• 대한상한금궤의학회지
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• 제14권1호
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• pp.1-26
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• 2022

Objectives: We aimed to confirm the safety and effectiveness of the decoction of Sibjo-tang, which is a powder type purgative. In addition, we checked whether the '發作' of 『Shanghanlun』 can be interpreted to have the same meaning as "seizure" in English. By confirming these objectives, we intend to lead the progress in the application of Sibjo-tang and to expand the clinical application of the 152nd provision and Sibjo-tang. Methods: We analyzed the medical records of patients who visited Apgujeongjeongin Oriental Clinic and Almyeon Oriental Clinic for seizures. We confirmed side effects in patients who took Sibjo-tang for a long time. Sibjo-tang was prepared as a hot water extract by using 5 g each of Euphorbiae Pekinensis Radix, Eurphobiae Kansui Radix, and Genkwae Flos and 15 g of Zizyphi Fructus. The "seizure" recorded in the 152nd provision was interpreted through the shape analysis of Oracle bone scripts. The seizure frequency of patients diagnosed with epilepsy after taking Sibjo-tang was compared, and we analyzed other symptoms and psychosocial conditions associated with seizures at the first episode. Results: No side effects were found in 7 patients who took Sibjo-tang for 16.57 ± 14.10 months. Seizures were eliminated in 6 cases while taking Sibjo-tang and significantly decreased in 1 case. Frequent indigestion (in 7 cases), mild exhaustion (in 5 cases), and inferiority complex (in 5 cases) were identified as accompanying pathogenic conditions. The "seizure" in the 152nd provision was interpreted as "a state of being stabbed by a sharp substance in clothes", confirming a deep connection with epileptic seizures. Conclusions: The results suggest that using a decoction of Sibjo-tang is safe and efficacious. In addition, the necessity of conducting an advanced study on epileptic seizures accompanied by frequent indigestion using Sibjo-tang was confirmed.

• 대한한방내과학회지
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• 제44권5호
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• pp.1071-1082
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• 2023

Objective: The purpose of this study is to report the efficacy of using Korean medicine treatment with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. Case presentation: We used Korean medicine treatment (Gyejigabuja-tang, acupuncture) to treat a hospitalized patient with cold hypersensitivity of the hands and feet with lumbar spinal herniated intervertebral disc. To evaluate the treatment, we used the Numerical Rating Scale (NRS). The degree of cold hypersensitivity of the hands and feet was also evaluated using evaluation paper. The generic health status was measured using the European Quality of Life-5 Dimensions (EQ-5D) scale. The 31-year-old female underwent 13 days of inpatient treatment. Her pattern identification was that both hands and feet are cold (BiYangHeo) types. The treatments were herbal medicine and acupuncture. She took Gyejigabuja-tang for 13 days. She also received acupuncture for 20 minutes twice a day at LI11 (曲池), L14 (合谷), TE5 (外關) on her hands, LR3 (太衝), SP6 (三陰交), SP9 (陰陵泉) ST36 (足三里), GB41 (足臨泣) on Feet, GV4 (命門), GV3 (腰陽關), BL23 (腎兪), BL24 (氣海兪), BL25 (大腸兪), and BL26 (關元兪) on the low back. After 2 weeks of treatment, the NRS scale of her cold hypersensitivity of hands and feet symptoms dropped from NRS 7 to NRS 3, and her low back pain dropped from NRS 6 to NRS 3. Her cold hypersensitivity of hands and feet evaluation paper score decreased from 64 to 32, and her EQ-5D increased from 0.487 to 0.681. After the end of treatment, continued symptom improvements and no significant side effects were confirmed. Results: These findings suggest that Korean medical treatment (Gyejigabuja-tang, acupuncture) may be effective for treating cold hypersensitivity of hands and feet with lumbar spinal herniated intervertebral disc. The NRS, evaluation paper, and EQ-5D scores improved after treatment, with no side effects.

