival (OS) was 32% and median OS was 38 months for the whole group. Five year progression free survival (PFS) was 10% and median PFS was 10 months. Menopausal status, hormone receptor expression and disease free status had a significant impact on overall survival in the multivariate analysis (p 0.018, p 0.018 and p:0.003, respectively). Conclusions: All our patients were treated with the modern oncologic therapies recommended by the international guidelines. From our data, MBC patients live up to 3-4 years, indicating that further improvement beyond that requires development of new treatment modalities. The survival outcomes of our patients were consistent with the data reported in the literature.

• Journal of Acupuncture Research
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• 제15권2호
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• pp.407-425
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• 1998

We have studied the clinical application of burning acupuncture by examining 18recent-published papers in the journal 'ZHONGGUO ZHENJIU(中國鍼灸)' for the bibliographical study and clinical study and have given medical treatment of burning acupuncture on 21 Patients who suffered 'the body chill symptoms(冷症)' at the oriental hospital of Won-Kwang University, Kwang-Ju. As a result, we have come to some conclusions as below. 1. The diseases for which the modern borning acupuncture is efficacious are widely extended to various kinds of field such as surgery, internal medicine, gynecology, ophthalmology, otolaryngology. etc. as well as numbness, meridian muscle disease(經筋病) mentioned in 'Neijing(內徑)' . 2. The effects of burning acupuncture therapy are wen zhuang yang qi(溫壯陽氣), sheng ji lian chuang(生肌斂瘡), san han chu shi(散寒除濕), qu fens zhi yang(祛風止痒), qu yu chu fu pai nong(祛瘀除腐排膿), san jie xiao zhong(散結消腫), zhi tong huan ji chu ma mu(止痛緩急除麻木), qing re xie hue jie du(淸熱瀉火解毒). 3. The recently reported diseases for which burning acupuncture is good are internal and external humeral epicondylitis, atheroma, menorrhalgia, thecal cyst, tragomaschalia, pruritus, traumatic onychophemia, gout of feet, prostatomegaly, aacne, supprative infection of body surface, snapping finger, backache, numbness, pyocyst etc. 4. The subjective symptoms of 'the body chill symptoms(冷症)' were, most of all, feeling cold accompanied by pain(16 case), while just 4 cases were feeling cold only. 5. In the related diseases of the body chill symptoms(冷症), feeling pain like arthralgia was the most case, and then dysmenorrhea, menorralgia, depression, anemia in order. 6. In the D.I.T.I before and after burning acupuncture treatment, 6 patients had shown 'excellent' effects and 8 patients had turned out 'good', while 7 patients had become'fair'. 7. In the degree of patient-satisfaction, 5 patients announced 'excellence' and 6 patients expressed 'good', 4 expressed 'fair', while the other 6 showed no change. 8. In the correlation of D.I.T.I and patient-satisfaction, the better the result of clinical treatment was, the more satisfied the patient was, however, in the case 'fair', we saw the degree of patient-satisfaction was relatively low, so we could admit the judging significance of D.I.T.I.

• 동국한의학연구소논문집
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• 제6권2호
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• pp.33-85
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• 1998

"변증기문(辯證奇聞)"은 청대(淸代)(1687년(年)) 진사탁(陳士鐸)이 저술(著述)한 의서(醫書)로서 126문(門)의 형식으로 이루어져 있다. 내용을 보면 한의학적 이법방약(理法方藥)의 논리체계를 제시하였다고 볼 수 있다. 명말청초(明末淸初)이후 중국에서는 실증적(實證的)인 학풍(學風)의 등장에 따라 역사이론(歷史理論)에 대한 비판 및 정리작업이 활발히 이루어지기 시작하였으며, 이 시기에 저작된 "변증기문(辯證奇聞)"은 현재 우리나라 임상가(臨床家)에서 널리 회자(膾炙)되고 있는 비방(秘方)과 관련된 의서(醫書)중의 하나로 이에 대한 내용을 정리함으로서 현대와의 연계를 도모해 볼 수 있었다. 주로 부장변증논치(腑臟辨證論治)에 대한 시각에 입각하였고, "상한론(傷寒論)"을 보완하면서 비판한면도 찾아볼 수 있었다. 약물은 체내(體內)의 진액손상여부(津液損傷與否)를 살펴 사용하였다.

