• 제목/요약/키워드: Service integrated system

검색결과 1,359건 처리시간 0.032초

네트워크 분석에 기반한 항암화학요법으로 유발된 말초신경병증의 최적 경혈 조합 (Optimal Combination of Acupoints Based on Network Analysis for Chemotherapy-Induced Peripheral Neuropathy)

  • 김민우;김중일;이진현;조동찬;강수빈;이지원;박태용;고연석
    • 한방재활의학과학회지
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    • 제32권1호
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    • pp.107-124
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    • 2022
  • Objectives This study aimed to identify optimal combinations of acupoints used to treat chemotherapy-induced peripheral neuropathy (CIPN). Methods We searched four international databases (MEDLINE, EMBASE, the Allied and Complementary Medicine Databases [AMED], and China National Knowledge Infrastructure [CNKI]) and five Korean databases (DBpia, Research Information Sharing Service [RISS], Korean Studies Information Service System [KISS], Oriental Medicine Advanced Searching Integrated System [OASIS], and KoreaMed) to identify randomized controlled trials (RCTs) that used acupuncture to treat CIPN. Network analysis was performed on the acupoints used in more than three included articles. We constructed a network by calculating the Jaccard similarity coefficient between acupoints and applied minimum spanning tree. Then, modularity analysis, degree centrality (Cd), and betweenness centrality (Cb) were used to analyze properties of the acupoints. Results A total of 25 articles were included. 24 acupoints were extracted from 25 articles. The combinations of acupoints having the highest Jaccard similarity coefficient were {EX-UE9, EX-LE10} and {ST36, SP6}. In the modularity analysis, acupoints were classified to six modules. ST40, EX-UE11, and KI6 had the highest Cd value while ST40, GB34 had the highest Cb value. Conclusions This study found the systematic framework of acupoint combinations used in CIPN studies. This study is expected to provide new perspectives of CIPN treatment to therapists. A RCT is in progress of using the network of this study as a guideline. If significant results are derived from the RCT, it will be possible to lay the groundwork to consider acupuncture for CIPN treatment.

다학제적 데이터 융합에 기초한 우박위험지도 (Hail Risk Map based on Multidisciplinary Data Fusion)

  • 김수현;이승재;심교문
    • 한국농림기상학회지
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    • 제24권4호
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    • pp.234-243
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    • 2022
  • 우리나라에서 우박에 의한 피해는 매년 발생하고 있으며, 특히 농업 분야의 경우 노지 작물과 재배 시설에 치명적인 손실을 입히고 있다. 이러한 우박 피해를 최소화하기 위해 국내 주산지 분포와 작물 생육에 맞춤화 된 우박정보 서비스 시스템의 개발이 필요하다. 그러나 우박의 관측은 다른 기상 변수에 비해 상대적으로 많은 어려움이 따르고 자료도 시공간적으로 불균일성이 크며 산발적이다. 이에 본 연구는 우박정보 서비스 시스템 개발의 일환으로 우박 발생에 대한 시·공간 분포를 파악하기 위해 자연과학적 자료인 기상청 목측자료와 사회과학적 자료인 신문기사 자료를 통합한 우박 관측 DB를 구축하고, 이를 기반으로 우박위험지도를 제작하였다. 이러한 다학제적 우박 자료 융합을 통해 우박 자료의 공백기간과 공백지역에 대해서 보완이 될 수 있었다. 지역별 우박 발생 시기와 빈도 및 크기에 대해 분석한 결과, 최근으로 올수록 크기가 큰 우박의 비중이 증가하였고, 발생 시간은 상승기류가 잘 형성되는 오후 시간대에 주로 분포하였다. 강원, 경북, 충북 등 남한의 북동쪽과 일부 내륙 지역이 더 자주 발생하였고, 겨울에는 북쪽 해안과 일부 내륙 지역에 주로 싸락 우박이 발생하였다. 통합 자료를 이용하여 제작한 우박 위험지도를 통해 1970~2018년 기간의 전국적인 발생 분포 특성과 극값들이 제시되었다. 이번 연구에서 제작된 우박위험지도는 작물 재배적지 선정과 생육 관리에 다학제적인 응용기후 자료로서 도움을 줄 것이다.

