• The Journal of Internal Korean Medicine
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• v.44 no.2
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• pp.167-177
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• 2023

Background: Pressure injuries are localized areas of damage to the skin and/or underlying tissue, usually over a bony prominence due to pressure. Cerebrovascular disease increases the risk of pressure injuries due to the immobility caused by physical paralysis. The general approach to managing a patient with pressure injuries should include pain relief, the treatment of the infection, optimizing nutritional intake, proper positioning, and contamination prevention. Nonetheless, the duration of treatment for pressure injuries varies from person to person. Case report: An 80-year-old female intracerebral hemorrhage patient developed a pressure injury. To improve the injury faster, a Radix Astragali pharmacoacupuncture solution was applied to the pressure sore. The pressure injury's width, length, and depth was assessed using a ruler, and the exudate amount and tissue types were assessed. The treatment was performed for 35 days. The rate at which the size of the pressure sore lessened increased since the Radix Astragali pharmacoacupuncture solution was applied to the pressure sore. In addition, the tissue type of the pressure injury improved, and the exudates decreased. There was no significant difference in the Pressure Ulcer Scale for Healing Tool 3.0, since the Radix Astragali pharmacoacupuncture solution was applied to the pressure injury. Conclusion: This clinical case study suggests that the Radix Astragali pharmacoacupuncture solution might be effective in speeding up the healing of pressure injuries.

• Journal of Dental Anesthesia and Pain Medicine
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• v.23 no.3
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• pp.163-171
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• 2023

Background: Surgical extraction of impacted mandibular third molars is the most common procedure performed by oral surgeons. The procedure cannot be performed effectively without achieving profound anesthesia. During this procedure, patients may feel pain during surgical bone removal (at the cancellous level) or during splitting and luxation of the tooth, despite administration of routine nerve blocks. Administration of intraosseous (IO) lignocaine injections during third molar surgeries to provide effective anesthesia for pain alleviation has been documented. However, whether the anesthetic effect of lignocaine is the only reason for pain alleviation when administered intraosseously remains unclear. This conundrum motivated us to assess the efficacy of IO normal saline versus lignocaine injections during surgical removal of impacted mandibular third molars. The aim of this study was to assess the efficacy of IO normal saline as a viable alternative or adjunct to lignocaine for alleviation of intraoperative pain during surgical removal of impacted mandibular third molars. Methods: This randomized, double-blind, interventional study included 160 patients who underwent surgical extraction of impacted mandibular third molars and experienced pain during surgical removal of the buccal bone or sectioning and luxation of the tooth. The participants were divided into two groups: the study group, which included patients who would receive IO saline injections, and the control group, which included patients who would receive IO lignocaine injections. Patients were asked to complete a visual analog pain scale (VAPS) at baseline and after receiving the IO injections. Results: Of the 160 patients included in this study, 80 received IO lignocaine (control group), whereas 80 received IO saline (study group) following randomization. The baseline VAPS score of the patients and controls was 5.71 ± 1.33 and 5.68 ± 1.21, respectively. The difference between the baseline VAPS scores of the two groups was not statistically significant (P > 0.05). The difference between the numbers of patients who experienced pain relief following administration of IO lignocaine (n=74) versus saline (n=69) was not statistically significant (P > 0.05). The difference between VAPS scores measured after IO injection in both groups was not statistically significant (P >0.05) (1.05 ± 1.20 for the control group vs. 1.72 ± 1.56 for the study group) Conclusion: The study demonstrates that IO injection of normal saline is as effective as lignocaine in alleviating pain during surgical removal of impacted mandibular third molars and can be used as an effective adjunct to conventional lignocaine injection.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
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• v.16 no.3
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• pp.152-160
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• 2023

After the recent COVID-19 outbreak, more and more people are paying attention to health care. Many people feel uncomfortable in life due to muscle pain after sports or exercise as a hobby and often take a break from exercise. After exercising for a long time or exercising excessively, pain appears throughout the body within 24 to 48 hours after exercise. This pain is called delayed onset muscle soreness (DOMS). In this study, the effectiveness of the pain relief of delayed onset myalgia was verified by using a high-frequency pain therapy device that generates deep heat. EMG was measured before and after pain treatment at ordinary times, RMS values were obtained through analysis, statistical analysis was performed using the SPSS program, and it was judged to be statistically significant. In addition, statistical analysis of the RMS value between normal and after pain treatment was conducted to confirm that there was no significance, and to confirm how much it returned to normal after pain treatment. In addition, since the standards for pain are different for each person even if the size of the same pain is the same, the NRS questionnaire for the size of pain was conducted, and the size of pain felt by the subjects was analyzed using the SPSS program and statistical significance was obtained. Therefore, as a result of this study, the high-frequency pain therapy device generated deep heat in the pain area to raise the temperature, and expanded the arteries and capillaries to increase blood flow, thereby increasing blood circulation and metabolism, and alleviating the pain of delayed onset muscle pain.

