• The Journal of Internal Korean Medicine
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• v.32 no.1
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• pp.87-99
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• 2011

In the 18th century, Xu Lingtai (徐靈胎) and Yoshimasu Todo (吉益東洞) were medical revolutionaries. They emphasized researches about synthesis of formulae, efficacy of medication and observation and then classification of clinical phenomena, so they assumed a modern scientific character. But, there were clear differences between their academic thoughts. In this paper, we examine the causes of difference in three fields, i.e. traditional culture, viewpoints of talented people and academic personality. The first, difference was due to traditional culture. Chinese medicine has a long history and heavy traditional culture. Yin-Yang (陰陽) theory, Five Phase(五行) theory, Viscera and Bowels (臟腑) theory and Meridian and Collateral (經絡) theory stemmed from everyday practice, and Chinese people learn these theories from experience and observation. From the standpoint of Chinese people, particularly scholarly doctors [儒醫] such as Xu Lingtai, it was easy to debate medical theories. In contrast, Japanese traditional culture didn't have as long a history as China. Thus as a necessity, it was harder to disseminate traditional Chinese medicine theories in Japan. Yoshimasu Todo simplified it by cutting out the superfluous traditional Chinese medicine theory, so at that time it must have been shocking to the Japanese medical world's trends. The second, difference was due to viewpoints of talented experts. From the standpoint of Xu Lingtai, above all, medicine is just a learning, only a kind of technique, even more not a means of living. Xu Lingtai was concerned with the appearance of very talented experts such as 'great man' (偉人), and 'exceptional man' (奇士) who carried out medical research. Instead of cultivating a few talented people, Yoshimasu Todo tried to produce a large number of clinicians quickly who could treat ordinary people. The third was due to personality difference. As Xu Lingtai threw away Confucianism and studied medicine in his youth, although he had a critical attitude, he was always mild-mannered. Yoshimasu Todo always had a clearly critical and rebellious nature. Personality influenced their literary spirit and learning style, so although both advocated reactionism, the academic thought of Xu Lingtai was reformative and mild, while that of Yoshimasu Todo was revolutionary and fierce. Xu Lingtai and Yoshimasu Todo had considerably similar research domains and academic thought, so it is proper for them both to serve as examples for making a comparative study of medical history in China and Japan in 18th century.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.6 no.1
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• pp.18-33
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• 1995

The Purpose of this article is to identify the specific characteristics of borderline disorder in adolescence to conceptualize the borderline state as an adolescent process different from borderline personality disorder in adult, and to classify them according to it's unique clinical feature, porcess and outcome. The development of borderline disorder in adolescent, epidemiology, comorbid disorders and differential diagnosis, pre-existing sub-classification systems, and etiology in theories of psychodynamics, biological theories, experimental studies, and follow-up studies are reviewed. The authors conceptualize the adolescent borderline state include all clinical states generated by re-emergence of unresolved rapproachement conflicts in adolescent, and propose that there are four subgroups in adolescent borderline state. (1) Borderline state as an adolescent process. (2) Borderline state associated with psychotic disorders (3) Borderline state as an initial stnge of typical borderline personality disorder (4) Borderline state associated with organic problems. Conceptually, borderline state in adolescence is not a simple continuation of primary failure of separation-individuation but a struggle for mastering unresolved separation-individuation conflicts in adolesance i.e., the second separation-individuation state, and if it fails this time, the struggle might continue into adult life as borderline personality disorder.

• Journal of Chest Surgery
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• v.20 no.1
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• pp.112-127
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• 1987

