• 비만대사연구학술지
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• 제1권2호
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• pp.74-77
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• 2022

Treatment of obesity includes diet therapy, exercise therapy, cognitive behavioral therapy, drug therapy, and bariatric surgery. Most obese patients lose weight by combining diet, exercise, cognitive behavioral therapy or medication. But, in some cases, only one of these treatments is preferred. A 56-year-old male patient had a body mass index (BMI) of 33.1 kg/m² and a waist circumference of 108 cm. He had been treated for hypertension; diabetes and dyslipidemia were diagnosed but not treated. However, at the initial visit to treat obesity, he was diagnosed with type 2 diabetes mellitus and dyslipidemia again. So he decided to treat these two diseases with drugs first and modify his lifestyle. He started walking more than 20,000 steps every day and then he really walked about 15,000 steps every day during 5 months, although diet calorie or alcohol drinking amount was not significantly decreased. After about 6 months, the patient's weight decreased by 10.1 kg, the BMI decreased by 4.1 kg/m², the waist circumference decreased by 10 cm, the glycated hemoglobin (HbA1c) decreased by 4.59%, the visceral fat area decreased by 115 cm², and the subcutaneous fat decreased by 38 cm². As a result of body composition analysis, muscle mass increased by 1.2 kg, and the percentage of body fat decreased by 10.4%. The walking exercise does not have any space restrictions and has high accessibility by using a mobile phone app. Therefore, considering the patient's situation, it would be better to treat obese patients by first recommending walking exercises and increasing the number of steps to lose weight and improve the comorbidities.

• 대한한의학원전학회지
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• 제35권4호
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• pp.41-61
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• 2022

Objectives : This paper aims to examine the clinical meaning of treating with sweet medicinals where acupuncture fails, through studying the verse, "In case of both Yin and Yang deficiency, treat with sweet medicinals" in the Huangdineijing. Methods : Related contents in the chapters 「邪氣藏府病形」, 「根結」, 「終始」, 「經脈」, 「九鍼論」 of the Lingshu were analyzed threefold. The circumstances of the application of the "In case of both Yin and Yang deficiency, treat with sweet medicinals" principle to the late Han East Asian medicine as written in the Shanghanzabinglun were examined, and its meaning was explored. Results : The 'Yin Yang' in the verse could be substituted with the Five Zhang and Six Fu, Blood and Qi, Form and Qi, Form and Jing, Form and Zhi, etc. In patients with deficiency in Qi, Blood, Yin and Yang, we can observe external symptoms such as narrow pulse pattern, symptoms in the throat or below the throat, thirst, and coarse voice. To apply sweet medicinals is to supplement the Jing from food, Spleen and Stomach, Middle Qi and Earth Qi which produces and maintains Qi, Blood, Yin and Yang. Therefore, it is essential in treating disease patterns with deficiency in both Qi, Blood, Yin and Yang, and cannot be substituted with other means of treatment such as acupuncture, moxibustion, and other manipulative therapies. Conclusions : Sweet medicinals were applied in disease patterns with throat thirst and narrow pulse patterns which could not be managed with general acupuncture or moxibustion in the time of the Huangdineijing's publication, as it holds the Earth virtue which could harmoniously supplement the body's Qi, Blood, Yin, and Yang. Later its application broadened, treating various conditions accompanying Qi, Blood, Yin, Yang deficiency, which expanded potential of medicine and contributed to the generalization of drug treatment.