• Clinical Pain
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• v.18 no.1
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• pp.1-7
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• 2019

Objective: To investigate the cortical disinhibition in diabetic patients with neuropathic pain and without pain. In addition, we assessed the cortical disinhibition and pain relief after repetitive transcranial magnetic stimulation (rTMS). Method: We recruited diabetic patients with neuropathic pain (n = 15) and without pain (n = 15). We compared the TMS parameters such as motor evoked potential (MEP) amplitude, cortical silent period (CSP), intracortical inhibition (ICI %) and intracortical facilitation (ICF %) between two groups. Moreover, we evaluated the changes of pain and TMS parameters after five consecutive high frequency (10 Hz) rTMS sessions in diabetic patients with neuropathic pain. The neuropathic pain intensity (visual analog scale) and TMS parameters were assessed on pre-rTMS, post-rTMS 1day, and post-rTMS 5 day. Results: The comparison of the CSP, ICI % revealed significant differences between two groups (p<0.01). After rTMS sessions, the decrease in pain intensity across the three time points revealed a pattern of significant differences (p<0.01). The change of CSP and ICI % across the three test points revealed a pattern of significant differences (p<0.01). The ICI % revealed immediate increase after first rTMS application and significant increase after five rTMS application (p<0.01) in diabetic patients with neuropathic pain. The MEP amplitude and ICF % did not reveal any significant changes. Conclusion: Our findings demonstrate that cortical inhibition was decreased in diabetic patients with neuropathic pain compared with patients without pain. Furthermore, we also identified that five daily rTMS sessions restored the defective intracortical inhibition which related to improvement of neuropathic pain in diabetic patients.

• Journal of Korean Port Research
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• v.4 no.1
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• pp.33-43
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• 1990