• 동의신경정신과학회지
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• 제34권4호
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• pp.335-347
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• 2023

Objectives: The study aimed to understand the current treatment patterns in Korean medicine to develop clinical practice guidelines for autonomic dysfunction in Korean medicine. Methods: This study sent an online survey vai text message to 25,900 Korean medicine doctors whose contact information was registered with the Association of Korean Medicine. A total of 1,410 Korean medical doctors completed the online survey. Results: When autonomic treating dysfunction clinically, 77% of the cases included only a description without entering a diagnosis code. The most commonly used information to diagnose o autonomic dysfunction was history-taking and symptoms (79%), and the main symptoms of autonomic dysfunction were palpitations, dizziness, sleeping difficulties, anxiety/nervousness, and depression/lethargy. The most frequently mentioned cause of autonomic dysfunction was mental problems (54%). The most commonly used Korean medicine treatment method for autonomic dysfunction was herbal medicine (70%), and Soyo-san/Gamisoyo-san is the most frequently used herbal medicine preparation. Liver qi depression used to indicate the most often mentioned Korean medicine pattern identification used to indicate autonomic dysfunction (31%). When asked whether cardiac neurosis in Chinese medicine can be considered autonomic dysfunction, opinions for and against it are determined almost equally. Conclusions: Our results serve are a foundation for developing clinical practice guidelines for autonomic dysfunction in Korean medicine and are expected to catalyst promoting future clinical research on autonomic dysfunction.

• Korean Journal of Radiology
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• 제22권2호
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• pp.213-224
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• 2021

Objective: Clinical outcomes of patients who undergo transarterial chemoembolization (TACE) for single small hepatocellular carcinoma (HCC) are not consistent, and may differ based on certain imaging findings. This retrospective study was aimed at determining the efficacy of pre-TACE CT or MR imaging findings in predicting survival outcomes in patients with small HCC upon being treated with TACE. Besides, the study proposed to build a risk prediction model for these patients. Materials and Methods: Altogether, 750 patients with functionally good hepatic reserve who received TACE as the first-line treatment for single small HCC between 2004 and 2014 were included in the study. These patients were randomly assigned into training (n = 525) and validation (n = 225) sets. Results: According to the results of a multivariable Cox analysis, three pre-TACE imaging findings (tumor margin, tumor location, enhancement pattern) and two clinical factors (age, serum albumin level) were selected and scored to create predictive models for overall, local tumor progression (LTP)-free, and progression-free survival in the training set. The median overall survival time in the validation set were 137.5 months, 76.1 months, and 44.0 months for low-, intermediate-, and high-risk groups, respectively (p < 0.001). Time-dependent receiver operating characteristic curves of the predictive models for overall, LTP-free, and progression-free survival applied to the validation cohort showed acceptable areas under the curve values (0.734, 0.802, and 0.775 for overall survival; 0.738, 0.789, and 0.791 for LTP-free survival; and 0.671, 0.733, and 0.694 for progression-free survival at 3, 5, and 10 years, respectively). Conclusion: Pre-TACE CT or MR imaging findings could predict survival outcomes in patients with small HCC upon treatment with TACE. Our predictive models including three imaging predictors could be helpful in prognostication, identification, and selection of suitable candidates for TACE in patients with single small HCC.

• 동의생리병리학회지
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• 제37권6호
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• pp.172-177
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• 2023

In order to deduce the pathogenic factor(PF) diagnosis logic of underlying in pattern identification of Korean medicine, 2,072 cases of DSOM(Diagnosis System of Oriental Medicine) data from May 2005 to April 2022 were collected and analyzed by means of decision tree model(DTM). The entire data were divided into training data and validation data at a ratio of 7:3. The CHAID algorithm was used for analysis of DTM, and then validity was tested by applying the validation data. The decision rules of items and pathways determined from the diagnosis data of Qi Deficiency, Blood Deficiency, Yin Deficiency and Yang Deficiency Pathogenic Factor of DSOM were as follows. Qi Deficiency PF had 7 decision rules and used 5 questions: Q124, Q116a, Q119, Q119a, Q55. The primary indicators(PI) were 'lack of energy' and 'weary of talking'. Blood deficiency PF had 7 decision rules and used 6 questions: Q113, Q84, Q85, Q114, Q129, Q130. The PI were 'numbness in the limbs', 'dizziness when standing up', and 'frequent cramps'. Yin deficiency PF had 3 decision rules and used 2 questions: Q144 and Q56. The PI were 'subjective heat sensation from the afternoon to night' and 'heat sensation in the limbs'. Yang deficiency PF had 3 decision rules and used 3 questions: Q55, Q10, and Q102. The PI were 'sweating even with small movements' and 'lack of energy'. Conclusively, these rules and symptom information to decide the Qi·Blood·Yin·Yang Deficiency PF would be helpful for Korean medicine diagnostics.