Myasthenia gravis is a neuromuscular transmission function disorder characterized by fatigue and weakness of voluntary muscles. This muscular weakness is intensified by activity and stress, and improved by the use of anticholinesterase compounds. It was initially described by Erb in 1879 and later named myasthenia gravis by Jolly in 1895. Although the pathogenesis is Known to be an autoimmune related reduction in the number of available acetylcholine receptors at neuromuscular junctions, the role of thymus in myasthenia gravis is still unclear and under investigation. Thymectomy in the management of myasthenia gravis has become increasingly important since Dr. Blalock observed in 1939 that some patients with thymic tumors and myasthenia gravis improved following thymectomy. A clinical study of 102 cases of myasthenia gravis was performed at Yonsei University College of Medicine. Seoul, Korea from Jan. 1976 to Jun. 1986. In order to determine which factors are of prognostic significance, attention is focused upon pre-operative patient evaluation, problems in operative and post-operative care, and long-term follow-up observations. The results were as follows: 1. The sex distribution was 67 females and 35 males, the mean age of onset was 28.95*1.69 years, and the maximal incidence occurred between 21 and 40 years of age [56 cases: 54.9%]. 2. Clinical manifestations of ocular symptoms were seen to 70 patients [68.6%] extremities weakness in 33 [32.3%], bulbar weakness in 29 [28.4%], and dyspnea in 13 [12.7%]. 3. Study cases more than two thirds were classified as mild types [MG 1 and MG 11A] and 6 cases as grave [MG 1V] based on the modified Osserman`s classification system, 4. Thymectomy was performed in 19 cases which presented in severe myasthenia symptoms and showed no improvement with cholinergic drugs. Histologic examination of the excised thymus glands revealed no abnormalities in 4 cases, thymic hyperplasia in 5, benign thymoma in 5, and malignant thymoma in 5. 5. Immediate post-operative complications included 2 cases of pneumothorax which were treated by tube thoracostomies, there was no operative mortality. 6. The response to cholinergic drugs in 36 cases younger than 20 years old and in 27 cases older than 40 years was relatively poor, while that in 35 cases between the ages of 21 and 40 years old was good. 7. Thirty of 39 cases in groups IIB, III & IV improved markedly with medical or surgical management while only 16 of 59 cases in the mild groups [I and IIA] improved, almost all surgical cases improved in all categories. 8. There were 5 deaths. occurring between 7 months and 3 years 3 months of treatment of myasthenia gravis. The causes of death were myasthenic crisis in 2 cases, respiratory failure due to candidiasis & radiation pneumonitis in one case, cerebral hemorrhage due to high blood pressure in two case.

• Atmosphere
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• v.24 no.3
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• pp.433-444
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• 2014

Although the Radar-AWS Rainrate (RAR) calculation system operated by Korea Meteorological Administration estimated precipitation using 2-dimensional composite components of single polarization radars, this system has several limitations in estimating the precipitation accurately. To to overcome limitations of the RAR system, the Korea Meteorological Administration developed and operated the RMQ (Radar-based Multi-sensor Quantitative Precipitation Estimation) system, the improved version of NMQ (National Mosaic and Multi-sensor Quantitative Precipitation Estimation) system of NSSL (National Severe Storms Laboratory) for the Korean Peninsula. This study introduced the RMQ system domestically for the first time and verified the precipitation estimation performance of the RMQ system. The RMQ system consists of 4 main parts as the process of handling the single radar data, merging 3D reflectivity, QPE, and displaying result images. The first process (handling of the single radar data) has the pre-process of a radar data (transformation of data format and quality control), the production of a vertical profile of reflectivity and the correction of bright-band, and the conduction of hydrid scan reflectivity. The next process (merger of 3D reflectivity) produces the 3D composite reflectivity field after correcting the quality controlled single radar reflectivity. The QPE process classifies the precipitation types using multi-sensor information and estimates quantitative precipitation using several Z-R relationships which are proper for precipitation types. This process also corrects the precipitation using the AWS position with local gauge correction technique. The last process displays the final results transformed into images in the web-site. This study also estimated the accuracy of the RMQ system with five events in 2012 summer season and compared the results of the RAR (Radar-AWS Rainrate) and RMQ systems. The RMQ system ($2.36mm\;hr^{-1}$ in RMSE on average) is superior to the RAR system ($8.33mm\;hr^{-1}$ in RMSE) and improved by 73.25% in RMSE and 25.56% in correlation coefficient on average. The precipitation composite field images produced by the RMQ system are almost identical to the AWS (Automatic Weather Statioin) images. Therefore, the RMQ system has contributed to improve the accuracy of precipitation estimation using weather radars and operation of the RMQ system in the work field in future enables to cope with the extreme weather conditions actively.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.3
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• pp.1321-1326
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• 2014