• 한국가정과교육학회지
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• 제17권2호
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• pp.95-112
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• 2005

이 연구는 $\lceil$신여성$\rfloor$ 에 실린 모성담론을 통해 식민지 시기 어머니 노릇의 구체적 내용 및 그 특징과 함께 모성 담론의 논리적 토대를 살펴보기 위해 시도되었다. 담론분석의 연구방법으로 당대 가장 대표적 여성잡지인 $\lceil$신여성$\rfloor$을 분석하였다. 그 연구결과를 요약하면 다음과 같다. 첫째, $\lceil$신여성$\rfloor$에 실린 모성담론의 내용은 (1) 여성의 어머니됨, (2) 아동관, (3) 우생학, (4) 아동양육 및 교육, (5) 아동 질병 및 간호, (6) 임신과 출산의 내용으로 나눠지며, 이것은 당시의 가사교과서의 육아단원과 큰 차이가 없다. 또한 모성담론의 집필진은 문인을 포함하여 대부분 의사${\cdot}$박사와 같은 전문가(experts)들이었다. 둘째, 모성담론의 주장에 '당위성'을 부여하는 논리적 토대는 (1) 어머니로서 여성은 교육을 받아야 한다는 여성교육의 주장, (2) 모성은 여성의 본질적 특성이라는 성과학의 주장, (3) 여성의 임신과 출산에 재된 위험과 질병을 밝힘으로써 어머니의 위대함을 찬양하는 의함담론의 주장이 있었다. 셋째, 식민지 시기 모성담론의 특성은, (2) 잡다한 어머니 노릇의 나열, (2) 자녀에 대한 세심한 관찰에 대한 강조 (3) 질병이 내재된 양육에의 위험성 강조, (4) 실천하기 매우 어려운 어머니 노릇의 제시, (5) 새로운 어머니 노릇으로 강조되는 학부모 역할로 정리할 수 있다.

• 한국조리학회지
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• 제22권7호
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• pp.36-46
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• 2016

본 연구는 건강지향적인 현대인들의 욕구를 충족시키기 위해 바닐라 소스의 제조 시 설탕을 대신하여 감미료의 종류에 따라 자일리톨, 솔비톨, 아세설팜 칼륨, 아스파탐, 스테비오사이드를 선정하였다. 감미료를 달리하여 바닐라 소스를 제조하여 품질특성을 비교해본 결과, 설탕으로 제조한 소스에서 염도가 가장 낮았고, 당도가 가장 높았으며, 아스파탐으로 제조한 소스에서 당도가 가장 낮았다. pH는 솔비톨을 이용한 소스가 가장 높고, 아스파탐으로 만든 소스가 가장 낮았다. 색도는 아스파탐으로 제조한 소스가 명도와 적색도는 가장 높고, 황색도는 가장 낮았다. 수분함량과 점도는 자일리톨로 제조한 소스가 가장 점도가 높고, 수분함량이 가장 낮았다. 관능검사 결과, 색의 강도가 적당하고 단맛과 입안에서의 느낌이 강한 아스파탐으로 제조한 바닐라 소스가 맛과 텍스처, 전체적인 기호도에서 가장 기호도가 높았다. 따라서, 설탕을 대신하여 아스파탐을 사용해 바닐라 소스를 제조하면 현대인의 건강에 대한 욕구를 충족시키고, 성인병 예방 및 환자식으로 활용이 가능한 바닐라 소스를 제조가 가능함을 알 수 있었다.

