• The Korean Journal of Pain
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• 제12권1호
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• pp.87-94
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• 1999

Backgroud: We have performed the CT-guided celiac plexus block (CPB) using anterior approach to evaluate the safety and efficacy of the procedure and to determine the role of CT. Methods: CPB were done in 10 patients (5 men and 5 women: mean age, 58.1 years) with intractable upper abdominal pain due to terminal malignancy of the stomach (n=3), pancreas (n=4), gallbladder (n=2), and liver (n=1). To permit an anterior approach, patients lay supine on the CT scan table during the procedure. One 21-guage Chiba needle was placed just anterior to the diaphragmatic crus between the celiac and superior mesenteric arteries and 10~12 ml of dehydrated alcohol was injected. Degree of pain relief following the procedure was assessed and pain was graded on a numeric rating scale (NRS) from 0 to 10. Results: The results suggest a direct relation between the degree of celiac invasion and the response to the CPB. With CT guidance, it is possible for us to direct the needle into more accurate region, allowing alcohol to be deposited in specific ganglion area. Conclusions: CT-guided CPB using an anterior approach was an easy and effective way of reducing intractable upper abdominal pain due to terminal malignancies. CT-guidance allowed precise needle placement and safe procedure. Careful classification of cases is important to predict the degree of pain relief using the grading system based on the degree of involvement of the celiac plexus.

• 디지털융복합연구
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• 제13권7호
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• pp.197-205
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• 2015

기존의 웹 인증방식은 주민등록번호를 이용하여 신용평가회사의 실명확인 데이터베이스를 통해서 인증 방식과 주민등록번호를 이용한 인증 방식을 개선한 대체인증 수단인 아이핀 인증방식 등이 있다. 기존 인증 방식을 개선하여 모든 웹에서 이용할 수 있는 통합 ID 인증 프로토콜을 제안한다. 제안한 인증 방식은 안전성을 높이기 위해서 사용자 검증값을 암호화하여 인증기관의 데이터베이스에 고유 식별번호로 저장한다. 그리고 해당 웹에 로그인하기 위해 필요한 패스워드는 일회용 난수를 인증기관으로부터 수신하기 때문에 사용자가 패스워드를 따로 기억할 필요가 없고 스마트폰을 사용하여 난수를 수신한다. 웹은 데이터베이스에 사용자의 개인정보를 저장하지 않기 때문에 개인정보 관리가 용이하며 사용자에게는 통합 ID 하나만 기억하고 매번 일회성 난수를 패스워드로 발급받아 여러 ID와 패스워드를 기억하고 관리하지 않아도 되는 편리성을 제공해 준다.

• Journal of Acupuncture Research
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• 제30권4호
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• pp.169-173
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• 2013

Objectives : The purpose of this study is to report the effect of Dochim & Gwanchim therapy combined with Korean medicine treatment in patients of herniated lumbar disc. Methods : Clinical study was conducted to 103 patients who were treated in Department of Acupuncture and Moxibustion Medicine, Korean Medicine Hospital, Daejeon University from 1st september, 2011 th 31th July, 2013. We divided into two groups. The group A(n=80) was treated with Gwanchim therapy combined with Korean medicine treatment, and the group B(n=23) was treated only Korean medicine treatment. We evaluated the treatment effect with the verbal numerical rating scale(VNRS), and compared admission day and one day after admission. Results : 1. In both two groups VNRS was decreased and this therapy is safety. 2. In group A, VNRS was decreased 10 to 5.68 and in group B, VNRS was decreased 10 to 8.7 Conclusion : This study demonstrates that Gwan acupuncture therapy has significant effect reducing pain for HIVD(herniated lumbar intervertebral disc) patients.