근감소증에 대한 한의 치료 연구 동향: 스코핑 리뷰 (Research Trends in Korean Medicine Treatment for Sarcopenia: Scoping Review)

  • 김서은;한윤희;최승관;조정호;우현준;전병현;하원배;이정한
    • 한방재활의학과학회지
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    • 제33권3호
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    • pp.97-113
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    • 2023
  • Objectives This study examined the trends in domestic and international research on the treatment of sarcopenia and analyzed the effectiveness of the treatment. Based on the results, we suggest directions for future Korean medicine research on sarcopenia. Methods The study was conducted using Arksey and O'Malley's scoping review methodology. It included three international databases (PubMed, EMBASE, Cochrane Library) and five domestic databases (Korean studies Information Service System, Korean Medical database, Oriental Medicine Advanced Search Integrated System, Research Information Sharing Service, ScienceON) were used. Literatures published until April 30, 2023, including the contents of 'sarcopenia' and Korean Medicine treatment', were searched. Results A total of 45 studies were included in the analysis. The number of studies on Korean medicine treatments for sarcopenia is steadily increasing, with the majority of studies coming from Asian countries. Of the 45 studies, 30 were conducted in the field of medicine, and the study design was analyzed into 10 clinical studies and 35 non-clinical studies. Among the 10 clinical studies, the most common treatment interventions were herbs (n=4), followed by Daoist exercises (n=3). The most common diagnostic criteria used in clinical studies were those published by the Asian working group for sarcopenia, and various physical examinations and laboratory tests were used as outcome measures. Conclusions The future direction of Korean medicine research on sarcopenia should be to expand the number of clinical studies applying Korean medicine treatment interventions.

포착신경병증의 약침치료에 대한 국내 임상 연구 동향: 주제범위 문헌고찰 (Domestic Clinical Research Trends of Pharmacopuncture Treatment for Nerve Entrapment Syndroeme: A Scoping Review)

  • 이원형;우현준;한윤희;최승관;조정호;전병현;하원배;이정한
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.31-44
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    • 2023
  • Objectives The purpose of this study is to check the research trends of pharmacopuncture treatment in nerve entrapment syndrome, identify specific techniques, identify which pharmacopuncture are used, and provide directions for future research. Methods This study was conducted based on the five steps suggested by Arksey and O'Malley. We searched five domestic databases (Research Information Sharing Service, Oriental Medicine Advanced Searching Integrated System, Korean studies Information Service System, Science ON, and KMBASE) and identified studies with key search terms like "nerve entrapment" And "pharmacopuncture" until June 23, 2023. Results Twenty-nine studies were finally selected. among them, 25 papers were non-comparative studies (86.2%). The most common disease was carpal tube syndrome (n=10). All the investigated studies were treated by injecting pharmacopuncture into the pathway of the entraped nerve. The depth of pharmacopuncture injection was mentioned only in 13 studies. As for the pharmacopuncture used, sweet bee venom was 8 studies and bee venom was 6 studies, and about half of the pharmacopuncture manufactured with Bee venom as the main component accounted for. Conclusions This study is a scoping review of the pharmacopuncture treatment for nerve entrapment, which was first conducted in Korea. The treatment is mainly performed on the path way of the entraped nerve. After that, it is necessary to study the standardization of the specific technique method of pharmacopuncture and the uniformity of evaluation criteria.

극상근 건병증의 한의학적 치료에 대한 연구 동향: 체계적 문헌 고찰과 메타 분석 (The Effect of Oriental Medicine Treatments for Supraspinatus Tendinopathy: Systematic Review and Meta-Analysis)

  • 강동협;이도훈;유상준;양석규;손자연;정설;김혜주;권민진;권오빈;장선우;조현우
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.45-59
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    • 2023
  • Objectives The aim of this study was to analyze the trends of researches on oriental medicine treatments for supraspinatus tendinopathy. Methods We used five databases for searching researches; Korean studies Information Service System, Oriental Medicine Advanced Searching Integrated System, Research Information Sharing Service, PubMed, and China National Knowledge Infrastructure. Only randomized controlled trials suitable for the subject were selected. The methodological quality of included randomized controlled trials (RCTs) was assessed by the Cochrane risk of bias tool. Results Twenty randomized controlled trials were analyzed. There were 9 types of treatment interventions; acupuncture, acupotomy, pharmacopuncture, electroacupuncture, fire needling, warming needle, catgut-embedding therapy, herbal medicine, cupping. The most frequently used treatment intervention was acupuncture and acupotomy. There were 9 outcome measurements including visual analog scale (VAS), Constant-Murley Score (CMS), and range of motion. The most used measurement was VAS. As a result of meta-analysis, acupuncture was more effective than control group in VAS. Additionally, acupotomy was clinically significant compared to control groups in VAS and CMS. Conclusions In this review, we analyzed researches on effectiveness of oriental medicine for supraspinatus tendinopathy. A provisional conclusion can be produced that acupuncture and acupotomy showed beneficial effect to supraspinatus tendinopathy. Although there were some RCT studies, many of them had a high risk of bias, so it is hard to conclude that our study can include overall clinical status. Further well-designed trials are needed.