• 한국산림과학회지
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• 제76권3호
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• pp.243-248
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• 1987

The U.S. Forest Service administers the world's largest forestry research organization. From its modest beginning in 1876, some 30 years before the United States national forest system was established, the research branch has devoted its effort to meet current and future information needs of the forestry community of the United States, not just for the U.S. Forest Service. The research branch is one of three major administrative units of the U.S. Forest Service. The others being the National Forest System and State and Private Forestry. Currently the National Forest System comprises 155 national forests, 19 national grasslands, and 18 utilization projects located in 44 states. Puerto Rico, and the Virgin Islands. The National Forest System manages these areas for a large array of uses and benefits including timber, water, forage, wildlife, recreation, minerals, and wilderness. It is through the State and Private Forestry branch that the U.S. Forest Service cooperates and coordinates forestry activities and programs with state and local governments, forest industries, and private landowners. These activities include financial and technical assistance in disease, insect, and fire protection ; plan forestry programs ; improve harvesting and marketing practices ; and transfer forestry research results to user groups. Forestry research is carried out through eight regional Forest Experiment Stations and the Forest Product Laboratory. Studies are maintained at 70 administrative sites, and at 115 experimental forest and grasslands. All of the current sciences that composed modern forestry are included in the research program. These range from forest biology (i. e. silviculture, ecology, physiology, and genetics) to the physical, mathematical, engineering, managerial, and social sciences. The levels of research range from application, developmental, and basic research. Research planning and priority identification is an ongoing process with elements of the research program changing to meet short-term critical information needs(i. e. protection research) to long-term opportunities(i. e. biotechnology). Research planning and priority setting is done in cooperation with National Forest Systems, forest industries, universities, and individual groups such as environmental, wilderness, or wildlife organizations. There is an ongoing review process of research administration, organization, and science content to maintain quality of research. In the U.S. Forest Service the research responsibility is not completed until the new information is being applied by the various user group : I. e. technology transfer program. Research planning and development in the U.S. Forest Service is a dynamic activity. Porgrams for the year 2000 and beyond are now in the planning stage.

• 대한한방내과학회지
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• 제33권2호
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• pp.222-230
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• 2012

Background : Interstitial cystitis is a disorder of the bladder characterized by urgency and frequency of urination, and pelvic pain. The cause of interstitial cystitis is not clear. Modern medical treatments include behavioral therapy, medication, intravesical infusion therapy, and surgical treatment, but the goal of treatment is based on symptom relief rather than a cure. According to a recent report, in an animal model, oriental medicine treatment, Yukmijihwang-tang improved the symptoms of interstitial cystitis. However, clinical studies and experimental research are lacking. Objectives : In this study, We investigated Chuknyojetong-tang, acupuncture, moxibustion and bee venom effect on interstitial cystitis. Methods : We targeted 25 patients diagnosed with interstitial cystitis at the university hospital and treated them for more than one month. We used acupuncture, Chuknyojetong-tang, and bee venom. The effects were evaluated using ICSI and ICPI at the begin of treatment and at the end of treatment. Results : All of the 25 patients were female, average age was $53.3{\pm}13.5$ years, and the average month of disease-duration was $69.0{\pm}59.8$. The duration of treatment was $8.0{\pm}5.4$ months, and 60% of patients were improved. After treatment, we used correlation coefficient method, multiple regression analysis. ICSI difference increased as treatment period increased. ICPI difference increased as age decreased. Total difference also increased as treatment period increased. These results imply that treatment effect was improved. Conclusions : These findings suggest that oriental medicine therapy using Chuknyojetong-tang, acupuncture, moxibustion, and bee venom would be very effective on interstitial cystitis.