• 대한인간공학회지
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• 제26권2호
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• pp.45-59
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• 2007

The operating tasks of overhead crane have caused undue stress to the operators from physical, mental, and environmental workload. Existing workload assessment models for musculoskeletal disorders such as OWAS, RULA, and QEC have limited applicability to the crane operating tasks because they focus mainly on physical factors and do not consider the relative importance of each factor. The present study was to develop a workload assessment model customized to overhead crane operation, following a systematic process: (1) analyzing task characteristics, (2) selecting workload factors, (3) developing assessment methods, (4) establishing action levels, and (5) computerizing the assessment model. Based on literature review, worksite survey, and focus group interview, 4 physical factors (awkward posture, static posture, repetitive motion, and excessive force), 6 mental factors (visual demand, auditory demand, task complexity and difficulty, time urgency, work schedule related stress, and safety related stress), and 4 environmental factors (noise, vibration, dust, and temperature) were selected and their rating scales and relative weights were determined. Then, based on the workload assessment results of 8 overhead cranes operated at different workplaces, the action levels of each factor category were established. Finally, the crane operation assessment model was computerized for effective analysis and report preparation. The present approach is applicable to develop a customized workload assessment model for an operating task under consideration.

• 지질공학
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• 제18권2호
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• pp.197-205
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• 2008

보강효과 및 계측조건의 영향이 배제된 무보강 상태의 전변위는 터널 굴착에 따른 암반 거동의 정량적 지표가 될 수 있으며, 이러한 변위는 지질학적 특성에 의존한다. 본 연구는 암반 상태별로 굴착에 따른 암반의 거동 특성을 잘 반영할 수 있는 암반 평가법의 제안을 목적으로 한다. 이를 위해 퇴적암을 기반으로 하는 터널을 대상으로 형상, 굴진장 및 굴착 조건 등이 고려된 3차원 수치해석을 수행하였으며, 이를 통긍 암반 상태에 따른 무보강 상태의 전변위를 산정하였다. 그리고 산정된 전변위를 외적기준으로 하고, 각 RMR 인자들을 설명변수로 하는 수량화분석을 수행하였다. 그 결과 각 RMR 인자의 변위 영향도를 결정하였으며, 최종적으로 수정된 RMR 배점 체계를 제안하였다.

• 대한암한의학회지
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• 제26권1호
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• pp.39-48
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• 2021

Objective: The purpose of this study is to report effects and potential of Integrative Cancer Treatment (ICT) on metastatic pancreatic cancer patient. Methods: A 79-year-old pancreatic cancer patient diagnosed with metastasis on liver visited the Daejeon Korean medicine hospital of Daejeon university East West Cancer Center (EWCC) on May 2021. The patient has been received chemotherapy (gemcitabine plus abraxane) and concurrently treated with ICT since May 2021. The clinical outcomes were measured by computed tomography, laboratory findings including tumor markers (CEA, CA19-9) and numeric rating scales (NRS). Laboratory analysis and National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0 were used to evaluate the safety of ICT. Results: After treatment, constipation was relieved from NRS 5-6 to 2, both leg numbness was improved from NRS 9 to 2. Tumor size was generally decreased accompanying by reducing the levels of tumor markers. There were no severe adverse events induced by ICT based on NCI CTCAE version 5.0. Conclusion: This case study suggests that ICT in combination with chemotherapy may help in the treatment of patients with metastatic pancreatic cancer.

• 대한한방내과학회지
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• 제39권6호
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• pp.1296-1305
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• 2018

A patient with an epigastralgia was treated with Korean medicine for the short-term period of five days under admission care. In this case report, we discuss the efficacy and safety of short-term treatment using Korean medicine methods on a patient with an epigastralgia by evaluating a numerical rating scale, agastrointestinal symptom questionnaire, clinical features, and blood tests. The complex methods comprise purgation therapy using Crotonis Fructus, Korean herbal medication, acupuncture and moxibustion. Throughout the purgation therapy with Crotonis Fructus, the patient reported improvement in both her pain score and dyspepsia index. This case showed that Korean medicine acted not only fast, but also effective for treating epigastralgia patients diagnosed with functional dyspepsia.