• 한국축산시설환경학회지
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• 제10권1호
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• pp.1-10
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• 2004

현장규모 (8.6${\times}$2.5${\times}$2.4 m) 및 파이롯트규모 (1.39${\times}$0.89${\times}$0.89 m)의 고온호기산화장치를 이용하여 공기투입량 및 처리온도에 따른 양돈분뇨의 감량화 효율을 검토하였다. 현장규모에서 공기투입장치, 거품제거장치의 설치조건이 양돈슬러리 증발량과 처리온도에 모두 영향을 미치고 있음을 알 수 있었다. 현장규모 연구는 3가지의 처리방법 (처리A:공기공급량 120㎥/h, 수중펌프 2대, 소포장치2대: 처리 B: 공기공급량 180㎥/h, 수중펌프 3대, 소포장치 3대; 처리C: 공기공급량 180㎥/h, 수중펌프 3대, 소포장치 4대)으로 실행되었다. 1일 5㎥ 양돈슬러리를 동일하게 투입하면서 얻어진 연구결과, 수위변화, 온도변화 및 증발량은 각각 처리A: 50∼100cm, 31∼$64^{\circ}C$, 55L/$\m^2$ㆍday, 처리B: 40∼90cm, 29∼$52^{\circ}C$, 75L/$\m^2$ㆍday, 처리C: 40∼70cm, 45∼$54^{\circ}C$, 120L/$\m^2$ㆍday이었다. 한편 파이롯트 규모 연구는 반 연속식으로 양돈분뇨를 투입하면서 매일 투입량을 처리1: 50L/2h, 처리2: 50L/3h, 처리3: 40L/3h, 처리4: 60L/4h으로 하여 최대 슬러리 감량조건을 도출하기 위해 수행하였다.

• 한국잠사곤충학회지
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• 제21권2호
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• pp.11-19
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• 1979

본연구는 백반이 sericin 정착하는 작용을 구명하기 위해서 시행된 것이며 이미 유혁기술에서 사용하여 오던 실예를 생사에 적용해보려는 것이었다. 타인의 보고는 Cr-명반이나 tannin, formalin 또는 vinyl acetate로 sericin 정착한 사실이 있기는 하나 이들은 섬유의 흡습성을 도외시한 것이어서 본보는 섬유의 흡습성을 보존하면서 sericin 정착을 하는 방식을 취하기로 했다. 한편 sericin 정착기구를 상세히 알기위해 섬유의 침간 mechanism과 정착 mechanism도 고찰하여 보았다. 본실험에서 얻어진 결과는 다음과 같다. 1. 백반을 sericin 정착에 이용할 때는 타인의 보고에서와 같이 고온처리는 금물이며 고온처리는 섬유를 경화시켰다. 2. 백반을 저온처리하는 대신 3 시간 이상 처리함이 바람직하였고 이때 백반만으로도 sericin 정착과 더불어 방수효과를 보였다. 3. 1% 백반농도이면 sericin 정착이 가능하였다. 4. sericin 정착만 고려할때는 0.5% NaOH 10분간 처리후 1% 백반용액 3시간처리방식이 가장 좋았다. 5. 그러나 sericin 정착과 흡습성을 고려할때는 상기 방식의 역방법이 가장 좋았다. 6. sericin 정착검정은 습윤시료의 건조곡선도시로 더욱 선명하게 다루었다. 7. 연감률은 백반 -NaOH 처리의 경우 4.3%였는데 이러한 정도이면 실용 선습에 능히 sericin 유실을 막을 것으로 본다. 8. 흡습성도 백반-NaOH 처리방식에서 미처리손과 동일한 흡습성을 유지했다. 9. 처리직후와 처리 3개월후의 강력경도에 변화가 없었다. 10. 결론적으로 본처리는 무연무색처리로서 유색처리(탄닌, Cr-명반)방법과 취기처리(formalin, vinyl acetate 처리)보다 개선된 방식이었다.