Background/Aim: Toll-like receptor 4 (TLR4) and B7-H1, both normally expressed restricted to immune cells, are found to be aberrantly expressed in a majority of human tumors and may play important roles in regulation of tumor immunity. It has been shown that urothelial bladder cancer (UBC) patients can manifest tumoral immune escape which may be a potential critical factor in tumor pathogenesis and progression. However, so far, the mechanisms of UBC-related immune escape have not been clarified. The aim of this study was to investigate the effect of TLR4 and B7-H1 on immune escape of UBC. Methods: Bladder cancer T24 cells were pre-incubated with LPS and co-cultured with tumor specific CTLs. CTL cytotoxicity and apoptosis rates were measured by MTT assay and flow cytometry, respectively. The effects of an ERK inhibitor on B7-H1 expression and CTL cytotoxicity against T24 cells were also evaluated. In addition, TLR4, B7-H1 and PD-1 protein expression was analyzed by immunohistochemistry in 60 UBC specimens and 10 normal urothelia. Results: TLR4 activation protected T24 cells from CTL killing via B7-H1 overexpression. However PD98059, an inhibitor of ERK, enhanced CTL killing of T24 cells by reducing B7-H1 expression. TLR4 expression was generally decreased in UBC specimens, while B7-H1 and PD-1 were greatly overexpressed. Moreover, expression of both B7-H1 and PD-1 was significantly associated with UICC stage and WHO grade classification. Conclusions: TLR4 and B7-H1 may contribute to immune escape of UBC. Targeting B7-H1 or the ERK pathway may offer new immunotherapy strategies for bladder cancer.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.27 no.3
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• pp.164-172
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• 2016

Objectives: This study attempted to evaluate the usefulness and direction of development of post-traumatic assessment and interventions based on the opinions of psychiatrics and disaster and trauma-related experts using the Delphi survey technique. Methods: In-depth individual interviews served as the pre-survey and were followed by Delphi primary and secondary surveys. Specialists in child and adolescent mental health, psychological support professionals specialized in disasters and related practitioners with experience of disasters in Korea completed a set of questionnaires and participated in focus group interviews and in-depth individual interviews on post-traumatic assessment and intervention. Results: We found that the following issues have a significant impact on the interventions after disasters: the proper time of the initial interview in the event of a disaster, assessment notices, aged assessment services, mandatory enforcement measures, scale screening and treatment intervention elements, symptoms degree classification, intervention standardization, the use of a levelled program, care unit environment, and operation plan. Conclusion: This study proposed effective mental health intervention measures and has implications for the development of evaluation treatment protocols after disasters.

• Journal of the Korean earth science society
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• v.18 no.6
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• pp.480-492
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• 1997

In order to understand the processes involved in the petrogenesis and the differentiation of the primary magma spectrum, a petrological and geochemical properties were investigated for the Chonju and the Sunchang foliated granites, which are located in the southwestern part of the Okchon zone and extends up to the northwestern boundary of the Ryongnam massif as two subparallel batholiths. Major element analyses show that the Chonju and Sunchang foliated granites are classified petrologically into a weakly to strongly peraluminous or calc-alkaline, but do not fit neatly into either of the I/S-type or magnetite/ilmenite-series classification schemes for granites, although the I-type and magnetite-series characteristics seem to be predominant based on the major element chemistry. In normative compositions, the Chonju granite is petrographically evolved from granodiorite to granite, whereas the Sunchang granite is from granodiorite to quartz monzodiorite. It seems to suggest a difference of the magmatic evolution processes such as crustal assimilation and/or fractional crystallization in magma. The REE patterns of both batholiths show high similarity and strongly fractionated REE distributions which show high $(Ce/Yb)_N$ ratios and little or no Eu anomalies. These REE patterns correspond broadly to those seen in the pre-Cretaceous granitoids of Korea. Apparently, the evidences obtained from the bulk compositions strongly suggest that the two foliated granitoids were formed by partial meltings of a relatively restricted and similar, may be common, source material which contains a continental crust component having an igneous composition, and have undergone a similar magmatic differentiation processes.