• 한국빅데이터학회지
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• 제8권2호
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• pp.73-82
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• 2023

현재 수산업 종사자의 78%를 차지하고 있는 인력 고령화에 따른 노동력 부족 문제를 해결하기 위해 객체 검출 및 추적 알고리즘을 주요 내용으로 하는 스마트 양식 기술에 대한 연구가 활발히 진행되고 있다. 이러한 기술들은 어류의 크기 분석, 행동 패턴 예측 등의 작업이 가능하여 실시간 모니터링 및 자동화 시스템의 구축이 용이할 것으로 기대된다. 본 연구에서는 양식 시설 외부에 설치된 카메라로부터 수집된 영상 데이터를 기반으로 어류 검출 및 추적 알고리즘을 활용하였다. 수중 조건, 암모니아, pH 농도에 따른 카메라 부식 문제로 인한 높은 유지보수 비용 문제를 극복하는 것을 목표로 하였다. 어류 객체 검출을 위해 YOLOv7 모델을 활용한 실시간 모니터링 시스템의 성능을 분석하였고, 어류의 움직임을 추적하기 위해 SORT 알고리즘을 활용하였다. YOLOv7 훈련 결과 PR Curve 기반의 Recall과 Precision 값의 상충 관계를 밝혀내 조명에 의한 물줄기와 그림자의 오검출을 최소화하였음을 알 수 있다. 어류 추적을 위해 우리는 재식별화를 통해 효과적인 추적을 확인하였다. 이러한 연구 결과는 스마트 양식 산업의 운영 효율성을 높이고 양식 시설의 어류 관리 개선을 용이하게 할 것으로 기대된다.

• 대한간호학회지
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• 제25권2호
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• pp.372-389
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• 1995

The frequency with which administration of chemotherapy for gynecological cancer treatment is used has increased along with the use of surgery and radiotherapy Among the various side effects of chemotherapy, stomatitis causes a problem of function and sensation in the oral cavity. This oral discomfort can be categorized into two components ; perceived oral symptoms and observed oral symptoms. If the oral problem continues, it may cause infection, bleeding and nutritional deficiencies. As a result of this condition, compliance with the treatment process can be affected as well as the prognosis for the cancer patients. But as the oral discorrfort usually appears after chemotherapy, it is often not reported to the health care personnel as a patient problem. Without problem identification of the oral discomfort and ability to assess the problem, effective intervention cannot be planned. Therefore, this study was conducted to identify the pattern and the degree of oral discomfort due to cancer chemotherapy and thus to provide data for identification of the patient problem and for nursing assessment. The design of this study was a longitudinal de-scriptive study The subjects were in - patients who received chemotherapy under the diagnosis of gynecological cancer between Mar. 15, 1994 and May 15, 1994 at a general hospital in Seoul, Korea. The number of subjects was 64 and they were divided into two groups, one of 41 (A : 5FU & Neoplatin), the other of 23(B : Neoplatin, Cytoxan, Adriamycin), according to the treatment regimen. The data were collected for 24 days using self-re-port instruments. The instruments were the 「Perceived Oral Symptom Assessment Tool」 and 「Observed Oral Symptom Assessment Tool」 developed by this researcher. Data were analyzed using the SPSS-PC program, ANOVA, t-test, paired t-test and the Pearson Correlation Coefficient were applied. The results of this study are as follows : 1. In A regimen the peak time for perceived oral symptom scores was the fifth day after chemotherapy, and the tenth day for observed oral symptom scores. Both of the problems started on first day of chemotherapy and were not resolved completely until the 24th day after treatment. 2. In B regimen, the peak time for perceived oral symptom scores was on the seventh day after chemotherapy, and the eighth day for observed oral symptom scores. It was noted that perceived oral symptom scores were higher than observed oral symptom scores consistently for 24 days. Both also started on first day of chemotherapy, and were not resolved completely until the 24th day after chemotherapy. 3. There were no differences statistically in perceived oral symptom scores between A and B regimen. The loss of appetite and xerostomia caused the most severe discomfort in both of these two groups. 4. The were no differences statistically in observed oral symptom scores between the A and B regi moil. In the A regimen, the highest observed symptom scores were the lips, gingiva, tongue and buccal membrane in that order. But in the B regimen, the highest observed symptom scores were tongue, lips, buccal membrane and gingiva in that order. 5. In A regimen, the patients who had gingival edema and dentures had significantly higher perceived oral symptom scores. And those who had gingival edema and bleeding, foul odor and aphthous stomatitis had significantly higher observed oral symptom scores. 6. In B regimen, the patients who had the experience of stomatitis in the last course of chemotherapy had significantly higher perceived oral symptom scores. Those who had gingival edema had significantly higher observed oral symptom scores. 7. In the A regimen there was no correlation between lab values for lymphocytes and albumin with perceived oral symptom scores and observed oral symptom scores. In the B regimen, there was a significant negative correlation between lymphocytes and albumin with the observed oral symptom scores, but not between perceived oral symptom scores and lymphocytes and albumin values. In conclusion, the nurse should expect that the patient undergoing chemotherapy will complain severely about subjective discomfort and before objective physical change is observed. Also the patients who have chronic oral problems such as dentures, gingival edema and bleeding, foul odor, aphthous stomatitis will complain of severe oral discomfort due to chemotherapy.