• 대한한의학방제학회지
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• 제19권1호
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• pp.1-22
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• 2011

Objectives : This study was performed to investigate applications of 122 prescriptions including Anemarrhenae Rhizoma and Phellodendri Cortex in Dongeuibogam. Methods : 122 prescriptions including Anemarrhenae Rhizoma and Phellodendri Cortex which have been used separately or concurrently in Oriental Medicine for a long time as a treatment for various disease in Dongeuibogam were studied through order of frequency, symptoms, dosages, and etc. Results : 1. 19(15.57%) prescriptions are recorded in fatigue chapter, 11(9.02%) in mental or emotional disorder as a result of repressed anger or stress chapter, 9(7.38%) in urine and cough chapters respectively and 8(6.56%) in eyes, ears and glycosuria chapters respectively, which are arranged in order of frequency. 2. Burning stress resulted from Yin deficiency treat herbs are ranked top, Yin deficiency treat herbs, dim eyes, Yin-yang deficiency treat herbs, kidney function deficiency treat herbs are ranked in order of frequency among 78 symptoms in prescriptions including Anemarrhenae Rhizoma and Phellodendri Cortex. 3. The dosages of Anemarrhenae Rhizoma which is more used than Phellodendri Cortex are ranged from 5 puns:4 puns ~ 2 nyangs:1 nyang. 1 jeon:5 puns is recorded 3(30.00%), 1 jeon:7 puns is 2 times(20.00%), the others are 1 (10.00%) used among 10 prescriptions including Anemarrhenae Rhizoma and Phellodendri Cortex. 4. The dosages of Anemarrhenae Rhizoma which is used same amount Phellodendri Cortex are ranged from 3 puns each ~ 4 nyangs each, same amount each or unidentified dosages. Same amount each or unidentified dosages each is recorded 36 times(38.71%), 5 puns each is 15 times(16.85%), 1 nyang each is recorded 12 times(13.48%), 0.7 jeon each is recorded 7 times (7.87%) and 1 jeon each is recorded 6 times(6.74%) used among 89 prescriptions including Anemarrhenae Rhizoma and Phellodendri Cortex. 5. The dosages of Anemarrhenae Rhizoma which is less used than Phellodendri Cortex are ranged from 3 puns:1 jeon ~ 4 nyangs:8 nyangs. 1 nyang:2 nyangs is recorded 4(17.39%), 0.5 jeon:1 jeon is 3(13.40%) each, the others are 1 time(4.35%) used among 23 prescriptions including Anemarrhenae Rhizoma and Phellodendri Cortex. 6. The less using dosage of Anemarrhenae Rhizoma and Phellodendri Cortex has a more percentage of decoctions groups, The more using dosage of Anemarrhenae Rhizoma and Phellodendri Cortex has a more percentage of the other groups except decoctions. The less using prescriptions have an effects of controlling yin and blood deficiency, enhancing Qi, etc, as a whole. The more using prescriptions as a form of compound powder have an effects in incurableness disease, chronic diseases, and etc. Conclusions : The 122 prescriptions including Anemarrhenae Rhizoma and Phellodendri Cortex in Dongeuibogam are mainly composed of Gamree-hwan, Samool-tang, Naebo-hwan, Sagoonja-tang and Gobangpoong-tang, and etc.

• 한국치위생학회지
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• 제5권2호
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• pp.279-296
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• 2005

The purpose of this study was to examine what types of experiences dental hygienists underwent with patients who were unapproachable in an effort to find out the latter group's needs and expectations, explore how to treat them of different personality type, and provide better dental services in response to their needs. To attain the purpose, Q-methodology was employed, which made a subjective and systematic assessment of human subjectivity. There were three types of subjectivity among dental hygienists in conjunction with their experiences with patients who were hard to please. Each group whose subjectivity was different also had a different preference for patients, which was not exclusive to one another but unique. Type 1 was "avoiding patients who showed off". Dental hygienists of this type found it unpleasant to treat patients who boasted of their background, position or relations with the head of hospital and wanted to be given special treatment. They avoided those patients, since giving special treatment to specific patients was likely to do damage to others. They believed that better medical services could be provided through mutual concern and good manners between medical personnels and patients. Dental hygienists of type 2 considered it hard to treat patients who were picky and looked at treatment or its outcome negatively. Those who had to be separated from others on account of possible cross-infection or who called for special decontamination methods of dental instruments were also difficult to deal with. Dental hygienists of this type could be said to "avoid picky patients", as they preferred to fare with patients by offering good, faithful treatment rather than by giving special treatment. Dental hygienists of type 3 believed that smooth and successful treatment hinged on mutual trust, confidence and collaboration between medical personnels and patients. According to them, patients who choose a specific hospital or a particular medical team at their own option have to cooperate if necessary, listen carefully to medical personnels and treat them without any hostility or bias. Therefore, they could be said to "avoid patients who were not cooperative".