• Journal of the Economic Geographical Society of Korea
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• v.12 no.2
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• pp.195-214
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• 2009

The Mangi yoram("萬機要覽"), a guidebook of state affairs, was published by royal command in the late Joseon period. Its chapters on financial affairs(財用篇) are particularly remarkable, as they explain on all aspects of the national finance of the late Joseon period in a clear manner. The financial part of the Mangi yoram includes metallic mineral resources, such as the location of gold, silver, copper, lead deposits and the prosperity and decline of the mines, and the various uses of each of the minerals. These are still regarded as valuable resources. Its contents on agricultural geography comprise not only the total yearly output of grains, paddyfields and dryfields, their taxation and standards of taxation, but also ginseng which was famous in the outside world in the pre-modern era. The book also clearly explains distribution of agricultural dikes for irrigation and their functions. The book also contains information on forestry geography, e.g. the varieties of pine trees and their distribution and mountain containment policies. Contents related to commercial geography consist of material on different types of markets such as the yukuijeon(六矣廛), sijeon(市廛), peongsisuh(平市署), nanjeon(亂廛), and the distribution, size and prosperity and decline of the border markets of the northern frontier such as the hoeryungkaesi(會寧開市) and geongwonkaesi(慶源開市). Contents related to transport geography are the distribution and functions of government granaries etc. Obviously, this book contains detailed information on various aspects of Korean geography. If we try to understand the contents of this book from the framework of modern geographical classification schemes, the geographic information contained in the book assumes even greater significance. In sum one may conclude that this book, which the king kept by his side, contained useful geography related knowledge and necessary information, and was directly relevant to the administration of the country. It exerted immense influence on the contemporary intellectual world of Joseon Korea, and was regarded as an invaluable resource.

• The Korean Journal of Petroleum Geology
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• v.7 no.1_2 s.8
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• pp.28-34
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• 1999

The Cretaceous Poongam sedimentary Basin in Kangwon-do, Korea consists alluvial deposits of conglomerates, sandstones, mudstones or siltstones, and volcaniclastics. The Poongam Basin was formed as a fault margin sag or a transpressional basin developed along a strike-slip fault zone, and received huge amount of clastic sediments from the adjacent fault-scaip. It formed an aggrading alluvial fan system and a volcaniclast-supplied marginal lake environment, while tectonic activity and volcanism attenuated toward the end of basin formation. Following the Folk's classification, the sandstones of the Poongam Basin are identified as lithic wackes or feldspathic wackes. The areal and sequential variation of the mineral composition in the sandstones is not distinct. The results of K-Ar age dating from the intruding andesites, volcaniclastics and volcanic fragments in sedimentary rocks show a range of 70 Ma to 84 Ma. It suggests that volcarism occurred sequentially within a relatively short period as the pre-, syn-, and post-depositional events. It was the short period in the late Cretaceous that the basin had evolved i.e., the basin formation, the sediment input and fill, and the , intrusion and extrusion of volcanic rocks occurred. The Poongam sedimentary sequence is a typical tectonic-controlled coarse sedimentary facies which is texturally immature.

• Science of Emotion and Sensibility
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• v.18 no.3
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• pp.81-92
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• 2015

The purpose of this study was to investigate the emotion and preference for shoes styles through empirical research, in accordance with personality type, age and fashion innovativeness of female students. This study was a survey research through convenience sampling of 224 college students. In order to select shoes style, a pre-classification through dictionary and online search was done to choose the representative eight styles of shoes to college students. Personality types was determined from the modified measures of the brief MBTI to fit this study, and the emotional scale of sensibility was revised from the previous studies. SPSS statistical analysis were executed as follows: First, preference and emotion on shoes styles were significantly different in accordance with the shoes type and the diagram from the results of correspondence analysis showed some relationship between the sensibility and shoes styles showing 4~5 clusters. Second, the sensibility and preference had significant difference in some type of shoes according to the personality types of college students. Third, there was a significant difference in the shoes preference and sensibility by accordance of the degree of fashion innovativeness. And there was a significant difference in preference of shoes according to the purchase frequency of consumers. We hope this data is useful to this current dynamic market of shoes to the both sides of producer and consumers.