신경근전기자극치료가 암 환자의 근육 손실에 미치는 영향: 체계적 문헌고찰 (Effects of Neuromuscular Electrical Stimulation on Muscle Wasting with Cancer Patient: A Systematic Review)

  • 박은수;김종희;김수담;김동현;이은정;오민석;유화승
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.15-29
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    • 2023
  • Objectives The purpose of this study is to systematically review the effects of Neuromuscular Electrical Stimulation treatment on muscle wasting in cancer patients. Methods Randomized controlled trials (RCTs) were searched from seven online databases (PubMed, Cochrane Library, EMBASE, China National Knowledge Infrastructure, Oriental Medicine Advanced Searching Integrated System, Korean studies Information Service System, Research Information Sharing Service. The selected RCTs were evaluated for methodological quality through the Cochrane RoB. Results A total of 126 articles were identified, and 4 randomized controlled trials were selected for systematic review. In one study, it was found that there were statistically significant improvements in the Health-Related Quality of Life (FACTH&N total score, p<0.001). Additionally, significant effects were observed in measurements that represented the size of the quadriceps muscle (cross-sectional area of Vastus lateralis and Rectus femoris, p=0.004), maximum muscle strength, the twitch response of resistance muscles, and voluntary activation (p<0.001). However, no significant differences were observed between the intervention and control groups in terms of quadriceps muscle strength in two other studies (p>0.05). Lastly, while one study showed no significant differences in muscle fiber characteristics between the two groups, it did report significant improvements in measurements related to mitochondria within muscle tissue and muscle strength in the intervention group (p<0.05). Conclusions Neuromuscular electrical stimulation can be a method used to improve muscle strength in muscle wasting of cancer patients, but it is difficult to see its effects as significant compared to other treatments.

사경증의 한방 치료에 대한 체계적 문헌고찰 (2018년부터 2023년 연구를 중심으로) (A Systematic Review of the Korean Medicine Treatments for Torticollis (Focused on Research from 2018 to 2023))

  • 서경준;최종찬;지민준;권도영;양재은;구지향;이은정;오민석
    • 한방재활의학과학회지
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    • 제34권2호
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    • pp.29-49
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    • 2024
  • Objectives The purpose of this study is to systemically review the recent studies in the Korean medicine treatments for torticollis. Methods We search the clinical studies from January 1, 2018 to December 31, 2023. The studies were searched through 10 databases (Oriental Medicine Advanced Searching Integrated System, Korean studies Information Service System, Research Information Sharing Service, Korean Medical Database, ScienceON, PubMed, Cochrane Library, Embase, Wanfang Data, China National Knowledge Infrastructure). Results A total of 19 studies were included in the study. 12 studies were case report studies, 5 studies were randomized controlled trials, 2 studies were non-randomized controlled trials. Of the 19 interventions, Chuna was the most used in this study and of the 28 evaluation tools, Sternocleidomastoid thickness was the most used in this study except efficiency rate. All 19 studies had improvements after treatment, and 8 studies had statistically significant improvements. As a result of the study, we found that Chuna, GB, GB20, BL10, Glycyrrhiza uralensis were commonly used Korean medicine treatments for torticollis. Conclusions We analyzed the Korean medicine treatments for torticollis. Through this study, we found that the Korean medicine was effective for torticollis. However, more research is needed to confirm the more detailed effect.

경피적 미주 신경 자극술의 근골격계 통증에 대한 적용 현황 파악: 한의학적 활용 및 후속 연구를 위한 Scoping Review (Assessment of the Application Status of Transcutaneous/Percutaneous Vagus Nerve Stimulation for Musculoskeletal Pain: A Scoping Review for Utilization in Korean Medicine and Subsequent Research)

  • 배건희;안정훈;장동진;노정희;신재권;진은석;염선규;오승주
    • 한방재활의학과학회지
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    • 제34권1호
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    • pp.65-81
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    • 2024
  • Objectives This study aimed to understand the general research trends, applicated disease, and methodology of transcutaneous/percutaneous vagus nerve stimulation, contemplating its clinical use in traditional Korean medicine and future research directions. Methods A scoping review was conducted following Arksey and O'Malley Framework Stage and adhering to the PRISMA extension for scoping reviews: checklist and explanation. Papers published until October 30, 2023, were investigated across 10 databases (PubMed, Embase, Scopus, Web of Science, China National Knowledge Infrastructure, Oriental Medicine Advanced Searching Integrated System, Korean Studies Information Service System, KMbase, Science ON, Research Information Sharing Service. The search terms used were 'Transcutaneous/Percutaneous vagus nerve stimulation'. Results Since 2021, the application of transcutaneous/percutaneous vagus nerve stimulation for musculoskeletal symptoms has been actively researched, predominantly in Asia (37%), Europe (37%), and North America (21%). All 19 papers were part of clinical studies. Chronic pain was noted that most applied disease, it also was found to potentially aid in acute post-surgical pain relief. Major assessment tools include not only simple pain metrics but also pain perception, vagal nerve tension, quality of life, and inflammatory markers. Most procedures were carried out through the ear, which offers a favorable site for therapeutic stimulation without notable side effects. And parameter analysis, frequencies typically ranged around 25 Hz to 30 Hz, while pulse widths were commonly set at 250 ㎲ or 300 ㎲. Conclusions Transcutaneous/percutaneous vagus nerve stimulation is easily accessible through acupuncture in Korean medicine. Therefore, if future studies establish parameters and clinical significance, it could be utilized as a therapeutic modality.