• 대한예방한의학회지
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• 제15권3호
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• pp.67-81
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• 2011

Background : Complementary and alternative medicine has bee used to cardiovascular diseases. In recent years, many hospitals have tried to integrate complementary and alternative medicine(CAM) with conventional medical approaches for patients with chronic diseases. Recently, the prevalence of the use of traditional Korean medicine(TKM) among patients with chronic diseases, expecially, hemiplegia patients after cerebrovascular accident is increasing in Korea. To date, however, there were only few studies addressing the patients' attitudes, and utilization of TKM, compared to the well-documented escalating use of TKM among consumers in Korea. Objectives : The objective of this study was to analyze the prevalence of TKM use among hemiplegia patients after cerebrovascular accident and to determine what factors affect to use CAM among the patients. The study also aims to provide information on TKM and assist therapy selection among various CAM therapies for hemiplegia patients after cerebrovascular accident within health care system in which both practitioners of TKM and practitioners of modern Western medicine coexisted. Methods : The design of the study was descriptive cross-sectional, and data were collected using a 32-items questionnaire. The subjects were one hundred fifty nine patients with chronic diseases who visited or admitted to health care facilities in a hospital in Seoul Metropolitan city, Korea. Data were analyzed using 'SPSS Statistics 18.0 Network Version(on release 18.0.1 of PASW Statistics)' program. Various statistical methods were used to obtain a profile for participants and the therapies most frequently used by hemiplegia patients of TKM. Logistic regression analysis was employed in order to determine the predicting variables of TKM use. Results : The prevalence of the use of TKM was 51.6%. The most common TKM therapies used by the patients included acupuncture(93.2%), herbal medicine(64.8%), and cupping(37.5%). Results of logistic regression analysis revealed that the variables significantly related with TKM use were gender, marital status, job, No. of visiting health care facilities/week. Conclusions : This study shows that the use of TKM among the hemiplegia patients is relatively high in Korea, this topic should be taken into account in the development of a holistic approach for patients with chronic diseases and an efficient chronic disease management system in Korea.

• 모자간호학회지
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• 제2권1호
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• pp.70-86
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• 1992

What is the meaning of menopause experienced by urban Korean women? Nurses need an under standing of menopause as it is experienced by women themselves. Nursing needs to build knowledge of womens' health experiences. This phenomenological study examined what menopause means to modern Korean woman to build a structure of knowledge useful for practice to enhance the quality of life of women throughout this experience. Traditional definition of menopause according to physiological changes, as illness and more recently as psychosociocultural phenomena were examined along with the folk lore information generally available in the society A review of the research and scientific literature was done from the perspectives of four models including the medical model of menopause as disease, the psychosocial model as positive and negative behavioral responses to menopause, a feminist model of menopause as a time of rebirth and a nursing model of the changing patterns of meaning, rythms and transformation women experience through menopause. Van Kaam's method was used to analyse data audio-recorded during interviews by the investigator with 65 women, 40 to 60 years of agey whose confidentility was assured. Interpretation of the data was enhanced luther by consultation with professional colleugues and with informants. Four rhythmical patterns of process emerged : from suffering to comfort, from oppression to freedom from being a good wife and wise mother to becoming a woman and from a hard life to an abundant life. The detailed common elements making up each of the four patterns and definitions of each pattern were presented. Each pattern was discussed critically from the point of view of medical, psychosociocultural, womens' and nursing models. The structural definition of the synthesis of the four process patterns was stated as : in spite of suffering the middle-aged urban Korean woman find she is able to help herself to feel comfortable and to realize release as she moves from oppression to liberation and freedom from being a good wife and wise mother she experiences rebirth as a woman : she begins to live a profitable and valuable life : her life becomes one of transformed abundant living. The definition transcends the medical and phychosociocultural model to embody a nursing model. The analysis was critiqued by using Parse' Human Becomming theory of nursing because the emerging themes were process patterns. Parse' theory provides and explanation of the experience of menopause consistant with the data which enhances nursing understanding of womens' experience of menopause. Parse' practice methodology provide guidance for promoting womens' quality of life throughout the experience of menopause. Feminist analysis contributes valuable critique to nursing research, richly expanding the perspective from traditional approaches to promote understanding of the meaning of womens' health experiences.