• 한국지하수토양환경학회지:지하수토양환경
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• 제19권3호
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• pp.33-38
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• 2014

This study was performed to evaluate the applicability of pump and treat technology as well as to identify the changes of groundwater level by continuous pumping at the petroleum contaminated site. A total of 9 monitoring wells were installed at the site and the contaminant concentrations, TPH, benzene, toluene, ethylbenzene and xylene, of groundwater were measured. With the results of the groundwater monitoring, a total of 9 wells were set up for pumping contaminated groundwater in 3 locations. The waste water treatment facility with a capacity of $10m^3/hr$ was installed in the site and operated for about 1 year. The concentrations of the contaminated groundwater from the 3 pumping wells were exceeded groundwater regulation for benzene and TPH. However, the effluent concentration of benzene and TPH was under the regulation showing the maximum level of 0.011 mg/L and 1.2 mg/L during the operation periods. Groundwater levels were decreased by continuous pumping and those were not recovered during the operation period. Groundwater levels of PW-1,2, PW-3,4,5,6 and PW-7,8,9 were decreased about 5 m, 0.7 m, 2 m, respectively. The hydraulic conductivity (K) of the region of PW-1,2, PW-3,4,5,6 and PW-7,8,9 was estimated to be $6.143{\times}10^{-5}cm/sec$, $2.675{\times}10^{-5}cm/sec$, $1.198{\times}10^{-4}cm/sec$. Groundwater level was seemed to be affected not by hydraulic conductivity but by morphological effect. These results show that the pump and treat technology has high applicability for the restoration of petroleum contaminated groundwater but needs continuous monitoring to prevent rapid groundwater drawdown.

• Journal of Chest Surgery
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• 제29권11호
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• pp.1173-1181
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• 1996