우리나라에서는 70년대 이후 컨테이너 수송체계가 도입되어 운영되어 왔으나 차량의 급격한 증가와 더불어 컨테이너 수송체계는 도시교통에 있어서 많은 문제를 야기시키는 것으로 논란이 되고 있다. 특히, 부산항은 우리나라 최대의 국제 무역항으로써 전 컨테이너 수송화물의 90%이상을 처리하고 있고, 또한 수출입항으로서 제 역할을 다하고 있으나 낮은 도로율(12.45%)과 산재해 있는 30여개의 Off-Dock CY로 인해서 도심을 통과하는 컨테이너 수송차량은 많은 교통문제를 유발시키고 있다. 본 연구는 1) 부산시에 산재해 있는 30여개의 Off-Dock CY에 이르는 주요 도로상에서 컨테이너 수송량의 신간별 분포에 따라 컨테이너의 운행시간대를 첨두 시간대, 비첨두 시간대 및 심야 시간대로 분류하여 각 시간대별 평균 수송 시간 및 교통 체증으로 인한 수송 지체수준을 확인하였고, 2) 컨테이너 전용부두로 부터 Off-Dock CY에 이르는 도시 고속도로 및 주요간선도로상에서의 수송시간 및 수송 지체수준을 비교 분석하였으며, 3) 마지막으로, 효율적인 컨테이너 수송체계를 위한 최적 수송시간대 및 도로체계를 제시할 수 있었다. 특히, 컨테이너 수송시간 및 지체수준은 각 운행 시간대에 따라 현저한 차이를 보이고 있었는데, 심야 시간대를 이용하여 컨테이너 수송을 할 경우에는 다른 시간대에 비하여 50%정도의 수송시간 절감효과를 기대할 수 있었으며, 도시 고속도로를 이용할 경우에는 도시 간선도로에 비하여 30%정도의 수송시간을 절약할 수 있었다. 따라서 도시지역의 교통체중을 완화시키기 위해서 심야 시간대에 보다 많은 컨테이너 수송차량이 이용할 수 있는 컨테이너 수송체계가 확립되어야 하고, 산재해 있는 Off-Dock CY를 몇개의 ODCY그룹이나 단지까지 컨테이너 전용 고속도로의 건설이 바람직하고 생각된다.리구에서 조사한 결과 $10^{-3}$ M MGBG 단독 처리구에서 에틸렌 생성량이 가장 높았으며, spermidine과 spermine의 함량은 가장 낮았다. 부정근 형성능이 다소 회복된 $10^{-3}$ M MGBG+ $10^{-5}$M spermine 혼합처리구에서의 에틸렌 생성량은 대조구보다는 다소 높게 나타났다. 부정근 회복능이 가장 높았던 $10^{-3}$ M MGBG+ $10^{-5}$ M spermine + $10^{-4}$ M Cocl$_2$ 혼합처리구에서 에틸렌 생성량은 가장 낮게 나타났으며, polyamine 함량은 가장 높게 나타났다.(Cyperaceae), 명아주과(Chenopodiaceae) 같은 풀들이 하구언(estuary)의 해안가에 주로 서식하였던 것으로 나타났다. 이 시기동안에 해양성조류인 와편모류와 담수성 조류가 동시에 다양하게 산출되는 것은 하구언 퇴적환경이었음을 잘 지시해 준다. 제II화분대(고도, 43.72{\sim}3.36\;m$)가 시작되면서 혼합림은 침엽수림으로 바뀌었으며, 낙엽활엽수들의 서식지가 2엽소나무로 대치되면서 침엽수가 주요 수종을 이루었던 것으로 나타났다. 아마도 이런 산림형태는 자연 기후환경변화 뿐만 아니라 인간간섭에 의해 나타난 결과로 생각된다. 이 시기에 경작식물인 벼과(Gramineae), 옥수수(Zea), 메밀(Fagopyrum)과 논밭의 뚝 등지 에서 서식하는 돼지풀(Ambrosia) 등이 처음으로 산출되는 것으로 보아 인간간섭이 행해졌음을 잘 뒷 받침해준다. 또한 담수성 조류는 변함없이 산출되는 반면, 해양성조류인 와편모류가 산출되지 않는 것으로 보아 해안환경에서 다소 멀 어진

• KSCE Journal of Civil and Environmental Engineering Research
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• v.30 no.1D
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• pp.17-25
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• 2010

In Korea, the importance of walking has not been stood out in relief because of the rapid increase of a car on a drastic economic growth in the past half a century. Walking has failed to be recognized as a traffic measure or one of basic human rights. Therefore this study brings up problems of weakened walking right from increase of cars and examines reinforcing policies for walking right of advanced countries. And this study presents institutional devices for introducing walking safety measures of advanced countries reflecting pedestrian satisfaction and opinions about walking right. The results of this study are, First, pedestrians' walking liberty is guaranteed, Second, how to repair walking environment is searched and practical measures are analyzed to find out what is applicable to Korea, can reduce pedestrian accidents and is wanted by pedestrians using GAP analysis and Structural Equation. Third, basic data for upcoming selection of policies are presented by analyzing pedestrian satisfaction assuming that selected measures are operated.

• Journal of The Geomorphological Association of Korea
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• v.18 no.4
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• pp.1-15
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• 2011

This work is to review the granite landforms studies by Korean geographers. It is verified that geomorphlogical characteristics of granite present landscapes characterized by 1) in case of mountains, are difficultly or irregularly weathered, so as to develop rocky forms such as domes, cliffs, and tors ; 2) in case of stream valley that is inter-massif lowland, low relief hills and flood plains with alluvium. All these facts owe to the difference of weathering mode granite properties. The granite hills and alluvial plains of southwestern coastal parts in Korean peninsula is low undulatory and large owing not only to the existence of highly weathered granitic regolith, but also to frequent flooding. Cultivated brownish field, orchard, meadow and forest are located at granite hills. On the other hand paddy rice field at granite alluvial plains. Korean peninsula have endured erodible geomorphlogical processes since Miocene when warping it up. Therefore many intermontane basins are located on the weathered granite areas which are surrounded by mountains composed of much less Precambrian gneiss complex. In fact, intermontane basin is mainly linear fault-line valley. The landforms of the intermontane basins are characterized by gentle piedmont slopes, alluvial fans, fluvial terraces and alluvial plains.