• 한국환경생태학회지
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• 제34권1호
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• pp.1-8
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• 2020

본 연구는 오대산국립공원에 서식하는 산양의 정확한 서식 실태를 파악하는 한편, 개체군 증가에 따른 복원과 서식지 관리 중심의 보전사업을 위한 무인센서카메라를 이용한 산양의 개체 수 전수조사를 실시하였다. 오대산국립공원에서 2018년 1년간 현장조사를 통해 획득한 산양 서식실태 조사결과를 중심으로 산양의 서식 흔적이 가장 많이 관찰된 18개의 격자(2km×2km)를 우선 선정한 후 다시 4개의 소격자(1km×1km)로 나누어 38개의 소격자에 총 62대의 무인센서카메라를 설치하여 조사를 진행하였다. 조사결과, 총 5,096장의 야생동물이 촬영되었고, 이중 산양은 총 2,268장이 촬영되었으며, 산양 분류표(뿔 형태 Ⓐ, 링 무늬Ⓑ, 링 형성 비율Ⓒ, 얼굴 색상 Ⓓ)로 분석한 결과 총 95개체를 확인하였다. 암·수 비율은 수컷 35개체(36.8%), 암컷 46개체(48.4%), 성별미상(새끼) 14개체(14.7%)로 나타났으며, 성별미상을 제외한 암·수 비율은 4(수):6(암)비율로 나타났다. 산양의 개체 수 분석 중 뿔 형태 Ⓐ와 얼굴 색상 Ⓓ로 암·수 및 개체가 확연이 구분되어 각 개체를 구분하는 중요한 요인이었으며, 성별미상인 14개체를 제외한 81개체의 상관관계를 분석한 결과(r=-0.635, p<0.01) 유의적인 차이가 나타났으며, 오대산국립공원의 산양은 최소생존개체군을 형성하였기에 복원에서 보전으로 정책의 변화가 필요하다.

• 과학기술학연구
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• 제5권1호
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• pp.55-92
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• 2005