• 대한영양사협회학술지
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• 제25권1호
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• pp.1-16
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• 2019

This study examined the microbiological quality of daycare center meals. Six menu items from five daycare centers in Daegu included uncooked processed foods (seasoned cucumber and lettuce salad), post-preparation after cooking processed foods (rolled omelet and seasoned soybean sprout), and cooking processed foods (panbroiled beef with oyster sauce and seasoned pork roast). Microbiological analyses were performed for the aerobic plate counts (APC), coliforms, and Escherichia coli. The analyses were conducted in July and November 2017. The mean APC and coliform count of seasoned cucumber decreased significantly from 4.71 log colony forming units (CFU)/g and 2.50 log CFU/g in July to 4.07 log CFU/g and 1.78 log CFU/g in November, respectively (P<0.01 and P<0.001). The APC of panbroiled beef with oyster sauce and seasoned pork roast were significantly lower in July (1.84 and 1.79 log CFU/g) than in November (2.41 and 2.28 log CFU/g) (P<0.001). The coliform counts of panbroiled beef with oyster sauce and seasoned pork roast were significantly greater in November (2.11 and 1.62 log CFU/g) (P<0.001). E. coli was not detected. Among the foods prepared using the three preparation processes, the post-preparation after cooking processed foods had the lowest microbial quality. The APC and coliform counts of cooking processed foods were satisfactory in July, with an acceptable rating for pan-broiled beef with oyster sauce in November. Time-temperature control and the prevention of cross-contamination are essential during meal production for food safety, regardless of the season.

• 대한한의학회지
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• 제40권2호
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• pp.119-132
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• 2019

Purpose: This study was conducted to collect and analyze real world data to evaluate the effectiveness and safety of comprehensive traditional Korean Medicine treatment on quality of life, anorexia and cachexia of cancer patients. Methods: We analyzed medical records of 62 cancer patients admitted to O-I Dang Korean Medicine Hospital from February 2018 to February 2019. The primary outcome was a change score in the Anorexia/Cachexia Subscale of Functional Assessment of Anorexia/Cachexia Therapy (FAACT). The secondary outcomes were Functional Assessment of Cancer Therapy-General (FACT-G), Trial Outcome Index(TOI) of FAACT, 11 point Pain Intensity Numeric Rating Score (11 PI-NRS) and Patient Global Impression of Change (PGIC) and adverse event. Results: Cachexia and quality of life in cancer patients assessed by FAACT, increased by $5.59{\pm}14.83$ (p=0.004) after treatment. PI-NRS was reduced by $2.10{\pm}1.81$ (p<0.001) and TOI and FACT-G total scores were increased by $5.17{\pm}11.70$ (p=0.001) and $3.59{\pm}10.94$ (p=0.012), respectively. These results were also clinically meaningful assessed via minimal clinically important difference (MCID). There was no severe adverse event. Conclusion: These findings suggest that comprehensive traditional Korean Medicine treatment might be effective and safe strategy for improving quality of life, anorexia, cachexia and pain of cancer patients. Further advanced studies with controlled group and more participants with rigorous design are needed to ensure these findings.

• 한국농공학회논문집
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• 제63권1호
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• pp.27-35
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• 2021

KRC (Korea Rural Community Corporation) is in charge of about 3,400 agricultural reservoirs out of 17,240 agricultural reservoirs, and automatic water level gauges in reservoirs and canals were installed to collect reservoir and canal water level data from 2010. In this study, 10-minute water level data of 173 reservoir irrigation canals from 2016 to 2018 are collected, and discharge during irrigation season was calculated using rating curves. For estimation of water supply, irrigation water requirement was calculated with HOMWRS (Hydrological Operation Model for Water Resources System), and the summation of reservoir water storage decrease was calculated with daily reservoir storage data from RAWRIS (Rural Agricultural Water Resource Information System). From the results, the total yearly amount of irrigation water supply showed less than 10% difference than the irrigation water requirement. The regional analysis revealed that reservoirs in Jeollanam-do and Chungcheongnam-do supply greater irrigation water than average. On the contrary, reservoirs in Gyeongsangnam-do and Chungcheongbuk-do supply less than others. This study was conducted with a limited number of reservoirs compared to total agricultural reservoirs. Nevertheless, it can indicate irrigation water supply from agricultural reservoirs to provide information about agricultural water use for irrigation.