• Journal of the Daesoon Academy of Sciences
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• v.20
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• pp.223-272
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• 2009

Both Daesoon philosophy and Buddhist philosophy have strong aspirations for establishing a world comprised of human-beings. In other words, Daesoon philosophy and Buddhist philosophy put human-beings in the place of 'subject character(主語的 人格)' instead of 'predicate character(述語的 人格).' This is because a human is the master rather than a guest of the universe and the world. In this regard, it is safe to say that both Daesoon philosophy and Buddhist philosophy have a common goal of reaching 'an infinitely open life managed by a human-being, the master.' Daesoon philosophy and Buddhist philosophy also share the idea that everything in the universe is an organistic world that is closely connected, like a network. In this aspect, the two philosophies consider the whole world rather than the individual, and seek ways for people to live together actively while expanding the scope of community to the world. Even if 'the morality of living together (相生)' and 'the realization of mercy(同體大悲)' are completely different languages on the surface, it is not difficult to understand the homogeneity inherent in such expressions. Daesoon philosophy and Buddhist philosophy show endless reliability towards all humans and are declarative and reasonable, but both herald human beings as eligible to become the main characters of the future world and lead to the birth of independent human beings while inducing them to the highest position in the universe by liberating humans from the limitations they find. 'Heaven on Earth' as stated in Daesoon philosophy refers to an ideal society where humans and God harmonize, and God and humans complement each other. Also, the world will achieve political stability and equality, realizing an economically prosperous world. Furthermore, social justice will be realized and cultural and religious conflicts resolved. As humans acknowledge there is a way to live together in a universal nature, the environmental issue no longer becomes the top priority for human beings and a world where the morals of human beings reach the highest level will be established. From the original Buddhist perspective, King Jeonrhyun, the proxy of Buddha, realizes the ideal of Buddhism in the mundane world. The world controlled by King Jeonrhyun can be described as having liberty, equality, peace, justice, prosperity, morality, order, legality, democracy, welfare, etc. Therefore, the ideal Buddhist world is materially prosperous, physically healthy and socially just, as well as a world where moral maturity and mental freedom are achieved.

• Korean Journal of Culture and Social Issue
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• v.23 no.2
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• pp.215-237
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• 2017

Most research on medical accidents is related to medical disputes and malpractice of relief system. Therefore, there is a lack of research which explores the psychological experiences of patients injured by medical accidents. The purpose of this study was to investigate Post Traumatic Stress Disorder (PTSD) of patients harmed by medical accidents and to examine the moderating role of social support on the relationship between clinicians' explanation and attitude and PTSD symptoms. A total of 180 patients were drawn from a medical accident organization and online communities related to medical accidents. Results showed that 171 (95%) of the subjects experienced full PTSD symptoms and their severity of the PTSD Symptoms was as high as those who experienced other severe traumatic events. Though the main effect of clinician's explanation and attitude on PTSD symptoms was not significant, the moderating effect of social support was significant in the relationship between clinicians' explanation and attitude and PTSD symptoms. In other words, when the level of social support was low, the poorer the explanation and attitude of clinicians, the more severe the symptoms of PTSD. Drawing from these results, psychological, social, and institutional strategies were suggested to alleviate and prevent PTSD symptoms of patients injured by medical accidents. Finally, limitations of this study and suggestions for future research were discussed.

• Korean Journal of Culture and Social Issue
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• v.25 no.1
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• pp.79-99
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• 2019

Apologies are used with increasing frequency for mending damaged relations between groups after intergroup conflict. Past research revealed that members of a perpetrator group may engage in (animalistic) dehumanization of victim group members to cope with guilt and responsibility associated with the ingroup's past wrongdoing. We hypothesized that ingroup's apology would relieve perpetrator group members of the moral threat, and therefore would make them perceive more humanness in the victim group members. The study was conducted in the context of South Korea's alleged atrocities against Vietnamese civilians during its military involvement in the Vietnam War. Korean participants read an article on the incidents with Korean government's issuance of an official apology manipulated, and reported their thoughts on the incidents and perceptions of Vietnamese people including their humanness. Contrary to our prediction, apology further enhanced dehumanization of Vietnamese people, even while it also decreased dehumanization through heightened feelings of relief. This study documents a seemingly ironic effect of intergroup apology, and calls for a more careful examination of the consequences of apology before recommending it as a viable strategy for alleviating intergroup tensions.