한국에서 중요한 과학적 개념의 형성과 그 사회적 유통에 기여하는 것은 미국과 유럽, 그리고 일본에서 형성, 성숙, 정립된 후에 한국으로 유입되고 수용되는 과학 지식과 한국 사회가 근대화의 과정에 형성한 제도이다. 유전적 정보라는 개념도 이러한 맥락에서 예외일 수는 없다. 유전적 정보 개념은 고전적 유전학의 틀에서 이해되는 유전, 또는 계승성의 개념에서 인간유전체 연구사업의 와중에서 등장하여 성숙한 유전체학과 생물정보학에 의해 확대 심화된 것이다. 본 연구는 서구적 개념 및 지식 생산 구조를 모델로 하는 개념적, 과학지식적, 제도적 통합성을 기준으로 한국에서 유전적 정보의 생산 구조가 어떻게 형성되어 있는가에 대한 것이다. 한국에서 1980년대 중반에 나타났던 유전공학 담론은 한국에서 분자생물학의 발달은 촉진시켰지만, 생화학-생화학교실과 같은 균형성이 없이 유전공학-유전학교실의 불균형성이 존재하게되었다. 주로 의과대학의 (인간)유전학과 혹은 유전학교실의 수와 질에 있어서의 부족함 때문에 생명과학 전체에 미치는 영향력에서도 크게 성공하지 못했고, 통합적, 거시적 발전을 이루지 못한 것으로 보인다. 유전학의 발전적 재구성이라고 할 수 있는 유전체학은 한국에서는 유럽, 미국, 일본의 인간유전체연구사업의 발전 궤적의 '기초단계' 혹은 '제 1기' 형태에는 거의 인프라, 투자, 연구개발이 없었고 기능유전체학과 단백체학을 중심으로 하는 '성숙단계' 혹은 '제 2기' 형태를 주축으로 하여 한국의 연구개발이 진행되고 있다. 유전체학과 같이 발달한 생물정보학에는 내적 구조에 이미 정보학과 연결되는 논리와 내용을 가지고 있는데, 한국에서는 정보기술(IT)의 아류 정도로 보는 편협하고 왜곡된 시각이 주도적인 가운데 시작된 것으로 보인다. 결과적으로 한국 생물정보학은 유전학 및 생명과학과의 통합적인 면에서는 결함을 노출하고 있다. 이러한 유전적 정보의 생산 구조가 가지는 문제점으로 인하여 한국에서 유전적 정보는 기초가 부실한 편이며 파편화된 유형으로 생산되어 나올 개연성을 가진다. 개념적, 제도적인 파편화의 사례는 개인식별의 유전학이 기존의 유전공학-유전학교실 체제로 흡수되지 못하고 의과대학 법의학교실에서 전문성과 연구실천을 확보한 것에서도 확인된다. 유전적 정보의 생산 구조에 영향을 미치는 환경은 한국의 생명공학과 시민사회운동으로 존재한다.

• 한국응용곤충학회지
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• 제45권3호
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• pp.293-299
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• 2006

2005년 5월부터 6월까지 국내 주요 국화재배 포장에서 총 50개 토양시료를 채집하여 식물기생선충상을 조사하였다. 조사 결과, 뿌리썩이선충(Pratylenchus)의 포장발생률이 86%로 대부분의 포장에서 광범위하게 분포하였고, 밀도는 토양 200 cc와 뿌리 1g에서 평균 1,095마리가 검출되었다. 분자생물학적 동정을 위하여, '무안', '구미', '태안', '정읍', '마산' 등 5지역을 선정하고, 그 지역의 뿌리썩이선충을 대상으로 ITS와 D3-28S rDNA의 유전자 분석을 하였다. PCR 결과 증폭된 ITS는 '무안'의 경우 1 kb 크기로 나타났고, 그 외의 다른 지역의 뿌리썩이선충에서는 0.8 kb로서 약 200 bp가량의 차이가 있었다. D3-28S rDNA의 PCR 결과에서는 모든 지역에서 약 320 bp로 일정한 크기의 gene이 증폭되었으며, 증폭된 DNA는 sequencer를 이용하여 염기서열정보를 얻었다. 얻어진 각 isolate의 D3 염기서열 정보는 DNASTAR 분석 소프트웨어의 MegAlign 프로그램을 이용하여 분석 및 phylogenetic tree를 형성하였다. 분석 결과 '구미'와 '태안' isolate의 D3 염기서열은 100% 일치하였고, '정읍' isolate는 이들 isolate와 99.7%의 유사성을 나타내었다. 또한 이들 세 isolate는 Pratylenchus vulnus와 근연종임이 확인되었는데, '구미', '태안'은 96.7%, '정읍'은 96.3%의 유사성을 각 나타내었다. 한편, '마산' isolate는 P. penetrans와 100% 일치됨을 나타내었고, '무안' isolate는 P. brachyurus와 99.7%의 유사성을 나타냄으로써 높은 상관성을 나타내었다. 이와 같은 결과는 phylogenetic tree에서도 동일한 결과를 나타내고 있다.