동종동맥판의 보존기법이 발전하면서 상당한 정도의 생육성이 보존되며, 특히 면역반응의 주된 요인인 내피세포 생육성이 약 50%이상 보존되기 때문에 보존처리된 동종동맥판 내피세포의 면역능력을 평가하는것이 동종동맥판의 임상적변화의 원인을 규명하는데 필요할 것이다. 실험은 200~250gm의 Sprague-Dawley Rat를 사용하였다. Rat로부터 적출한 동맥벽을 현재 임상적으로 사용하고 있는 냉장보존법과 냉동보존법을 사용하여 2주일간 보존하였으며 보존처리전(No treat)과 멸균처리후(sterile),냉장 보존후 1(1day), 2(2day), 7(7day), 14일째(14day), 2주간의 냉동보존후(cryo)에 표본을 채취하여 보존시간에 따른 변화를 관찰하였다. 면역표현에 대한 연구를 위하여 혈관조직으로부터 내피세포를 분리한 뒤 면역조직화학검사(Immunohistochemical study)를 하였다. 혈관내피세포의 항원 표현정도를 정량적으로 분석하기 위하여 anti-MHC class I antibody(MRC OX-18)과 anti-MHC class II antibody(MRC OX-6), anti-ICAM antibody를 사용하였다. 처리된 내피세포를 Flow cytomwtry로 분석하여 항체가 부착된 내피세포의 비율을 알아냄으로써 내피세포의 항원성(antigenic expression)을 조사하였다. 또한 보존처리된 동종동맥판에 의한 생체내에서의 면역반응을 평가하기 위하여 위에서와 같은 방법으로 보존처리전(No treat), 멸균처리 후 2일 보존후(2 day), 7일 보존후(7 day), 14일 보존 후(14 day), 냉동보존(cryo)된 동종동맥판을 Mouse에 이식한 후 일정기간(1, 2, 3, 4, 6, 8주)이 경과된 시점에서 혈중의 CD4$^{+}$, CD8$^{+}$ T cell분포를 측정하였다. 이를 위하여 Mouse의 미정맥에서 채취한 혈액에 monoclonal antibody를 처리한 뒤 flow cytometry를 이용하여 lymphocyte중의 CD4$^{+}$, CD8$^{+}$ T cell 비율을 측정하였다. 내피세포의 MHC Class I 표현정도는 No treat에서 23.95%였고, sterile에서 48.08%로 증가한 뒤 14day 까지 36.02%로, cryo에서도 35.53% 로 증가되어 있었다(p=0.0183). MHC Class II 표현정도는 No treat에서 9.72%, sterile에서 10.13%이였고 14day 에서 10.27%, cryo 에서 13.39% 였다(P=0.1599). ICAM-1 표현정도는 No treat에서 15.02%, sterile에서 19.85%였고, 14day에서 35.33%, cryo에서 34.67% 로 증가하였다(P=0.001). 정상 Mouse에서 CD4$^{+}$, CD8$^{+}$ T-cell분포는 각각 42.13%, 25.57% 였고 CD4$^{+}$/CD8$^{+}$ ratio는 1.64였다. 동종동맥을 이식받은 Mouse의 정맥혈중 CD4$^{+}$ T-cell분포는 No treat군에서 1주에서 8주사이에 49.23% 에서 36.8%사이로 변화를 보이지 않았고(p=0.955), 2 day군에서는 30.36%로 감소하였고(p=0.0001), 7day군에서는 32.8%로 감소하였고(p=0.008), 14 day 군은 26.92%로 감소(p=0.0001), cryo군은 29.56%로 감소하였다(p=0.0018). CD8$^{+}$T-cell은 모든 군에서 1주에서 8주 사이에 42.32%에서 58.92%사이로 증가하였다(p=0.0001~0.0002). CD4$^{+}$/CD8$^{+}$ ratio는 모든 군에서 1주에 1.22 에서 2.28 사이에 있었으나 8주후에는 모든 군에서 0.47에서 0.95 사이로 감소하였다(p=0.0001). 즉, 보존처리된 동종동맥판의 내피세포는 보존처리과정의 초기에는 MHC class I과 II항원효과를 동시에 보이고, 보존기간이 길어지면서 MHC class II항원효과는 변함이 없으나 MHC class I 항원효과는 증가함을 알 수 있다. 또한 CD4$^{+}$ T-cell은 보존처리 기간 중 소폭의 변환를 보임에 반하여 CD8$^{+}$ T-cell은 보존처리된 기간에 관계없이 이식된 후 8주간에 걸쳐 지속적으로 증가함을 알 수 있다. 4$^{\circ}C$에 냉장보존한 군과 냉동보존한 군간에는 차이가 없었다. 이와같은 결과를 볼 때 동종동맥판을 체내에 이식할 경우 내피세포에 의한 MHC class I 항원효과가 지속적으로 유지되고 있음을 추측할 수 있다.

• Archives of Reconstructive Microsurgery
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• 제20권2호
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• pp.132-138
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• 2011

Although finger tip replantation is popularized nowadays, it is not easy operations even for experienced surgeons. The indication for replantation to treat fingetip amputation is still controversial, but I think replantation for function and cosmetic absolute indication. This paper will discuss about methods of fingertip replantation and unexpected complications on soft tissue after operation.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2012년도 춘계학술대회 논문집
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• pp.1221-1222
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• 2012