목재제품 규격·품질 표시제도 국내 도입과 정착을 위한 제언 (A Study on the Introduction and Settlement of the Labeling System for Wood-based Products and Expanding in Korea)

  • 김윤희;여환명;방성준;양상윤;강승모;황권환
    • Journal of the Korean Wood Science and Technology
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    • 제41권3호
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    • pp.258-268
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    • 2013
  • 목재산업은 녹색성장과 더불어 한국의 차세대 성장동력으로써 주목받고 있다. 또한, 지속적인 목재의 이용과 목재산업의 활성화를 위하여 "목재의 지속가능한 이용에 관한 법률"이 2012년 제정되었다. 자연으로부터 얻어진 목재자원의 가치를 향상시키고 선순환 구조를 지닌 목재제품이용의 확대를 통해 지속적인 성장을 동반하기 위해서는 목재제품 품질관리가 필요하다. 이 논문에서는 국내외 목재제품의 규격 품질표시제도를 살펴보고 국내 목재산업에의 적용을 위한 방안을 모색해 보고자 하였다. 제재목을 중심으로 미국, 캐나다, 뉴질랜드와 일본의 규격 품질표시제도의 운영현황에 대하여 조사하였으며 목재제품에 대한 규격 품질표시제도는 시스템 진화를 통해 생산자의 자발적 참여로 운영되는 제3자 인증제도로 발전됨을 확인할 수 있었다. 국내 목재제품의 규격 품질표시제도의 활성화를 위해서는 도입기에는 산림청 중심으로 일원화 시스템을 구축하여 조기정착을 유도하고 성장기 및 성숙기를 통해 인식구조 개선과 생산자의 자발적 참여를 위한 인센티브 개발 등의 기반을 마련하여 제3자 인증제도로 발전시켜야 할 것이다.

의료정보 접근을 위한 동적상황인증시스템의 구현 (Implementation of Dynamic Situation Authentication System for Accessing Medical Information)

  • 함규성;서원정;정호일;주수종
    • 인터넷정보학회논문지
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    • 제19권6호
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    • pp.31-40
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    • 2018
  • 최근 IT 기술의 발전과 함께 클라우드 서비스, IoT 기술 및 모바일 애플리케이션을 통해 통합적인 u-헬스케어 환경기반의 의료정보시스템이 구축되고 있다. 이러한 의료정보시스템에서는 응급 처치나 치료를 목적으로 의료진에게 환자의 의료정보를 접근할 권한이 제공되어야 한다. 따라서 의료정보시스템에서 의료진이 담당하는 환자의 생체정보 및 개인 의료정보에 접근하기 위해서는 신뢰적이고 신속한 인증과정이 필요하다. 그러나 현재 시스템 환경에서는 의료진의 ID/PWD만을 이용하는 단순하고 정적인 사용자 인증기법으로 의료정보시스템을 접근하고 있다. 이러한 이유에서 본 논문에서는 환자가 응급상태조건을 고려한 다양한 인증 요소를 포함한 의료정보접근의 투명성을 제공하는 동적상황인증기법과 이를 지원하는 동적상황인증시스템을 제안하였다. 본 동적상황인증은 사용자 인증과 이동 단말기 인증을 결합한 인증으로, 기존의 사용자 인증 뿐 아니라 의료진이 사용하는 이동 단말기의 인증을 위해 환자의 응급상태, 의료진의 역할, 근무시간, 근무위치 등과 같은 다양한 인증요소 속성들을 사용하였다. 우리는 응급상태판별, 동적상황인증, 인증지원 DB 구축을 포함한 동적상황인증시스템을 설계 및 구현하였다. 마지막으로 제안한 동적상황인증시스템의 서비스 수행성 검증을 위해, 의료진으로 하여금 동적상황인증과정과 그 이후 담당환자에 대한 의료정보접근 허가와 함께 의료정보서버로부터 의료진 자신의 이동 단말기에 모바일 애플리케이션을 내려 받아 실행함으로써 의료정보의 인증 및 접근과정을 보였다.